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TIDALHEALTH NANTICOKE INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
TIDALHEALTH NANTICOKE INC (EIN 51-0069243)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-05-17
IRS object ID
202141379349304159
Schema version
2019v5.2
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)
Return2021-05-17T11:56:55-05:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

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 Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN510069243EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NANTICOKE MEMORIAL HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNANTBusinessNameControlTxt
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
Signature2021-05-17SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARY TORRETTAPreparerPersonNm
PTINP00847851PTIN
Phone7038477500PhoneNum
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

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$167,057,591GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.TIDALHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1945FormationYr
Legal Domicile StateDELegalDomicileStateCd
Activity Or MissionPROVIDE HEALTH CARE SERVICES TO THE COMMUNITY, REGARDLESS OF THE ABILITY TO PAY.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee1254TotalEmployeeCnt
Total Volunteers150TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,331,579PYContributionsGrantsAmt
CY Contributions Grants$14,736,332CYContributionsGrantsAmt
PY Program Service Revenue$155,643,704PYProgramServiceRevenueAmt
CY Program Service Revenue$133,937,883CYProgramServiceRevenueAmt
PY Investment Income$3,297,705PYInvestmentIncomeAmt
CY Investment Income$2,196,354CYInvestmentIncomeAmt
PY Other Revenue$3,947,450PYOtherRevenueAmt
CY Other Revenue$2,232,724CYOtherRevenueAmt
PY Total Revenue$164,220,438PYTotalRevenueAmt
CY Total Revenue$153,103,293CYTotalRevenueAmt
PY Grants And Similar Paid$11,349,373PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$9,502,957CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$69,207,914PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$63,999,771CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$87,508,106PYOtherExpensesAmt
CY Other Expenses$89,764,480CYOtherExpensesAmt
PY Total Expenses$168,065,393PYTotalExpensesAmt
CY Total Expenses$163,267,208CYTotalExpensesAmt
PY Revenues Less Expenses-$3,844,955PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$10,163,915CYRevenuesLessExpensesAmt
Total Assets BOY$152,991,466TotalAssetsBOYAmt
Total Assets EOY$179,471,750TotalAssetsEOYAmt
Total Liabilities BOY$63,493,386TotalLiabilitiesBOYAmt
Total Liabilities EOY$86,306,050TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$89,498,080NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$93,165,700NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionNANTICOKE MEMORIAL HOSPITAL MISSION IS TO POSITIVELY IMPACT OUR COMMUNITIES' QUALITY OF LIFE THROUGH SUPERIOR HEALTH SERVICE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$149,428,425ExpenseAmt
Grant$9,502,957GrantAmt
Revenue$133,937,883RevenueAmt
DescSEE SCHEDULE ODesc
Total Program Service Expenses$149,428,425TotalProgramServiceExpensesAmt
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 Document164IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1254EmployeeCnt
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 Members14GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
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 Procedure0WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldDEStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DEAN A SWINGLE DIRECTOR OF FINANCEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3026296611PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
STEVEN ROSE
CEO TO 01/20/202032.007.00Yes (X)Yes (X)$564,494$0$41,195
JANET PEDRO MD
DIRECTOR1.000.00Yes (X)$427,875$0$3,419
PENNY SHORT
PRESIDENT38.001.00Yes (X)$309,610$0$11,506
THOMAS BROWN
SENIOR VP TO 06/11/202020.0019.00Yes (X)Yes (X)$272,579$0$9,572
HARRY ANTHONY MD
CHIEF MEDICAL OFFICER16.001.00$272,785$0$3,362Yes (X)
DENISE JESTER
CFO30.009.00Yes (X)$262,296$0$13,288
TRACI ALLEY
CHIEF HR OFFICER TO 02/01/202030.008.00$205,564$0$6,938Yes (X)
GEORGE SCHWOBEL
DIRECTOR OF PHARMACY40.000.00$167,362$0$5,770Yes (X)
LILIA KULMACZEWSKI
CHIEF COMPLIANCE OFFICER35.004.00$159,957$0$5,575Yes (X)
KIMBERLY BOYKIN COUCH
PHARMACIST40.000.00$165,432$0$0Yes (X)
RAY FULKROD
CNO40.000.00Yes (X)$161,044$0$4,274
LUCY SCHWOBEL
PHARMACIST40.000.00$149,809$0$5,292Yes (X)
MARY BETH D'AMICO
APRN40.000.00$152,897$0$1,628Yes (X)
PAMELA PIQUETTE
PHARMACIST40.000.00$150,642$0$2,134Yes (X)
JOHN ALLEN
DIRECTOR - THRU 12/31/20195.000.00Yes (X)$0$0$0
SONJA BIDDLE OD
DIRECTOR1.001.00Yes (X)$0$0$0
DAVID CROUSE
BOARD CHAIR1.000.00Yes (X)Yes (X)$0$0$0
ANDREW HARSTEIN
DIRECTOR1.000.00Yes (X)$0$0$0
TRINA JOYNER
DIRECTOR1.000.00Yes (X)$0$0$0
MARIA LEHMAN
DIRECTOR1.001.00Yes (X)$0$0$0
FREDERICK MAST
DIRECTOR1.000.00Yes (X)$0$0$0
SEAN STEWARD
DIRECTOR1.000.00Yes (X)$0$0$0
TAMMY PAXTON
DIRECTOR1.000.00Yes (X)$0$0$0
KENT PETERSON
DIRECTOR - THRU 12/31/20191.000.00Yes (X)$0$0$0
MICHELE PROCINO-WELLS
DIRECTOR1.000.00Yes (X)$0$0$0
RICHARD SIMONS DO
DIRECTOR1.000.00Yes (X)$0$0$0
TRACY TULL NEILSON
DIRECTOR1.001.00Yes (X)$0$0$0
SARAH RUFFCORN
DIRECTOR1.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,422,346TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$113,953TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K50IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
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$9,909,592
APOGEE MEDICAL MANAGEMENT
15059 N SCOTTSDALE RDSCOTTSDALEAZ85254HOSPITALISTS$2,626,238
ANESTHESIA SERVICES PA
2 READS WAYNEW CASTLEDE19720ANESTHESIA$2,236,194
QUEST DIAGNOSTICS
PO BOX 828669PHILADELPHIAPA19182LAB SERVICES$1,218,895
CURA HOSPITALITY
PO BOX 743676ATLANTAGA30374FOOD SERVICES$1,205,738
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K40CntrctRcvdGreaterThan100KCnt
Related Organizations$4,803,049RelatedOrganizationsAmt
Government Grants$9,933,283GovernmentGrantsAmt
Total Contributions$14,736,332TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT REVENUEDesc
Business623000BusinessCd
Total Revenue Column$133,937,883TotalRevenueColumnAmt
Related Or Exempt Func Income$133,937,883RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$133,937,883TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$372,924TotalRevenueColumnAmt
Exclusion$372,924ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$635,983RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$413,389RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$222,594RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$222,594TotalRevenueColumnAmt
Exclusion$222,594ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$15,322,339SecuritiesAmt
Other$42,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$13,520,167SecuritiesAmt
Other$20,742OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,802,172SecuritiesAmt
Other$21,258OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,823,430TotalRevenueColumnAmt
Exclusion$1,823,430ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
MISCELLANEOUS623000$1,166,035$1,166,035
CAFETERIA623000$844,095$844,095
FieldValueIRS element (for citing)
Other Revenue Total$2,010,130OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$153,103,293TotalRevenueColumnAmt
Related Or Exempt Func Income$133,937,883RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$4,429,078ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$9,255,000TotalAmt
Program Services$9,255,000ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$247,957TotalAmt
Program Services$247,957ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,019,080TotalAmt
Program Services$2,747,363ProgramServicesAmt
Management And General$271,717ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$46,512,725TotalAmt
Program Services$42,326,580ProgramServicesAmt
Management And General$4,186,145ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,886,464TotalAmt
Program Services$1,716,682ProgramServicesAmt
Management And General$169,782ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,121,416TotalAmt
Program Services$8,300,489ProgramServicesAmt
Management And General$820,927ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,460,086TotalAmt
Program Services$3,148,678ProgramServicesAmt
Management And General$311,408ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$495,233TotalAmt
Program Services$450,662ProgramServicesAmt
Management And General$44,571ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$177,130TotalAmt
Program Services$161,188ProgramServicesAmt
Management And General$15,942ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$23,737TotalAmt
Management And General$23,737ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$14,186,792TotalAmt
Program Services$12,909,981ProgramServicesAmt
Management And General$1,276,811ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$702,472TotalAmt
Program Services$639,250ProgramServicesAmt
Management And General$63,222ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$104,099TotalAmt
Program Services$94,730ProgramServicesAmt
Management And General$9,369ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$8,172,619TotalAmt
Program Services$7,437,083ProgramServicesAmt
Management And General$735,536ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,295,957TotalAmt
Program Services$2,089,321ProgramServicesAmt
Management And General$206,636ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$70,920TotalAmt
Program Services$64,537ProgramServicesAmt
Management And General$6,383ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,989,741TotalAmt
Program Services$1,810,664ProgramServicesAmt
Management And General$179,077ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$8,860,143TotalAmt
Program Services$8,062,730ProgramServicesAmt
Management And General$797,413ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,027,981TotalAmt
Program Services$935,463ProgramServicesAmt
Management And General$92,518ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$17,378,371$15,814,318$1,564,053$0
DRUGS$12,438,202$11,318,764$1,119,438$0
BAD DEBT EXPENSE$9,599,508$8,735,552$863,956$0
PHYSICIAN FEES$6,865,111$6,247,251$617,860$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$5,376,464TotalAmt
Program Services$4,914,182ProgramServicesAmt
Management And General$462,282ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$163,267,208TotalAmt
Program Services$149,428,425ProgramServicesAmt
Management And General$13,838,783ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,312,980BOYAmt
EOY$8,228,921EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$22,731,016EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$15,850,335BOYAmt
EOY$12,003,679EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,069,113BOYAmt
EOY$4,584,412EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,873,758BOYAmt
EOY$2,050,070EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$93,613,043LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,263,566LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$70,583,119BOYAmt
EOY$89,349,477EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$51,755,971BOYAmt
EOY$37,783,297EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$470,234BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$5,075,956BOYAmt
EOY$2,740,878EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$152,991,466BOYAmt
EOY$179,471,750EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$13,105,297BOYAmt
EOY$14,704,587EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$37,948,293BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$11,587,731BOYAmt
EOY$6,592,773EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$852,065BOYAmt
EOY$65,008,690EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$63,493,386BOYAmt
EOY$86,306,050EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$89,498,080BOYAmt
EOY$93,165,700EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$89,498,080BOYAmt
EOY$93,165,700EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$152,991,466BOYAmt
EOY$179,471,750EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$10,163,915ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$445,412NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$14,276,947OtherChangesInNetAssetsAmt
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$23,737GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$23,737TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1IFormAndLineReferenceDesc
ExplanationNANTICOKE MEMORIAL HOSPITAL PAYS DUES TO AHA AND DEHA: THE AMERICAN HOSPITAL ASSOCIATION AND THE DELAWARE HEALTHCARE ASSOCIATION. NANTICOKE MEMORIAL HOSPITAL'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$5,413,893BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$66,921,647OtherCostOrOtherBasisAmt
Depreciation$1,639,594DepreciationAmt
Book Value$65,358,360BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,311,465OtherCostOrOtherBasisAmt
Depreciation$20,960DepreciationAmt
Book Value$1,290,505BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,248,033OtherCostOrOtherBasisAmt
Depreciation$2,603,012DepreciationAmt
Book Value$16,645,021BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$641,698OtherCostOrOtherBasisAmt
Book Value$641,698BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$89,349,477TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
INTERCOMPANY PAYABLE$37,724,189
ESTIMATED THIRD PARTY PAYOR SETTLEMENTS$22,550,796
OTHER LIABILITIES$4,733,705
FieldValueIRS element (for citing)
Total Liability$65,008,690TotalLiabilityAmt
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 PART OF THE CONSOLIDATED FINANCIAL STATEMENTS FOR PENINSULA REGIONAL HEALTH SYSTEM AND ITS FOOTNOTE STATES: THE TAX YEARS ENDING JUNE 30, 2020, 2019 AND 2018 ARE STILL OPEN TO AUDIT FOR BOTH FEDERAL AND STATE PURPOSES. THE HEALTH SYSTEM HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR THE YEARS ENDED JUNE 30, 2020 AND 2019.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 Served3296PersonsServedCnt
Total Community Benefit Expns$4,173,117TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,173,117NetCommunityBenefitExpnsAmt
Total Expense0.02720TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served36831PersonsServedCnt
Total Community Benefit Expns$29,620,765TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,933,369DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,687,396NetCommunityBenefitExpnsAmt
Total Expense0.10860TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served40127PersonsServedCnt
Total Community Benefit Expns$33,793,882TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,933,369DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,860,513NetCommunityBenefitExpnsAmt
Total Expense0.13580TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs312ActivitiesOrProgramsCnt
Persons Served5934PersonsServedCnt
Total Community Benefit Expns$789,912TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$789,912NetCommunityBenefitExpnsAmt
Total Expense0.00510TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs143ActivitiesOrProgramsCnt
Persons Served3679PersonsServedCnt
Total Community Benefit Expns$54,640TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$54,640NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs455ActivitiesOrProgramsCnt
Persons Served9613PersonsServedCnt
Total Community Benefit Expns$844,552TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$844,552NetCommunityBenefitExpnsAmt
Total Expense0.00550TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs455ActivitiesOrProgramsCnt
Persons Served49740PersonsServedCnt
Total Community Benefit Expns$34,638,434TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,933,369DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,705,065NetCommunityBenefitExpnsAmt
Total Expense0.14130TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs37ActivitiesOrProgramsCnt
Persons Served37PersonsServedCnt
Total Community Benefit Expns$186,201TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$186,201NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs37ActivitiesOrProgramsCnt
Persons Served37PersonsServedCnt
Total Community Benefit Expns$186,201TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$186,201NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$9,599,508BadDebtExpenseAmt
Reimbursed By Medicare$44,643,073ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$53,310,549CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$8,667,476MedicareSurplusOrShortfallAmt

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 Line1NANTICOKE MEMORIAL HOSPITALBusinessNameLine1Txt

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 Line1NANTICOKE MEMORIAL HOSPITAL 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
NANTICOKE MEMORIAL HOSPITAL, INCPART V, SECTION B, LINE 2: THE ORGANIZATION WAS ACQUIRED BY THE PENINSULA REGIONAL HEALTH SYSTEM ON JANUARY 1, 2020.
NANTICOKE MEMORIAL HOSPITAL, 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, NANTICOKE, NOW A PART OF THE PENINSULA REGIONAL HEALTH SYSTEM/TIDALHEALTH, IS PREPARING TO CONDUCT A NEW COMMUNITY HEALTH NEEDS AS A HEALTH SYSTEM. ASSESSMENT THAT WILL COVER THE MD CBSA OF SOMERSET, WICOMICO AND WORCESTER COUNTIES AND A NEW AREA OF SUSSEX COUNTY, DELAWARE. EFFECTIVE JANUARY 1, 2020, NANTICOKE MEMORIAL HOSPITAL (NMH) AND MID-SUSSEX MEDICAL CENTER, DBA NANTICOKE PHYSICIAN NETWORK, (NPN), LOCATED IN SEAFORD, DELAWARE, JOINED PENINSULA REGIONAL HEALTH SYSTEM. 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. NANTICOKE 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 SKLLED NURSING HOME AND CHESAPEAKE COVE ASSISSTED LIVING CENTER IN CRISFIELD, MD, BECAME PART OF PENINSULA REGIONAL HEALTH SYSTEM. THE MCCREADY HOSPITAL DIVISION WAS MERGED IN PENINSULA REGIONAL MEDICAL CENTER AND LIMITED ITS FUNCTIONS TO THOSE CONSISTANT WITH STATUS AS A FREE-STANDING MEDICAL CENTER. HCI AND PRHS HAVE COLLABORATED SINCE 2012 TO DEVELOP THE PRHS 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 011/4/20198 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.
NANTICOKE MEMORIAL HOSPITAL, 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 PENINSULA REGIONAL HEALTH SYSTEM (NOW TIDALHEALTH), AND REBRANDED TO NANTICOKE MEMORIAL HOSPITAL. NOW PART OF A LARGER SYSTEM, NANTICOKE MEMORIAL HOSPITAL 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.
NANTICOKE MEMORIAL HOSPITAL, 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/PUBLICATIONS/NANTICOKE-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-2019
NANTICOKE MEMORIAL HOSPITAL, INCPART V, SECTION B, LINE 11: NANTICOKE MEMORIAL HOSPITAL 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 NANTICOKE MEMORIAL HOSPITAL 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 NANTICOKE MEMORIAL HOSPITAL 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/PUBLICATIONS/NANTICOKE-COMMUNITY-HEALTH-NEEDS-IMPLEMENTATION-PLAN-2019-2021
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/MEDICAL-CARE/FINANCIAL-ADMIN-SERVICES/BILLING/TIDALHEALTH-NANTICOKE-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 (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 $9,559,508.
PART II, COMMUNITY BUILDING ACTIVITIES:COMMUNITY OUTEACH:NANTICOKE MEMORIAL HOSPITAL HAS TRAINED STAFF THAT GOES INTO THE COMMUNITY TO PRESENT HEALTH EDUCATION SEMINARS, SUPPORT GROUPS AND HEALTH SCREENINGS. WE WORK WITH AREA SCHOOLS AND COMMUNITY HEALTH AND SOCIAL SERVICE ORGANIZATIONS TO EDUCATE OUT COMMUNITY ON DISEASE MANAGEMENT, CARE COORDINATION, DISEASE PREVENTION AND GENERAL WELLNESS. ADDITIONALLY, THERE ARE A NUMBER OF SUPPORT GROUPS AND EDUCATIONAL OPPORTUNITIES HELD ON CAMPUS. WITH THE ARRIVAL OF COVID TO OUR AREA, THESE ACTIVITIES BECAME LIMITED. WHERE POSSIBLE, VIRTUAL EDUCATION AND SUPPORT GROUPS WERE HELD. LIVING IN A RURAL AREA, INTERNET AND/OR HIGH-SPEED INTERNET IS NOT AVAILABLE IN ALL AREAS OF COMMUNITY. THE IMPLEMENTATION PLAN DEVELOPED FROM THE HOSPITALS 2019 CHNA IDENTIFIED AREAS OF NEED INCLUDING SUBSTANCE ABUSE, CERVICAL CANCER SCREENING COMPLIANCE, CHRONIC DISEASE MANAGEMENT WITH A FOCUS ON DIABETES, AND FOOD INSECURITY. NANTICOKE MEMORIAL HOSPITAL CONTINUES TO WORK WITH STATE AND LOCAL PROGRAMS ON SUBSTANCE ABUSE STRATEGIES RANGING FROM AWARENESS AND PREVENTION TO ADDICTIONS RECOVERY AND LIFESAVING RESOURCES. THROUGH THE ACO, NANTICOKE MEMORIAL HOSPITAL WORKS ON STRATEGIES FOR INCREASING PATIENT COMPLIANCE WITH CERVICAL SCREENING FOR PATIENTS ALONGSIDE COMMUNITY AWARENESS ACTIVITIES. NANTICOKE MEMORIAL HOSPITAL ALSO HAS DEVELOPED A FOOD PANTRY FOR PATIENTS BEING DISCHARGED FROM THE HOSPITAL WITH AN IDENTIFIED FOOD NEED. RESOURCES ARE ALSO PROVIDED TO HELP REFER THESE PEOPLE TO LONG TERM FOOD SOLUTIONS. THE HOSPITAL CONTINUES TO WORK WITH DELAWARE PUBLIC HEALTH, DELAWARE HEALTH INNOVATION CENTER, DELAWARE STATE HEALTH IMPROVEMENT PROGRAM, AND OTHER STATE AGENCIES WORKING ON COMMUNITY HEALTH ISSUES. THE HOSPITAL ALSO CONTINUES TO WORK WITH MANY LOCAL HEALTH AND SOCIAL SERVICES GROUPS INCLUDING THE SUSSEX COUNTY HEALTH COALITION. WITH THE NEW AFFILIATION, NANTICOKE MEMORIAL HOSPITAL NOW HAS ACCESS TO A DEDICATED POPULATION HEALTH TEAM. WORK HAS BEGUN ON GRANT APPLICATIONS FOR EXPANDING A PROVEN MOBILE HEALTH SERVICES PROGRAM INTO SUSSEX COUNTY. WITH THE ARRIVAL OF COVID, OUTREACH BECAME REFOCUSED ON SUPPORTING STATE AND PATIENT COVID 19 TESTING PROGRAMS AND NOW VACCINATION CLINICS. AS WE MOVE FORWARD, NANTICOKE MEMORIAL HOSPITAL ANTICIPATES A RETURN TO PREVIOUS COMMUNITY OUTREACH PROGRAMS BY THE FALL OF 2021 INCLUDING EXPANDED POPULATION HEALTH PROGRAMS FOR THE COMMUNITIES WE SERVE.
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 STATEMENTSUNDER THE PROVISIONS OF ASU 2014-09, WHEN THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME, THE RIGHT IS TREATED AS A RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS, WHICH HAVE THE UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYERS 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 RATHER THAN AN ALLOWANCE FOR DOUBTFUL ACCOUNTS.DISCOUNTS RANGING FROM 2% TO 6% 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:NANTICOKE MEMORIAL HOSPITAL 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. NANTICOKE MEMORIAL HOSPITAL 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, NANTICOKE MEMORIAL HOSPITAL 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 PENINSULA REGIONAL HEALTH SERVICES (A.K.A. TIDALHEALTH BEGINNING 9/1/2020) 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 ASSISTANCENANTICOKE MEMORIAL HOSPITAL 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:NANTICOKE MEMORIAL HOSPITAL 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 NANTICOKE MEMORIAL HOSPITAL'S (NMH) 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. NMH 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. NMH 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:NANTICOKE MEMORIAL HOSPITAL IS PART OF THE PENINSULA REGIONAL HEALTH SYSTEM. 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, THE HEALTH SYSTEM 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 (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
MID-SUSSEX MEDICAL CENTER INC
801 MIDDLEFORD ROADSEAFORDDE19973510224470501(C)(3)$9,245,000TO PROVIDE FUNDS FOR MID-SUSSEX MEDICAL CENTER, INC.
SUSSEX COUNTY HEALTH COALITION
21133 STERLING AVEGEORGETOWNDE19947222804785501(C)(3)$10,000COMMUNITY HEALTH
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeFINANCIAL ASSISTANCEGrantTypeTxt
Recipient8RecipientCnt
Cash Grant$247,957CashGrantAmt
Non Cash AssistanceFINANCIAL ASSISTANCE TO THOSE WHO QUALIFY UNDER THE FAP.NonCashAssistanceDesc

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 ORGANIZATION BY DEPARTMENT DIRECTORS OF PENINSULA REGIONAL MEDICAL CENTER, AFTER RECEIVING MEDICAL CENTER VICE PRESIDENT APPROVAL. THE REQUEST CONTAINS VENDOR INFORMATION AND THE EXPLANATION OF THE PROGRAM OF BENEFIT FOR WHICH THE FUNDS ARE REQUESTED. THE FOUNDATION APPROVES THE USE OF FUNDS BASED ON THE DESIGNATED PERMITTED USE OF THE ORIGINAL CONTRIBUTION.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
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 (14 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 ROSE
CEO TO 01/20/2020$465,535$0$50,000$0$48,959$0$36,545$0$4,650$0$605,689$0$0$0
JANET PEDRO MD
DIRECTOR$355,579$0$72,296$0$0$0$0$0$3,419$0$431,294$0$0$0
PENNY SHORT
PRESIDENT$289,836$0$0$0$19,774$0$9,090$0$2,416$0$321,116$0$0$0
THOMAS BROWN
SENIOR VP TO 06/11/2020$252,561$0$0$0$20,018$0$8,227$0$1,345$0$282,151$0$0$0
HARRY ANTHONY MD
CHIEF MEDICAL OFFICER$249,138$0$5,733$0$17,914$0$1,923$0$1,439$0$276,147$0$0$0
DENISE JESTER
CFO$243,723$0$0$0$18,573$0$8,086$0$5,202$0$275,584$0$0$0
TRACI ALLEY
CHIEF HR OFFICER TO 02/01/2020$191,830$0$0$0$13,734$0$4,181$0$2,757$0$212,502$0$0$0
GEORGE SCHWOBEL
DIRECTOR OF PHARMACY$167,254$0$108$0$0$0$4,782$0$988$0$173,132$0$0$0
LILIA KULMACZEWSKI
CHIEF COMPLIANCE OFFICER$148,010$0$0$0$11,947$0$4,230$0$1,345$0$165,532$0$0$0
KIMBERLY BOYKIN COUCH
PHARMACIST$165,324$0$108$0$0$0$0$0$0$0$165,432$0$0$0
RAY FULKROD
CNO$154,194$0$0$0$6,850$0$2,929$0$1,345$0$165,318$0$0$0
LUCY SCHWOBEL
PHARMACIST$149,701$0$108$0$0$0$4,304$0$988$0$155,101$0$0$0
MARY BETH D'AMICO
APRN$152,789$0$108$0$0$0$1,628$0$0$0$154,525$0$0$0
PAMELA PIQUETTE
PHARMACIST$150,534$0$108$0$0$0$0$0$2,134$0$152,776$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3PROCESS TO ESTABLISH THE PRESIDENT'S COMPENSATION ON AN ANNUAL BASIS, THE BOARD OF DIRECTORS' CHAIRMAN AND CHAIRMAN-ELECT REVIEW THE EXECUTIVE COMPENSATION OF THE CEO, SENIOR VP'S AND VP'S. AS PART OF THAT PROCESS, THE FACILITY'S OPERATIONS AND PERFORMANCE ARE TAKEN INTO CONSIDERATION, WHICH INCLUDE REVIEW OF HOSPITAL QUALITY INDICATORS, FINANCIAL PERFORMANCE, EMPLOYEE SATISFACTION SCORES AND PHYSICIAN SATISFACTION SCORES. THE PROCESS INCLUDES A REVIEW OF ACCOMPLISHMENTS OF EACH OF THE EXECUTIVES AND THEIR IMPORTANCE TO THE OVERALL ORGANIZATION. IN DETERMINING THE REASONABLENESS OF COMPENSATION, OTHER AREA HOSPITAL FORM 990'S ARE REVIEWED FOR THEIR EXECUTIVE COMPENSATION, AS WELL AS PUBLISHED NATIONAL SALARY SURVEY DATA. AFTER THE REVIEW AND RECOMMENDATION OF THE CHAIRMAN AND VICE CHAIRMAN, IT IS THEN PRESENTED TO THE FULL BOARD OF DIRECTORS, WHO REVIEW THE ANNUAL COMPENSATION REQUESTS AND EITHER APPROVE OR RECOMMEND APPROPRIATE CHANGES FOR IMPLEMENTATION. THE SAME PROCESS GOES FOR OTHER KEY EMPLOYEES AND OFFICERS. THIS IS COMPLETED ANNUALLY. COMPENSATION OF THE ORGANIZATION'S PRESIDENT IS DETERMINED BY THE PRESIDENT OF PENINSULA REGIONAL MEDICAL CENTER, A RELATED TAX-EXEMPT ORGANIZATION IDENTIFIED IN FORM 990, SCHEDULE R. THE ORGANIZATION'S PRESIDENT IS AN EMPLOYEE OF THE MEDICAL CENTER AND RECEIVES ALL COMPENSATION FROM THIS RELATED ORGANIZATION.
PART I, LINE 7NON-FIXED PAYMENTS OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION ARE PAID COMPENSATION 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. 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$86,566COMP0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4AFORM 990, PART III, LINE 4A, DESCRIPTION OF PROGRAM SERVICE: NANTICOKE MEMORIAL HOSPITAL 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 NANTICOKE MEMORIAL HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. THEREFORE, IN KEEPING WITH NANTICOKE MEMORIAL HOSPITAL'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 4,798; BIRTHS 934; ER VISITS 30,617; OP VISITS 103,082 DAYS OF INPATIENT CARE: ADULTS & PEDIATRICS 19,274; NEWBORN 1,987 OTHER FACTS: AVERAGE PATIENT STAY 4.02; OPERATIONS 3,047 NANTICOKE MEMORIAL HOSPITAL 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 $19,040,949 DISCOUNTS TO MEDICARE, MEDICAID & OTHERS $184,576,009
FORM 990, PART VI, SECTION A, LINE 4CHANGES TO ORGANIZATIONAL DOCUMENTS ON JANUARY 1, 2020, (THE NANTICOKE ACQUISITION DATE), PENINSULA REGIONAL HEALTH SYSTEM ACQUIRED AND BECAME THE SOLE CORPORATE MEMBER OF MID-SUSSEX MEDICAL CENTER, INC. AND NANTICOKE MEMORIAL HOSPITAL. ON MARCH 1, 2020, (THE MCCREADY ACQUISITION DATE), PENINSULA REGIONAL HEALTH SYSTEM ACQUIRED AND BECAME THE SOLE CORPORATE MEMBER OF MCCREADY FOUNDATION, INC.
FORM 990, PART VI, SECTION A, LINE 6MEMBERS/STOCKHOLDERS PENINSULA REGIONAL HEALTH SYSTEM IS THE SOLE CORPORATE 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, PENINSULA REGIONAL HEALTH SYSTEM HAS THE ABILITY TO ELECT MEMBERS OF THE ORGANIZATION'S GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7BAPPROVAL OF GOVERNING BODY DECISIONS AS THE SOLE CORPORATE MEMBER, PENINSULA REGIONAL HEALTH SYSTEM ALSO HAS THE ABILITY TO APPROVE MAJOR EXPENDITURES AND LONG-TERM BORROWINGS OF THE ORGANIZATION.
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 PENINSULA REGIONAL HEALTH SYSTEM, THE PARENT CORPORATION OF BOTH PENINSULA REGIONAL MEDICAL CENTER AND THE ORGANIZATION. THE AGENT OF THE ORGANIZATION IS ALSO THE CHIEF FINANCIAL OFFICER OF THE MEDICAL CENTER. THE ORGANIZATION'S FORM 990 IS REVIEWED BY THE PRESIDENT OF THE HEALTH SYSTEM. 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 ON AN ANNUAL BASIS, THE BOARD OF DIRECTORS' CHAIRMAN AND CHAIRMAN-ELECT REVIEW THE EXECUTIVE COMPENSATION OF THE CEO, SENIOR VP'S AND VP'S. AS PART OF THAT PROCESS, THE FACILITY'S OPERATIONS AND PERFORMANCE ARE TAKEN INTO CONSIDERATION, WHICH INCLUDE REVIEW OF HOSPITAL QUALITY INDICATORS, FINANCIAL PERFORMANCE, EMPLOYEE SATISFACTION SCORES AND PHYSICIAN SATISFACTION SCORES. THE PROCESS INCLUDES A REVIEW OF ACCOMPLISHMENTS OF EACH OF THE EXECUTIVES AND THEIR IMPORTANCE TO THE OVERALL ORGANIZATION. IN DETERMINING THE REASONABLENESS OF COMPENSATION, OTHER AREA HOSPITAL FORM 990'S ARE REVIEWED FOR THEIR EXECUTIVE COMPENSATION, AS WELL AS PUBLISHED NATIONAL SALARY SURVEY DATA. AFTER THE REVIEW AND RECOMMENDATION OF THE CHAIRMAN AND VICE CHAIRMAN, IT IS THEN PRESENTED TO THE FULL BOARD OF DIRECTORS, WHO REVIEW THE ANNUAL COMPENSATION REQUESTS AND EITHER APPROVE OR RECOMMEND APPROPRIATE CHANGES FOR IMPLEMENTATION. THE SAME PROCESS GOES FOR OTHER KEY EMPLOYEES AND OFFICERS. THIS IS COMPLETED ANNUALLY. COMPENSATION OF THE ORGANIZATION'S PRESIDENT IS DETERMINED BY THE PRESIDENT OF PENINSULA REGIONAL MEDICAL CENTER, A RELATED TAX-EXEMPT ORGANIZATION IDENTIFIED IN FORM 990, SCHEDULE R. THE ORGANIZATION'S PRESIDENT IS AN EMPLOYEE OF THE MEDICAL CENTER AND RECEIVES ALL COMPENSATION FROM THIS RELATED ORGANIZATION.
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 PENINSULA REGIONAL MEDICAL CENTER AT 100 EAST CARROLL STREET, SALISBURY, MD 21801.
FORM 990, PART XI, LINE 9:AFFILIATION GAIN 22,053,439. LOSS ON EXTINGUISHMENT OF DEBT -4,141,847. PENSION ADJUSTMENT -2,453,360. LOSS ON MINORITY INTEREST -1,181,285.
ABOUT NANTICOKENANTICOKE MEMORIAL HOSPITAL IS ORGANIZED UNDER THE CORPORATE TITLE OF NANTICOKE HEALTH SERVICES. WHAT 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 NANTICOKE HEALTH SERVICES 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, NANTICOKE MEMORIAL HOSPITAL 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 INTERVENTIONAL CARDIOLOGY (GOLD PLUS ACHIEVEMENT AWARD). NANTICOKE IS RATED AS A 4-STAR HOSPITAL FOR PATIENT EXPERIENCE BY CMS. NANTICOKE MEMORIAL 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 NANTICOKE MEMORIAL HOSPITAL'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 2016 NANTICOKE COMPLETED AN UPDATED COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). AN ANNUAL IMPLEMENTATION PLAN ASSOCIATED WITH THIS CHNA WAS DEVELOPED AND ADOPTED JANUARY 2017. 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 2019 HEALTH NEEDS ASSESSMENT (PUBLISHED JUNE 2019). 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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
NANTICOKE HEALTH SERVICES INC
801 MIDDLEFORD ROADSEAFORDDE19973510293888HEALTH SERVICESDE501(C)(3)LINE 12B, IIN/A0
MID-SUSSEX MEDICAL CENTER INC
801 MIDDLEFORD ROADSEAFORDDE19973510224470HEALTH SERVICESDE501(C)(3)LINE 100PRHS
NANTICOKE INSURANCE COMPANYLTD
980446259INSURANCE501(C)(3)0NHSPO BOX 10233 3RD FLR WILLOW HOUSEELGIN AVEGEORGETOWNCJCJ
NANTICOKE HEALTH FOUNDATION
801 MIDDLEFORD ROADSEAFORDDE19973812731803FUNDRAISINGDE501(C)(3)LINE 70NHS
PENINSULA REGIONAL HEALTH SYSTEM
100 EAST CARROLL STREETSALISBURYMD21801522132761PARENTMD501(C)(3)LINE 12B, IIN/A0
PENINSULA REGIONAL MEDICAL CENTER FOUNDATION
100 EAST CARROLL STREETSALISBURYMD21801521851935FUNDRAISINGMD501(C)(3)LINE 70PRHS
DELMARVA PENINSULA INSURANCE COMPANY
981110617INSURANCE501(C)(3)0PRHSPO BOX 1159KYGRAND CAYMANCJCJ
PENINSULA GENERAL HOSPITAL INS TRUST
100 EAST CARROLL STREETSALISBURYMD21801526321234INSURANCEMD501(C)(3)LINE 12C, III-FI0PRHS
MCCREADY FOUNDATION INC
201 HALL HIGHWAYCRISFIELDMD21817520607921FUNDRAISINGMD501(C)(3)LINE 30PRHS
PENINSULA REGIONAL MEDICAL CENTER
100 EAST CARROLL STREETSALISBURYMD21801520591628HOSPITALMD501(C)(3)LINE 30PRHS

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
DELMARVA SURG CTR
641 S SALISBURY BLVDSALISBURYMD21801522251436HEALTHCAREMDN/AN/A00
DELMARVA ENDOSC CTR
11103 CATHAGE ROADBERLINMD21811831509115HEALTHCAREMDN/AN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
PROPRIETARY ENTERPRISES INC
801 MIDDLEFORD ROADSEAFORDDE19973510293887INACTIVEDEN/AC0
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 OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
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

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxt
B
J
K
L
M
N
O
P
Q