CHRISTIANA CARE HEALTH SERVICES INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: CHRISTIANA CARE HEALTH SERVICES INC (EIN 51-0103684)
Tax period: 2024-07-01 to 2025-06-30
Filed: 2026-05-14
IRS object ID: 202601349349304980
Schema version: 2024v5.2
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 G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule M
Schedule N
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-05-14T12:14:17-05:00	ReturnTs
Tax Period End	2025-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PwC US Tax LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2001 MARKET ST SUITE 1800	AddressLine1Txt
City	PHILADELPHIA	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19103	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	510103684	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHRISTIANA CARE HEALTH SERVICES INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% SR VP'S OFFICE	InCareOfNm
Business Name Control	CHRI	BusinessNameControlTxt
Phone	3024282426	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4000 NEXUS DRIVE NW3-100	AddressLine1Txt
City	WILMINGTON	CityNm
State Abbreviation	DE	StateAbbreviationCd
ZIP	19803	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ROBERT MCMURRAY	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	3026237202	PhoneNum
Signature	2026-05-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ANTONIO C RUSSO	PreparerPersonNm
PTIN	P00858539	PTIN
Phone	2673303000	PhoneNum
Preparation	2026-05-12	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JANICE NEVIN MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4000 NEXUS DRIVE	AddressLine1Txt
City	WILMINGTON	CityNm
State Abbreviation	DE	StateAbbreviationCd
ZIP	19803	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$4,519,168,919	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CHRISTIANACARE.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1965	FormationYr
Legal Domicile State	DE	LegalDomicileStateCd
Activity Or Mission	OUR MISSION AS AN ORGANIZATION IS TO SERVE OUR NEIGHBORS AS EXPERT, CARING PARTNERS IN THEIR HEALTH.	ActivityOrMissionDesc
Contract Termination	Yes (X)	ContractTerminationInd
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	14186	TotalEmployeeCnt
Total Volunteers	543	TotalVolunteersCnt
Total Gross UBI	$3,586,153	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$42,127,253	PYContributionsGrantsAmt
CY Contributions Grants	$36,427,363	CYContributionsGrantsAmt
PY Program Service Revenue	$2,755,633,267	PYProgramServiceRevenueAmt
CY Program Service Revenue	$2,986,101,890	CYProgramServiceRevenueAmt
PY Investment Income	$236,160,355	PYInvestmentIncomeAmt
CY Investment Income	$328,550,264	CYInvestmentIncomeAmt
PY Other Revenue	$16,965,085	PYOtherRevenueAmt
CY Other Revenue	$17,462,224	CYOtherRevenueAmt
PY Total Revenue	$3,050,885,960	PYTotalRevenueAmt
CY Total Revenue	$3,368,541,741	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,861,240	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,626,128	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,614,928,394	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,817,760,964	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,050,215,401	PYOtherExpensesAmt
CY Other Expenses	$1,127,466,922	CYOtherExpensesAmt
PY Total Expenses	$2,667,005,035	PYTotalExpensesAmt
CY Total Expenses	$2,946,854,014	CYTotalExpensesAmt
PY Revenues Less Expenses	$383,880,925	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$421,687,727	CYRevenuesLessExpensesAmt
Total Assets BOY	$4,808,897,196	TotalAssetsBOYAmt
Total Assets EOY	$2,807,952,808	TotalAssetsEOYAmt
Total Liabilities BOY	$1,158,320,998	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,158,890,663	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$3,650,576,198	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,649,062,145	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE SERVE OUR NEIGHBORS AS EXPERT, CARING PARTNERS IN THEIR HEALTH. WE DO THIS BY CREATING INNOVATIVE, EFFECTIVE, AFFORDABLE AND EQUITABLE SYSTEMS OF CARE THAT OUR NEIGHBORS VALUE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$2,556,735,700	ExpenseAmt
Grant	$1,626,128	GrantAmt
Revenue	$2,996,401,149	RevenueAmt
Desc	AS PART OF ITS MISSION OF SERVICE, THE HOSPITALS AND MEDICAL STAFF OF CHRISTIANA CARE HEALTH SERVICES, INC. ("CCHS") OFFER A FULL RANGE OF HEALTH SERVICES TO ADDRESS THE NEEDS OF ITS LOCAL COMMUNITIES. THIS INCLUDES THE PROVISION OF COMPREHENSIVE HEALTH CARE SERVICES TO RESIDENTS OF THE STATE OF DELAWARE, NORTHERN MARYLAND, SOUTHEASTERN PENNSYLVANIA AND SOUTHERN NEW JERSEY, WITHOUT REGARD TO THE PATIENTS' RACE, GENDER, ETHNICITY, AGE, DISABILITY, RELIGION, OR ABILITY TO PAY. PLEASE SEE OUR RESPONSES TO FORM 990, SCHEDULE H FOR ADDITIONAL INFORMATION REGARDING THE VARIETY OF ACTIVITIES CONDUCTED TO SUPPORT AND ASSIST OUR LOCAL COMMUNITIES IN FURTHERANCE OF OUR CHARITABLE HEALTH CARE PURPOSE.	Desc
Total Program Service Expenses	$2,556,735,700	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	Yes (true)	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	395	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	14186	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	SR VP'S OFFICE	PersonNm
Phone	3024282441	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4000 NEXUS DRIVE AVENUE NORTH	AddressLine1Txt
City	WILMINGTON	CityNm
State Abbreviation	DE	StateAbbreviationCd
ZIP	19803	ZIPCd

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

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JANICE E NEVIN MD
DIR. (EX-OFFICIO), PRES. & CEO	43.0	2.0	Yes (X)	Yes (X)	$3,537,669	$0	$7,761
RICHARD CUMING
CHIEF OPERATING OFFICER	44.0	1.0			$1,340,308	$0	$89,186	Yes (X)
ROBERT MCMURRAY
CFO, TREASURER (EX-OFFICIO)	35.0	10.0		Yes (X)	$1,192,681	$0	$89,596
RAY A BLACKWELL MD
CHIEF OF CARDIAC SURGERY	45.0	0.0			$1,245,649	$0	$22,334		Yes (X)
RANDALL GABORIAULT
CHIEF DIGITAL & INFO. OFFICER	45.0	0.0			$1,150,752	$0	$94,896	Yes (X)
LISA MAXWELL MD
FMR PRESIDENT, CC MED GRP	45.0	0.0			$1,158,957	$0	$77,723			Yes (X)
KIRK N GARRATT MD
MED. DIR. CTR FOR H/V HEALTH	45.0	0.0			$1,212,803	$0	$13,455		Yes (X)
JENNIFER L SCHWARTZ ESQ
CORP. SECRETARY (EX-OFFICIO)	35.0	10.0		Yes (X)	$1,102,756	$0	$90,376
NEIL JASANI MD
CHIEF CLINICAL OFFICER	45.0	0.0			$1,105,001	$0	$22,334	Yes (X)
KERT ANZILOTTI JR MD
PRES. CC MED GRP & SYSTEM CMO	45.0	0.0			$1,035,940	$0	$85,120	Yes (X)
DANIEL ROBB MD
PHYSICIAN, CARDIAC SURGEON	45.0	0.0			$984,216	$0	$18,083		Yes (X)
VINAY K GHEYI MD
CHAIR, DEPARTMENT RADIOLOGY	45.0	0.0			$983,958	$0	$14,833		Yes (X)
DAVID A PAUL MD
CHAIR, DEPT OF PEDIATRICS	45.0	0.0			$984,167	$0	$6,644		Yes (X)
BETTINA TWEARDY-RIVEROS
PUB. AFFRS & HLTH EQTY CHF OFF	45.0	0.0			$813,548	$0	$76,260	Yes (X)
BARBARA ALBANI MD
DIRECTOR (EX-OFFICIO)	45.0	0.0	Yes (X)		$874,386	$0	$0
VINAY MAHESHWARI MD
DIRECTOR	45.0	0.0	Yes (X)		$749,553	$0	$22,334
CHRISTOPHER COWAN
CHIEF HUMAN RESOURCES OFFICER	45.0	0.0			$681,298	$0	$64,987	Yes (X)
FREDERIC T HARAD MD
DIRECTOR- THRU 12/2024	45.0	0.0	Yes (X)		$722,891	$0	$13,455
KENNETH SILVERSTEIN MD
FORMER CHIEF PHYS EXECUTIVE	0.0	0.0			$548,370	$0	$0			Yes (X)
SHARON KURFUERST
FORMER COO	0.0	0.0			$532,730	$0	$0			Yes (X)
BARRY NIZIOLEK
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
CHRISTINE SAUERS
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
JULIE TOPKIS NASON
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
KATHY JANVIER RN PHD
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
LOLITA A LOPEZ
CHAIR	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
LOSSIE FREEMAN
DIRECTOR- AS OF 1/2025	1.0	1.0	Yes (X)		$0	$0	$0
MORGAN MILLER MLIS
DIRECTOR (EX-OFFICIO)	1.0	2.0	Yes (X)		$0	$0	$0
PAWAN RASTOGI MD
DIR. (EX-OFFICIO)-AS OF 1/25	1.0	0.0	Yes (X)		$0	$0	$0
RITA LANDGRAF
DIRECTOR	0.0	0.0	Yes (X)		$0	$0	$0
TOM MOORE
VICE CHAIR	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
TYNETTA BROWN
DIR. (EX-OFFICIO)-AS OF 1/25	1.0	0.0	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$21,957,633	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$809,377	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	4193	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
ERNST YOUNG LLP
PO BOX 640382	PITTSBURGH	PA	152640382	CONSULTING SRVCS	$24,668,076
ANESTHESIA SERVICES PA
100 WEST COMMONS BLVD STE 400	NEW CASTLE	DE	19720	ANESTHESIA SERVICES	$24,539,768
AMN HEALTHCARE INC
PO BOX 674954	DETROIT	MI	48267	TEMP STAFFING SRVCS	$22,053,556
CONSTRUCTION SERVICES GROUP LLC
1630 WEST CHESTER PIKE	WEST CHESTER	PA	19382	CONSTRUCTION SRVCS	$11,352,938
CERNER CORPORATION
PO BOX 959156	ST LOUIS	MO	631959156	IT SERVICES	$9,393,919

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	362	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$6,180	FederatedCampaignsAmt
Fundraising	$146,730	FundraisingAmt
Related Organizations	$2,537,625	RelatedOrganizationsAmt
Government Grants	$31,683,968	GovernmentGrantsAmt
All Other Contributions	$2,052,860	AllOtherContributionsAmt
Noncash Contributions	$133,294	NoncashContributionsAmt
Total Contributions	$36,427,363	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PROGRAM SERVICE REVENUES	622110	$2,883,512,537	$2,883,512,537	$0	$0
OTHER REVENUES	900099	$102,589,353	$93,242,789	$3,586,153	$5,760,411

Field	Value	IRS element (for citing)
Total Program Service Revenue	$2,986,101,890	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$69,432,559	TotalRevenueColumnAmt
Exclusion	$69,432,559	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$7,151,905	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$7,151,905	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,151,905	TotalRevenueColumnAmt
Exclusion	$7,151,905	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,400,323,244	SecuritiesAmt
Other	$9,421,639	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,150,627,178	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$249,696,066	SecuritiesAmt
Other	$9,421,639	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$259,117,705	TotalRevenueColumnAmt
Exclusion	$259,117,705	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$11,060	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$146,730	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,060	TotalRevenueColumnAmt
Exclusion	$11,060	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	AFFILIATE REVENUES	Desc
Business	900099	BusinessCd
Total Revenue Column	$10,299,259	TotalRevenueColumnAmt
Related Or Exempt Func Income	$10,299,259	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$10,299,259	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,368,541,741	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,987,054,585	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,586,153	UnrelatedBusinessRevenueAmt
Exclusion	$341,473,640	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,626,128	TotalAmt
Program Services	$1,626,128	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$16,740,480	TotalAmt
Program Services	$14,236,710	ProgramServicesAmt
Management And General	$2,503,770	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$1,393,050,884	TotalAmt
Program Services	$1,184,700,851	ProgramServicesAmt
Management And General	$208,350,033	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$89,870,087	TotalAmt
Program Services	$76,428,772	ProgramServicesAmt
Management And General	$13,441,315	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$221,234,122	TotalAmt
Program Services	$188,145,498	ProgramServicesAmt
Management And General	$33,088,624	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$96,865,391	TotalAmt
Program Services	$82,377,832	ProgramServicesAmt
Management And General	$14,487,559	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$24,458,647	TotalAmt
Program Services	$19,885,674	ProgramServicesAmt
Management And General	$4,572,973	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$12,157,027	TotalAmt
Program Services	$9,884,058	ProgramServicesAmt
Management And General	$2,272,969	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$646,208	TotalAmt
Program Services	$525,388	ProgramServicesAmt
Management And General	$120,820	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$837,867	TotalAmt
Program Services	$726,946	ProgramServicesAmt
Management And General	$110,921	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$5,468,537	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$5,468,537	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$46,099,060	TotalAmt
Program Services	$37,480,032	ProgramServicesAmt
Management And General	$8,619,028	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$4,830,201	TotalAmt
Program Services	$3,927,110	ProgramServicesAmt
Management And General	$903,091	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,263,303	TotalAmt
Program Services	$5,905,301	ProgramServicesAmt
Management And General	$1,358,002	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$80,427,863	TotalAmt
Program Services	$65,390,463	ProgramServicesAmt
Management And General	$15,037,400	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$69,080	TotalAmt
Program Services	$56,164	ProgramServicesAmt
Management And General	$12,916	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$46,845,751	TotalAmt
Program Services	$38,087,116	ProgramServicesAmt
Management And General	$8,758,635	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$3,770,616	TotalAmt
Program Services	$3,065,633	ProgramServicesAmt
Management And General	$704,983	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,399,750	TotalAmt
Program Services	$1,138,042	ProgramServicesAmt
Management And General	$261,708	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$8,858,816	TotalAmt
Program Services	$7,185,782	ProgramServicesAmt
Management And General	$1,673,034	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$98,396,321	TotalAmt
Program Services	$75,675,367	ProgramServicesAmt
Management And General	$22,720,954	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$34,361,302	TotalAmt
Program Services	$27,936,854	ProgramServicesAmt
Management And General	$6,424,448	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$542,016,878	$542,016,878	$0	$0
OTHER SUPPLIES AND SERVICES	$209,559,695	$170,333,101	$39,226,594	$0

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,946,854,014	TotalAmt
Program Services	$2,556,735,700	ProgramServicesAmt
Management And General	$390,118,314	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part X	Yes (X)	InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$13,272	BOYAmt
EOY	$2,222	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$307,880,181	BOYAmt
EOY	$404,691,377	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$539,238,646	BOYAmt
EOY	$529,585,973	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$48,445,848	BOYAmt
EOY	$50,563,836	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$30,278,245	BOYAmt
EOY	$40,071,109	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,768,784,286	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,701,425,996	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,039,023,782	BOYAmt
EOY	$1,067,358,290	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,915,847,561	BOYAmt
EOY	$37,674,312	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$437,767,095	BOYAmt
EOY	$41,209,948	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,015,805	BOYAmt
EOY	$1,015,805	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$489,386,761	BOYAmt
EOY	$635,779,936	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,808,897,196	BOYAmt
EOY	$2,807,952,808	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$449,078,346	BOYAmt
EOY	$483,728,616	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$291,699,694	BOYAmt
EOY	$284,289,239	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$417,542,958	BOYAmt
EOY	$390,872,808	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,158,320,998	BOYAmt
EOY	$1,158,890,663	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,585,233,072	BOYAmt
EOY	$1,580,481,422	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$65,343,126	BOYAmt
EOY	$68,580,723	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,650,576,198	BOYAmt
EOY	$1,649,062,145	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,808,897,196	BOYAmt
EOY	$2,807,952,808	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$421,687,727	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$67,205,170	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$2,355,996,610	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$128,076,121	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$43,095,263	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$53,965,055	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$42,127,253	CurrentTaxYearMinus1YearAmt
Current Tax Year	$36,427,363	CurrentTaxYearAmt
Total	$303,691,055	TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$128,076,121	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$43,095,263	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$53,965,055	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$42,127,253	CurrentTaxYearMinus1YearAmt
Current Tax Year	$36,427,363	CurrentTaxYearAmt
Total	$303,691,055	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$0	SubstantialContributorsTotAmt
Public Support Total170	$303,691,055	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$34,285,085	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$42,693,278	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$55,003,321	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$76,727,538	CurrentTaxYearMinus1YearAmt
Current Tax Year	$76,584,464	CurrentTaxYearAmt
Total	$285,293,686	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,583,245	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,524,457	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,625,074	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,704,783	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$6,437,559	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$595,422,300	TotalSupportAmt
Gross Receipts Rltd Activities	$12,879,513,776	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.51004	PublicSupportCY170Pct
Public Support PY170	0.57710	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$837,867	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$837,867	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	0	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1(G)	FormAndLineReferenceDesc
Explanation	DETAIL OF LOBBYING ACTIVITIES CHRISTIANA CARE HEALTH SERVICES, INC. ("CCHS") MAY ENGAGE IN LOBBYING ACTIVITIES AS PERMITTED UNDER APPLICABLE FEDERAL AND STATE LAWS, INCLUDING EFFORTS TO INFLUENCE LEGISLATION OR PUBLIC POLICY RELEVANT TO ITS MISSION AND OPERATIONS. IN ADDITION, CCHS IS A MEMBER OF VARIOUS TRADE AND PROFESSIONAL ASSOCIATIONS. ANNUAL MEMBERSHIP DUES ARE PAID TO THESE ORGANIZATIONS AND, IN SOME CASES, A PORTION OF SUCH DUES HAS BEEN DESIGNATED BY THE RESPECTIVE ASSOCIATIONS AS ALLOCABLE TO LOBBYING AND ADVOCACY EFFORTS. THESE AMOUNTS HAVE BEEN IDENTIFIED IN ACCORDANCE WITH INFORMATION PROVIDED BY THE RESPECTIVE ORGANIZATIONS AND ARE NOT DIRECTLY CONTROLLED BY CCHS.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$62,709,208	BeginningYearBalanceAmt
Contributions	$375,967	ContributionsAmt
Investment Earnings Or Losses	$3,998,823	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$2,600,832	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$64,483,166	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$59,228,178	BeginningYearBalanceAmt
Contributions	$809,537	ContributionsAmt
Investment Earnings Or Losses	$4,928,139	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$2,256,646	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$62,709,208	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$58,310,687	BeginningYearBalanceAmt
Contributions	$732,143	ContributionsAmt
Investment Earnings Or Losses	$3,560,384	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$3,375,036	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$59,228,178	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$68,569,307	BeginningYearBalanceAmt
Contributions	$669,502	ContributionsAmt
Investment Earnings Or Losses	-$6,744,573	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$4,183,549	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$58,310,687	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$62,232,483	BeginningYearBalanceAmt
Contributions	$993,569	ContributionsAmt
Investment Earnings Or Losses	$9,205,113	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$3,861,858	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$68,569,307	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.34440	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.41020	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.24540	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$37,918,304	OtherCostOrOtherBasisAmt
Book Value	$37,918,304	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,806,338,074	OtherCostOrOtherBasisAmt
Depreciation	$1,025,098,811	DepreciationAmt
Book Value	$781,239,263	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$37,493,267	OtherCostOrOtherBasisAmt
Depreciation	$17,042,002	DepreciationAmt
Book Value	$20,451,264	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$846,803,376	OtherCostOrOtherBasisAmt
Depreciation	$626,681,838	DepreciationAmt
Book Value	$220,121,539	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$40,231,265	OtherCostOrOtherBasisAmt
Depreciation	$32,603,345	DepreciationAmt
Book Value	$7,627,920	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,067,358,290	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
CONSTRUCTION IN PROGRESS	$83,101,571
DUE FROM AFFILIATES	$256,835,078
OTHER ASSETS	$129,101,759
OTHER RECEIVABLES	$59,353,364
SUBSIDIARY INVESTMENT	$107,388,164

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$635,779,936	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
PENSION & POST RETIREMENT BENEFITS	$164,874,500
INSURANCE LIABILITIES	$13,648,472
OTHER LIABILITIES	$212,349,836

Field	Value	IRS element (for citing)
Total Liability	$390,872,808	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE D, PART V, LINE 3A & 4	FormAndLineReferenceDesc
Explanation	DETAIL OF ENDOWMENT FUNDS THE ORGANIZATION'S BOARD DESIGNATED ENDOWMENTS ARE INTENDED TO COVER ANNUAL INCREMENTAL OPERATING EXPENSES OF THE HEALTH SERVICES' TRANSITIONAL CANCER RESEARCH, VALUE INSTITUTE, AND INFANT MORTALITY. THE ORGANIZATION'S PERMANENT ENDOWMENT CONSISTS OF APPROXIMATELY TWENTY SEVEN DONOR RESTRICTED ENDOWMENT FUNDS USED FOR A VARIETY OF PURPOSES, INCLUDING SALARY AND PROGRAM SUPPORT. THE ORGANIZATION'S PURPOSE AND TIME RESTRICTED NET ASSETS ARE RESTRICTED FOR INDIGENT CARE, BUILDING AND MAINTENANCE, AND PROGRAM SUPPORT. --------------------	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Region Total Expenditures	$191,936,478	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$191,936,478	SubtotalSpentAmt
Total Spent	$191,936,478	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE F, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	DETAIL OF SUB-CONTRACTS IN FURTHERANCE OF ITS RESEARCH ACTIVITIES, THE ORGANIZATION MAY MAKE SUB-CONTRACTS TO FOREIGN INSTITUTIONS THAT PERFORM RESEARCH IN CONNECTION WITH RESEARCH GRANTS AWARDED TO THE ORGANIZATION. THE ORGANIZATION DOES NOT CATEGORIZE ANY SUCH SUB-CONTRACTS AS GRANTS FOR FORM 990, SCHEDULE F, PARTS II AND III PURPOSES.	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	FY25 HFGCC 5K	Event1Nm
Gross Receipts Event1	$104,847	GrossReceiptsEvent1Amt
Charitable Contri Event1	$98,617	CharitableContriEvent1Amt
Gross Revenue Event1	$6,230	GrossRevenueEvent1Amt
Cash Prizes Event1	$0	CashPrizesEvent1Amt
Non Cash Prizes Event1	$0	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$0	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$0	FoodAndBeverageEvent1Amt
Entertainment Event1	$0	EntertainmentEvent1Amt
Other Direct Expenses Event1	$0	OtherDirectExpensesEvent1Amt
Event2	FY26 HFGCC 5K	Event2Nm
Gross Receipts Event2	$52,943	GrossReceiptsEvent2Amt
Charitable Contri Event2	$48,113	CharitableContriEvent2Amt
Gross Revenue Event2	$4,830	GrossRevenueEvent2Amt
Cash Prizes Event2	$0	CashPrizesEvent2Amt
Non Cash Prizes Event2	$0	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$0	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$0	FoodAndBeverageEvent2Amt
Entertainment Event2	$0	EntertainmentEvent2Amt
Other Direct Expenses Event2	$0	OtherDirectExpensesEvent2Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Other Events	$0	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$0	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$0	GrossRevenueOtherEventsAmt
Cash Prizes Other Events	$0	CashPrizesOtherEventsAmt
Non Cash Prizes Other Events	$0	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$0	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$0	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$0	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$0	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$157,790	GrossReceiptsTotalAmt
Charitable Contributions Tot	$146,730	CharitableContributionsTotAmt
Gross Revenue Total Events	$11,060	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$0	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$0	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$0	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$0	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$0	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$0	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$0	DirectExpenseSummaryEventsAmt
Net Income Summary	$11,060	NetIncomeSummaryAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE G, PART II	FormAndLineReferenceDesc
Explanation	DETAIL OF FUNDRAISING EVENTS EXPENSES RELATED TO THE HFGCC 5K EVENTS WERE RECORDED DIRECTLY BY CHRISTIANA CARE HEALTH SYSTEM, INC., THE SOLE MEMBER OF THIS ORGANIZATION.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	400.	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	false	FreeCareMedicallyIndigentInd
Financial Assistance Budget	false	FinancialAssistanceBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,379,831	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,379,831	NetCommunityBenefitExpnsAmt
Total Expense	0.00690	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$372,020,771	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$361,368,641	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,652,130	NetCommunityBenefitExpnsAmt
Total Expense	0.00360	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$392,400,602	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$361,368,641	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,031,961	NetCommunityBenefitExpnsAmt
Total Expense	0.01050	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	44	ActivitiesOrProgramsCnt
Persons Served	21048	PersonsServedCnt
Total Community Benefit Expns	$19,960,908	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,571,573	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,389,335	NetCommunityBenefitExpnsAmt
Total Expense	0.00620	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	163	PersonsServedCnt
Total Community Benefit Expns	$60,995,449	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,746,628	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$44,248,821	NetCommunityBenefitExpnsAmt
Total Expense	0.01500	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	27509	PersonsServedCnt
Total Community Benefit Expns	$210,807,860	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$105,831,940	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$104,975,920	NetCommunityBenefitExpnsAmt
Total Expense	0.03560	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$7,936,985	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,670,233	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,266,752	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	14	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$4,207,228	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,207,228	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	66	ActivitiesOrProgramsCnt
Persons Served	48720	PersonsServedCnt
Total Community Benefit Expns	$303,908,430	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$129,820,374	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$174,088,056	NetCommunityBenefitExpnsAmt
Total Expense	0.05900	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	66	ActivitiesOrProgramsCnt
Persons Served	48720	PersonsServedCnt
Total Community Benefit Expns	$696,309,032	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$491,189,015	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$205,120,017	NetCommunityBenefitExpnsAmt
Total Expense	0.06950	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$95,281	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$95,281	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$6,243	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,243	NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$221	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$221	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	100	PersonsServedCnt
Total Community Benefit Expns	$511,297	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$511,297	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	100	PersonsServedCnt
Total Community Benefit Expns	$613,042	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$613,042	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$73,924,790	BadDebtExpenseAmt
Bad Debt Expense Attributable	$12,524,033	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$541,786,213	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$635,084,535	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$93,298,322	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
CHRISTIANA HOSPITAL
1	4755 OGLETOWN-STANTON ROAD	NEWARK	DE	19718	www.christianacare.org	LICENSE #HSPTL-002	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
WILMINGTON HOSPITAL
2	501 WEST 14TH STREET	WILMINGTON	DE	19801	www.christianacare.org	LICENSE #HSPTL-001	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A-CHRISTIANA AND WILMINGTON HOSPITALS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	12	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	24	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	25	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	400.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 5 (INPUT FROM COMMUNITY)	CHRISTIANACARE WELCOMES THE OPPORTUNITY TO LEARN MORE ABOUT OUR COMMUNITY THROUGH A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). IN ADDITION TO SECONDARY DATA, OUR CHNA WAS INFORMED BY COMMUNITY MEMBERS, REPRESENTATIVES FROM NON-PROFIT AND GOVERNMENT ENTITIES SERVING OUR COMMUNITY, CAREGIVERS PROVIDING FRONT-LINE SERVICE, AND STAKEHOLDERS WITH HEALTH EXPERTISE. 105 COMMUNITY MEMBERS PARTICIPATED IN 8 FOCUS GROUPS HELD IN CONVENIENT COMMUNITY LOCATIONS TO OBTAIN INPUT RELEVANT TO THE HEALTH NEEDS OF CERTAIN POPULATIONS, NEIGHBORHOODS, AND COMMUNITIES IN NEW CASTLE COUNTY. FOCUS GROUP PARTICIPANTS WERE ASKED QUESTIONS ON OVERALL HEALTH STATUS, MOST SIGNIFICANT HEALTH NEEDS, SOCIAL FACTORS AFFECTING HEALTH, AND WHAT IS NEEDED FROM THE HOSPITALS AND HEALTH DEPARTMENT TO BETTER SUPPORT RESIDENTS. CHRISTIANACARE ALSO RECEIVED INPUT THROUGH A COMMUNITY PARTNER MEETING WITH 13 INDIVIDUALS, REPRESENTING 10 COMMUNITY ORGANIZATIONS SERVING NEW CASTLE COUNTY. WE ALSO HELD A MEETING WITH 73 STAFF MEMBERS OF CHRISTIANACARE'S COMMUNITY HEALTH IMPACT DEPARTMENT. STAFF ROLES INCLUDED ADMINISTRATION, COMMUNITY HEALTH WORKERS, NAVIGATORS, CARE COORDINATORS, AND PROGRAM COORDINATORS. PARTICIPANTS IN BOTH MEETINGS OFFERED HELPFUL INSIGHT GAINED THROUGH THEIR SERVICE TO THE COMMUNITY. THE COMMUNITY PARTNER AND STAFF MEETINGS FOLLOWED THE SAME FORMAT. PARTICIPANTS WERE PRESENTED WITH SECONDARY DATA INCLUDING A SUMMARY OF UNFAVORABLE COMMUNITY HEALTH INDICATORS AND WERE ASKED TO SHARE REACTIONS AND IDENTIFY COMMUNITY HEALTH ISSUES THAT MAY NOT HAVE BEEN INCLUDED IN THE DATA. AT THE CONCLUSION OF EACH MEETING, PARTICIPANTS WERE ASKED TO IDENTIFY THREE TO FIVE COMMUNITY HEALTH ISSUES THEY CONSIDER TO BE MOST SIGNIFICANT. FINALLY, THREE INTERVIEWS WERE CONDUCTED WITH FIVE LEADERS FROM DELAWARE HEALTH AND SOCIAL SERVICES - DIVISION OF MEDICAID & MEDICAL ASSISTANCE, OFFICE OF THE SECRETARY (SPECIAL POPULATIONS, STRATEGIC PLANNING, AND INNOVATION), AND DIVISION OF SUBSTANCE ABUSE AND MENTAL HEALTH. IN THE INTERVIEWS, SIGNIFICANT HEALTH ISSUES IN THE COMMUNITY WERE IDENTIFIED AS WELL AS SIGNIFICANT BARRIERS TO ACCESSING HEALTH RESOURCES. INTERVIEWEES WERE ASKED TO DISCUSS THE MAIN REASONS THE HEALTH CONCERNS ARE PRESENT, WHICH GEOGRAPHIC AREAS AND POPULATIONS ARE MOST IMPACTED, AND WHAT STRENGTHS AND RESOURCES EXIST TO ADDRESS THE IDENTIFIED NEEDS. AS WITH OUR 2019 AND 2022 CHNAS, CHRISTIANACARE CONTRACTED WITH VERIT HEALTHCARE CONSULTING, LLC (VERIT) TO COMPLETE THE 2025 CHNA. IN COOPERATION WITH CHRISTIANACARE, VERIT CONDUCTED RESEARCH, PRIMARY AND SECONDARY DATA COLLECTION, REVIEW, AND ANALYSIS TO DEVELOP THE CHNA. -------------------- PART V, SECTION B, LINE 6 (JOINT CHNA) CHRISTIANACARE'S TWO HOSPITAL FACILITIES IN DELAWARE, CHRISTIANA HOSPITAL AND WILMINGTON HOSPITAL, JOINTLY CONDUCTED THEIR CHNA. -------------------- PART V, SECTION B, LINE 7 (CHNA PUBLIC AVAILABILITY) CHRISTIANACARE'S CHNA IS AVAILABLE ON ITS WEBSITE AT: https://christianacare.org/US/EN/ABOUT-US/WHO-WE-ARE/COMMUNITY-BENEFIT/ASS ESSMENTS-AND-PLANS ON THE SAME WEBPAGE, AN EMAIL ADDRESS IS PROVIDED TO WHICH INDIVIDUALS CAN REQUEST PAPER COPIES AND SUBMIT ANY COMMENTS OR QUESTIONS ABOUT THE CHNAS AND IMPLEMENTATION PLANS. -------------------- PART V, LINES 8 & 9 CHRISTIANACARE ADOPTED ITS COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) ON SEPTEMBER 16, 2025. -------------------- PART V, SECTION B, LINE 10 (IMP. PLAN PUBLIC AVAILABILITY) CHRISTIANACARE'S CHIP IS AVAILABLE ON ITS WEBSITE AT: https://christianacare.org/US/EN/ABOUT-US/WHO-WE-ARE/COMMUNITY-BENEFIT/ASS ESSMENTS-AND-PLANS ON THE SAME WEBPAGE, AN EMAIL ADDRESS IS PROVIDED TO WHICH INDIVIDUALS CAN REQUEST PAPER COPIES AND SUBMIT ANY COMMENTS OR QUESTIONS ABOUT THE CHNAS AND IMPLEMENTATION PLANS. -------------------- --------------------
PART V, SECTION B, LINE 11 (ADDRESSING NEEDS IDENTIFIED IN THE CHNA)	IN CHRISTIANACARE'S 2025 CHNA, THE FOLLOWING WERE IDENTIFIED AS THE COMMUNITY'S MOST SIGNIFICANT NEEDS: . ACCESS TO HEALTH AND PREVENTIVE SERVICES . CHRONIC HEALTH CONDITIONS . HEALTH LITERACY . MATERNAL AND CHILD HEALTH . MENTAL HEALTH AND SUBSTANCE USE DISORDERS . SOCIAL DETERMINANTS OF HEALTH . VIOLENT CRIME CHRISTIANACARE IS ADDRESSING ALL THESE SIGNIFICANT AREAS OF NEED. ACCESS TO HEALTH AND PREVENTIVE SERVICES TO ADDRESS THE SIGNIFICANT NEED FOR ACCESS TO HEALTH AND PREVENTIVE SERVICES, CHRISTIANACARE IS FOCUSED ON REMOVING BARRIERS TO HEALTH AND PREVENTIVE SERVICES THROUGH PROGRAMS PROVIDING NAVIGATION SUPPORT AND CONVENIENTLY LOCATED HEALTH SERVICES. HEALTH GUIDES HEALTH GUIDES CONNECT PATIENTS TO HEALTH CARE SERVICES AND COMMUNITY RESOURCES, ASSIST IN HEALTH INSURANCE AND PRESCRIPTION ASSISTANCE ENROLLMENT, AND COMPLETING FINANCIAL ASSISTANCE APPLICATIONS. THE HEALTH GUIDES ARE BASED IN THE WILMINGTON HOSPITAL AND AT TWO CHRISTIANACARE PRIMARY CARE PRACTICES. HELEN F. GRAHAM CANCER CENTER COMMUNITY HEALTH EDUCATION AND OUTREACH (CHOE) CHRISTIANACARE'S HELEN F. GRAHAM CANCER CENTER DEPLOYS A TEAM OF CHWS AND NURSE NAVIGATORS TO INCREASE BREAST, COLON, LUNG, CERVICAL, AND PROSTATE CANCER SCREENINGS IN DELAWARE THROUGH COMMUNITY EDUCATION AND OUTREACH. THIS TEAM PROVIDES EDUCATION IN AN EASILY UNDERSTANDABLE AND COMPELLING MANNER AND CONNECTS INDIVIDUALS TO SCREENINGS THROUGH RESOURCES LIKE SCREENING FOR LIFE, A STATE SPONSORED PROGRAM WHICH HELPS ELIGIBLE ADULTS PAY FOR CANCER SCREENINGS. IN FY2025, THE CHOE TEAM PROVIDED INFORMATION AND EDUCATION TO 8,150 INDIVIDUALS AT 159 COMMUNITY EVENTS. THE HELEN F. GRAHAM CANCER CENTER PROVIDED A TOTAL OF 903 SCREENINGS FOR BREAST, COLON, LUNG, CERVICAL, AND PROSTATE CANCER. MOBILE HEALTH SERVICES FY2025 BROUGHT CHANGES TO OUR MOBILE HEALTH SERVICES TO BETTER SERVE THE COMMUNITY. OUR VAN WAS LOCATED AT SEVERAL LOCATIONS WITHIN WILMINGTON IN THE BEGINNING OF FY2025, BUT POOR UTILIZATION LED US TO CONSIDER IF IT WAS MEETING COMMUNITY NEEDS. AS A RESULT OF EVALUATION AND DISCUSSION WITH OUR COMMUNITY PARTNERS, WE PRIORITIZED OFFERING COMPREHENSIVE PRIMARY CARE AND SUBSTANCE USE DISORDER (SUD) TREATMENT IN THE VAN AND REDESIGNED THE SCHEDULE TO HAVE THE VAN STATIONED AT THE EMPOWERMENT CENTER IN WILMINGTON (19801) ON MONDAY FROM 8 AM TO 12 PM AND WEDNESDAY FROM 8 AM TO 4 PM. IN FY2024, WHEN THE VAN WAS STILL LOCATED AT SEVERAL SITES IN WILMINGTON, THERE WERE 338 PRIMARY CARE AND SUD TREATMENT VISITS TO THE VAN. FROM JULY THROUGH DECEMBER 2025, THERE WERE 612 PRIMARY CARE AND SUD TREATMENT VISITS AT THE FRIENDSHIP HOUSE LOCATION. THIS SIGNIFICANT INCREASE IN UTILIZATION IS ENCOURAGING. WE WILL CONTINUE TO EVALUATE AND CONFER WITH OUR COMMUNITY PARTNERS AND PATIENTS TO ENSURE THE VAN REMAINS AN EFFECTIVE RESOURCE THAT IS RESPONSIVE TO COMMUNITY NEED. SCHOOL BASED HEALTH CENTERS CHRISTIANACARE OPERATES 25 SCHOOL-BASED HEALTH CENTERS (SBHCS) ACROSS ELEMENTARY, MIDDLE, AND HIGH SCHOOLS ROOTED IN THE COMMUNITY AND DESIGNED TO MEET STUDENTS WHERE THEY ARE. LOCATED WITHIN SCHOOL BUILDINGS, SBHCS REDUCE BARRIERS TO CARE SUCH AS TRANSPORTATION CHALLENGES AND PARENT/GUARDIAN AVAILABILITY. THE CENTERS SERVE PREDOMINANTLY HIGH-RISK, HIGH-NEED STUDENT POPULATIONS FACING MEDICAL, BEHAVIORAL HEALTH, AND SOCIAL CHALLENGES THAT CAN AFFECT LEARNING AND LONG-TERM WELL-BEING. BY MAKING CARE EASY TO ACCESS, SBHCS HELP STUDENTS STAY IN CLASS, REDUCE AVOIDABLE EMERGENCY ROOM VISITS, AND SUPPORT OVERALL HEALTH. IN FY2025, 13,516 STUDENTS REGISTERED WITH AN SBHC AND COMPLETED 31,665 VISITS. STUDENTS RECEIVED CARE FROM ADVANCED PRACTICE CLINICIANS, BEHAVIORAL HEALTH THERAPISTS (NEARLY HALF OF ALL VISITS), PHYSICIANS, AND REGISTERED DIETITIANS. TEAMS CONDUCTED MORE THAN 5,800 RISK ASSESSMENTS AND DELIVERED A COMPREHENSIVE RANGE OF SERVICES, INCLUDING PHYSICALS AND PREVENTIVE SCREENINGS, BEHAVIORAL HEALTH SUPPORT, IMMUNIZATIONS, NUTRITION EDUCATION, AND CONNECTIONS TO SOCIAL CARE RESOURCES. SBHC OPERATIONS ARE SUPPORTED THROUGH STATE FUNDING; HOWEVER, FUNDING VARIES BY SITE. IN FY2025, THE DELAWARE DIVISION OF PUBLIC HEALTH PROVIDED FUNDING TO SBHCS IN ALL 19 HIGH SCHOOLS AND ONE ELEMENTARY SCHOOL, WITH CHRISTIANACARE PROVIDING SUPPLEMENTAL SUPPORT WHEN STATE FUNDS WERE EXHAUSTED. FEDERAL COVID RELIEF FUNDS SUPPORTED THREE ADDITIONAL ELEMENTARY SCHOOL SBHCS, AGAIN SUPPLEMENTED BY CHRISTIANACARE WHEN FUNDS WERE EXHAUSTED. TWO ELEMENTARY SCHOOL SBHCS RECEIVED NO GOVERNMENT FUNDING; CHRISTIANACARE FULLY FUNDED ITS OPERATIONS BECAUSE WE BELIEVE SBHCS ARE VITAL ACCESS POINTS THAT IMPROVE HEALTH AND WELL-BEING AND SUPPORT ACADEMIC ACHIEVEMENT. CHRISTIANACARE MEDICAL RESPITE AT THE NEW CASTLE COUNTY HOPE CENTER SINCE 2023, CHRISTIANACARE HAS OPERATED A MEDICAL RESPITE PROGRAM ENCOMPASSING 36 ROOMS AT THE NEW CASTLE COUNTY HOPE CENTER FOR PATIENTS WHOSE COMPLEX ILLNESSES MAKE THEM INELIGIBLE FOR RESIDING AT A STANDARD HOUSING SHELTER. THIS PROGRAM ALLOWS PATIENTS WITHOUT STABLE HOUSING TO RECEIVE CARE IN THE COMMUNITY INSTEAD OF REMAINING IN OUR HOSPITAL DUE TO THE LACK OF COMMUNITY OPTIONS FOR THEM. IN FY2025, ELIGIBILITY CRITERIA WERE EXPANDED TO INCLUDE HIGH EMERGENCY DEPARTMENT AND INPATIENT UTILIZATION AND OUTPATIENT POST-SURGICAL RECOVERY. CHRISTIANACARE ALSO WORKED TO ADDRESS MORE AREAS OF PATIENT NEED. CHRISTIANACARE'S JUNIOR BOARD SECURED FUNDING TO ASSIST WITH PATIENTS' MEDICATION, SOCIAL CARE, AND FINANCIAL NEEDS, CHRISTIANACARE'S PHARMACY ASSISTED PATIENTS WITH MEDICATION NEEDS, CHRISTIANACARE'S CAREVIO UNDERTOOK A SUCCESSFUL CLOTHING AND PERSONAL HYGIENE PRODUCTS DRIVE FOR THE PATIENTS, AND DENTAL SCREENINGS WERE NEWLY OFFERED THIS YEAR. A PEER IN RECOVERY ALSO JOINED THE MEDICAL RESPITE PROGRAM TO PROVIDE ENCOURAGEMENT AND SUPPORT TO PATIENTS WITH SUBSTANCE USE DISORDER (SUD). 75 NEW PATIENTS WERE ENROLLED INTO THE MEDICAL RESPITE PROGRAM IN FY2025, AND 95 PATIENTS WERE CONNECTED TO EXTERNAL CASE MANAGEMENT SERVICES OR INTERNAL PRIMARY CARE PRACTICE SOCIAL WORK. NEW CASTLE COUNTY HOPE CENTER HEALTH SERVICES SINCE 2021, CHRISTIANACARE HAS OPERATED AN ON-SITE PRIMARY CARE OFFICE AT THE NEW CASTLE COUNTY HOPE CENTER. IN FY2025, CHRISTIANACARE EXPANDED THE HOURS OF THIS PRACTICE TO 8 AM - 4:30PM MONDAY THROUGH FRIDAY AND INCREASED FTE PROVIDERS TO COVER THE CLINIC FULL TIME. CHRISTIANACARE ALSO ADDED SUD TREATMENT SERVICES IN FY2025. COMMUNITY HEALTH WORKERS SERVE THE PRACTICE BY ENGAGING WITH PATIENTS, HELPING THEM TO SCHEDULE APPOINTMENTS TO ENSURE CONTINUITY OF CARE, AND ADDRESSING PATIENT SOCIAL NEEDS. IN ADDITION TO THE PROGRAMS PREVIOUSLY DESCRIBED WHICH ADDRESS SPECIFIC BARRIERS TO CARE LIKE TRANSPORTATION OR HEALTH INSURANCE, CHRISTIANACARE HAS SIGNIFICANTLY INVESTED IN PRIMARY CARE TO MAKE IT MORE ACCESSIBLE AND INNOVATIVE TO BETTER MEET THE NEEDS OF OUR COMMUNITY. PRIMARY CARE IS A FOUNDATIONAL TOOL TO IMPROVE HEALTH, PREVENT SERIOUS ILLNESS, AND REDUCE HEALTHCARE COSTS. OUR PRIMARY CARE TEAMS ARE PILOTING NEW WORKFLOWS, INCREASING VIRTUAL VISITS, REDESIGNING PROVIDER COMPENSATION AND PERFORMANCE MODELS, AND USING GENERATIVE AI TO REDUCE ADMINISTRATIVE BURDEN TO IMPROVE ACCESS AND PATIENT EXPERIENCE. IN FY2025, OUR PRIMARY CARE PRACTICES SAW A 16% INCREASE IN VISITS YEAR OVER YEAR AND NEW PATIENT VOLUME GREW BY 30% DEMONSTRATING IMPROVED ACCESS AND CAPACITY. FURTHER, IN THE LAST YEAR, CHRISTIANACARE HIRED 50 NEW PRIMARY CARE CLINICIANS. CHRISTIANACARE WILL CONTINUE TO INVEST IN AND EXPAND PRIMARY CARE. CHRONIC HEALTH CONDITIONS TO ADDRESS CHRONIC HEALTH CONDITIONS, CHRISTIANACARE IS FOCUSED ON REDUCING DISPARITIES IN HEALTH OUTCOMES AMONG PATIENTS WITH CHRONIC CONDITIONS. MOST OF THE INITIATIVES WE DEPLOY TO ADDRESS CHRONIC HEALTH CONDITIONS ADVANCE A FOOD IS MEDICINE (FIM) MODEL OF CARE. THROUGH OUR FIM INITIATIVES, WE INTEGRATE NUTRITION INTO CLINICAL PATHWAYS TO HELP PATIENTS MANAGE CHRONIC CONDITIONS, REDUCE HOSPITAL UTILIZATION, AND SUPPORT LONG-TERM WELLNESS. IMPORTANTLY, OUR FIM INITIATIVES SUPPORT THE PROVISION OF HEALTHY FOODS FOR PATIENTS AND THEIR FAMILIES WHO OTHERWISE WOULD NOT HAVE ACCESS TO THESE FOODS DUE TO COST AND ACCESSIBILITY. PRIMARY CARE DELAWARE FOOD FARMACY (DFF) PRIMARY CARE DELAWARE FOOD FARMACY (DFF) IS A 6-MONTH FIM COMMUNITY HEALTH WORKER (CHW) PROGRAM LAUNCHED IN 2021 AND OFFERED IN PARTNERSHIP WITH LUTHERAN COMMUNITY SERVICES. IT IS DESIGNED TO HELP MEDICAID PATIENTS WITH FOOD INSECURITY MANAGE THEIR DIET-RELATED CHRONIC CONDITION. PARTICIPANTS RECEIVE WEEKLY HOME DELIVERIES OF MEDICALLY TAILORED GROCERIES TO CREATE 10 MEALS PER WEEK, PER PERSON IN THE HOUSEHOLD, ALONG WITH WEEKLY VISITS FROM A CHW WHO PROVIDES GOAL SETTING, SOCIAL SUPPORT, AND NUTRITION AND COOKING EDUCATION. PATIENTS ARE ALSO ASSISTED IN SCHEDULING OTHER NEEDED CLINICAL APPOINTMENTS AND GIVEN TOOLS FOR SELF-MONITORING, SUCH AS BLOOD PRESSURE CUFFS AND SCALES. IN FY2025, 110 PARTICIPANTS WERE ENROLLED, AND 267 COMMUNITY MEMBERS WERE SERVED (PARTICIPANTS AND HOUSEHOLDS), AND 67 INDIVIDUALS GRADUATED. 57%
PART V, SECTION B, LINE 13 (ELIGIBILITY FOR PROVIDING DISCOUNTED CARE)	FEDERAL POVERTY GUIDELINES ARE NOT USED TO DETERMINE DISCOUNTED CARE. A SELF-PAY DISCOUNT OF 15% IS APPLIED TO ALL UNINSURED PATIENT ACCOUNTS REGARDLESS OF INCOME. PATIENTS WITH INCOME IN EXCESS OF 400% OF THE FEDERAL POVERTY LEVEL WILL RECEIVE A 15% DISCOUNT. --------------------
PART V, SECTION B, LINE 16 (FINANCIAL ASSISTANCE POLICY AVAILABILITY)	A COPY OF THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT: https://christianacare.org/US/EN/VISIT-US/FOR-PATIENTS/FINANCIAL-ASSISTANC E-PROGRAM-SUMMARY/FINANCIAL-ASSISTANCE-PROGRAM --------------------
PART V, SECTION B, LINE 20 (ADDITIONAL EFFORTS MADE BEFORE AN ECA)	CHRISTIANA CARE HEALTH SERVICES COMMUNICATES IN WRITING ABOUT COLLECTION PLACEMENT AND THE FINANCIAL ASSISTANCE POLICY. --------------------
PART V, SECTION B, LINE 22 (CHARGES FOR FAP-ELIGIBLE INDIVIDUALS)	FAP-ELIGIBLE INDIVIDUALS (THOSE WITH INCOME LESS THAN 400% OF FEDERAL POVERTY GUIDELINES) ARE NOT RESPONSIBLE FOR ANY CHARGES. --------------------

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART III, SECTION A, LINE 2 (IMPLICIT PRICE CONCESSIONS/BAD DEBT EXPENSE)	THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 ARE BASED ON ACTUAL CHARGES WRITTEN OFF (AMOUNTS THAT ARE DEEMED TO BE UNCOLLECTIBLE AND RECORDED AS IMPLICIT PRICE CONCESSIONS UNDER ACCOUNTING PRONOUNCEMENT ASC 606). -------------------- PART III, SECTION A, LINE 3 (IMPLICIT PRICE CONCESSIONS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY) THE AMOUNT OF BAD DEBTS (IMPLICIT PRICE CONCESSIONS) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER ITS FINANCIAL ASSISTANCE POLICY WAS CALCULATED BASED UPON THE NUMBER OF PRESUMED CHARITY-CARE ELIGIBLE PATIENTS WHO DID NOT COMPLETE THE FAP PAPERWORK DURING THE YEAR. -------------------- PART III, SECTION A, LINE 4 (IMPLICIT PRICE CONCESSION FOOTNOTE) THE TEXT OF THE IMPLICIT PRICE CONCESSION (BAD DEBT EXPENSE) FOOTNOTE CAN BE FOUND STARTING ON PAGE 14 OF THE ELECTRONICALLY ATTACHED AUDITED FINANCIAL STATEMENTS. --------------------
PART III, SECTION B, LINE 8 (COSTING METHODOLOGY, MEDICARE SHORTFALL)	THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 6 IS BASED ON A COST TO CHARGE RATIO. CONSISTENT WITH THE CHARITABLE HEALTHCARE MISSION OF CHRISTIANACARE AND THE COMMUNITY BENEFIT STANDARD SET FORTH IN IRS REVENUE RULING 69-545, CHRISTIANACARE 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 CHRISTIANACARE 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. -------------------- PART III, SECTION B, LINE 9B (COLLECTION PRACTICES) CHRISTIANACARE 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 GROSS INCOME THRESHOLD FOR THIS CHARITABLE ADJUSTMENT IS 400% 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 15% SELF PAY DISCOUNT. PATIENTS MAY ALSO 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. FOR ALL SUBSEQUENT STATEMENTS, PATIENTS HAVE 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 AND FOR ONE YEAR PRIOR TO THE DATE A PATIENT'S APPLICATION IS APPROVED. 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 AND MAINTAINS A MONTHLY PAYMENT ARRANGEMENT. --------------------
PART VI, LINE 2 (NEEDS ASSESSMENT)	CHRISTIANACARE ASSESSES THE NEEDS OF ITS PATIENTS THROUGH A SYSTEMWIDE SOCIAL DETERMINANTS OF HEALTH SCREENING. THROUGH OUR PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS TO ADDRESS A DIVERSITY OF PATIENTS' SOCIAL NEEDS WE ARE ALSO ABLE TO BETTER UNDERSTAND OUR COMMUNITY AND LEARN OF NEW OR DEVELOPING CHALLENGES. WHILE WE ARE UNABLE TO FUND EVERY ORGANIZATION THAT APPLIES, CHRISTIANACARE'S COMMUNITY INVESTMENT FUND ALSO ALLOWS US TO LEARN ABOUT COMMUNITY CHALLENGES AND COMMUNITY RESPONSES TO THOSE CHALLENGES. IN FY2025, 77 ORGANIZATIONS APPLIED FOR FUNDING. CHRISTIANACARE ALSO ASSESSES THE HEALTH CARE NEEDS OF OUR COMMUNITY THROUGH RESEARCH WHICH IN FY2025 INCLUDED THE IDENTIFICATION OF BREAST CANCER HOT SPOTS AND CONTRIBUTING FACTORS. CHRISTIANACARE CAREGIVERS ALSO PARTICIPATED IN THE DEVELOPMENT OF THE STATE HEALTH IMPROVEMENT PLAN. CHRISTIANACARE CAREGIVERS SERVED ON AND LED COMMUNITY BOARDS AND COMMITTEES INCLUDING THE DELAWARE HEALTHY MOTHER AND INFANT CONSORTIUM, THE HEALTH LITERACY COALITION OF DELAWARE, THE VISION COALITION OF DELAWARE, AND THE REACH RIVERSIDE BOARD OF DIRECTORS, AMONG OTHERS. THIS PARTICIPATION ALSO CONTINUES TO PROVIDE INSIGHT INTO THE HEALTH NEEDS OF OUR COMMUNITY. --------------------
PART VI, LINE 3 (PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE)	CHRISTIANACARE'S FINANCIAL ASSISTANCE POLICY IS AVAILABLE ON OUR WEBSITE: https://christianacare.org/US/EN/VISIT-US/FOR-PATIENTS/FINANCIAL-ASSISTANC E-PROGRAM-SUMMARY/FINANCIAL-ASSISTANCE-PROGRAM ALONG WITH THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, APPLICATION, SCALE, AND PLAIN LANGUAGE SUMMARY. THE FINANCIAL ASSISTANCE PROGRAM IS PUBLICIZED THROUGH PAMPHLETS, SIGNAGE, ONLINE NOTICES ON THE CHRISTIANACARE WEBSITE, AND IN-PATIENT SERVICE AREAS. THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS PROVIDED TO PATIENTS WHO ARE UNINSURED OR UNDERINSURED AND WHO INDICATE THEIR INABILITY TO PAY FOR MEDICALLY NECESSARY SERVICES AT INTAKE OR DISCHARGE. ALL STATEMENTS INCLUDE VERBIAGE THAT DIRECTS PATIENTS TO OUR WEBSITE OR CUSTOMER SERVICE TO LEARN MORE ABOUT OUR FINANCIAL ASSISTANCE POLICY. TRANSLATION ASSISTANCE BY PHONE TO COMPLETE NECESSARY FORMS FOR ANYONE NOT PROFICIENT IN READING, WRITING, OR SPEAKING ENGLISH IS ALSO AVAILABLE MONDAY THROUGH FRIDAY FROM 9 A.M. TO 4 P.M. PATIENTS MAY ALSO CALL PATIENT FINANCIAL SERVICES TO REQUEST INFORMATION AND AN APPLICATION AND TO TALK CONFIDENTIALLY ABOUT THEIR SITUATION. IF CHRISTIANACARE DETERMINES THAT THE PATIENT MAY QUALIFY FOR OTHER COVERAGE, FINANCIAL COUNSELING IS PROVIDED TO ASSIST PATIENTS TO APPLY FOR THE AVAILABLE COVERAGE. CHRISTIANACARE'S FINANCIAL ASSISTANCE POLICY WEBPAGE AND PLAIN LANGUAGE SUMMARY ALSO INCLUDES CONTACT INFORMATION OF STATE AND FEDERAL HEALTH INSURANCE RESOURCES FOR THOSE WHO ARE UNINSURED. CHRISTIANACARE'S HEALTH GUIDES ARE ALSO AVAILABLE TO HELP PATIENTS OVERCOME FINANCIAL BARRIERS. THEY ASSIST PATIENTS IN COMPLETING THE CHRISTIANACARE APPLICATION FOR FINANCIAL ASSISTANCE AS WELL AS ENROLLING IN HEALTH INSURANCE OR APPLYING FOR PRESCRIPTION ASSISTANCE OR MEDICAID. --------------------
PART VI, LINE 4 (COMMUNITY INFORMATION)	CHRISTIANACARE'S CHNA IDENTIFIED SERVICE AREA IS NEW CASTLE COUNTY AS MOST HOSPITAL DISCHARGES ARE NEW CASTLE COUNTY RESIDENTS (74% OF CHRISTIANA HOSPITAL DISCHARGES AND 90% OF WILMINGTON HOSPITAL'S DISCHARGES). NEW CASTLE COUNTY IS THE MOST POPULATED COUNTY WITHIN DELAWARE WITH OVER HALF OF THE STATE'S TOTAL POPULATION. NEW CASTLE COUNTY HAS DENSE URBAN AND SUBURBAN AREAS IN THE NORTH AS WELL AS RURAL, BUT DEVELOPING, AREAS IN THE SOUTH. THE TOTAL POPULATION OF NEW CASTLE COUNTY IN 2023 WAS APPROXIMATELY 569,000 PEOPLE. NEW CASTLE COUNTY'S POPULATION IS AGING WITH THE 65 AND OLDER COHORT ANTICIPATED TO GROW BY 25.4% BETWEEN 2024-2034 WHILE THE 0-19 AND 20-29 COHORTS ARE ANTICIPATED TO DECLINE IN POPULATION. THE 2025 CHNA ASSESSED COMMUNITY HEALTH NEEDS IN TWO GEOGRAPHIC AREAS OF NEW CASTLE COUNTY: COMMUNITY 1 (ZIP CODES 19801, 19802, 19804, 19804, 19805, AND 19720) AND COMMUNITY 2 (ALL OTHER NEW CASTLE COUNTY ZIP CODES). THIS DISTINCTION WAS MADE BECAUSE OF THE CONSIDERABLE VARIATION IN SOCIOECONOMIC CONDITIONS BETWEEN COMMUNITY 1 AND THE REST OF THE COUNTY. FOUR OF THE FIVE ZIP CODES IN COMMUNITY 1 ARE IN WILMINGTON WITH THE REMAINING ZIP CODE REPRESENTING THE CITY OF NEW CASTLE. IN 2023, COMMUNITY 1 ACCOUNTED FOR 31% OF CHRISTIANACARE DISCHARGES AND COMMUNITY 2 ACCOUNTED FOR 47% OF CHRISTIANACARE DISCHARGES. IN 2018-2022, 10.5% OF NEW CASTLE COUNTY RESIDENTS LIVED IN POVERTY, LOWER THAN DELAWARE AND U.S. AVERAGES. HOWEVER, THE POVERTY RATE IN COMMUNITY 1 HAS BEEN MORE THAN DOUBLE THE POVERTY RATE FOR COMMUNITY 2 (16.5% COMPARED TO 8.1%). THE PROPORTION OF CHILDREN LIVING IN POVERTY IN COMMUNITY 1 WAS ALMOST 3 TIMES THE PROPORTION IN COMMUNITY 2 (26.5% COMPARED TO 9.2%). THE LOW-INCOME POPULATIONS OF WILMINGTON, STANTON, AND NEWARK HAVE BEEN DESIGNATED AS HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA) FOR PRIMARY CARE, DENTAL HEALTH, AND MENTAL HEALTH. IN 2025, CENSUS TRACTS DESIGNATED AS MEDICALLY UNDERSERVED AREAS WERE PRESENT IN COMMUNITY 1 IN AREAS PROXIMATE TO WILMINGTON HOSPITAL, AND IN THE NORTHERN AREA OF COMMUNITY 2 (CLAYMONT ZIP CODE 19703 AND WILMINGTON ZIP CODE 19809). ---------------------
PART VI, LINE 5 (INFORMATION REGARDING PROMOTION OF COMMUNITY HEALTH)	CHRISTIANACARE IS CENTERED ON IMPROVING HEALTH OUTCOMES, MAKING HIGH-QUALITY CARE MORE ACCESSIBLE, AND LOWERING HEALTH CARE COSTS. GUIDED BY OUR VALUES, LOVE AND EXCELLENCE, CHRISTIANACARE IS COMMITTED TO SERVICE. CHRISTIANACARE INCLUDES AN EXTENSIVE NETWORK OF PRIMARY CARE AND OUTPATIENT SERVICES, HOME HEALTH CARE, URGENT CARE CENTERS, THREE HOSPITALS (1,430 BEDS), A FREESTANDING EMERGENCY DEPARTMENT, A LEVEL I TRAUMA CENTER AND A LEVEL III NEONATAL INTENSIVE CARE UNIT, A COMPREHENSIVE STROKE CENTER AND REGIONAL CENTERS OF EXCELLENCE IN HEART AND VASCULAR CARE, CANCER CARE, AND WOMEN'S HEALTH. CHRISTIANACARE IS ONE OF THE LARGEST COMMUNITY-BASED TEACHING HOSPITALS CONDUCTING RESEARCH IN THE UNITED STATES, AND HOME TO THE PIONEERING GENE EDITING INSTITUTE WHICH BRINGS INNOVATIVE RESEARCH FROM BENCH TO BEDSIDE AND INSPIRES THE NEXT GENERATION OF SCIENTISTS THROUGH AFFORDABLE AND ACCESSIBLE CRISPR EDUCATION. FURTHER DEMONSTRATING OUR COMMITMENT TO EXPANDING ACCESS TO CARE, IN JULY 2025, CHRISTIANACARE ANNOUNCED $865 MILLION IN NEW INVESTMENTS IN DELAWARE OVER THE NEXT THREE YEARS. THIS INVESTMENT INCLUDES THE DEVELOPMENT OF AN 87,000 SQUARE FOOT HEALTH CENTER IN MIDDLETOWN ON THE CAMPUS WITH OUR EXISTING FREESTANDING EMERGENCY DEPARTMENT. THE HEALTH CENTER IS EXPECTED TO OPEN IN EARLY 2027 AND WILL OFFER PRIMARY CARE, PEDIATRICS, ONCOLOGY, AND CARDIOVASCULAR CARE. CHRISTIANACARE IS ALSO COMMITTED TO PROVIDING AFFORDABLE AND VALUE-BASED CARE. CHRISTIANACARE IS A FOUNDING PARTNER IN EBRIGHTHEALTH ACCOUNTABLE CARE ORGANIZATION (ACO) AND LAUNCHED ONE OF THE FIRST MEDICAID ACOS IN THE STATE, DELAWARE MEDICAID QUALITY PARTNERS ACO. THROUGH THESE ACOS, CHRISTIANACARE DEMONSTRATES THAT WE CAN IMPROVE HEALTH AND REDUCE HEALTH CARE COSTS THROUGH A FOCUS ON PREVENTATIVE CARE AND PROACTIVE MANAGEMENT OF HEALTH CONDITIONS. CHRISTIANACARE WILL CONTINUE TO ADAPT AND INNOVATE TO BETTER MEET OUR MISSION OF SERVICE AND BUILD A SYSTEM OF CARE THAT IS EFFECTIVE, AFFORDABLE, AND VALUABLE TO OUR COMMUNITY. --------------------
PART VI, LINE 7 (STATES FILING OF COMMUNITY BENEFIT REPORT)	THE STATE OF DELAWARE REQUIRES ALL DELAWARE HOSPITALS TO SUBMIT A COMMUNITY BENEFIT REPORT. --------------------
PART II (DESCRIPTION OF COMMUNITY BUILDING ACTIVITIES)	IN FY2025, CHRISTIANACARE UNDERTOOK ACTIVITIES IN SEVERAL CATEGORIES OF COMMUNITY BUILDING TO IMPROVE THE HEALTH OF OUR COMMUNITY. WE BELIEVE THAT SUPPORTING ECONOMIC DEVELOPMENT, WORKFORCE DEVELOPMENT, AND STRENGTHENING NEIGHBORHOODS POSITIVELY IMPACT POPULATION AND INDIVIDUAL HEALTH BECAUSE OF THE OUTSIZED INFLUENCE SOCIAL ASPECTS OF LIFE HAVE ON HEALTH. COMMUNITY BUILDING: ECONOMIC DEVELOPMENT ECONOMIC DEVELOPMENT ACTIVITIES CHRISTIANACARE UNDERTOOK INCLUDED PARTICIPATION ON COMMUNITY ORGANIZATION BOARDS AND LEADERSHIP TEAMS AS WELL AS CASH DONATIONS. CHRISTIANACARE'S CHIEF HEALTH EQUITY AND PUBLIC AFFAIRS OFFICER SERVES AS A MEMBER OF THE LEADERSHIP TEAM OF THE VISION COALITION OF DELAWARE, A PUBLIC PRIVATE PARTNERSHIP TO IMPROVE DELAWARE PUBLIC EDUCATION, A MEMBER OF THE DELAWARE BUSINESS ROUNDTABLE EDUCATION COMMITTEE (DBREC), A NONPROFIT ORGANIZATION THAT AIMS TO IMPROVE PUBLIC EDUCATION, A MEMBER OF THE DELAWARE STATE CHAMBER BOARD OF GOVERNORS, AND AS A BOARD MEMBER OF THE CHESTER COUNTY ECONOMIC DEVELOPMENT CORPORATION WHICH PROMOTES BALANCED ECONOMIC DEVELOPMENT STRATEGY. CHRISTIANACARE WILMINGTON HOSPITAL'S PRESIDENT SERVES AS VICE CHAIR ON THE EXECUTIVE BOARD OF THE WILMINGTON ALLIANCE: A NONPROFIT ORGANIZATION THAT PARTNERS WITH COMMUNITY, CIVIC, AND BUSINESS LEADERS TO PRIORITIZE THE CITY'S HIGHEST NEEDS TO DRIVE ECONOMIC OPPORTUNITY AND SOCIAL VITALITY. CHRISTIANACARE PROVIDED WILMINGTON ALLIANCE WITH $60,000 IN FUNDING TO SUPPORT THEIR MISSION AND $20,000 IN FUNDING TO SUPPORT THE MISSION OF DBREC. CHRISTIANACARE'S PRESIDENT AND CEO ALSO SERVED ON THE EXECUTIVE COMMITTEE OF THE DELAWARE BUSINESS ROUNDTABLE BOARD WHOSE MISSION IS TO ENHANCE THE QUALITY OF LIFE IN DELAWARE BY PROMOTING COMMERCE, JOB CREATION, AND SELECT PUBLIC POLICY ISSUES. COMMUNITY BUILDING: COALITION BUILDING CHRISTIANACARE'S CHIEF PUBLIC AFFAIRS AND CHIEF HEALTH EQUITY OFFICER, AND THE CHIEF MEDICAL OFFICER OF THE MEDICAL GROUP SERVE ON THE REACH RIVERSIDE BOARD OF DIRECTORS. THIS GROUP WORKS TO REVITALIZE WILMINGTON'S RIVERSIDE NEIGHBORHOOD THROUGH A FOCUS ON THE THREE PILLARS OF REDEVELOPMENT, EDUCATION, AND COMMUNITY HEALTH. COMMUNITY BUILDING: ADVOCACY IN FY2025, A CHRISTIANACARE FORENSIC NURSE EXAMINER WORKED WITH FORENSIC HEALTH EXAMINERS FROM OTHER HEALTH SYSTEMS TO DRAFT A RESOLUTION IDENTIFYING THE IMPORTANCE OF FORENSIC NURSE EXAMINER SERVICE TO DELAWAREANS AND THE NEED TO MAINTAIN THIS WORK. COMMUNITY BUILDING: WORKFORCE DEVELOPMENT CHRISTIANACARE MAKES CONSIDERABLE INVESTMENTS IN WORKFORCE DEVELOPMENT. IN FY2025, CHRISTIANACARE PROVIDED ITS FOURTH AND FINAL PAYMENT OF $122,625 TO SUPPORT THE MERIT-BASED SCHOLARSHIPS OF $12,500 TO NINE SCHOLARS TO ATTEND AN HBCU AND PURSUE A FIELD OF STUDY IN HEALTH CARE. THESE SCHOLARS HAVE BEEN SUPPORTED WITH THIS SCHOLARSHIP EACH YEAR OF THEIR UNDERGRADUATE STUDIES. CHRISTIANACARE ALSO PROVIDED $50,000 TO THE CHARTER SCHOOL OF WILMINGTON TO SUPPORT THE RENOVATION OF THE SCHOOL'S CHEMISTRY LAB. CHRISTIANACARE ALSO OFFERS YOUTH PROGRAMMING THAT EXPOSES PARTICIPANTS TO POTENTIAL CAREERS IN THE HEALTH FIELD AND PROVIDES THEM WITH THE SKILLS AND EXPERIENCE TO SUPPORT THEIR DEVELOPMENT INTO YOUNG ADULTS. IN FY2025, THE FOLLOWING PROGRAMS WERE OFFERED: BRANDYWINE LIFESAVERS PROGRAM: CHRISTIANACARE PARTNERED WITH THE BRANDYWINE LIFESAVERS PROGRAM, DEVELOPED BY BRANDYWINE SCHOOL DISTRICT NURSES, TO CREATE A PIPELINE FOR MIDDLE AND HIGH SCHOOL SCHOLARS TO BE INTRODUCED TO CAREERS IN HEALTH CARE, SPECIFICALLY NURSING. IN FY2025, SIXTY-FIVE HIGH SCHOOL SCHOLARS ATTENDED TWO INFORMATIONAL SESSIONS AT CHRISTIANACARE'S NEWARK CAMPUS TO LEARN DIRECTLY FROM NURSES ABOUT THEIR ROLES. CO-OP PROGRAM: THIS PROGRAM PROVIDES HIGH SCHOOL SENIORS FROM THE NEW CASTLE COUNTY VOCATIONAL TECHNICAL SCHOOL DISTRICT WITH THE OPPORTUNITY TO FULFILL THEIR COOPERATIVE EMPLOYMENT REQUIREMENTS THROUGH A STRUCTURED, PART-TIME, AND PAID WORK EXPERIENCE. DESIGNED FOR SCHOLARS ENROLLED IN THE DISTRICT'S HEALTH SERVICES PATHWAYS, THE PROGRAM OFFERS HANDS-ON LEARNING WITHIN REAL HEALTHCARE SETTINGS, HELPING SCHOLARS APPLY THEIR CLASSROOM KNOWLEDGE IN MEANINGFUL, REAL-WORLD ENVIRONMENTS. IN FY2025, THE PROGRAM SUPPORTED A TOTAL OF TWENTY-FIVE PARTICIPANTS. OF THESE, NINETEEN SCHOLARS GAINED HANDS-ON EXPERIENCE IN CHRISTIANACARE'S PATIENT ESCORT SERVICE LINE, WHILE SIX SCHOLARS SERVED IN MEDICAL ASSISTANT ROLES WITHIN PRIMARY CARE PRACTICES. THESE PLACEMENTS ALLOWED PARTICIPANTS TO DEVELOP CRITICAL CLINICAL SKILLS, BUILD PROFESSIONAL CONFIDENCE, AND EXPLORE LONG-TERM CAREER OPPORTUNITIES IN HEALTHCARE. HEALTH CAREER COLLABORATIVE: THIS PROGRAM SERVES WILLIAM PENN HIGH SCHOOL SCHOLARS THROUGH MENTORSHIP, AN ENGAGING HEALTH CURRICULUM, AND EXPOSURE TO VARIOUS HEALTH CAREERS. THE PROGRAM EMPOWERS HIGH SCHOOL SCHOLARS TO IDENTIFY AND ADDRESS THE MOST PRESSING HEALTH NEEDS IN THEIR COMMUNITIES. SCHOLARS ARE ALSO GIVEN THE OPPORTUNITY TO PLAN AND IMPLEMENT COMMUNITY-BASED HEALTH PROMOTION ACTIVITIES, PROVIDING THEM WITH HANDS-ON EXPERIENCE WHILE EXPLORING DIVERSE HEALTH-RELATED CAREER PATHWAYS. IN FY2025, THIRTEEN SCHOLARS PARTICIPATED IN THE PROGRAM, EACH BENEFITING FROM HANDS-ON LEARNING, MENTORSHIP, AND HEALTHCARE CAREER EXPLORATION. HEALTH IMPACTS: THE HEALTH IMPACTS PROGRAM IS DESIGNED TO CONNECT SCHOLARS WITH MEANINGFUL CAREER PATHWAYS IN THE HEALTHCARE INDUSTRY. IN FY2025, CHRISTIANACARE LAUNCHED A NEW PARTNERSHIP WITH CODE DIFFERENTLY, AN ORGANIZATION THAT PROVIDES HANDS-ON TRAINING THROUGH CODING CLASSES. THIS COLLABORATION EQUIPS PARTICIPANTS WITH BOTH THE TECHNICAL AND COGNITIVE SKILLS NEEDED TO SUCCEED IN TODAY'S TECHNOLOGY-DRIVEN WORKPLACES. THROUGH THIS PARTNERSHIP, INTERNS WERE SUCCESSFULLY PLACED WITHIN CHRISTIANACARE'S INNOVATION CENTER AND IT DEPARTMENT, WHERE THEY GAINED REAL-WORLD EXPERIENCE AT THE INTERSECTION OF HEALTHCARE AND TECHNOLOGY. IN FY2025, THE PROGRAM HAD EIGHT PARTICIPANTS, EACH GAINING VALUABLE SKILLS THAT CONTRIBUTE TO BUILDING A MORE INNOVATIVE AND INCLUSIVE HEALTHCARE WORKFORCE. JOBS FOR DELAWARE GRADUATES INC. (JDG): JDG IS A COMPREHENSIVE SCHOOL-TO-WORK TRANSITION PROGRAM DEDICATED TO HELPING YOUTH ACHIEVE BOTH ACADEMIC AND ECONOMIC SUCCESS. THE PROGRAM INTRODUCES MIDDLE AND HIGH SCHOOL SCHOLARS TO EMERGING CAREER OPPORTUNITIES AND PROVIDES CLEAR PATHWAYS FOR FURTHER EDUCATION AND TRAINING. CHRISTIANACARE PROUDLY PARTICIPATES AS A HEALTH INDUSTRY PARTNER, SUPPORTING SCHOLARS' GROWTH AND EXPOSURE TO HEALTHCARE CAREERS. IN FY2025, WE WERE PROUD TO HOST FOUR INTERNS THROUGH JDG PROVIDING THEM WITH MEANINGFUL OPPORTUNITIES TO EXPLORE NURSING CAREER PATHS AND DEVELOP ESSENTIAL WORKPLACE SKILLS. UNIVERSITY OF DELAWARE SCHOOL OF NURSING OUTREACH: THE PRIMARY GOAL OF THIS PRACTICUM IS TO IMMERSE UNIVERSITY OF DELAWARE NURSING SCHOLARS IN THE PRACTICAL APPLICATION OF POPULATION HEALTH PRINCIPLES, WITH A FOCUS ON SOCIAL DETERMINANTS OF HEALTH AND CARE TRANSITIONS ACROSS THE LIFESPAN. THROUGH HANDS-ON EXPERIENCES, SCHOLARS DEEPEN THEIR UNDERSTANDING OF COMMUNITY HEALTH NURSING AND ACTIVELY CONTRIBUTE TO IMPROVING HEALTH OUTCOMES WITHIN THE COMMUNITY. IN FY2025, WE SUCCESSFULLY HOSTED EIGHT SCHOLARS ACROSS VARIOUS PROGRAMS WITHIN THE COMMUNITY HEALTH IMPACT DEPARTMENT. THESE SCHOLARS HAD THE OPPORTUNITY TO SHADOW CAREGIVERS DIRECTLY IN THE COMMUNITY, GAINING INVALUABLE EXPERIENTIAL LEARNING THAT FOSTERED THEIR PROFESSIONAL GROWTH AND DEEPENED THEIR COMMITMENT TO IMPROVING COMMUNITY WELL-BEING. NURSING CAREER COLLABORATIVE: THIS PROGRAM WAS DEVELOPED TO SERVE AS A PATHWAY TO NURSING FOR HIGH SCHOOL SCHOLARS FROM WILLIAM PENN HIGH SCHOOL'S ALLIED HEALTH PROGRAM. THROUGH THE NURSING CAREER COLLABORATIVE, SCHOLARS ARE EDUCATED AND EXPOSED TO THE FIELD AND FUNDAMENTALS OF NURSING. THE PROGRAM IS SIX SESSIONS IN LENGTH - 3 SESSIONS AT WILLIAM PENN HIGH SCHOOL AND THREE SESSIONS AT CHRISTIANACARE'S NEWARK CAMPUS. SCHOLARS ALSO HAVE AN OPPORTUNITY TO SHADOW ON A UNIT WITH A NURSE. IN FY2025, TWENTY SCHOLARS COMPLETED THIS PROGRAM. --------------------

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (36 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
AIDS DELAWARE INC
100 W 10TH ST	WILMINGTON	DE	19801	222805481	501(c)(3)	$33,333	GENERAL SUPPORT
BLACK MOTHERS IN POWER
2215 N WASHINGTON ST STE B	WILMINGTON	DE	19802	853952269	501(c)(3)	$47,123	GENERAL SUPPORT
BOYS & GIRLS CLUB OF DE INC
500 DARLEY ROAD	CLAYMONT	DE	19703	510068712	501(c)(3)	$50,000	GENERAL SUPPORT
CECIL COUNTY DEPARTMENT OF EMERGENCY SERVICES
200 CHESAPEAKE BLVD STE 108	ELKTON	MD	21921	526000919	501(c)(3)	$75,000	GENERAL SUPPORT
THE RESURRECTION CENTER
3301 N MARKET ST	WILMINGTON	DE	19802	237317318	501(c)(3)	$18,575	GENERAL SUPPORT
HEALTHY FOOD FOR HEALTHY KIDS INC
221 W 10TH ST	WILMINGTON	DE	19801	300444914	501(c)(3)	$49,143	GENERAL SUPPORT	3RD FLOOR 28
CHARTER SCHOOL OF WILMINGTON
100 N DUPONT RD	WILMINGTON	DE	19807	510370135	501(c)(3)	$50,000	GENERAL SUPPORT
CLAYMONT COMMUNITY CENTER
3301 GREEN STREET	CLAYMONT	DE	19703	510164850	501(c)(3)	$50,000	GENERAL SUPPORT
PROJECT NEW START INC
4601 CONCORD PIKE	WILMINGTON	DE	19803	472300080	501(c)(3)	$50,000	GENERAL SUPPORT
DELAWARE CENTER FOR HORTICULTURE
1810 N DUPONT STREET	WILMINGTON	DE	19806	510252857	501(c)(3)	$50,000	GENERAL SUPPORT
DELAWARE FUTURES
3460 CONCORD PIKE STE 1205	WILMINGTON	DE	19803	510378138	501(c)(3)	$50,000	GENERAL SUPPORT
ST PATRICK'S CENTER INC
107 E 14TH ST	WILMINGTON	DE	19801	510120169	501(c)(3)	$50,000	GENERAL SUPPORT
ONCOR COALITION
PO BOX 211	NEW CASTLE	DE	19720	934979528	501(c)(3)	$50,000	GENERAL SUPPORT
DELAWARE NATURE SOCIETY
3511 BARLEY MILL ROAD	HOCKESSIN	DE	19707	510232399	501(c)(3)	$35,713	GENERAL SUPPORT
YMCA OF DELAWARE
100 W 1OTH ST STE 1100	WILMINGTON	DE	19801	510065748	501(c)(3)	$75,000	GENERAL SUPPORT
DO CARE DOULA FOUNDATION
PO BOX 472	SMYRNA	DE	19977	862936026	501(c)(3)	$50,000	GENERAL SUPPORT
JEFFERSON STREET CENTER
1801 N JEFFERSON STREET	WILMINGTON	DE	19802	510304274	501(c)(3)	$21,333	GENERAL SUPPORT
CHILDREN & FAMILIES FIRST
555 JUSTISON ST STE 550	WILMINGTON	DE	19801	510065731	501(c)(3)	$50,000	GENERAL SUPPORT
LATIN AMERICAN COMMUNITY CENTER
403 N VAN BUREN STREET	WILMINGTON	DE	19805	237047048	501(c)(3)	$50,000	GENERAL SUPPORT
DELAWARE COALITION AGAINST DOMESTIC VIOLENCE
100 W 10TH ST STE 903	WILMINGTON	DE	19801	510354794	501(c)(3)	$100,000	GENERAL SUPPORT
MILFORD HOUSING DEVELOPMENT CORPORATION
977 E MASTEN CIRCLE	MILFORD	DE	19963	510218904	501(c)(3)	$50,000	GENERAL SUPPORT
THE MINISTRY OF CARING
115 E 14TH STREET	WILMINGTON	DE	19801	510209843	501(c)(3)	$44,667	GENERAL SUPPORT
OUR DAILY BREAD DINING ROOM OF MOT
214 N BROAD STREET	MIDDLETOWN	DE	19709	453215967	501(c)(3)	$17,667	GENERAL SUPPORT
HBCU WEEK FOUNDATION INC
1022 COLEMAN STREET	WILMINGTON	DE	19805	851276996	501(c)(3)	$122,625	GENERAL SUPPORT
RAY OF HOPE MISSION CENTER
960 CRAIGTOWN RD	PORT DEPOSIT	MD	21904	522064379	501(c)(3)	$41,816	GENERAL SUPPORT
VOICES OF HOPE
224 E MAIN STREET	ELKTON	MD	21921	473110713	501(c)(3)	$33,000	GENERAL SUPPORT
WEST END NEIGHBORHOOD HOUSE
710 N LINCOLN STREET	WILMINGTON	DE	19805	510064301	501(c)(3)	$43,333	GENERAL SUPPORT
WEST SIDE FAMILY HEALTH CARE
300 WATER STREET	WILMINGTON	DE	19801	222488654	501(c)(3)	$50,000	GENERAL SUPPORT	STE 200
GREATER LEWES FOUNDATION
PO BOX 110	LEWES	DE	19958	510400365	501(c)(3)	$15,000	GENERAL SUPPORT
DELAWARE INTERFAITH POWER & LIGHT
PO BOX 7881	WILMINGTON	DE	19803	453593450	501(c)(3)	$14,700	GENERAL SUPPORT
IMPACT LIFE INC
PO BOX 1269	HOCKESSIN	DE	19707	850567590	501(c)(3)	$10,000	GENERAL SUPPORT
WILMINGTON HOPE COMMISSION
38 VANDEVER AVENUE	WILMINGTON	DE	19802	262280375	501(c)(3)	$50,000	GENERAL SUPPORT
COMMUNITY VOLUNTEERS IN MEDICINE
300 B LAWRENCE DRIVE	WEST CHESTER	PA	19380	232944553	501(c)(3)	$21,600	GENERAL SUPPORT
WILMINGTON ALLIANCE
100 W 10TH ST	WILMINGTON	DE	19801	510347680	501(c)(3)	$60,000	GENERAL SUPPORT	SUITE 206
DELAWARE BUSINESS ROUNDTABLE EDUCATION COMMITTEE
100 W 10TH ST	WILMINGTON	DE	19801	562364584	501(c)(3)	$20,000	GENERAL SUPPORT	SUITE 704
COMMUNITY HEALTH WORKERS ASSOCIATION OF DELAWARE
1745 BUTLER ROAD	HARRINGTON	DE	19952	883679090	501(c)(3)	$26,500	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	36	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS ALL FUNDING REQUIRES APPROVAL. PRIOR TO PROVIDING ANY FUNDS, CCHS CONFIRMS THAT THE RECIPIENT ORGANIZATION IS TAX EXEMPT AND REQUIRES THE SUBMISSION OF A PROPOSAL FOR HOW THE FUNDING WILL BE UTILIZED. CCHS RETAINS THE RIGHT TO REQUEST DETAIL REGARDING THE ORGANIZATION'S UTILIZATION OF THE FUNDING.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BARBARA ALBANI MD
DIRECTOR (EX-OFFICIO)	$711,816	$0	$92,927	$0	$69,643	$0	$0	$0	$0	$0	$874,386	$0	$0	$0
JANICE E NEVIN MD
DIR. (EX-OFFICIO), PRES. & CEO	$1,669,620	$0	$1,395,834	$0	$472,215	$0	$0	$0	$7,761	$0	$3,545,430	$0	$0	$0
JENNIFER L SCHWARTZ ESQ
CORP. SECRETARY (EX-OFFICIO)	$744,042	$0	$282,639	$0	$76,075	$0	$68,042	$0	$22,334	$0	$1,193,132	$0	$37,500	$0
ROBERT MCMURRAY
CFO, TREASURER (EX-OFFICIO)	$821,405	$0	$284,430	$0	$86,846	$0	$76,141	$0	$13,455	$0	$1,282,277	$0	$43,000	$0
VINAY MAHESHWARI MD
DIRECTOR	$620,050	$0	$96,820	$0	$32,683	$0	$0	$0	$22,334	$0	$771,887	$0	$0	$0
RAY A BLACKWELL MD
CHIEF OF CARDIAC SURGERY	$1,150,011	$0	$84,489	$0	$11,149	$0	$0	$0	$22,334	$0	$1,267,983	$0	$0	$0
KIRK N GARRATT MD
MED. DIR. CTR FOR H/V HEALTH	$854,184	$0	$143,242	$0	$215,377	$0	$0	$0	$13,455	$0	$1,226,258	$0	$0	$0
VINAY K GHEYI MD
CHAIR, DEPARTMENT RADIOLOGY	$814,536	$0	$119,966	$0	$49,456	$0	$0	$0	$14,833	$0	$998,791	$0	$0	$0
DAVID A PAUL MD
CHAIR, DEPT OF PEDIATRICS	$334,660	$0	$96,679	$0	$552,828	$0	$0	$0	$6,644	$0	$990,811	$0	$0	$0
DANIEL ROBB MD
PHYSICIAN, CARDIAC SURGEON	$690,957	$0	$84,489	$0	$208,770	$0	$0	$0	$18,083	$0	$1,002,299	$0	$0	$0
RICHARD CUMING
CHIEF OPERATING OFFICER	$911,622	$0	$306,342	$0	$122,344	$0	$75,731	$0	$13,455	$0	$1,429,494	$0	$43,262	$0
RANDALL GABORIAULT
CHIEF DIGITAL & INFO. OFFICER	$730,728	$0	$253,031	$0	$166,993	$0	$72,562	$0	$22,334	$0	$1,245,648	$0	$53,071	$0
NEIL JASANI MD
CHIEF CLINICAL OFFICER	$731,427	$0	$253,271	$0	$120,303	$0	$0	$0	$22,334	$0	$1,127,335	$0	$0	$0
KERT ANZILOTTI JR MD
PRES. CC MED GRP & SYSTEM CMO	$743,272	$0	$175,007	$0	$117,661	$0	$62,786	$0	$22,334	$0	$1,121,060	$0	$0	$0
BETTINA TWEARDY-RIVEROS
PUB. AFFRS & HLTH EQTY CHF OFF	$543,050	$0	$213,042	$0	$57,456	$0	$53,926	$0	$22,334	$0	$889,808	$0	$0	$0
CHRISTOPHER COWAN
CHIEF HUMAN RESOURCES OFFICER	$496,357	$0	$134,317	$0	$50,624	$0	$42,653	$0	$22,334	$0	$746,285	$0	$0	$0
LISA MAXWELL MD
FMR PRESIDENT, CC MED GRP	$422,400	$0	$171,600	$0	$564,957	$0	$64,494	$0	$13,229	$0	$1,236,680	$0	$0	$0
FREDERIC T HARAD MD
DIRECTOR- THRU 12/2024	$587,122	$0	$78,318	$0	$57,451	$0	$0	$0	$13,455	$0	$736,346	$0	$0	$0
SHARON KURFUERST
FORMER COO	$0	$0	$0	$0	$532,730	$0	$0	$0	$0	$0	$532,730	$0	$0	$0
KENNETH SILVERSTEIN MD
FORMER CHIEF PHYS EXECUTIVE	$0	$0	$0	$0	$548,370	$0	$0	$0	$0	$0	$548,370	$0	$65,360	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, SCHEDULE J, PART I, LINE 1A	DETAIL REGARDING BENEFITS PROVIDED SOCIAL CLUB DUES CCHS PROVIDES A SOCIAL CLUB MEMBERSHIP TO BE USED BY THE PRESIDENT IN CONNECTION WITH THEIR DUTIES. THE PRESIDENT IS RESPONSIBLE FOR AND TAXED ON ANY PERSONAL USE OF SUCH CLUB MEMBERSHIP. --------------------
FORM 990, SCHEDULE J, PART I, LINE 3	TOP MANAGEMENT COMPENSATION AS PROVIDED IN THE FORM 990, SCHEDULE J INSTRUCTIONS, SINCE THE ORGANIZATION RELIES ON A RELATED ORGANIZATION WHICH USES ONE OR MORE OF THE METHOD DESCRIBED IN LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIALS' COMPENSATION, THIS QUESTION HAS BEEN LEFT UNANSWERED. REFER TO SCHEDULE O FOR A DESCRIPTION OF THE COMPENSATION REVIEW AND APPROVAL PROCESS. --------------------
FORM 990, SCHEDULE J, PART I, LINE 4A	DETAIL OF SEVERANCE PAYMENTS SHARON KURFUERST (FORMER CHIEF OPERATING OFFICER) RECEIVED A SEVERANCE PAYMENT OF $532,730 DURING THE YEAR. LISA MAXWELL, MD (FORMER PRESIDENT, CC MED GRP) RECEIVED A SEVERANCE PAYMENT OF $264,000 DURING THE YEAR DAVID A. PAUL, MD (CHAIR, DEPT OF PEDIATRICS THRU 2/10/25) RECEIVED A SEVERANCE PAYMENT OF $309,870 DURING THE YEAR KENNETH SILVERSTEIN, MD (FORMER CHIEF PHYSICIAN EXECUTIVE) RECEIVED A SEVERANCE PAYMENT OF $548,370 DURING THE YEAR. ---------------
FORM 990, SCHEDULE J, PART I, LINE 4B	SUPPLEMENTAL NONQUALIFIED PLAN PARTICIPATION 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 AND/OR RECEIVED DISTRIBUTIONS FROM THE 457(F) PLAN DURING THE YEAR: KERT ANZILOTTI, JR., MD- $48,709 RICHARD CUMING- $72,090 CHRISTOPHER COWAN- $23,333 RANDALL GABORIAULT- $67,254 VINAY K. GHEYI, MD- $40,938 NEIL JASANI, MD- $66,801 LISA MAXWELL, MD- $254,939 ROBERT MCMURRAY- $57,758 JANICE E. NEVIN, MD- $230,642 DAVID A. PAUL, MD- $71,537 JENNIFER L. SCHWARTZ, ESQ.- $51,000 BETTINA TWEARDY-RIVEROS- $41,171 --------------------
FORM 990, SCHEDULE J, PART I, LINE 7	PROVISION OF NON-FIXED PAYMENTS CHRISTIANA CARE HEALTH SYSTEM, INC. ("SYSTEM") IS THE SOLE MEMBER OF THIS ORGANIZATION. ALL OFFICER/TRUSTEE COMPENSATION ARRANGEMENTS, INCLUDING THE PAYMENT OF DISCRETIONARY BONUS AND/OR INCENTIVE COMPENSATION PAYMENTS TO ELIGIBLE EMPLOYEES, ARE DETERMINED BY THE SYSTEM BOARD. PAYMENTS MADE TO ANY DISQUALIFIED PERSON ARE APPROVED BY THE COMPENSATION COMMITTEE OF SYSTEM THROUGH THE PROCESS DESCRIBED IN FORM 990, PART VI, SECTION B, LINE 15. --------------------

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	DELAWARE HLTH FACILITIES AUTHORITY SERIES 2020A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	510272458	BondIssuerEIN
CUSIP	246388TQ5	CUSIPNum
Bond Issued	2020-02-11	BondIssuedDt
Issue Price	$247,255,000	IssuePriceAmt
Purpose	REFUND SERIES 2008 & 2010	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$4,765,000	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$305,483,000	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$2,324,976	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$145,360,019	CapitalExpendituresAmt
Other Spent Proceeds	$157,798,005	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2021	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (true)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Change In Use Bond Financed Prop	0.00000	ChangeInUseBondFinancedPropPct
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	false	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	Yes (true)	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

FORM 990, SCHEDULE K, PART I

ADDITIONAL INFORMATION REGARDING TAX-EXEMPT BONDS THE DELAWARE HEALTH FACILITIES AUTHORITY SERIES 2020A BOND WAS ISSUED TO CHRISTIANA CARE HEALTH SYSTEM, INC. (EIN:52-1479538), A RELATED IRC SECTION 501(C)(3) ORGANIZATION. SINCE ALL BOND PROCEEDS WERE ALLOCATED TO CHRISTIANA CARE HEALTH SERVICES, INC., THIS BOND HAS BEEN REPORTED ON THIS ORGANIZATION'S FORM 990, SCHEDULE K. HOWEVER, CHRISTIANA CARE HEALTH SYSTEM, INC. REMAINS AS THE PRIMARY OBLIGOR OF THE BOND. -------------------- FORM 990, SCHEDULE K, PART II, LINE 3 ADDITIONAL INFORMATION REGARDING PROCEEDS OF ISSUE FOR DELAWARE HLTH FACILITIES AUTHORITY SERIES 2020A, THE TOTAL PROCEEDS OF THE ISSUE REPORTED INCLUDES INVESTMENT EARNINGS. -------------------- FORM 990, SCHEDULE K, PART II, LINE 5 ADDITIONAL INFORMATION REGARDING CAPITALIZED INTEREST FROM PROCEEDS ALTHOUGH CCHS CAPITALIZES INTEREST FOR BOOK PURPOSES, BOND PROCEEDS ARE NOT USED TO PAY INTEREST AND ARE THEREFORE NOT REPORTED ON PART II, LINE 5. --------------------

FORM 990, SCHEDULE K, PART IV

ADDITIONAL INFORMATION REGARDING ARBITRAGE REBATE CCHS RECEIVED ITS 5-YEAR ARBITRAGE COMPLIANCE REPORT ON 2/14/2025. THIS REPORT IS FINAL.

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	7	ContributionCnt
Noncash Contributions Rpt F990	$133,294	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE M, PART I, COLUMN (B)	FormAndLineReferenceDesc
Explanation	ADDITIONAL INFORMATION REGARDING SECURITIES REPORTED CHRISTIANA CARE HEALTH SERVICES, INC. REPORTS THE NUMBER OF CONTRIBUTIONS IN PART I, COLUMN (B).	ExplanationTxt

Schedule N IRS990ScheduleN

Field	Value	IRS element (for citing)
Liquidation Of Assets Table		LiquidationOfAssetsTableGrp

Disposition Of Assets Detail DispositionOfAssetsDetail

Field	Value	IRS element (for citing)
Assets Distri Or Expnss Paid	INVESTMENTS	AssetsDistriOrExpnssPaidDesc
Fair Market Value Of Asset	$2,315,249,837	FairMarketValueOfAssetAmt
Method Of FMV Determination	FMV	MethodOfFMVDeterminationTxt
EIN	521479538	EIN
Person	CHRISTIANA CARE HEALTH SYSTEM	PersonNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4000 NEXUS DRIVE NW3-100	AddressLine1Txt
City	WILMINGTON	CityNm
State Abbreviation	DE	StateAbbreviationCd
ZIP	19803	ZIPCd

Field	Value	IRS element (for citing)
IRC Section	501(C)(3)	IRCSectionTxt

Field	Value	IRS element (for citing)
Director Of Successor2	false	DirectorOfSuccessor2Ind
Employee Of Successor2	false	EmployeeOfSuccessor2Ind
Owner Of Successor2	false	OwnerOfSuccessor2Ind
Receive Compensation2	false	ReceiveCompensation2Ind

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINES 6 & 7A,7B	GOVERNING BODY AND MANAGEMENT CHRISTIANA CARE HEALTH SYSTEM, INC. ("SYSTEM"), A TAX-EXEMPT ORGANIZATION, IS THE SOLE MEMBER OF CHRISTIANA CARE HEALTH SERVICES, INC. ("CCHS"). THE SYSTEM BOARD ELECTS DIRECTORS OF CCHS AT ITS ANNUAL MEETING. THE ANNUAL OPERATING BUDGET OF CCHS IS APPROVED BY THE CCHS BOARD, THE SYSTEM FINANCE COMMITTEE, AND THE SYSTEM BOARD. --------------------
FORM 990, PART VI, SECTION B, LINE 11	FORM 990 REVIEW PROCESS INFORMATION RELATED TO CHRISTIANA CARE'S FORM 990 FILING IS GATHERED BY FINANCE STAFF AND PROVIDED TO PWC US TAX LLP FOR REVIEW. THE FINAL 2024 FORM 990 FOR THE FISCAL YEAR ENDING JUNE 30, 2025 WAS REVIEWED AND APPROVED BY VARIOUS SENIOR MANAGEMENT OFFICIALS. THE ORGANIZATION'S GOVERNING BOARD WAS ALSO PROVIDED ACCESS TO THE APPROVED 2024 FORM 990 VIA ITS BOARD OF DIRECTOR'S PORTAL. --------------------
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST POLICY OUR CONFLICT OF INTEREST ("COI") POLICY IS LOCATED IN THE CAREGIVER RESOURCE CENTER ON THE EMPLOYEE PORTAL. 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. 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. --------------------
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION REVIEW AND APPROVAL PROCESS THE BOARD OF DIRECTORS OF CHRISTIANA CARE HEALTH SYSTEM, INC. ("SYSTEM"), THE SOLE MEMBER OF CHRISTIANA CARE HEALTH SERVICES, INC. ("CCHS") ESTABLISHES CCHS'S COMPETITIVE TOTAL COMPENSATION POLICY AND PRACTICE. THE EXECUTIVE COMPENSATION COMMITTEE ("ECC") OF THE SYSTEM BOARD ENGAGES AN INDEPENDENT THIRD PARTY ANNUALLY WHO ASSESSES DATA FROM SEVERAL MAJOR SURVEYS 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. --------------------
FORM 990, PART VI, SECTION B, LINE 16B	JOINT VENTURE ARRANGEMENTS ALTHOUGH THE ORGANIZATION DOES NOT HAVE A WRITTEN POLICY IN PLACE REGARDING PARTICIPATION IN JOINT VENTURE RELATIONSHIPS, WHEN ANY SUCH RELATIONSHIPS ARE CONSIDERED, THEY ARE FIRST REVIEWED AND EVALUATED BY MANAGEMENT OFFICIALS IN CONJUNCTION WITH PWC US TAX LLP. --------------------
FORM 990, PART VI, SECTION C, LINE 19	GOVERNANCE, MANAGEMENT, & DISCLOSURE THE GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. --------------------
FORM 990, PART X	BALANCE SHEET CERTAIN PRIOR YEAR BALANCES HAVE BEEN RESTATED TO CONFORM TO THE CURRENT YEAR PRESENTATION. --------------------
FORM 990, PART XI, LINE 9	DETAIL OF OTHER CHANGES IN NET ASSETS CHANGE IN PENSION AND POST RETIREMENT LIABILITIES $ (40,971,730) CHANGE IN NET ASSET OF SYSTEM 291,765 TRANSFER TO AFFILIATES (2,315,249,837) OTHER CHANGES (66,808) --------------- TOTAL (2,355,996,610)

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CHRISTIANA CARE CAMPUS REALTY LLC
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	510103684	SUPPORT SRVCS	DE	$0	$0	CCH SERVICES
CHRISTIANA CARE QUALITY PARTNERS ACOLLC
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	474102953	SUPPORT SRVCS	DE	$3,556,623	$6,183,904	CCH SERVICES
CHRISTIANA CARE CARE LINK LLC
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	510103684	SUPPORT SRVCS	DE	$5,107,936	$15,280,763	CCH SERVICES
CHRISTIANA CARE CTR FOR VIRTUAL HLTH LLC
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	862155365	SUPPORT SRVCS	DE	$208,824	$8,328,049	CCH SERVICES
CHRISTIANA CARE NEIGHBORHOOD HOSPITALS
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	510103684	HLTHCARE SVCS	DE	-$923,186	$5,503,324	CCH SERVICES
CHRISTIANA CARE AMBULATORY SURG CTR LLC
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	510103684	AMB SURG CTR	DE	-$1,085,771	-$1,104,809	CCH SERVICES
CHRISTIANA CARE QUALITY PARTNERS LLC
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	844061485	SUPPORT SRVCS	DE	$39,899,666	$4,736,354	CCH SERVICES

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
CHRISTIANA CARE HEALTH SYSTEM
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	521479538	FUNDRAISING	DE	501(C)(3)	7	NA	false
CHRISTIANA CARE HEALTH INITIATIVES
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	510295186	OUTPATIENT SV	DE	501(C)(3)	10	CCH SYSTEM	false
CHRISTIANA CARE HOME HEALTH & COM SRVCS
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	510064334	HOME HLTHCARE	DE	501(C)(3)	7	CCH SYSTEM	false
UNION HOSPITAL OF CECIL COUNTY INC
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	520607945	HLTHCARE SVCS	MD	501(C)(3)	3	AFFINITY	false
UNION HOSPITAL OF CECIL COUNTY HLTH SVCS
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	521794553	PROPERTY MGMT	MD	501(C)(3)	10	AFFINITY	false
UNION HOSPITAL OF CECIL COUNTY ONCOLOGY
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	812662359	HEALTHCARE	MD	501(C)(3)	3	AFFINITY	false
AFFINITY HEALTH ALLIANCE INC
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	521794697	MANAGEMENT	DE	501(C)(3)	12B, II	CCH SERVICES	Yes (true)
CHRISTIANA CARE WEST GROVE INC
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	883155785	HEALTHCARE	PA	501(C)(3)	12A, I	CCH SERVICES	Yes (true)
CHRISTIANA CARE GENE EDITING INSTITUTE
40000 NEXUS DR NW3-100	WILMINGTON	DE	19803	883110655	HEALTHCARE	DE	501(C)(3)	12A, I	CCH SYSTEM	false
CHRISTIANA CARE PENNSYLVANIA INC
400O NEXUS DRIVE NW3-100	WILMINGTON	DE	19803	992607716	HEALTHCARE	PA	501(C)(3)	10	CCH SYSTEM	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
CHRISTIANA CARE GO HEALTH URGENT CARE L
5555 GLENRIDGE CONNECTOR SUITE 700	ATLANTA	GA	30342	843657727	URGENT CARE S	DE	CCH SERVICES	RELATED	-$801,217	$17,856,199	false	$0	false	0.50100
CLINERGY LLC
4755 OGLETOWN STANTON RD	NEWARK	DE	19718	852698063	GROUP PURCHAS	DE	CCH SERVICES	RELATED	$83,742	$0	false	$0	false	0.79800
LEEWARD HEALTH LLC
4000 NEXUS DRIVE STE C3-300	WILMINGTON	DE	19803	883132477	MED ADV RISK	DE	CCH SYSTEM						false
CHRISTIANA CARE EMERGENCY PHYSICIANS LLC
4000 NEXUS DRIVE STE C3-300	WILMINGTON	DE	19803	933393372	HEALTH SRVCS	DE	CCH SERVICES	RELATED	-$4,123,098	-$9,764,264	false	$0	false	0.85000
CHRISTIANA CARE EMERUS LLC
4000 NEXUS DRIVE STE C3-300	WILMINGTON	DE	19803	934258269	HEALTH SRVCS	DE	CCH SERVICES	RELATED	$0	$3,571,922	false	$0	false	0.51000
CHRISTIANA CARE EMERUS NEIGHBORHOOD HOSP
4000 NEXUS DRIVE STE C3-300	WILMINGTON	DE	19803		HEALTH SRVCS	DE	CC EMERUS LLC						false
CHRISTIANACARE ATLAS JV LLC
4000 NEXUS DRIVE STE C3-300	WILMINGTON	DE	19803		HEALTH SRVCS	DE	CCH SERVICES	RELATD	$0	$12,317	false	$0	false	0.60000
SOUTHERN CHESTER COUNTY MOB I
1015 W BALTIMORE PIKE	WEST GROVE	PA	19390	232200841	MOB	PA	CC WEST GROVE						false
SOUTHERN CHESTER COUNTY MOB II
1015 W BALTIMORE PIKE	WEST GROVE	PA	19390	232468569	MOB	PA	CC WEST GROVE						false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Address Line1ForeignAddress/AddressLine1Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
CHRISTIANA CARE HEALTH PLANS
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	510352728	INSURANCE	DE	CCH SYSTEM	C CORP	false
CHRISTIANA CARE DEFERRED COMP PLAN
4755 OGLETOWN STANTON RD	NEWARK	DE	19718	816359549	DEF COMP PLAN	DE	CCH SERVICES	TRUST	Yes (true)	$0	$0	1.00000
CHRISTIANA CARE EXEC DEFERRED COMP PLAN
4755 OGLETOWN STANTON RD	NEWARK	DE	19718	357048822	DEF COMP PLAN	DE	CCH SERVICES	TRUST	Yes (true)	$0	$0	1.00000
CARE ASSOCIATES DEFERRED COMP PLAN
4755 OGLETWON STANTON RD	NEWARK	DE	19718	357048714	DEF COMP PLAN	DE	CCH SERVICES	TRUST	Yes (true)	$0	$0	1.00000
CHRISTIANA CARE INSURANCE CO LTD
				981489490	SELF-INSURANCE		CCH SERVICES	C CORP	Yes (true)	$30,337,176	$127,916,436	1.00000	PO BOX 1159 878 W BAY RD	GRAND CAYMAN	CJ	KY1-1102	CJ
UNION HOSPITAL OF CECIL COUNTY VENTURES
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	521793691	MEDICAL SERVICES	MD	AFFINITY	C CORP	false
THE DE CTR FOR MAT FETAL MED OF CC INC
4000 NEXUS DR NW3-100	WILMINGTON	DE	19803	205891272	HEALTHCARE	DE	CCH SERVICES	C CORP	Yes (true)	-$360,000	$6,487,264	1.00000

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (10 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
UNION HOSPITAL OF CECIL COUNTY INC
ADOQR	$34,886,348	FMV
CHRISTIANA CARE GO HEALTH URGENT CARE LLC
ADJPQ	$48,105,083	FMV
THE DE CTR FOR MAT FETAL MED OF CC INC
J,M,O	$1,109,842	FMV
CHRISTIANA CARE INSURANCE CO LTD
Q,R	$59,772,132	FMV
AFFINITY HEALTH ALLIANCE INC
R,S	$2,392,503	FMV
CHRISTIANA CARE HOME HEALTH & COMM SERVICES
ADOQR	$8,189,286	FMV
CHRISTIANA CARE WEST GROVE
O	$39,674,193	FMV
CHRISTIANA CARE EMERGENCY PHYSICIANS
N,O,Q	$5,600,697	FMV
CHRISTIANA CARE EMERUS LLC
B	$3,518,490	FMV
CLINERGY LLC
C	$626,967	FMV