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TIDALHEALTH NANTICOKE INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
TIDALHEALTH NANTICOKE INC (EIN 51-0069243)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-16
IRS object ID
202221369349308372
Schema version
2020v4.2
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)
Return2022-05-16T13:12:21-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

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 1400AddressLine1Txt
CityARLINGTONCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22209ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

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 TitlePRESIDENTPersonTitleTxt
Phone3026296611PhoneNum
Signature2022-05-16SignatureDt
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 Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name ChangeYes (X)NameChangeInd
Principal OfficerPENNY SHORTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 MIDDLEFORD ROADAddressLine1Txt
CitySEAFORDCityNm
State AbbreviationDEStateAbbreviationCd
ZIP19973ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$163,068,607GrossReceiptsAmt
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 Body15VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee1230TotalEmployeeCnt
Total Volunteers150TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$14,736,332PYContributionsGrantsAmt
CY Contributions Grants$7,950,000CYContributionsGrantsAmt
PY Program Service Revenue$133,937,883PYProgramServiceRevenueAmt
CY Program Service Revenue$140,293,654CYProgramServiceRevenueAmt
PY Investment Income$2,196,354PYInvestmentIncomeAmt
CY Investment Income$4,270,650CYInvestmentIncomeAmt
PY Other Revenue$2,232,724PYOtherRevenueAmt
CY Other Revenue$2,003,281CYOtherRevenueAmt
PY Total Revenue$153,103,293PYTotalRevenueAmt
CY Total Revenue$154,517,585CYTotalRevenueAmt
PY Grants And Similar Paid$9,502,957PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$265,905CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$63,999,771PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$62,913,029CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$89,764,480PYOtherExpensesAmt
CY Other Expenses$98,255,733CYOtherExpensesAmt
PY Total Expenses$163,267,208PYTotalExpensesAmt
CY Total Expenses$161,434,667CYTotalExpensesAmt
PY Revenues Less Expenses-$10,163,915PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$6,917,082CYRevenuesLessExpensesAmt
Total Assets BOY$179,471,750TotalAssetsBOYAmt
Total Assets EOY$189,690,265TotalAssetsEOYAmt
Total Liabilities BOY$86,306,050TotalLiabilitiesBOYAmt
Total Liabilities EOY$45,325,200TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$93,165,700NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$144,365,065NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionIMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$146,913,031ExpenseAmt
Grant$265,905GrantAmt
Revenue$140,293,654RevenueAmt
DescSEE SCHEDULE ODesc
Total Program Service Expenses$146,913,031TotalProgramServiceExpensesAmt
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 IndividualsYes (1)GrantsToIndividualsInd
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 MemYes (1)BusinessRlnWithFamMemInd
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 Document163IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1230EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
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 Members15GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
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 CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
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
Phone3025365203PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 EAST CARROLL STAddressLine1Txt
CitySALISBURYCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21801ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
PENNY SHORT
PRESIDENT40.000.00Yes (X)Yes (X)$447,502$0$72,830
JANET PEDRO MD
BOARD MEMBER TO 05/20211.0040.00Yes (X)$0$461,770$28,542
JOSEPH KIM MD
BOARD MEMBER1.0040.00Yes (X)$0$313,464$45,015
MICHELE PROCINO-WELLS
SECRETARY2.001.00Yes (X)Yes (X)$0$0$0
DAVID CROUSE
CHAIRPERSON5.000.00Yes (X)Yes (X)$0$0$0
SONJA BIDDLE OD
BOARD MEMBER1.000.00Yes (X)$0$0$0
ANDREW HARTSTEIN
BOARD MEMBER1.000.00Yes (X)$0$0$0
MARIA LEHMAN
BOARD MEMBER1.001.00Yes (X)$0$0$0
STEVEN LEONARD
BOARD MEMBER1.0042.00Yes (X)$0$1,037,091$166,821
TRINA JOYNER
BOARD MEMBER1.000.00Yes (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
RICHARD SIMONS DO
BOARD MEMBER1.000.00Yes (X)$0$0$0
SEAN STEWARD
BOARD MEMBER1.000.00Yes (X)$0$0$0
RAY FULKROD
CNO40.000.00Yes (X)$234,930$0$29,486
BRUCE RITCHIE
CFO0.0042.00Yes (X)$0$730,288$158,256
DENISE JESTER
SENIOR DIRECTOR40.000.00$312,008$0$65,368Yes (X)
HARRY ANTHONY MD
CHIEF MEDICAL OFFICER0.0040.00$0$238,455$35,403Yes (X)
JAMES WATSON
SENIOR DIRECTOR40.000.00$190,009$0$41,718Yes (X)
DEAN SWINGLE
FINANCE DIRECTOR40.000.00$186,378$0$24,037Yes (X)
LORI LEE
SENIOR DIRECTOR40.000.00$179,570$0$25,326Yes (X)
TOM DIEHL
SENIOR DIRECTOR40.000.00$175,019$0$28,853Yes (X)
GEORGE SCHWOBEL
PHARMACY DIRECTOR40.000.00$170,694$0$23,828Yes (X)
STEVEN ROSE
FORMER CEO TO 01/31/200.000.00$1,021,122$0$2,307Yes (X)
THOMAS BROWN
FORMER SENIOR VP TO 06/11/200.000.00$320,344$0$23,667Yes (X)
TRACI ALLEY
FORMER CHIEF HR OFFICER TO 02/02/200.000.00$250,306$0$0Yes (X)
LILIA KULMACZEWSKI
FORMER CHIEF COMPLIANCE OFFICER40.000.00$208,235$0$27,852Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,696,117TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,781,068TotReportableCompRltdOrgAmt
Total Other Compensation$799,309TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K61IndivRcvdGreaterThan100KCnt
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$7,614,431
APOGEE MEDICAL MANAGEMENT
15059 N SCOTTSDALE RDSCOTTSDALEAZ85254HOSPITALISTS$3,092,276
ANESTHESIA SERVICES PA
2 READS WAYNEW CASTLEDE19720ANESTHESIA$2,774,689
QUEST DIAGNOSTICS
PO BOX 828669PHILADELPHIAPA19182LAB SERVICES$2,207,339
INTERMED
13301 US HWY 441ALACHUAFL32615BIO MED SERVICES$1,639,631
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K37CntrctRcvdGreaterThan100KCnt
Government Grants$7,700,000GovernmentGrantsAmt
All Other Contributions$250,000AllOtherContributionsAmt
Total Contributions$7,950,000TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT REVENUEDesc
Business623000BusinessCd
Total Revenue Column$140,293,654TotalRevenueColumnAmt
Related Or Exempt Func Income$140,293,654RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$140,293,654TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$875,729TotalRevenueColumnAmt
Exclusion$875,729ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$626,768RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$407,399RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$219,369RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$219,369TotalRevenueColumnAmt
Exclusion$219,369ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$11,521,544SecuritiesAmt
Other$17,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$8,100,019SecuritiesAmt
Other$43,604OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$3,421,525SecuritiesAmt
Other-$26,604OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,394,921TotalRevenueColumnAmt
Exclusion$3,394,921ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
MISCELLANEOUS623000$1,250,194$1,250,194
CAFETERIA623000$533,718$533,718
FieldValueIRS element (for citing)
Other Revenue Total$1,783,912OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$154,517,585TotalRevenueColumnAmt
Related Or Exempt Func Income$140,293,654RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$6,273,931ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$83,139TotalAmt
Program Services$83,139ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$182,766TotalAmt
Program Services$182,766ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$994,441TotalAmt
Program Services$904,941ProgramServicesAmt
Management And General$89,500ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$102,101TotalAmt
Program Services$92,912ProgramServicesAmt
Management And General$9,189ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$43,827,838TotalAmt
Program Services$39,883,332ProgramServicesAmt
Management And General$3,944,506ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,964,222TotalAmt
Program Services$2,697,442ProgramServicesAmt
Management And General$266,780ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$11,513,485TotalAmt
Program Services$10,477,272ProgramServicesAmt
Management And General$1,036,213ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,510,942TotalAmt
Program Services$3,194,958ProgramServicesAmt
Management And General$315,984ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$350,384TotalAmt
Program Services$318,849ProgramServicesAmt
Management And General$31,535ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$59,695TotalAmt
Program Services$54,322ProgramServicesAmt
Management And General$5,373ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$63,626TotalAmt
Management And General$63,626ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$199,324TotalAmt
Program Services$181,385ProgramServicesAmt
Management And General$17,939ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$13,561,239TotalAmt
Program Services$12,340,728ProgramServicesAmt
Management And General$1,220,511ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$462,170TotalAmt
Program Services$420,575ProgramServicesAmt
Management And General$41,595ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,930,982TotalAmt
Program Services$1,757,194ProgramServicesAmt
Management And General$173,788ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$13,463,742TotalAmt
Program Services$12,252,005ProgramServicesAmt
Management And General$1,211,737ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,107,434TotalAmt
Program Services$1,917,765ProgramServicesAmt
Management And General$189,669ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$27,569TotalAmt
Program Services$25,088ProgramServicesAmt
Management And General$2,481ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,329,627TotalAmt
Program Services$2,119,961ProgramServicesAmt
Management And General$209,666ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$9,956,944TotalAmt
Program Services$9,060,819ProgramServicesAmt
Management And General$896,125ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$548,937TotalAmt
Program Services$499,533ProgramServicesAmt
Management And General$49,404ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$16,218,733$14,759,047$1,459,686$0
DRUGS$13,060,269$11,884,845$1,175,424$0
PHYSICIAN FEES$10,378,283$9,444,238$934,045$0
BAD DEBT EXPENSE$8,953,578$8,147,756$805,822$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,583,197TotalAmt
Program Services$4,212,159ProgramServicesAmt
Management And General$371,038ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$161,434,667TotalAmt
Program Services$146,913,031ProgramServicesAmt
Management And General$14,521,636ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$8,228,921BOYAmt
EOY$5,879,363EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$22,731,016BOYAmt
EOY$26,859,522EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$12,003,679BOYAmt
EOY$13,560,376EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,584,412BOYAmt
EOY$4,087,321EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,050,070BOYAmt
EOY$1,259,400EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$103,068,528LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$13,621,114LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$89,349,477BOYAmt
EOY$89,447,414EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$37,783,297BOYAmt
EOY$46,694,278EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,740,878BOYAmt
EOY$1,902,591EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$179,471,750BOYAmt
EOY$189,690,265EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$14,704,587BOYAmt
EOY$19,308,603EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$6,592,773BOYAmt
EOY$3,779,781EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$65,008,690BOYAmt
EOY$22,236,816EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$86,306,050BOYAmt
EOY$45,325,200EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$93,165,700BOYAmt
EOY$144,365,065EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$93,165,700BOYAmt
EOY$144,365,065EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$179,471,750BOYAmt
EOY$189,690,265EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$6,917,082ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$4,839,892NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$53,276,555OtherChangesInNetAssetsAmt
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 ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$63,626GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$63,626TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1IFormAndLineReferenceDesc
ExplanationTIDALHEALTH 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. ALSO, WINNING STRATEGIES WASHINGTON, LLC PROVIDES LOBBYING SERVICES TO NANTICOKE TO ASSIST THE HOSPITAL IN MAINTAINING ITS MEDICARE DEPENDENT HOSPITAL (MDH) STATUS.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,490,200OtherCostOrOtherBasisAmt
Book Value$5,490,200BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$69,251,127OtherCostOrOtherBasisAmt
Depreciation$5,045,668DepreciationAmt
Book Value$64,205,459BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$690,087OtherCostOrOtherBasisAmt
Depreciation$62,881DepreciationAmt
Book Value$627,206BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$26,723,988OtherCostOrOtherBasisAmt
Depreciation$8,512,565DepreciationAmt
Book Value$18,211,423BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$913,126OtherCostOrOtherBasisAmt
Book Value$913,126BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$89,447,414TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ESTIMATED THIRD PARTY PAYOR SETTLEMENTS$20,472,786
OTHER LIABILITIES$1,764,030
FieldValueIRS element (for citing)
Total Liability$22,236,816TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationLIABILITY FOR UNCERTAIN TAX POSITION (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, 2021 AND 2020.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)
Persons Served2309PersonsServedCnt
Total Community Benefit Expns$4,352,995TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,352,995NetCommunityBenefitExpnsAmt
Total Expense0.02850TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served36381PersonsServedCnt
Total Community Benefit Expns$30,658,889TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,671,319DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,987,570NetCommunityBenefitExpnsAmt
Total Expense0.09830TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served38690PersonsServedCnt
Total Community Benefit Expns$35,011,884TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,671,319DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,340,565NetCommunityBenefitExpnsAmt
Total Expense0.12680TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs526ActivitiesOrProgramsCnt
Persons Served1510PersonsServedCnt
Total Community Benefit Expns$566,190TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$566,190NetCommunityBenefitExpnsAmt
Total Expense0.00370TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs48ActivitiesOrProgramsCnt
Persons Served1827PersonsServedCnt
Total Community Benefit Expns$73,500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$73,500NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs574ActivitiesOrProgramsCnt
Persons Served3337PersonsServedCnt
Total Community Benefit Expns$639,690TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$639,690NetCommunityBenefitExpnsAmt
Total Expense0.00420TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs574ActivitiesOrProgramsCnt
Persons Served42027PersonsServedCnt
Total Community Benefit Expns$35,651,574TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,671,319DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,980,255NetCommunityBenefitExpnsAmt
Total Expense0.13100TotalExpensePct

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)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served4PersonsServedCnt
Total Community Benefit Expns$5,822TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,822NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served4PersonsServedCnt
Total Community Benefit Expns$5,822TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,822NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$8,953,578BadDebtExpenseAmt
Reimbursed By Medicare$48,367,149ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$52,425,072CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$4,057,923MedicareSurplusOrShortfallAmt

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 PYYes (1)TaxExemptHospitalCYOrPYInd
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 Conducted19CHNAConductedYr
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
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
TIDALHEALTH NANTICOKE, INCPART V, SECTION B, LINE 2: THE ORGANIZATION WAS ACQUIRED BY TIDALHEALTH, INC. ON JANUARY 1, 2020.
TIDALHEALTH NANTICOKE, INCPART V, SECTION B, LINE 5: ASSIGNED STAFF MEMBERS WORKING IN CONJUNCTION WITH MEMBERS OF THE HEALTHIER SUSSEX COUNTY TASK FORCE AND THE SUSSEX COUNTY HEALTH COALITION WORKED TOGETHER TO CONDUCT THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). IN 2021, PREVIOUS TO MERGER, NANTICOKE, NOW A PART OF TIDALHEALTH, IS PREPARING TO CONDUCT A NEW COMMUNITY HEALTH NEEDS ASSESSMENT AS A HEALTH SYSTEM UNDER TIDALHEALTH. THE ASSESSMENT WILL COVER THE MD CBSA (COMMUNITY BENEFIT SERVICE AREA) OF SOMERSET, WICOMICO AND WORCESTER COUNTIES AND A NEW AREA OF SUSSEX COUNTY, DELAWARE. BACKGROUND: EFFECTIVE JANUARY 1, 2020, TIDALHEALTH NANTICOKE (THN) AND TIDALHEALTH PHYSICIAN NETWORK (TPN), LOCATED IN SEAFORD, DELAWARE, JOINED TIDALHEALTH, INC. NANTICOKE HAS 139 LICENSED ACUTE CARE BEDS (99 CURRENTLY OPERATED) AND PRIMARILY SERVES THE WESTERN SUSSEX COUNTY, DELAWARE PORTION OF TIDALHEALTH'S PRIMARY SERVICE AREA. TIDALHEALTH PHYSICIAN NETWORK PROVIDES OUTPATIENT MEDICAL SERVICES IN WESTERN SUSSEX COUNTY AND FEDERALSBURG, MD. EFFECTIVE MARCH 1, 2020, MCCREADY FOUNDATION, 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, INC. THE MCCREADY HOSPITAL DIVISION WAS MERGED IN TIDALHEALTH PENINSULA REGIONAL AND LIMITED ITS FUNCTIONS TO THOSE CONSISTENT WITH STATUS AS A FREE-STANDING MEDICAL CENTER. HCI AND TIDALHEALTH HAVE COLLABORATED SINCE 2012 TO DEVELOP THE TIDALHEALTH CREATING HEALTHY COMMUNITIES PLATFORM. ASSIGNED STAFF ALONG WITH COMMUNITY PARTNERS CONDUCTED KEY INFORMANT INTERVIEWS IN ORDER TO COLLECT COMMUNITY INPUT. KEY INFORMANT INTERVIEWS WERE CONDUCTED BETWEEN 11/4/2019 AND 08/30/2018. 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 HEALTH SYSTEM, AND/OR COULD SPEAK TO THE NEEDS OF THE MEDICALLY UNDERSERVED OR VULNERABLE POPULATIONS. THE FOLLOWING ORGANIZATIONS ARE REPRESENTATIVE OF THE INDIVIDUALS WHO PARTICIPATED IN THE INTERVIEWS:DELAWARE PUBLIC HEALTH INCLUDING REPRESENTATIVES FROM AREA SERVICES RANGING FROM CHILD TO SENIOR SERVICES, MEMBERS OF THE SUSSEX COUNTY HEALTH COALITION INCLUDING A WIDE RANGE OF REPRESENTATIVES PROVIDING HEALTH AND SOCIAL SERVICE SUPPORT TO VULNERABLE POPULATIONS (FOR A FULL LIST REFER TO NANTICOKE'S CHNA 2019), FIRST RESPONDERS, SKILLED NURSING REPRESENTATIVES, SENIOR SERVICE AGENCIES, SCHOOLS AND EDUCATORS AND LOCAL PHYSICIANS AND INDEPENDENT HEALTHCARE PROVIDERS. THREE FOCUS GROUPS WERE FACILITATED BY THE TEAM IN SUSSEX COUNTY. THESE INCLUDED FOCUS GROUPS HELD AT THE SUSSEX COUNTY HEALTH COALITION WELLNESS COMMITTEE, BEHAVIORAL HEALTH COMMITTEE AND ECONOMIC SUCCESS COMMITTEE. THESE FOCUS GROUPS WERE HELD JANUARY TO MARCH 2019. A COMMUNITY SURVEY WAS AVAILABLE USING SURVEY MONKEY, AN ONLINE SURVEY TOOL, AND A PAPER VERSION OF THE SURVEY. SURVEYS WERE CONDUCTED IN ENGLISH AND SPANISH, THOUGH MINIMAL LATINX PARTICIPATION WAS ACHIEVED. SURVEYING OF THE LATINX COMMUNITY WAS ATTEMPTED THROUGH COMMUNITY PARTNERS INCLUDING LA ESPERANZA. THE SURVEY WAS DISTRIBUTED ACROSS NANTICOKE'S SERVICE AREA FROM JULY 2018 UNTIL FEBRUARY 2019.
TIDALHEALTH NANTICOKE, INCPART V, SECTION B, LINE 6A: THE HOSPITAL FISCAL YEAR 2020 (ENDING 6/30/2020) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS COMPLETED JUNE 2019 FOLLOWED BY ITS ACCOMPANYING IMPLEMENTATION PLAN. THROUGH DECEMBER 2020, THEN NANTICOKE HEALTH SERVICES CONTINUED WORK WITH TWO OTHER COUNTY HOSPITALS (BAYHEALTH MILFORD AND BEEBE HEALTHCARE) THROUGH THE HEALTHIER SUSSEX COUNTY TASK FORCE ON IDENTIFIED COMMUNITY HEALTH PROJECTS. HOWEVER, AS COVID ARRIVED IN THE AREA, MOST COMMUNITY CLINICS AND IN-PERSON COMMUNITY OUTREACH WERE DISCONTINUED. AS AN INDIVIDUAL HOSPITAL IN 2020, FOCUS AREAS INCLUDED BEHAVIORAL HEALTH PROJECTS SPECIFICALLY FOCUSED ON OPIOID AND SUBSTANCE ABUSE IN OUR COMMUNITY; CHRONIC DISEASE MANAGEMENT FOR DIABETES; CERVICAL CANCER, AND FOOD INSECURITY PROGRAMS FOR PATIENTS OF OUR HOSPITAL AND EMPLOYED PROVIDER NETWORK. AT PRESENT, WORK FROM THIS IMPLEMENTATION PLAN IS APPROXIMATELY 50 PERCENT COMPLETE INCLUDING A PATIENT FOOD PANTRY FOR OUR INPATIENT, OUTPATIENT, ED AND WALK IN CARE PATIENTS. NANTICOKE IS ALSO PARTICIPATING IN STATE WORK FOR SUBSTANCE ABUSE AS WELL AS WITH THE SUSSEX COUNTY HEALTH COALITION IN SUPPORT OF SEAFORD'S DRUG FREE COMMUNITIES TASK FORCE. ADDITIONAL COMMUNITY HEALTH SUPPORT DUE WITH THE ARRIVAL OF COVID IN THE COMMUNITY INCLUDED SUPPORT OF STATE PUBLIC HEALTH COVID SCREENING CLINICS IN 2020. ON JANUARY 1, 2020, NANTICOKE HEALTH SERVICES AFFILIATED WITH TIDALHEALTH, AND REBRANDED TO TIDALHEALTH NANTICOKE. NOW PART OF A LARGER SYSTEM, TIDALHEALTH NANTICOKE ANTICIPATES ADDITIONAL RESOURCES AROUND POPULATION AND COMMUNITY HEALTH PROJECTS INCLUDING THE EXPECTED ADDITION OF A MOBILE VAN TO PROVIDE SERVICES TO VULNERABLE POPULATIONS. AS OUR COMMUNITY BECOMES VACCINATED AND RETURNS TO MORE NORMAL OPERATIONS, WE ANTICIPATE RESUMING OUR WORK IN DIABETES MANAGEMENT AND CERVICAL CANCER AWARENESS AND SCREENING COMPLIANCE.
TIDALHEALTH NANTICOKE, INCPART V, SECTION B, LINE 6B: IN DEVELOPING ITS CHNA, NMH WORKED WITH SUSSEX COUNTY HEALTH COALITION, THE HEALTHIER SUSSEX COUNTY TASK FORCE, DRUG FREE COMMUNITIES, PUBLIC HEALTH, AND MANY OTHER SOCIAL SERVICE GROUPS AND HEALTHCARE ORGANIZATIONS.FORM 990, SCHEDULE H, PART V, LINE 7ACHNA ON HOSPITAL FACILITY'S WEBSITEHTTPS://WWW.TIDALHEALTH.ORG/COMMUNITY-OUTREACH-PARTNERS/COMMUNITY-HEALTH-RESEARCH-DATA/CREATING-HEALTHY-COMMUNITIES
TIDALHEALTH NANTICOKE, INCPART V, SECTION B, LINE 11: TIDALHEALTH NANTICOKE WORKS WITH SEVERAL COMMUNITY PARTNERS AND AGENCIES TO ADDRESS HEALTH NEEDS IN THE COMMUNITY. FROM THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT, NANTICOKE IDENTIFIED FOUR AREAS OF GREATEST NEED WITHIN OUR COMMUNITY. THEY ARE MENTAL HEALTH & SUBSTANCE ABUSE, CERVICAL CANCER PREVENTION, CHRONIC DISEASE MANAGEMENT MORE SPECIFICALLY DIABETES MANAGEMENT, AND FOOD INSECURITY. NANTICOKE WORKED WITH THE SUSSEX COUNTY HEALTH COALITION, THE DRUG FREE COMMUNITIES TASK FORCE AND SEVERAL SERVICE AGENCIES AND DEPARTMENTS FROM DELAWARE PUBLIC HEALTH ON INITIATIVES AROUND BEHAVIORAL HEALTH AND SUBSTANCE ABUSE. PROJECTS RANGED FROM SAFE PRESCRIBING TO CARE COORDINATION WITHIN THE MEDICAL PRACTICES TO AWARENESS AND PREVENTION. NANTICOKE ALSO PARTICIPATED IN SUPPORTING THE EXPANSION OF NARCAN TRAINING WITHIN THE COMMUNITY AS WELL AS YOUTH PREVENTION ACTIVITIES. FOR BOTH CERVICAL CANCER SCREENING AND DIABETES MANAGEMENT, EFFORTS WERE TAKEN IN PARTNERSHIP WITH THE EBRIGHT ACO AND THE HEALTHIER SUSSEX COUNTY TO DEVELOP SPECIFIC PROGRAMS OR INITIATIVES WITHIN PRIMARY CARE PROVIDER PRACTICES TO INCREASE COMPLIANCE. ADDITIONALLY, INITIATIVES WERE EXPANDED TO INCLUDE CARE MANAGEMENT FOR COMPLIANCE WITHIN EMPLOYEE POPULATIONS. WITH THE ONSET OF COVID 19, GENERAL COMMUNITY OUTREACH PROGRAMS SLOWED. HOWEVER, WITH THE INTEGRATION OF TIDALHEALTH NANTICOKE INTO WHAT IS NOW KNOWN AS TIDALHEALTH, INITIATIVES FOR OUTREACH IN THESE AND OTHER COMMUNITY HEALTH AREAS FOR SUSSEX COUNTY ARE CURRENTLY BEING DEVELOPED THROUGH ITS POPULATION HEALTH DEPARTMENT. FOR FOOD INSECURITY, THE IDENTIFIED GAP WAS WITH PATIENTS OF TIDALHEALTH NANTICOKE LEAVING THE HOSPITAL WITHOUT FOOD. UNDERSTANDING THE GAP WAS IN PROVIDING TIME TO HEAL TO GIVE TIME FOR PATIENTS TO CONNECT WITH OTHER AREA FOOD SERVICES, NANTICOKE OPENED A DEDICATED PATIENT FOOD PANTRY, PROVIDING FOOD TO PATIENTS FOR TWO TO FOUR WEEKS TO ALLOW PATIENTS TIME TO HEAL. NANTICOKE ALSO EXPANDED THE PROGRAM TO INCLUDE TRAVEL FOOD BAGS FOR HOMELESS PATIENTS COMING TO THE E.D. AS WELL AS WITHIN SPECIFIC PATIENT POPULATIONS INCLUDING CANCER PATIENTS AND MEDICAL PRACTICE PATIENTS. THIS PROGRAM IS DONE IN PARTNERSHIP WITH LOCAL BUSINESSES, THE DELAWARE FOOD BANK AND PROJECT SEARCH (STUDENT INTERNSHIP PROGRAM).
FORM 990, SCHEDULE H, PART V, LINE 10ACHNA ON HOSPITAL FACILITY'S WEBSITEHTTPS://WWW.TIDALHEALTH.ORG/COMMUNITY-OUTREACH-PARTNERS/COMMUNITY-HEALTH-RESEARCH-DATA/CREATING-HEALTHY-COMMUNITIES
FORM 990, SCHEDULE H, PART V, LINES 16A-CTHE FAP, FAP APPLICATION, AND A PLAIN LANGUAGE SUMMARY OF THE FAP WAS AVAILABLE AT THE FOLLOWING WEBSITE: HTTPS://WWW.TIDALHEALTH.ORG/COMMUNITY-OUTREACH-PARTNERS/COMMUNITY-HEALTH-RESEARCH-DATA/CREATING-HEALTHY-COMMUNITIES
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 (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:THE COSTING METHOD USED TO CALCULATE THE AMOUNTS REPORTED WAS THE MEDICARE OPERATING COST-TO-CHARGE RATIO FOR BOTH OUTPATIENT AND INPATIENT SERVICES.
PART I, LINE 7G:THE HOSPITAL DID NOT INCLUDE SUBSIDIZED HEALTH SERVICE ATTRIBUTABLE TO PHYSICIAN CLINICS.
PART I, LINE 7 COL(F):THE AMOUNT OF BAD DEBT EXPENSE EXCLUDED FROM THE DENOMINATOR IN THE COLUMN (F) PERCENTAGES IS $8,953,578.
PART II, COMMUNITY BUILDING ACTIVITIES:COMMUNITY OUTEACH:TIDALHEALTH 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. THE PANDEMIC HAS NOT ENDED AS TIDALHEALTH NANTICOKE VOLUMES AND COVID-RELATED EXPENSES ARE VOLATILE AND MAY NOT SETTLE TO NORMAL UNTIL THE END OF THE CALENDAR YEAR 2022, IF NOT LATER. 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. HOWEVER, CONSIDERING OVERWHELMING STAFFING SHORTAGES, EMPLOYEES SIDELINED WITH COVID PROTOCOLS AND THE NEED TO CURTAIL "FACE TO FACE" INTERACTIONS WITH THE COMMUNITY MEMBERS, TIDALHEALTH IS CURRENTLY WORKING TIRELESSLY TO EDUCATE AND VACCINATE THE COMMUNITY AGAINST COVID. 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.TIDALHEALTH NANTICOKE WORKS IN COLLABORATION WITH A VARIETY OF COMMUNITY-BASED STAKEHOLDERS TO ADDRESS THE NEEDS AND PRIORITIES IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT. TIDALHEALTH NANTICOKE AND PARTNERS IDENTIFIED FOUR AREAS OF GREATEST NEED WITHIN OUR COMMUNITY IN THE CHNA INCLUDING OPIOID AND SUBSTANCE ABUSE; DIABETES; CANCER; AND FOOD INSECURITY. THE HOSPITAL TEAM WORKED THE SUSSEX COUNTY HEALTH COALITION, DRUG FREE COMMUNITIES TASK FORCE AND VARIOUS DIVISIONS OF DELAWARE PUBLIC HEALTH TO DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN WHICH OUTLINES THE SPECIFIC GOALS, OBJECTIVES, STRATEGIES AND ACTIVITIES TO IMPACT THE FOUR PRIORITY AREAS.FOR FISCAL 2021, SUBSTANCE ABUSE PREVENTION INITIATIVES INCLUDED WORK WITH THE SUSSEX COUNTY HEALTH COALITION AND THE DELAWARE GOES PURPLE SUBSTANCE ABUSE AWARENESS CAMPAIGN. THE CAMPAIGN IS A MONTH-LONG PROGRAM THAT BRINGS AWARENESS ABOUT SUBSTANCE ABUSE WITHIN OUR COMMUNITY AND EMPOWERS YOUTH TO STAND UP AGAINST PEER PRESSURE AND DRUG EXPERIMENTATION. ADDITIONALLY, AS PART OF TIDALHEALTH NANTICOKE'S FOCUS ON BEHAVIORAL HEALTH AND ACCESS, THE TEAM PARTICIPATES ON THE SCHD DRUG FREE COMMUNITIES COMMITTEE. TIDALHEALTH MEDICAL PARTNERS CONTRIBUTED TO THE INITIATIVE BY CONTINUING TO INSTITUTE SAFE PRESCRIBING BEST PRACTICES AND CARE COORDINATION WITHIN PRIMARY CARE PRACTICES. TIDALHEALTH NANTICOKE ALSO PARTICIPATED IN SUPPORTING THE EXPANSION OF NARCAN TRAINING WITHIN THE COMMUNITY.TO ADDRESS CANCER RELATED NEEDS, TIDALHEALTH NANTICOKE COLLABORATES WITH THE DELAWARE BREAST CANCER COALITION. THE PROGRAM EDUCATES LOCAL COMMUNITIES ON BREAST HEALTH AWARENESS, PROVIDES SCREENINGS THROUGH PARTNERSHIPS AND ALSO SUPPORTS THE NEEDS OF BREAST CANCER SURVIVORS. DURING FISCAL 2021, WE CONTINUED OUR CANCER MISSION BY HOSTING OVER FORTY VIRTUAL GROUP MEETINGS SUPPORTING NEARLY 300 IN ATTENDANCE. SKIN CANCER IS ONE OF THE MOST COMMON TYPES OF CANCERS; OUR CLOSE PROXIMITY TO THE OCEAN, OUTDOOR WATER ACTIVITIES AND LARGE AGRICULTURAL COMMUNITY CONTRIBUTES TO THE HIGH PREVALENCE AND INCIDENCE RATE OF SKIN CANCER.TO ADDRESS DIABETES NEEDS THROUGHOUT THE COMMUNITY, TIDALHEALTH NANTICOKE OFFERS FREE COMMUNITY OUTREACH PROGRAM FOR DIABETES SUPPORT GROUPS. THE SUPPORT GROUPS WERE OFFERED IN FEBRUARY AND MAY 2021 BY VIRTUAL/TELEHEALTH FORMAT TO THE REGIONAL DIABETES COMMUNITY. SUPPORT GROUPS FOR DIABETES WERE OFFERED IN THIS FORMAT BECAUSE OF COVID-19 RESTRICTIONS AND SOCIAL DISTANCING REQUIREMENTS. A GENERAL SUPPORT PROGRAM WAS OFFERED IN FEBRUARY WITH A NURSE AND DIETITIAN WHO ARE BOTH CERTIFIED DIABETES EDUCATORS. THE MAY EVENT WAS CONDUCTED IN COLLABORATION WITH STEPHANIE ROSS, EXECUTIVE CHEF WITH THE AMERICAN HEALTH ASSOCIATION. THE PROGRAM WAS PART OF THE "SIMPLE COOKING WITH HEART KITCHEN," WHERE PARTICIPANTS OBSERVED A COOKING DEMONSTRATION ONLINE WHILE PREPARING THE SAME MEAL AT HOME TO LEARN HEALTHY COOKING TECHNIQUES.TIDALHEALTH NANTICOKE OPERATED A FOOD ASSISTANCE PROGRAM IN FISCAL 2021 TO ADDRESS FOOD INSECURITY THROUGHOUT THE COMMUNITY. AS AN MDH (MEDICARE DEPENDENT HOSPITAL) AND SERVING A SUBSTANTIAL MEDICAID POPULATION MANY OF OUR INPATIENTS ARE ACUTELY SICK AND SUBSEQUENTLY DISCHARGED HOME LACKING HEALTHY NUTRITIOUS FOOD, MAKING IT DIFFICULT FOR THEM TO CONTINUE THEIR RECOVERY PROCESS. WHILE MANY COMMUNITY FOOD ASSISTANCE PROGRAMS EXIST, IT MAY TAKE A LITTLE LONGER FOR A PATIENT RECOVERING FROM A HOSPITAL STAY TO CONNECT TO THESE RESOURCES. TIDALHEALTH NANTICOKE OPENED A DEDICATED PATIENT FOOD PANTRY, PROVIDING FOOD TO PATIENTS FOR TWO TO FOUR WEEKS TO ALLOW PATIENTS TIME TO HEAL. THE PROGRAM WAS EXPANDED TO INCLUDE TRAVEL FOOD BAGS FOR HOMELESS PATIENTS COMING TO THE E.D. AS WELL AS WITHIN SPECIFIC PATIENT POPULATIONS INCLUDING CANCER PATIENTS AND MEDICAL PRACTICE PATIENTS. THIS PROGRAM IS DONE IN PARTNERSHIP WITH LOCAL BUSINESSES, THE DELAWARE FOOD BANK AND PROJECT SEARCH (STUDENT INTERNSHIP PROGRAM).PATIENTS ARE IDENTIFIED AS 'IN NEED' AS A PART OF THEIR PATIENT CARE PROCESS. IF IDENTIFIED, THEY RECEIVE A FOOD PACKAGE BEFORE BEING DISCHARGED FROM THE HOSPITAL. BY PROVIDING FOOD FOR UP TO FOUR WEEKS, WE HOPE IT GIVES ENOUGH TIME FOR THEM TO CONNECT TO OTHER RESOURCES WITHOUT GOING HUNGRY DURING RECOVERY.THIS PROGRAM IS FOR INPATIENTS, WHICH MEANS THOSE ADMITTED OVERNIGHT TO THE HOSPITAL. KEY CLINICAL AND SOCIAL SERVICE STAFF CAN ACCESS THE FOOD CLOSET IN THE EVENT THERE IS AN URGENT NEED OUTSIDE OF THE INPATIENT CARE PROCESS.ON A REGULAR BASIS, WE DO OUR BEST TO KEEP A SUPPLY FOR A ROUNDED DIET, COLLECTING LOW-SODIUM (SALT) AND LOW-SUGAR PRODUCTS AS POSSIBLE. WE PROVIDE PATIENTS WITH A STOCK OF ITEMS FROM THE FOLLOWING FOOD GROUPS:1. PROTEINS - PACKAGES, SHELF-SUSTAINABLE MEATS, AND BEANS2. VEGETABLES - CANNED, LOW-SODIUM OR NO-SODIUM PREFERRED3. FRUITS - CANNED OR DRIED4. GRAINS - NON-SUGARY CEREALS, RICE, WHOLE WHEAT PASTAS, AND OATMEAL5. DAIRY - CANNED OR POWDERED MILK
PART III, LINE 2 & LINE 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.DISCOUNTS RANGING FROM 2.0% TO 7.7% OF CHARGES ARE GIVEN TO MEDICARE, MEDICAID, AND CERTAIN APPROVED COMMERCIAL HEALTH INSURANCE AND HEALTH MAINTENANCE ORGANIZATION PROGRAMS FOR REGULATED SERVICES. DISCOUNTS IN VARYING PERCENTAGES ARE GIVEN FOR CERTAIN UNREGULATED SERVICES.
PART III, LINE 8:THE COSTING METHOD USED TO DETERMINE ALLOWABLE COSTS ARE THE COSTS IN ACCORDANCE WITH MEDICARE REQUIREMENTS AND REGULATIONS. ONLY COSTS THAT ARE CONSISTENT WITH EFFICIENT, COST-EFFECTIVE MANAGEMENT AND OPERATIONS ARE ALLOWED. ONLY OPERATING COSTS THAT ARE DIRECTLY RELATED TO THE DELIVERY OF HEALTH CARE SERVICES TO MEDICARE AND MEDICAID PATIENTS WERE ALLOWED.
PART III, LINE 9B:THE COLLECTION POLICY PERTAINS TO ALL PATIENTS WITH A SELF PAY BALANCE. IF A PATIENT APPLIES FOR EITHER CHARITY CARE OR ANY OTHER ASSISTANCE PROGRAM SUCH AS MEDICARE AND MEDICAID, ALL COLLECTION ACTIVITY IS PUT ON HOLD UNTIL A DETERMINATION OF ELIGIBILITY IS MADE.
PART VI, LINE 2:TIDALHEALTH 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 2019 CHNA. IN JANUARY 2020, THE HOSPITAL BECAME AN AFFILIATE OF TIDALHEALTH AND WORK BEGAN TO ANALYZE RESOURCES FOR FUTURE WORK TOWARD EXPANDED COMMUNITY OUTREACH, POST COVID, THROUGH TIDALHEALTH'S POPULATION HEALTH AND COMMUNITY OUTREACH TEAMS.
PART VI, LINE 3:PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCETIDALHEALTH NANTICOKE, INC PROVIDES INFORMATION IN THEIR PATIENT INFORMATION AND VISITORS GUIDE UNDER THE "FINANCIAL ARRANGEMENT/INSURANCE" SECTION CONCERNING THE AVAILABILITY OF FINANCIAL COUNSELORS TO DISCUSS PAYMENT ARRANGEMENTS. AT THIS TIME, PATIENTS ARE INFORMED ABOUT ALL THE PROGRAMS AVAILABLE TO THEM, BOTH VERBALLY AND IN WRITTEN FORMAT OF POSSIBLE ELIGIBILITY FOR DELAWARE MEDICAID ASSISTANCE. THE FOLLOWING DEPARTMENTS OFFER THIS TYPE OF ASSISTANCE TO OUR PATIENTS: BUSINESS OFFICE, REGISTRATION, CASE MANAGEMENT, CHAPS COORDINATOR, CANCER CARE COORDINATOR, CANCER NURSE NAVIGATOR (SCREENING APPROACH), AND PRESCRIPTION ASSISTANCE PROGRAM. IN ADDITION, VARIOUS ORGANIZATIONS WERE INTERVIEWED FOR INPUT, INCLUDING: ALZHEIMER'S ASSOCIATION, AMERICAN CANCER SOCIETY, AMERICAN DIABETES ASSOCIATION, BAYHEALTH, BEEBE AND NANTICOKE SOCIAL WORKERS, DELAWARE ASSOCIATION OF HISPANIC NURSES, DELAWARE BREAST CANCER COALITION, DELAWARE HEALTHCARE ASSOCIATION, DELAWARE HOSPICE, DIVISION OF PUBLIC HEALTH -GEORGETOWN, EASTER SEALS, ELLENDALE RECOVERY CENTER, LA ESPERANZA, LA RED FEDERAL QUALIFIED HEALTH CENTERS, LAW ENFORCEMENT AGENCIES, MID-ATLANTIC AIDS TRAINING CENTER, MOUNTAIRE & PERDUE CHICKEN PLANTS, NANTICOKE INDIAN CENTER, PENINSULA HOME CARE, PEOPLE'S PLACE, PUBLIC HEALTH NURSES -GEORGETOWN, SOUTHERN DELAWARE TOURISM, STRONG COMMUNITIES, SUSSEX COUNTY ASSOCIATION OF TOWNS, SUSSEX CHILD HEALTH, SUSSEX COUNTY CHURCHES, SUSSEX COUNTY CHAMBER OF COMMERCE, SUSSEX COUNTY EMS, SUSSEX COUNTY LIBRARIES, SUSSEX COUNTY FIRE STATIONS, SUSSEX COUNTY SENIOR CENTERS, SUSSEX COUNTY VETERANS GROUP, VFW/AMERICAN LEGION.
PART VI, LINE 4: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.
PART VI, LINE 6:TIDALHEALTH NANTICOKE, INC IS PART OF TIDALHEALTH, INC. THE SYSTEM INCLUDES TWO FOUNDATIONS, 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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1DELAWARE COMMUNITY FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1636AddressLine1Txt
CityWILMINGTONCityNm
State AbbreviationDEStateAbbreviationCd
ZIP19989ZIPCd
FieldValueIRS element (for citing)
Recipient EIN222804785RecipientEIN
IRC Section501 (C) (3)IRCSectionDesc
Cash Grant$10,000CashGrantAmt
Purpose Of GrantSPONSORSHIP FOR DE GOES PURPLEPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeFINANCIAL ASSISTANCEGrantTypeTxt
Recipient11RecipientCnt
Cash Grant$182,766CashGrantAmt
Non Cash AssistanceFINANCIAL ASSISTANCE TO THOSE WHO QUALIFY UNDER THE FAPNonCashAssistanceDesc

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 PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 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$737,498$0$228,713$0$70,880$0$145,657$0$21,164$0$1,203,912$0$0
STEVEN ROSE
FORMER CEO TO 01/31/20$22,106$0$2,707$0$996,309$0$0$0$2,307$0$1,023,429$0$490,945$0
BRUCE RITCHIE
CFO$0$540,191$0$147,591$0$42,506$0$142,856$0$15,400$0$888,544$0$0
PENNY SHORT
PRESIDENT$358,078$0$89,424$0$0$0$64,107$0$8,723$0$520,332$0$0$0
JANET PEDRO MD
BOARD MEMBER TO 05/2021$0$324,940$0$106,830$0$30,000$0$20,142$0$8,400$0$490,312$0$0
DENISE JESTER
SENIOR DIRECTOR$244,776$0$67,232$0$0$0$44,607$0$20,761$0$377,376$0$0$0
JOSEPH KIM MD
BOARD MEMBER$0$290,145$0$8,319$0$15,000$0$20,142$0$24,873$0$358,479$0$0
THOMAS BROWN
FORMER SENIOR VP TO 06/11/20$100,737$0$50,000$0$169,607$0$19,500$0$4,167$0$344,011$0$0$0
HARRY ANTHONY MD
CHIEF MEDICAL OFFICER$0$212,825$0$25,630$0$0$0$31,638$0$3,765$0$273,858$0$0
RAY FULKROD
CNO$184,541$0$50,389$0$0$0$20,988$0$8,498$0$264,416$0$0$0
TRACI ALLEY
FORMER CHIEF HR OFFICER TO 02/02/20$19,966$0$50,000$0$180,340$0$0$0$0$0$250,306$0$0$0
LILIA KULMACZEWSKI
FORMER CHIEF COMPLIANCE OFFICER$150,712$0$57,523$0$0$0$19,466$0$8,386$0$236,087$0$0$0
JAMES WATSON
SENIOR DIRECTOR$149,890$0$36,219$0$3,900$0$17,169$0$24,549$0$231,727$0$0$0
DEAN SWINGLE
FINANCE DIRECTOR$151,431$0$32,874$0$2,073$0$15,762$0$8,275$0$210,415$0$0$0
LORI LEE
SENIOR DIRECTOR$146,068$0$33,502$0$0$0$16,959$0$8,367$0$204,896$0$0$0
TOM DIEHL
SENIOR DIRECTOR$139,572$0$35,447$0$0$0$8,458$0$20,395$0$203,872$0$0$0
GEORGE SCHWOBEL
PHARMACY DIRECTOR$169,944$0$750$0$0$0$15,860$0$7,968$0$194,522$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3PROCESS FOR DETERMINING COMPENSATION COMPENSATION OF THE ORGANIZATION'S PRESIDENT IS DETERMINED BY THE PRESIDENT OF TIDALHEALTH PENINSULA REGIONAL (TPR), A RELATED TAX EXEMPT ORGANIZATION IDENTIFIED IN FORM 990, SCHEDULE R.
PART I, LINES 4A-BSUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: TPR HAS A NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN (UNDER SECTION 457 (F)). THIS PLAN WAS APPROVED BY THE COMPENSATION COMMITTEE OF THE TPR BOARD OF DIRECTORS TO SUPPLEMENT THE EXECUTIVE'S RETIREMENT INCOME. THE CONSULTANT REPORT ON MARKET-BASED PRACTICES FOR SUPPLEMENTAL RETIREMENT PARTICIPANTS, AND PAY-OUT PROVISIONS WERE ESTABLISHED, REVIEWED, AND SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN ARE INCLUDED IN SCHEDULE J, PART SUPPLEMENTAL RETIREMENT PLAN WAS DEVELOPED BASED ON AN INDEPENDENT PLANS. THE PERCENTAGE OF FINAL AVERAGE PAY, THE REQUIREMENTS FOR VESTING, 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 TPR PROVIDED THE FOLLOWING FUNDING AMOUNTS DURING 2020: STEVEN LEONARD $90,625 BRUCE RITCHIE $200,000 THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING 2020. THESE AMOUNTS ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B) (III): STEVEN ROSE $419,125 THOMAS BROWN $118,087 TRACI ALLEY $173,010
PART I, LINE 7NON-FIXED PAYMENTS OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION ARE PAID COMPENSATION GOALS AS WELL AS ORGANIZATION OPERATIONAL ACHIEVEMENTS IN SERVICE, QUALITY, NON-FIXED PAYMENTS DETERMINED BY A NUMBER OF VARIABLES INCLUDING BUT NOT LIMITED TO INDIVIDUAL SAFETY, EMPLOYEE SATISFACTION, AND COST. VARIABLE COMPENSATION PAYMENTS ARE REPORTED IN SCHEDULE J, PART II, COLUMN B(II) AND REFLECT ATTAINMENT OF CERTAIN GOALS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
ASHLEY PARKER
FAMILY MBR OF DIR$35,237COMP0
KRISTINA WARD
FAMILY MBR OF DIR$66,865COMP0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART IVFormAndLineReferenceDesc
ExplanationBUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:(A) NAME OF PERSON: ASHLEY PARKER(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SISTER OF DIRECTOR(C) AMOUNT OF TRANSACTION $ 35,237.(D) DESCRIPTION OF TRANSACTION: ASHLEY PARKER IS THE SISTER OF ANDREW HARTSTEIN, A DIRECTOR ON THE BOARD, AND IS EMPLOYED BY THE HOSPITAL.(E) SHARING OF ORGANIZATION REVENUES? = NO(A) NAME OF PERSON: KRISTINA WARD(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SISTER-IN-LAW OF DIRECTOR(C) AMOUNT OF TRANSACTION $ 66,865.(D) DESCRIPTION OF TRANSACTION: KRISTINA WARD IS THE SISTER-IN-LAW OF ANDREW HARTSTEIN, A DIRECTOR ON THE BOARD, AND IS EMPLOYED BY THE HOSPITAL.(E) SHARING OF ORGANIZATION REVENUES? = NOExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4APROGRAM 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. NANTICOKE ALSO WORKS WITH CHOOSE DELAWARE, THE STATE HEALTH INSURANCE EXCHANGE PROGRAM, AND PARTICIPATES WITH COMMONWELL FOR PATIENT EMR PORTABILITY. NANTICOKE IS A PARTNER IN THE HEALTHIER SUSSEX COUNTY TASK FORCE AND THE SUSSEX COUNTY HEALTH COALITION WORKING WITH OTHER HOSPITALS AND COMMUNITY SUPPORT SERVICE ORGANIZATIONS IN THE COUNTY TO IMPROVE OVERALL COMMUNITY HEALTH. NANTICOKE LEARDERSHIP IS VERY ACTIVE WITH THE STATE OF DELAWARE HEALTH INNOVATIONS PLAN WORKING TO IMPROVE THE HEALTH OF ALL DELAWAREANS. PATIENTS SEEN: INPATIENTS 4,286; BIRTHS 802; ER VISITS 25,927; OP VISITS 109,339 DAYS OF INPATIENT CARE: ADULTS & PEDIATRICS 19,315; NEWBORN 1,578 OTHER FACTS: AVERAGE PATIENT STAY 4.51; OPERATIONS 4,218 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 $18,153,331 DISCOUNTS TO MEDICARE, MEDICAID & OTHERS $187,022,121
ABOUT 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: "WE EXIST TO POSITIVELY IMPACT OUR COMMUNITIES QUALITY OF LIFE THROUGH SUPERIOR HEALTH SERVICES." TODAY, PATIENTS AND BUSINESSES ARE CONTINUALLY SEEKING SUPERIOR HEALTH CARE AT AN AFFORDABLE PRICE. NANTICOKE STANDS COMMITTED TO PROVIDING THAT CARE. AS A PARTICIPANT IN THE CMS AND JOINT COMMISSION CORE MEASURE PROJECTS, TIDALHEALTH NANTICOKE IS AMONG ONLY 2% OF HOSPITALS NATIONALLY TO BE RECOGNIZED BY HEALTH GRADES (2017 AND 2018) FOR BOTH PATIENT SAFETY AND PATIENT EXPERIENCE. NANTICOKE HAS ALSO BEEN RECOGNIZED BY THE AMERICAN HEART ASSOCIATION'S GET WITH THE GUIDELINES PROGRAM FOR BOTH STROKE (GOLD PLUS ACHIEVEMENT AWARD) AND INTEVERNTIONAL CARDIOLOGY (GOLD PLUS ACHIEVEMENT AWARD). NANTICOKE IS RATED AS A 4-STAR HOSPITAL FOR PATIENT EXPERIENCE BY CMS. TIDALHEALTH NANTICOKE IN CONJUNCTION WITH SUSSEX COUNTY EMS RECEIVED THE AHA MISSION LIFELINE AWARD IN 2017 FOR ITS EFFORTS TO FURTHER DECREASE TREATMENT TIMES FOR THOSE SUFFERING FROM STEMIS. FEEDBACK FROM OUR PATIENTS OVERWHELMINGLY COMPLIMENTS US ON THE CARE AND FRIENDLINESS OF OUR STAFF IN ALL OF OUR ENTITIES. OUR DEDICATION TO SERVING OUR PATIENTS IS EVIDENCED THROUGH A COORDINATED SYSTEM OF CARE. 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. 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 160 HEALTH CARE PROVIDERS PRACTICING IN 40 DIFFERENT SPECIALIES. AS OUR COMMUNITIES' HEALTHCARE NEEDS CHANGE, 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 NANTICOKE. 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. IN 2019 NANTICOKE COMPLETED AN UPDATED COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). AN ANNUAL IMPLEMENTATION PLAN ASSOCIATED WITH THIS CHNA WAS DEVELOPED AND ADOPTED IN 2019. NEEDS IDENTIFIED INCLUDED A CONTINUING NEED FOR PROGRAMMING AROUND HEALTH AND OBESITY, MENTAL HEALTH & SUBSTANCE ABUSE, AND CERVICAL CANCER AS A PART OF ITS IMPLEMENTATION FOR OBESITY AND MENTAL HEALTH NEEDS, NANTICOKE IS ACTIVELY WORKING WITH THE HEALTHIER SUSSEX COUNTY TASK FORCE, THE STATE OF DELAWARE HEALTH INNOVATION CENTER'S HEALTHY NEIGHBORHOODS PROGRAM, AND THE SUSSEX COUNTY HEALTH COALITION ON COUNTY WIDE INITIATIVES AROUND THESE NEEDS. NANTICOKE HAS AN ACTIVE EMPLOYEE WELLNESS PROGRAM ADDRESSING HEALTH AND WELLNESS ISSUES AMONG ITS EMPLOYED POPULATION. IT PARTICIPATES AS A LEAD ORGANIZATION IN HEALTHIER SUSSEX COUNTY, A PARTNERSHIP OF VARIOUS HEALTH CARE PROVIDERS IN THE AREA TO COMMONLY ADDRESS COUNTY HEALTH CARE NEEDS. HEALTHIER SUSSEX COUNTY SHARED FINDINGS FROM EACH OF THE COUNTY'S HOSPITAL'S HEALTH NEEDS ASSESSMENT AND DEVELOPED CORE STRATEGIES FOR THE TASK FORCE WHICH INCLUDED PHYSICAL ACTIVITY AND PHYSICIAN EDUCATION ON CANCER SCREENINGS. HEALTHIER SUSSEX COUNTY IS CURRENTLY ENGAGED IN DATA COLLECTION FOR ITS 2022 HEALTH NEEDS ASSESSMENT. NANTICOKE IS A LEAD ORGANIZATION WITH THE SUSSEX COUNTY HEALTH COALITION, WORKING WITH COMMUNITY PARTNERS ON PROJECTS FROM SUBSTANCE ABUSE AWARENESS AND PREVENTION TO CONNECTING WITH COMMUNITY SUPPORT SERVICES TO REDUCE GAPS IN AND BARRIERS TO CARE. NANTICOKE WORKS WITH STATE PROJECTS SUCH AS BUT NOT LIMITED TOUPSTREAM TO HELP REDUCE UNPLANNED, UNWANTED PREGNANCIES AMONG OUR YOUNG WOMEN. NANTIOKE ALSO PARTICIPATES IN STATE DRIVEN INITIATIVES SUCH AS THE DEVELOPMENT OF A MH/SUBST. ABUSE SYSTEM OF CARE. PATIENT EDUCATION PATIENT AND FAMILY EDUCATION HAS BECOME AN INTEGRAL PART OF THE CLINICAL PATHWAY PROCESS UTILIZED THROUGHOUT 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. NANTICOKE CONTINUES TO EXPLORE WAYS TO PROVIDE PATIENT EDUCATION THAT IS EASIER TO ACCESS THROUGH TODAY'S TECHNOLOGIES.
FORM 990, PART VI, SECTION A, LINE 4CHANGES TO GOVERNING DOCUMENTS AS OF JULY 29, 2020, NANTICOKE MEMORIAL HOSPITAL, INC. WAS RENAMED TO TIDALHEALTH NANTICOKE, INC.
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 COMPENSATION OF THE ORGANIZATION'S PRESIDENT IS DETERMINED BY THE PRESIDENT OF TIDALHEALTH PENINSULA REGIONAL (TPR), A RELATED TAX EXEMPT ORGANIZATION IDENTIFIED IN FORM 990, SCHEDULE R.
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:POST RETIREMENT PLAN CHANGES 2,945,343. PENSION COST 799,312. EQUITY TRANSFERS FROM RELATED ORGANIZATIONS 49,531,900.

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 10TIDALHEALTH INC0
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 (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
DELMARVA SURG CTR
641 S SALISBURY BLVDSALISBURYMD21801522251436HEALTHCAREMDN/A00
DELMARVA ENDOSC CTR
11103 CATHAGE ROADBERLINMD21801831509115HEALTHCAREMDN/A00

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