TY 2014 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) DAVID P NICOLI........................................................................ MEMBER, UNTIL 11/14	1.0 .......................1.0	X		0	0
(2) JOHN R COCHRAN III........................................................................ MEMBER	1.0 .......................1.0	X		0	0
(3) ROBERT LASKOWSKI........................................................................ PRESIDENT & CEO, RETIRED 12/14	40.0 .......................1.0	X	X	1,446,569	51,092
(4) LOLITA A LOPEZ........................................................................ MEMBER	1.0 .......................2.0	X		0	0
(5) FRED C SEARS II........................................................................ MEMBER	1.0 .......................1.0	X		0	0
(6) WILFRED B SHERK........................................................................ MEMBER	1.0 .......................1.0	X		0	0
(7) JANICE TILDON BURTON MD........................................................................ MEMBER	1.0 .......................1.0	X		0	0
(8) EDWARD K WISSING........................................................................ MEMBER	1.0 .......................1.0	X		0	0
(9) PATRICK D HARKER PHD........................................................................ MEMBER, UNTIL 11/14	1.0 .......................1.0	X		0	0
(10) MICHAEL R MILLER........................................................................ MEMBER	1.0 .......................1.0	X		0	0
(11) LEO W RAISIS MD........................................................................ MEMBER	1.0 .......................1.0	X		0	0
(12) JANICE NEVIN MD........................................................................ PRES&CEO EXOFFICIO AS OF 11/14	40.0 .......................1.0	X	X	720,202	87,820
(13) W DONALD JOHNSON........................................................................ MEMBER	1.0 .......................1.0	X		0	0
(14) THEODORE G PLUSH........................................................................ MEMBER	1.0 .......................1.0	X		0	0
(15) BETTY J CAFFO PHD........................................................................ MEMBER	1.0 .......................1.0	X		0	0
(16) ERIC T JOHNSON MD........................................................................ BOARD VICE CHAIR, EX OFFICIO	3.0 .......................1.0	X	X	9,500	589
(17) ARKADI KUHLMANN........................................................................ MEMBER, UNTIL 11/14	1.0 .......................1.0	X		0	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) JOHN M MURRAY II........................................................................ MEMBER	1.0 .......................1.0	X				0	0
(19) MARK TYKOCINSKI MD........................................................................ MEMBER	1.0 .......................1.0	X				0	0
(20) GARY M PFEIFFER........................................................................ CHAIRMAN OF THE BOARD	1.0 .......................1.0	X	X			0	0
(21) BRIAN E BURGESS MD........................................................................ EX OFFICIO	3.0 .......................1.0	X				49,900	490
(22) REBECCA JAFFE MD MPH........................................................................ MEMBER, UNTIL 11/14	1.0 .......................1.0	X				0	0
(23) FRANK PENNELLA........................................................................ EX OFFICIO	1.0 .......................1.0	X				0	0
(24) TARA D ELLIOTT ESQ........................................................................ MEMBER	1.0 .......................1.0	X				0	0
(25) NANCY RICH........................................................................ MEMBER	1.0 .......................1.0	X				0	0
(26) CARROLL M CARPENTER........................................................................ MEMBER, EX OFFICIO	1.0 .......................1.0	X				0	0
(27) THOMAS L CORRIGAN........................................................................ SR VP FINANCE/CFO, OFF OF BRD	40.0 .......................1.0		X			682,474	95,309
(28) GARY W FERGUSON........................................................................ CHIEF OPER OFF, OFF OF BOARD	40.0 .......................1.0		X			809,664	35,457
(29) WILLIAM J WADE........................................................................ OFFICER OF BOARD	1.0 .......................1.0		X			0	0
(30) BRENDA K PIERCE ESQ........................................................................ CORP COUNSEL, OFFICER OF BOARD	40.0 .......................3.0		X			361,708	62,358
(31) DIANE TALAREK........................................................................ SR VP OF PATIENT CARE SERVICES	40.0 .......................0.0			X		403,339	41,099
(32) RAY SEIGFRIED........................................................................ SR VP, ADMINISTRATION	40.0 .......................0.0			X		291,757	48,243
(33) AUDREY VAN LUVEN........................................................................ SENIOR VP & CHIEF HR OFFICER	40.0 .......................0.0			X		477,678	75,789
(34) MICHAEL BANBURY MD........................................................................ CHIEF, CARDIAC SURGERY	40.0 .......................0.0				X	1,033,429	46,912
(35) TIMOTHY GARDNER MD........................................................................ MEDICAL DIRECTOR, HVIS	40.0 .......................0.0				X	810,893	42,534
(36) NICHOLAS PETRELLI MD........................................................................ MEDICAL DIRECTOR, CANCER	40.0 .......................0.0				X	728,787	49,283
(37) FREDERIC HARAD MD........................................................................ VASCULAR SURGEON	40.0 .......................0.0				X	707,382	42,943
(38) GERARD FULDA MD........................................................................ CHAIR, DEPARTMENT OF SURGERY	40.0 .......................0.0				X	665,612	70,943

(A) Name and business address	(B) Description of services	(C) Compensation
SKANSKA, 516 EAST TOWNSHIP LINE ROAD BLUE BELL,PA19422	CONSTRUCTION SRVCS	11,365,197
WHITING TURNER, PO BOX 17596 BALTIMORE,MD21297	CONSTRUCTION SRVCS	9,221,987
PHILIPS MEDICAL SYSTEMS NA CO, 22100 BOTHELL EVERETT HIGHWAY BOTHELL,WA98021	MAINTENANCE SRVCS	7,255,412
ANESTHESIA SERVICES, 2 READS WAY SUITE 201 NEW CASTLE,DE19720	MEDICAL SRVCS	3,808,479
VARO, 301 LACEY STREET WEST CHESTER,PA19382	COLLECTION SRVCS	3,431,088
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 223

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	0
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ....	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............	516,452	516,452
4	Benefits paid to or for members ....	0
5	Compensation of current officers, directors, trustees, and key employees ....	9,608,800	3,979,933	5,628,867	0
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages ....	701,525,481	560,059,064	141,466,417	0
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	54,903,869	43,538,768	11,365,101	0
9	Other employee benefits .......	116,329,963	92,249,661	24,080,302	0
10	Payroll taxes ...........	49,806,616	39,496,646	10,309,970	0
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	450,116	356,942	93,174	0
c	Accounting ...........	415,502	329,493	86,009	0
d	Lobbying ...........	180,124	142,838	37,286	0
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	3,654,703	2,898,179	756,524	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ....	0
12	Advertising and promotion ....	2,772,835	2,198,858	573,977	0
13	Office expenses .......	155,555,812	126,533,224	29,022,588	0
14	Information technology ......	35,751,821	28,351,194	7,400,627
15	Royalties ..	0
16	Occupancy ...........	16,589,827	13,155,733	3,434,094	0
17	Travel ............	2,556,193	2,027,061	529,132
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	4,304,901	3,413,786	891,115	0
20	Interest ...........	2,699,737	2,140,891	558,846	0
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	85,590,760	67,873,473	17,717,287	0
23	Insurance ..............	13,774,966	10,923,548	2,851,418	0
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	176,308,572	176,308,572	0	0
b
c
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	1,433,297,050	1,176,494,316	256,802,734	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	82,773,683	1	66,449,901
2	Savings and temporary cash investments .........	181,643,342	2	181,669,821
3	Pledges and grants receivable, net ...........	0	3	0
4	Accounts receivable, net .............	232,678,766	4	212,627,312
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
		0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
		0	6	0
7	Notes and loans receivable, net .............	0	7	0
8	Inventories for sale or use ..............	17,053,122	8	21,171,370
9	Prepaid expenses and deferred charges ..........	0	9	0
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,780,671,889
b	Less: accumulated depreciation .....	10b	995,626,271	581,101,589	10c	785,045,618
11	Investments—publicly traded securities ..........	1,000,085,098	11	1,156,576,574
12	Investments—other securities. See Part IV, line 11 .....	114,970,271	12	123,018,609
13	Investments—program-related. See Part IV, line 11 .....	0	13	0
14	Intangible assets ...............	1,015,805	14	1,015,805
15	Other assets. See Part IV, line 11 ...........	311,981,756	15	119,292,453
16	Total assets. Add lines 1 through 15 (must equal line 34)......	2,523,303,432	16	2,666,867,463
	17	Accounts payable and accrued expenses .........	195,211,434	17	207,558,197
18	Grants payable .................	0	18	0
19	Deferred revenue ................	0	19	0
20	Tax-exempt bond liabilities .............	292,184,684	20	286,685,053
21	Escrow or custodial account liability. Complete Part IV of Schedule D..	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ....	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	240,628,139	25	249,273,662
26	Total liabilities. Add lines 17 through 25.........	728,024,257	26	743,516,912
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	1,732,629,972	27	1,860,853,006
28	Temporarily restricted net assets ...........	38,701,632	28	38,685,943
29	Permanently restricted net assets ...........	23,947,571	29	23,811,602
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	1,795,279,175	33	1,923,350,551
34	Total liabilities and net assets/fund balances ........	2,523,303,432	34	2,666,867,463

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

CHRISTIANA CARE HEALTH SERVICES INC

Employer identification number

51-0103684

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations .............................

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2014

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....	20,838,066	22,816,728	27,189,603	39,177,754	42,304,655	152,326,806
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......						0
3	The value of services or facilities furnished by a governmental unit to the organization without charge..						0
4	Total. Add lines 1 through 3	20,838,066	22,816,728	27,189,603	39,177,754	42,304,655	152,326,806
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..						0
6	Public support. Subtract line 5 from line 4.						152,326,806

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
7	Amounts from line 4..	20,838,066	22,816,728	27,189,603	39,177,754	42,304,655	152,326,806
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	18,242,309	16,285,129	16,752,455	17,839,119	19,534,737	88,653,749
9	Net income from unrelated business activities, whether or not the business is regularly carried on..						0
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..	1,714,154	1,702,180	1,677,493	1,658,279	5,286,674	12,038,780
11	Total support Add lines 7 through 10.						253,019,335

Gross receipts from related activities, etc. (see instructions) ..................

7,207,469,067

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 6, column (f) divided by line 11, column (f)) .........

60.204 %

Public support percentage for 2013 Schedule A, Part II, line 14 ...............

60.574 %

16a

33 1/3% support test—2014. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2013. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2014

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2013 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2014 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2013 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2014. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2013. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2014

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Schedule A (Form 990 or 990-EZ) 2014

Page 5

Part IV

Supporting Organizations (continued)

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2014

Page 6

Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1. Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6
7	Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2014

Page 7

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2014 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2014	(iii) Distributable Amount for 2014
1 Distributable amount for 2014 from Section C, line 6
2 Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2014 distributable amount
i Carryover from 2009 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2014 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2014 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2015. Add lines 3j and 4c.
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......
e From 2014.......

Schedule A (Form 990 or 990-EZ) (2014)

Schedule A (Form 990 or 990-EZ) 2014

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Name of the organization

CHRISTIANA CARE HEALTH SERVICES INC

Employer identification number

51-0103684

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 2

Name of organization CHRISTIANA CARE HEALTH SERVICES INC

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 3

Name of organization CHRISTIANA CARE HEALTH SERVICES INC

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 4

Name of organization
CHRISTIANA CARE HEALTH SERVICES INC

Employer identification number

51-0103684

Part III

Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

CHRISTIANA CARE HEALTH SERVICES INC

Employer identification number

51-0103684

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2014

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures). Click to see attachment

B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(a) Filing organization's totals	(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......	0	0
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......	180,124	180,124
c	Total lobbying expenditures (add lines 1a and 1b) ...................	180,124	180,124
d	Other exempt purpose expenditures ........................	1,433,116,926	1,497,044,091
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............	1,433,297,050	1,497,224,215
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.	1,000,000	1,000,000
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................	250,000	250,000
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................		Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) Total

2a	Lobbying nontaxable amount	1,000,000	1,000,000	1,000,000	1,000,000	4,000,000

b	Lobbying ceiling amount (150% of line 2a, column(e))					6,000,000

c	Total lobbying expenditures	180,295	171,382	189,841	180,124	721,642

d	Grassroots nontaxable amount	250,000	250,000	250,000	250,000	1,000,000

e	Grassroots ceiling amount (150% of line 2d, column (e))					1,500,000

f	Grassroots lobbying expenditures	0	0	0	0	0

Schedule C (Form 990 or 990-EZ) 2014

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Total. Add lines 1c through 1i ...............................

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation

Schedule C (Form 990 or 990EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

CHRISTIANA CARE HEALTH SERVICES INC

Employer identification number

51-0103684

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2014

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII .......

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....	57,618,783	54,104,570	49,617,140	49,105,589	44,664,226
b	Contributions ........	13,000,000	0	0	0	0
c	Net investment earnings, gains, and losses	1,204,217	4,079,790	5,285,298	1,358,205	5,551,546
d	Grants or scholarships .....	0	0	0	0	0
e	Other expenditures for facilities and programs ........	744,468	565,577	797,868	846,654	1,110,183
f	Administrative expenses ....	0	0	0	0	0
g	End of year balance ......	71,078,532	57,618,783	54,104,570	49,617,140	49,105,589

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

69.000 %

Permanent endowment SchDMd Bullet

13.000 %

Temporarily restricted endowment SchDMd Bullet

18.000 %

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

Yes

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	38,328,422		38,328,422
b	Buildings ................	1,091,954,253	557,641,534	534,312,719
c	Leasehold improvements ............
d	Equipment ................	622,810,935	417,340,037	205,470,898
e	Other .................	27,578,279	20,644,700	6,933,579
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				785,045,618

Schedule D (Form 990) 2014

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes		0
PENSION AND POST RETIREMENT BE		185,877,211
INSURANCE LIABILITIES		26,490,002
OTHER LIABILITIES		36,906,449






Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		249,273,662
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2014

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	1,703,948,336
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	13,141,954
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................			2e	13,141,954
3	Subtract line 2e from line 1.....................			3	1,717,090,290
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a	3,564,203
b	Other (Describe in Part XIII.) ...........	4b	-101,684,631
c	Add lines 4a and 4b.......................			4c	-98,120,428
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	1,618,969,862

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	1,536,250,771
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................			2e
3	Subtract line 2e from line 1.....................			3	1,536,250,771
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a	3,564,203
b	Other (Describe in Part XIII.) ............	4b	-106,517,924
c	Add lines 4a and 4b.......................			4c	-102,953,721
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	1,433,297,050

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

DETAIL OF ENDOWMENT FUNDS

SCHEDULE D, PART V, LINE 3A & 4 THE ORGANIZATION'S BOARD DESIGNATED ENDOWMENTS ARE INTENDED TO COVER ANNUAL INCREMENTAL OPERATING EXPENSES OF THE HEALTH SERVICES' CANCER PROGRAM AND THE VALUE INSTITUTE. THE ORGANIZATION'S PERMANENT ENDOWMENT CONSISTS OF APPROXIMATELY EIGHT INDIVIDUAL DONOR RESTRICTED ENDOWMENT FUNDS USED FOR A VARIETY OF PURPOSES, INCLUDING SALARY AND PROGRAM SUPPORT. THE ORGANIZATION'S TEMPORARILY RESTRICTED ENDOWMENT REPRESENTS TEMPORARILY RESTRICTED NET ASSETS WHICH ARE RESTRICTED FOR INDIGENT CARE, BUILDING AND MAINTENANCE AND PROGRAM SUPPORT. --------------------

FINANCIAL RECONCILIATION DETAIL

RECONCILIATION OF REVENUES FORM 990, SCHEDULE D, PART XI, LINE 4B OTHER COGS CONTRACTUAL ALLOWANCES $ (93,294,240) RENTAL EXPENSES (1,961,317) SUBSIDIARY ACTIVITY (11,400,714) NET ASSETS RELEASED (3,110,841) CONTRIBUTIONS 8,087,442 RESTRICTED INVESTMENT INCOME (4,961) -------------- TOTAL OTHER CHANGES $(101,3684,631) -------------------- RECONCILIATION OF EXPENSES FORM 990, SCHEDULE D, PART XII, LINE 4B OTHER COGS CONTRACTUAL ALLOWANCES $ (93,294,240) RENTAL EXPENSES (1,961,317) SUBSIDIARY ACTIVITY (12,262,367) ------------- TOTAL OTHER CHANGES $(106,517,924)

Schedule D (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization
CHRISTIANA CARE HEALTH SERVICES INC

Employer identification number

51-0103684

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants

and other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria

used to award the grants or assistance? ...........................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in region
	South Asia	Grantmaking	516,452
	Central America and the Caribbean	Investments	115,099,383















3a	Sub-total .....		115,615,835
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)		115,615,835

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2014

Schedule F (Form 990) 2014

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

(a)(c) Region	(b)(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)
South Asia	RESEARCH SUBAWARD-- A GLOBAL NETWORK STUDY TO ESTIMATE GESTATIONAL AGE BY FUNDAL HEIGHT	516,452	WIRE TRANSFR	N/A	FMV

Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .... MediumBullet

Enter total number of other organizations or entities ....................... MediumBullet

Schedule F (Form 990) 2014

Schedule F (Form 990) 2014Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2014

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2014

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation
FORM 990, SCHEDULE F, PART I, LINE 2	PROCEDURES FOR MONITORING THE USE OF GRAND FUNDS OUTSIDE THE U.S. THE GRANT FUNDS TRANSFERRED REPRESENT A RESEARCH SUB-AWARD. PURSUANT TO THE TERMS OF A FEDERAL RESEARCH GRANT RECEIVED, A PORTION OF THE RESEARCH REQUIRES INTERNATIONAL PARTICIPATION. THE CHRISTIANA CARE HEALTH SERVICES, INC. OBGYN DEPARTMENT CHAIR MONITORS ALL ASPECTS OF THIS GRANT.

Schedule F (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the TreasuryInternal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

CHRISTIANA CARE HEALTH SERVICES INC

Employer identification number

51-0103684

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..			16,102,961		16,102,961	1.120 %
b	Medicaid (from Worksheet 3, column a) ....			216,658,844	188,765,881	27,892,963	1.950 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .
d	Total Financial Assistance and Means-Tested Government Programs .			232,761,805	188,765,881	43,995,924	3.070 %
Other Benefits		81	123,152	11,878,414	6,541,500	5,336,914	0.370 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	81	123,152	11,878,414	6,541,500	5,336,914	0.370 %
f	Health professions education (from Worksheet 5) ..	6	3,258	41,497,598	12,553,748	28,943,850	2.020 %
g	Subsidized health services (from Worksheet 6) ..
h	Research (from Worksheet 7)	3		22,893,346	14,595,130	8,298,216	0.580 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	3	4,058	87,905		87,905	0.010 %
j	Total. Other Benefits ..	93	130,468	76,357,263	33,690,378	42,666,885	2.980 %
k	Total. Add lines 7d and 7j .	93	130,468	309,119,068	222,456,259	86,662,809	6.050 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014

Schedule H (Form 990) 2014

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

42,420,808

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

4,242,000

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

458,005,618

Enter Medicare allowable costs of care relating to payments on line 5.....

496,756,978

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-38,751,360

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2014

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?2 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)							Facility reporting group
1	CHRISTIANA HOSPITAL 4755 OGLETOWN-STATON ROAD NEWARK,DE19718 www.christianacare.org LICENSE# HSPTL-002	X	X	X	X	X	A
2	WILMINGTON HOSPITAL 501 WEST 14TH STREET WILMINGTON,DE19801 www.christianacare.org LICENSE# HSPTL-001	X	X	X	X	X	A

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	A-CHRISTIANA AND WILMINGTON HOSPITALS
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C..........

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public? ..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): www.christianacare.org/communitybenefit

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Yes

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	A-CHRISTIANA AND WILMINGTON HOSPITALS
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of %
and FPG family income limit for eligibility for discounted care of %

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url): SEE PART V, SECTION C

The FAP application form was widely available on a website (list url): SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	A-CHRISTIANA AND WILMINGTON HOSPITALS
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.........

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ................................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
PART V, SECTION B LINES 5&6 (INPUT FROM COMMUNITY/JOINT CHNA)	BEGINNING IN 2011 WITH COMPLETION IN FISCAL 2013, CHRISTIANA CARE HEALTH SYSTEM (CHRISTIANA CARE) UNDERTOOK A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO GATHER CURRENT STATISTICS AND QUALITATIVE FEEDBACK ON THE KEY HEALTH ISSUES FACING COMMUNITY RESIDENTS. TO ACCOMPLISH THIS IMPORTANT EFFORT, CHRISTIANA CARE'S CHNA COMMITTEE WORKED WITH THE FOLLOWING PARTNERS: -HEALTHY COMMUNITIES INSTITUTE TO PROVIDE HEALTH INDICATORS VIA THE ONLINE TOOL, DELAWARE HEALTH TRACKER. -MELIOR GROUP TO CONDUCT COMMUNITY LEADER INTERVIEWS. -HOLLERAN CONSULTING TO SYNTHESIZE FINDINGS, DEVELOP THE FINAL REPORT AND SUPPORT MANAGEMENT IN THE DEVELOPMENT OF THE IMPLEMENTATION PLANS TO ADDRESS THE IDENTIFIED COMMUNITY NEEDS. CHRISTIANA CARE ALSO REGULARLY REACHES OUT TO THE UNINSURED AND UNDERINSURED MEMBERS OF OUR COMMUNITY FOR FEEDBACK, AND WE CONDUCT SURVEYS AT COMMUNITY HEALTH FAIRS AND EVENTS TO HELP DETERMINE PROGRAMS AND SERVICES THAT WOULD BE OF MOST VALUE TO OUR PATIENTS AND NEIGHBORS. WE RELY ON THIS FEEDBACK-AS WELL AS INPUT FROM PRIMARY CARE PROVIDERS, SPECIALISTS AND PAYERS-AND ALSO TRACK NATIONAL CARE ISSUES AND DATA TO DETERMINE WHAT SERVICES ARE BEING PROVIDED IN OTHER COMMUNITIES THAT MAY BE EQUALLY BENEFICIAL IN OUR OWN. NOTE THAT SINCE CHRISTIANA CARE CONSISTS OF TWO HOSPITAL FACILITIES, BOTH FACILITIES JOINTLY CONDUCTED THEIR CHNA. --------------------
PART V, SECTION B LINE 11 (ADDRESSING THE NEEDS IDENTIFIED IN THE CHNA)	Evaluation of Actions Taken Since Last Assessment Navigation and Access to Health Care Market Place Guides: Christiana Care has devoted resources to improve access to insurance coverage, as well as navigation and access to health care services. In conjunction with other non-profit groups in the area, Christiana Care helped to increase the number of Delaware residents with health insurance coverage. During the 2015 federal open enrollment period, Christiana Care marketplace guides consulted about insurance options with 8,729 people at community events and on a one-on-one basis. They directly enrolled 317 individuals in health insurance coverage during the 2015 enrollment period. Health Ambassador Program: Christiana Cares Health Ambassador Program promotes good health before pregnancy and provides information to help prevent premature births, a leading cause of death in newborn babies. The health ambassadors also promote key maternal and child health messages including the benefits of breastfeeding and the importance of safe sleep. They work in targeted high risk zip codes to connect pregnant women and young families to health care, social services, home visiting and educational programs. The health ambassadors work with community partners including Henrietta Johnson Medical Center, St. Francis Healthcare, Westside Family Healthcare and the Wilmington Hospital Health Center. Christiana Care leads a city-wide team of health ambassadors in partnership with other local partners. During Fiscal Year 2015, Health Ambassadors referred pregnant women and new parents to the following programs and services: -Medical home: 7,947 -Parenting support: 5,323 -Breastfeeding support: 666 -Food: 378 -Housing: 326 -Safe sleep: 177 -Clothing: 144 Blood Pressure Ambassador Program: The Blood Pressure Ambassador Program increases awareness of hypertension in the African-American community, using a model of peer education and camaraderie. In the last year, 82 ambassadors conducted more than 2,000 free hypertension screenings. Christiana Cares Helen F. Graham Cancer Center & Research Institutes Annual Free Skin Screening: Partnering with the Academy of Dermatology, The Cancer Center offers annual free skin cancer screenings. In May 2015, health care providers screened 132 people for skin cancer. Health Info On The Go: This effort reaches residents by using community health outreach and education staff to provide health education and routine health screenings in cholesterol, glucose and blood pressure with cancer awareness, prevention and early detection at the local farmers market. Since the programs inception in 2009, it has provided education to more than 3,500 shoppers and conducted screenings for more than 1,300 people. Breast Health Programs: Christiana Care Breast Health Programs reached more than 14,000 high-risk women in Fiscal Year 2015. They offer support to the underserved community. The program deploys bilingual navigators to improve access to mammograms, assistance with transportation, reminder notices, escorts for patients, and funding for screenings. They also provide community education to promote breast health, cancer prevention and early detection. Christiana Cares community health and outreach staff work with the Hispanic community to train promotoras, who promote wellness and help connect other members of the Hispanic community with health services, particularly preventive screenings. The Healthy Latin Families Program helps New Castle County residents make their families and homes healthier. This serves those who need screenings and preventive care, those with chronic diseases and children with asthma. An annual Latinas Fuertes Y Saludables program, presented entirely in Spanish, brings health information, screenings and resources to more than 300 members of the Hispanic community. Electronic Health Records & Improved Coordination Christiana Care worked to increase use of electronic health records to improve care coordination and communication among providers and their patients. To do so, Christiana Care established Care Link, an expansive information technology-enabled network. Care Link case managers help patients with chronic illness navigate and coordinate hospital, physician, community and support services. This virtual hub of interdisciplinary professionals contributes to significant reductions in re-hospitalizations. Of 650 surgical patients managed by the Care Link team, fewer than 2 percent returned for observation or emergency department visits. The seven-day readmission rate was lower than for elective surgical patients not managed by Care Link. New Models of Care Christiana Cares integration of mental health therapists into specialty and family medicine practices is opening mental health doors to children, adolescents and adults who might otherwise never seek help. The model follows an established national and international movement to align behavioral health with primary care in an effort to prevent or reduce the impact of mental health issues. Christiana Cares 15 school-based wellness centers provided health services including physical exams, screenings, drug and alcohol abuse counseling and individual, family and group counseling to more than 23,000 adolescents in Fiscal Year 2015. Care Link case managers help patients with chronic illness navigate and coordinate hospital, physician, community and support services. An interdisciplinary team of professionals contributes to significant reductions in re-hospitalizations. Of 650 surgical patients managed by the team, fewer than 2 percent returned for observation or emergency department visits. The seven-day readmission rate was lower than for elective surgical patients not managed by Care Link. The Medical Home Without Walls program, part of Care Link, reaches hospital and emergency department "superusers," a group that includes fewer than 10 percent of all patients but accounts for more than 20 percent of all visits to the hospital (many of them homeless with complex medical problems). A case management team visits patients at their home or shelter, accompanies them to medical appointments and addresses social ills such as hunger, addiction and domestic violence. The program provides coordinated care to people who might otherwise only receive care through frequent visits to the emergency department. Enhanced Mental Health Services Integrated Care Model: A shortage of mental health providers and treatment centers in our community has created significant access problems. To help address this problem, Christiana Care implemented a model of integrating mental health therapists in primary care and specialty practices. It was intended to improve access to mental health services for children, adolescents and adults who might otherwise not seek help. Therapists embedded in our cancer program, heart and vascular services, womens health, primary care and pediatrics practices offer real-time collaboration among the patient, primary-care provider and behavioral health specialist. The approach follows an evidence-based national and international movement to align behavioral health with primary care in an effort to prevent or reduce the impact of mental health issues. Project Engage is a unique addiction recovery program based on a peer model and in collaboration with a non-profit counseling center in New Castle County. Since its inception, Project Engage has connected some 3,000 people with specially trained intervention counselors, known as engagement specialists, onsite at the hospital to work one-on-one with patients addicted to drugs or alcohol. Of 1,123 patients with substance-use disorder offered help through Project Engage, 27 percent accepted substance-abuse treatment. Christiana Cares Center for Womens Emotional Wellness provides specialized clinical care for women experiencing postpartum depression and other mood disorders that impact a mothers bond with her baby and her entire family. The center offers outpatient therapy for individuals and couples, evaluation and management of medications and streamlined access to therapy services for women coping with behavioral health challenges before, during and after pregnancy. In addition, the team provides education to primary care professional to raise awareness about perinatal mood and anxiety disorders. In 2015, the team consulted with 240 new mothers in the hospital immediately following delivery and conducted 2,750 outpatient visits. Christiana Care screens all new mothers for mood and anxiety symptoms after childbirth, before they leave the hospital. --------------------
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 10% IS APPLIED TO ALL UNINSURED PATIENT ACCOUNTS REGARDLESS OF INCOME. PATIENTS WITH INCOME IN EXCESS OF 200% WILL ONLY RECEIVE A 10% DISCOUNT. --------------------
PART V, SECTION B, LINE 16A	HTTP://WWW.CHRISTIANACARE.ORG/FINANCIAL-ASSISTANCE-PROGRAM -------------------- PART V, SECTION B, LINE 16B HTTP://WWW.CHRISTIANACARE.ORG/FINANCIAL-ASSISTANCE-PROGRAM -------------------- PART V, SECTION B, LINE 16C HTTP://WWW.CHRISTIANACARE.ORG/FINANCIAL-ASSISTANCE-PROGRAM --------------------
PART V, SECTION B, LINE 22D, OTHER (CHARGES FOR FAP-ELIGIBLE INDIVIDUALS)	FAP-ELIGIBLE INDIVIDUALS (THOSE WITH INCOME LESS THAN 200% OF FEDERAL POVERTY GUIDELINES) ARE NOT RESPONSIBLE FOR ANY CHARGES.

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2014

Page

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 3C (DES. OF ELIGIBILITY CRITERIA FOR FREE OR DISCOUNTED CARE)	CHRISTIANA CARE HEALTH SERVICES, INC.("CHRISTIANA CARE" OR "HEALTH SERVICES") HAS A SELF PAY DISCOUNT PERCENTAGE OF 10% THAT IS APPLIED TO ALL UNINSURED PATIENTS' ACCOUNTS, REGARDLESS OF THE PERSON'S ABILITY TO PAY. THIS DISCOUNT PERCENTAGE IS COMPARABLE TO THAT WHICH IS EXTENDED TO OUR MANAGED CARE COMPANIES. -------------------- PART I, LINE 6A (COMMUNITY BENEFIT ANNUAL REPORT INFORMATION) CHRISTIANA CARE HAS ESTABLISHED A DEDICATED SECTION ON OUR WEBSITE THAT CATALOGUES OUR COMMUNITY BENEFIT INITIATIVES AND STORIES. THE GROWING LIBRARY OF STORIES CAN BE FOUND AT: HTTP://WWW.CHRISTIANACARE.ORG/COMMUNITYBENEFIT -------------------- PART I, LINE 7 (COSTING METHODOLOGY USED) THE COSTING METHODOLOGY USED IN CALCULATING THE AMOUNTS REPORTED ON THE LINE 7 TABLE ARE BASED ON A COST TO CHARGE RATIO. THE COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2. --------------------
PART III, SECTION A, LINE 2 (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). -------------------- PART III, SECTION A, LINE 4 (BAD DEBT EXPENSE FOOTNOTE) THE TEXT OF THE ORGANIZATION'S BAD DEBT EXPENSE FOOTNOTE CAN BE FOUND ON PAGE 25 (FOOTNOTE #13) OF THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CHRISTIANA CARE HEALTH SERVICES, INC. --------------------
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 CHRISTIANA CARE AND THE COMMUNITY BENEFIT STANDARD SET FORTH IN IRS REVENUE RULING 69-545, CHRISTIANA CARE PROVIDES CARE FOR ALL PATIENTS COVERED BY MEDICARE SEEKING MEDICAL CARE. SUCH CARE IS PROVIDED REGARDLESS OF WHETHER THE REIMBURSEMENT PROVIDED FOR SUCH SERVICES MEETS OR EXCEEDS THE COSTS INCURRED BY CHRISTIANA CARE TO PROVIDE SUCH SERVICES. AS A RESULT, CHRISTIANA CARE VIEWS ANY SHORTFALL REPORTED IN LINE 7 AS AN ADDITIONAL ITEM OF COMMUNITY BENEFIT PROVIDED BY THE ORGANIZATION. -------------------- PART III, SECTION B, LINE 9B (COLLECTION PRACTICES) CHRISTIANA CARE HAS A FINANCIAL ASSISTANCE POLICY THAT IDENTIFIES THE CIRCUMSTANCES FOR WHICH A RESPONSIBLE PARTY WOULD BE EXTENDED A 100% ADJUSTMENT ON ALL MEDICAL BILLS. THE INCOME THRESHOLD FOR THIS CHARITABLE ADJUSTMENT IS 200% OF THE FEDERAL POVERTY LEVEL AND IT IS BASED ON THE NUMBER OF DEPENDENTS IN THE HOUSEHOLD. THE FINANCIAL ASSISTANCE POLICY FURTHER EXPLAINS THAT ANY UNINSURED PATIENT WHO FAILS TO QUALIFY FOR FINANCIAL ASSISTANCE WOULD BE GRANTED A 10% SELF PAY DISCOUNT. IT ALSO REVEALS A PATIENT'S ABILITY TO ESTABLISH INTEREST-FREE MONTHLY PAYMENT ARRANGEMENTS FOR ANY OUTSTANDING BALANCE THAT IS NOT COVERED BY A THIRD PARTY PAYER. AS PART OF THE SELF PAY DUNNING PROCESS, CHRISTIANA CARE MAKES UNINSURED PATIENTS AWARE OF THE FINANCIAL ASSISTANCE PROGRAM WITH THE RELEASE OF OUR FIRST STATEMENT. ALL SUBSEQUENT STATEMENTS PROVIDE THE PATIENTS WITH AN OPPORTUNITY TO CALL OUR CUSTOMER SERVICES DEPARTMENT IF THEY ARE UNABLE TO MAKE PAYMENT IN FULL. IF A PATIENT QUALIFIES FOR A CHARITABLE ADJUSTMENT, THEY ARE EXTENDED THE COURTESY OF AN AUTOMATIC ADJUSTMENT TO THEIR BILLS FOR THE NEXT YEAR. PATIENTS WOULD NEED TO REAPPLY FOR CHARITABLE CONSIDERATION AFTER THE ONE YEAR HAS LAPSED. ALL COLLECTION ACTIONS WOULD CEASE ONCE A PATIENT IS DEEMED ELIGIBLE FOR CHARITY OR ONCE A PATIENT ESTABLISHES A MONTHLY PAYMENT ARRANGEMENT. --------------------
PART VI, LINE 2 (NEEDS ASSESSMENT)	BEGINNING IN 2011 WITH COMPLETION IN FISCAL 2013, CHRISTIANA CARE HEALTH SYSTEM (CHRISTIANA CARE) UNDERTOOK A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO GATHER CURRENT STATISTICS AND QUALITATIVE FEEDBACK ON THE KEY HEALTH ISSUES FACING COMMUNITY RESIDENTS. TO ACCOMPLISH THIS IMPORTANT EFFORT, CHRISTIANA CARE'S CHNA COMMITTEE WORKED WITH THE FOLLOWING PARTNERS: -HEALTHY COMMUNITIES INSTITUTE TO PROVIDE HEALTH INDICATORS VIA THE ONLINE TOOL, DELAWARE HEALTH TRACKER. -MELIOR GROUP TO CONDUCT COMMUNITY LEADER INTERVIEWS. -HOLLERAN CONSULTING TO SYNTHESIZE FINDINGS, DEVELOP THE FINAL REPORT AND SUPPORT MANAGEMENT IN THE DEVELOPMENT OF THE IMPLEMENTATION PLANS TO ADDRESS THE IDENTIFIED COMMUNITY NEEDS. CHRISTIANA CARE ALSO REGULARLY REACHES OUT TO THE UNINSURED AND UNDERINSURED MEMBERS OF OUR COMMUNITY FOR FEEDBACK, AND WE CONDUCT SURVEYS AT COMMUNITY HEALTH FAIRS AND EVENTS TO HELP DETERMINE PROGRAMS AND SERVICES THAT WOULD BE OF MOST VALUE TO OUR PATIENTS AND NEIGHBORS. WE RELY ON THIS FEEDBACK AS WELL AS INPUT FROM PRIMARY CARE PROVIDERS, SPECIALISTS AND PAYERS AND ALSO TRACK NATIONAL CARE ISSUES AND DATA TO DETERMINE WHAT SERVICES ARE BEING PROVIDED IN OTHER COMMUNITIES THAT MAY BE EQUALLY BENEFICIAL IN OUR OWN. COMMUNITY HEALTH NEEDS NOT ADDRESSED CHRISTIANA CARE PLANS TO ADDRESS FOUR OF THE SEVEN PRIORITIZED HEALTH NEEDS IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT. CHRISTIANA CARE WILL NOT FOCUS ON THE FOLLOWING IDENTIFIED NEEDS: -ENHANCED NUTRITION PROGRAMS FOR CHILDREN: WHILE CHRISTIANA CARE OFFERS MANY PROGRAMS SUCH AS CAMP FRESH AND COPP, WHICH PROVIDES HEALTH AND NUTRITION EDUCATION FOR CHILDREN AND YOUNG ADULTS, AI DUPONT HOSPITAL FOR CHILDREN WOULD BE THE MAIN SOURCE FOR THIS TYPE OF PROGRAM. -PHARMACIES THAT DELIVER MEDICINE: CHRISTIANA CARE WILL NOT FOCUS ON ADDRESSING THE NEED FOR PHARMACIES TO DELIVER MEDICINE AS WE DON'T HAVE THE INFRASTRUCTURE/EXPERTISE. -TRANSPORTATION: CHRISTIANA CARE WILL NOT FOCUS ON ADDRESSING THIS SPECIFIC NEED AS WE DON'T HAVE THE INFRASTRUCTURE/EXPERTISE, HOWEVER PLEASE SEE NAVIGATING AND ACCESSING THE SYSTEM FOR INFORMATION ON OUR SHUTTLE SERVICE. AS WITH ALL CHRISTIANA CARE PROGRAMS, WE WILL CONTINUE TO MONITOR COMMUNITY NEEDS AND ADJUST PROGRAMMING AND SERVICES ACCORDINGLY. THE COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND ON OUR WEBSITE (HTTP://WWW.CHRISTIANACARE.ORG/COMMUNITYBENEFIT). --------------------
PART VI, LINE 3 (PATIENT EDUCATION OF ELIGBILITY FOR ASSISTANCE)	CHRISTIANA CARE IS COMMITTED TO SERVING OUR NEIGHBORS AS INNOVATIVE, EXPERT, RESPECTFUL PARTNERS IN THEIR HEALTH, REGARDLESS OF THEIR ABILITY TO PAY. INFORMATION ABOUT OUR FINANCIAL ASSISTANCE PROGRAM IS PUBLICIZED: -ONLINE: A SUMMARY OF OUR FINANCIAL ASSISTANCE PROGRAM AND THE APPLICATION ARE AVAILABLE ON THE CHRISTIANA CARE WEBSITE AT HTTP://WWW.CHRISTIANACARE.ORG/FINANCIAL-ASSISTANCE -BY REQUEST: PATIENTS MAY LEARN ABOUT OUR FINANCIAL ASSISTANCE PROGRAM BY CALLING PATIENT FINANCIAL SERVICES AT 302-623-7000. -BILINGUAL PAMPHLETS: EDUCATIONAL PAMPHLETS IN OUR EMERGENCY DEPARTMENTS, WAITING ROOMS AND COMMON AREAS SUCH AS LOBBIES ARE AVAILABLE IN BOTH ENGLISH AND SPANISH, DIRECT PATIENTS TO CONTACT PATIENT FINANCIAL SERVICES AT 302-623-7000 FOR MORE INFORMATION ABOUT OUR FINANCIAL ASSISTANCE PROGRAM. -PATIENT RIGHTS AND RESPONSIBILITIES PAMPHLET: THIS GUIDE EXPLAINS A PATIENT'S RIGHTS TO RECEIVE INFORMATION AND COUNSELING ON THE AVAILABILITY OF FINANCIAL AID FOR HEALTH CARE AND THE ABILITY TO RECEIVE AND REVIEW AN EXPLANATION OF CHARGES RELATED TO ONE'S CARE. COPIES OF THE PAMPHLET IN BOTH ENGLISH AND SPANISH CAN BE FOUND THROUGHOUT OUR FACILITIES AND ON OUR WEBSITE AT HTTP://WWW.CHRISTIANACARE.ORG/PATIENTRIGHTSANDRESPONSIBILITIES. --------------------
PART VI, LINE 4 (COMMUNITY INFORMATION)	CHRISTIANA CARE'S SERVICE AREA FOR BOTH CHRISTIANA HOSPITAL AND WILMINGTON HOSPITAL HAS BEEN DEFINED AS NEW CASTLE COUNTY, DELAWARE (POPULATION 552,778). THIS AREA INCLUDES THE MAJORITY OF CHRISTIANA CARE'S PATIENT BASE (APPROXIMATELY 80%) AND WILL BE MOST INFLUENCED BY THE SERVICE OFFERINGS PROVIDED BY THE HOSPITAL AND INITIATIVES UNDERTAKEN BY THE HEALTH SYSTEM. GENERAL DEMOGRAPHICS: THE CORE POPULATION OF OUR DEMOGRAPHIC IN DELAWARE IS DIVIDED INTO THREE MAJOR CATEGORIES: WHITE (70.8%), BLACK (22.2%) AND HISPANIC (8.9%). PRIMARY SOCIAL AND HEALTH CARE FACTORS: THE INCOME STATISTICS FOR NEW CASTLE COUNTY ARE ABOVE THE NATIONAL AND STATE MEDIAN VALUES. THE MEDIAN HOUSEHOLD INCOME FOR THE COUNTY IS $63,537, AND THE NATIONAL AND STATE FIGURES ARE $51,939 AND $58,878 RESPECTIVELY. OVERALL, THE COUNTY HAS A LOWER PERCENTAGE OF POPULATION WHO FALL BELOW THE POVERTY LEVEL THAN THE STATE (10.7% FOR THE COUNTY, 11% FOR THE STATE). THE 18-24 AGE GROUP HAS THE HIGHEST PERCENTAGE OF POPULATION THAT FALLS BELOW THE POVERTY LEVEL IN THE COUNTY. THE COUNTY'S UNEMPLOYMENT RATE WAS 4.4% AS OF MARCH 2015, COMING DOWN FROM A HIGH OF 8.6% IN JANUARY 2010. IN THE COUNTY, 26% OF THE RESIDENTS HAVE SOME COLLEGE OR AN ASSOCIATE DEGREE, 35% HAVE A BACHELOR'S DEGREE OR HIGHER. SOCIAL FACTORS AFFECTING OUR POPULATION ARE ACCESS TO HEALTH CARE, POOR NUTRITION AND THE LACK OF AFFORDABLE HOUSING. ALSO SERVING THE COMMUNITY, WHICH IS HOME TO FEDERALLY DESIGNATED UNDERSERVED AREAS/POPULATIONS, ARE TWO OTHER ACUTE CARE HOSPITALS, ST. FRANCIS HOSPITAL AND NEMOURS/A.I. DUPONT HOSPITAL FOR CHILDREN. --------------------
PART VI, LINE 5 (INFORMATION REGARDING PROMOTION OF COMMUNITY HEALTH)	GOVERNING BODY: A MAJORITY OF CHRISTIANA CARE'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE HEALTH SYSTEM'S PRIMARY SERVICE AREA. THE MAJORITY OF MEMBERS OF THE GOVERNING BODY ARE NOT EMPLOYEES, INDEPENDENT CONTRACTORS, OR FAMILY MEMBERS OF EMPLOYEES. MEDICAL STAFF PRIVILEGES: CHRISTIANA CARE HEALTH SYSTEM EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN OUR COMMUNITY IN ALL DEPARTMENTS AND SPECIALTIES. COMMUNITY LEADER IN HEALTH CARE: DELAWARE DOES NOT HAVE A PUBLIC OR SAFETY-NET HOSPITAL. AS THE LARGEST HEALTH CARE PROVIDER IN OUR STATE, CHRISTIANA CARE SERVES A SIGNIFICANT PORTION OF OUR COMMUNITY'S UNINSURED AND UNDERINSURED POPULATION. THE CARE WE PROVIDE GOES WELL BEYOND TREATING THE SICK AND INCLUDES HEALTH-RELATED PROGRAMS AND INITIATIVES THAT SEEK TO IMPROVE THE OVERALL WELFARE OF PATIENTS. THE ORGANIZATION APPLIES SURPLUS FUNDS TO IMPROVEMENTS IN ACCESS TO CARE, OUTREACH TO OUR COMMUNITY, IMPROVING PATIENT CARE, PROVIDING MEDICAL EDUCATION AND CONDUCTING RESEARCH WITH: THE ROCCO A. ABESSINIO FAMILY WILMINGTON HOSPITAL HEALTH CENTER, WHICH HAS SERVED THE WILMINGTON COMMUNITY FOR NEARLY 125 YEARS, PROVIDES PRIMARY AND SPECIALTY MEDICAL CARE FOR THOSE IN NEED AND RECORDED MORE THAN 76,000 ANNUAL PATIENT VISITS IN FY15. WE RECENTLY COMPLETED THE WILMINGTON HOSPITAL TRANSFORMATION PROJECT, A $210 MILLION ENDEAVOR HELPED US TO TRANSFORM THE WAY CARE IS DELIVERED ON THE CAMPUS, MAKING IT MORE PATIENT- AND FAMILY-CENTERED, MORE TECHNOLOGICALLY ADVANCED, MORE COORDINATED AND MORE EFFICIENT. CHRISTIANA CARE PROVIDES A FREE SHUTTLE SERVICE BETWEEN OUR WILMINGTON AND STANTON CAMPUSES, ENSURING THAT LOW-INCOME RESIDENTS IN THE CITY OF WILMINGTON HAVE ACCESS TO SPECIALTY SERVICES ON OUR STANTON CAMPUS. OUR NO-CHARGE TRANSPORTATION SYSTEM TRAVELS APPROXIMATELY 188,000 MILES EACH YEAR, ENSURING THAT OUR PATIENTS HAVE ACCESS TO ALL CHRISTIANA CARE SERVICES AND EACH MONTH, AN AVERAGE OF 7,498 RIDERS TAKES ADVANTAGE OF THIS SERVICE. MEDICAL EDUCATION: CHRISTIANA CARE IS A MAJOR TEACHING HOSPITAL WITH TWO CAMPUSES AND MORE THAN 250 MEDICAL-DENTAL RESIDENTS AND FELLOWS, MANY OF WHOM WILL REMAIN IN DELAWARE TO ESTABLISH MEDICAL PRACTICES. WE ALSO HAVE EXTENSIVE NURSING EDUCATION PROGRAMS IN PARTNERSHIP WITH MANY OF THE LEADING COLLEGES AND UNIVERSITIES IN THE REGION. AS ACADEMIC PARTNERS WITH LOCAL AND REGIONAL TECHNICAL SCHOOLS AND COLLEGES, WE ALSO PROVIDE CLINICAL TRAINING FOR ALLIED HEALTH AND TECHNICAL POSITIONS IN HEALTH CARE. CHRISTIANA CARE HAS A NUMBER OF RESEARCH ACTIVITES IN CONJUNCTION WITH THE NATIONAL INSTITUTES OF HEALTH, THE CENTERS FOR DISEASE CONTROL, CMS AND PRIVATE FOUNDATIONS. CHRISTIANA CARE INCLUDES MORE THAN 150 PATIENT AND FAMILY ADVISERS WHO HAVE A SPECIAL INTEREST IN HELPING SHAPE THE WAY WE DELIVER CARE BASED ON THEIR INDIVIDUAL EXPERIENCES WITH OUR SERVICES. OUR PATIENT AND FAMILY ADVISORY COUNCILS SHARE THEIR PERSPECTIVES AND PROVIDE FEEDBACK AND INPUT ON TASKS AND PROJECTS TO HELP DOCTORS, NURSES AND STAFF CREATE A COLLABORATIVE AND INCLUSIVE PATIENT- AND FAMILY-CENTERED CARE EXPERIENCE FOR THOSE WE SERVE. WE PARTNER WITH COMMUNITY ORGANIZATIONS, LEADERS AND INDIVIDUALS TO SHARE AND GROW OUR KNOWLEDGE, PROMOTE INNOVATIVE HEALTH PRACTICES AND EXPERTLY ADDRESS NEEDS AND CONCERNS. THE ORGANIZATION APPLIES SURPLUS FUNDS TO IMPROVEMENTS IN ACCESS TO CARE, OUTREACH TO OUR COMMUNITY, IMPROVING PATIENT CARE, PROVIDING MEDICAL EDUCATION AND CONDUCTING RESEARCH WITH: THE MEDICAL HOME WITHOUT WALLS PROGRAM REACHES HOSPITAL AND EMERGENCY DEPARTMENT "SUPERUSERS," A GROUP THAT INCLUDES FEWER THAN 10 PERCENT OF ALL PATIENTS BUT ACCOUNTS FOR MORE THAN 20 PERCENT OF ALL VISITS TO THE HOSPITAL (MANY OF THEM HOMELESS, WITH COMPLEX MEDICAL PROBLEMS). A CASE MANAGEMENT TEAM CONSISTING OF A SOCIAL WORKER, A NURSE AND A COMMUNITY HEALTH WORKER IS ASSIGNED TO THESE PATIENTS. BY VISITING PATIENTS AT THEIR HOME OR SHELTER, ACCOMPANYING THEM TO MEDICAL APPOINTMENTS AND ADDRESSING SOCIAL ILLS SUCH AS HUNGER, ADDICTION AND DOMESTIC VIOLENCE, THE PROGRAM PROVIDES COORDINATED CARE TO PEOPLE WHO MIGHT OTHERWISE ONLY RECEIVE CARE THROUGH FREQUENT VISITS TO THE EMERGENCY DEPARTMENT. THROUGH MEDICAL HOME WITHOUT WALLS, WE CONNECT PATIENTS WITH RESOURCES IN THE COMMUNITY SUCH AS SHELTERS, FOOD BANKS AND MEDICAL INSURANCE, AND PARTNER WITH OTHER ORGANIZATIONS TO COORDINATE ADDITIONAL HELP. CARE LINK CASE MANAGERS HELP PATIENTS WITH CHRONIC ILLNESS NAVIGATE AND COORDINATE HOSPITAL, PHYSICIAN, COMMUNITY AND SUPPORT SERVICES. A VIRTUAL HUB OF INTERDISCIPLINARY CARE LINK PROFESSIONALS, INCLUDING NURSES, CONTRIBUTES TO SIGNIFICANT REDUCTIONS IN RE-HOSPITALIZATIONS OF 650 SURGICAL PATIENTS MANAGED BY THE CARE LINK TEAM, FEWER THAN 2 PERCENT RETURNED FOR OBSERVATION OR EMERGENCY DEPARTMENT VISITS. THE SEVEN-DAY READMISSION RATE WAS LOWER THAN FOR ELECTIVE SURGICAL PATIENTS NOT MANAGED BY CARE LINK. CHRISTIANA CARE'S COMMUNITY HEALTH AND OUTREACH STAFF WORK WITH THE HISPANIC COMMUNITY THROUGH SEVERAL PROGRAMS AND EVENTS. STAFF TRAIN PROMOTORAS, LATINAS WHO PROMOTE WELLNESS AND HELP CONNECT MEMBERS OF DELAWARE'S RAPIDLY GROWING HISPANIC COMMUNITY WITH HEALTH SERVICES, PARTICULARLY PREVENTIVE SCREENINGS. THE HEALTHY LATIN FAMILIES PROGRAM IS FOR NEW CASTLE COUNTY RESIDENTS INTERESTED IN MAKING THEIR FAMILIES AND HOMES HEALTHIER. THIS FREE PROGRAM HELPS PEOPLE, INCLUDING THOSE WITHOUT INSURANCE, INDIVIDUALS WHO NEED SCREENINGS AND PREVENTIVE CARE, THOSE WITH CHRONIC DISEASES AND CHILDREN WITH ASTHMA. AS PART OF THE PROGRAM A TRAINED PROMOTORA WILL HELP WITH PREVENTION, APPOINTMENTS FOR CHECK-UPS AND CONNECTING FAMILIES TO COMMUNITY AND HEALTH CARE RESOURCES. THE ANNUAL LATINAS FUERTES Y SALUDABLES - LATINAS: STRONG AND HEALTHY -- A LIFE-AFFIRMING PROGRAM PRESENTED ENTIRELY IN SPANISH -- BRINGS HEALTH INFORMATION, SCREENINGS AND RESOURCES FROM OUR COMMUNITY PARTNERS TO MORE THAN 300 MEMBERS OF THE HISPANIC COMMUNITY. ATTENDEES, EMPOWERED WITH EDUCATION ABOUT HEALTHY LIVING, ARE ENCOURAGED TO SHARE THEIR KNOWLEDGE WITH OTHERS. OUR CURRENT BREAST HEALTH PROGRAMS REACHED MORE THAN 14,000 WOMEN IN FY15, AND OFFER SUPPORT TO THE UNDERSERVED COMMUNITY WITH BILINGUAL NAVIGATORS TO IMPROVE ACCESS TO MAMMOGRAMS, ASSISTANCE WITH TRANSPORTATION, REMINDER NOTICES, ESCORTS FOR PATIENTS AND FUNDING. THEY ALSO PROVIDE COMMUNITY EDUCATION TO PROMOTE BREAST HEALTH, CANCER PREVENTION AND EARLY DETECTION. OUTREACH NAVIGATORS FROM THE HELEN F. GRAHAM CANCER CENTER AND RESEARCH INSTITUTE ALSO PARTNERED WITH THE HINDU TEMPLE IN NEW CASTLE TO EDUCATE WOMEN AND ARRANGE FOR FREE MAMMOGRAPHY SCREENINGS AND TRANSPORTATION TO THE GRAHAM CENTER. HEALTH INFO ON THE GO IS AN INNOVATIVE WAY TO REACH THE COMMUNITY AND PROVIDE ACCESS TO CARE. THE COMMUNITY HEALTH OUTREACH AND EDUCATION STAFF OFFER A MODEL COMBINING HEALTH EDUCATION AND ROUTINE HEALTH SCREENINGS IN CHOLESTEROL, GLUCOSE AND BLOOD PRESSURE WITH CANCER AWARENESS, PREVENTION AND EARLY DETECTION AT THE LOCAL FARMERS MARKET. THEIR CULTURALLY DIVERSE AND BILINGUAL TEAM ALLOWS THEM TO ENGAGE WITH MULTICULTURAL SHOPPERS. SINCE THE PROGRAM'S START IN 2009 HEALTH INFO ON THE GO HAS REACHED MORE THAN 3,500 SHOPPERS AND PROVIDED SCREENING TO MORE THAN 1,300 PEOPLE. FOR 30 YEARS, THE FIRST STATE SCHOOL AT WILMINGTON HOSPITAL HAS GIVEN CHILDREN AND ADOLESCENTS WHO WOULD OTHERWISE BE HOMEBOUND WITH SERIOUS ILLNESSES THE CHANCE TO ATTEND SCHOOL WITH THEIR PEERS WHILE THEY GET THE MEDICAL TREATMENT THEY NEED. FIRST STATE SCHOOL OFFERS KINDERGARTEN THROUGH HIGH-SCHOOL EDUCATION TO CHILDREN WITH DIABETES, SICKLE-CELL ANEMIA, SEVERE ASTHMA, CANCER AND OTHER ILLNESSES THAT PRECLUDE ATTENDANCE AT REGULAR SCHOOL. THE PROGRAM IS A PARTNERSHIP WITH THE DELAWARE DEPARTMENT OF EDUCATION THROUGH THE RED CLAY SCHOOL DISTRICT. CHRISTIANA CARE'S HEALTH AMBASSADORS PROVIDE EDUCATION, SUPPORT AND ENCOURAGEMENT ON MATERNAL AND INFANT HEALTH TO YOUNG COUPLES AND PREGNANT WOMEN AT COMMUNITY EVENTS THROUGHOUT NEW CASTLE COUNTY, WITH FUNDING FROM THE DELAWARE DIVISION OF PUBLIC HEALTH AND PARTNERSHIP FROM 20 ORGANIZATIONS. HEALTH AMBASSADORS OFFER INFORMATION ABOUT NUTRITION, SAFETY, MENTAL HEALTH, SAFE SLEEP, BREASTFEEDING AND OTHER WELLNESS TOPICS. CHRISTIANA CARE LEADS A CITY-WIDE TEAM OF HEALTH AMBASSADORS IN PARTNERSHIP WITH BELLEVUE COMMUNITY CENTER, HENRIETTA JOHNSON MEDICAL CENTER AND WESTSIDE FAMILY HEALTHCARE. HEALTH AMBASSADORS CONNECT PREGNANT WOMEN AND NEW PARENTS TO HEALTH CARE SERVICES AND OTHER RESOURCES, INCLUDING HOME VISITORS TO HELP FAMILIES GET A HEALTHY START IN LIFE. THE BLOOD PRESSURE AMBASSADOR PROGRAM INCREASES AWARENESS OF HYPERTENSION IN THE AFRICAN-AMERICAN COMMUNITY, USING A MODEL OF PEER EDUCATION AND CAMARADERIE. BLOOD PRESSURE AMBASSADORS DELIVER KEY MESSAGES ABOUT THE CONSEQUENCES OF UNTREATED HIGH BLOOD PRESSURE TO FRIENDS, FAMILY AND CO-WORKERS DURING DAILY INTERACTIONS. AMBASSADORS ALSO ASK KEY QUESTIONS TO ENCOURAGE INDIVIDUALS TO KNOW THEIR NUMBERS, AND TO ENSURE THEY ARE CONNECTED TO A HEALTH CARE
PART VI, LINE 6 (AFFILIATED HEALTHCARE SYSTEM INFORMATION)	CHRISTIANA CARE HEALTH SERVICES, INC.: CHRISTIANA CARE IS A MAJOR TEACHING SYSTEM WITH TWO CAMPUSES, A 1,618 MEMBER MEDICAL-DENTAL STAFF AND MORE THAN 285 MEDICAL-DENTAL RESIDENTS AND FELLOWS. MAJOR FACILITIES INCLUDE: -STANTON CAMPUS: LOCATED IN NEWARK, DELAWARE, THIS CAMPUS IS HOME TO THE 907-BED CHRISTIANA HOSPITAL, THE CHRISTIANA CARE CENTER FOR HEART & VASCULAR HEALTH, THE HELEN F. GRAHAM CANCER CENTER & RESEARCH INSTITUTE, THE CHRISTIANA CARE BREAST CENTER, THE CHRISTIANA SURGICENTER AND THE JOHN H. AMMON MEDICAL EDUCATION CENTER. -WILMINGTON CAMPUS: LOCATED IN THE HEART OF THE CITY OF WILMINGTON, DELAWARE, AND CORPORATE HEADQUARTERS FOR CHRISTIANA CARE HEALTH SYSTEM, THIS CAMPUS FEATURES THE 241-BED WILMINGTON HOSPITAL, THE ROCCO A. ABESSINIO FAMILY WILMINGTON HOSPITAL HEALTH CENTER, THE CENTER FOR REHABILITATION, THE CENTER FOR ADVANCED JOINT REPLACEMENT, THE WILMINGTON ANNEX, THE SWANK MEMORY CARE CENTER, THE FIRST STATE SCHOOL AND THE ROXANA CANNON ARSHT SURGICENTER. THESE TWO HOSPITAL CAMPUSES AND CHRISTIANA CARE'S MANY OUTPATIENT ENTITIES SERVE OUR COMMUNITY ACROSS THE CONTINUUM OF CARE. --------------------
PART VI, LINE 7 (STATES FILING OF COMMUNITY BENEFIT REPORT)	WHILE DELAWARE DOES NOT REQUIRE THE FILING OF A COMMUNITY BENEFIT REPORT, CHRISTIANA CARE HAS ESTABLISHED A DEDICATED SECTION ON OUR WEBSITE THAT CATALOGUES OUR COMMUNITY BENEFIT INITIATIVES AND STORIES. THE GROWING LIBRARY OF STORIES CAN BE FOUND AT: HTTP://WWW.CHRISTIANACARE.ORG/COMMUNITYBENEFIT

Schedule H (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

CHRISTIANA CARE HEALTH SERVICES INC

Employer identification number

51-0103684

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2014

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1THOMAS L CORRIGANSR VP FINANCE/CFO, OFF OF BRD	(i) (ii)	504,385 ............................... 0	165,004 ............................... 0	13,085 ............................... 0	74,480 ............................... 0	20,829 ............................... 0	777,783 ............................... 0	0 ............................... 0
2GARY W FERGUSONCHIEF OPER OFF, OFF OF BOARD	(i) (ii)	535,722 ............................... 0	175,842 ............................... 0	98,100 ............................... 0	28,454 ............................... 0	7,003 ............................... 0	845,121 ............................... 0	0 ............................... 0
3ROBERT LASKOWSKIPRESIDENT & CEO, RETIRED 12/14	(i) (ii)	905,899 ............................... 0	419,958 ............................... 0	120,712 ............................... 0	28,454 ............................... 0	22,638 ............................... 0	1,497,661 ............................... 0	0 ............................... 0
4JANICE NEVIN MDPRES&CEO EXOFFICIO AS OF 11/14	(i) (ii)	558,295 ............................... 0	154,179 ............................... 0	7,728 ............................... 0	75,175 ............................... 0	12,645 ............................... 0	808,022 ............................... 0	0 ............................... 0
5DIANE TALAREKSR VP OF PATIENT CARE SERVICES	(i) (ii)	298,061 ............................... 0	78,162 ............................... 0	27,116 ............................... 0	28,454 ............................... 0	12,645 ............................... 0	444,438 ............................... 0	0 ............................... 0
6RAY SEIGFRIEDSR VP, ADMINISTRATION	(i) (ii)	224,830 ............................... 0	58,959 ............................... 0	7,968 ............................... 0	28,454 ............................... 0	19,789 ............................... 0	340,000 ............................... 0	0 ............................... 0
7MICHAEL BANBURY MDCHIEF, CARDIAC SURGERY	(i) (ii)	850,720 ............................... 0	133,988 ............................... 0	48,721 ............................... 0	28,454 ............................... 0	18,458 ............................... 0	1,080,341 ............................... 0	0 ............................... 0
8BRENDA K PIERCE ESQCORP COUNSEL, OFFICER OF BOARD	(i) (ii)	285,746 ............................... 0	74,933 ............................... 0	1,029 ............................... 0	45,484 ............................... 0	16,874 ............................... 0	424,066 ............................... 0	0 ............................... 0
9AUDREY VAN LUVENSENIOR VP & CHIEF HR OFFICER	(i) (ii)	354,142 ............................... 0	114,478 ............................... 0	9,058 ............................... 0	63,144 ............................... 0	12,645 ............................... 0	553,467 ............................... 0	0 ............................... 0
10TIMOTHY GARDNER MDMEDICAL DIRECTOR, HVIS	(i) (ii)	601,792 ............................... 0	158,768 ............................... 0	50,333 ............................... 0	28,454 ............................... 0	14,080 ............................... 0	853,427 ............................... 0	0 ............................... 0
11NICHOLAS PETRELLI MDMEDICAL DIRECTOR, CANCER	(i) (ii)	525,339 ............................... 0	139,664 ............................... 0	63,784 ............................... 0	28,454 ............................... 0	20,829 ............................... 0	778,070 ............................... 0	0 ............................... 0
12FREDERIC HARAD MDVASCULAR SURGEON	(i) (ii)	367,452 ............................... 0	337,417 ............................... 0	2,513 ............................... 0	23,154 ............................... 0	19,789 ............................... 0	750,325 ............................... 0	0 ............................... 0
13GERARD FULDA MDCHAIR, DEPARTMENT OF SURGERY	(i) (ii)	463,585 ............................... 0	184,694 ............................... 0	17,333 ............................... 0	50,054 ............................... 0	20,889 ............................... 0	736,555 ............................... 0	0 ............................... 0

Schedule J (Form 990) 2014

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Return Reference	Explanation
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 4B (SUPP. NONQUALIFIED PLAN PARTICIP.)	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: THOMAS L. CORRIGAN- NO DISTRIBUTION GARY W. FERGUSON- $86,156 TIMOTHY GARDNER, MD- $35,866 ROBERT J. LASKOWSKI, MD- $114,362 JANICE NEVIN MD- NO DISTRIBUTION BRENDA K. PIERCE, ESQ.- NO DISTRIBUTION NICHOLAS PETRELLI- $31,551 RAY SEIGFRIED- $5,360 DIANE TALAREK- $17,764 AUDREY VAN LUVEN- NO DISTRIBUTION --------------------
FORM 990, SCHEDULE J, PART I, LINE 7 (PROVISION OF NON-FIXED PAYMENTS)	CCHS PROVIDES DISCRETIONARY BONUS AND/OR INCENTIVE COMPENSATION PAYMENTS TO ELIGIBLE EMPLOYEES. PAYMENTS MADE TO ANY DISQUALIFIED PERSON IS APPROVED BY THE CCHS COMPENSATION COMMITTEE THROUGH THE PROCESS DESCRIBED IN FORM 990, PART VI, SECTION B, LINE 15.

Schedule J (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization
CHRISTIANA CARE HEALTH SERVICES INC

Employer identification number
51-0103684

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	DELAWARE HLTH FACILITIES AUTHORITY SERIES 2008	51-0272458	246388NVO	11-20-2008	80,000,000	REFINANCE SERIES 2004 & MED BLDG		X		X		X
B	DELAWARE HLTH FACILITIES AUTHORITY SERIES 2009	51-0272458		12-18-2009	30,000,000	REFINANCE SERIES 1998		X		X		X
C	DELAWARE HLTH FACILITIES AUTHORITY SERIES 2010A	51-0272458	246388EQ5	11-04-2010	74,491,341	CONSTRUCTION OF HOSPITAL		X		X		X
D	DELAWARE HLTH FACILITIES AUTHORITY SERIES 2010	51-0272458	246388QPO	11-04-2010	127,195,000	CONSTRUCTION OF HOSPITAL		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	0		24,595,000		0		0
2 Amount of bonds legally defeased . . . . . . . . . . .	0		0		0		0
3 Total proceeds of issue . . . . . . . . . . . . . .	80,000,000		30,000,000		74,956,804		128,314,967
4 Gross proceeds in reserve funds . . . . . . . . . . . .	0		0		0		0
5 Capitalized interest from proceeds . . . . . . . . . . .	0		0		0		0
6 Proceeds in refunding escrows . . . . . . . . . . . .	0		0		0		0
7 Issuance costs from proceeds . . . . . . . . . . . .	774,850		0		879,197		684,318
8 Credit enhancement from proceeds . . . . . . . . . . .	0		0		0		0
9 Working capital expenditures from proceeds . . . . . . . . .	0		0		0		0
10 Capital expenditures from proceeds . . . . . . . . . . .	19,062,025		0		74,077,607		127,630,649
11 Other spent proceeds . . . . . . . . . . . . . .	60,163,125		30,000,000		0		0
12 Other unspent proceeds . . . . . . . . . . . . . .	0		0		0		0
13 Year of substantial completion . . . . . . . . . . . .	2006		2000		2014		2014
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .	X		X			X		X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X		X		X		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X				X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X				X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2014

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .		X				X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .	X					X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0 %		0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0 %		0 %		0 %		0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0 %		0 %		0 %		0 %
7 Does the bond issue meet the private security or payment test? . . . . .		X				X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X				X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.	0 %		0 %		0 %		0 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .		X				X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X				X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .
b Exception to rebate? . . . . . . . .	X		X
c No rebate due? . . . . . . . .	X				X		X
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed . . . . . .
3 Is the bond issue a variable rate issue? . . . .	X			X		X	X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider . . . . . . . . .	0		0		0
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2014

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .	0		0		0		0
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
FORM 990, SCHEDULE K, PART II, LINE 3	FOR DELAWARE HLTH FACILITIES AUTHORITY SERIES 2010A, THE TOTAL PROCEEDS OF ISSUE REPORTED INCLUDES $465,463 IN INVESTMENT EARNINGS. FOR DELAWARE HLTH FACILITIES AUTHORITY SERIES 2010, THE TOTAL PROCEEDS OF ISSUE REPORTED INCLUDES $1,119,967 IN INVESTMENT EARNINGS. --------------------
FORM 990, SCHEDULE K, PART IV, LINE 2C, COLUMNS B, C, AND D	AN ARBITRAGE REBATE AND YIELD RESTRICTION COMPLIANCE ANALYSIS WAS COMPLETED BY THE PFM GROUP FOR THE DELAWARE HEALTH FACILITIES AUTHORITY 2009 BONDS ON OCTOBER 1, 2015 AND THE DELAWARE HEALTH FACILITIES AUTHORITY 2010 BONDS ON NOVEMBER 4, 2015.

Schedule K (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

CHRISTIANA CARE HEALTH SERVICES INC

Employer identification number

51-0103684

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ...... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2014

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) THERESA M BURGESS	FAMILY MEMBER OF BRD MBR	60,263	PAYMENT OF COMPENSATION		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

CHRISTIANA CARE HEALTH SERVICES INC

Employer identification number

51-0103684

Return Reference	Explanation
FORM 990, PART III, LINE 4D (DETAIL OF OTHER PROGRAM SERVICES)	CHRISTIANA CARE HEALTH SERVICES ("CCHS"), HEADQUARTERED IN WILMINGTON, DELAWARE, IS ONE OF THE COUNTRY'S LARGEST HEALTH CARE PROVIDERS AND IS A MAJOR TEACHING HOSPITAL WITH TWO CAMPUSES AND MORE THAN 250 MEDICAL-DENTAL RESIDENTS AND FELLOWS. CHRISTIANA CARE IS RECOGNIZED AS A REGIONAL CENTER FOR EXCELLENCE IN CARDIOLOGY, CANCER AND WOMEN'S HEALTH SERVICES. THE SYSTEM FEATURES A LEVEL 3 NEONATAL INTENSIVE CARE UNIT, THE ONLY DELIVERING HOSPITAL IN THE STATE TO OFFER THIS LEVEL OF CARE FOR NEWBORNS. CHRISTIANA CARE HEALTH SERVICES IS ALSO HOME TO DELAWARE'S ONLY LEVEL 1 TRAUMA CENTER, THE ONLY OF ITS KIND BETWEEN PHILADELPHIA AND BALTIMORE. A NOT-FOR-PROFIT, NON-SECTARIAN HEALTH SYSTEM, CHRISTIANA CARE INCLUDES TWO HOSPITALS WITH MORE THAN 1,100 PATIENT BEDS, A HOME HEALTH CARE SERVICE, PREVENTIVE MEDICINE, REHABILITATION SERVICES, A NETWORK OF PRIMARY CARE PHYSICIANS AND AN EXTENSIVE RANGE OF OUTPATIENT SERVICES. WITH MORE THAN 11,100 EMPLOYEES, CHRISTIANA CARE IS THE LARGEST PRIVATE EMPLOYER IN DELAWARE AND ONE OF THE LARGEST EMPLOYERS IN THE PHILADELPHIA REGION. --------------------
FORM 990, PART IV, LINE 21 & SCHEDULE I (SUBAWARDS)	IN FURTHERANCE OF ITS MEDICAL RESEARCH ACTIVITIES, CHRISTIANA CARE HEALTH SERVICES, INC. ("CCHS") MAKES SUB-AWARDS TO OTHER INSTITUTIONS THAT PERFORM RESEARCH IN CONNECTION WITH RESEARCH GRANTS AWARDED TO CCHS. CCHS DOES NOT CATEGORIZE THESE SUB-AWARDS AS GRANTS OR ASSISTANCE FOR FORM 990 REPORTING, SINCE THE RECIPIENT ORGANIZATIONS PERFORM RESEARCH SERVICES FOR CCHS AND ARE CONSIDERED INDEPENDENT CONTRACTORS WHICH SERVE THE DIRECT NEEDS OF CCHS. DURING THE YEAR ENDED JUNE 30, 2015, CCHS MADE SUB-AWARD PAYMENTS TO 3 RECIPIENTS TOTALING $603,258. --------------------
FORM 990, PART VI, SECTION A, LINE 7A,B (GOVERNING BODY AND MANAGEMENT)	THE BOARD OF DIRECTORS OF CHRISTIANA CARE HEALTH SYSTEM, INC. ("SYSTEM"), SOLE MEMBER OF CHRISTIANA CARE HEALTH SERVICES, INC. ("CCHS"), AT IT'S ANNUAL MEETING IN NOVEMBER, ELECTS DIRECTORS OF CCHS. THE ANNUAL OPERATING BUDGET OF CCHS IS APPROVED BY THE CCHS BOARD, THE SYSTEM FINANCE COMMITTEE AND THE SYSTEM BOARD. --------------------
FORM 990, PART VI, SECTION B, LINE 11 (FORM 990 REVIEW PROCESS)	INFORMATION RELATED TO CCHS' FORM 990 FILING IS GATHERED BY FINANCE STAFF AND PROVIDED TO PRICEWATERHOUSECOOPERS LLP FOR REVIEW. THE FINAL 2014 FORM 990 FOR THE FISCAL YEAR ENDING JUNE 30, 2015 WAS REVIEWED AND APPROVED BY VARIOUS SENIOR MANAGEMENT OFFICIALS. THE ORGANIZATION'S GOVERNING BOARD WAS ALSO PROVIDED ACCESS TO THE APPROVED 2014 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 SUPERVISORY POLICY MANUAL. THERE IS AN ANNUAL MANDATORY EDUCATION FOR MANAGERS WHICH INCLUDES AN ELECTRONIC SIGN OFF ACKNOWLEDGING COMPLETION OF THE EDUCATION, REPORTING OF A REAL OR PERCEIVED CONFLICT OR THAT NO CONFLICTS OF INTEREST EXISTS. THE HR/EMPLOYEE RELATIONS TEAM FOLLOWS UP WITH ANYONE WHO HAS A CONFLICT OR PERCEIVED CONFLICT OR DOES NOT COMPLETE THE EDUCATION IN ORDER TO RESOLVE. THE EMPLOYEE HANDBOOK SETS EXPECTATIONS FOR EMPLOYEE CONFLICTS OF INTEREST AND EXPECTATIONS. SEVERAL REPORTING MECHANISMS ALSO EXIST FOR EMPLOYEES TO REPORT CONCERNS. THE BOARD OF DIRECTORS HAS THEIR OWN COI POLICY. COI IS A STANDING AGENDA ITEM ON EACH BOARD OR BOARD COMMITTEE MEETING. BOARD MEMBERS EXPECTATIONS FOR COI ARE CLEARLY COMMUNICATED. --------------------
FORM 990, PART VI, SECTION B, LINE 15 (COMPENSATION REVIEW AND APPROVAL)	THE BOARD OF DIRECTORS ESTABLISHES CHRISTIANA CARE'S COMPETITIVE TOTAL COMPENSATION POLICY AND PRACTICE. THE EXECUTIVE COMPENSATION COMMITTEE ("ECC") OF THE BOARD ENGAGES AN INDEPENDENT THIRD PARTY ANNUALLY WHO ASSESSES DATA FROM SEVERAL MAJOR 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 C, LINE 19 (GOVERNANCE, MGMT, AND DISCLOSURE)	THE FORM 990, GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY OF CCHS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. IN ADDITION, THE FINANCIAL STATEMENTS ARE AVAILABLE ON THE WEB THROUGH DIGITAL ASSURANCE CERTIFICATION ("DAC"). --------------------
FORM 990, PART XI, LINE 9 (DETAIL OF OTHER CHANGES IN NET ASSETS)	CHANGE IN POST RETIREMENT $(44,754,891) BENEFICIAL INTEREST IN SYSTEM 295,409 ------------ TOTAL $(44,459,482) ============

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

CHRISTIANA CARE HEALTH SERVICES INC

Employer identification number

51-0103684

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) CHRISTIANA CARE CAMPUS REALTY LLC 501 WEST 14TH STREET WILMINGTON,DE19801 51-0103684	SUPPORT SRVCS	DE	0	0	CCHS
(2) CHRISTIANA CARE QUALITY PARTNERS LLC 501 WEST 14TH STREET WILMINGTON,DE19801 51-0103684	SUPPORT SRVCS	DE	-555,879	0	CCHS

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) CHRISTIANA CARE HEALTH SYSTEM INC 501 WEST 14TH STREET WILMINGTON,DE19801 52-1479538	fundraising	DE	501(c)(3)	7	NA		No
(2) CHRISTIANA CARE HLTH INITIATIVES INC 200 HYGEIA DRIVE SUITE 2300 NEWARK,DE19713 51-0295186	OUTPATIENT SV	DE	501(c)(3)	9	CCHS SYSTEM		No
(3) CHRISTIANA CARE HOME HEALTH & COM SRVCS 1 READS WAY NEW CASTLE,DE19720 51-0064334	HOME HLTHCARE	DE	501(c)(3)	7	CCHS SYSTEM		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2014

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) GLASGOW MEDICAL CENTER LLC 2600 GLASGOW AVENUE SUITE 204 NEWARK,DE19702 51-0320926	MEDICAL SERVICES	DE	CCHI

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) THE DE CTR FOR MAT FETAL MED OF CC INC 200 HYGEIA DRIVE NEWARK,DE19713 20-5891272	HEALTHCARE	DE	CCHS	C CORP	138,347	1,964,307	100.000 %	Yes
(2) CHRISTIANA CARE HEALTH PLANS 200 HYGEIA DRIVE OFFICE 2524 NEWARK,DE19713 51-0352728	INSURANCE	DE	CCHS SYSTEM	C CORP					No

Schedule R (Form 990) 2014

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

Yes

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

Yes

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) THE DE CTR FOR MAT FETAL MED OF CC INC	A,O	511,748	FMV

Schedule R (Form 990) 2014

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2014

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2014

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: OUR MISSION AS AN ORGANIZATION IS TO SERVE OUR NEIGHBORS AS EXPERT, CARING PARTNERS IN THEIR HEALTH.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	21
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	18
5	Total number of individuals employed in calendar year 2014 (Part V, line 2a) ......	5	11,317
6	Total number of volunteers (estimate if necessary) .............	6	1,210
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	4,163,326
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	39,177,754	42,304,655
9	Program service revenue (Part VIII, line 2g) .........	1,243,256,506	1,303,771,875
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	48,216,589	46,189,318
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	192,768,083	226,704,014
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	1,523,418,932	1,618,969,862
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	678,667	516,452
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	901,403,715	932,174,729
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	469,200,419	500,605,869
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,371,282,801	1,433,297,050
19	Revenue less expenses. Subtract line 18 from line 12.......	152,136,131	185,672,812
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	2,523,303,432	2,666,867,463
21	Total liabilities (Part X, line 26).............	728,024,257	743,516,912
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,795,279,175	1,923,350,551

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 373,123,213 including grants of $ 0 ) (Revenue $ 276,571,141 )
	PROVISION OF PROFESSIONAL PATIENT CARE FOR THE HOSPITALS OF CHRISTIANA CARE. 3,401 NURSES ARE EMPLOYED WITH 280,115 PATIENT DAYS RECORDED DURING FISCAL 2015. THE HOSPITALS OFFER A FULL SCOPE OF SERVICES WITH THE NEEDS OF THE POPULATION SERVED WITHOUT REGARD TO AGE, RACE OR ECONOMIC CIRCUMSTANCES.

4b	(Code: ) (Expenses $ 67,593,640 including grants of $ 0 ) (Revenue $ 137,639,776 )
	LABORATORY-PROVIDED LAB TESTING FOR BOTH INPATIENTS AND OUTPATIENTS. DURING FISCAL 2015, 3,288,789 LAB TESTS WERE PERFORMED WITH AN APPROXIMATE STAFF OF 275.

4c	(Code: ) (Expenses $ 217,918,509 including grants of $ 0 ) (Revenue $ 343,925,836 )
	OPERATING ROOM-PROVIDED BOTH INPATIENT AND OUTPATIENT SURGICAL PROCEDURES. IN FISCAL 2015, 38,712 OPERATIONS WERE PERFORMED, REQUIRING A STAFF OF APPROXIMATELY 301.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 517,858,954 including grants of $ 516,452 ) (Revenue $ 770,138,795 )
4e	Total program service expenses1,176,494,316

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	9,198,894	0	750,861

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		8,123,379
e	Government grants (contributions)1e		16,535,702

f	All other contributions, gifts, grants, and similar amounts not included above1f		17,645,574

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			42,304,655
			Business Code
2a	NET PROGRAM SERVICE REVENUES		622110	1,286,697,723	1,286,697,723
b	OTHER REVENUES		900099	17,074,152	2,733,717	4,163,326	10,177,109
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			1,303,771,875
3	Investment income (including dividends, interest, and other similar amounts).......			17,061,730			17,061,730
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties...........			0
		(i) Real	(ii) Personal
6a	Gross rents	2,473,007
b	Less: rental expenses	1,961,317
c	Rental income or (loss)	511,690	0
d	Net rental income or (loss).......			511,690			511,690
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	156,711,467
b	Less: cost or other basis and sales expenses	127,583,879
c	Gain or (loss)	29,127,588
d	Net gain or (loss)..........			29,127,588			29,127,588
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a		334,337,070
b	Less: cost of goods sold ..b		113,431,420
c	Net income or (loss) from sales of inventory..			220,905,650	220,905,650
Miscellaneous Revenue			Business Code
11a	CONDOMINIUM MAINTENANCE FEES		531390	1,688,651			1,688,651
b	MEANINGFUL USE		110000	3,598,023	3,598,023
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			5,286,674
12	Total revenue. See Instructions......			1,618,969,862	1,513,935,113	4,163,326	58,566,768


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			82,773,683	1	66,449,901
2	Savings and temporary cash investments .........			181,643,342	2	181,669,821
3	Pledges and grants receivable, net ...........			0	3	0
4	Accounts receivable, net .............			232,678,766	4	212,627,312
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6	0
7	Notes and loans receivable, net .............			0	7	0
8	Inventories for sale or use ..............			17,053,122	8	21,171,370
9	Prepaid expenses and deferred charges ..........			0	9	0
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,780,671,889
b	Less: accumulated depreciation .....	10b	995,626,271	581,101,589	10c	785,045,618
11	Investments—publicly traded securities ..........			1,000,085,098	11	1,156,576,574
12	Investments—other securities. See Part IV, line 11 .....			114,970,271	12	123,018,609
13	Investments—program-related. See Part IV, line 11 .....			0	13	0
14	Intangible assets ...............			1,015,805	14	1,015,805
15	Other assets. See Part IV, line 11 ...........			311,981,756	15	119,292,453
16	Total assets. Add lines 1 through 15 (must equal line 34)......			2,523,303,432	16	2,666,867,463
17	Accounts payable and accrued expenses .........			195,211,434	17	207,558,197
18	Grants payable .................			0	18	0
19	Deferred revenue ................			0	19	0
20	Tax-exempt bond liabilities .............			292,184,684	20	286,685,053
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........			0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..			0	23	0
24	Unsecured notes and loans payable to unrelated third parties ....			0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			240,628,139	25	249,273,662
26	Total liabilities. Add lines 17 through 25.........			728,024,257	26	743,516,912
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			1,732,629,972	27	1,860,853,006
28	Temporarily restricted net assets ...........			38,701,632	28	38,685,943
29	Permanently restricted net assets ...........			23,947,571	29	23,811,602
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			1,795,279,175	33	1,923,350,551
34	Total liabilities and net assets/fund balances ........			2,523,303,432	34	2,666,867,463

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; do not file with Form 990)............................	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)...............................................	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713; do not file with Form 990).....................................	Yes	No