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TIDALHEALTH NANTICOKE INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
TIDALHEALTH NANTICOKE INC (EIN 51-0069243)
Tax period
2021-07-01 to 2022-06-30
Filed
2023-05-12
IRS object ID
202331329349306413
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-05-12T13:35:13-05:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN366055558PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GRANT THORNTON LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11000 WILSON BOULEVARD SUITE 1500AddressLine1Txt
CityARLINGTONCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22209ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN510069243EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TIDALHEALTH NANTICOKE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlTIDABusinessNameControlTxt
Phone3026296611PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 MIDDLEFORD ROADAddressLine1Txt
CitySEAFORDCityNm
State AbbreviationDEStateAbbreviationCd
ZIP19973ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPENNY SHORTPersonNm
Person TitleCFOPersonTitleTxt
Phone4105466400PhoneNum
Signature2023-05-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstPENNYPersonFirstNm
Person LastSHORTPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARY TORRETTAPreparerPersonNm
PTINP00847851PTIN
Phone7038477500PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPENNY SHORTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 MIDDLEFORD ROADAddressLine1Txt
CitySEAFORDCityNm
State AbbreviationDEStateAbbreviationCd
ZIP19973ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$188,911,681GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.TIDALHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1945FormationYr
Legal Domicile StateDELegalDomicileStateCd
Activity Or MissionIMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers85TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$7,950,000PYContributionsGrantsAmt
CY Contributions Grants$6,007,358CYContributionsGrantsAmt
PY Program Service Revenue$140,293,654PYProgramServiceRevenueAmt
CY Program Service Revenue$142,086,268CYProgramServiceRevenueAmt
PY Investment Income$4,270,650PYInvestmentIncomeAmt
CY Investment Income$1,059,721CYInvestmentIncomeAmt
PY Other Revenue$2,003,281PYOtherRevenueAmt
CY Other Revenue$2,283,648CYOtherRevenueAmt
PY Total Revenue$154,517,585PYTotalRevenueAmt
CY Total Revenue$151,436,995CYTotalRevenueAmt
PY Grants And Similar Paid$265,905PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$21,988CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$62,913,029PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$61,997,472CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$98,255,733PYOtherExpensesAmt
CY Other Expenses$102,684,847CYOtherExpensesAmt
PY Total Expenses$161,434,667PYTotalExpensesAmt
CY Total Expenses$164,704,307CYTotalExpensesAmt
PY Revenues Less Expenses-$6,917,082PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$13,267,312CYRevenuesLessExpensesAmt
Total Assets BOY$189,690,264TotalAssetsBOYAmt
Total Assets EOY$148,683,961TotalAssetsEOYAmt
Total Liabilities BOY$45,325,199TotalLiabilitiesBOYAmt
Total Liabilities EOY$16,538,504TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$144,365,065NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$132,145,457NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionIMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$143,295,606ExpenseAmt
Grant$21,988GrantAmt
Revenue$142,086,268RevenueAmt
DescSEE SCHEDULE ODesc
Total Program Service Expenses$143,295,606TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document77IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldDEStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDEAN A SWINGLE DIRECTOR OF FINANCEPersonNm
Phone3026296611PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 MIDDLEFORD ROADAddressLine1Txt
CitySEAFORDCityNm
State AbbreviationDEStateAbbreviationCd
ZIP19973ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
STEVEN LEONARD
BOARD MEMBER1.0041.00Yes (X)$0$1,001,906$216,432
RICHARD SIMONS DO
BOARD MEMBER40.000.00Yes (X)$0$501,774$56,950
PENNY SHORT
PRESIDENT40.000.00Yes (X)$0$444,510$73,817Yes (X)
JOSEPH KIM MD
BOARD MEMBER40.000.00Yes (X)$0$341,373$37,956
SANDRA PALAVECINO MD
BOARD MEMBER40.000.00Yes (X)$0$193,340$17,112
MICHELE PROCINO-WELLS
CHAIRPERSON5.001.00Yes (X)$0$0$0Yes (X)
MARIA LEHMAN
SECRETARY1.001.00Yes (X)$0$0$0Yes (X)
SONJA BIDDLE OD
BOARD MEMBER1.000.00Yes (X)$0$0$0
DAVID CROUSE
BOARD MEMBER TO 11/20212.000.00Yes (X)$0$0$0
ANDREW HARTSTEIN
BOARD MEMBER1.000.00Yes (X)$0$0$0
TRINA JOYNER
BOARD MEMBER TO 11/20211.000.00Yes (X)$0$0$0
FREDERICK MAST
BOARD MEMBER1.000.00Yes (X)$0$0$0
TRACY TULL NEILSON
BOARD MEMBER1.000.00Yes (X)$0$0$0
TAMMY PAXTON
BOARD MEMBER1.000.00Yes (X)$0$0$0
SARAH RUFFCORN
BOARD MEMBER1.000.00Yes (X)$0$0$0
SEAN STEWARD
BOARD MEMBER1.000.00Yes (X)$0$0$0
BRUCE I RITCHIE
CFO0.0042.00$0$673,954$164,519Yes (X)
RAY FULKROD
CNO TO 7/4/202140.000.00$0$230,702$24,605Yes (X)
HARRY ANTHONY MD
CHIEF MEDICAL OFFICER40.000.00$0$351,762$60,818Yes (X)
DENISE JESTER
SENIOR DIRECTOR40.000.00$0$280,831$57,929Yes (X)
THOMAS BROWN
FORMER SENIOR VP0.000.00$0$137,771$0Yes (X)
STEVEN ROSE
FORMER CEO0.000.00$0$54,669$0Yes (X)
LILIA KULMACZEWSKI
FORMER CHIEF COMPLIANCE OFFICER40.000.00$0$179,464$22,737Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,392,056TotReportableCompRltdOrgAmt
Total Other Compensation$732,875TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CERNER CORPORATION
2800 ROCKCREEK PKWYKANSAS CITYMO64141TECHNOLOGY$7,602,980
FOCUSONE SOLUTIONS
13609 CALIFORNIA STREETOMAHANE68154AGENCY NURSING$4,497,429
APOGEE MEDICAL MANAGEMENT
15059 N SCOTTSDALE RDSCOTTSDALEAZ85254HOSPITALISTS$2,839,421
ANESTHESIA SERVICES PA
2 READS WAYNEW CASTLEDE19720ANESTHESIA$2,800,073
QUEST DIAGNOSTICS
PO BOX 828669PHILADELPHIAPA19182LAB SERVICES$1,812,768
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K35CntrctRcvdGreaterThan100KCnt
Related Organizations$113,099RelatedOrganizationsAmt
Government Grants$5,894,259GovernmentGrantsAmt
Total Contributions$6,007,358TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT REVENUEDesc
Business623000BusinessCd
Total Revenue Column$142,086,268TotalRevenueColumnAmt
Related Or Exempt Func Income$142,086,268RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$142,086,268TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,237,252TotalRevenueColumnAmt
Exclusion$1,237,252ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$554,689RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$360,548RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$194,141RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$194,141TotalRevenueColumnAmt
Exclusion$194,141ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$36,936,607SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$37,114,138SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$177,531SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$177,531TotalRevenueColumnAmt
Exclusion-$177,531ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
MISCELLANEOUS623000$1,576,994$1,576,994
CAFETERIA623000$512,513$512,513
FieldValueIRS element (for citing)
Other Revenue Total$2,089,507OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$151,436,995TotalRevenueColumnAmt
Related Or Exempt Func Income$142,086,268RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,343,369ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$21,988TotalAmt
Program Services$21,988ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,206,602TotalAmt
Program Services$1,919,744ProgramServicesAmt
Management And General$286,858ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$52,434,752TotalAmt
Program Services$45,618,234ProgramServicesAmt
Management And General$6,816,518ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,040,285TotalAmt
Program Services$2,645,048ProgramServicesAmt
Management And General$395,237ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$377,247TotalAmt
Program Services$328,205ProgramServicesAmt
Management And General$49,042ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,938,586TotalAmt
Program Services$3,426,570ProgramServicesAmt
Management And General$512,016ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$90,734TotalAmt
Program Services$78,939ProgramServicesAmt
Management And General$11,795ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total-$61,223TotalAmt
Program Services-$53,264ProgramServicesAmt
Management And General-$7,959ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$69,205TotalAmt
Program Services$60,208ProgramServicesAmt
Management And General$8,997ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$162,257TotalAmt
Program Services$141,164ProgramServicesAmt
Management And General$21,093ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$10,663,505TotalAmt
Program Services$9,277,249ProgramServicesAmt
Management And General$1,386,256ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$321,749TotalAmt
Program Services$279,922ProgramServicesAmt
Management And General$41,827ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,123,743TotalAmt
Program Services$977,656ProgramServicesAmt
Management And General$146,087ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$6,531,965TotalAmt
Program Services$5,682,810ProgramServicesAmt
Management And General$849,155ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,812,202TotalAmt
Program Services$1,576,616ProgramServicesAmt
Management And General$235,586ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$24,632TotalAmt
Program Services$21,430ProgramServicesAmt
Management And General$3,202ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,228,266TotalAmt
Program Services$1,938,591ProgramServicesAmt
Management And General$289,675ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$10,033,143TotalAmt
Program Services$8,728,834ProgramServicesAmt
Management And General$1,304,309ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,713,714TotalAmt
Program Services$1,490,931ProgramServicesAmt
Management And General$222,783ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$18,727,951$16,293,317$2,434,634
EXPENSES FOR ALLOCATION$13,102,993$11,399,604$1,703,389
DRUGS$11,511,984$10,015,426$1,496,558
CONTRACT LABOR$9,609,529$8,360,290$1,249,239

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$15,018,498TotalAmt
Program Services$13,066,094ProgramServicesAmt
Management And General$1,952,404ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$164,704,307TotalAmt
Program Services$143,295,606ProgramServicesAmt
Management And General$21,408,701ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,879,363BOYAmt
EOY$1,555,118EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$26,859,522BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$13,560,376BOYAmt
EOY$16,685,728EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,087,321BOYAmt
EOY$4,660,664EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,259,400BOYAmt
EOY$876,959EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$105,697,527LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$22,215,319LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$89,447,414BOYAmt
EOY$83,482,208EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$46,694,278BOYAmt
EOY$41,036,796EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,902,590BOYAmt
EOY$386,488EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$189,690,264BOYAmt
EOY$148,683,961EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$19,308,603BOYAmt
EOY$7,911,890EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$3,779,781BOYAmt
EOY$785,303EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$22,236,815BOYAmt
EOY$7,841,311EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$45,325,199BOYAmt
EOY$16,538,504EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$144,365,065BOYAmt
EOY$132,145,457EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$144,365,065BOYAmt
EOY$132,145,457EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$189,690,264BOYAmt
EOY$148,683,961EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$13,267,312ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$5,928,703NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$6,976,407OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

FieldValueIRS element (for citing)
Affiliated Group Total$0AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Affiliated Group Total$0AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Affiliated Group Total$0AffiliatedGroupTotalAmt
FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$69,205DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Total Lobbying Expenditures$69,205TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE C, PART II-B, LINE 1ITIDALHEALTH NANTICOKE PAYS DUES TO AHA AND DEHA: THE AMERICAN HOSPITAL ASSOCIATION AND THE DELAWARE HEALTHCARE ASSOCIATION. TIDALHEALTH NANTICOKE'S MANAGEMENT ALSO CORRESPONDS WITH OUR STATE AND FEDERAL LEGISLATORS REGARDING CURRENT LEGISLATION AND REGULATIONS THAT MAY AFFECT THE FINANCIAL VIABILITY OF THE HOSPITAL AND ITS ABILITY TO CONTINUE TO PROVIDE QUALITY HEALTHCARE TO THE COMMUNITY.
SCHEDULE C, PART II-B, LINE 1GWINNING STRATEGIES WASHINGTON, LLC PROVIDES LOBBYING SERVICES TO NANTICOKE TO ASSIST THE HOSPITAL IN MAINTAINING ITS MEDICARE DEPENDENT HOSPITAL (MDH) STATUS.

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,130,000OtherCostOrOtherBasisAmt
Book Value$5,130,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$70,430,379OtherCostOrOtherBasisAmt
Depreciation$8,607,322DepreciationAmt
Book Value$61,823,057BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$561,400OtherCostOrOtherBasisAmt
Depreciation$104,802DepreciationAmt
Book Value$456,598BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$28,984,457OtherCostOrOtherBasisAmt
Depreciation$13,503,195DepreciationAmt
Book Value$15,481,262BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$591,291OtherCostOrOtherBasisAmt
Book Value$591,291BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$83,482,208TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
ESTIMATED THIRD PARTY PAYOR SETTLEMENTS$5,870,981
PENSION BENEFIT OBLIGATION$1,097,611
OTHER LIABILITIES$872,719
FieldValueIRS element (for citing)
Total Liability$7,841,311TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationLIABILITY FOR UNCERTAIN TAX POSITIONS (ASC 740) THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TIDALHEALTH, INC. THE RELEVANT TEXT OF THE INCOME TAX FOOTNOTE FROM THOSE FINANCIALS IS: THE HEALTH SYSTEM HAS DETERMINED THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2022 AND 2021.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other250.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,371,272TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,371,272NetCommunityBenefitExpnsAmt
Total Expense0.01490TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$33,607,769TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$19,014,263DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,593,506NetCommunityBenefitExpnsAmt
Total Expense0.09160TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$35,979,041TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$19,014,263DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,964,778NetCommunityBenefitExpnsAmt
Total Expense0.10650TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$108,502TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$108,502NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$35,363TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$35,363NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$143,865TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$143,865NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$36,122,906TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$19,014,263DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,108,643NetCommunityBenefitExpnsAmt
Total Expense0.10740TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Expense0.00000TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Expense0.00000TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Expense0.00000TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,100TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,100NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,100TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,100NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$5,405,571BadDebtExpenseAmt
Reimbursed By Medicare$49,976,053ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$52,925,633CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$2,949,580MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 NANTICOKE SURGICAL CENTER LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesSURGERY CENTERPrimaryActivitiesTxt
Org Profit Or Ownership0.51000OrgProfitOrOwnershipPct
Physicians Profit Or Ownership0.49000PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TIDALHEALTH NANTICOKE INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 MIDDLEFORD ROADAddressLine1Txt
CitySEAFORDCityNm
State AbbreviationDEStateAbbreviationCd
ZIP19973ZIPCd
FieldValueIRS element (for citing)
State LicenseHSPTL-008StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1TIDALHEALTH NANTICOKE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE SUPPLEMENTAL INFORMATIONOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE SUPPLEMENTAL INFORMATIONStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care250.000000000000FPGFamilyIncmLmtDscntCarePct
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE SUPPLEMENTAL INFORMATIONFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE SUPPLEMENTAL INFORMATIONFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE SUPPLEMENTAL INFOFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
None MadeYes (X)NoneMadeInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
TIDALHEALTH NANTICOKE, INCPART V, SECTION B, LINE 5: CONSULTING REPRESENTATIVES OF THE COMMUNITY SERVED BY THE HOSPITALIN 2021, TIDALHEALTH RETAINED CONDUENT HEALTH COMMUNITIES INSTITUTE A XEROX COMPANY TO PREPARE AND CONDUCT A NEW COMMUNITY HEALTH NEEDS ASSESSMENT THAT WILL COVER THE MARYLAND COMMUNITY BENEFITS SERVICE AREA OF SOMERSET, WICOMICO AND WORCESTER COUNTIES AND A NEWLY ADDED AREA WHICH INCLUDES SUSSEX COUNTY, DELAWARE. THE NEW CHNA WAS COMPLETED BY CONDUENT IN MAY 2022 AND PLACED ON TIDALHEALTH'S WEBSITE ALONG WITH THE PREVIOUS VERSION FOR PUBLIC ACCESS. SYSTEM DESCRIPTIONTIDALHEALTH IS ANCHORED BY TWO HOSPITALS, TIDALHEALTH PENINSULA REGIONAL AND TIDALHEALTH NANTICOKE. IN ADDITION, TIDALHEALTH INCLUDES A LARGE PHYSICIAN NEWORK OF 300 PLUS PROVIDERS WITH OVER 30 LOCATIONS. TIDALHEALTH WAS FORMED WHEN THE FORMER PENINSULA REGIONAL MEDICAL CENTER, NANTICOKE MEMORIAL HOSPITAL IN SEAFORD, DE AND MCCREADY MEMORIAL HOSPITAL IN CRISFIELD, MD, UNITED TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE.EFFECTIVE JANUARY 1, 2020, TIDALHEALTH NANTICOKE AND TIDALHEALTH PHYSICIAN NETWORK, INC. LOCATED IN SEAFORD, DELAWARE, JOINED TIDALHEALTH. TIDALHEALTH NANTICOKE HAS 139 LICENSED ACUTE CARE BEDS (99 CURRENTLY OPERATED) AND PRIMARILY SERVES THE WESTERN SUSSEX COUNTY, DELAWARE PORTION OF THE HEALTH SYSTEM'S PRIMARY SERVICE AREA. TIDALHEALTH NANTICOKE PHYSICIAN NETWORK PROVIDES OUTPATIENT MEDICAL SERVICES IN WESTERN SUSSEX COUNTY AND FEDERALSBURG, MD. EFFECTIVE MARCH 2020, MCCREADY FOUNDATION, INC., WHICH CONSISTED OF A THREE BED HOSPITAL, ALICE BYRD TAWES NURSING HOME, A 76-LICENSED BED SKILLED NURSING HOME AND CHESAPEAKE COVE ASSISTED LIVING CENTER IN CRISFIELD, MD, BECAME PART OF TIDALHEALTH. THE MCCREADY HOSPITAL DIVISION WAS MERGED INTO TIDALHEALTH PENINSULA REGIONAL AND LIMITED ITS FUNCTIONS TO THOSE CONSISTENT WITH STATUS AS A FREE-STANDING MEDICAL CENTER. HEALTHY COMMUNITIES INSTITUTE AND TIDALHEALTH PENINSULA REGIONAL HAVE COLLABORATED SINCE 2012 TO DEVELOP THE TIDALHEALTH CREATING HEALTHY COMMUNITIES' PLATFORM. CHNA PARTNERSHIPTHE LOCAL CHNA PARTNERSHIP COMBINED PRIMARY AND SECONDARY DATA TO INFORM ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE CHNA PROVIDES AN UNDERSTANDING OF THE HEALTH STATUS, QUALITY OF LIFE, AND RISK FACTORS OF OUR COMMUNITY THROUGH FINDINGS FROM QUALATIATIVE AND SECONDARY DATA ANALYSIS. THE THEMES AND STRENGTHS PROVIDE INSIGHTS ABOUT WHAT TOPICS, AND ISSUES COMMUNITY MEMBERS FEEL ARE IMPORTANT, HOW THEY PERCEIVE THEIR QUALITY OF LIFE, AND WHAT ASSETS THEY BELIEVE CAN BE USED TO IMPROVE HEALTH. FINDINGS FROM BOTH PRIMARY AND SECONDARY DATA HELPED TO INFORM THE TOP COMMUNITY HEALTH NEEDS. EACH TYPE OF DATA WAS ANALYZED USING A DEFINED METHODOLOGY. PRIMARY DATA WAS OBTAINED THROUGH A COMMUNITY SURVEY, FOCUS GROUPS, AND KEY INFORMANT INTERVIEWS. SECONDARY DATA ARE HEALTH INDICATOR DATA THAT HAVE BEEN COLLECTED BY OTHER SOURCES, SUCH AS NATIONAL AND STATE LEVEL GOVERNMENT ENTITIES, AND MADE AVAILABLE FOR ANALYSIS.PRIMARY DATA COLLECTIONTO ENSURE THE PERSPECTIVES OF COMMUNITY MEMBERS WERE CONSIDERED, INPUT WAS COLLECTED FROM ALL FOUR COUNTIES IN THE TRI-COUNTY REGION AND SUSSEX COUNTY, DE. PRIMARY DATA USED IN THIS ASSESSMENT CONSISTED OF AN ONLINE COMMUNITY SURVEY, FOCUS GROUPS, AND KEY INFORMANT INTERVIEWS. THE FINDINGS FROM THIS DATA EXPANDED UPON INFORMATION GATHERED FROM THE SECONDARY DATA ANALYSIS TO INFORM THIS COMMUNITY HEALTH NEEDS ASSESSMENT. AS THE ASSESSMENT WAS CONDUCTED DURING THE COVID-19 PANDEMIC, PRIMARY DATA COLLECTION METHODS WERE MANAGED IN A WAY TO MAINTAIN SOCIAL DISTANCING AND PROTECT THE SAFETY OF PARTICIPANTS BY ELIMINATING IN-PERSON DATA COLLECTION.TO HELP INFORM AN ASSESSMENT OF COMMUNITY ASSETS, COMMUNITY MEMBERS WERE ASKED TO LIST AND DESCRIBE RESOURCES AVAILABLE IN THE COMMUNITY. ALTHOUGH NOT REFLECTIVE OF EVERY RESOURCE AVAILABLE IN THE COMMUNITY, THE LIST CAN HELP THE PARTNERSHIP TO EXPAND AND SUPPORT EXISTING PROGRAMS AND RESOURCES. THE FOLLOWING ORGANIZATIONS ARE REPRESENTATIVE OF LOCAL PARTICIPATES, RESOURCES, PARTNERS, AND THOSE ORGANIZATIONS WE INCLUDE IN UNDERSTANDING TOP COMMUNITY HEALTH NEEDS:- CHRISTIAN SHELTER SALISBURY, MD- DIAKONIA - OCEAN CITY, MD- LA RED HEALTH CENTER SUSSEX, DE- LOWER SHORE VULNERABLE POPULATIONS TASK FORCE SALISBURY, MD - SALISBURY URBAN MINISTRIES SALISBURY, MD - CHESAPEAKE HEALTHCARE - DEER'S HEAD HOSPITAL CENTER - HOPE, INC. - MAC, INC. - REBIRTH, INC. - RECOVERY RESOURCE CENTER - SALISBURY UNIVERSITY - SOMERSET COUNTY SCHOOLS - SUSSEX COUNTY COALITION - UNIVERSITY OF MARYLAND EASTERN SHORE (UMES) - WICOMICO COUNTY COUNCILFOCUS GROUPSFOCUS GROUPS THE PROJECT TEAM DEVELOPED A FOCUS GROUP GUIDE MADE UP OF A SERIES OF QUESTIONS AND PROMPTS ABOUT THE HEALTH AND WELL-BEING OF RESIDENTS IN THE TRI-COUNTY REGION AND SUSSEX COUNTY, DE. ALL PARTICIPANTS VOLUNTEERED. ADVERTISEMENT WAS DONE VIA SOCIAL MEDIA, PRESS RELEASES AND POSTERS WITH QR CODES. PARTICIPANTS COULD SIGN UP THROUGH AN ONLINE REGISTRATION FORM OR BY PHONE. COMMUNITY MEMBERS WERE ASKED TO SPEAK TO BARRIERS AND ASSETS TO THEIR HEALTH AND ACCESS TO HEALTHCARE. FOUR VIRTUAL FOCUS GROUPS WERE HOSTED IN THE FOLLOWING COUNTIES: SOMERSET, WICOMICO, WORCESTER, MD, AND SUSSEX, DE, DURING OCTOBER AND NOVEMBER 2021. A TOTAL OF 26 PARTICIPANTS TOOK PART IN THE FOUR FOCUS GROUPS, WHICH EACH LASTED APPROXIMATELY 30 - 45 MINUTES. FACILITATORS IMPLEMENTED TECHNIQUES TO ENSURE THAT EVERYONE WAS ABLE TO PARTICIPATE IN THE DISCUSSIONS.KEY INFORMANT INTERVIEWSKEY INFORMANT INTERVIEWS HCI CONSULTANTS CONDUCTED KEY INFORMANT INTERVIEWS TO COLLECT COMMUNITY INPUT. INTERVIEWEES WHO WERE ASKED TO PARTICIPATE WERE RECOGNIZED AS HAVING EXPERTISE IN PUBLIC HEALTH, SPECIAL KNOWLEDGE OF COMMUNITY HEALTH NEEDS, AND/ OR REPRESENTED THE BROAD INTEREST OF THE COMMUNITY SERVED BY THE HOSPITALS AND HEALTH DEPARTMENTS, AND/OR COULD SPEAK TO THE NEEDS OF MEDICALLY UNDERSERVED OR VULNERABLE POPULATIONS. A TOTAL OF 14 KEY INFORMANT INTERVIEWS WERE CONDUCTED DURING AUGUST 2021-OCTOBER 2021. YOU CAN SEE THE KEY INFORMANT ORGANIZATIONS REPRESENTED BELOW IN TABLE 5. THESE ORGANIZATIONS ARE ALSO CURRENT OR POTENTIAL COMMUNITY PARTNERS FOR THE HOSPITALS AND HEALTH DEPARTMENTS LEADING THIS ASSESSMENT. EACH INTERVIEW INCLUDED AN INTERVIEWER AND NOTETAKER AND LASTED APPROXIMATELY 30 60 MINUTES. DURING THE INTERVIEWS, QUESTIONS WERE ASKED TO LEARN ABOUT THE INTERVIEWEE'S BACKGROUND AND ORGANIZATION, BIGGEST HEALTH NEEDS AND BARRIERS OF CONCERN IN THE COMMUNITY, AS WELL AS THE IMPACT OF HEALTH ISSUES ON VULNERABLE POPULATIONS.KEY INFORMANT ORGANIZATION : POPULATION SERVEDCHESAPEAKE HEALTHCARE : TRI-COUNTY REGIONDEER'S HEAD HOSPITAL CENTER : TRI-COUNTY REGIONHOPE, INC. : TRI-COUNTY REGIONMAC, INC. : TRI-COUNTY REGIONREBIRTH, INC. : WICOMICO COUNTY AND SURROUNDING REGIONRECOVERY RESOURCE CENTER : WICOMICO COUNTYSALISBURY UNIVERSITY : WICOMICO COUNTYSOMERSET COUNTY DEPARTMENT OF SOCIAL SERVICES : SOMERSET COUNTYSOMERSET COUNTY HEALTH DEPARTMENT : SOMERSET COUNTYSOMERSET COUNTY SCHOOLS : SOMERSET COUNTYSUSSEX COUNTY COALITION : SUSSEX, DEUNIVERSITY OF MARYLAND EASTERN SHORE (UMES) : TRI-COUNTY REGION AND SUSSEX, DEWICOMICO COUNTY COUNCIL : WICOMICO COUNTYWICOMICO COUNTY HEALTH DEPARTMENT : WICOMICO COUNTYCOMMUNITY SURVEYCOMMUNITY INPUT WAS COLLECTED VIA AN ONLINE COMMUNITY SURVEY AVAILABLE IN ENGLISH AND SPANISH, AS WELL AS PAPER COPIES AVAILABLE IN ARABIC, CREOLE, KOREAN, AND PORTUGUESE, FROM AUGUST 2021 THROUGH NOVEMBER 2021. THE SURVEY CONSISTED OF 45 QUESTIONS RELATED TO TOP HEALTH NEEDS IN THE COMMUNITY, INDIVIDUALS' PERCEPTION OF THEIR OVERALL HEALTH, INDIVIDUALS' ACCESS TO HEALTHCARE SERVICES, AS WELL AS SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH. THE SURVEY WAS SHARED VIA HEALTH DEPARTMENTS' WEBSITES, SOCIAL MEDIA, EMAIL DISTRIBUTION, AND OTHER LOCAL COMMUNITY PARTNERS. PAPER COPIES WERE ALSO DISTRIBUTED AT SEVERAL COMMUNITY OUTREACH EVENTS, LOCAL LIBRARIES, AND DIRECTLY TO PATIENTS AT TIDALHEALTH VIA COMMUNITY HEALTH WORKERS OR CARE COORDINATION SPECIALISTS. A TOTAL OF 774 RESPONSES WERE COLLECTED.
TIDALHEALTH NANTICOKE, INCPART V, SECTION B, LINE 6A: THE ORGANIZATION'S CHNA WAS CONDUCTED AS PART OF TIDALHEALTH'S CHNA OF THE GREATER AREA WHICH INCLUDED OTHER TIDALHEALTH PENINSULA REGIONAL.
TIDALHEALTH NANTICOKE, INCPART V, SECTION B, LINE 6B: CHNA CONDUCTED WITH ONE OR MORE ORGANIZATIONS OTHER THAN HOSPITAL FACILITIESA PARTNERSHIP WAS FORMED BETWEEN TIDALHEALTH, SOMERSET COUNTY HEALTH DEPARTMENT (SCHD), AND WICOMICO COUNTY HEALTH DEPARTMENT (WICHD) FOR THE BENEFIT OF THE COMMUNITY. THESE ORGANIZATIONS HAVE BEEN PARTNERING TOGETHER ON LOCAL HEALTH ASSESSMENT EFFORTS SINCE 1995. TWO OF THE ORGANIZATIONS ARE REQUIRED TO COMPLETE A CHNA.IN MAY OF 2022, TIDALHEALTH, SCHD, AND WICHD PUBLISHED THEIR 2022 CHNA. THE CHNA REPORT PROVIDES AN OVERVIEW OF SIGNIFICANT HEALTH NEEDS IN THE TRI-COUNTY SERVICE AREA AND ALSO SUSSEX, COUNTY DELAWARE. THIS CHNA REPORT WAS DEVELOPED TO PROVIDE AN OVERVIEW OF THE HEALTH NEEDS IN THE TRI-COUNTY SERVICE AREA, INCLUDING SOMERSET, WICOMICO, AND WORCESTER COUNTIES IN MARYLAND AND SUSSEX COUNTY, DELAWARE. TIDALHEALTH, SCHD, AND WICHD PARTNERED WITH CONDUENT HEALTHY COMMUNITIES INSTITUTE TO CONDUCT THE CHNA. THE GOAL OF THIS REPORT IS TO OFFER A MEANINGFUL UNDERSTANDING OF THE GREATEST HEALTH NEEDS ACROSS THE FOUR COUNTY SERVICE AREA, AS WELL AS TO GUIDE PLANNING EFFORTS TO ADDRESS THOSE NEEDS. SPECIAL ATTENTION HAS BEEN GIVEN TO IDENTIFY HEALTH DISPARITIES, NEEDS OF THE VULNERABLE POPULATIONS, UNMET HEALTH NEEDS OR GAPS IN SERVICES, AND INPUT FROM THE COMMUNITY.PART V, LINE 7A: CHNA ON HOSPITAL FACILITY'S WEBSITEHTTPS://WWW.TIDALHEALTH.ORG/PUBLICATIONS/TIDALHEALTH-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-2022TIDALHEALTH NANTICOKE, INC:PART V, SECTION B, LINE 7D: PUBLIC AVAILABILITY OF TIDALHEALTH CHNA 2022A PAPER COPY IS MADE AVAILABLE TO THE PUBLIC AT SEVERAL LOCATIONS WITHIN THE HOSPITAL FOR PUBLIC INSPECTION. IN ADDITION, THE REPORT IS BEING EVALUATED FOR TRANSLATION INTO SPANISH AND POSSIBLE FURTHER TRANSLATION TO CREOLE. WE PARTNER WITH CONDUENT HEALTHY COMMUNITIES INSTITUTE TO DISCOVER WHAT THE MOST PRESSING HEALTH CHALLENGES ARE IN SOMERSET, WORCESTER, WICOMICO COUNTIES, MD AND SUSSEX COUNTY, DE. THE PUBLIC CAN VIEW THE RESULTS OF OUR COMMUNITY HEALTH NEEDS ASSESSMENT ONLINE, AS WELL AS OUR ACTION PLAN OF STEPS WE PLAN TO TAKE BASED ON THE INFORMATION GATHERED IN THE ASSESSMENT. IN ADDITION, A COMMUNITY HEALTH DATA AND RESOURCES SECTION CAN BE ACCESSED BY THE PUBLIC. AS PART OF THIS CREATING HEALTHY COMMUNITIES, A MODULE IS AVAILABLE TO THE PUBLIC IN WHICH THEY CAN EXPLORE MULTIPLE DASHBOARDS THAT PROVIDE A GAUGE TO THE HEALTH OF THE COMMUNITIES SERVED, SOCIO-DEMOGRAPHICS AND PROMISING PRACTICES. THE DASHBOARDS INCLUDE FEATURES SUCH AS A CHNA GUIDE, HEALTH DATA, DEMOGRAPHIC DATA, HEALTH DISPARITIES, SOCIO NEEDS INDEXES, FINDING GRANTS, INDICATOR COMPARISONS, AND PROGRESS TRACKING.PART V, LINE 10A: IMPLEMENTATION STRATEGY ON HOSPITAL FACILITY'S WEBSITEHTTPS://WWW.TIDALHEALTH.ORG/COMMUNITY-OUTREACH-PARTNERS/COMMUNITY-HEALTH-RESEARCH-DATATIDALHEALTH NANTICOKE IS IN THE FINAL PROCESS OF DEVELOPING OUR NEW STRATETGY COMMUNITY-BENEFIT IMPLEMENTATION PLAN, AFTER FINAL REVIEW IT WILL BE INCLUDED ON THE HOSPITAL'S WEBSITE ALONG WITH THE 2022 IMPLEMENTATION STRATEGY THAT IS CURRENTLY ONLINE. SUCESSFUL PROGRAMS AND INITIATVES WILL CARRY OVER FROM THE PREVIOUS PLAN AS THEY HAVE PROVEN TO SUBSTANTIALLY IMPROVE THE HEALTH OF OUR COMMUNITIES AND THE LOCAL HEALTH PARTNERSHIPS WILL REMAIN INTACT.
TIDALHEALTH NANTICOKE, INCPART V, SECTION B, LINE 11: HOW NEEDS IDENTIFIED IN THE CHNA ARE ADDRESSEDTIDALHEALTH NANTICOKE HAS A FIXED VALUE OF RESOURCES AVAILABLE, AND THE HOSPITAL FOCUSES THOSE RESOURCES TO THE AREAS WITH THE GREATEST IMPACT, THEREFORE NOT ALL NEEDS, TO DATE, IDENTIFIED IN THE CHNA WERE ABLE TO BE ADDRESSED. NON-PRIORITIZED NEEDS INCLUDED CRIME AND CRIME PREVENTION, HOMELESSNESS AND UNSTABLE HOUSING, ORAL HEALTH, PREVENTION AND SAFETY. THESE NEEDS WERE NOT SELECTED BECAUSE THEY DID NOT MEET THE PRIORITIZATION CRITERIA AS STRONGLY AS THE SELECTED TOPICS. OTHER NEEDS WERE SELECTED BECAUSE OF GREATER IMPACT AND CAPACITY TO ADDRESS. EVEN THOUGH NOT ALL IDENTIFIED NEEDS ARE ADDRESSED SPECIFICALLY IN THE "IMPLEMENTATION STRATEGY COMMUNITY BENEFITS" PLAN, THERE ARE POPULATION HEALTH INITIATIVES ADOPTED THROUGH THE HEALTH SYSTEM'S 2022-2023 STRATEGIC PLAN THAT PROMOTE HEALTH AND WELL-BEING WITHIN THE COMMUNITY, AND ADDRESS NEEDS WITHIN THE CHNA.BASED ON THE SIGNIFICANT NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT, THE FOLLOWING IMPLEMENTATION INITIATIVES WERE DEVELOPED AND OUTLINED IN OUR 2022-2025 IMPLEMENTATION STRATEGY PLAN FOR TIDALHEALTH NANTICOKE, AND ALSO IN THE COMMUNITY HEALTH IMPROVEMENT PLAN FOR SOMERSET COUNTY HEALTH DEPARTMENT AND WICOMICO COUNTY HEALTH DEPARTMENT. THIS REPORT WILL BE PUBLISHED SPRING 2023. IT HAS BEEN PRESENTED AND APPROVED BY THE HOSPITAL'S BOARD OF DIRECTORS AND LOCAL HEALTH IMPROVEMENT COALITIONS. AFTER A THOROUGH REVIEW OF THE HEALTH STATUS IN OUR COMMUNITY THROUGH THE CHNA, WE IDENTIFIED AREAS THAT WE COULD ADDRESS USING OUR RESOURCES, EXPERTISE AND COMMUNITY PARTNERS. THE FOLLOWING ARE THE PRIORITIZED HEALTH NEEDS THAT WILL BE ADDRESSED:- ACCESS AND HEALTH EQUITY - BEHAVIORAL HEALTH (PREVENTION AND TREATMENT FOR MENTAL HEALTH AND MENTAL DISORDERS AS WELL AS SUBSTANCE ABUSE DISORDERS) - CHRONIC DISEASE AND WELLNESS
TIDALHEALTH NANTICOKE, INCPART V, SECTION B, LINE 13B: ELIGIBITY CRITERIA FOR FINANCIAL ASSISTANCEFINANCIAL ASSISTANCE POLICY: IN ACCORDANCE WITH STATE AND FEDERAL GUIDELINES, TIDALHEALTH WILL PROVIDE EMERGENCY AND MEDICALLY NECESSARY FREE AND/OR REDUCED-COST CARE TO PATIENTS WHO LACK HEALTH CARE COVERAGE OR WHOSE HEALTH CARE COVERAGE DOES NOT PAY THE FULL COST OF THEIR MEDICAL BILL. A PATIENT'S PAYMENT SHALL NOT EXCEED THE AMOUNT GENERALLY BILLED (AGB). ALL HOSPITAL REGULATED SERVICES (WHICH INCLUDES EMERGENCY AND MEDICALLY NECESSARY CARE) AT TIDALHEALTH PENINSULA REGIONAL WILL BE CHARGED CONSISTENTLY AS ESTABLISHED BY THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) WHICH EQUATES TO THE AMOUNTS GENERALLY BILLED (AGB) METHOD. ALL PATIENTS SEEN BY A TIDALHEALTH PROVIDER OR IN AN UNREGULATED AREA AT TIDALHEALTH PENINSULA REGIONAL OR ALL SERVICES AT TIDALHEALTH NANTICOKE HOSPITAL WILL BE CHARGED THE FEE SCHEDULE PLUS THE STANDARD MARK-UP WHICH IS THE AGB FOR TIDALHEALTH. SELF-PAY PATIENTS, FOR ALL SERVICES NOT REGULATED BY THE HSCRC, WILL RECEIVE A DISCOUNT TO REDUCE CHARGES TO THE AMOUNT TIDALHEALTH WOULD BE REIMBURSED BY MEDICARE WHICH IS THE PROSPECTIVE METHOD. FOR SELF-PAY PATIENTS, THE AMOUNT BILLED WILL NOT EXCEED THE MEDICARE FEE SCHEDULE FOR ALL UNREGULATED SERVICES.TIDALHEALTH WILL PROVIDE FREE MEDICALLY NECESSARY CARE TO PATIENTS WITH FAMILY INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. PATIENTS QUALIFYING FOR FINANCIAL ASSISTANCE BASED ON INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL HAVE NO COST FOR THEIR CARE AND THEREFORE PAY LESS THAN AGB.TIDALHEALTH WILL PROVIDE REDUCED-COST MEDICALLY NECESSARY CARE TO LOW-INCOME PATIENTS WITH FAMILY INCOME BETWEEN 200% AND 300% OF THE FEDERAL POVERTY LEVEL.TIDALHEALTH WILL PROVIDE REDUCED-COST MEDICALLY NECESSARY CARE TO LOW-INCOME PATIENTS WITH FAMILY INCOME BETWEEN 301% AND 500% OF THE FEDERAL POVERTY LEVEL WHO HAVE A MEDICAL HARDSHIP AS DEFINED BY MARYLAND LAW. MEDICAL HARDSHIP IS MEDICAL DEBT, INCURRED BY A FAMILY OVER A 12-MONTH PERIOD THAT EXCEEDS 25% OF THE FAMILY INCOME.PROCEDURE:IF A PATIENT IS UNABLE TO PAY DUE TO FINANCIAL RESOURCES, ALL EFFORTS WILL BE MADE TO HELP THE PATIENT OBTAIN ASSISTANCE THROUGH APPROPRIATE AGENCIES. IN THE EVENT THAT THE PATIENT HAS APPLIED FOR AND KEPT ALL NECESSARY APPOINTMENTS AND THIRD-PARTY ASSISTANCE IS NOT AVAILABLE, TIDALHEALTH WILL PROVIDE CARE AT REDUCED OR ZERO COST. WHEN NO THIRD-PARTY ASSISTANCE IS AVAILABLE TO COVER THE TOTAL BILL AND THE PATIENT INDICATES THAT THEY HAVE INSUFFICIENT FUNDS, FINANCIAL ASSISTANCE (FA) WILL BE OFFERED. THE UNIFORM FINANCIAL ASSISTANCE APPLICATION, FINANCIAL ASSISTANCE POLICY, PATIENT COLLECTION PRACTICE POLICY, AND PLAIN LANGUAGE SUMMARY, CAN BE OBTAINED BY ONE OF THE FOLLOWING WAYS:A. AVAILABLE FREE OF CHARGE AND UPON REQUEST BY CALLING (410) 543-7436 OR (877) 729-7762.B. ARE LOCATED IN THE REGISTRATION AREAS.C. DOWNLOADED FROM THE TIDALHEALTH WEBSITE: HTTPS://WWW.TIDALHEALTH.ORG/PATIENTFORMSHTTPS://WWW.TIDALHEALTH.ORG/PATIENTBILLSD. THE PLAIN LANGUAGE SUMMARY IS INSERTED IN THE ADMISSION PACKET AND WITH ALL PATIENT STATEMENTS.E. ANNUAL NOTIFICATION IN THE LOCAL NEWSPAPER.F. THE APPLICATION IS AVAILABLE IN ENGLISH, SPANISH, AND CREOLE. NO OTHER LANGUAGE CONSTITUTES A GROUP THAT IS 5% OR MORE, OR MORE THAN 1,000 RESIDENTS (WHICHEVER IS LESS) OF THE POPULATION IN OUR PRIMARY SERVICE AREA (WORCESTER, WICOMICO AND SOMERSET COUNTIES) FOR MARYLAND BASED ON U.S. CENSUS DATA. FOR DELAWARE, THE HOSPITAL POPULATION CONSIDERED WAS 5%.G. FOR PATIENTS WHO HAVE DIFFICULTY IN FILLING OUT AN APPLICATION, THE INFORMATION CAN BE TAKEN ORALLY BY CALLING (410) 912-6957 OR IN PERSON AT THE FINANCIAL COUNSELOR'S OFFICE LOCATED IN THE FRANK B. HANNA OUTPATIENT CENTER.
PART V, LINES 16A, 16B & 16C: FINANCIAL ASSISTANCE POLICY,APPLICATION FORM, PLAIN LANGUAGE SUMMARY AVAILABLE ON THE HOSPITAL'S WEBSITEHTTPS://WWW.TIDALHEALTH.ORG/MEDICAL-CARE/FINANCIAL-ADMIN-SERVICES/BILLING/TIDALHEALTH-FINANCIAL-ASSISTANCE
FieldValueIRS element (for citing)
Facility3FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - MEARS HEALTH CAMPUS
100 RAWLINS DRIVESEAFORDDE19973MEDICAL FACILITY
2 - EZ LAB
9111 ANTIQUE ALLEYBRIDGEVILLEDE19933LAB DRAWING STATION
3 - EZ LAB
30549 SUSSEX HWYLAURELDE19956LAB DRAWING STATION

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:OTHER METHOD USED IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCEN/A - TIDALHEALTH NANTICOKE REGIONAL USES THE FPG IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. FINANCIAL ASSISTANCE IS ALSO CONSIDERED IF A PATIENT IS OVER INCOME CRITERION BUT HAS FINANCIAL HARDSHIP BASED ON MEDICAL DEBT. PATIENTS WHO ARE BENEFICIARIES/RECIPIENTS OF CERTAIN MEANS-TESTED SOCIAL SERVICES PROGRAM ADMINISTERED BY THE STATE OF THE PATIENT'S RESIDENCE ARE DEEMED TO HAVE PRESUMPTIVE ELIGIBILITY FOR TIDALHEALTH NANTICOKE'S FA PROGRAM.
PART I, LINE 7, COLUMN (F)FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COSTTHE AMOUNT OF BAD DEBT EXPENSE EXCLUDED FROM THE DENOMINATOR IN THE COLUMN (F) PERCENTAGES IS $5,405,571.LINE 7B COLUMN (C) & (F):THE COST METHODOLOGY FOR CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS IS THE COST-TO-CHARGE RATIO USED FOR THE CHARITY CARE PROGRAMS AND DIRECT COST METHOD FOR THE OTHER BENEFITS/PROGRAMS.
PART II, COMMUNITY BUILDING ACTIVITIES:COMMUNITY OUTREACHTIDALHEALTH NANTICOKE AND MANY DELAWARE HOSPITALS ARE CONTINUING TO DEAL WITH THE ONGOING EFFECTS OF THE PANDEMIC AND THE ADDITIONAL STAFFING SHORTAGES, INFLATED COSTS OF TEMPORARY LABOR, INCLUDING THE HIGH COSTS OF SUPPLIES, TESTING SUPPLIES AND THE ADDITIONAL RESOURCES NEEDED TO MAINTAIN ADDITIONAL BED CAPACITY AND ESTABLISHMENT OF VACCINATION CLINICS. COVID HAS PRESENTED ORGANIZATIONAL CHALLENGES ESPECIALLY FOR TIDALHEALTH NANTICOKE A SMALLER RURAL MDH (MEDICARE DEPENDENT HOSPITAL) THE PANDEMIC HAS TEMPORARILY INHIBITED THE PURSUIT OF ENGAGING IN MORE ROBUST COMMUNITY BENEFIT OUTREACH PROGRAMS. TIDALHEALTH DEVELOPED STRONG COMMUNITY PARTNERSHIPS THROUGH ITS WORK TO TEST AND VACCINATE THE COMMUNITY. WE RECOGNIZE THAT EVEN THOUGH RESOURCES ARE BEING STRETCHED DURING THE PANDEMIC IT HAS BROUGHT ABOUT INNOVATION IN TELEHEALTH OUTREACH INTO OUR RURAL COMMUNITY AND HAS LED TO COLLABORATIONS WITHIN THE COMMUNITY.COALITION BUILDINGHISTORICALLY TIDALHEALTH NANTICOKE HAS FACILITATED INVOLVEMENT WITH HEALTH IMPROVEMENT ORGANIZATIONS TO IDENTIFY, ASSESS, AND CREATE AGGREGATE ACTION PLANS TO ADDRESS LOCAL EMERGING AND CHRONIC COMMUNITY BENEFIT SERVICE AREA HEALTHCARE ISSUES. KATHRYN FIDDLER (VICE PRESIDENT OF POPULATION HEALTH) AND KATHERINE RODGERS (COMMUNITY HEALTH INITIATIVES DIRECTOR) ATTEND THE FOLLOWING LOCAL HEALTH IMPROVEMENT COALITIONS AND ADVISORY BOARDS FOCUSED ON IMPROVING POPULATION HEALTH.-SUSSEX COUNTY HEALTH COALITION KAT RODGERS PARTICIPATES ON THE BOARD OF THE ORGANIZATION-SCHC HEALTH COMMITTEE-SCHC ECONOMIC MOBILITY COMMITTEE-SCHC DRUG FREE COMMUNITIES-SEAFORD COMMUNITY OF HOPE-DELAWARE HOSPITAL ASSOCIATION CHNA WORKGROUP-DELAWARE STATEWIDE HEALTH LITERACY ADVISORY BOARDTIDALHEALTH PARTICIPATES IN THE INSTITITE FOR HEALTHCARE IMPROVEMENT'S INTERNATIONAL PURSUING EQUITY LEARNING COLLABORATIVE TO IMPROVE DIVERSITY, EQUITY, AND INCLUSION EFFORTS THROUGHOUT THE HEALTH SYSTEM.TIDALHEALTH PARTNERS WITH ENERGIZE DELAWARE, HABITAT FOR HUMANITY OF SUSSEX COUNTY, AND SEAFORD HELP INITIATIVE HEALTH-ON TO SUPPORT COMMUNITY HEALTH WORKERS WHO ADDRESS SDOH NEEDS FOR RESIDENTS AND HIGH-RISK PATIENTS IN NEED OF HOME REPAIRS AND MODIFICATIONS THAT WILL SUPORT A HEALTHY, SAFE, ENERGY EFFICIENT HOME. PHYSICIAN RECRUITING TIDALHEALTH FEELS IT IS IMPORTANT TO CONTINUALLY MONITOR SPECIALTIES WHERE A SIGNIFICANT AMOUNT OF PATIENT CARE WITHIN THE SERVICE AREA IS PROVIDED BY OLDER PHYSICIANS, AS A SUDDEN OR UNEXPECTED LOSS OF COVERAGE COULD HAVE AN ADVERSE EFFECT ON THE PROVISION OF MEDICAL SERVICES TO THE COMMUNITY. SUCCESSION PLANNING AND RECRUITMENT GO HAND-IN-HAND, AS DOES SOCIO-DEMOGRAPHICS AND GOVERNMENTAL INITIATIVES ALL OF WHICH MUST BE CONSIDERED TO ASSESS APPROPRIATE PHYSICIAN RECRUITMENT. KEY FINDINGS, ACCORDING TO TIDALHEALTHS MOST RECENT MEDICAL STAFF DEVELOPMENT PLAN (2021), THE CONSULTING ENGAGEMENT RECOMMEDED TIDALHEALTH EVALUATE RECRUITING 6-9 ADULT PRIMARY CARE PHYSICIANS IN OUR PRIMARY SERVICE AREA AND ALSO LOOK AT OPPORTUNITIES TO ALIGN WITH INDEPENDENT PHYSICIAN. COMMUNITY NEEDS PLACES EMPHASIS ON PRIMARY, AND FAMILY PRACTICE PROVIDES TO ENGAGE IN CHRONIC DISEASE MANAGEMENT AS PART OF OUR POPULATION HEALTH INITIATIVES. SUCCESSION PLANNING IS A KEY OBJECTIVE AS A SUBSTANIAL NUMBER OF PRIMARY CARE PHYSICIANS ARE ABOVE THE AGE OF 55 WHICH WILL LEAVE A VOID IN AN ALREADY UNDERSERVED AREA. DEMOGRAPHICS PLAYS A KEY ROLE AS THE MEDICARE POPULATION IS GROWING AT A FASTER RATE THAN THE STATE OF MARYLAND AND THE NATION. AS A GROWING RETIREMENT COMMUNITY, THERE IS AN INCREASED NEED FOR ADDITIONAL PRIMARY CARE PHYSICIANS AND CERTAIN SPECIALTIES. THERE WILL BE A 28% GROWTH OF SENIORS 65+ OVER THE NEXT 5 YEARS WITHIN OUR TOTAL SERVICE AREA. TIDALHEALTH PHYSCIAIN NETWORK OPTIMIZATION WAS DETERMINED BY CALCULATING USING THE CURRENT SUPPLY OF PHYSICIANS AND APPLYING PHYSICIAN TO-POPULATION RATIO BENCHMARKS, PHYSICIAN PATIENT VOLUMES, POPULATION DATA, AND OTHER DATA. MANAGEMENT CONSULTANTS RECOMMENDED EVALUATING POTENTIAL RECRUITMENT OF PRIMARY, CARE FAMILY MEDICINE, PRIMARY CARE INTERNAL MEDICINE AND PRIMARY CARE PEDIATRICS OVER THE NEXT FIVE YEARS. MEDICAL SPECIALTY NEEDS ARE DRIVEN BY THE OVERALL MARKET SUPPLY, WAIT TIMES FOR NEW PATIENT APPOINTMENTS, AND CALL COVERAGE AND INPATIENT CONSULTATION NEEDS. CURRENT MEDICAL SPECIALTY RECOMMENDATIONS INCLUDE RECRUITMENT OF THE FOLLOWING PHYSICIAN SPECIALTIES DUE TO COMMUNITY NEEDS ASSESSMENT, MARKET DEMAND AND RETIREMENT: ALLERGY/IMMUNOLOGY, DERMATOLOGY, ENDOCRINOLOGY, HEMATOLOGY/ONCOLOGY, INFECTIOUS DISEASE, INTERVENTIONAL RADIOLOGY, NEUROLOGY, OB/GYN, GENERAL SURGERY, ORTHOPAEDICS, OTOLARYNGOLOGY, PAIN MANAGEMENT, PSYCHIATRY AND RHEUMATOLOGY. OF THE MEDICAL STAFF, 30%+ IS EITHER AT OR ABOVE THE AGE OF 55, WHICH POSES SUCCESSION RISK. TIDALHEALTH NANTICOKE, A RURAL HOSPITAL, AND OTHER LIKE-KIND RURAL COMMUNITIES ARE TYPICALLY CHALLENGED IN BOTH RECRUITMENT AND RETENTION OF PHYSICIANS DUE TO NUMEROUS FACTORS. SOME OF THESE CHALLENGES ARE DUE TO THE LOCATION AND GEOGRAPHY OF THE AREA AND AVAILABILITY OF HEALTHCARE RESOURCES. RETAINING AND RECRUITING RESOURCES IN SUB-SPECIALTIES CAN BE HARD FOR REGIONAL RURAL HOSPITALS AND TIDALHEALTH NANTICOKE IS NO EXCEPTION. TO ADDRESS SPECIFIC COMMUNITY HEALTHCARE NEEDS THE MEDICAL CENTER HAS HAD TO RECRUIT, RETAIN, EMPLOY AND SUBSIDIZE SOME OF THE FOLLOWING SUB-SPECIALTIES; NEONATOLOGY, PULMONARY, NEURO-HOSPITALIST, NEUROSURGERY, MEDICAL ONCOLOGY & HEMATOLOGY, RADIATION ONCOLOGY, GASTROENTEROLOGY, PEDIATRIC SPECIALTIES, ENDOCRINOLOGY, CARDIOLOGY, CARDIOVASCULAR SURGERY, ANESTHESIOLOGY AND PAIN MANAGEMENT. RURAL COMMUNITIES LACK THE CULTURAL AND EDUCATIONAL RESOURCES THAT LARGER URBAN CENTERS PROVIDE MAKING IT HARDER TO RETAIN AND RECRUIT THESE PHYSICIANS. LOW POPULATION PATTERNS BY GEOGRAPHY MAKE IT MORE COSTLY AND HARDER FOR COMMUNITIES AND BUSINESSES TO PROVIDE VARIOUS TYPES OF SERVICES ESPECIALLY SPECIALTY PHYSICIAN SERVICES. OVERALL, OUR LOCAL ECONOMY IS NOT AS ROBUST AS THE URBAN CENTERS AS INDICATED BY OUR LOW AVERAGE HOUSEHOLD INCOME IN THE TRI-COUNTY AREA.DISASTER READINESSTIDALHEALTH NANTICOKE IS A MEMBER OF EMSPS (EMERGENCY MEDICAL SERVICES PREPAREDNESS SECTION) WHICH IS A COALITION OF HOSPITALS, HEALTH DEPARTMENTS, NURSING HOMES, DOVER AFB, AND OTHERS STATEWIDE. THEY MEET MONTHLY TO DISCUSS ISSUES OF DISASTER PREPAREDNESS IN THE STATE OF DELAWARE AND THE SURROUNDING REGION. TIDALHEALTH HAS AN INTERNAL EMERGENCY MANAGEMENT COMMITTEE THAT MEETS MONTHLY WHOSE MEMBERS INCLUDE THE SAFETY COORDINATOR, CHIEF OF SECURITY, EMERGENCY DEPARTMENT RN, RISK MANAGEMENT, INFECTION PREVENTION, EXECUTIVE TEAM REPRESENTATIVE, PHARMACIST, EMERGENCY MANAGEMENT COORDINATOR, FIREFIGHTER, AND A COUNTY HEALTH DEPARTMENT REPRESENTATIVE. TIDALHEALTH ALSO MEETS QUARTERLY WITH OUR LOCAL PARTNERS THAT INCLUDE FIRE, POLICE, EMERGENCY MEDICAL SERVICES, AND EMERGENCY MANAGEMENT TO FACILITATE DISASTER PLANNING AND MOCK DRILLS WITHIN THE COMMUNITY.
PART III, LINES 2 AND 3:METHODOLOGY USED TO ESTIMATE BAD DEBT EXPENSESEE RESPONSE BELOW TO LINE 4 REGARDING THE METHODOLOGY USED BY THE ORGANIZATION REGARDING BAD DEBT.PART III, LINE 4:BAD DEBT FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTSA RECEIVABLE IS RECOGNIZED WHEN THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS, WHICH HAVE THE UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYORS FOR RETROACTIVE ADJUSTMENTS, ARE RECORDED AS RECEIVABLES SINCE THE RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. THE ESTIMATED UNCOLLECTIBLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE RECORDED AS A DIRECT REDUCTION TO PATIENT ACCOUNTS RECEIVABLE.PART III, LINE 8:MEDICARE COSTING METHODOLOGYMEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO. TIDALHEALTH NANTICOKE PROVIDES QUALITY MEDICAL SERVICES TO ALL PATIENTS REGARDLESS OF WHAT INSURANCE THEY HAVE. APPROXIMATELY, 49% OF THE MEDICAL CENTER'S REVENUE IS ATTRIBUTABLE TO MEDICARE PATIENTS DURING THE YEAR ENDED JUNE 30, 2022.PART III, LINE 9B:COLLECTION POLICYTHE TIDALHEALTH NANTICOKE COLLECTION POLICY INCLUDES INFORMATION ABOUT OUR FINANCIAL ASSISTANCE POLICY (FAP) AND HOW TO FIND THE FAP. THE DEBT COLLECTION POLICY APPLIES TO ALL PATIENTS. ADDITIONALLY, OUR COLLECTION POLICY INSTRUCTS THAT EXTRAORDINARY COLLECTION ACTIONS (ECA) WILL BE SUSPENDED WHEN A PATIENT REQUESTS INFORMATION ON OUR FAP OR SUBMITS A FINANCIAL ASSISTANCE APPLICATION WITHIN 240 DAYS OF THE FIRST POST-DISCHARGE BILLING STATEMENT. OUR POLICY DESCRIBES WHAT TO DO IF THE FINANCIAL ASSISTANCE APPLICATION IS INCOMPLETE AND WHAT IS REQUIRED TO BE REFUNDED (AMOUNTS OVER $5) IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE AFTER MAKING A PAYMENT. WE INCLUDE CLARIFICATION OF WHAT DATES OF SERVICES ARE INCLUDED IN THE FINANCIAL ASSISTANCE SO THAT WE UNDERSTAND WHEN NORMAL COLLECTION EFFORTS ARE APPROPRIATE.WITHIN OUR COLLECTION POLICY WE DESCRIBE THAT A PATIENT DENIED FINANCIAL ASSISTANCE MAY REQUEST A RECONSIDERATION. FOR DATES OF SERVICES APPROVED FOR FINANCIAL ASSISTANCE COLLECTIONS PROCESSES ARE HALTED AS THE ACCOUNT IS ADJUSTED TO ZERO DUE FROM PATIENT. THE POLICY STATES HOW TO PROCESS THE PATIENT BALANCE WHEN ONLY A PORTION OF THE CHARGE QUALIFIED FOR FINANCIAL ASSISTANCE; COLLECTIONS WILL ONLY BE PURSUED ON THE AMOUNT THAT DID NOT QUALIFY FOR FINANCIAL ASSISTANCE.
PART VI, LINE 2:NEEDS ASSESSMENTTIDALHEALTH NANTICOKE, INC CURRENTLY USES SECONDARY DATA FROM FEDERAL, STATE AND COUNTY RESOURCES. THESE RESOURCES ARE WIDELY USED BY LOCAL AND NATIONAL HEALTH ORGANIZATIONS IN PREPARING A CHNA. RESOURCES RANGE FROM DELAWARE PUBLIC HEALTH DATA TO DATA FROM SOURCES SUCH AS THE CDC, RESEARCH AND GRANT AGENCIES SUCH AS THE LONGWOOD FOUNDATION, NATIONAL DISEASE FOCUSED AGENCIES SUCH AS THE AMERICAN CANCER SOCIETY AND THE AMERICAN HEART ASSOCIATION. STATE PUBLIC HEALTH DATA INCLUDES DATA COLLECTED BY TASK FORCES WORKING ON TOPICS RANGING FROM CANCER TO SUBSTANCE ABUSE. ADDITIONALLY, LOCAL DEMOGRAPHIC AND ECONOMIC DATA IS USED AS WELL AS INFORMATION FROM THE U.S. CENSUS. TIDALHEALTH NANTICOKE ALSO RELIES ON DATA PROVIDED FROM THE UNIVERSITY OF DELAWARE WHICH WORKS WITH THE STATE TO RESEARCH AND MONITOR HEALTH NEEDS THROUGHOUT THE STATE. NANTICOKE CONTINUES TO WORK WITH OTHER HOSPITALS, LOCAL PUBLIC HEALTH AND LOCAL SOCIAL SERVICE AGENCIES TO COLLECT DATA AND WORK ON IDENTIFIED NEEDS. ADDITIONALLY, TIDALHEALTH NANTICOKE CONDUCTED PRIMARY RESEARCH THROUGH MANY COMMUNITY SURVEYS AND STAKEHOLDER SURVEYS, INTERVIEWS AND FOCUS GROUPS TO HELP COMPLETE RESEARCH FOR THE 2022 CHNA.
PART VI, LINE 3:PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEIF A PATIENT IS UNABLE TO PAY DUE TO FINANCIAL RESOURCES, ALL EFFORTS WILL BE MADE TO HELP THE PATIENT OBTAIN ASSISTANCE THROUGH APPROPRIATE AGENCIES. IN THE EVENT THAT THE PATIENT HAS APPLIED FOR AND KEPT ALL NECESSARY APPOINTMENTS AND THIRD-PARTY ASSISTANCE IS NOT AVAILABLE, TIDALHEALTH WILL PROVIDE CARE AT REDUCED OR ZERO COST. WHEN NO THIRD-PARTY ASSISTANCE IS AVAILABLE TO COVER THE TOTAL BILL AND THE PATIENT INDICATES THAT THEY HAVE INSUFFICIENT FUNDS, FINANCIAL ASSISTANCE (FA) WILL BE OFFERED. THE UNIFORM FINANCIAL ASSISTANCE APPLICATION, FINANCIAL ASSISTANCE POLICY, PATIENT COLLECTION PRACTICE POLICY, AND PLAIN LANGUAGE SUMMARY, CAN BE OBTAINED BY ONE OF THE FOLLOWING WAYS:A. AVAILABLE FREE OF CHARGE AND UPON REQUEST BY CALLING (410) 543-7436 OR (877) 729-7762.B. ARE LOCATED IN THE REGISTRATION AREAS.C. DOWNLOADED FROM THE TIDALHEALTH WEBSITE:HTTPS://WWW.TIDALHEALTH.ORG/PATIENTFORMSHTTPS://WWW.TIDALHEALTH.ORG/PATIENTBILLSD. THE PLAIN LANGUAGE SUMMARY IS INSERTED IN THE ADMISSION PACKET AND WITH ALL PATIENT STATEMENTS.E. ANNUAL NOTIFICATION IN THE LOCAL NEWSPAPER.F. THE APPLICATION IS AVAILABLE IN ENGLISH, SPANISH, AND CREOLE. NO OTHER LANGUAGE CONSTITUTES A GROUP THAT IS 5% OR MORE, OR MORE THAN 1,000 RESIDENTS (WHICHEVER IS LESS) OF THE POPULATION IN OUR PRIMARY SERVICE AREA (WORCESTER, WICOMICO AND SOMERSET COUNTIES) FOR MARYLAND BASED ON U.S. CENSUS DATA. FOR DELAWARE, THE HOSPITAL POPULATION CONSIDERED WAS 5%.G. FOR PATIENTS WHO HAVE DIFFICULTY IN FILLING OUT AN APPLICATION, THE INFORMATION CAN BE TAKEN ORALLY BY CALLING (410) 912-6957 OR IN PERSON AT THE FINANCIAL COUNSELOR'S OFFICE LOCATED IN THE FRANK B. HANNA OUTPATIENT CENTER.SIGNS WILL BE POSTED IN VARIOUS LOCATIONS THROUGHOUT TIDALHEALTH TO INFORM PATIENTS WHERE TO CALL OR APPLY FOR FINANCIAL ASSISTANCE.THE PATIENT'S INCOME WILL BE COMPARED TO CURRENT FEDERAL POVERTY GUIDELINES (ON FILE WITH THE COLLECTION COORDINATOR). THE COLLECTION COORDINATOR REPRESENTATIVE WILL CONSULT WITH THE PATIENT AS NEEDED TO MAKE ASSESSMENT OF ELIGIBILITY.
IT IS THE INTENTION OF TIDALHEALTH TO MAKE AVAILABLE TO ALL PATIENTS THEHIGHEST QUALITY OF MEDICAL CARE POSSIBLE WITHIN THE RESOURCES AVAILABLE. IF A PATIENT IS UNABLE TO PAY DUE TO FINANCIAL RESOURCES, ALL EFFORTS WILL BE MADE TO HELP THE PATIENT OBTAIN ASSISTANCE THROUGH APPROPRIATE AGENCIES, OR, IF NO HELP IS AVAILABLE, TO RENDER CARE AT A REDUCED OR ZERO COST FOR EMERGENCY.
PART VI, LINE 4:COMMUNITY INFORMATIONTIDALHEALTH NANTICOKE IS A 99-BED NATIONALLY RECOGNIZED COMMUNITY HOSPITAL REACHING A 70-YEAR MILESTONE OF SERVICE IN 2022. THE HOSPITAL PROVIDEDS SPECIALITY AND SUBSCPECIALITY SERVICES, OUTPATIENT, DIAGNOSTIC, AND COMMUNITY HEALTH SERVICES. EACH YEAR, TIDALHEALTH NANTICOKE CARES FOR MORE THAN 4,500 ADMITTED PATIENTS, 30,000 PEOPLE IN THE EMERGENCY DEPARTMENT, AND PROVIDES MORE THAN 152,000 OUTPATIENT TESTS AND PROCEDURES. TIDALHEALTH NANTICOKE, INC PRIMARILY SERVES WESTERN SUSSEX COUNTY, DELAWARE AND PORTIONS OF MARYLAND INCLUDING DORCHESTER COUNTY. THE PRIMARY SERVICE AREA IS DELMAR, BRIDGEVILLE, GREENWOOD AND GEORGETOWN, DELAWARE. SERVICE AREA IS EXPANDING WITH THE AFFILIATION. RESIDENTS OF WESTERN SUSSEX COUNTY GENERALLY HAVE A LOWER MEDIA INCOME, LOWER LEVEL OF POST HIGH SCHOOL EDUCATION AND EXPERIENCE A HIGHER UNEMPLOYMENT RATE THAT OTHER PARTS OF THE COUNTY. THE HOSPITAL SERVES A SIGNIFICANT NUMBER OF MEDICAID PATIENTS AND A HIGH NUMBER OF MEDICARE PATIENTS. MUCH OF THE WORKFORCE IS EMPLOYED IN HEALTHCARE, RETAIL OR AGRICULTURAL BUSINESSES. THE AREA CONTINUES TO EXPERIENCE RAPIDLY GROWING LATINX AND HAITIAN CREOLE POPULATIONS. WHILE THERE HAS BEEN A SMALL IMPROVEMENT, DISPARITIES REMAIN IN HEALTH EDUCATION AND EARLY DETECTION FOR THE BLACK AND HISPANIC COMMUNITIES.
PART VI, LINE 5:PROMOTION OF COMMUNITY HEALTHA MAJORITY OF TIDALHEALTH NANTICOKE, INC BOARD MEMBERS ARE INDEPENDENT COMMUNITY MEMBERS, MOST LIVING AND/OR WORKING IN THE HOSPITAL'S PRIMARY SERVICE AREA AND ARE VERY INVOLVED IN BETTERING THE HEALTH OF ITS COMMUNITY. BOARD MEMBERS PARTICIPATE IN THE OVERSIGHT OF COMMUNITY HEALTH PROGRAMS AND OFTEN GO INTO THE COMMUNITY ALONGSIDE STAFF MEMBERS TO HELP PROVIDE CONNECTION OF THE BOARD WITH COMMUNITY NEEDS. TIDALHEALTH NANTICOKE IS COMMITTED TO THE EDUCATION OF THE COMMUNITY RANGING FROM GENERAL AWARENESS TO PATIENT OR CONDITION SPECIFIC INFORMATION TO CLINICAL SCHOLARSHIPS FOR LOCAL HIGH SCHOOL STUDENTS AND FOR STAFF WANTING TO EXPAND SKILLS AND EXPERTISE. TIDALHEALTH NANTICOKE INVESTS IN MEDICAL EQUIPMENT AND TRAINING TO ENSURE THE BEST POSSIBLE CARE FOR ITS PATIENTS. IT USES PLANNED FUNDS, CONTINGENCY OR EXTRA FUNDS AND GRANT FUNDING TO AID IN ONGOING INVESTMENTS.PRIOR TO COMING ON STAFF TO CARE FOR PATIENTS, EACH PROVIDER PREPARES AN APPLICATION FOR MEMBERSHIP AND PRIVILEGES WHICH IS VERIFIED AND PRIMARY SOURCED, REVIEWED BY THE CREDENTIALS AND MEDICAL EXECUTIVE COMMITTEE BEFORE BEING RECOMMENDED TO THE BOARD OF DIRECTORS FOR THEIR APPROVAL. IN ADDITION, EVERY TWO YEARS, PROVIDER PERFORMANCE IS REVIEWED AND EVALUATED.IN FISCAL 2022 TIDALHEALTH USED GRANT FUNDING TO PURCHASE A MOBILE WELLNESS CLINIC. THIS GRANT AND OTHERS SECURED IN THE BEGINNING OF FISCAL 2023 LAID THE FOUNDATION TO BUILD COMMUNITY HEALTH INITIATIVES IN SUSSEX COUNTY. CURRENTLY TIDALHEALTH OPERATES A MOBILE MULTIDSCIPLINARY TEAM THROUGH THE COMMUNITY WELLNESS DEPARTMENT OF POPULATION HEALTH MANAGEMENT DIVISION. THIS TEAM IS BASED IN SEAFORD. COMMUNITY WELLNESS INCLUDES A NURSE PRACTITIONER, REGISTERED NURSES, COMMUNITY HEALTH WORKERS, AND A SOCIAL WORKER. THE COMMUNITY WELLNESS TEAM CONDUCTS HOME VISITS OF HIGH-RISK PATIENTS IN THE COMMUNITY. THESE ASSESSMENTS INCLUDE SCREENING FOR SDOH AND ADDRESSING GAPS IDENTIFIED BY CONNECTING PATIENTS TO COMMUNITY-BASED RESOURCES AND SUPPORTS AND CHRONIC DISEASE SELF-MANAGEMENT EDUCATION. ADDITIONALLY, THE COMMUNITY WELLNESS TEAM RECENTLY BEGAN TO OPEARTE A MOBILE CLINIC AND WELLNESS VAN TO VISIT LOCAL SHELTERS, CHURCHES, AND OTHER AREAS IN TIDALHEALTH NANTICOKE'S COMMUNITY BENEFITS SERVICE AREA WHERE UNDERSERVED RESIDENTS CAN RECEIVE NON-EMERGENCY MEDICAL CARE, CHRONIC CARE MANAGEMENT AND HEALTHY LIFESTYLES EDUCATION. THE VAN VISITS AREAS WHERE THE SOCIAL DETERMINANTS OF HEALTH INDICATE THE GREATEST AMOUNT OF NEED. IT PROVIDES CARE IN AREAS WITH A HIGHER PREVALENCE OF ER VISITS, LOWER MEDIAN INCOMES, INDIGENT POPULATION, ACCESS ISSUES, COMMUNICATION BARRIERS AND OVERALL POOR HEALTH OUTCOMES. THERE HAS BEEN IMPROVED CONTROL OF DIABETES AND HYPERTENSION. THE COMMUNITY WELLNESS TEAM STRIVES TO EDUCATE PATIENTS BY PROVIDING NUTRITIONAL AND HEALTHY LIFESTYLE COUNSELING, IN ADDITION TO MEDICATION COMPLIANCE TO CONTROL DIABETES AND HYPERTENSION. HEALTH SCREENINGS ARE PERFORMED ON RESIDENTS TO HELP DETERMINE APPROPRIATE EDUCATION, SELF-MANAGEMENT CLASS INFORMATION OR REFERRALS TO COMMUNITY RESOURCES AND SERVICES. THESE SCREENINGS INCLUDE PRE-DIABETES, HYPERTENSION AND OBESITY. WHEN WARRANTED, DRUG AND ALCOHOL MISUSE SCREENINGS ARE ALSO CONDUCTED, AND COUNSELING IS AVAILABLE. NARCAN IS PROVIDED TO RESIDENTS TO SUPPORT EFFORTS TO PREVENT OPIOID MISUSE AND OVERDOSE. FLU SHOTS AND COVID SHOTS ARE PROVIDED TO COMMUNITY MEMBERS THROUGH THE COMMUNITY WELLNESS OUTREACH EFFORTS TO UNDERSERVED COMMUNITIES AND HOMEBOUND RESIDENTS. TO EXPAND OUR "HEALTHY LIVING" MESSAGE, TIDALHEALTH NANTICOKE L SPONSORS AND PARTICIPATES IN MANY COMMUNITY-BASED HEALTH FAIRS PROVIDING NUTRITION EDUCATION, WEIGHT LOSS, DIABETES ASSESSMENT, MULTIPLE SCREENINGS, BLOOD PRESSURE CHECKS, AND HEALTH LITERACY. PARTICIPATION IN HEALTH FAIRS INCLUDE UNDERSERVED AREAS, A HAITIAN-CREOLE HEALTH FAIR IN LAUREL, HEALTHFEST IN LAUREL, DRIVE THRU FLU CLINIC IN GEORGETOWN, HEALTH SCREENING AND OUTREACH EVENTS IN LOCAL CHURCHES AND UNDERSERVED NEIGHBORHOODS TRANSFORMING THE CULTURE THROUGH PARTICIPATION AND SPONSORSHIP OF HEALTHY LIFESTYLES AND SCREENINGS, MEETING RESIDENTS AT COMMUNITY EVENTS LOCATED THROUGHOUT THE AREA. THESE ACTIVITIES IMPROVE TRUST AMONG UNDERSERVED RESIDENTS. HEALTH ASSESSMENTS AVAILABLE AT THESE EVENTS INCLUDE, BUT ARE NOT LIMITED TO:- CHOLESTEROL, HDL, TRIGLYCERIDES - RESTING 12-LEAD EKG - BODY FAT / MASS INDEX - BLOOD PRESSURE TESTING - PULSE OXIMETRY TESTING - 10-YEAR RISK ANALYSIS - REVIEW CURRENT MEDICATIONS - FOLLOW-UP CARE PLAN - EXERCISE/NUTRITION TIDALHEALTH NANTICOKE PARTICIPATES WITH MANY PARTNERS THAT MAKE IT POSSIBLE TO CREATE AND DELIVER POPULATION PROGRAMS THAT IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. THESE PARTNERS HAVE PROVIDED EXPERTISE AND ALLOCATED RESOURCES TO MEET THOSE URGENT HEALTHCARE NEEDS WITHIN OUR COMMUNITY. SOME OF THESE PARTNERS INCLUDE: DELAWARE PUBLIC HEALTH, SUSSEX COUNTY HEALTH COALITION, SEAFORD COMMUNITY OF HOPE, SEAFORD HELP INITIATIVE, HABITAT FOR HUMANITY, LOVE, INC., FIRST STATE ACTION AGENCY, LA RED, LA ESPERANZA, FAITH-BASED ORGANIZATIONS, SEAFORD COMMUNITY OF HOPE, LOCAL COLLEGES/ AND SCHOOLS, NATIONAL KIDNEY FOUNDATION, TIDALHEALTH EMPLOYEES, POST-ACUTE CARE FACILITIES, DELAWARE FOODBANK, AND MORE.
PART VI, LINE 6:AFFILIATED HEALTH CARE SYSTEM ROLESTIDALHEALTH IS ANCHORED BY TWO HOSPITALS, TIDALHEALTH PENINSULA REGIONAL AND TIDALHEALTH NANTICOKE. IN ADDITION, TIDALHEALTH INCLUDES AN EXPANSIVE PHYSICIAN NETWORK WITH MORE THAN 300 PROVIDERS IN 23 SPECIALTIES ACROSS 30 LOCATIONS.TIDALHEALTH NANTICOKE, INC IS PART OF TIDALHEALTH, INC. THE SYSTEM INCLUDES A FOUNDATION, A MEDICAL CENTER, AND FOR-PROFIT ENTITIES WITH INTERESTS IN VARIOUS HEALTH CARE JOINT VENTURES. IN ADDITION TO THE COMMUNITY BENEFITS PROVIDED BY THE RELATED MEDICAL CENTER, TIDALHEALTH NANTICOKE EVALUATES THE NEEDS OF THE COMMUNITY AND WILL PARTICIPATE IN COMMUNITY BENEFIT PROGRAMS AS NEEDED.
PART VI, LINE 7:COMMUNITY BENEFIT REPORT STATE FILINGSSTATE(S) WITH WHICH THE ORGANIZATION FILES A COMMUNITY BENEFIT REPORT: DELAWARE

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd
Total501c3 Org0Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationDESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS REQUESTS FOR THE USE OF GRANT FUNDS ARE SUBMITTED TO THE FILING ORGANIZATION BY DEPARTMENT DIRECTORS OF TIDALHEALTH PENINSULA REGIONAL (TPR), AFTER RECEIVING APPROVAL OF VICE PRESIDENT OF TPR. THE REQUEST CONTAINS VENDOR INFORMATION AND THE EXPLANATION OF THE PROGRAM OF BENEFIT FOR WHICH THE FUNDS ARE REQUESTED. THE ORGANIZATION APPROVES THE USE OF FUNDS BASED ON THE DESIGNATED PERMITTED USE OF THE ORIGINAL CONTRIBUTION.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
STEVEN LEONARD
BOARD MEMBER$0$794,032$0$194,656$0$13,218$0$196,583$0$19,849$0$1,218,338$0$0
BRUCE I RITCHIE
CFO$0$556,082$0$96,637$0$21,235$0$145,343$0$19,176$0$838,473$0$0
RICHARD SIMONS DO
BOARD MEMBER$0$500,696$0$0$0$1,078$0$40,440$0$16,510$0$558,724$0$0
PENNY SHORT
PRESIDENT$0$385,927$0$58,583$0$0$0$66,104$0$7,713$0$518,327$0$0
HARRY ANTHONY MD
CHIEF MEDICAL OFFICER$0$313,523$0$38,239$0$0$0$54,567$0$6,251$0$412,580$0$0
JOSEPH KIM MD
BOARD MEMBER$0$315,529$0$25,844$0$0$0$21,030$0$16,926$0$379,329$0$0
DENISE JESTER
SENIOR DIRECTOR$0$246,969$0$33,862$0$0$0$45,648$0$12,281$0$338,760$0$0
RAY FULKROD
CNO TO 7/4/2021$0$137,694$0$0$0$93,008$0$20,989$0$3,616$0$255,307$0$0
SANDRA PALAVECINO MD
BOARD MEMBER$0$192,122$0$0$0$1,218$0$9,752$0$7,360$0$210,452$0$0
LILIA KULMACZEWSKI
FORMER CHIEF COMPLIANCE OFFICER$0$108,841$0$0$0$70,623$0$19,465$0$3,272$0$202,201$0$0
THOMAS BROWN
FORMER SENIOR VP$0$0$0$0$0$137,771$0$0$0$0$0$137,771$0$0
STEVEN ROSE
FORMER CEO$0$0$0$0$0$54,669$0$0$0$0$0$54,669$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3PROCESS FOR DETERMINING COMPENSATION A COMPENSATION COMMITTEE OF TIDALHEALTH INC. (THI), THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION, DETERMINES THE COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR OF THE ORGANIZATION. THE CEO OF THE ORGANIZATION HAS A WRITTEN EMPLOYMENT CONTRACT. THE COMPENSATION COMMITTEE USES AN INDEPENDENT CONSULTANT, COMPENSATION SURVEYS, AND OTHER ORGANIZATION'S FORM 990 IN THE DETERMINATION PROCESS AND KEEPS CONTEMPROANEOUS RECORDS OF DECISIONS MADE.
PART I, LINES 4A-BSUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: THI HAS A NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN (UNDER SECTION 457 (F)). THIS PLAN WAS APPROVED BY THE COMPENSATION COMMITTEE OF THE THI BOARD OF DIRECTORS TO SUPPLEMENT THE EXECUTIVE'S RETIREMENT INCOME. THE SUPPLEMENTAL RETIREMENT PLAN WAS DEVELOPED BASED ON AN INDEPENDENT CONSULTANT REPORT ON MARKET-BASED PRACTICES FOR SUPPLEMENTAL RETIREMENT PLANS. THE PERCENTAGE OF FINAL AVERAGE PAY, THE REQUIREMENTS FOR VESTING, PARTICIPANTS, AND PAY-OUT PROVISIONS WERE ESTABLISHED, REVIEWED, AND APPROVED BY THE COMPENSATION COMMITTEE. THE CONTRIBUTIONS TO THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN C OR IN SCHEDULE J, PART II, COLUMN B(III) AS PART OF DEFERRED COMPENSATION. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THIS SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: STEVEN LEONARD BRUCE RITCHIE THI PROVIDED THE FOLLOWING FUNDING AMOUNTS DURING 2021: STEVEN LEONARD $140,000 THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING 2021. THESE AMOUNTS ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B) (III): RAY FULKROD $92,352 LILIA KULMACZEWSKI $70,623 THOMAS BROWN $137,771 STEVEN ROSE $54,669
PART I, LINE 7NON-FIXED PAYMENTS OFFICERS AND KEY EMPLOYEES OF THE FILING ORGANIZATION ARE PAID BY THI. THE COMPENSATION IS DETERMINED BY A NUMBER OF VARIABLES INCLUDING BUT NOT LIMITED TO INDIVIDUAL GOALS AS WELL AS ORGANIZATION OPERATIONAL ACHIEVEMENTS IN SERVICE, QUALITY, SAFETY, EMPLOYEE SATISFACTION, AND COST. THE FINAL DETERMINATION OF THE CONTINGENT COMPENSATION AMOUNT IS DETERMINED AND APPROVED BY THE BOARD AS PART OF THE OVERALL COMPENSATION REVIEW OF OFFICERS AND KEY EMPLOYEES.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4A, DESCRIPTION OF PROGRAM SERVICE:PROGRAM SERVICE ACCOMPLISHMENTS TIDALHEALTH NANTICOKE PROVIDES QUALITY MEDICAL CARE REGARDLESS OF RACE, CREED, SEX, SEXUAL ORIENTATION, NATIONAL ORIGIN, HANDICAP, AGE, RELIGION, DISABILITY, GENETICS OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF TIDALHEALTH NANTICOKE, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. THEREFORE, IN KEEPING WITH TIDALHEALTH NANTICOKE'S COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITY, HEALTH ACTIVITIES AND PROGRAMS NEEDED TO SUPPORT THE INABILITY TO PAY CO-EXIST. THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, SPECIAL PROGRAMS FOR THE UNDER SERVED, SCREENINGS ASSISTANCE AND A WIDE VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. PATIENTS SEEN: INPATIENTS 4,497; BIRTHS 762; ER VISITS 29,101; OP VISITS 123,902 DAYS OF INPATIENT CARE: ADULTS & PEDIATRICS 21,720; NEWBORN 1,541 OTHER FACTS: AVERAGE PATIENT STAY 4.83; OPERATIONS 4,101 TIDALHEALTH NANTICOKE PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS. SERVICES PROVIDED TO THOSE UNABLE TO PAY $ 14,023,816 DISCOUNTS TO MEDICARE, MEDICAID & OTHERS $ 189,541,447
ABOUT TIDALHEALTH NANTICOKEWHAT BEGAN AS A 32-BED HOSPITAL IN 1952 HAS GROWN TO INCLUDE INPATIENT SERVICES, OUTPATIENT SERVICES, URGENT CARE AND PROVIDER PRACTICES ACROSS SUSSEX COUNTY DELAWARE; BUSINESS SERVICES; AND A HOST OF PREVENTATIVE MEDICINE AND HEALTH EDUCATION PROGRAMS. EACH PART OF TIDALHEALTH WORKS TOGETHER TO FOCUS ON FULFILLING OUR MISSION: "TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE." TODAY, PATIENTS AND BUSINESSES ARE CONTINUALLY SEEKING SUPERIOR HEALTH CARE AT AN AFFORDABLE PRICE. TIDALHEALTH NANTICOKE STANDS COMMITTED TO PROVIDING THAT CARE. TIDALHEALTH NANTICOKE WAS THE RECIPIENT OF THE HEALTHGRADES PATIENT SAFETY EXCELLENT AWARD FROM 2017-2021. IT PLACED THE SEAFORD HOSPITAL IN THE TOP 5% OF HOSPITALS IN THE NATION OF PATIENT SAFETY. TIDALHEALTH NANTICOKE WAS THE ONLY DELAWARE HOSPITAL TO HOLD THAT DISTINCTION DURING THE FIVE-YEAR PERIOD. U.S. NEWS & WORLD REPORT, A GLOBAL AUTHORITY IN HOSPITAL RANKINGS AND CONSUMER ADVICE, HAS NAMED TIDALHEALTH NANTICOKE AS 2022-2023 HIGH PERFORMING HOSPITALS FOR 11 CHALLENGING AND ELECTIVE HEALTH CONDITIONS; THE HIGHEST AWARD A HOSPITAL CAN EARN FOR U.S. NEWS' BEST HOSPITALS PROCEDURES & CONDITIONS RATINGS. TIDALHEALTH NANTICOKE IN SEAFORD, DEL. WAS RANKED A HIGH PERFORMER IN THE TREATMENT OF STROKE, AND RATED ON AVERAGE WITH PEER UNITED STATES HOSPITALS IN NINE OTHER CATEGORIES (COPD, DIABETES, HEART ATTACK, HEART FAILURE, HIP FRACTURE, HIP REPLACEMENT, KNEE REPLACEMENT, PNEUMONIA AND KIDNEY FAILURE). THIS YEAR TIDALHEALTH NANTICOKE WAS AWARDED THE AMERICAN HEART ASSOCIATION'S STROKE GOLD PLUS AND STROKE HONOR ROLE AND TYPE 2 DIABETES ACHIEVEMENT AWARD. TIDALHEALTH NANTICOKE WAS HONORED AS ONE OF AMERICA'S 100 BEST HOSPITALS FOR GASTROINTESTINAL (GI) SURGERY. THE RECOGNITION IS NEW FOR THE SEAFORD, DEL. HOSPITAL, PLACING IT AMONG THE TOP 5% IN THE NATION FOR GI SURGERY. THE GI TEAM AT TIDALHEALTH NANTICOKE ALSO MAINTAINS THE HEALTHGRADES GI CARE AND GI SURGERY EXCELLENCE AWARDS FOR A SECOND CONSECUTIVE YEAR (2022-2023). TIDALHEALTH NANTICOKE WAS ALSO NAMED A FIVE-STAR RECIPIENT FOR THE CARE AND TREATMENT ITS TEAM PROVIDES IN HIP FRACTURE, COLORECTAL SURGERY, GALLBLADDER REMOVAL, SEPSIS AND DIABETIC EMERGENCIES. TIDALHEALTH NANTICOKE PARTICIPATES IN A PROACTIVE ACCOUNTABLE CARE ORGANIZATION AND CONTINUES TO BE RECOGNIZED BY THE NATIONAL COUNCIL FOR QUALITY ASSURANCE AS A PATIENT-CENTERED MEDICAL HOME. TIDALHEALTH NANTICOKE ALSO INCLUDES A CANCER CENTER THAT IS ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER. OUR GROWTH IS EVIDENCED NOT ONLY THROUGH THE CONTINUED ADDITION TO MEDICAL PROGRAMS, BUT ALSO THROUGH SUCCESSFUL PHYSICIAN RECRUITMENT AND EXPANSION OF OUR MEDICAL STAFF TO OVER 30 DIFFERENT SPECIALIES. AS OUR COMMUNITIES' HEALTHCARE NEEDS CHANGE, TIDALHEALTH NANTICOKE HEALTH SERVICES CONTINUES TO CHANGE AND EXPAND SERVICES TO MEET THOSE NEEDS. COMMUNITY OUTREACH TIDALHEALTH NANTICOKE'S TRAINED STAFF GOES INTO THE COMMUNITY TO PRESENT HEALTH EDUCATION SEMINARS AND PROVIDE HEALTH SCREENINGS. WE WORK WITH AREA SCHOOLS, AND COMMUNITY ORGANIZATIONS TO EDUCATE OUR COMMUNITY ON DISEASE MANAGEMENT, CARE COORDINATION, DISEASE PREVENTION AND GENERAL WELLNESS. THERE ARE MANY SUPPORT GROUPS AND EDUCATIONAL MEETINGS HOSTED BY TIDALHEALTH NANTICOKE. TIDALHEALTH NANTICOKE WORKS WITH THE HEALTHIER SUSSEX COUNTY TASK FORCE, AND THE SUSSEX COUNTY HEALTH COALITION ON COUNTY WIDE INITIATIVES. IN ADDITION, TIDALHEALTH NANTICOKE HAS AN ACTIVE EMPLOYEE WELLNESS PROGRAM ADDRESSING HEALTH AND WELLNESS ISSUES AMONG ITS EMPLOYED POPULATION. COMMUNITY WELLNESS TIDALHEALTH OPERATES A MOBILE, MULTIDISCIPLINARY COMMUNITY WELLNESS TEAM AS PART OF THE POPULATION HEALTH DIVISION OF THE SYSTEM. THIS TEAM OF NURSES AND COMMUNITY HEALTH WORKERS PROVIDE HEALTH SCREENINGS IN UNDERSERVED, LOW-INCOME COMMUNITIES. SCREENING ACTIVITIES INCLUDE REVIEW OF SOCIAL DETERMINANTS OF HEALTH, RESOURCE NAVIGATION, CONNECTION TO PCP AND HEALTH INSURANCE. THE TEAM ALSO PROVIDES BLOOD PRESSURE CHECKS, DIABETES RISK ASSESSMENTS, FLU SHOTS AND COVID SHOTS. PATIENTS AT HIGH RISK OF HOSPITALIZATION OR READMISSION BECAUSE OF UNMANAGED SDOH OR CHRONIC CONDITIONS MAY BE ASSIGNED A COMMUNITY HEALTH WORKER WHO CONDUCTS HOME VISITS TO IDENTIFY NEEDS AND CONNECT THE PATIENT TO COMMUNITY RESOURCES AND HEALTH EDUCATION TO BETTER SELF MANAGE AT HOME. THE COMMUNITY WELLNESS TEAM LEADS COMMUNITY FLU CLINICS. TIDALHEALTH NANTICOKE HOSTS SEVERAL MATERNITY CLASSES, DIABETES EDUCATION CLASSES CERTIFIED THROUGH THE AMERICAN DIABETES ASSOCIATION, AND HOST SUPPORT GROUPS INCLUDING STROKE, CHF, CANCER, AND MANY OTHERS. WE CONDUCT REGULAR CHOLESTEROL, DIABETES, AND BLOOD PRESSURE SCREENINGS AND ADULT AND INFANT / CHILD CPR INSTRUCTION IS OFFERED ON A REGULAR BASIS. PATIENT EDUCATION PATIENT AND FAMILY EDUCATION HAS BECOME AN INTEGRAL PART OF THE CLINICAL PATHWAY PROCESS UTILIZED THROUGHOUT TIDALHEALTH NANTICOKE HEALTH SERVICES. THROUGH THE PATIENT EDUCATION CENTER AND LEVERAGING OUR EMR PROGRAM, OUR PATIENT CARE AND EDUCATION STAFF HAVE BEEN TRAINED TO TEACH OUR PATIENTS AND THEIR FAMILIES ABOUT THEIR ILLNESSES AND TREATMENTS. USING AN ASSORTMENT OF PRINTED MATERIALS AND CLOSED CIRCUIT TELEVISION, WE ARE ABLE TO EFFECTIVELY TRANSFER CRITICAL INFORMATION DURING ALL PHASES OF CARE. IN 2021, TIDALHEALTH COMPLETED AN UPDATED COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). BASED ON THE SIGNIFICANT NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT, THE FOLLOWING IMPLEMENTATION INITIATIVES WERE DEVELOPED AND OUTLINED IN OUR 2022-2025 IMPLEMENTATION STRATEGY PLAN FOR TIDALHEALTH NANTICOKE, AND ALSO IN THE COMMUNITY HEALTH IMPROVEMENT PLAN FOR SOMERSET COUNTY HEALTH DEPARTMENT AND WICOMICO COUNTY HEALTH DEPARTMENT. AFTER A THOROUGH REVIEW OF THE HEALTH STATUS IN OUR COMMUNITY THROUGH THE CHNA, WE IDENTIFIED AREAS THAT WE COULD ADDRESS USING OUR RESOURCES, EXPERTISE AND COMMUNITY PARTNERS. THE FOLLOWING ARE THE PRIORITIZED HEALTH NEEDS THAT WILL BE ADDRESSED: - ACCESS AND HEALTH EQUITY - BEHAVIORAL HEALTH (PREVENTION AND TREATMENT FOR MENTAL HEALTH AND MENTAL DISORDERS AS WELL AS SUBSTANCE ABUSE DISORDERS) - CHRONIC DISEASE AND WELLNESS
FORM 990, PART VI, SECTION A, LINE 6MEMBERS OR STOCKHOLDERS TIDALHEALTH, INC. IS THE SOLE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7AELECTION OF MEMBERS OF GOVERNING BODY IN ITS CAPACITY AS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, TIDALHEALTH, INC. HAS THE ABILITY TO ELECT MEMBERS OF THE ORGANIZATION'S GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7BAPPROVAL OF GOVERNING BODY DECISIONS SHAREHOLDER/GOVERNING BODY HAS POWER TO: MANAGE SUPERVISE AND DIRECT BUSINESS AFFAIRS; ESTABLISH POLICIES, PROCEDURES AND PROGRAMS; DETERMINE HOSPITAL SERVICES; AUTHORIZE AND EXECUTE DEBT AGREEMENTS; DETERMINE POLICIES OF HOSPITAL; HAVE RESPONSIBILITY FOR QUALITY PATIENT CARE; TO PROVIDE FOR ADEQUATE FINANCING; DECIDE STRATEGIC PLANS; PROTECT HOSPITAL PROPERTY; PROVIDE FINANCIAL STABILITY; APPROVE ANNUAL BUDGET; ESTABLISH HOSPITAL POLICY; APPROVE BY-LAWS; PROVIDE FOR APPOINTMENT OF MEDICAL STAFF; REQUIRE MEDICAL STAFF MAINTAIN HIGH STANDARDS; AVOID PROFITING FROM HOSPITAL RELATIONSHIP; ESTABLISH COMMNICATION AMONG SHAREHOLDERS; MAINTAIN RECORDS; IMPLEMENT EXPENDITURE PLANS; EVALUATE PERFORMANCE; SELECT CHIEF EXECUTIVE OFFICER; ASSESS AND REVIEW COMPETENCIES OF STAFF; ENSURE AGE- APPROPRIATE CARE IS DELIVERED; PROVIDE SINGLE LEVEL OF PATIENT CARE; REQUIRE STAFF TO REPORT ON MEDICAL CARE; PROVIDE RESOURCES FOR RISK MANAGEMENT; APPROVE AUXILIARY ORGANIZATION ACTIVITIES; TO REMOVE HOSPITAL DIRECTOR OR STAFF WITHOUT CAUSE; AUTHORIZE ISSUANCE OF SHARES OF STOCK; APPROVE ACTIVITIES OF HOSPITAL DIRECTOR; AMEND CERTIFICATE OF ORGANIZATION; AUTHORIZE LIQUIDATION OF ASSETS; RESOLVE CONFLICTS; AUTHORIZE ACQUISITION OF SUBSIDIARIES; PROVIDE FOR COMPLIANCE WITH LAWS; PROVIDE FOR THE COLLABORATION OF LEADERS; EXERCISE POWERS OF BOARD OF DIRECTORS; EXERCISE POWERS OF TIDALHEALTH, INC.
FORM 990, PART VI, SECTION B, LINE 11BREVIEW PROCESS OF FORM 990 THE COMPLETION OF THE ORGANIZATION'S FORM 990 HAS BEEN DELEGATED TO THE AGENT OF THE ORGANIZATION BY THE PRESIDENT OF TIDALHEALTH, INC., THE PARENT CORPORATION OF BOTH TIDALHEALTH PENINSULA REGIONAL, INC. (TPR) AND THE ORGANIZATION. THE AGENT OF THE ORGANIZATION IS ALSO THE CHIEF FINANCIAL OFFICER OF TPR. THE ORGANIZATION'S FORM 990 IS REVIEWED BY THE PRESIDENT OF TPR. A COPY OF THE FORM 990 WAS MADE AVAILABLE TO ALL MEMBERS OF THE GOVERNING BODY PRIOR TO THE FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CMONITORING AND ENFORCEMENT OF CONFLICT OF INTEREST POLICY A CONFLICT OF INTEREST POLICY HAS BEEN ADOPTED BY THE ORGANIZATION'S BOARD OF DIRECTORS/EXECUTIVE COMMITTEE. THE BOARD OF TRUSTEES IS REQUIRED TO DISCLOSE ANNUALLY, IN WRITING, ANY AND ALL INTERESTS WHICH THEY OR ANY IMMEDIATE FAMILY MEMBER MAY HAVE IN ANY BUSINESS ENTITY WHICH HAS OR SEEKS A CONTRACTUAL OR COMPETITIVE RELATIONSHIP WITH THE ORGANIZATION. THE BOARD WILL HAVE THE AUTHORITY TO DETERMINE IF A VIOLATION HAS OCCURRED AND WHETHER ANY INTEREST WHICH SHOULD BE DISCLOSED SHOULD DISQUALIFY A DIRECTOR FROM PARTICIPATING IN ANY SPECIFIC BOARD DISCUSSION OR BOARD MEMBERSHIP.
FORM 990, PART VI, SECTION B, LINE 15PROCESS FOR DETERMINING COMPENSATION A COMPENSATION COMMITTEE OF TIDALHEALTH INC. (THI), THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION, DETERMINES THE COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR OF THE ORGANIZATION. THE CEO OF THE ORGANIZATION HAS A WRITTEN EMPLOYMENT CONTRACT. THE COMPENSATION COMMITTEE USES AN INDEPENDENT CONSULTANT, COMPENSATION SURVEYS, AND OTHER ORGANIZATION'S FORM 990 IN THE DETERMINATION PROCESS AND KEEPS CONTEMPROANEOUS RECORDS OF DECISIONS MADE.
FORM 990, PART VI, SECTION C, LINE 19AVAILABILITY OF DOCUMENTS TO PUBLIC THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND FORM 990 ARE AVAILABLE TO THE PUBLIC UPON REQUEST TO THE ORGANIZATION'S OR THE PUBLIC INFORMATION OFFICE OF TIDALHEALTH PENINSULA REGIONAL, INC. AT 100 EAST CARROLL STREET, SALISBURY, MD 21801.
FORM 990, PART XI, LINE 9:EQUITY TRANSFERS FROM RELATED ORGANIZATIONS 6,068,196. CHANGE IN VALUE OF PENSION ASSET 908,211.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACdAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
TIDALHEALTH PHYSICIAN NETWORK
801 MIDDLEFORD ROADSEAFORDDE19973510224470HEALTH SERVICESDE501(C)(3)LINE 10TIDALHEALTH0
TIDALHEALTH INC
100 EAST CARROLL STREETSALISBURYMD21801522132761PARENTMD501(C)(3)LINE 12C, III-FI0N/A
TIDALHEALTH FOUNDATION INC
100 EAST CARROLL STREETSALISBURYMD21801521851935FUNDRAISINGMD501(C)(3)LINE 7TIDALHEALTH INC0
DELMARVA PENINSULA INSURANCE COMPANY
981110617INSURANCE501(C)(3)TIDALHEALTH INC0PO BOX 1159GRAND CAYMANCJKY1-1102CJ
PENINSULA GENERAL HOSPITAL INS TRUST
100 EAST CARROLL STREETSALISBURYMD21801526321234INSURANCEMD501(C)(3)LINE 12C, III-FITIDALHEALTH INC0
MCCREADY FOUNDATION INC
201 HALL HIGHWAYCRISFIELDMD21817520607921FUNDRAISINGMD501(C)(3)LINE 10TIDALHEALTH INC0
TIDALHEALTH PENINSULA REGIONAL INC
100 EAST CARROLL STREETSALISBURYMD21801520591628HOSPITALMD501(C)(3)LINE 3TIDALHEALTH INC0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1DELMARVA ENDOSC CTRBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line111103 CATHAGE ROADAddressLine1Txt
CityBERLINCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21801ZIPCd
FieldValueIRS element (for citing)
EIN831509115EIN
Primary ActivitiesHEALTHCAREPrimaryActivitiesTxt
Legal Domicile StateMDLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
PENINSULA HEALTH VENTURES (PHV)
100 EAST CARROLL STREETSALISBURYMD21801522250012P'SHIP INVESTMENTMDN/AC0
PRLTC INC
100 EAST CARROLL STREETSALISBURYMD21801522190588LONG TERM CAREMDN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd