2026-05-14T12:14:17-05:00 2025-06-30 PwC US Tax LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2024-07-01 510103684 CHRISTIANA CARE HEALTH SERVICES INC % SR VP'S OFFICE CHRI 3024282426 4000 NEXUS DRIVE NW3-100 WILMINGTON DE 19803 ROBERT MCMURRAY CFO 3026237202 2026-05-13 true true ANTONIO C RUSSO P00858539 2673303000 2026-05-12 2024 2025-03-06 01:10:19Z JANICE NEVIN MD 4000 NEXUS DRIVE WILMINGTON DE 19803 4519168919 false X WWW.CHRISTIANACARE.ORG X 1965 DE OUR MISSION AS AN ORGANIZATION IS TO SERVE OUR NEIGHBORS AS EXPERT, CARING PARTNERS IN THEIR HEALTH. X 9 8 14186 543 3586153 0 42127253 36427363 2755633267 2986101890 236160355 328550264 16965085 17462224 3050885960 3368541741 1861240 1626128 0 0 1614928394 1817760964 0 0 0 1050215401 1127466922 2667005035 2946854014 383880925 421687727 4808897196 2807952808 1158320998 1158890663 3650576198 1649062145 X 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. false false 2556735700 1626128 2996401149 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. 2556735700 true true false true false false false false false true true true false true true false false true false false true false false false true false true true true false true true false false false false false false false false false false true false false true true true true true false false true 395 0 true 14186 true true true false false false false true true false false false false true false X 9 8 false false false false true true true true true false false true true true true true true true true true false PA X SR VP'S OFFICE 3024282441 4000 NEXUS DRIVE AVENUE NORTH WILMINGTON DE 19803 X JANICE E NEVIN MD DIR. (EX-OFFICIO), PRES. & CEO 43.0 2.0 X X 3537669 0 7761 RICHARD CUMING CHIEF OPERATING OFFICER 44.0 1.0 X 1340308 0 89186 ROBERT MCMURRAY CFO, TREASURER (EX-OFFICIO) 35.0 10.0 X 1192681 0 89596 RAY A BLACKWELL MD CHIEF OF CARDIAC SURGERY 45.0 0.0 X 1245649 0 22334 RANDALL GABORIAULT CHIEF DIGITAL & INFO. OFFICER 45.0 0.0 X 1150752 0 94896 LISA MAXWELL MD FMR PRESIDENT, CC MED GRP 45.0 0.0 X 1158957 0 77723 KIRK N GARRATT MD MED. DIR. CTR FOR H/V HEALTH 45.0 0.0 X 1212803 0 13455 JENNIFER L SCHWARTZ ESQ CORP. SECRETARY (EX-OFFICIO) 35.0 10.0 X 1102756 0 90376 NEIL JASANI MD CHIEF CLINICAL OFFICER 45.0 0.0 X 1105001 0 22334 KERT ANZILOTTI JR MD PRES. CC MED GRP & SYSTEM CMO 45.0 0.0 X 1035940 0 85120 DANIEL ROBB MD PHYSICIAN, CARDIAC SURGEON 45.0 0.0 X 984216 0 18083 VINAY K GHEYI MD CHAIR, DEPARTMENT RADIOLOGY 45.0 0.0 X 983958 0 14833 DAVID A PAUL MD CHAIR, DEPT OF PEDIATRICS 45.0 0.0 X 984167 0 6644 BETTINA TWEARDY-RIVEROS PUB. AFFRS & HLTH EQTY CHF OFF 45.0 0.0 X 813548 0 76260 BARBARA ALBANI MD DIRECTOR (EX-OFFICIO) 45.0 0.0 X 874386 0 0 VINAY MAHESHWARI MD DIRECTOR 45.0 0.0 X 749553 0 22334 CHRISTOPHER COWAN CHIEF HUMAN RESOURCES OFFICER 45.0 0.0 X 681298 0 64987 FREDERIC T HARAD MD DIRECTOR- THRU 12/2024 45.0 0.0 X 722891 0 13455 KENNETH SILVERSTEIN MD FORMER CHIEF PHYS EXECUTIVE 0.0 0.0 X 548370 0 0 SHARON KURFUERST FORMER COO 0.0 0.0 X 532730 0 0 BARRY NIZIOLEK DIRECTOR 1.0 0.0 X 0 0 0 CHRISTINE SAUERS DIRECTOR 1.0 0.0 X 0 0 0 JULIE TOPKIS NASON DIRECTOR 1.0 0.0 X 0 0 0 KATHY JANVIER RN PHD DIRECTOR 1.0 1.0 X 0 0 0 LOLITA A LOPEZ CHAIR 1.0 0.0 X X 0 0 0 LOSSIE FREEMAN DIRECTOR- AS OF 1/2025 1.0 1.0 X 0 0 0 MORGAN MILLER MLIS DIRECTOR (EX-OFFICIO) 1.0 2.0 X 0 0 0 PAWAN RASTOGI MD DIR. (EX-OFFICIO)-AS OF 1/25 1.0 0.0 X 0 0 0 RITA LANDGRAF DIRECTOR 0.0 0.0 X 0 0 0 TOM MOORE VICE CHAIR 1.0 0.0 X X 0 0 0 TYNETTA BROWN DIR. (EX-OFFICIO)-AS OF 1/25 1.0 0.0 X 0 0 0 21957633 0 809377 4193 true true false ERNST YOUNG LLP PO BOX 640382 PITTSBURGH PA 152640382 CONSULTING SRVCS 24668076 ANESTHESIA SERVICES PA 100 WEST COMMONS BLVD STE 400 NEW CASTLE DE 19720 ANESTHESIA SERVICES 24539768 AMN HEALTHCARE INC PO BOX 674954 DETROIT MI 48267 TEMP STAFFING SRVCS 22053556 CONSTRUCTION SERVICES GROUP LLC 1630 WEST CHESTER PIKE WEST CHESTER PA 19382 CONSTRUCTION SRVCS 11352938 CERNER CORPORATION PO BOX 959156 ST LOUIS MO 631959156 IT SERVICES 9393919 362 6180 146730 2537625 31683968 2052860 133294 36427363 NET PROGRAM SERVICE REVENUES 622110 2883512537 2883512537 0 0 OTHER REVENUES 900099 102589353 93242789 3586153 5760411 2986101890 69432559 69432559 0 0 7151905 7151905 0 7151905 7151905 1400323244 9421639 1150627178 249696066 9421639 259117705 259117705 11060 146730 0 11060 11060 0 0 0 0 0 0 AFFILIATE REVENUES 900099 10299259 10299259 0 0 10299259 3368541741 2987054585 3586153 341473640 1626128 1626128 0 0 0 16740480 14236710 2503770 0 0 1393050884 1184700851 208350033 0 89870087 76428772 13441315 0 221234122 188145498 33088624 0 96865391 82377832 14487559 0 24458647 19885674 4572973 0 12157027 9884058 2272969 0 646208 525388 120820 0 837867 726946 110921 0 0 5468537 0 5468537 0 46099060 37480032 8619028 0 4830201 3927110 903091 0 7263303 5905301 1358002 0 80427863 65390463 15037400 0 69080 56164 12916 0 46845751 38087116 8758635 0 3770616 3065633 704983 0 0 1399750 1138042 261708 0 8858816 7185782 1673034 0 0 98396321 75675367 22720954 0 34361302 27936854 6424448 0 MEDICAL SUPPLIES 542016878 542016878 0 0 OTHER SUPPLIES AND SERVICES 209559695 170333101 39226594 0 2946854014 2556735700 390118314 0 X 13272 2222 307880181 404691377 0 0 539238646 529585973 0 0 0 0 0 0 48445848 50563836 30278245 40071109 2768784286 1701425996 1039023782 1067358290 1915847561 37674312 437767095 41209948 0 0 1015805 1015805 489386761 635779936 4808897196 2807952808 449078346 483728616 0 0 0 0 291699694 284289239 0 0 0 0 0 0 0 0 417542958 390872808 1158320998 1158890663 X 3585233072 1580481422 65343126 68580723 3650576198 1649062145 4808897196 2807952808 X 421687727 -67205170 -2355996610 X false true X true true true X 128076121 43095263 53965055 42127253 36427363 303691055 0 0 128076121 43095263 53965055 42127253 36427363 303691055 0 303691055 34285085 42693278 55003321 76727538 76584464 285293686 0 1583245 1524457 1625074 1704783 0 6437559 595422300 12879513776 0.51004 0.57710 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 837867 false false 837867 false 0 SCHEDULE C, PART II-B, LINE 1(G) 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. 62709208 375967 3998823 0 2600832 0 64483166 59228178 809537 4928139 0 2256646 0 62709208 58310687 732143 3560384 0 3375036 0 59228178 68569307 669502 -6744573 0 4183549 0 58310687 62232483 993569 9205113 0 3861858 0 68569307 0.34440 0.41020 0.24540 true false 37918304 37918304 1806338074 1025098811 781239263 37493267 17042002 20451264 846803376 626681838 220121539 40231265 32603345 7627920 1067358290 CONSTRUCTION IN PROGRESS 83101571 DUE FROM AFFILIATES 256835078 OTHER ASSETS 129101759 OTHER RECEIVABLES 59353364 SUBSIDIARY INVESTMENT 107388164 635779936 0 PENSION & POST RETIREMENT BENEFITS 164874500 INSURANCE LIABILITIES 13648472 OTHER LIABILITIES 212349836 390872808 FORM 990, SCHEDULE D, PART V, LINE 3A & 4 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. -------------------- Central America and the Caribbean 0 0 Investments 191936478 0 0 0 0 191936478 191936478 true false true false false false FORM 990, SCHEDULE F, PART I, LINE 2 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. FY25 HFGCC 5K 104847 98617 6230 0 0 0 0 0 0 FY26 HFGCC 5K 52943 48113 4830 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 157790 146730 11060 0 0 0 0 0 0 0 11060 FORM 990, SCHEDULE G, PART II 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. true true X true X 400. false false false true true 20379831 0 20379831 0.00690 372020771 361368641 10652130 0.00360 392400602 361368641 31031961 0.01050 44 21048 19960908 1571573 18389335 0.00620 5 163 60995449 16746628 44248821 0.01500 2 27509 210807860 105831940 104975920 0.03560 1 7936985 5670233 2266752 0.00080 14 4207228 0 4207228 0.00140 66 48720 303908430 129820374 174088056 0.05900 66 48720 696309032 491189015 205120017 0.06950 1 95281 0 95281 1 6243 0 6243 1 221 0 221 1 100 511297 0 511297 0.00020 4 100 613042 0 613042 0.00020 true 73924790 12524033 541786213 635084535 -93298322 X true true 2 1 CHRISTIANA HOSPITAL 4755 OGLETOWN-STANTON ROAD NEWARK DE 19718 www.christianacare.org LICENSE #HSPTL-002 X X X X X A 2 WILMINGTON HOSPITAL 501 WEST 14TH STREET WILMINGTON DE 19801 www.christianacare.org LICENSE #HSPTL-001 X X X X X A A-CHRISTIANA AND WILMINGTON HOSPITALS 12 false false true X X X X X X X X X 24 true true true true X SEE PART V, SECTION C X true 25 true SEE PART V, SECTION C false true X 400. 0. X X X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X X true X false false 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. -------------------- 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. -------------------- true AIDS DELAWARE INC 100 W 10TH ST WILMINGTON DE 19801 222805481 501(c)(3) 33333 GENERAL SUPPORT BLACK MOTHERS IN POWER 2215 N WASHINGTON ST STE B WILMINGTON DE 19802 853952269 501(c)(3) 47123 GENERAL SUPPORT BOYS & GIRLS CLUB OF DE INC 500 DARLEY ROAD CLAYMONT DE 19703 510068712 501(c)(3) 50000 GENERAL SUPPORT CECIL COUNTY DEPARTMENT OF EMERGENCY SERVICES 200 CHESAPEAKE BLVD STE 108 ELKTON MD 21921 526000919 501(c)(3) 75000 GENERAL SUPPORT THE RESURRECTION CENTER 3301 N MARKET ST WILMINGTON DE 19802 237317318 501(c)(3) 18575 GENERAL SUPPORT HEALTHY FOOD FOR HEALTHY KIDS INC 221 W 10TH ST 3RD FLOOR 28 WILMINGTON DE 19801 300444914 501(c)(3) 49143 GENERAL SUPPORT CHARTER SCHOOL OF WILMINGTON 100 N DUPONT RD WILMINGTON DE 19807 510370135 501(c)(3) 50000 GENERAL SUPPORT CLAYMONT COMMUNITY CENTER 3301 GREEN STREET CLAYMONT DE 19703 510164850 501(c)(3) 50000 GENERAL SUPPORT PROJECT NEW START INC 4601 CONCORD PIKE WILMINGTON DE 19803 472300080 501(c)(3) 50000 GENERAL SUPPORT DELAWARE CENTER FOR HORTICULTURE 1810 N DUPONT STREET WILMINGTON DE 19806 510252857 501(c)(3) 50000 GENERAL SUPPORT DELAWARE FUTURES 3460 CONCORD PIKE STE 1205 WILMINGTON DE 19803 510378138 501(c)(3) 50000 GENERAL SUPPORT ST PATRICK'S CENTER INC 107 E 14TH ST WILMINGTON DE 19801 510120169 501(c)(3) 50000 GENERAL SUPPORT ONCOR COALITION PO BOX 211 NEW CASTLE DE 19720 934979528 501(c)(3) 50000 GENERAL SUPPORT DELAWARE NATURE SOCIETY 3511 BARLEY MILL ROAD HOCKESSIN DE 19707 510232399 501(c)(3) 35713 GENERAL SUPPORT YMCA OF DELAWARE 100 W 1OTH ST STE 1100 WILMINGTON DE 19801 510065748 501(c)(3) 75000 GENERAL SUPPORT DO CARE DOULA FOUNDATION PO BOX 472 SMYRNA DE 19977 862936026 501(c)(3) 50000 GENERAL SUPPORT JEFFERSON STREET CENTER 1801 N JEFFERSON STREET WILMINGTON DE 19802 510304274 501(c)(3) 21333 GENERAL SUPPORT CHILDREN & FAMILIES FIRST 555 JUSTISON ST STE 550 WILMINGTON DE 19801 510065731 501(c)(3) 50000 GENERAL SUPPORT LATIN AMERICAN COMMUNITY CENTER 403 N VAN BUREN STREET WILMINGTON DE 19805 237047048 501(c)(3) 50000 GENERAL SUPPORT DELAWARE COALITION AGAINST DOMESTIC VIOLENCE 100 W 10TH ST STE 903 WILMINGTON DE 19801 510354794 501(c)(3) 100000 GENERAL SUPPORT MILFORD HOUSING DEVELOPMENT CORPORATION 977 E MASTEN CIRCLE MILFORD DE 19963 510218904 501(c)(3) 50000 GENERAL SUPPORT THE MINISTRY OF CARING 115 E 14TH STREET WILMINGTON DE 19801 510209843 501(c)(3) 44667 GENERAL SUPPORT OUR DAILY BREAD DINING ROOM OF MOT 214 N BROAD STREET MIDDLETOWN DE 19709 453215967 501(c)(3) 17667 GENERAL SUPPORT HBCU WEEK FOUNDATION INC 1022 COLEMAN STREET WILMINGTON DE 19805 851276996 501(c)(3) 122625 GENERAL SUPPORT RAY OF HOPE MISSION CENTER 960 CRAIGTOWN RD PORT DEPOSIT MD 21904 522064379 501(c)(3) 41816 GENERAL SUPPORT VOICES OF HOPE 224 E MAIN STREET ELKTON MD 21921 473110713 501(c)(3) 33000 GENERAL SUPPORT WEST END NEIGHBORHOOD HOUSE 710 N LINCOLN STREET WILMINGTON DE 19805 510064301 501(c)(3) 43333 GENERAL SUPPORT WEST SIDE FAMILY HEALTH CARE 300 WATER STREET STE 200 WILMINGTON DE 19801 222488654 501(c)(3) 50000 GENERAL SUPPORT GREATER LEWES FOUNDATION PO BOX 110 LEWES DE 19958 510400365 501(c)(3) 15000 GENERAL SUPPORT DELAWARE INTERFAITH POWER & LIGHT PO BOX 7881 WILMINGTON DE 19803 453593450 501(c)(3) 14700 GENERAL SUPPORT IMPACT LIFE INC PO BOX 1269 HOCKESSIN DE 19707 850567590 501(c)(3) 10000 GENERAL SUPPORT WILMINGTON HOPE COMMISSION 38 VANDEVER AVENUE WILMINGTON DE 19802 262280375 501(c)(3) 50000 GENERAL SUPPORT COMMUNITY VOLUNTEERS IN MEDICINE 300 B LAWRENCE DRIVE WEST CHESTER PA 19380 232944553 501(c)(3) 21600 GENERAL SUPPORT WILMINGTON ALLIANCE 100 W 10TH ST SUITE 206 WILMINGTON DE 19801 510347680 501(c)(3) 60000 GENERAL SUPPORT DELAWARE BUSINESS ROUNDTABLE EDUCATION COMMITTEE 100 W 10TH ST SUITE 704 WILMINGTON DE 19801 562364584 501(c)(3) 20000 GENERAL SUPPORT COMMUNITY HEALTH WORKERS ASSOCIATION OF DELAWARE 1745 BUTLER ROAD HARRINGTON DE 19952 883679090 501(c)(3) 26500 GENERAL SUPPORT 36 0 FORM 990, SCHEDULE I, PART I, LINE 2 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. X true true true true false false false false false true false BARBARA ALBANI MD DIRECTOR (EX-OFFICIO) 711816 0 92927 0 69643 0 0 0 0 0 874386 0 0 0 JANICE E NEVIN MD DIR. (EX-OFFICIO), PRES. & CEO 1669620 0 1395834 0 472215 0 0 0 7761 0 3545430 0 0 0 JENNIFER L SCHWARTZ ESQ CORP. SECRETARY (EX-OFFICIO) 744042 0 282639 0 76075 0 68042 0 22334 0 1193132 0 37500 0 ROBERT MCMURRAY CFO, TREASURER (EX-OFFICIO) 821405 0 284430 0 86846 0 76141 0 13455 0 1282277 0 43000 0 VINAY MAHESHWARI MD DIRECTOR 620050 0 96820 0 32683 0 0 0 22334 0 771887 0 0 0 RAY A BLACKWELL MD CHIEF OF CARDIAC SURGERY 1150011 0 84489 0 11149 0 0 0 22334 0 1267983 0 0 0 KIRK N GARRATT MD MED. DIR. CTR FOR H/V HEALTH 854184 0 143242 0 215377 0 0 0 13455 0 1226258 0 0 0 VINAY K GHEYI MD CHAIR, DEPARTMENT RADIOLOGY 814536 0 119966 0 49456 0 0 0 14833 0 998791 0 0 0 DAVID A PAUL MD CHAIR, DEPT OF PEDIATRICS 334660 0 96679 0 552828 0 0 0 6644 0 990811 0 0 0 DANIEL ROBB MD PHYSICIAN, CARDIAC SURGEON 690957 0 84489 0 208770 0 0 0 18083 0 1002299 0 0 0 RICHARD CUMING CHIEF OPERATING OFFICER 911622 0 306342 0 122344 0 75731 0 13455 0 1429494 0 43262 0 RANDALL GABORIAULT CHIEF DIGITAL & INFO. OFFICER 730728 0 253031 0 166993 0 72562 0 22334 0 1245648 0 53071 0 NEIL JASANI MD CHIEF CLINICAL OFFICER 731427 0 253271 0 120303 0 0 0 22334 0 1127335 0 0 0 KERT ANZILOTTI JR MD PRES. CC MED GRP & SYSTEM CMO 743272 0 175007 0 117661 0 62786 0 22334 0 1121060 0 0 0 BETTINA TWEARDY-RIVEROS PUB. AFFRS & HLTH EQTY CHF OFF 543050 0 213042 0 57456 0 53926 0 22334 0 889808 0 0 0 CHRISTOPHER COWAN CHIEF HUMAN RESOURCES OFFICER 496357 0 134317 0 50624 0 42653 0 22334 0 746285 0 0 0 LISA MAXWELL MD FMR PRESIDENT, CC MED GRP 422400 0 171600 0 564957 0 64494 0 13229 0 1236680 0 0 0 FREDERIC T HARAD MD DIRECTOR- THRU 12/2024 587122 0 78318 0 57451 0 0 0 13455 0 736346 0 0 0 SHARON KURFUERST FORMER COO 0 0 0 0 532730 0 0 0 0 0 532730 0 0 0 KENNETH SILVERSTEIN MD FORMER CHIEF PHYS EXECUTIVE 0 0 0 0 548370 0 0 0 0 0 548370 0 65360 0 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. -------------------- A DELAWARE HLTH FACILITIES AUTHORITY SERIES 2020A 510272458 246388TQ5 2020-02-11 247255000 REFUND SERIES 2008 & 2010 false false false A 4765000 0 305483000 0 0 0 2324976 0 0 145360019 157798005 0 2021 true false true true A false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true A false false false true false false 0 false 0 false true A true 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. X 7 133294 FMV 0 false true false SCHEDULE M, PART I, COLUMN (B) ADDITIONAL INFORMATION REGARDING SECURITIES REPORTED CHRISTIANA CARE HEALTH SERVICES, INC. REPORTS THE NUMBER OF CONTRIBUTIONS IN PART I, COLUMN (B). INVESTMENTS 2315249837 FMV 521479538 CHRISTIANA CARE HEALTH SYSTEM 4000 NEXUS DRIVE NW3-100 WILMINGTON DE 19803 501(C)(3) false false false false 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) 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 3556623 6183904 CCH SERVICES CHRISTIANA CARE CARE LINK LLC 4000 NEXUS DR NW3-100 WILMINGTON DE 19803 510103684 SUPPORT SRVCS DE 5107936 15280763 CCH SERVICES CHRISTIANA CARE CTR FOR VIRTUAL HLTH LLC 4000 NEXUS DR NW3-100 WILMINGTON DE 19803 862155365 SUPPORT SRVCS DE 208824 8328049 CCH SERVICES CHRISTIANA CARE NEIGHBORHOOD HOSPITALS 4000 NEXUS DR NW3-100 WILMINGTON DE 19803 510103684 HLTHCARE SVCS DE -923186 5503324 CCH SERVICES CHRISTIANA CARE AMBULATORY SURG CTR LLC 4000 NEXUS DR NW3-100 WILMINGTON DE 19803 510103684 AMB SURG CTR DE -1085771 -1104809 CCH SERVICES CHRISTIANA CARE QUALITY PARTNERS LLC 4000 NEXUS DR NW3-100 WILMINGTON DE 19803 844061485 SUPPORT SRVCS DE 39899666 4736354 CCH SERVICES 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 true CHRISTIANA CARE WEST GROVE INC 4000 NEXUS DR NW3-100 WILMINGTON DE 19803 883155785 HEALTHCARE PA 501(C)(3) 12A, I CCH SERVICES 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 CHRISTIANA CARE GO HEALTH URGENT CARE L 5555 GLENRIDGE CONNECTOR SUITE 700 ATLANTA GA 30342 843657727 URGENT CARE S DE CCH SERVICES RELATED -801217 17856199 false 0 false 0.50100 CLINERGY LLC 4755 OGLETOWN STANTON RD NEWARK DE 19718 852698063 GROUP PURCHAS DE CCH SERVICES RELATED 83742 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 -4123098 -9764264 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 3571922 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 12317 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 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 0 0 1.00000 true CHRISTIANA CARE EXEC DEFERRED COMP PLAN 4755 OGLETOWN STANTON RD NEWARK DE 19718 357048822 DEF COMP PLAN DE CCH SERVICES TRUST 0 0 1.00000 true CARE ASSOCIATES DEFERRED COMP PLAN 4755 OGLETWON STANTON RD NEWARK DE 19718 357048714 DEF COMP PLAN DE CCH SERVICES TRUST 0 0 1.00000 true CHRISTIANA CARE INSURANCE CO LTD PO BOX 1159 878 W BAY RD GRAND CAYMAN CJ KY1-1102 981489490 SELF-INSURANCE CJ CCH SERVICES C CORP 30337176 127916436 1.00000 true 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 -360000 6487264 1.00000 true true true false true false false false false false true true true true true true true true true true UNION HOSPITAL OF CECIL COUNTY INC ADOQR 34886348 FMV CHRISTIANA CARE GO HEALTH URGENT CARE LLC ADJPQ 48105083 FMV THE DE CTR FOR MAT FETAL MED OF CC INC J,M,O 1109842 FMV CHRISTIANA CARE INSURANCE CO LTD Q,R 59772132 FMV AFFINITY HEALTH ALLIANCE INC R,S 2392503 FMV CHRISTIANA CARE HOME HEALTH & COMM SERVICES ADOQR 8189286 FMV CHRISTIANA CARE WEST GROVE O 39674193 FMV CHRISTIANA CARE EMERGENCY PHYSICIANS N,O,Q 5600697 FMV CHRISTIANA CARE EMERUS LLC B 3518490 FMV CLINERGY LLC C 626967 FMV