2012-05-14T11:12:17-04:00 2011-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1700 PHILADELPHIA PA 19103 990 2010-07-01 510103684 CHRISTIANA CARE HEALTH SERVICES INC CHRI 3026237201 PO BOX 2653 WILMINGTON DE 198050653 THOMAS L CORRIGAN 2012-05-11 true 2673303000 2010 2016-02-24 21:20:13Z ROBERT J LASKOWSKI MD 4755 OGLETOWN-STANTON ROAD NEWARK DE 19718 1662692354 false X WWW.CHRISTIANACARE.ORG X 1965 DE PROVISION OF CHARITABLE HEALTH CARE SERVICES AND EDUCATIONAL TRAINING PROGRAMS 24 21 10427 1206 5956861 0 24658031 20838066 1157682282 1120120641 28432828 40639912 26156205 120601404 1236929346 1302200023 620912 569101 0 0 723873807 747837875 0 0 0 424863165 423068209 1149357884 1171475185 87571462 130724838 1630379446 2025366133 647870949 733842201 982508497 1291523932 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 414444207 291559614 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. 62331635 128456757 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. 188869167 269689536 OPERATING ROOM-PROVIDED BOTH INPATIENT AND OUTPATIENT SURGICAL PROCEDURES. IN FISCAL 2011, 40,220 OPERATIONS WERE PERFORMED, REQUIRING A STAFF OF APPROXIMATELY 325. 271354879 521939156 OTHER PROGRAM SERVICES 271354879 521939156 936999888 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 true false false false false false true true true true false false true 469 0 true 10427 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 1262867 0 191302 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 31085 0 1690 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 NANCY W SNYDER MS RN 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 36000 0 0 THEODORE G PLUSH 1.0 X 0 0 0 GARY M PFEIFFER 1.0 X 0 0 0 ROBERT R RIDOUT 1.0 X 0 0 0 DONALD R KIRTLEY 1.0 X 0 0 0 THOMAS L CORRIGAN 40.0 X 609175 0 46146 GARY W FERGUSON 40.0 X 676314 0 135721 WILLIAM J WADE 1.0 X 0 0 0 BRENDA K PIERCE ESQ 40.0 X 329473 0 46779 JANICE NEVIN 40.0 X 431665 0 63132 DIANE TALAREK 40.0 X 336102 0 56045 RAY SEIGFRIED 40.0 X 262570 0 45675 JAMES H NEWMAN MD 40.0 X 529148 0 137386 AUDREY VAN LUVEN 40.0 X 343269 0 37203 TIMOTHY GARDNER 40.0 X 671105 0 44489 NICHOLAS PETRELLI MD 40.0 X 615636 0 50771 WILLIAM WEINTRAUB 40.0 X 589880 0 50805 FERNANDO GARZIA 40.0 X 559351 0 45486 MICHAEL BANBURY 40.0 X 995537 0 57021 BENJAMIN SHAW 0.0 X 807127 0 18325 9086304 0 1027976 718 true true false 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 139 3504009 6198058 11135999 20838066 PROGRAM SERVICE REVENUES 900099 1092578748 1092578748 OTHER REVENUES 900002 27541893 2211024 5952961 19377908 1120120641 15138856 15138856 1 1 0 3103453 1071494 2031959 2031959 3900 2028059 302749558 277248503 25501055 25501055 25501055 0 0 199027625 82172334 116855291 116855291 CONDOMINIUM MAINTENANCE FEES 900099 1714154 1714154 1714154 1302200023 1211645063 5956861 63760033 0 0 569101 569101 0 8549647 3481818 5067829 0 555348786 439514183 115834603 0 53466841 42024937 11441904 0 95882135 75363358 20518777 0 34590466 27188106 7402360 0 45000 35370 9630 0 1048481 824106 224375 0 302680 237906 64774 0 190594 149807 40787 0 0 2767938 2175599 592339 0 0 1873396 1472489 400907 0 275216285 232646774 42569511 0 21459241 16866963 4592278 0 0 16785987 13193786 3592201 0 1962008 1542138 419870 0 0 2311084 1816512 494572 0 2089131 1642057 447074 0 697831 548495 149336 0 72908147 57305804 15602343 0 -4679032 -3677719 -1001313 0 PROVISION FOR BAD DEBTS 28711579 22567301 6144278 0 LOSS ON SWAP -622141 -489003 -133138 0 1171475185 936999888 234475297 0 169641119 127452043 128736380 181549743 151017837 155181536 14583267 14259914 1441663027 886501819 565111143 555161208 485704499 761320573 6740609 65248606 1015805 1015805 107828787 164176705 1630379446 2025366133 179340379 174662612 134922083 328420871 333608487 230758718 647870949 733842201 X 915789900 1215130366 44085612 53013396 22632985 23380170 982508497 1291523932 1630379446 2025366133 X 130724838 178290597 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 0 190594 190594 190594 190594 1171284591 1252263741 1171475185 1252454335 1000000 1000000 250000 250000 1000000 1000000 1000000 1000000 4000000 6000000 87936 124519 186739 190594 589788 250000 250000 250000 250000 1000000 1500000 0 0 0 0 0 44664226 5551546 1110183 49105589 68202230 2441659 25979663 44664226 80252124 -10902441 1147453 68202230 0.51000 0.18000 0.31000 true false false 35586873 35586873 785191357 437802444 347388913 595956119 430249342 165706777 24928678 18450033 6478645 555161208 CONSTRUCTION IN PROGRESS 75184698 OTHER CURRENT ASSETS 33582387 DEFERRED FINANCING COSTS 2551764 OTHER ASSETS 52857856 164176705 0 PENSION AND POST RETIREMENT BENEFITS 172951291 INSURANCE LIABILITIES 26886264 OTHER LIABILITIES 30921163 230758718 1302200023 1171475185 130724838 83580036 94432973 178013009 308737847 1479345774 83580036 83580036 1395765738 1240366 -94806081 -93565715 1302200023 1267896283 1267896283 1240366 -97661464 -96421098 1171475185 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) true South Asia 0 0 Grantmaking 569101 0 0 0 0 569101 569101 South Asia RESEARCH SUBAWARD-- A GLOBAL NETWORK STUDY TO ESTIMATE GESTATIONAL AGE BY FUNDAL HEIGHT 569101 WIRE TRANSFR 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 27247003 27247003 0.02380 161322508 136877776 24444732 0.02140 188569511 136877776 51691735 0.04520 69 57252 5359727 2760 5356967 0.00470 7 2499 34467424 11023630 23443794 0.02050 3 10628366 10628366 0.00930 3 1517 47389 47389 82 61268 50502906 11026390 39476516 0.03450 82 61268 239072417 147904166 91168251 0.07970 true 14604135 1460413 369370029 414554537 -45184508 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 false WILMINGTON HOSPITAL 2 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 X true true X X X X X false true false false false false false true false 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 COMPENSATION INFORMATION 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. 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 21426644 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 4430000 0 30000000 0 0 0 0 0 0 0 30000000 0 2000 true false true true 0 0 74701965 0 0 0 879197 0 0 42918380 0 30904388 false false false false false false false true 0.00000 0.00000 0.00000 true false true false true true 0.13300 0.00000 0.13300 true false false false false true 0.00000 0.00000 0.00000 true false false false false true 0.00000 0.00000 0.00000 true false false false true TRINITY PLUS FUNDING 2.8 true true false false true false false false true false false false false false true false false false false false true 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 $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%. JOSEPH GREGG FAMILY MEMBER OF BRD MBR 28506 PAYMENT OF COMPENSATION false 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 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:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:NANCY W. SNYDER, MS, RN 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:2 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: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 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:GARY M. PFEIFFER TITLE:CHAIR ELECT HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROBERT R. RIDOUT TITLE:MEMBER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DONALD R. KIRTLEY 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:OFFICER OF BOARD HOURS:2 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 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 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 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 true false false false false false true false true true true true true true true true true 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 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.