CHRISTIANA CARE HEALTH SERVICES INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: CHRISTIANA CARE HEALTH SERVICES INC (EIN 51-0103684)
Tax period: 2010-07-01 to 2011-06-30
Filed: 2012-05-14
IRS object ID: 201241359349302534
Schema version: 2010v3.7
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R
Affiliated Group Attachment

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-05-14T11:12:17-04:00	Timestamp
Tax Period End Date	2011-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PricewaterhouseCoopers LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	2001 MARKET ST SUITE 1700	AddressLine1
City	PHILADELPHIA	City
State	PA	State
ZIP Code	19103	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	510103684	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CHRISTIANA CARE HEALTH SERVICES INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	CHRI	NameControl
Phone	3026237201	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 2653	AddressLine1
City	WILMINGTON	City
State	DE	State
ZIP Code	198050653	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	THOMAS L CORRIGAN	Name
Title	CFO	Title
Date Signed	2012-05-11	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	2673303000	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	ROBERT J LASKOWSKI MD	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	4755 OGLETOWN-STANTON ROAD	AddressLine1
City	NEWARK	City
State	DE	State
ZIP Code	19718	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1662692354	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.CHRISTIANACARE.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1965	YearFormation
State Legal Domicile	DE	StateLegalDomicile
Activity Or Mission Description	PROVISION OF CHARITABLE HEALTH CARE SERVICES AND EDUCATIONAL TRAINING PROGRAMS	ActivityOrMissionDescription
Nbr Voting Members Governing Body	24	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	21	NbrIndependentVotingMembers
Total Nbr Employees	10427	TotalNbrEmployees
Total Nbr Volunteers	1206	TotalNbrVolunteers
Total Gross UBI	5956861	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	24658031	ContributionsGrantsPriorYear
Contributions Grants Current Year	20838066	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	1157682282	ProgramServiceRevenuePriorYear
Program Service Revenue CY	1120120641	ProgramServiceRevenueCY
Investment Income Prior Year	28432828	InvestmentIncomePriorYear
Investment Income Current Year	40639912	InvestmentIncomeCurrentYear
Other Revenue Prior Year	26156205	OtherRevenuePriorYear
Other Revenue Current Year	120601404	OtherRevenueCurrentYear
Total Revenue Prior Year	1236929346	TotalRevenuePriorYear
Total Revenue Current Year	1302200023	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	620912	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	569101	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	723873807	SalariesEtcPriorYear
Salaries Etc Current Year	747837875	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	424863165	OtherExpensePriorYear
Other Expenses Current Year	423068209	OtherExpensesCurrentYear
Total Expenses Prior Year	1149357884	TotalExpensesPriorYear
Total Expenses Current Year	1171475185	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	87571462	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	130724838	RevenuesLessExpensesCY
Total Assets BOY	1630379446	TotalAssetsBOY
Total Assets EOY	2025366133	TotalAssetsEOY
Total Liabilities BOY	647870949	TotalLiabilitiesBOY
Total Liabilities EOY	733842201	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	982508497	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1291523932	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	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.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	414444207	Expense
Revenue	291559614	Revenue
Description	PROVISION OF PROFESSIONAL PATIENT CARE FOR THE HOSPITALS OF CHRISTIANA CARE. 3,221 NURSES ARE EMPLOYED WITH 274,527 PATIENT DAYS RECORDED DURING FISCAL 2011. THE HOSPITALS OFFER A FULL SCOPE OF SERVICES WITH THE NEEDS OF THE POPULATION SERVED WITHOUT REGARD TO AGE, RACE OR ECONOMIC CIRCUMSTANCES.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	62331635	Expense
Revenue	128456757	Revenue
Description	LABORATORY-PROVIDED LAB TESTING FOR BOTH INPATIENT AND OUTPATIENTS. DURING FISCAL 2011, 5,825,423 LAB TESTS WERE PERFORMED WITH AN APPROXIMATE STAFF OF 286.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	188869167	Expense
Revenue	269689536	Revenue
Description	OPERATING ROOM-PROVIDED BOTH INPATIENT AND OUTPATIENT SURGICAL PROCEDURES. IN FISCAL 2011, 40,220 OPERATIONS WERE PERFORMED, REQUIRING A STAFF OF APPROXIMATELY 325.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	271354879	Expense
Revenue	521939156	Revenue
Description	OTHER PROGRAM SERVICES	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	271354879	TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev	521939156	TotalOfOtherProgramServiceRev
Total Program Service Expense	936999888	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	true	ForeignActivities
More Than5000 K To Organizations	true	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	true	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	469	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	10427	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	24	NbrVotingGoverningBodyMembers
Number Independent Voting Members	21	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	VICE PRESIDENT'S OFFICE	NamePerson
Telephone Number	3026237202	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	200 HYGEIA DRIVE	AddressLine1
City	NEWARK	City
State	DE	State
ZIP Code	197132049	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (40 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
CAROL A AMMON
CHAIRMAN OF THE BOARD	2.0	X	X	0	0	0
DAVID P NICOLI
MEMBER	1.0	X		0	0	0
JOHN R COCHRAN III
MEMBER	1.0	X		0	0	0
DONEENE K DAMON ESQ
MEMBER	1.0	X		0	0	0
OMAR A KHAN MD MHS
MEMBER	1.0	X		0	0	0
ROBERT J LASKOWSKI MD
PRESIDENT & CEO, EX OFFICIO	40.0	X	X	1262867	0	191302
LOLITA A LOPEZ
MEMBER	1.0	X		0	0	0
HON JOSHUA W MARTIN III
MEMBER	1.0	X		0	0	0
GORDON OSTRUM JR MD
EX OFFICIO MEMBER, VICE CHAIR	4.0	X	X	31085	0	1690
JOHN W SCHEFLEN ESQ
MEMBER	1.0	X		0	0	0
FRED C SEARS II
MEMBER	1.0	X		0	0	0
WILFRED B SHERK
MEMBER	1.0	X		0	0	0
NANCY W SNYDER MS RN
MEMBER	1.0	X		0	0	0
JANICE TILDON BURTON MD
MEMBER	1.0	X		0	0	0
EDWARD K WISSING
MEMBER	1.0	X		0	0	0
PATRICK D HARKER PHD
MEMBER	1.0	X		0	0	0
MICHAEL R MILLER
MEMBER	1.0	X		0	0	0
LEO W RAISIS MD
MEMBER	1.0	X		0	0	0
W DONALD JOHNSON
MEMBER	1.0	X		0	0	0
ANN KAPPEL
EX OFFICIO	1.0	X		0	0	0
ANAND P PANWALKER MD
EX OFFICIO MEMBER	1.0	X		36000	0	0
THEODORE G PLUSH
MEMBER	1.0	X		0	0	0
GARY M PFEIFFER
CHAIR ELECT	1.0	X		0	0	0
ROBERT R RIDOUT
MEMBER	1.0	X		0	0	0
DONALD R KIRTLEY
MEMBER	1.0	X		0	0	0
THOMAS L CORRIGAN
SR VP FINANCE/CFO, OFF OF BRD	40.0		X	609175	0	46146
GARY W FERGUSON
CHIEF OPER OFF, OFF OF BOARD	40.0		X	676314	0	135721
WILLIAM J WADE
OFFICER OF BOARD	1.0		X	0	0	0
BRENDA K PIERCE ESQ
OFFICER OF BOARD	40.0		X	329473	0	46779
JANICE NEVIN
SR VP AND ASSOC CMO	40.0			431665	0	63132	X
DIANE TALAREK
SR VP OF PATIENT CARE SERVICES	40.0			336102	0	56045	X
RAY SEIGFRIED
SR VP, ADMINISTRATION	40.0			262570	0	45675	X
JAMES H NEWMAN MD
CHIEF MEDICAL OFFICER	40.0			529148	0	137386	X
AUDREY VAN LUVEN
SENIOR VP & CHIEF HR OFFICER	40.0			343269	0	37203	X
TIMOTHY GARDNER
MEDICAL DIRECTOR, HVIS	40.0			671105	0	44489		X
NICHOLAS PETRELLI MD
MEDICAL DIRECTOR, CANCER	40.0			615636	0	50771		X
WILLIAM WEINTRAUB
SECTION CHIEF, CARDIOLOGY	40.0			589880	0	50805		X
FERNANDO GARZIA
DIRECTOR, CARDIAC SURGERY	40.0			559351	0	45486		X
MICHAEL BANBURY
CHIEF, CARDIAC SURGERY	40.0			995537	0	57021		X
BENJAMIN SHAW
FORMER SR VP OF HR	0.0			807127	0	18325			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	9086304	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1027976	TotalOtherCompensation
Number Individuals GT100 K	718	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
NASON
2000 FOULK ROAD SUITE F	WILMINGTON	DE	19810	CONSTRUCTION SRVCS	2829392
WHITING TURNER
PO BOX 17596	BALRIMORE	MD	21297	CONSTRUCTION SRVCS	3776506
WOHLSEN
18 BOULDEN CIRCLE STE 16	NEW CASTLE	DE	19720	CONSTRUCTION SRVCS	3460487
SKANSKA
516 EAST TOWNSHIP LINE ROAD	BLUE BELL	PA	19422	CONSTRUCTION SRVCS	23306155
ANESTHESIA SERVICES
2 READS WAY SUITE 201	NEW CASTLE	DE	19720	MEDICAL SERVICES	6234399

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	139	NumberOfContractorsGT100K
Related Organizations	3504009	RelatedOrganizations
Government Grants	6198058	GovernmentGrants
All Other Contributions	11135999	AllOtherContributions
Total Contributions	20838066	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
PROGRAM SERVICE REVENUES	900099	1092578748	1092578748
OTHER REVENUES	900002	27541893	2211024	5952961	$19,377,908

Field	Value	IRS element (for citing)
Total Program Service Revenue	1120120641	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	15138856	TotalRevenueColumn
Exclusion	$15,138,856	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	1	TotalRevenueColumn
Exclusion	$1	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	3103453	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	1071494	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	2031959	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	2031959	TotalRevenueColumn
Unrelated Business Revenue	3900	UnrelatedBusinessRevenue
Exclusion	$2,028,059	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	302749558	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	277248503	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	25501055	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	25501055	TotalRevenueColumn
Exclusion	$25,501,055	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	199027625	GrossSalesOfInventory
Cost Of Goods Sold	82172334	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	116855291	TotalRevenueColumn
Related Or Exempt Function Income	116855291	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	CONDOMINIUM MAINTENANCE FEES	Description
Business Code	900099	BusinessCode
Total Revenue Column	1714154	TotalRevenueColumn
Exclusion	$1,714,154	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	1714154	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1302200023	TotalRevenueColumn
Related Or Exempt Function Income	1211645063	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	5956861	UnrelatedBusinessRevenue
Exclusion	$63,760,033	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	569101	Total
Program Services	569101	ProgramServices

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	8549647	Total
Program Services	3481818	ProgramServices
Management And General	5067829	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	555348786	Total
Program Services	439514183	ProgramServices
Management And General	115834603	ManagementAndGeneral
Fundraising	0	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	53466841	Total
Program Services	42024937	ProgramServices
Management And General	11441904	ManagementAndGeneral
Fundraising	0	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	95882135	Total
Program Services	75363358	ProgramServices
Management And General	20518777	ManagementAndGeneral
Fundraising	0	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	34590466	Total
Program Services	27188106	ProgramServices
Management And General	7402360	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	45000	Total
Program Services	35370	ProgramServices
Management And General	9630	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1048481	Total
Program Services	824106	ProgramServices
Management And General	224375	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	302680	Total
Program Services	237906	ProgramServices
Management And General	64774	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	190594	Total
Program Services	149807	ProgramServices
Management And General	40787	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	2767938	Total
Program Services	2175599	ProgramServices
Management And General	592339	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	0	Total

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1873396	Total
Program Services	1472489	ProgramServices
Management And General	400907	ManagementAndGeneral
Fundraising	0	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	275216285	Total
Program Services	232646774	ProgramServices
Management And General	42569511	ManagementAndGeneral
Fundraising	0	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	21459241	Total
Program Services	16866963	ProgramServices
Management And General	4592278	ManagementAndGeneral
Fundraising	0	Fundraising

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	16785987	Total
Program Services	13193786	ProgramServices
Management And General	3592201	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	1962008	Total
Program Services	1542138	ProgramServices
Management And General	419870	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	2311084	Total
Program Services	1816512	ProgramServices
Management And General	494572	ManagementAndGeneral
Fundraising	0	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	2089131	Total
Program Services	1642057	ProgramServices
Management And General	447074	ManagementAndGeneral
Fundraising	0	Fundraising

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	697831	Total
Program Services	548495	ProgramServices
Management And General	149336	ManagementAndGeneral
Fundraising	0	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	72908147	Total
Program Services	57305804	ProgramServices
Management And General	15602343	ManagementAndGeneral
Fundraising	0	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	-4679032	Total
Program Services	-3677719	ProgramServices
Management And General	-1001313	ManagementAndGeneral
Fundraising	0	Fundraising

Other Expenses OtherExpenses (2 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
PROVISION FOR BAD DEBTS	28711579	22567301	6144278	0
LOSS ON SWAP	-622141	-489003	-133138	0

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1171475185	Total
Program Services	936999888	ProgramServices
Management And General	234475297	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	169641119	BOY
EOY	127452043	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	128736380	BOY
EOY	181549743	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	151017837	BOY
EOY	155181536	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	14583267	BOY
EOY	14259914	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1441663027	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	886501819	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	565111143	BOY
EOY	555161208	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	485704499	BOY
EOY	761320573	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	6740609	BOY
EOY	65248606	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	1015805	BOY
EOY	1015805	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	107828787	BOY
EOY	164176705	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1630379446	BOY
EOY	2025366133	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	179340379	BOY
EOY	174662612	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	134922083	BOY
EOY	328420871	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	333608487	BOY
EOY	230758718	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	647870949	BOY
EOY	733842201	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	915789900	BOY
EOY	1215130366	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	44085612	BOY
EOY	53013396	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	22632985	BOY
EOY	23380170	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	982508497	BOY
EOY	1291523932	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1630379446	BOY
EOY	2025366133	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	130724838	ReconcilationRevenueExpenses
Reconcilation Other Changes	178290597	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Org Belongs To Affiliated Group	X	OrgBelongsToAffiliatedGroup

Total Grassroots Lobbying TotalGrassrootsLobbying

Field	Value	IRS element (for citing)
Filing Organizations Totals	0	FilingOrganizationsTotals
Affiliated Group Totals	0	AffiliatedGroupTotals

Total Direct Lobbying TotalDirectLobbying

Field	Value	IRS element (for citing)
Filing Organizations Totals	190594	FilingOrganizationsTotals
Affiliated Group Totals	190594	AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	190594	FilingOrganizationsTotals
Affiliated Group Totals	190594	AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	1171284591	FilingOrganizationsTotals
Affiliated Group Totals	1252263741	AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	1171475185	FilingOrganizationsTotals
Affiliated Group Totals	1252454335	AffiliatedGroupTotals

Lobbying Nontaxable LobbyingNontaxableAmount

Field	Value	IRS element (for citing)
Filing Organizations Totals	1000000	FilingOrganizationsTotals
Affiliated Group Totals	1000000	AffiliatedGroupTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

Field	Value	IRS element (for citing)
Filing Organizations Totals	250000	FilingOrganizationsTotals
Affiliated Group Totals	250000	AffiliatedGroupTotals

Field	Value	IRS element (for citing)
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

Field	Value	IRS element (for citing)
Current Year Minus3	1000000	CurrentYearMinus3
Current Year Minus2	1000000	CurrentYearMinus2
Current Year Minus1	1000000	CurrentYearMinus1
Current Year	1000000	CurrentYear
Total	4000000	Total

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

Field	Value	IRS element (for citing)
Current Year Minus3	87936	CurrentYearMinus3
Current Year Minus2	124519	CurrentYearMinus2
Current Year Minus1	186739	CurrentYearMinus1
Current Year	190594	CurrentYear
Total	589788	Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

Field	Value	IRS element (for citing)
Current Year Minus3	250000	CurrentYearMinus3
Current Year Minus2	250000	CurrentYearMinus2
Current Year Minus1	250000	CurrentYearMinus1
Current Year	250000	CurrentYear
Total	1000000	Total

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmount

Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures

Field	Value	IRS element (for citing)
Current Year Minus3	0	CurrentYearMinus3
Current Year Minus2	0	CurrentYearMinus2
Current Year Minus1	0	CurrentYearMinus1
Current Year	0	CurrentYear
Total	0	Total

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	44664226	BeginningOfYearBalance
Investment Earnings Or Losses	5551546	InvestmentEarningsOrLosses
Other Expenditures	1110183	OtherExpenditures
End Of Year Balance	49105589	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	68202230	BeginningOfYearBalance
Investment Earnings Or Losses	2441659	InvestmentEarningsOrLosses
Other Expenditures	25979663	OtherExpenditures
End Of Year Balance	44664226	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	80252124	BeginningOfYearBalance
Investment Earnings Or Losses	-10902441	InvestmentEarningsOrLosses
Other Expenditures	1147453	OtherExpenditures
End Of Year Balance	68202230	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.51000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.18000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.31000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	true	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	false	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	35586873	OtherCostOrOtherBasis
Book Value	35586873	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	785191357	OtherCostOrOtherBasis
Depreciation	437802444	Depreciation
Book Value	347388913	BookValue

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovements

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	595956119	OtherCostOrOtherBasis
Depreciation	430249342	Depreciation
Book Value	165706777	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	24928678	OtherCostOrOtherBasis
Depreciation	18450033	Depreciation
Book Value	6478645	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	555161208	TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescription	Book ValueBookValue
CONSTRUCTION IN PROGRESS	75184698
OTHER CURRENT ASSETS	33582387
DEFERRED FINANCING COSTS	2551764
OTHER ASSETS	52857856

Field	Value	IRS element (for citing)
Total Book Value Other Assets	164176705	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
PENSION AND POST RETIREMENT BENEFITS	$172,951,291
INSURANCE LIABILITIES	$26,886,264
OTHER LIABILITIES	$30,921,163

Field	Value	IRS element (for citing)
Total Of Amounts	230758718	TotalOfAmounts
Total Revenue	1302200023	TotalRevenue
Total Expenses	1171475185	TotalExpenses
Excess Or Deficit For Year	130724838	ExcessOrDeficitForYear
Net Unrealized GL On Investments	83580036	NetUnrealizedGLOnInvestments
Other	$94,432,973	OtherAmount
Total Adjustments	178013009	TotalAdjustments
Excess Or Deficit Per FS	308737847	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	1479345774	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	83580036	NetUnrealizedGainsInvestments
Revenue Not Rptd F990	83580036	RevenueNotRptdF990
Revenue Subtotal	1395765738	RevenueSubtotal
Investment Expenses Not Included	1240366	InvestmentExpensesNotIncluded
Other Revenues Not Included	-94806081	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-93565715	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	1302200023	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	1267896283	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	1267896283	ExpensesSubtotal
Investment Expenses Not Included2	1240366	InvestmentExpensesNotIncluded2
Other Expenses Not Included	-97661464	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	-96421098	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	1171475185	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
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 TERM ENDOWMENT REPRESENTS TEMPORARILY RESTRICTED NET ASSETS WHICH ARE RESTRICTED FOR INDIGENT CARE, BUILDING AND MAINTENANCE AND PROGRAM SUPPORT.
FINANCIAL STATEMENT RECONCILIATION DETAIL		RECONCILIATION OF CHANGE IN NET ASSETS FORM 990, SCHEDULE D, PART XI, LINE 8, OTHER TRANSFER FROM AFFILIATE $ 223,727 EFFECT OF DISCONTINUED OPS (3,616,301) CHANGE IN POST RETIREMENT LIABILITIES 90,064,014 BENEFICIAL INTEREST IN SYSTEM 7,890,331 SUBSIDIARY ACTIVITIES (128,798) ----------- TOTAL OTHER CHANGES $94,432,973 ----------------------- RECONCILIATION OF REVENUES FORM 990, SCHEDULE D, PART XII, LINE 4B, OTHER COGS CONTRACTUAL ALLOWANCES $(72,087,903) RENTAL EXPENSES (1,071,494) SUBSIDIARY ACTIVITY (23,751,131) NET ASSETS RELEASED (2,145,292) DISABILITY/SWAP (622,141) CONTRIBUTIONS 3,496,637 RECLASS 1,375,239 ------------ TOTAL OTHER CHANGES ($94,806,081) ----------------------- RECONCILIATION OF EXPENSES FORM 990, SCHEDULE D, PART XIII, LINE 4B, OTHER COGS CONTRACTUAL ALLOWANCES $(72,087,903) RENTAL EXPENSES (1,071,494) SUBSIDIARY ACTIVITY (23,879,926) DISABILITY/SWAP (622,141) ------------ TOTAL OTHER CHANGES $(97,661,464)

Schedule F IRS990ScheduleF

Field	Value	IRS element (for citing)
Grant Records Maintained	true	GrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable

Field	Value	IRS element (for citing)
Region	South Asia	Region
Number Of Offices	0	NumberOfOffices
Number Of Employees	0	NumberOfEmployees
Type Of Activities Conducted	Grantmaking	TypeOfActivitiesConducted
Total Expenditures	569101	TotalExpenditures

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	0	SubtotalNumberOfOffices
Subtotal Number Of Employees	0	SubtotalNumberOfEmployees
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Subtotal Amount Spent	569101	SubtotalAmountSpent
Total Amount Spent	569101	TotalAmountSpent

Grants To Orgs Outside US GrantsToOrgsOutsideUS

Field	Value	IRS element (for citing)
Region	South Asia	Region
Purpose Of Grant	RESEARCH SUBAWARD-- A GLOBAL NETWORK STUDY TO ESTIMATE GESTATIONAL AGE BY FUNDAL HEIGHT	PurposeOfGrant
Amount Of Cash Grant	569101	AmountOfCashGrant
Manner Of Cash Disbursement	WIRE TRANSFR	MannerOfCashDisbursement
Amount Of Non Cash Assistance	0	AmountOfNonCashAssistance
Description Of Non Cash Assistance	N/A	DescriptionOfNonCashAssistance
Method Of Valuation	FMV	MethodOfValuation

Field	Value	IRS element (for citing)
Total Number Of501c3 Orgs	1	TotalNumberOf501c3Orgs
Transfer To Foreign Corp	true	TransferToForeignCorp
Interest In Foreign Trust	false	InterestInForeignTrust
Own Foreign Corp	false	OwnForeignCorp
Passive Foreign Invest Co	false	PassiveForeignInvestCo
Foreign Partnership	false	ForeignPartnership
Boycott Countries	false	BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

Field	Value	IRS element (for citing)
Identifier	PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS OUTSIDE THE U.S.	Identifier
Return Reference	FORM 990, SCHEDULE F, PART I, LINE 2	ReturnReference
Explanation	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.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	false	FPGReferenceDiscountedCare
Free Disc Care Medically Indigent	false	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	27247003	TotalCommunityBenefitExpense
Net Community Benefit Expense	27247003	NetCommunityBenefitExpense
Percent Of Total Expense	0.02380	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	161322508	TotalCommunityBenefitExpense
Direct Offsetting Revenue	136877776	DirectOffsettingRevenue
Net Community Benefit Expense	24444732	NetCommunityBenefitExpense
Percent Of Total Expense	0.02140	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	188569511	TotalCommunityBenefitExpense
Direct Offsetting Revenue	136877776	DirectOffsettingRevenue
Net Community Benefit Expense	51691735	NetCommunityBenefitExpense
Percent Of Total Expense	0.04520	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	69	NumberOfActivitiesOrPrograms
Persons Served	57252	PersonsServed
Total Community Benefit Expense	5359727	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2760	DirectOffsettingRevenue
Net Community Benefit Expense	5356967	NetCommunityBenefitExpense
Percent Of Total Expense	0.00470	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	7	NumberOfActivitiesOrPrograms
Persons Served	2499	PersonsServed
Total Community Benefit Expense	34467424	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11023630	DirectOffsettingRevenue
Net Community Benefit Expense	23443794	NetCommunityBenefitExpense
Percent Of Total Expense	0.02050	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	10628366	TotalCommunityBenefitExpense
Net Community Benefit Expense	10628366	NetCommunityBenefitExpense
Percent Of Total Expense	0.00930	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	1517	PersonsServed
Total Community Benefit Expense	47389	TotalCommunityBenefitExpense
Net Community Benefit Expense	47389	NetCommunityBenefitExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	82	NumberOfActivitiesOrPrograms
Persons Served	61268	PersonsServed
Total Community Benefit Expense	50502906	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11026390	DirectOffsettingRevenue
Net Community Benefit Expense	39476516	NetCommunityBenefitExpense
Percent Of Total Expense	0.03450	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	82	NumberOfActivitiesOrPrograms
Persons Served	61268	PersonsServed
Total Community Benefit Expense	239072417	TotalCommunityBenefitExpense
Direct Offsetting Revenue	147904166	DirectOffsettingRevenue
Net Community Benefit Expense	91168251	NetCommunityBenefitExpense
Percent Of Total Expense	0.07970	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$14,604,135	BadDebtExpenseAmount
Amount Attributable To	1460413	AmountAttributableTo
Amount Reimbursed By Medicare	369370029	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	414554537	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-45184508	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Teaching HospitalTeachingHospital	Research FacilityResearchFacility	Er24 HoursEr24Hours
CHRISTIANA HOSPITAL
1	4755 OGLETOWN-STANTON ROAD	NEWARK	DE	19718	X	X	X	X	X
WILMINGTON HOSPITAL
2	501 WEST 14TH STREET	WILMINGTON	DE	19801	X	X	X	X	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber	CHNA ConductedCHNAConducted
CHRISTIANA HOSPITAL
1	false
WILMINGTON HOSPITAL
2

Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
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. BAD DEBT EXPENSE PART I, LINE 7 THE BAD DEBT EXPENSE AMOUNT INCLUDED ON FORM 990, PART IX, COLUMN 25(A) WAS $28,711,579 FOR THE YEAR ENDED JUNE 30, 2011. THIS AMOUNT HAS BEEN SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES REPORTED ON THE SCHEDULE H, PART I, LINE 7 TABLE.
BAD DEBT EXPENSE- FOOTNOTE FROM FINANCIAL STATEMENTS	PART III, LINE 4	HEALTH SERVICES PROVIDES FREE MEDICAL SERVICES TO PATIENTS WHO MEET THE CRITERIA OF ITS FINANCIAL ASSISTANCE POLICY. CRITERIA FOR CHARITY CARE CONSIDERS THE PATIENT'S FAMILY INCOME AND FAMILY SIZE. HEALTH SERVICES MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE BASED ON FREE SERVICES FURNISHED UNDER ITS FINANCIAL ASSISTANCE POLICY. THE COST OF CHARITY CARE PROVIDED WAS APPROXIMATELY $27.1 MILLION AND $ 28.0 MILLION IN 2011 AND 2010, RESPECTIVELY. 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 $17.6 MILLION AND $15.1 MILLION IN 2011 AND 2010, RESPECTIVELY. HEALTH SERVICES ALSO RECORDS A PROVISION FOR BAD DEBTS, WHICH REPRESENTS MANAGEMENT'S ESTIMATE OF PATIENT ACCOUNTS RECEIVABLE THAT WILL NOT BE COLLECTED EVEN THOUGH THE PATIENT DOES NOT MEET THE CHARITY CARE CRITERIA. THE PROVISION FOR BAD DEBTS WAS $28,711,579 AND $26,021,891 IN 2011 AND 2010, RESPECTIVELY. THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 ARE BASED ON A COST TO CHARGE RATIO.
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 III, 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.
NEEDS ASSESSMENT	PART VI, LINE 2	CHRISTIANA CARE HAS PARTNERED WITH THE DELAWARE HEALTHCARE ASSOCIATION AND HAS IDENTIFIED RESOURCES AND A PROCESS TO DO A FORMAL NEEDS ASSESSMENT IN THE UPCOMING TAX YEAR. IN THE MEANTIME, WE RECEIVE FEEDBACK FROM THE UN AND UNDERINSURED COMMUNITY FROM OUR OUTREACH TEAMS THAT WORK DIRECTLY IN THE COMMUNITY WITH THIS POPULATION. TO HELP DETERMINE PROGRAMS AND SERVICES THAT WOULD BE OF MOST VALUE TO OUR PATIENTS AND NEIGHBORS, OTHER ASSESSMENT INITIATIVES AT CHRISTIANA CARE HAVE INCLUDED SURVEYS CONDUCTED AT COMMUNITY HEALTH FAIRS AND EVENTS. RESULTS FROM THESE SURVEYS HAVE BEEN USED WITH APPLICATIONS FOR GRANT FUNDING, AMONG WHICH HAVE RESULTED IN FUNDING FOR WEIGHT MANAGEMENT, EXERCISE AND MENTAL HEALTH PROGRAMS. MOREOVER, OUR ORGANIZATION TYPICALLY REFERENCES A VARIETY OF SOURCES THAT PROVIDE SEARCHABLE DATA BY STATE, COUNTY, MUNICIPALITY, GENDER, RACE, BEHAVIOR, RISK AND/OR ANY COMBINATION OF THOSE QUALIFIERS. THOSE SOURCES INCLUDE: - CENSUS FACT FINDER: HTTP://FACTFINDER2.CENSUS.GOV/FACES/NAV/JSF/PAGES/INDEX.XHTML - DELAWARE HEALTH STATISTICS CENTER: HTTP://DHSS.DELAWARE.GOV/DHSS/DPH/HEALTHDATASTATS.HTML - CDC BRFSS: HTTP://WWW.CDC.GOV/BRFSS/ - KAISER STATE HEALTH FACTS: HTTP://WWW.STATEHEALTHFACTS.ORG/ - CDC NATIONAL CENTER FOR HEALTH STATISTICS: HTTP://WWW.CDC.GOV/NCHS/ - TRUST FOR AMERICA'S HEALTH: HTTP://HEALTHYAMERICANS.ORG/STATES/ - COMMUNITY LEVEL INFORMATION ON KIDS: HTTP://DATACENTER.KIDSCOUNT.ORG/DATA/BYSTATE/DEFAULT.ASPX - COMMUNITY HEALTH STATUS INDICATORS: HTTP://COMMUNITYHEALTH.HHS.GOV/HOMEPAGE.ASPX?J=1 - COUNTY HEALTH RANKINGS: HTTP://WWW.COUNTYHEALTHRANKINGS.ORG/ - CAMHI AND THE NATIONAL SURVEY OF CHILDREN'S HEALTH: HTTP://CHILDHEALTHDATA.ORG/CONTENT/DEFAULT.ASPX; HTTP://NSCHDATA.ORG/CONTENT/DEFAULT.ASPX - HARVARD CENTER FOR ADVANCING HEALTH: HTTP://DIVERSITYDATA.SPH.HARVARD.EDU/ - PUBLIC HEALTH SNAPSHOTS: HTTP://WWW.NALBOH.ORG/PH_SNAPSHOTS.HTM - OFFICE OF WOMEN'S HEALTH: HTTP://WWW.HEALTHSTATUS2010.COM/OWH/ - STATE CANCER PROFILES: HTTP://STATECANCERPROFILES.CANCER.GOV/ - SNAPS POPULATION DATA: HTTP://EMERGENCY.CDC.GOV/SNAPS/ - COMMONWEALTH FUND STATE SCORECARD: HTTP://WWW.COMMONWEALTHFUND.ORG/MAPS-AND-DATA/STATE-DATA-CENTER/STATE-SCOR ECARD.ASPX - AHRQ STATE SNAPSHOTS: HTTP://STATESNAPSHOTS.AHRQ.GOV/SNAPS09/INDEX.JSP
INFORMATION REGARDING PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	PART VI, LINE 3	CHRISTIANA CARE PLACES EDUCATIONAL SIGNS IN OUR EMERGENCY DEPARTMENTS IN BOTH ENGLISH AND SPANISH. THE CARDS ADVISE THAT WE HAVE A FINANCIAL ASSISTANCE POLICY AND DIRECTS PATIENTS TO A PHONE NUMBER IN OUR CUSTOMER SERVICE DEPARTMENT FOR MORE INFORMATION. ON OUR WEBSITE WE ALSO INSTRUCT PEOPLE WHO HAVE DIFFICULTY PAYING THEIR HOSPITAL BILL THAT CHRISTIANA CARE'S FINANCIAL ASSISTANCE PROGRAM CAN HELP. FOR MORE INFORMATION, PERSONS ARE DIRECTED TO CALL 302-623-7000. IN ADDITION, VARIOUS SPECIAL FUNDS AND PROGRAMS ARE LISTED THROUGH WHICH THE OPPORTUNITY FOR FINANCIAL ASSISTANCE EXISTS.
COMMUNITY INFORMATION	PART VI, LINE 4	CHRISTIANA CARE PROVIDES SERVICES TO URBAN, SUBURBAN AND RURAL COMMUNITIES INCLUDING ANY HOUSEHOLDS AT OR BELOW POVERTY LEVEL. OUR WILMINGTON CAMPUS IS LOCATED IN THE HEART OF THE CITY OF WILMINGTON WHICH HAS THE GREATEST DENSITY OF THESE HOUSEHOLDS. TEN (10) FEDERALLY-DESIGNATED LOW INCOME CENSUS TRACTS (IRS SECTION 42(D)(5)(C) QUALIFIED CENSUS TRACTS ARE LOCATED WITHIN A 3 MILE RADIUS OF THE WILMINGTON HOSPITAL CAMPUS. CHRISTIANA CARE'S EFFORTS TO BUILDING A HEALTHY COMMUNITY IN WILMINGTON IS FURTHER REINFORCED WITH OUR ORGANIZATION'S EXPANSION AND RENOVATION OF THE WILMINGTON HOSPITAL CAMPUS. THIS $210 MILLION INVESTMENT CONTINUES OUR COMMITMENT TO SERVE OUR COMMUNITY AND TO ENSURE THAT OUR NEIGHBORS CAN ACCESS AND RECEIVE THE HIGHEST LEVEL OF CARE AND COMFORT FOR DECADES TO COME. WILMINGTON HOSPITAL WILL GROW BY 337,000 SQUARE FEET, CREATING A 1 MILLION-SQUARE-FOOT, STATE-OF-THE-ART MEDICAL CENTER. WHEN COMPLETED IN 2014, THE TRANSFORMED FACILITY WILL INCLUDE: - A NINE-STORY, 286,000-SQUARE-FOOT TOWER. - AN UPGRADED EMERGENCY DEPARTMENT THAT'S DOUBLE ITS CURRENT SIZE. - A NEW SURGICAL SUITE, INCLUDING 13 OPERATING ROOMS AND FOUR PROCEDURE ROOMS. - THE CAPACITY FOR 120 PRIVATE PATIENT ROOMS. - A NEW INTENSIVE-CARE UNIT. - AN UPGRADED, 30-BED UNIT FOR THE CENTER FOR ADVANCED JOINT REPLACEMENT. - A 51,000-SQUARE-FOOT, STATE-OF-THE-ART MEDICAL OFFICE BUILDING, ALLOWING MORE PHYSICIANS TO PRACTICE ON-SITE - A NEW MAIN LOBBY ENTRY WITH AN ENCLOSED CONNECTOR TO THE PARKING GARAGE. - A TRANQUIL ATRIUM AND HEALING GARDEN. DELAWARE'S ONLY LEVEL I TRAUMA CENTER IS LOCATED ON OUR STANTON CAMPUS PROVIDING STATEWIDE TRAUMA CARE. THIS CAMPUS ALSO 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 ALSO OFFERS A FREE SHUTTLE SERVICE FROM WILMINGTON TO OUR STANTON CAMPUS, ALLOWING LOW-INCOME PERSONS WHO NEED SPECIALTY SERVICES TO MORE EASILY REACH OUR SUBURBAN HOSPITAL THAT OPENED IN 1985.
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: PARTICIPATION IN GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS CHRISTIANA CARE PARTICIPATES WITH MEDICARE, MEDICAID, CHAMPUS, TRICARE AND OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS, INCLUDING OUT OF STATE PLANS AS WELL. ALL PARTICIPATION AGREEMENTS ARE BASED ON A FEE SCHEDULE THAT IS LESS THAN OUR PUBLISHED CHARGES. AVAILABILITY OF FINANCIAL ASSISTANCE CHRISTIANA CARE HAS A FINANCIAL ASSISTANCE POLICY THAT OFFERS A 100% ADJUSTMENT FOR ALL SERVICES PROVIDED TO PATIENTS WITH INCOME LESS THAN 200% OF THE FEDERAL POVERTY LEVEL. UNINSURED PATIENTS WITH INCOME IN EXCESS OF 200% ARE EXTENDED A 10% SELF PAY DISCOUNT. OUR COLLECTION POLICY SUPPORTS A PATIENT'S ABILITY TO MAKE INTEREST-FREE MONTHLY PAYMENT ARRANGEMENTS IN AN EFFORT TO SATISFY AN OUTSTANDING BALANCE. ALTHOUGH GUIDELINES EXIST THAT WOULD ATTEMPT TO HOLD THE PATIENT ACCOUNTABLE FOR 4% OF THE BALANCE PER MONTH OR $50 (WHICHEVER IS GREATER) FLEXIBILITY EXISTS IN THAT WE WILL ONLY EXPECT THE PATIENT TO ESTABLISH MONTHLY PAYMENT ARRANGEMENTS FOR WHAT THEY CAN TRULY AFFORD. EDUCATION AND TRAINING CHRISTIANA CARE SERVES AS A FOUNDING MEMBER OF THE DELAWARE HEALTH SCIENCES ALLIANCE, TOGETHER WITH THE UNIVERSITY OF DELAWARE, A.I. DUPONT HOSPITAL FOR CHILDREN AND THOMAS JEFFERSON UNIVERSITY HOSPITAL. THE ALLIANCE ENABLES PARTNER ORGANIZATIONS TO COLLABORATE AND CONDUCT CUTTING-EDGE BIOMEDICAL RESEARCH, TO IMPROVE THE HEALTH OF DELAWAREANS THROUGH ACCESS TO SERVICES IN THE STATE AND REGION, AND TO EDUCATE THE NEXT GENERATION OF HEALTH CARE PROFESSIONALS THE ALLIANCE'S UNIQUE, BROAD-BASED PARTNERSHIP FOCUSES ON ESTABLISHING INNOVATIVE COLLABORATIONS AMONG EXPERTS IN MEDICAL EDUCATION AND PRACTICE, HEALTH ECONOMICS AND POLICY, POPULATION SCIENCES, PUBLIC HEALTH, AND BIOMEDICAL SCIENCES AND ENGINEERING. CHRISTIANA CARE IS PARTICIPATING IN JEFFERSON MEDICAL COLLEGE'S DELAWARE BRANCH CAMPUS PROGRAM, PROVIDING CLINICAL EDUCATION TO THIRD- AND FOURTH-YEAR MEDICAL STUDENTS. AS A BRANCH CAMPUS, CHRISTIANA CARE CAN PROVIDE BETTER CARE TO OUR NEIGHBORS BY ALLOWING THESE STUDENTS TO RECEIVE ADDITIONAL MEDICAL EDUCATION OPPORTUNITIES ON OUR CAMPUS. PLUS, RECEIVING MORE OF THEIR CLINICAL TRAINING AT CHRISTIANA CARE INCREASES THE LIKELIHOOD THAT THESE STUDENTS REMAIN TO PRACTICE IN DELAWARE WHEN THEY COMPLETE THEIR RESIDENCY TRAINING. PARTNERING WITH EDUCATIONAL INSTITUTIONS THROUGHOUT THE REGION, CHRISTIANA CARE TRAINS DOCTORS, NURSES, ADVANCED PRACTICE NURSES, REGISTERED NURSE ANESTHETISTS, PHYSICIAN ASSISTANTS, PHARMACISTS AND ALLIED HEALTH PROFESSIONALS. THROUGH A UNIQUE RELATIONSHIP WITH DELAWARE TECHNICAL AND COMMUNITY COLLEGE, CHRISTIANA CARE'S ALLIED HEALTH EDUCATION PROGRAM PROVIDES ACCREDITED COURSES TO MEET THE COMMUNITY'S NEEDS FOR GRADUATES WITH VERY SPECIALIZED KNOWLEDGE IN A VARIETY OF ALLIED HEALTH CARE PROFESSIONS. STUDENTS RECEIVE ACADEMIC TRAINING AND CERTIFICATION FROM CHRISTIANA CARE'S FULL-TIME ALLIED HEALTH INSTRUCTORS AT THE COLLEGE AND RECEIVE ON-SITE CLINICAL TRAINING AT CHRISTIANA CARE. A SEVEN-ROOM, VIRTUAL EDUCATION AND SIMULATION TECHNOLOGY CENTER WITHIN THE JOHN H. AMMON MEDICAL EDUCATION CENTER ON CHRISTIANA CARE'S STANTON, DEL., CAMPUS IS CERTIFIED AS A LEVEL II EDUCATIONAL INSTITUTE BY THE AMERICAN COLLEGE OF SURGEONS AND IS PART OF AN INNOVATIVE, NATIONWIDE CONSORTIUM, APPROVED BY THE AMERICAN CONGRESS OF OBSTETRICS AND GYNECOLOGY FOR TEACHING EXCELLENT SURGICAL SKILLS TO OB/GYN RESIDENTS. THE INNOVATIVE CENTER INCLUDES HIGH-FIDELITY, LIFE-LIKE, ADULT AND PEDIATRIC, COMPUTER-CONTROLLED HUMAN PATIENT MANIKINS WHICH RESPOND TO STIMULI, BREATHE, SPEAK, BLINK THEIR EYES, AND PRODUCE HEART BEATS, BOWEL SOUNDS AND BLOOD PRESSURE READINGS. CHRISTIANA CARE IS ONE OF THE LARGEST COMMUNITY-BASED TEACHING HOSPITALS CONDUCTING RESEARCH IN THE UNITED STATES. ROBUST PARTNERSHIPS IN CLINICAL, TRANSLATIONAL AND OUTCOMES RESEARCH BOOST CHRISTIANA CARE'S NATIONAL REPUTATION AND SPEED NEW IDEAS, TECHNOLOGIES AND TREATMENTS TO COMMUNITIES CHALLENGED BY TODAY'S MOST PRESSING HEALTH CONCERNS. IN FY 2011, CHRISTIANA CARE CONDUCTED MORE THAN 700 CLINICAL RESEARCH AND PHARMACEUTICAL STUDIES. SCHOOL BASED HEALTH CENTERS SCHOOL BASED HEALTH CENTERS REPRESENT ANOTHER IMPORTANT INITIATIVE TO IMPROVE ACCESS TO HEALTH CARE SERVICES. IN PARTNERSHIP WITH SCHOOL DISTRICTS AND THE DELAWARE DIVISION OF PUBLIC HEALTH, DEPARTMENT OF HEALTH AND SOCIAL SERVICES, CHRISTIANA CARE OPERATES 16 HIGH-SCHOOL WELLNESS CENTERS THAT PROVIDE HIGH-QUALITY HEALTH CARE TO TEENS - RIGHT AT THE SCHOOL. WELLNESS CENTERS HELP TEENS OVERCOME MANY OBSTACLES TO RECEIVING GOOD HEALTH CARE SUCH AS LACK OF TRANSPORTATION, INCONVENIENT APPOINTMENT TIMES AND WORRIES ABOUT COST AND CONFIDENTIALITY. WORKING WITH EACH STUDENT'S HEALTH CARE PROVIDER, PARENTS AND SCHOOL NURSE, WELLNESS CENTERS PROVIDE COMPREHENSIVE MEDICAL AND MENTAL-HEALTH CARE AND HEALTH EDUCATION. SERVICES OFFERED AT THE WELLNESS CENTERS, INCLUDE: - PHYSICAL EXAMINATIONS, INCLUDING ROUTINE EXAMS, SPORTS PHYSICALS AND PRE-EMPLOYMENT PHYSICALS. - HEALTH SCREENINGS, INCLUDING THOSE FOR COMMUNICABLE INFECTIONS. - WOMEN'S HEALTH CARE. - TREATMENT FOR MINOR ILLNESSES AND INJURIES. - IMMUNIZATIONS. - NUTRITION AND WEIGHT MANAGEMENT. - INDIVIDUAL, FAMILY AND GROUP COUNSELING. - CRISIS INTERVENTION AND SUICIDE PREVENTION. - TOBACCO CESSATION COUNSELING. - DRUG AND ALCOHOL ABUSE COUNSELING AND REFERRAL. - OUTREACH TO AT-RISK YOUTH. - HEALTH AND NUTRITION EDUCATION. - DOCTOR REFERRALS. - FOLLOW-UP AS REQUESTED BY THE STUDENT'S FAMILY HEALTH CARE PROVIDER. OTHER COMMUNITY PARTNERSHIPS CHRISTIANA CARE PARTNERS WITH OTHER ENTITIES IN THE COMMUNITY TO PROVIDE A WIDE RANGE OF SERVICES TO UNDERSERVED POPULATIONS. PRIMARY CARE, CONSULTING PSYCHIATRIC SERVICES, WOUND CARE, DIABETES CARE AND OTHER SERVICES ARE MADE AVAILABLE THROUGH PARTNERSHIPS WITH FEDERALLY QUALIFIED HEALTH CENTERS INCLUDING THE HENRIETTA JOHNSON MEDICAL CENTER, THE CLAYMONT COMMUNITY CENTER, AND THE WESTSIDE COMMUNITY HEALTH CENTER. CHRISTIANA CARE ANNUALLY HOSTS ANNUALLY A DOMESTIC VIOLENCE FORUM JOINTLY SPONSORED BY WOMENFIRST, CHRISTIANA CARE'S COMMUNITY CENTERS OF EXCELLENCE IN WOMEN'S HEALTH PROGRAM, YWCA, FRIENDSHIP HOUSE, INC., NEW CASTLE COUNTY COUNCIL, CHILDREN & FAMILIES FIRST AND DELAWARE COALITION AGAINST DOMESTIC VIOLENCE. WORKING WITH COMMUNITY PARTNERS, CHRISTIANA CARE PROVIDES HOMELESS DELAWAREANS WITH NEEDED MEDICAL CARE. A CREATIVE 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) HELPS THE HOMELESS PEOPLE RECEIVE THE CARE THEY NEED SO THEY CAN IMPROVE THEIR HEALTH AND BECOME LESS DEPENDENT ON THE EMERGENCY DEPARTMENT AT WILMINGTON HOSPITAL FOR TREATMENT. THE PROGRAM EXPANDED WHEN THE SUNDAY BREAKFAST MISSION OPENED A SHELTER FOR WOMEN AND CHILDREN. CHRISTIANA CARE FURTHER SUPPORTED THE SUNDAY BREAKFAST MISSION THROUGH THE DONATION OF A TRUCKLOAD FULL OF MEDICAL EQUIPMENT, FURNITURE AND OTHER SUPPLIES FOR THE SHELTER'S NEW NURSE OFFICE. THE OFFICE CARES FOR 45 MISSION RESIDENTS, FROM INFANTS TO SENIORS. CHRISTIANA CARE HOSTED MORE THAN 300 WOMEN AT THE FIRST EVER GIRLS' NIGHT OUT EVENT AT THE HELEN F. GRAHAM CANCER CENTER. ATTENDEES AT THIS FREE EVENT TOOK ADVANTAGE OF LECTURES ON BREAST-CANCER DIAGNOSIS AND PREVENTION, AND THE ROLE THAT GENETICS PLAYS IN CANCER PREVENTION. GIRLS' NIGHT OUT ATTRACTED A DIVERSE CROWD OF WOMEN OF ALL AGES, RACES AND ETHNICITIES FROM THROUGHOUT THE AREA, INCLUDING NEW CASTLE, KENT AND SUSSEX COUNTIES, SOUTHEASTERN PENNSYLVANIA, SOUTHERN NEW JERSEY AND CECIL COUNTY, MD. CHRISTIANA CARE STAFF PROVIDED FREE BONE-DENSITY AND BLOOD-PRESSURE SCREENINGS FOR 186 ATTENDEES, WHILE BREAST CENTER STAFF LED TOURS OF THEIR NEW OFFICES AND PERFORMED MAMMOGRAMS FOR 40 WOMEN. THE INAUGURAL EVENT ALSO FEATURED HEALTHY FOOD DEMONSTRATIONS, A PHOTO BOOTH AND GIVEAWAYS PROVIDED THROUGHOUT THE EVENING. TO BETTER SERVE DELAWARE'S RAPIDLY GROWING HISPANIC COMMUNITY, CHRISTIANA CARE PROVIDED TRAINING FOR PROMOTORAS, LATINA WOMEN WHO LEARN ABOUT BREAST HEALTH AND CANCER SCREENINGS SO THEY CAN TAKE THAT LIFE-SAVING INFORMATION HOME TO THEIR NEIGHBORS AND LOVED ONES. CHRISTIANA CARE'S HEALTHY BEGINNINGS PROGRAM IS FUNDED IN PART BY THE DELAWARE DIVISION OF PUBLIC HEALTH'S HEALTHY MOTHERS/HEALT
AFFILIATED HEALTHCARE SYSTEM INFORMATION	PART VI, LINE 6	CHRISTIANA CARE HEALTH SERVICES, INC. IS AN AFFILIATE OF CHRISTIANA CARE HEALTH SYSTEM, INC. OTHER AFFILIATES IN THE CHRISTIANA CARE FAMILY INCLUDE CHRISTIANA CARE HOME HEALTH & COMMUNITY SERVICES, INC., (INCLUDING THE CHRISTIANA CARE VISITING NURSE ASSOCIATION), AND CHRISTIANA CARE HEALTH INITIATIVES, INC., EACH OF WHICH CONTRIBUTE TO PROMOTING HEALTH IN THE COMMUNITIES WE SERVE. THE CHRISTIANA CARE VISITING NURSE ASSOCIATION FEATURES A DEDICATED TEAM OF NURSES, THERAPISTS, AIDES AND SOCIAL WORKERS WORKING IN TANDEM TO HELP OUR NEIGHBORS WITH THE HEALING POWER OF HOME. BEYOND THE SKILLED NURSING, CHRONIC DISEASE MANAGEMENT AND MEDICATION MANAGEMENT SERVICES VNA PROVIDES, OUR TEAM OF MEDICAL SOCIAL WORKERS PROVIDES A WIDE VARIETY OF SUPPORT SERVICES. ALZHEIMER'S AND DEMENTIA CARE, AND SUPPORT GROUPS FOR MOTHER AND BABY HOME CARE AND PEDIATRIC HOME CARE ARE AN INTEGRAL PART OF OUR OFFERINGS TO OUR COMMUNITY. THE CAREGIVERS SERIES PROVIDES SUCH PRACTICAL GUIDANCE AS HOW TO PREVENT PRESSURE SORES, AVOID FALLS IN THE HOME, MANAGE MEDICATIONS AND NAVIGATE THE MEDICARE SYSTEM. CAREGIVERS LEARN SUCH FINE POINTS AS HOW TO PREVENT RESPIRATORY-TRACT INFECTIONS AND TO CHOOSE SHOES WITH VELCRO CLOSURES TO MAKE IT EASIER TO DRESS SOMEONE WITH A DISABILITY. BASED ON THE BOOK "THE COMFORT OF HOME: A COMPLETE GUIDE FOR CAREGIVERS," THE SERIES IS PRESENTED AT CHRISTIANA CARE LOCATIONS THROUGHOUT THE STATE. CAREGIVERS ALSO ARE ENCOURAGED TO LOOK AFTER THEMSELVES. EACH SPRING AND FALL, THIS SERIES OF HELPFUL WORKSHOPS FOR FAMILY AND OTHER CAREGIVERS IS HELD IN EACH OF DELAWARE'S THREE COUNTIES. TOPICS INCLUDE: PLANNING FOR CARE; ACCESSING COMMUNITY AND GOVERNMENT RESOURCES; TAKING CARE OF YOURSELF AS A CAREGIVER; MANAGING MEDICATIONS; AND DEALING WITH COMMON CAREGIVER CHALLENGES, INCLUDING BATHING, ASSISTANCE WITH WALKING AND SAFETY IN THE HOME. CHRISTIANA CARE HEALTH INITIATIVES, INC. FEATURES CHRISTIANA CARE OCCUPATIONAL HEALTH & WELLNESS SERVICES SPECIALIZES IN THE TREATMENT AND MANAGEMENT OF WORK-RELATED INJURY AND ILLNESS, AND EMPLOYEE HEALTH. IT ALSO ENCOMPASSES CHRISTIANA CARE PHYSICAL THERAPY PLUS, OUR OUTPATIENT REHABILITATION SERVICES, WHICH INCLUDES COMPREHENSIVE SERVICES FOR PATIENTS WITH COMPLEX OR CHRONIC DIAGNOSES SUCH AS STROKE OR BRAIN INJURY, LYMPHEDEMA, BALANCE AND VESTIBULAR DYSFUNCTION, PARKINSON'S DISEASE AND MANY OTHERS. A SERIES OF FREESTANDING HEALTH CENTERS ROUND OUT CHRISTIANA CARE HEALTH INITIATIVES.
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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
THOMAS L CORRIGAN
437518	0	164491	0	7166	0	30155	0	15991	0	655321	0	0	0
GARY W FERGUSON
488976	0	178986	0	8352	0	129168	0	6553	0	812035	0	0	0
ROBERT J LASKOWSKI MD
833410	0	418000	0	11457	0	166274	0	25028	0	1454169	0	0	0
TIMOTHY GARDNER
513449	0	145049	0	12607	0	28603	0	15886	0	715594	0	0	0
NICHOLAS PETRELLI MD
458396	0	129497	0	27743	0	35148	0	15623	0	666407	0	0	0
WILLIAM WEINTRAUB
474735	0	76409	0	38736	0	34775	0	16030	0	640685	0	0	0
FERNANDO GARZIA
550014	0	0	0	9337	0	29432	0	16054	0	604837	0	0	0
JANICE NEVIN
322455	0	93655	0	15555	0	52509	0	10623	0	494797	0	0	0
DIANE TALAREK
263959	0	72143	0	0	0	45510	0	10535	0	392147	0	0	0
RAY SEIGFRIED
204686	0	57884	0	0	0	30029	0	15646	0	308245	0	0	0
BENJAMIN SHAW
108144	0	0	0	698983	0	18325	0	0	0	825452	0	0	0
JAMES H NEWMAN MD
390682	0	130856	0	7610	0	121834	0	15552	0	666534	0	0	0
MICHAEL BANBURY
850720	0	128969	0	15848	0	40657	0	16364	0	1052558	0	0	0
BRENDA K PIERCE ESQ
257835	0	64002	0	7636	0	30999	0	15780	0	376252	0	0	0
AUDREY VAN LUVEN
252380	0	69969	0	20920	0	31199	0	6004	0	380472	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	COMPENSATION INFORMATION	Identifier
Explanation	SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PARTICIPATION FORM 990, SCHEDULE J, 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: ROBERT J LASKOWSKI MD, GARY W. FERGUSON, DIANE TALAREK, JANICE NEVIN, MD AND JAMES NEWMAN, MD. ------------------------------ PROVISION OF NON-FIXED PAYMENTS FORM 990, SCHEDULE J, 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.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
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

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Amount UnspentAmountUnspent	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
21426644	43425940	674025	659489	42068998	0	23428	2006	false	false	false	true
0	80000000	774850	0	19062025	60163125	0	2006	true	false	true	true
4430000	30000000	0	0	0	30000000	0	2000	true	false	true	true
0	74701965	879197	0	42918380	0	30904388		false	false	false

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	false	false	true	0.00000	0.00000	true
false	true	false	true	true	0.13300	0.13300	true
false	false	false	false	true	0.00000	0.00000	true
false	false	false	false	true	0.00000	0.00000	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Term Of GICTermOfGIC	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
TRINITY PLUS FUNDING
false	false	false	true	2.8	true	true	false
(no name)
false	true	false	false			false	true
(no name)
false	false	false	false			false	true
(no name)
false	false	false	false			false	true

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Identifier	SUPPLEMENTAL INFORMATION REGARDING TAX EXEMPT BONDS	Identifier
Return Reference	FORM 990, SCHEDULE K, PART II, LINE 3	ReturnReference
Explanation	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 $210,624 IN INVESTMENT EARNINGS. FOR DELAWARE HLTH FACILITIES AUTHORITY, SERIES 2010, THE TOTAL PROCEEDS OF ISSUE REPORTED INCLUDES $2,360,174 IN INVESTMENT EARNINGS. ------------------------------- FORM 990, SCHEDULE K, PART III A PORTION OF THE SERIES 2008 BOND ISSUE WAS USED BY CCHS TO PURCHASE APPROXIMATELY 108 ACRES OF LAND THAT WILL BE UTILIZED BY CCHS FOR FUTURE EXPANSION OF ITS HEALTHCARE OPERATIONS (WITH NO ANTICIPATED PRIVATE BUSINESS USE). WHILE ITS PLANS FOR THIS NEW FACILITY AND OPERATIONS ARE BEING FINALIZED, CCHS ENTERED INTO A SHORT-TERM LEASE OF A PORTION OF THE LAND FOR FARMING ACTIVITIES USE. WHILE THIS PORTION OF THE ACQUIRED LAND IS BEING USED BY A THIRD PARTY, THE RENT BEING RECEIVED BY CCHS FOR SUCH USE IS MINIMAL. AS SUCH, IT IS ANTICIPATED THAT OVER THE LIFE OF THE BOND, THE SERIES 2008 BOND WILL NOT HAVE PRIVATE BUSINESS USE IN EXCESS OF 5%.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	JOSEPH GREGG	NamePerson

Field	Value	IRS element (for citing)
Relationship	FAMILY MEMBER OF BRD MBR	Relationship
Amount Of Transaction	28506	AmountOfTransaction
Description Of Transaction	PAYMENT OF COMPENSATION	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (28 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
SUPPLEMENTAL DISCLOSURES	FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES 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 240 MEDICAL-DENTAL RESIDENTS AND FELLOWS. CHRISTIANA CARE IS RECOGNIZED AS A REGIONAL CENTER FOR EXCELLENCE IN CARDILOGY, CANCER AND WOMEN'S HEALTH SERVICES. THE SYSTEM FEATURES A LEVEL 3 NEONATAL INTENSIVE CARE UNIT, THE ONLY DELIVERING HOPSITAL 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 10,400 EMPLOYEES, CHRISTIANA CARE IS THE LARGEST PRIVATE EMPLOYER IN DELAWARE AND THE 10TH LARGEST EMPLOYER IN THE PHILADELPHIA REGION. IN FISCAL YEAR 2011, CHRISTIANA CARE HAD MORE THAN $2.1 BILLION IN TOTAL PATIENT REVENUE AND PROVIDED THE COMMUNITY WITH APPROXIMATELY $27.1 MILLIION 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 11A INFORMATION RELATED TO CCHS' FORM 990 FILING IS GATHERED BY FINANCE STAFF AND PROVIDED TO PRICEWATERHOUSECOOPERS LLP FOR REVIEW. THE FINAL 2010 FORM 990 FOR THE FISCAL YEAR ENDING JUNE 30, 2011 WAS REVIEWED AND APPROVED BY VARIOUS SENIOR MANAGEMENT OFFICIALS. THE ORGANIZATION'S GOVERNING BOARD WAS ALSO PROVIDED ACCESS TO THE APPROVED 2010 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 $ 83,580,036 TRANSFER TO AFFILIATE 223,727 EFFECT OF DISCONTINUED OPERATIONS (3,616,301) CHANGE IN POST RETIREMENT 90,064,014 BENEFICIAL INTEREST IN SYSTEM 7,890,331 SUBCORPORATIONS 148,790 ------------ TOTAL $178,290,597 ============
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:CAROL A. AMMON TITLE:CHAIRMAN OF THE BOARD HOURS:2	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:DAVID P. NICOLI TITLE:MEMBER HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:JOHN R. COCHRAN, III TITLE:MEMBER HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:DONEENE K. DAMON, ESQ TITLE:MEMBER HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:OMAR A. KHAN, MD, MHS TITLE:MEMBER HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:ROBERT J. LASKOWSKI, MD TITLE:PRESIDENT & CEO, EX OFFICIO HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:LOLITA A. LOPEZ TITLE:MEMBER HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:HON. JOSHUA W. MARTIN, III TITLE:MEMBER HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:GORDON OSTRUM, JR, MD TITLE:EX OFFICIO MEMBER, VICE CHAIR HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:JOHN W. SCHEFLEN, ESQ TITLE:MEMBER HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:FRED C. SEARS, II TITLE:MEMBER HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:WILFRED B. SHERK TITLE:MEMBER HOURS:2	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:NANCY W. SNYDER, MS, RN TITLE:MEMBER HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:JANICE TILDON BURTON, MD TITLE:MEMBER HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:EDWARD K. WISSING TITLE:MEMBER HOURS:2	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:PATRICK D. HARKER, PHD TITLE:MEMBER HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:LEO W. RAISIS, MD TITLE:MEMBER HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:W. DONALD JOHNSON TITLE:MEMBER HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:ANN KAPPEL TITLE:EX OFFICIO HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:ANAND P. PANWALKER, MD TITLE:EX OFFICIO MEMBER HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:GARY M. PFEIFFER TITLE:CHAIR ELECT HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:ROBERT R. RIDOUT TITLE:MEMBER HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:DONALD R. KIRTLEY TITLE:MEMBER HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:THOMAS L. CORRIGAN TITLE:SR VP FINANCE/CFO, OFF OF BRD HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:GARY W. FERGUSON TITLE:CHIEF OPER OFF, OFF OF BOARD HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:WILLIAM J. WADE TITLE:OFFICER OF BOARD HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:BRENDA K. PIERCE, ESQ. TITLE:OFFICER OF BOARD HOURS:2	FORM 990 PART VII

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	CHRISTIANA CARE CAMPUS REALTY LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	4701 OGLETOWN-STANTON ROAD	AddressLine1
City	NEWARK	City
State	DE	State
ZIP Code	19713	ZIPCode

Field	Value	IRS element (for citing)
EIN	510103684	EIN
Primary Activities	SUPPORT SRVCS	PrimaryActivities
Legal Domicile State	DE	LegalDomicileState
Total Income	0	TotalIncome
EOY Assets	0	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CCHS	BusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
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	CCH SYSTEM	false
CHRISTIANA CARE HOME HEALTH & COM SRVCS
1 READS WAY	NEW CASTLE	DE	19720	510064334	HOME HLTHCARE	DE	501(C)(3)	7	CCH SYSTEM	false

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType
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
LIMESTONE MEDICAL IMAGING LLC
200 HYGEIA DRIVE	NEWARK	DE	19713	203113063	MEDICAL SERVICES	DE	CCHI	N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
ALL ABOUT WOMEN
200 HYGEIA DRIVE	NEWARK	DE	19713	203894053	HEALTHCARE	DE	CCHS	C CORP	0	586925	1.00000
THE DE CTR FOR MAT FETAL MED OF CC INC
200 HYGEIA DRIVE	NEWARK	DE	19713	205891272	HEALTHCARE	DE	CCHS	C CORP	-128797	2619208	1.00000
CHR CARE VASCULAR SPECIALISTS INC
200 HYGEIA DRIVE	NEWARK	DE	19713	208303207	HEALTHCARE	DE	CCHS	C CORP	0	606787	1.00000
CHRISTIANA CARE HEALTH PLANS
200 HYGEIA DRIVE OFFICE 2524	NEWARK	DE	19713	510352728	INSURANCE	DE	CCH SYSTEM	C CORP

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	true	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	true	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
CHR CARE VASCULAR SPECIALISTS INC
A	240766	FMV
THE DE CTR FOR MAT FETAL MED OF CC INC
A,L	583741	FMV
ALL ABOUT WOMEN OF CHRISTIANA CARE INC
A	439579	FMV

Affiliated Group Attachment AffiliatedGroupAttachment

Field	Value	IRS element (for citing)
Explanation	DIRECT OTHER LOBBYING EXEMPT PURPOSE NAME OF ELECTING ORGANIZATION EXPENDITURES EXPENDITURES __________________________________ ____________ ______________ CHRISTIANA CARE HEALTH SYSTEM $ NONE $ 4,376,562 CHRISTIANA CARE HEALTH SERVICES 190,594 1,171,284,591 CHRISTIANA CARE HOME HEALTH AND COMMUNITY SERVICES NONE 40,933,570 CHRISTIANA CARE HEALTH INITIATIVES NONE 35,669,018 ------------ -------------- TOTAL $ 190,594 $1,252,263,741 THE ORGANIZATION HAS MADE THE LOBBYING ELECTION UNDER I.R.C. SECTION 501(H) FOR THE TAX YEAR ENDED JUNE 30, 2011. THIS ELECTION HAS NOT BEEN REVOKED BEFORE THE START OF THE ORGANIZATION'S TAX YEAR THAT BEGAN IN 2010.	Explanation