2021-05-17T11:56:55-05:00 2020-06-30 366055558 GRANT THORNTON LLP 1000 WILSON BOULEVARD SUITE 1400 ARLINGTON VA 22209 990 2019-07-01 510069243 NANTICOKE MEMORIAL HOSPITAL INC NANT 3026296611 801 MIDDLEFORD ROAD SEAFORD DE 19973 PENNY SHORT PRESIDENT 3026296611 2021-05-17 1 MARY TORRETTA P00847851 7038477500 2019 2022-09-23 18:48:47Z PENNY SHORT 801 MIDDLEFORD ROAD SEAFORD DE 19973 167057591 0 X WWW.TIDALHEALTH.ORG X 1945 DE PROVIDE HEALTH CARE SERVICES TO THE COMMUNITY, REGARDLESS OF THE ABILITY TO PAY. 14 10 1254 150 0 0 1331579 14736332 155643704 133937883 3297705 2196354 3947450 2232724 164220438 153103293 11349373 9502957 0 0 69207914 63999771 0 0 0 87508106 89764480 168065393 163267208 -3844955 -10163915 152991466 179471750 63493386 86306050 89498080 93165700 X NANTICOKE MEMORIAL HOSPITAL MISSION IS TO POSITIVELY IMPACT OUR COMMUNITIES' QUALITY OF LIFE THROUGH SUPERIOR HEALTH SERVICE. 0 0 149428425 9502957 133937883 SEE SCHEDULE O 149428425 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 164 0 1 1254 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 10 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 0 DE X DEAN A SWINGLE DIRECTOR OF FINANCE 3026296611 801 MIDDLEFORD ROAD SEAFORD DE 19973 STEVEN ROSE CEO TO 01/20/2020 32.00 7.00 X X 564494 0 41195 JANET PEDRO MD DIRECTOR 1.00 0.00 X 427875 0 3419 PENNY SHORT PRESIDENT 38.00 1.00 X 309610 0 11506 THOMAS BROWN SENIOR VP TO 06/11/2020 20.00 19.00 X X 272579 0 9572 HARRY ANTHONY MD CHIEF MEDICAL OFFICER 16.00 1.00 X 272785 0 3362 DENISE JESTER CFO 30.00 9.00 X 262296 0 13288 TRACI ALLEY CHIEF HR OFFICER TO 02/01/2020 30.00 8.00 X 205564 0 6938 GEORGE SCHWOBEL DIRECTOR OF PHARMACY 40.00 0.00 X 167362 0 5770 LILIA KULMACZEWSKI CHIEF COMPLIANCE OFFICER 35.00 4.00 X 159957 0 5575 KIMBERLY BOYKIN COUCH PHARMACIST 40.00 0.00 X 165432 0 0 RAY FULKROD CNO 40.00 0.00 X 161044 0 4274 LUCY SCHWOBEL PHARMACIST 40.00 0.00 X 149809 0 5292 MARY BETH D'AMICO APRN 40.00 0.00 X 152897 0 1628 PAMELA PIQUETTE PHARMACIST 40.00 0.00 X 150642 0 2134 JOHN ALLEN DIRECTOR - THRU 12/31/2019 5.00 0.00 X 0 0 0 SONJA BIDDLE OD DIRECTOR 1.00 1.00 X 0 0 0 DAVID CROUSE BOARD CHAIR 1.00 0.00 X X 0 0 0 ANDREW HARSTEIN DIRECTOR 1.00 0.00 X 0 0 0 TRINA JOYNER DIRECTOR 1.00 0.00 X 0 0 0 MARIA LEHMAN DIRECTOR 1.00 1.00 X 0 0 0 FREDERICK MAST DIRECTOR 1.00 0.00 X 0 0 0 SEAN STEWARD DIRECTOR 1.00 0.00 X 0 0 0 TAMMY PAXTON DIRECTOR 1.00 0.00 X 0 0 0 KENT PETERSON DIRECTOR - THRU 12/31/2019 1.00 0.00 X 0 0 0 MICHELE PROCINO-WELLS DIRECTOR 1.00 0.00 X 0 0 0 RICHARD SIMONS DO DIRECTOR 1.00 0.00 X 0 0 0 TRACY TULL NEILSON DIRECTOR 1.00 1.00 X 0 0 0 SARAH RUFFCORN DIRECTOR 1.00 0.00 X 0 0 0 3422346 0 113953 50 0 1 0 CERNER CORPORATION 2800 ROCKCREEK PKWY KANSAS CITY MO 64141 TECHNOLOGY 9909592 APOGEE MEDICAL MANAGEMENT 15059 N SCOTTSDALE RD SCOTTSDALE AZ 85254 HOSPITALISTS 2626238 ANESTHESIA SERVICES PA 2 READS WAY NEW CASTLE DE 19720 ANESTHESIA 2236194 QUEST DIAGNOSTICS PO BOX 828669 PHILADELPHIA PA 19182 LAB SERVICES 1218895 CURA HOSPITALITY PO BOX 743676 ATLANTA GA 30374 FOOD SERVICES 1205738 40 4803049 9933283 14736332 PATIENT REVENUE 623000 133937883 133937883 133937883 372924 372924 635983 413389 222594 222594 222594 15322339 42000 13520167 20742 1802172 21258 1823430 1823430 MISCELLANEOUS 623000 1166035 1166035 CAFETERIA 623000 844095 844095 2010130 153103293 133937883 0 4429078 9255000 9255000 247957 247957 3019080 2747363 271717 46512725 42326580 4186145 1886464 1716682 169782 9121416 8300489 820927 3460086 3148678 311408 495233 450662 44571 177130 161188 15942 23737 23737 14186792 12909981 1276811 702472 639250 63222 104099 94730 9369 8172619 7437083 735536 2295957 2089321 206636 70920 64537 6383 1989741 1810664 179077 8860143 8062730 797413 1027981 935463 92518 MEDICAL SUPPLIES 17378371 15814318 1564053 0 DRUGS 12438202 11318764 1119438 0 BAD DEBT EXPENSE 9599508 8735552 863956 0 PHYSICIAN FEES 6865111 6247251 617860 0 5376464 4914182 462282 163267208 149428425 13838783 0 3312980 8228921 0 22731016 15850335 12003679 4069113 4584412 1873758 2050070 93613043 4263566 70583119 89349477 51755971 37783297 470234 0 5075956 2740878 152991466 179471750 13105297 14704587 37948293 0 11587731 6592773 852065 65008690 63493386 86306050 X 89498080 93165700 89498080 93165700 152991466 179471750 X -10163915 -445412 14276947 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 1 0 0 0 1 23737 0 0 0 23737 0 SCHEDULE C, PART II-B, LINE 1I NANTICOKE 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. 5490200 5413893 66921647 1639594 65358360 1311465 20960 1290505 19248033 2603012 16645021 641698 641698 89349477 INTERCOMPANY PAYABLE 37724189 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 22550796 OTHER LIABILITIES 4733705 65008690 X PART X, LINE 2: LIABILITY 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. 1 1 1 X 250.000000000000 1 X 250.000000000000 1 1 1 0 1 1 3296 4173117 4173117 0.02720 36831 29620765 12933369 16687396 0.10860 40127 33793882 12933369 20860513 0.13580 312 5934 789912 789912 0.00510 143 3679 54640 54640 0.00040 455 9613 844552 844552 0.00550 455 49740 34638434 12933369 21705065 0.14130 37 37 186201 186201 0.00110 37 37 186201 186201 0.00110 1 9599508 44643073 53310549 -8667476 X 1 1 1 NANTICOKE SURGICAL CENTER LLC SURGERY CENTER 0.51000 0.49000 1 1 NANTICOKE MEMORIAL HOSPITAL 801 MIDDLEFORD ROAD SEAFORD DE 19973 HSPTL-008 X X X NANTICOKE MEMORIAL HOSPITAL INC 1 0 1 1 X X X X X X X X X 19 1 1 1 1 X SEE SUPPLEMENTAL INFORMATION X 1 19 1 SEE SUPPLEMENTAL INFORMATION 0 1 X 250.000000000000 250.000000000000 X X 1 1 X X X X 1 X SEE SUPPLEMENTAL INFORMATION X SEE SUPPLEMENTAL INFORMATION X SEE SUPPLEMENTAL INFO X X X X X X 1 X 0 X 1 X 0 0 NANTICOKE MEMORIAL HOSPITAL, INC PART V, SECTION B, LINE 2: THE ORGANIZATION WAS ACQUIRED BY THE PENINSULA REGIONAL HEALTH SYSTEM ON JANUARY 1, 2020. NANTICOKE MEMORIAL HOSPITAL, INC PART 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, INC PART 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, INC PART 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, INC PART 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 10A CHNA 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-C THE 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 3 1 - MEARS HEALTH CAMPUS 100 RAWLINS DRIVE SEAFORD DE 19973 MEDICAL FACILITY 2 - EZ LAB 9111 ANTIQUE ALLEY BRIDGEVILLE DE 19933 LAB DRAWING STATION 3 - EZ LAB 30549 SUSSEX HWY LAUREL DE 19956 LAB DRAWING STATION 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 1 MID-SUSSEX MEDICAL CENTER INC 801 MIDDLEFORD ROAD SEAFORD DE 19973 510224470 501(C)(3) 9245000 TO PROVIDE FUNDS FOR MID-SUSSEX MEDICAL CENTER, INC. SUSSEX COUNTY HEALTH COALITION 21133 STERLING AVE GEORGETOWN DE 19947 222804785 501(C)(3) 10000 COMMUNITY HEALTH 2 0 FINANCIAL ASSISTANCE 8 247957 FINANCIAL ASSISTANCE TO THOSE WHO QUALIFY UNDER THE FAP. PART I, LINE 2: DESCRIPTION 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. X X X X X 0 0 0 0 0 0 0 1 0 STEVEN ROSE CEO TO 01/20/2020 465535 0 50000 0 48959 0 36545 0 4650 0 605689 0 0 0 JANET PEDRO MD DIRECTOR 355579 0 72296 0 0 0 0 0 3419 0 431294 0 0 0 PENNY SHORT PRESIDENT 289836 0 0 0 19774 0 9090 0 2416 0 321116 0 0 0 THOMAS BROWN SENIOR VP TO 06/11/2020 252561 0 0 0 20018 0 8227 0 1345 0 282151 0 0 0 HARRY ANTHONY MD CHIEF MEDICAL OFFICER 249138 0 5733 0 17914 0 1923 0 1439 0 276147 0 0 0 DENISE JESTER CFO 243723 0 0 0 18573 0 8086 0 5202 0 275584 0 0 0 TRACI ALLEY CHIEF HR OFFICER TO 02/01/2020 191830 0 0 0 13734 0 4181 0 2757 0 212502 0 0 0 GEORGE SCHWOBEL DIRECTOR OF PHARMACY 167254 0 108 0 0 0 4782 0 988 0 173132 0 0 0 LILIA KULMACZEWSKI CHIEF COMPLIANCE OFFICER 148010 0 0 0 11947 0 4230 0 1345 0 165532 0 0 0 KIMBERLY BOYKIN COUCH PHARMACIST 165324 0 108 0 0 0 0 0 0 0 165432 0 0 0 RAY FULKROD CNO 154194 0 0 0 6850 0 2929 0 1345 0 165318 0 0 0 LUCY SCHWOBEL PHARMACIST 149701 0 108 0 0 0 4304 0 988 0 155101 0 0 0 MARY BETH D'AMICO APRN 152789 0 108 0 0 0 1628 0 0 0 154525 0 0 0 PAMELA PIQUETTE PHARMACIST 150534 0 108 0 0 0 0 0 2134 0 152776 0 0 0 PART I, LINE 3 PROCESS 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 7 NON-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. ASHLEY PARKER FAMILY MBR OF DIR 35237 COMP 0 KRISTINA WARD FAMILY MBR OF DIR 86566 COMP 0 FORM 990, PART III, LINE 4A FORM 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 4 CHANGES 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 6 MEMBERS/STOCKHOLDERS PENINSULA REGIONAL HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A ELECTION 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 7B APPROVAL 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 11B REVIEW 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 12C MONITORING 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 15 PROCESS 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 19 AVAILABILITY 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 NANTICOKE NANTICOKE 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. NANTICOKE HEALTH SERVICES INC 801 MIDDLEFORD ROAD SEAFORD DE 19973 510293888 HEALTH SERVICES DE 501(C)(3) LINE 12B, II N/A 0 MID-SUSSEX MEDICAL CENTER INC 801 MIDDLEFORD ROAD SEAFORD DE 19973 510224470 HEALTH SERVICES DE 501(C)(3) LINE 10 PRHS 0 NANTICOKE INSURANCE COMPANYLTD PO BOX 10233 3RD FLR WILLOW HOUSE ELGIN AVE GEORGETOWN CJ 980446259 INSURANCE CJ 501(C)(3) NHS 0 NANTICOKE HEALTH FOUNDATION 801 MIDDLEFORD ROAD SEAFORD DE 19973 812731803 FUNDRAISING DE 501(C)(3) LINE 7 NHS 0 PENINSULA REGIONAL HEALTH SYSTEM 100 EAST CARROLL STREET SALISBURY MD 21801 522132761 PARENT MD 501(C)(3) LINE 12B, II N/A 0 PENINSULA REGIONAL MEDICAL CENTER FOUNDATION 100 EAST CARROLL STREET SALISBURY MD 21801 521851935 FUNDRAISING MD 501(C)(3) LINE 7 PRHS 0 DELMARVA PENINSULA INSURANCE COMPANY PO BOX 1159 KY GRAND CAYMAN CJ 981110617 INSURANCE CJ 501(C)(3) PRHS 0 PENINSULA GENERAL HOSPITAL INS TRUST 100 EAST CARROLL STREET SALISBURY MD 21801 526321234 INSURANCE MD 501(C)(3) LINE 12C, III-FI PRHS 0 MCCREADY FOUNDATION INC 201 HALL HIGHWAY CRISFIELD MD 21817 520607921 FUNDRAISING MD 501(C)(3) LINE 3 PRHS 0 PENINSULA REGIONAL MEDICAL CENTER 100 EAST CARROLL STREET SALISBURY MD 21801 520591628 HOSPITAL MD 501(C)(3) LINE 3 PRHS 0 DELMARVA SURG CTR 641 S SALISBURY BLVD SALISBURY MD 21801 522251436 HEALTHCARE MD N/A N/A 0 0 DELMARVA ENDOSC CTR 11103 CATHAGE ROAD BERLIN MD 21811 831509115 HEALTHCARE MD N/A N/A 0 0 PROPRIETARY ENTERPRISES INC 801 MIDDLEFORD ROAD SEAFORD DE 19973 510293887 INACTIVE DE N/A C 0 PENINSULA HEALTH VENTURES (PHV) 100 EAST CARROLL STREET SALISBURY MD 21801 522250012 P'SHIP INVESTMENT MD N/A C 0 PRLTC INC 100 EAST CARROLL STREET SALISBURY MD 21801 522190588 LONG TERM CARE MD N/A C 0 0 1 1 0 0 0 0 0 0 1 0 1 1 1 1 1 1 1 1 B J K L M N O P Q