2013-05-13T08:38:58-05:00 2012-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1700 PHILADELPHIA PA 19103 990 2011-07-01 510103684 CHRISTIANA CARE HEALTH SERVICES INC % VICE PRESIDENT'S OFFICE CHRI 3026237201 PO BOX 2653 WILMINGTON DE 198050653 THOMAS L CORRIGAN 2013-05-07 true 2673303000 2011 2016-02-25 16:41:14Z ROBERT J LASKOWSKI MD 4755 OGLETOWN-STANTON ROAD NEWARK DE 19718 1523359277 false X WWW.CHRISTIANACARE.ORG X 1965 DE PROVISION OF CHARITABLE HEALTH CARE SERVICES AND EDUCATIONAL TRAINING PROGRAMS 24 21 10711 1198 7030218 0 20838066 22816728 1120120641 1139781078 40639912 31068692 120601404 137196532 1302200023 1330863030 569101 764500 0 0 747837875 792050292 0 0 0 423068209 421526237 1171475185 1214341029 130724838 116522001 2025366133 2152434838 733842201 861640140 1291523932 1290794698 X CHRISTIANA CARE HEALTH SERVICES, INC. IS DEDICATED TO IMPROVING THE HEALTH OF ALL INDIVIDUALS IN THE COMMUNITIES WE SERVE THROUGH HEALTH CARE SERVICES, EDUCATION AND RESEARCH. CHRISTIANA CARE HEALTH SERVICES, INC. STRIVES TO BE A COORDINATED, PATIENT-FOCUSED HEALTH CARE SYSTEM OF UNSURPASSED EXCELLENCE. false false 429953938 293396019 PROVISION OF PROFESSIONAL PATIENT CARE FOR THE HOSPITALS OF CHRISTIANA CARE. 3,236 NURSES ARE EMPLOYED WITH 269,358 PATIENT DAYS RECORDED DURING FISCAL 2012. THE HOSPITALS OFFER A FULL SCOPE OF SERVICES WITH THE NEEDS OF THE POPULATION SERVED WITHOUT REGARD TO AGE, RACE OR ECONOMIC CIRCUMSTANCES. 61634664 131204346 LABORATORY-PROVIDED LAB TESTING FOR BOTH INPATIENT AND OUTPATIENTS. DURING FISCAL 2012, 5,910,061 LAB TESTS WERE PERFORMED WITH AN APPROXIMATE STAFF OF 276. 190831361 280474626 OPERATING ROOM-PROVIDED BOTH INPATIENT AND OUTPATIENT SURGICAL PROCEDURES. IN FISCAL 2012, 40,684 OPERATIONS WERE PERFORMED, REQUIRING A STAFF OF APPROXIMATELY 324. 298350886 764500 568052385 OTHER PROGRAM SERVICES 298350886 764500 568052385 980770849 true true false true false false false false true true false false true true false false true false false true true false false false false true true false false true true true false false false false false false false false false false false false false true true true true false false true 515 0 true 10711 true true true false false false false false false false false false X 24 21 false false false false false true true true true false false true true true true true true true true false X VICE PRESIDENT'S OFFICE 3026237202 200 HYGEIA DRIVE NEWARK DE 197132049 X CAROL A AMMON 2.0 X X 0 0 0 DAVID P NICOLI 1.0 X 0 0 0 JOHN R COCHRAN III 1.0 X 0 0 0 DONEENE K DAMON ESQ 1.0 X 0 0 0 OMAR A KHAN MD MHS 1.0 X 0 0 0 ROBERT J LASKOWSKI MD 40.0 X X 2211770 0 82433 LOLITA A LOPEZ 1.0 X 0 0 0 HON JOSHUA W MARTIN III 1.0 X 0 0 0 GORDON OSTRUM JR MD 4.0 X X 28472 0 1604 JOHN W SCHEFLEN ESQ 1.0 X 0 0 0 FRED C SEARS II 1.0 X 0 0 0 WILFRED B SHERK 1.0 X 0 0 0 JANICE TILDON BURTON MD 1.0 X 0 0 0 EDWARD K WISSING 1.0 X 0 0 0 PATRICK D HARKER PHD 1.0 X 0 0 0 MICHAEL R MILLER 1.0 X 0 0 0 LEO W RAISIS MD 1.0 X 0 0 0 W DONALD JOHNSON 1.0 X 0 0 0 ANN KAPPEL 1.0 X 0 0 0 ANAND P PANWALKER MD 1.0 X X 32000 0 0 THEODORE G PLUSH 1.0 X 0 0 0 GARY M PFEIFFER 1.0 X X 0 0 0 BETTY J CAFFO PHD 1.0 X 0 0 0 ERIC T JOHNSON 4.0 X 10400 0 796 ARKADI KUHLMANN 1.0 X 0 0 0 JOHN M MURRAY II 1.0 X 0 0 0 MARK TYKOCINSKI MD 1.0 X 0 0 0 THOMAS L CORRIGAN 40.0 X 623992 0 46428 GARY W FERGUSON 40.0 X 678015 0 128373 WILLIAM J WADE 1.0 X 0 0 0 BRENDA K PIERCE ESQ 40.0 X 339806 0 46044 JANICE NEVIN 40.0 X 483139 0 85246 DIANE TALAREK 40.0 X 351735 0 55783 RAY SEIGFRIED 40.0 X 263742 0 44808 JAMES H NEWMAN MD 40.0 X 540798 0 119842 AUDREY VAN LUVEN 40.0 X 398086 0 39596 TIMOTHY GARDNER 40.0 X 675122 0 43772 NICHOLAS PETRELLI MD 40.0 X 633782 0 50546 WILLIAM WEINTRAUB 40.0 X 578753 0 67737 MICHAEL BANBURY 40.0 X 1003079 0 56159 MARK BOROWSKY MD 40.0 X 592129 0 44924 BENJAMIN SHAW 0.0 X 137270 0 8612 9582090 0 922703 840 true true false SKANSKA 516 EAST TOWNSHIP LINE ROAD BLUE BELL PA 19422 CONSTRUCTION 36787798 WHITING TURNER PO BOX 17596 BALTIMORE MD 21297 CONSTRUCTION 7685702 BANCROFT CONSTRUCTION CO 1300 GRANT AVENUE SUITE 110 WILMINGTON DE 19806 CONSTRUCTION 5586661 ANESTHESIA SERVICES 2 READS WAY SUITE 201 NEW CASTLE DE 19720 MEDICAL SERVICES 4338423 VARO 301 LACEY STREET WEST CHESTER PA 19382 COLLECTION SERVICES 2129363 160 4226748 13169338 5420642 22816728 PROGRAM SERVICE REVENUES 900099 1118332156 1118332156 OTHER REVENUES 900002 21448922 2077376 7030218 12341328 1139781078 13426113 13426113 0 0 2859016 710962 2148054 2148054 2148054 134529607 116887028 17642579 17642579 17642579 0 0 208244555 74898257 133346298 133346298 CONDOMINIUM MAINTENANCE FEES 900099 1702180 1702180 1702180 1330863030 1253755830 7030218 47260254 0 0 764500 764500 0 9614142 3564083 6050059 0 0 583376114 469346942 114029172 0 53533378 42719636 10813742 0 101992138 81389726 20602412 0 43534520 34740547 8793973 0 41250 32917 8333 0 427739 341336 86403 0 294000 234612 59388 0 180325 143899 36426 0 0 2971642 2371370 600272 0 0 2010513 1604389 406124 0 281124115 236204522 44919593 0 28474136 22722361 5751775 0 0 14218728 11346545 2872183 0 2049109 1635189 413920 0 0 2563388 2045584 517804 0 1812634 1446482 366152 0 0 74341321 59324374 15016947 0 7415952 5917930 1498022 0 LOSS ON SWAP 3601385 2873905 727480 0 1214341029 980770849 233570180 0 127452043 111526555 181549743 181556554 0 0 161776520 186691707 0 0 0 0 0 0 14259914 15633989 0 0 1423750569 882735054 555161208 541015515 761320573 821288521 65248606 75614124 0 0 1015805 1015805 157581720 218092068 2025366133 2152434838 178537612 186751837 0 0 0 0 328420871 319808513 0 0 0 0 0 0 0 0 226883718 355079790 733842201 861640140 X 1215130366 1218656292 53013396 49226718 23380170 22911688 1291523932 1290794698 2025366133 2152434838 X 116522001 -117251235 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 0 180295 180295 180295 180295 1214160734 1277079499 1214341029 1277259794 1000000 1000000 250000 250000 1000000 1000000 1000000 1000000 4000000 6000000 124519 186739 190594 180295 682147 250000 250000 250000 250000 1000000 1500000 0 0 0 0 0 49105589 0 1358205 0 846654 0 49617140 44664226 0 5551546 0 1110183 0 49105589 68202230 0 2441659 0 25979663 0 44664226 80252124 0 -10902441 0 1147453 0 68202230 0.53000 0.18000 0.29000 true false false 36953443 36953443 803734156 470042988 333691168 557896313 393417365 164478948 25166657 19274701 5891956 541015515 CONSTRUCTION IN PROGRESS 135153273 OTHER CURRENT ASSETS 25982152 DEFERRED FINANCING COSTS 2336670 OTHER ASSETS 54619973 218092068 0 PENSION AND POST RETIREMENT BE 290355048 INSURANCE LIABILITIES 26341044 OTHER LIABILITIES 38383698 355079790 1330863030 1214341029 116522001 -7747578 -109503657 -117251235 -729234 1400371869 -7747578 -7747578 1408119447 2555542 -79811959 -77256417 1330863030 1292415036 1292415036 2555542 -80629549 -78074007 1214341029 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS FORM 990, SCHEDULE D, PART V, LINE 4 THE ORGANIZATION'S BOARD DESIGNATED ENDOWMENT IS INTENDED TO COVER ANNUAL INCREMENTAL OPERATING EXPENSES OF THE HEALTH SERVICES CANCER PROGRAM. THE ORGANIZATION'S PERMANENT ENDOWMENT CONSISTS OF APPROXIMATELY EIGHT INDIVIDUAL DONOR RESTRICTED ENDOWMENT FUNDS USED FOR A VARIETY OF PURPOSES, INCLUDING SALARY AND PROGRAM SUPPORT. THE ORGANIZATION'S TEMPORARILY RESTRICTED ENDOWMENT REPRESENTS TEMPORARILY RESTRICTED NET ASSETS WHICH ARE RESTRICTED FOR INDIGENT CARE, BUILDING AND MAINTENANCE AND PROGRAM SUPPORT. FINANCIAL RECONCILIATION DETAIL RECONCILIATION OF CHANGE IN NET ASSETS FORM 990, SCHEDULE D, PART XI, LINE 8, OTHER TRANSFER FROM AFFILIATE $ 3,681,225 EFFECT OF DISCONTINUED OPS (394,370) CHANGE IN POST RETIREMENT LIABILITIES (112,767,892) BENEFICIAL INTEREST IN SYSTEM 126,172 SUBSIDIARY ACTIVITIES (148,792) ----------- TOTAL OTHER CHANGES ($109,503,657) ----------------------- RECONCILIATION OF REVENUES FORM 990, SCHEDULE D, PART XII, LINE 4B, OTHER COGS CONTRACTUAL ALLOWANCES $(68,036,453) RENTAL EXPENSES (710,962) SUBSIDIARY ACTIVITY (15,409,265) NET ASSETS RELEASED (3,032,937) LOSS ON SWAP 3,601,385 CONTRIBUTIONS 4,039,194 RESTRICTED INVESTMENT INCOME (262,921) ------------ TOTAL OTHER CHANGES ($79,811,959) ----------------------- RECONCILIATION OF EXPENSES FORM 990, SCHEDULE D, PART XIII, LINE 4B, OTHER COGS CONTRACTUAL ALLOWANCES $(68,036,453) RENTAL EXPENSES (710,962) SUBSIDIARY ACTIVITY (15,483,519) LOSS ON SWAP 3,601,385 ------------ TOTAL OTHER CHANGES $(80,629,549) true South Asia Grantmaking 764500 Central America and the Caribbean Investments 68594814 69359314 69359314 South Asia RESEARCH SUBAWARD-- A GLOBAL NETWORK STUDY TO ESTIMATE GESTATIONAL AGE BY FUNDAL HEIGHT 764500 WIRE TRSFR 0 N/A FMV 1 true false false false false false PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS OUTSIDE THE U.S. FORM 990, SCHEDULE F, PART I, LINE 2 THE GRANT FUNDS TRANSFERRED REPRESENT A RESEARCH SUB-AWARD. PURSUANT TO THE TERMS OF A FEDERAL RESEARCH GRANT RECEIVED, A PORTION OF THE RESEARCH REQUIRES INTERNATIONAL PARTICIPATION. THE CHRISTIANA CARE HEALTH SERVICES, INC. OBGYN DEPARTMENT CHAIR MONITORS ALL ASPECTS OF THIS GRANT. true true X true X false false true true false true true 26524781 0 26524781 0.02190 166332590 154651439 11681151 0.00960 192857371 154651439 38205932 0.03150 50 47494 6654003 45 6653958 0.00550 5 3279 39882376 11118211 28764165 0.02370 7918949 0 7918949 0.00650 3 1430 45827 0 45827 58 52203 54501155 11118256 43382899 0.03570 58 52203 247358526 165769695 81588831 0.06720 true 31482070 3148207 357626440 422138837 -64512397 X true true 2 1 CHRISTIANA HOSPITAL

4755 OGLETOWN-STANTON ROAD NEWARK DE 19718

X X X X X 2 WILMINGTON HOSPITAL

501 WEST 14TH STREET WILMINGTON DE 19801

X X X X X CHRISTIANA HOSPITAL 1 true true 200. false true X X true true X X true false X X X true X false false WILMINGTON HOSPITAL 2 true true 200. false true X X true true X X true false X X X true X false false DESCRIPTION OF ELIGIBILITY CRITERIA FOR FREE OR DISCOUNTED CARE PART I, LINE 3C CHRISTIANA CARE HEALTH SERVICES, INC.("CHRISTIANA CARE" OR "HEALTH SERVICES") HAS A SELF PAY DISCOUNT PERCENTAGE OF 10% THAT IS APPLIED TO ALL UNINSURED PATIENTS' ACCOUNTS, REGARDLESS OF THE PERSON'S ABILITY TO PAY. THIS DISCOUNT PERCENTAGE IS COMPARABLE TO THAT WHICH IS EXTENDED TO OUR MANAGED CARE COMPANIES. COMMUNITY BENEFIT ANNUAL REPORT INFORMATION PART I, LINE 6A CHRISTIANA CARE HAS ESTABLISHED A DEDICATED SECTION ON OUR WEBSITE THAT CATALOGUES OUR COMMUNITY BENEFIT INITIATIVES AND STORIES. THE GROWING LIBRARY OF STORIES (SOME OF WHICH HAVE BEEN RE-PURPOSED IN THE COMMUNITY BENEFITS ANNUAL REPORT COMPILED BY OUR STATEWIDE TRADE AND MEMBERSHIP SERVICES ORGANIZATION, THE DELAWARE HEALTHCARE ASSOCIATION) CAN BE FOUND AT: HTTP://WWW.CHRISTIANACARE.ORG/COMMUNITYBENEFIT AND MEMBERSHIP SERVICES ORGANIZATION, THE DELAWARE HEALTHCARE ASSOCIATION) CAN BE FOUND AT: HTTP://WWW.CHRISTIANACARE.ORG/COMMUNITYBENEFIT. PART I, LINE 7 THE COSTING METHODOLOGY USED IN CALCULATING THE AMOUNTS REPORTED ON THE LINE 7 TABLE ARE BASED ON A COST TO CHARGE RATIO. THE COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2. PART III, LINE 4 HEALTH SERVICES PROVIDES SERVICES TO PATIENTS WHO MEET THE CRITERIA OF ITS FINANCIAL ASSISTANCE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN THE ESTABLISHED RATES. CRITERIA FOR CHARITY CARE CONSIDERS THE PATIENT'S FAMILY INCOME. DIRECT AND INDIRECT COSTS FOR THESE SERVICES AMOUNTED TO $26.5 MILLION AND $27.2 MILLION IN 2012 AND 2011, RESPECTIVELY. THE COSTS OF PROVIDING CHARITY CARE SERVICES ARE BASED ON A CALCULATION WHICH APPLIES A RATIO OF COSTS TO CHARGES TO THE GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CARE TO CHARITY PATIENTS. IN ADDITION TO CHARITY SERVICES, THE MEDICAID PROGRAM REIMBURSES HEALTH SERVICES FOR SERVICES AT AMOUNTS THAT ARE SUBSTANTIALLY LESS THAN THE COST TO PROVIDE SUCH SERVICES. THE DIFFERENCE BETWEEN THE COST TO PROVIDE THOSE SERVICES AND THE REIMBURSEMENT FROM THE MEDICAID PROGRAM WAS APPROXIMATELY $11.7 MILLION AND $24.4 MILLION IN 2012 AND 2011, RESPECTIVELY. HEALTH SERVICES ALSO RECORDS A PROVISION FOR BAD DEBTS, WHICH REPRESENTS MANAGEMENT'S ESTIMATE OF PATIENT ACCOUNTS RECEIVABLE THAT WILL NOT BE COLLECTED ALTHOUGH THE PATIENT COULD POSSIBLY MEET THE CHARITY CARE CRITERIA. THE PROVISION FOR BAD DEBTS WAS $31,482,070 AND $28,721,579 IN 2012 AND 2011, RESPECTIVELY. THE COSTING METHODOLOGY FOR DETERMINING BAD DEBT EXPENSE WAS BASED ON MANAGEMENT'S ESTIMATE OF PATIENT ACCOUNTS RECEIVABLE THAT WILL NOT BE COLLECTED DURING THE YEAR. COSTING METHODOLOGY, MEDICARE SHORTFALL PART III, LINE 8 CONSISTENT WITH THE CHARITABLE HEALTHCARE MISSION OF CHRISTIANA CARE AND THE COMMUNITY BENEFIT STANDARD SET FORTH IN IRS REVENUE RULING 69-545, CHRISTIANA CARE PROVIDES CARE FOR ALL PATIENTS COVERED BY MEDICARE SEEKING MEDICAL CARE. SUCH CARE IS PROVIDED REGARDLESS OF WHETHER THE REIMBURSEMENT PROVIDED FOR SUCH SERVICES MEETS OR EXCEEDS THE COSTS INCURRED BY CHRISTIANA CARE TO PROVIDE SUCH SERVICES. AS A RESULT, CHRISTIANA CARE VIEWS ANY SHORTFALL REPORTED IN LINE 7 AS AN ADDITIONAL ITEM OF COMMUNITY BENEFIT PROVIDED BY THE ORGANIZATION. THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 6 IS BASED ON A COST TO CHARGE RATIO. COLLECTION PRACTICES PART 111, LINE 9B CHRISTIANA CARE HAS A FINANCIAL ASSISTANCE POLICY THAT IDENTIFIES THE CIRCUMSTANCES FOR WHICH A RESPONSIBLE PARTY WOULD BE EXTENDED A 100% ADJUSTMENT ON ALL MEDICAL BILLS. THE INCOME THRESHOLD FOR THIS CHARITABLE ADJUSTMENT IS 200% OF THE FEDERAL POVERTY LEVEL AND IT IS BASED ON THE NUMBER OF DEPENDENTS IN THE HOUSEHOLD. THE FINANCIAL ASSISTANCE POLICY FURTHER EXPLAINS THAT ANY UNINSURED PATIENT WHO FAILS TO QUALIFY FOR FINANCIAL ASSISTANCE WOULD BE GRANTED A 10% SELF PAY DISCOUNT. IT ALSO REVEALS A PATIENT'S ABILITY TO ESTABLISH INTEREST-FREE MONTHLY PAYMENT ARRANGEMENTS FOR ANY OUTSTANDING BALANCE THAT IS NOT COVERED BY A THIRD PARTY PAYER. AS PART OF THE SELF PAY DUNNING PROCESS, CHRISTIANA CARE MAKES UNINSURED PATIENTS AWARE OF THE FINANCIAL ASSISTANCE PROGRAM WITH THE RELEASE OF OUR FIRST STATEMENT. ALL SUBSEQUENT STATEMENTS PROVIDE THE PATIENTS WITH AN OPPORTUNITY TO CALL OUR CUSTOMER SERVICES DEPARTMENT IF THEY ARE UNABLE TO MAKE PAYMENT IN FULL. IF A PATIENT QUALIFIES FOR A CHARITABLE ADJUSTMENT, THEY ARE EXTENDED THE COURTESY OF AN AUTOMATIC ADJUSTMENT TO THEIR BILLS FOR THE NEXT YEAR. PATIENTS WOULD NEED TO REAPPLY FOR CHARITABLE CONSIDERATION AFTER THE ONE YEAR HAS LAPSED. ALL COLLECTION ACTIONS WOULD CEASE ONCE A PATIENT IS DEEMED ELIGIBLE FOR CHARITY OR ONCE A PATIENT ESTABLISHES A MONTHLY PAYMENT ARRANGEMENT. FACILITY INFORMATION PART V, LINE 10 - CHRISTIANA HOSPITAL AND WILMINGTON HOSPITAL FEDERAL POVERTY GUIDELINES ARE NOT USED TO DETERMINE DISCOUNTED CARE. A SELF-PAY DISCOUNT OF 10% IS APPLIED TO ALL UNINSURED PATIENT ACCOUNTS REGARDLESS OF INCOME. PATIENTS WITH INCOME IN EXCESS OF 200% WILL ONLY RECEIVE A 10% DISCOUNT. PART V, LINE 13G OTHER - CHRISTIANA HOSPITAL AND WILMINGTON HOSPITAL THE FINANCIAL ASSISTANCE POLICY (FAP) IS PUBLICIZED BY THE USE OF TENT CARDS AND BILINGUAL EDUCATIONAL PAMPHLETS PROMINATELY DISPLAYED THROUGHOUT THE EMERGENCY ROOM AND OTHER POINTS OF ENTRY THROUGHOUT THE HOSPITAL. IN ADDITION, FINANCIAL ASSISTANCE INFORMATION IS PROVIDED ON THE FIRST BILLING INVOICE TO ALL UNINSURED PATIENTS. A SUMMARY OF OUR FINANCIAL ASSISTANCE PROGRAM IS AVAILABLE ON THE CHRISTIANA CARE WEBSITE (WWW.CHRISTIANACARE.ORG). PART V, LINE 19 OTHER - CHRISTIANA HOSPITAL AND WILMINGTON HOSPITAL A FAP - ELIGIBLE INDIVIDUAL (THOSE WITH INCOME LESS THAN 200% OF FEDERAL POVERTY GUIDELINES) ARE NOT RESPONSIBLE FOR ANY CHARGES. NEEDS ASSESSMENT PART VI, LINE 2 CHRISTIANA CARE HEALTH SYSTEM PARTNERED WITH THE FOLLOWING GROUPS TO CONDUCT A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT, IDENTIFYING CURRENT STATISTICS AND QUALITATIVE FEEDBACK ON THE KEY HEALTH ISSUES FACING OUR COMMUNITY: - HEALTHY COMMUNITIES INSTITUTE TO PROVIDE HEALTH INDICATORS VIA THE ONLINE TOOL, DELAWARE HEALTH TRACKER - MELIOR GROUP TO CONDUCT COMMUNITY LEADER INTERVIEWS - HOLLERAN CONSULTING TO SYNTHESIZE FINDINGS AND ADVISE MANAGEMENT ON HOW TO IMPLEMENT CHANGES TO ADDRESS THE IDENTIFIED COMMUNITY NEEDS CHRISTIANA CARE ALSO REACHES OUT TO THE UNINSURED AND UNDERINSURED MEMBERS OF OUR COMMUNITY FOR FEEDBACK, AND WE CONDUCT SURVEYS AT COMMUNITY HEALTH FAIRS AND EVENTS TO HELP DETERMINE PROGRAMS AND SERVICES THAT WOULD BE OF MOST VALUE TO OUR PATIENTS AND NEIGHBORS. WE RELY ON THIS FEEDBACK-AS WELL AS INPUT FROM PRIMARY CARE PROVIDERS, SPECIALISTS AND PAYERS-AND ALSO TRACK NATIONAL CARE ISSUES AND DATA TO DETERMINE WHAT SERVICES ARE BEING PROVIDED IN OTHER COMMUNITIES THAT MAY BE EQUALLY BENEFICIAL IN OUR OWN. WE ARE NOW SUMMARIZING OUR COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN, WHICH WILL BE COMPLETE BY JUNE 2013. INFORMATION REGARDING PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI, LINE 3 CHRISTIANA CARE HEALTH SYSTEM IS COMMITTED TO SERVING OUR NEIGHBORS AS INNOVATIVE, EXPERT, RESPECTFUL PARTNERS IN THEIR HEALTH, REGARDLESS OF THEIR ABILITY TO PAY. INFORMATION ABOUT OUR FINANCIAL ASSISTANCE PROGRAM IS PUBLICIZED: ONLINE: A SUMMARY OF OUR FINANCIAL ASSISTANCE PROGRAM IS AVAILABLE ON THE CHRISTIANA CARE WEBSITE (WWW.CHRISTIANACARE.ORG). BY REQUEST: PATIENTS MAY LEARN ABOUT OUR FINANCIAL ASSISTANCE PROGRAM BY CALLING PATIENT FINANCIAL SERVICES AT 302-623-7000. BILINGUAL PAMPHLETS: EDUCATIONAL PAMPHLETS IN OUR EMERGENCY DEPARTMENTS, AVAILABLE IN BOTH ENGLISH AND SPANISH, DIRECT PATIENTS TO CONTACT PATIENT FINANCIAL SERVICES AT 302-623-7000 FOR MORE INFORMATION ABOUT OUR FINANCIAL ASSISTANCE PROGRAM. PATIENT RIGHTS AND RESPONSIBILITIES PAMPHLET: THIS GUIDE EXPLAINS A PATIENT'S RIGHTS TO RECEIVE INFORMATION AND COUNSELING ON THE AVAILABILITY OF FINANCIAL AID FOR HEALTH CARE AND THE ABILITY TO RECEIVE AND REVIEW AN EXPLANATION OF CHARGES RELATED TO ONE'S CARE. COPIES OF THE PAMPHLET IN BOTH ENGLISH AND SPANISH CAN BE FOUND THROUGHOUT OUR FACILITIES AND ON OUR WEBSITE AT HTTP://WWW.CHRISTIANACARE.ORG/PATIENTRIGHTSANDRESPONSIBILITIES. HEALTH COACHES: COMMUNITY HEALTH ACCESS PROGRAM (CHAP) HEALTH COACHES PARTNER WITH DELAWARE RESIDENTS WITHOUT INSURANCE TO ASSESS THEIR HEALTH RISKS, IDENTIFY BARRIERS TO CARE AND LINK THEM WITH AFFORDABLE AND DISCOUNTED HEALTH CARE, INCLUDING REGULAR CHECK-UPS AND SICK VISITS. CHAP IS OPERATED WITH FINANCIAL SUPPORT FROM THE DELAWARE HEALTH COMMISSION AND IS OPEN TO NON-U.S. CITIZENS. FOR MORE INFORMATION, INCLUDING ELIGIBILITY REQUIREMENTS, PATIENTS MAY CONTACT 302-428-6586. COMMUNITY HEALTH OUTREACH AND EDUCATION: AS OUR OUTREACH TEAMS IDENTIFY INDIVIDUALS AND FAMILIES NEEDING FINANCIAL ASSISTANCE FOR MEDICAL NEEDS, WE CONNECT THEM TO FINANCIAL ASSISTANCE PROGRAMS SUCH AS DELAWARE'S SCREENING FOR LIFE AND THE COMMUNITY HEALTH CARE ACCESS PROGRAM SO THAT LACK OF INSURANCE OR FINANCIAL HARDSHIP IS NO LONGER A BARRIER TO CARE. SPECIAL NEEDS FUNDS: CHRISTIANA CARE OFFERS THE BREAST CENTER SPECIAL NEEDS FUND, THE CANCER SPECIAL NEEDS FUND AND THE VISITING NURSE ASSOCIATION SPECIAL NEEDS FUND TO ASSIST PATIENTS WHO LACK INSURANCE OR PERSONAL FUNDS TO PAY FOR CARE OR THE EXPENSES ASSOCIATED WITH MEDICAL TREATMENT (FOR EXAMPLES, TRANSPORTATION TO AND FROM APPOINTMENTS, PROSTHESES OR HOME MEDICAL EQUIPMENT). CHARITY CARE: CHRISTIANA CARE IS COMMITTED TO PROVIDING CARE THAT IS AFFORDABLE AND ACCESSIBLE AND TO REINVESTING POSITIVE MARGINS BACK INTO THE COMMUNITY. IN FISCAL YEAR 2012 (JULY 1, 2011 - JUNE 30, 2012), WE PROVIDED $26.5 MILLION IN CHARITY CARE AT COST. COMMUNITY INFORMATION PART VI, LINE 4 CHRISTIANA CARE'S PRIMARY SERVICE AREA IS NEW CASTLE COUNTY, DELAWARE (POPULATION 537,065). IT ALSO INCLUDES SIX OTHER COUNTIES ACROSS FOUR STATES-DELAWARE, MARYLAND, NEW JERSEY, AND PENNSYLVANIA-A REGION INCLUDING URBAN, SUBURBAN AND RURAL COMMUNITIES. GENERAL DEMOGRAPHICS: THE CORE POPULATION OF OUR DEMOGRAPHIC IN DELAWARE IS DIVIDED INTO FIVE MAJOR CATEGORIES: WHITE (65.1%), BLACK (21.9%), HISPANIC (8.4%), ASIAN (3.4%) AND OTHERS (1.2%). OTHERS INCLUDE NATIVE HAWAIIAN AND PACIFIC ISLANDERS, AMERICAN INDIAN AND ALASKA NATIVE. PRIMARY SOCIAL AND HEALTH CARE FACTORS: DELAWARE'S DEMOGRAPHIC PROFILE FROM THE U.S. CENSUS BUREAU REFLECTS THAT 11.9% OF ITS RESIDENTS LIVED BELOW THE POVERTY LINE IN 2011. TEN FEDERALLY-DESIGNATED LOW INCOME CENSUS TRACTS (IRS SECTION 42(D)(5)(C)) QUALIFIED CENSUS TRACTS ARE LOCATED WITHIN A 3-MILE RADIUS OF OUR WILMINGTON HOSPITAL CAMPUS. THE UNEMPLOYMENT RATE HAS REMAINED STEADY AT APPROXIMATELY 7% SINCE DECEMBER 2011, COMING DOWN FROM A HIGH OF 8.4% IN JANUARY 2010. ACCORDING TO 2010 CENSUS DATA, 8% OF THE STATE'S RESIDENTS HAVE AN ASSOCIATE DEGREE, 17.76% HAVE A BACHELOR'S DEGREE AND 11.66% HAVE A GRADUATE DEGREE. SOCIAL FACTORS AFFECTING OUR POPULATION ARE ACCESS TO HEALTH CARE, POOR NUTRITION AND THE LACK OF AFFORDABLE HOUSING. ALTHOUGH WE HAVE MADE TREMENDOUS PROGRESS IN REDUCING CANCER INCIDENCE AND MORTALITY, CANCER RATES IN DELAWARE ARE OF PARTICULAR CONCERN. INFORMATION REGARDING PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5 PARAMOUNT TO CHRISTIANA CARE'S MISSION IS ITS WORKFORCE DEVELOPMENT AND THE RECRUITMENT OF PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS. CHRISTIANA CARE IS A MAJOR TEACHING HOSPITAL WITH TWO CAMPUSES AND 255 MEDICAL-DENTAL RESIDENTS AND FELLOWS. CHRISTIANA CARE EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS. A MAJORITY OF CHRISTIANA CARE'S GOVERNING BODY (COMMUNITY BOARD) IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS. OUR HEALTH SYSTEM PROMOTES THE HEALTH OF OUR COMMUNITY IN A WIDE VARIETY OF WAYS. THESE INCLUDE: COMMUNITY LEADER IN HEALTH CARE: DELAWARE DOES NOT HAVE A PUBLIC OR SAFETY-NET HOSPITAL. AS THE LARGEST HEALTH CARE PROVIDER IN OUR STATE, CHRISTIANA CARE SERVES A SIGNIFICANT PORTION OF OUR COMMUNITY'S UN- AND UNDERINSURED POPULATION. THE CARE WE PROVIDE GOES WELL BEYOND TREATING THE SICK AND INCLUDES HEALTH-RELATED PROGRAMS AND INITIATIVES THAT SEEK TO IMPROVE THE OVERALL WELFARE OF PATIENTS. COMMITMENT TO OUR UNDERSERVED POPULATION: THE WILMINGTON HOSPITAL HEALTH CENTER PROVIDES PRIMARY AND SPECIALTY MEDICAL CARE FOR MORE THAN 74,000 ANNUAL PATIENT VISITS, PRIMARILY CARING FOR THE UNDERSERVED IN OUR COMMUNITY. WE ARE MAKING A $210 MILLION INVESTMENT IN OUR COMMUNITY TO TRANSFORM OUR WILMINGTON CAMPUS TO BETTER SERVE NEIGHBORS IN THE CITY OF WILMINGTON AND THOSE LIVING IN THE NORTHERN COMMUNITIES OF NEW CASTLE COUNTY. WHEN RENOVATIONS AND CONSTRUCTION ARE COMPLETED IN THE COMING YEAR, THIS HOSPITAL WILL GROW BY 337,000 SQUARE FEET, CREATING A 1 MILLION-SQUARE-FOOT, STATE-OF-THE-ART MEDICAL CENTER. THE EXPANSION WILL DOUBLE THE EMERGENCY DEPARTMENT'S SIZE AND INCLUDE A NEW SURGICAL SUITE, INTENSIVE AND INTERMEDIATE CARE UNITS, AN EXPANDED CENTER FOR JOINT REPLACEMENT AND A SIX-STORY MEDICAL OFFICE BUILDING, ALLOWING MORE PHYSICIANS TO PRACTICE INNOVATIVE, EXPERT CARE ON CAMPUS. TRANSPORTATION: A FREE SHUTTLE SERVICE MAKES REGULARLY SCHEDULED DAILY TRIPS BETWEEN OUR WILMINGTON AND STANTON CAMPUSES, ENSURING THAT LOW-INCOME RESIDENTS IN THE CITY OF WILMINGTON HAVE ACCESS TO SPECIALTY SERVICES ON OUR STANTON CAMPUS. OUR NO-CHARGE TRANSPORTATION SYSTEM TRAVELED APPROXIMATELY 180,000 MILES LAST YEAR ENSURING THAT OUR PATIENTS HAD ACCESS TO ALL CHRISTIANA CARE SERVICES. EACH MONTH, AN AVERAGE OF 8,200 RIDERS TAKE ADVANTAGE OF THIS SERVICE. INNOVATIVE, EXPERT CARE PROVIDER: CHRISTIANA CARE IS RECOGNIZED AS A REGIONAL CENTER FOR EXCELLENCE IN CARDIOLOGY, CANCER AND WOMEN'S HEALTH SERVICES. OUR STANTON CAMPUS IS HOME TO DELAWARE'S ONLY LEVEL 1 (HIGHEST CAPABILITY) TRAUMA CENTER - IN FACT, THE ONLY ONE OF ITS KIND SERVING OUR NEIGHBORS BETWEEN PHILADELPHIA AND BALTIMORE. THE HEALTH SYSTEM ALSO OFFERS THE STATE'S ONLY LEVEL 3 (ALSO HIGHEST CAPABILITY) NEONATAL INTENSIVE CARE UNIT, SERVING PREMATURE AND CRITICALLY ILL NEWBORNS. COMMUNITY EDUCATOR: AS PART OF OUR MISSION TO PARTNER WITH OUR NEIGHBORS AND IMPROVE THE HEALTH OF ALL INDIVIDUALS IN THE COMMUNITIES WE SERVE, WE OFFER NOT ONLY HEALTH CARE SERVICES, BUT ALSO EDUCATION AND RESEARCH. CHRISTIANA CARE IS A MAJOR TEACHING HOSPITAL WITH TWO CAMPUSES AND MORE THAN 250 MEDICAL-DENTAL RESIDENTS AND FELLOWS, MANY OF WHOM WILL REMAIN IN DELAWARE TO ESTABLISH MEDICAL PRACTICES. COMMUNITY PARTNER: CHRISTIANA CARE TAKES A PROACTIVE ROLE IN ESTABLISHING RELATIONSHIPS TO ADDRESS THE COMMUNITY'S HEALTH AND SOCIAL ISSUES AND IMPROVE THE COMMUNITY'S WELL-BEING, BOTH WITHIN OUR FACILITIES AND IN OUR COMMUNITY. AS A PART OF OUR COMMITMENT TO PARTNERING WITH OUR COMMUNITY, CHRISTIANA CARE INCLUDES PATIENT AND FAMILY ADVISERS, WHO HAVE A SPECIAL INTEREST IN HELPING SHAPE THE WAY WE DELIVER CARE BASED ON THEIR INDIVIDUAL EXPERIENCES WITH OUR SERVICES. OUR PATIENT AND FAMILY ADVISORY COUNCILS SHARE THEIR PERSPECTIVE AND PROVIDE FEEDBACK AND INPUT ON TASKS AND PROJECTS TO HELP DOCTORS, NURSES AND STAFF CREATE A COLLABORATIVE AND INCLUSIVE PATIENT AND FAMILY CENTERED CARE EXPERIENCE FOR THOSE WE SERVE. ONE OF THEIR TASKS IS TO REVIEW MATERIALS, GUIDELINES AND POLICIES TO ENSURE THAT WE PARTNER WITH THOSE WE SERVE WITH DIGNITY AND RESPECT AND THAT WE DON'T MERELY WORK FOR OUR PATIENTS, BUT WITH THEM IN WAYS THEY UNDERSTAND AND VALUE. WE ARE DEEPLY COMMITTED TO OUR MISSION OF PARTNERING WITH OTHERS TO IMPROVE THE HEALTH OF ALL INDIVIDUALS IN THE COMMUNITIES WE SERVE. THIS CANNOT BE ACCOMPLISHED STRICTLY WITHIN THE CONFINES OF OUR OWN FACILITIES, BUT REQUIRES US TO VENTURE FORTH INTO THE COMMUNITY TO SHARE OUR KNOWLEDGE, PROMOTE INNOVATIVE HEALTH PRACTICES AND EXPERTLY ADDRESS NEEDS AND CONCERNS. THE DEPTH AND DEGREE OF OUR COMMITMENT TO IMPROVING THE HEALTH AND QUALITY OF LIFE FOR THE PEOPLE IN OUR COMMUNITY IS DEMONSTRATED IN A VARIETY OF WAYS: REDUCING CANCER AND SAVING LIVES: IN PARTICULAR, WE ARE FOCUSING OUTREACH EFFORTS ON CANCER AWARENESS. UNTIL RECENTLY, DELAWARE WAS FIRST IN THE NATION IN BOTH RATES OF CANCER INCIDENCE AND MORTALITY. NOW, CANCER DEATHS PER CAPITA ARE FALLING FASTER IN DELAWARE THAN ANYWHERE ELSE IN THE COUNTRY. MORTALITY RATES FOR MEN IN DELAWARE DROPPED 22.4% BETWEEN 1993-1997 AND 2003-2007, VERSUS 15.7% IN THE UNITED STATES OVERALL. MORTALITY RATES FOR FEMALES IN THE SAME TIME PERIOD WAS 15.2% IN DELAWARE, VERSUS 10.9% IN THE U.S. THE HELEN F. GRAHAM CANCER CENTER HAS TAKEN THE LEAD IN NAVIGATING THIS TREND THROUGH EVIDENCE-BASED MEDICINE, RESEARCH AND COMMUNITY OUTREACH. EFFORTS IN 2012 WERE AS FOLLOWS: -CONDUCTED 65 COLORECTAL CANCER AWARENESS OUTREACH EVENTS, REACHED 2,676 PARTICIPANTS, DISTRIBUTED 48 TOOLKITS, COMPLETED 325 SCREENINGS AND FOUND THREE CANCERS. -SCREENED 910 WOMEN FOR BREAST CANCER AND FOUND EIGHT BREAST CANCERS, WITH THE HELP OF FUNDING FROM THE AVON FOUNDATION FOR WOMEN. -FUNDED MAMMOGRAMS/DIAGNOSTIC SERVICES FOR MORE THAN 1,400 WOMEN IN 2011/2012, WITH THE HELP OF FUNDING FROM THE PHILADELPHIA AFFILIATE OF SUSAN G. KOMEN FOR THE CURE. -SCREENED 132 INDIVIDUALS FOR SKIN CANCER AND REFERRED 56 FOR FOLLOW-UP. -OFFERED LATINA OUTREACH SERVICES, WITH THE HELP OF FUNDING FROM THE NATIONAL COMMUNITY CANCER CENTERS PROGRAM. MORE THAN 200 WOMEN ATTENDED OUR ANNUAL CONFERENCE, DURING WHICH 82 TOOK ADVANTAGE OF A COMBINATION SCREENING FOR CHOLESTEROL AND DIABETES, 11 RECEIVED MAMMOGRAMS, 117 STOPPED BY THE HIV BOOTH, 90 RECEIVED FREE FLU SHOTS AND 100 HAD BLOOD PRESSURE CHECKED. -OFFERED 12 MINORITY OUTREACH EVENTS IN 2011/2012. SCREENED 262 INDIVIDUALS: 28% WERE UNINSURED, 22% HAD NOT SEEN A DOCTOR IN THE LAST TWO YEARS AND 27% REQUIRED REFERRAL FOR CANCER SCREENINGS. DOMESTIC VIOLENCE INITIATIVES: CHRISTIANA CARE HOSTS AN ANNUAL DOMESTIC VIOLENCE FORUM JOINTLY SPONSORED BY WOMENFIRST, CHRISTIANA CARE'S COMMUNITY CENTERS OF EXCELLENCE IN WOMEN'S HEALTH PROGRAM, YWCA, FRIENDSHIP HOUSE, NEW CASTLE COUNTY COUNCIL, CHILDREN & FAMILIES FIRST AND DELAWARE COALITION AGAINST DOMESTIC VIOLENCE. PROGRAMS FOR THE HOMELESS: WORKING WITH COMMUNITY PARTNERS, CHRISTIANA CARE PROVIDES HOMELESS DELAWAREANS WITH RESPECTFUL MEDICAL CARE. AN INNOVATIVE COLLABORATION BETWEEN CHRISTIANA CARE'S DEPARTMENT OF SOCIAL WORK AND THE SUNDAY BREAKFAST MISSION IN WILMINGTON (THE CITY'S ONLY WALK-IN SHELTER FOR THE HOMELESS) MATCHES THOSE WHO ARE HOMELESS WITH NEEDED HEALTH-RELATED SERVICES. WOMEN'S HEART HEALTH PROGRAMS: IN AN ONGOING EFFORT TO IMPROVE HEART HEALTH AMONG WOMEN, CHRISTIANA CARE PARTNERS WITH STUDENTS FROM AREA HIGH SCHOOLS. THE TEENS ACT AS HEALTH COACHES FOR AN IMPORTANT ADULT FEMALE IN THEIR LIFE AND TEACH THEM ABOUT CARDIOVASCULAR HEALTH. THE PROGRAM IS THE BRAINCHILD OF RETIRED CARDIOVASCULAR SURGEON KATHLEEN MCNICHOLAS, M.D., JD, NOW MEDICAL DIRECTOR OF PERFORMANCE IMPROVEMENT FOR CHRISTIANA CARE, WHO UNDERWENT OPEN-HEART SURGERY HERSELF IN HER MID-50S AND HAS SINCE BECOME A STRONG ADVOCATE FOR HELPING WOMEN TO PREVENT HEART DISEASE. TEACHING TEENS ABOUT HEALTHY EATING: SINCE 2007, TEENS HAVE LEARNED ABOUT EATING HEALTHY FOODS AT CHRISTIANA CARE'S CAMP FRESH (FRESH RESOURCES EVERYONE SHOULD HAVE), BECOMING AMBASSADORS OF NUTRITION AND HELPING MEMBERS OF THEIR COMMUNITY MAKE WISE LIFESTYLE CHOICES. THE CAMP TEACHES TEENS HOW TO MAKE GOOD CHOICES THAT WILL ENHANCE THEIR PHYSICAL AND EMOTIONAL WELLNESS, SUCH AS EXERCISE ROUTINES AND COPING SKILLS. OUTREACH TO THE ASIAN COMMUNITY: CHRISTIANA CARE HOSTS EVENTS TO EDUCATE ASIAN MEMBERS OF THE COMMUNITY ABOUT HEALTH CARE SERVICES: BREAST CANCER SCREENINGS AT THE NEW CASTLE CHINESE EVANGELICAL CHURCH, MONTHLY OUTREACH TEAMS VISITING VENDORS AND SHOPPERS AT THE NEW CASTLE FARMER'S MARKET AND A HEALTH FAIR AT THE CHINESE AMERICAN COMMUNITY CENTER IN HOCKESSIN, WHERE INDIVIDUALS WERE SCREENED FOR CARDIOVASCULAR DISEASE AND BONE DENSITY. IMPROVING QUALITY OF LIFE FOR SENIORS: ACCORDING TO THE OUTCOMES OF A PIONEERING PROGRAM BY THE CHRISTIANA CARE VISITING NURSE ASSOCIATION, ELDERLY PATIENTS WITH DEPRESSION AND ANXIETY ARE MUCH LESS LIKELY TO REQUIRE HOS AFFILIATED HEALTHCARE SYSTEM INFORMATION PART VI, LINE 6 HEADQUARTERED IN WILMINGTON, DELAWARE, CHRISTIANA CARE HEALTH SYSTEM IS ONE OF THE COUNTRY'S LARGEST HEALTH CARE PROVIDERS, RANKING 21ST IN THE NATION FOR HOSPITAL ADMISSIONS. ITS AFFILIATES INCLUDE: CHRISTIANA CARE HEALTH SERVICES, INC. - CHRISTIANA CARE IS A MAJOR TEACHING SYSTEM WITH TWO CAMPUSES, A 1,450 MEMBER MEDICAL-DENTAL STAFF AND MORE THAN 250 MEDICAL-DENTAL RESIDENTS AND FELLOWS. WITH NEARLY 10,600 EMPLOYEES, CHRISTIANA CARE IS THE LARGEST PRIVATE EMPLOYER IN DELAWARE AND THE 10TH LARGEST EMPLOYER IN THE PHILADELPHIA REGION. CHRISTIANA CARE IS RECOGNIZED AS A REGIONAL CENTER FOR EXCELLENCE IN CARDIOLOGY, CANCER AND WOMEN'S HEALTH SERVICES. A NOT-FOR-PROFIT, NON-SECTARIAN HEALTH SYSTEM, CHRISTIANA CARE INCLUDES TWO HOSPITALS WITH MORE THAN 1,100 PATIENT BEDS, A HOME HEALTH CARE SERVICE, PREVENTIVE MEDICINE, REHABILITATION SERVICES, A NETWORK OF PRIMARY CARE PHYSICIANS AND AN EXTENSIVE RANGE OF OUTPATIENT SERVICES. MAJOR FACILITIES INCLUDE: -STANTON CAMPUS: LOCATED IN NEWARK, DELAWARE, THIS CAMPUS IS HOME TO THE 913-BED CHRISTIANA HOSPITAL, THE CHRISTIANA CARE CENTER FOR HEART & VASCULAR HEALTH, THE HELEN F. GRAHAM CANCER CENTER, THE CHRISTIANA CARE BREAST CENTER, THE CHRISTIANA SURGICENTER AND THE JOHN H. AMMON MEDICAL EDUCATION CENTER. -WILMINGTON CAMPUS: LOCATED IN THE HEART OF THE CITY OF WILMINGTON, DELAWARE, AND CORPORATE HEADQUARTERS FOR CHRISTIANA CARE HEALTH SYSTEM, THIS CAMPUS FEATURES THE 241-BED WILMINGTON HOSPITAL, THE WILMINGTON HOSPITAL HEALTH CENTER, THE CENTER FOR REHABILITATION, THE CENTER FOR ADVANCED JOINT REPLACEMENT, THE WILMINGTON ANNEX, THE SWANK MEMORY CARE CENTER AND THE ROXANA CANNON ARSHT SURGICENTER. -EUGENE DU PONT PREVENTIVE MEDICINE & REHABILITATION INSTITUTE -MIDDLETOWN CARECENTER -SMYRNA HEALTH & WELLNESS CENTER -HEALTHCARE CENTER AT CHRISTIANA -SPRINGSIDE PLAZA CHRISTIANA CARE HOME HEALTH & COMMUNITY SERVICES, INC. - CHRISTIANA CARE VISITING NURSE ASSOCIATION IS DELAWARE'S LARGEST HOME HEALTH AGENCY, PROVIDING MORE THAN 300,000 VISITS ANNUALLY AND SPECIALIZING IN CERTIFIED HOME NURSING CARE; DISEASE MANAGEMENT PROGRAMS IN HEART FAILURE, COPD AND ONCOLOGY; MATERNAL/CHILD SERVICES; PEDIATRIC HOME CARE; JOINT-PATIENT HOME THERAPY; WOUND CARE AND PRIVATE-DUTY SERVICE. CHRISTIANA CARE HOME HEALTH & COMMUNITY SERVICES ALSO OFFERS POST-ACUTE-CARE THROUGHOUT OUR COMMUNITY, INCLUDING WOUND CARE CENTERS, ADULT DAY PROGRAMS, BRIDGE PROGRAM AND SKILLED NURSING FACILITY TRANSITIONS OF CARE. CHRISTIANA CARE HEALTH INITIATIVES, INC. - A NOT-FOR-PROFIT ORGANIZATION PROVIDING HEALTH SERVICES INCLUDING IMAGING AND PHYSICAL THERAPY SERVICES AND THROUGH JOINT VENTURES INCLUDING THE GLASGOW MEDICAL CENTER, LLC OPERATING THREE MEDICAL AID UNITS, AN AMBULATORY SURGICAL CENTER AND A MEDICAL OFFICE BUILDING IN GLASGOW, AND THE DELAWARE SLEEP DISORDERS CENTERS, LLC, PROVIDING SLEEP SERVICES THROUGHOUT DELAWARE. STATE FILING OF COMMUNITY BENEFIT REPORT PART VI, LINE 7 WHILE DELAWARE DOES NOT REQUIRE THE FILING OF A COMMUNITY BENEFIT REPORT, CHRISTIANA CARE HAS ESTABLISHED A DEDICATED SECTION ON OUR WEBSITE THAT CATALOGUES OUR COMMUNITY BENEFIT INITIATIVES AND STORIES. THE GROWING LIBRARY OF STORIES (SOME OF WHICH HAVE BEEN RE-PURPOSED IN THE COMMUNITY BENEFITS ANNUAL REPORT COMPILED BY OUR STATEWIDE TRADE AND MEMBERSHIP SERVICES ORGANIZATION, THE DELAWARE HEALTHCARE ASSOCIATION) CAN BE FOUND AT: HTTP://WWW.CHRISTIANACARE.ORG/COMMUNITYBENEFIT X true true X X X X X false true false false false false false true false THOMAS L CORRIGAN 450041 0 168196 0 5755 0 31594 0 14834 0 670420 0 0 0 GARY W FERGUSON 502321 0 165498 0 10196 0 122209 0 6164 0 806388 0 0 0 ROBERT J LASKOWSKI MD 841753 0 1359379 0 10638 0 58292 0 24141 0 2294203 0 0 0 TIMOTHY GARDNER 526283 0 146165 0 2674 0 28661 0 15111 0 718894 0 0 0 NICHOLAS PETRELLI MD 469975 0 136326 0 27481 0 35411 0 15135 0 684328 0 0 0 WILLIAM WEINTRAUB 483150 0 76461 0 19142 0 55057 0 12680 0 646490 0 0 0 JANICE NEVIN 362314 0 101101 0 19724 0 75354 0 9892 0 568385 0 0 0 DIANE TALAREK 274958 0 75702 0 1075 0 45968 0 9815 0 407518 0 0 0 RAY SEIGFRIED 206642 0 57100 0 0 0 30029 0 14779 0 308550 0 0 0 BENJAMIN SHAW 0 0 0 0 137270 0 8612 0 0 0 145882 0 137270 0 JAMES H NEWMAN MD 404461 0 121517 0 14820 0 107535 0 12307 0 660640 0 0 0 MICHAEL BANBURY 850720 0 120649 0 31710 0 40657 0 15502 0 1059238 0 0 0 BRENDA K PIERCE ESQ 264286 0 70775 0 4745 0 31149 0 14895 0 385850 0 0 0 AUDREY VAN LUVEN 273217 0 93086 0 31783 0 31994 0 7602 0 437682 0 0 0 MARK BOROWSKY MD 366870 0 209262 0 15997 0 29907 0 15017 0 637053 0 0 0 DETAIL REGARDING BENEFITS PROVIDED FORM 990, SCHEDULE J, PART I, LINE 1A SOCIAL CLUB DUES CCHS PROVIDES A SOCIAL CLUB MEMBERSHIP TO BE USED BY THE PRESIDENT IN CONNECTION WITH HIS DUTIES. THE PRESIDENT IS RESPONSIBLE FOR AND TAXED ON ANY PERSONAL USE OF SUCH CLUB MEMBERSHIP. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PARTICIPATION FORM 990, SCHEDULE J, PART I, LINE 4B CHRISTIANA CARE HEALTH SERVICES, INC. ("CCHS") MAINTAINS AN IRC SECTION 457(F) DEFERRED COMPENSATION PLAN. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN THE 457(F) PLAN DURING THE YEAR: GARY W. FERGUSON, WILLIAM WEINTRAUB, DIANE TALAREK, JANICE NEVIN, MD AND JAMES NEWMAN, MD. NO PAYMENTS FROM THE PLAN WERE MADE DURING THE YEAR. PROVISION OF NON-FIXED PAYMENTS FORM 990, SCHEDULE J, PART I, LINE 7 CCHS PROVIDES DISCRETIONARY BONUS AND/OR INCENTIVE COMPENSATION PAYMENTS TO ELIGIBLE EMPLOYEES. PAYMENTS MADE TO ANY DISQUALIFIED PERSON IS APPROVED BY THE CCHS COMPENSATION COMMITTEE THROUGH THE PROCESS DESCRIBED IN FORM 990, PART VI, SECTION B, LINE 15. DELAWARE HLTH FACILITIES AUTHORITY SERIES 2003 510272458 246388LY6 2003-02-19 42306644 CONSTRUCT & EXPAND MED BUILDING false false false DELAWARE HLTH FACILITIES AUTHORITY SERIES 2008 510272458 246388NVO 2008-11-20 80000000 REFINANCE SERIES 2004 & MED BLDG false false false DELAWARE HLTH FACILITIES AUTHORITY SERIES 2009 510272458 2009-12-18 30000000 REFINANCE SERIES 1998 false false false DELAWARE HLTH FACILITIES AUTHORITY SERIES 2010A 510272458 246388QE5 2010-11-04 74491341 CONSTRUCTION OF HOSPITAL false false false 25176644 0 43425940 0 0 0 674025 659489 0 42068998 0 23428 2006 false false false true 0 0 80000000 0 0 0 774850 0 0 19062025 60163125 0 2006 true false true true 9095000 0 30000000 0 0 0 0 0 0 0 30000000 0 2000 true false true true 0 0 74956804 0 0 0 879197 0 0 74077607 0 0 2014 false false false true false false false false 0.00000 0.00000 0.00000 true false false false true true 0.00000 0.00000 0.00000 true 0 false false false false 0.00000 0.00000 0.00000 true false false false 0 true TRINITY PLUS FUNDING 2.8 true true false false true false 0 false 0 false true false false false 0 false 0 false true false false false 0 false 0 false true X SUPPLEMENTAL INFORMATION REGARDING TAX EXEMPT BONDS FORM 990, SCHEDULE K, PART II, LINE 3 FOR DELAWARE HLTH FACILITIES AUTHORITY SERIES 2003, THE TOTAL PROCEEDS OF ISSUE REPORTED INCLUDES $1,119,296 IN INVESTMENT EARNINGS. FOR DELAWARE HLTH FACILITIES AUTHORITY SERIES 2010A, THE TOTAL PROCEEDS OF ISSUE REPORTED INCLUDES $465,463 IN INVESTMENT EARNINGS. FOR DELAWARE HLTH FACILITIES AUTHORITY SERIES 2010, THE TOTAL PROCEEDS OF ISSUE REPORTED INCLUDES $795,954 IN INVESTMENT EARNINGS. DELAWARE HLTH FACILITIES AUTHORITY SERIES 2010 510272458 246388QPO 2010-11-04 125195000 CONSTRUCTION OF HOSPITAL false false false 0 0 127990954 0 0 0 684318 0 0 11800886 0 115505750 false false false false false false false 0.00000 0.00000 0.00000 true false true false 0 false 0 false true DETAIL OF OTHER PROGRAM SERVICES FORM 990, PART III, LINE 4D CHRISTIANA CARE HEALTH SERVICES, HEADQUARTERED IN WILMINGTON, DELAWARE, IS ONE OF THE COUNTRY'S LARGEST HEALTH CARE PROVIDERS, RANKING 17TH IN THE NATION FOR HOSPITAL ADMISSIONS. CHRISTIANA CARE IS A MAJOR TEACHING HOSPITAL WITH TWO CAMPUSES AND MORE THAN 250 MEDICAL-DENTAL RESIDENTS AND FELLOWS. CHRISTIANA CARE IS RECOGNIZED AS A REGIONAL CENTER FOR EXCELLENCE IN CARDIOLOGY, CANCER AND WOMEN'S HEALTH SERVICES. THE SYSTEM FEATURES A LEVEL 3 NEONATAL INTENSIVE CARE UNIT, THE ONLY DELIVERING HOSPITAL IN THE STATE TO OFFER THIS LEVEL OF CARE FOR NEWBORNS. CHRISTIANA CARE HEALTH SERVICES IS ALSO HOME TO DELAWARE'S ONLY LEVEL 1 TRAUMA CENTER, THE ONLY OF ITS KIND BETWEEN PHILADELPHIA AND BALTIMORE. A NOT-FOR-PROFIT, NON-SECTARIAN HEALTH SYSTEM, CHRISTIANA CARE INCLUDES TWO HOSPITALS WITH MORE THAN 1,100 PATIENT BEDS, A HOME HEALTH CARE SERVICE, PREVENTIVE MEDICINE, REHABILITATION SERVICES, A NETWORK OF PRIMARY CARE PHYSICIANS AND AN EXTENSIVE RANGE OF OUTPATIENT SERVICES. WITH MORE THAN 10,600 EMPLOYEES, CHRISTIANA CARE IS THE LARGEST PRIVATE EMPLOYER IN DELAWARE AND THE 10TH LARGEST EMPLOYER IN THE PHILADELPHIA REGION. IN FISCAL YEAR 2012, CHRISTIANA CARE HAD MORE THAN $2.3 BILLION IN TOTAL PATIENT REVENUE AND PROVIDED THE COMMUNITY WITH APPROXIMATELY $26.5 MILLION IN CHARITY CARE (AT COST). GOVERNING BODY AND MANAGEMENT FORM 990, PART VI, SECTION A, LINE 7A,B THE BOARD OF DIRECTORS OF CHRISTIANA CARE HEALTH SYSTEM, INC. ("SYSTEM"), SOLE MEMBER OF CCHS, AT IT'S ANNUAL MEETING IN NOVEMBER, ELECTS DIRECTORS OF CCHS. THE ANNUAL OPERATING BUDGET OF CCHS IS APPROVED BY THE CCHS BOARD, THE SYSTEM FINANCE COMMITTEE AND THE SYSTEM BOARD. FORM 990 REVIEW PROCESS FORM 990, PART VI, SECTION B, LINE 11 INFORMATION RELATED TO CCHS' FORM 990 FILING IS GATHERED BY FINANCE STAFF AND PROVIDED TO PRICEWATERHOUSECOOPERS LLP FOR REVIEW. THE FINAL 2011 FORM 990 FOR THE FISCAL YEAR ENDING JUNE 30, 2012 WAS REVIEWED AND APPROVED BY VARIOUS SENIOR MANAGEMENT OFFICIALS. THE ORGANIZATION'S GOVERNING BOARD WAS ALSO PROVIDED ACCESS TO THE APPROVED 2011 FORM 990 VIA ITS BOARD OF DIRECTOR'S PORTAL. CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C OUR CONFLICT OF INTEREST ("COI") POLICY IS LOCATED IN THE SUPERVISORY POLICY MANUAL. THERE IS AN ANNUAL MANDATORY EDUCATION FOR MANAGERS WHICH INCLUDES AN ELECTRONIC SIGN OFF ACKNOWLEDGING COMPLETION OF THE EDUCATION, REPORTING OF A REAL OR PERCEIVED CONFLICT OR THAT NO CONFLICTS OF INTEREST EXISTS. THE HR/EMPLOYEE RELATIONS TEAM FOLLOWS UP WITH ANYONE WHO HAS A CONFLICT OR PERCEIVED CONFLICT OR DOES NOT COMPLETE THE EDUCATION IN ORDER TO RESOLVE. THE EMPLOYEE HANDBOOK SETS EXPECTATIONS FOR EMPLOYEE CONFLICTS OF INTEREST AND EXPECTATIONS. SEVERAL REPORTING MECHANISMS ALSO EXIST FOR EMPLOYEES TO REPORT CONCERNS. THE BOARD OF DIRECTORS HAS THEIR OWN COI POLICY. COI IS A STANDING AGENDA ITEM ON EACH BOARD OR BOARD COMMITTEE MEETING. BOARD MEMBERS EXPECTATIONS FOR COI ARE CLEARLY COMMUNICATED. COMPENSATION REVIEW AND APPROVAL FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS ESTABLISHES CHRISTIANA CARE'S COMPETITIVE TOTAL COMPENSATION POLICY AND PRACTICE. THE EXECUTIVE COMPENSATION COMMITTEE ("ECC") OF THE BOARD ENGAGES AN INDEPENDENT THIRD PARTY ANNUALLY WHO ASSESSES DATA FROM SEVERAL MAJOR SURVEY'S TO ENSURE TOTAL REMUNERATION IS MARKET COMPETITIVE AND QUALIFIES FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER THE INTERMEDIATE SANCTIONS RULE, SECTION 4958 OF THE INTERNAL REVENUE CODE. AFTER DELIBERATION, THE ECC DOCUMENTS THEIR DECISIONS IN MEETING MINUTES. GOVERNANCE, MANAGEMENT, AND DISCLOSURE FORM 990, PART VI, SECTION C, LINE 19 THE FORMS 1023 AND 990, GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY OF CCHS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. IN ADDITION, THE FINANCIAL STATEMENTS ARE AVAILABLE ON THE WEB THROUGH DIGITAL ASSURANCE CERTIFICATION ("DAC"). DETAIL OF OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 5 NET UNREALIZED GAINS AND LOSSES $ (7,747,578) TRANSFER TO/FROM AFFILIATE 3,681,225 EFFECT OF DISCONTINUED OPERATIONS (394,370) CHANGE IN POST RETIREMENT (112,767,892) BENEFICIAL INTEREST IN SYSTEM 126,172 SUBCORPORATIONS (148,792) ------------- TOTAL $(117,251,235) ============= HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:CAROL A. AMMON TITLE:CHAIRMAN OF THE BOARD HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DAVID P. NICOLI TITLE:MEMBER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOHN R. COCHRAN, III TITLE:MEMBER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DONEENE K. DAMON, ESQ TITLE:MEMBER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:OMAR A. KHAN, MD, MHS TITLE:MEMBER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROBERT J. LASKOWSKI, MD TITLE:PRESIDENT & CEO, EX OFFICIO HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:LOLITA A. LOPEZ TITLE:MEMBER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:HON. JOSHUA W. MARTIN, III TITLE:MEMBER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:GORDON OSTRUM, JR, MD TITLE:EX OFFICIO MEMBER, VICE CHAIR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOHN W. SCHEFLEN, ESQ TITLE:MEMBER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:FRED C. SEARS, II TITLE:MEMBER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:WILFRED B. SHERK TITLE:MEMBER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JANICE TILDON BURTON, MD TITLE:MEMBER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:EDWARD K. WISSING TITLE:MEMBER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PATRICK D. HARKER, PHD TITLE:MEMBER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MICHAEL R. MILLER TITLE:MEMBER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:LEO W. RAISIS, MD TITLE:MEMBER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:W. DONALD JOHNSON TITLE:MEMBER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ANN KAPPEL TITLE:EX OFFICIO MEMBER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ANAND P. PANWALKER, MD TITLE:EX OFFICIO MEMBER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:THEODORE G. PLUSH TITLE:MEMBER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:GARY M. PFEIFFER TITLE:CHAIR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:BETTY J. CAFFO, PH.D. TITLE:MEMBER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ERIC T. JOHNSON TITLE:MEMBER HOURS:4 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ARKADI KUHLMANN TITLE:MEMBER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOHN M. MURRAY II TITLE:MEMBER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MARK TYKOCINSKI, MD TITLE:MEMBER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:THOMAS L. CORRIGAN TITLE:SR VP FINANCE/CFO, OFF OF BRD HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:GARY W. FERGUSON TITLE:CHIEF OPER OFF, OFF OF BOARD HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:WILLIAM J. WADE TITLE:OFFICER OF BOARD HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:BRENDA K. PIERCE, ESQ. TITLE:CORP COUNSEL, OFFICER OF BOARD HOURS:1 CHRISTIANA CARE CAMPUS REALTY LLC 4701 OGLETOWN-STANTON ROAD NEWARK DE 19713 510103684 SUPPORT SRVCS DE 0 0 CCHS CHRISTIANA CARE HEALTH SYSTEM INC 501 WEST 14TH STREET WILMINGTON DE 19801 521479538 fundraising DE 501(c)(3) 7 NA false CHRISTIANA CARE HLTH INITIATIVES INC 200 HYGEIA DRIVE SUITE 2300 NEWARK DE 19713 510295186 OUTPATIENT SV DE 501(c)(3) 9 CCHS SYSTEM false CHRISTIANA CARE HOME HEALTH & COM SRVCS 1 READS WAY NEW CASTLE DE 19720 510064334 HOME HLTHCARE DE 501(c)(3) 7 CCHS SYSTEM false DELAWARE SLEEP DISORDERS CTR 200 HYGEIA DRIVE NEWARK DE 19713 205126228 MEDICAL SERVICES DE CCHI N/A GLASGOW MEDICAL CENTER LLC 2600 GLASGOW AVENUE SUITE 204 NEWARK DE 19702 510320926 MEDICAL SERVICES DE CCHI N/A ALL ABOUT WOMEN 200 HYGEIA DRIVE NEWARK DE 19713 203894053 HEALTHCARE DE CCHS C CORP 0 694122 1.00000 THE DE CTR FOR MAT FETAL MED OF CC INC 200 HYGEIA DRIVE NEWARK DE 19713 205891272 HEALTHCARE DE CCHS C CORP -74253 2443498 1.00000 CHR CARE VASCULAR SPECIALISTS INC 200 HYGEIA DRIVE NEWARK DE 19713 208303207 HEALTHCARE DE CCHS C CORP 0 821571 1.00000 CHRISTIANA CARE HEALTH PLANS 200 HYGEIA DRIVE OFFICE 2524 NEWARK DE 19713 510352728 INSURANCE DE CCHS SYSTEM C CORP true false false false false false true false true true true true true true true true true CHR CARE VASCULAR SPECIALISTS INC A 230850 FMV THE DE CTR FOR MAT FETAL MED OF CC INC A,L 837905 FMV ALL ABOUT WOMEN OF CHRISTIANA CARE INC A 334218 FMV DIRECT OTHER LOBBYING EXEMPT PURPOSE NAME OF ELECTING ORGANIZATION EXPENDITURES EXPENDITURES __________________________________ ____________ ______________ CHRISTIANA CARE HEALTH SYSTEM $ NONE $ 3,873,090 CHRISTIANA CARE HEALTH SERVICES 180,295 1,214,160,734 CHRISTIANA CARE HOME HEALTH AND COMMUNITY SERVICES NONE 39,502,311 CHRISTIANA CARE HEALTH INITIATIVES NONE 19,543,364 ------------ -------------- TOTAL $180,295 $1,277,079,499 THE ORGANIZATION HAS MADE THE LOBBYING ELECTION UNDER I.R.C. SECTION 501(H) FOR THE TAX YEAR ENDED JUNE 30, 2012. THIS ELECTION HAS NOT BEEN REVOKED BEFORE THE START OF THE ORGANIZATION'S TAX YEAR THAT BEGAN IN 2011.