TIDALHEALTH NANTICOKE INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- TIDALHEALTH NANTICOKE INC (EIN 51-0069243)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-05-09
- IRS object ID
- 201801299349302020
- Schema version
- 2016v3.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-05-09T12:39:30-05:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 610 W GERMANTOWN PIKE SUITE 400 | AddressLine1Txt |
| City | PLYMOUTH MEETING | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19462 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 510069243 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NANTICOKE MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NANT | BusinessNameControlTxt |
| Phone | 3026296611 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 MIDDLEFORD ROAD | AddressLine1Txt |
| City | SEAFORD | CityNm |
| State Abbreviation | DE | StateAbbreviationCd |
| ZIP | 19973 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DEAN A SWINGLE | PersonNm |
| Person Title | ASSISTANT VP OF FINANCE | PersonTitleTxt |
| Phone | 3026296611 | PhoneNum |
| Signature | 2018-03-24 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | VICKI RAIVITCH CPA | PreparerPersonNm |
| PTIN | P02060731 | PTIN |
| Phone | 2156433900 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 67.137.57.251 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-03-24 | IPDt |
| IP Tm | 13:21:08 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | D6E4EC5591CA7C4B8FC561019B18E683538CF368 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | CEFDC36D6FB2C918DCE6F6AD347ED2F4EF281456 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STEVEN ROSE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 MIDDLEFORD ROAD | AddressLine1Txt |
| City | SEAFORD | CityNm |
| State Abbreviation | DE | StateAbbreviationCd |
| ZIP | 19973 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $161,695,665 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NANTICOKE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1945 | FormationYr |
| Legal Domicile State | DE | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE HEALTH CARE SERVICES TO THE COMMUNITY, REGARDLESS OF THE ABILITY TO PAY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 1022 | TotalEmployeeCnt |
| Total Volunteers | 195 | TotalVolunteersCnt |
| Total Gross UBI | $2,253,136 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,984,117 | PYContributionsGrantsAmt |
| CY Contributions Grants | $274,148 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $141,117,195 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $144,678,516 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,509,804 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,517,987 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,764,389 | PYOtherRevenueAmt |
| CY Other Revenue | $2,425,979 | CYOtherRevenueAmt |
| PY Total Revenue | $146,375,505 | PYTotalRevenueAmt |
| CY Total Revenue | $148,896,630 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $7,754,467 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $8,736,040 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $64,683,761 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $64,507,278 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $72,498,820 | PYOtherExpensesAmt |
| CY Other Expenses | $73,851,306 | CYOtherExpensesAmt |
| PY Total Expenses | $144,937,048 | PYTotalExpensesAmt |
| CY Total Expenses | $147,094,624 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,438,457 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,802,006 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $155,426,704 | TotalAssetsBOYAmt |
| Total Assets EOY | $156,523,422 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $81,114,929 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $74,165,390 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $74,311,775 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $82,358,032 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | NANTICOKE MEMORIAL HOSPITAL OPERATES IN A MANNER CONSISTENT WITH THE REQUIREMENTS OF REVENUE RULING 69-545, THROUGH ITS PROVISION OF HEALTH CARE SERVICES TO THE COMMUNITY, REGARDLESS OF THE ABILITY TO PAY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $134,892,603 | ExpenseAmt |
| Grant | $8,736,040 | GrantAmt |
| Revenue | $144,678,516 | RevenueAmt |
| Desc | 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. (SEE SCHEDULE O) 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 IN THE COUNTY TO IMPROVE OVERALL HEALTH. NANTICOKE LEADERSHIP IS ALSO VERY ACTIVE WITH THE STATE OF DELAWARE HEALTH INNOVATIONS PLAN WORKING TO IMPROVE THE HEALTH OF ALL DELAWAREANS.PATIENTS SEEN:INPATIENTS 5,371; BIRTHS 854; ER VISITS 37,824; OP VISITS 106,581DAYS OF INPATIENT CARE: ADULTS & PEDIATRICS 18,939; NEWBORN 1,690OTHER FACTS: AVERAGE PATIENT STAY 3.53; OPERATIONS 4,552 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 $17,870,804DISCOUNTS TO MEDICARE, MEDICAID & OTHERS $179,481,022 | Desc |
| Total Program Service Expenses | $134,892,603 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 189 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1022 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | DE | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEAN A SWINGLE ASSISTANT VP OF FINANCE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3026296611 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 MIDDLEFORD ROAD | AddressLine1Txt |
| City | SEAFORD | CityNm |
| State Abbreviation | DE | StateAbbreviationCd |
| ZIP | 19973 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| JOHN ALLEN | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SONJA BIDDLE OD | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| ALVARO BUENANO MD | |||||||||
| DIRECTOR (PART YEAR) | 1.00 | 1.00 | Yes (X) | $20,000 | $0 | $0 | |||
| KEVIN CARSON EDD | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID CROUSE | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| REP TIM DUKES | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ANDREW HARSTEIN | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| GREG JOHNSON | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| TRINA JOYNER | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| HARRY LEHMAN MD | |||||||||
| DIRECTOR (PART YEAR) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| FREDERICK MAST | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SAM MILLER MD | |||||||||
| DIRECTOR (PART YEAR) | 1.00 | 1.00 | Yes (X) | $15,000 | $0 | $0 | |||
| PATRICIA OLEKSZYK | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| TAMMY PAXTON | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHELE PROCINO-WELLS | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| DONALD HOLLENBECK | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LYNDA MESSICK | |||||||||
| BOARD CHAIR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| STEVEN ROSE | |||||||||
| CEO | 32.00 | 9.00 | Yes (X) | $512,844 | $0 | $81,987 | Yes (X) | ||
| DENISE JESTER | |||||||||
| CFO | 30.00 | 11.00 | $267,051 | $0 | $18,727 | Yes (X) | |||
| THOMAS BROWN | |||||||||
| SENIOR VP | 20.00 | 21.00 | $273,421 | $0 | $21,023 | Yes (X) | |||
| PENNY SHORT | |||||||||
| COO/CNO | 39.00 | 2.00 | $275,162 | $0 | $21,115 | Yes (X) | |||
| ROBERT FERBER MD | |||||||||
| CHIEF CLINICAL INNOVATION OFF. | 30.00 | 10.00 | $226,503 | $0 | $10,411 | Yes (X) | |||
| BARBARA HENDRICKS | |||||||||
| VP (PART YEAR) | 30.00 | 10.00 | $205,852 | $0 | $7,210 | Yes (X) | |||
| LILIA KULMACZEWSKI | |||||||||
| CHIEF COMPLIANCE OFFICER | 35.00 | 6.00 | $156,792 | $0 | $20,406 | Yes (X) | |||
| FAISAL NIAZI | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $339,584 | $0 | $7,192 | Yes (X) | |||
| GERALD WALKER | |||||||||
| MAINTENANCE MECHANIC | 40.00 | 0.00 | $162,636 | $0 | $2,805 | Yes (X) | |||
| DEAN SWINGLE | |||||||||
| ASST VP, FINANCE | 40.00 | 0.00 | $125,668 | $0 | $1,875 | Yes (X) | |||
| LORI LEE | |||||||||
| ASST VP, NURSING | 40.00 | 0.00 | $124,674 | $0 | $1,898 | Yes (X) | |||
| WILLIAM PELOT | |||||||||
| ASST VP, CLINICAL SERVICES | 40.00 | 0.00 | $124,595 | $0 | $1,591 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,829,782 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $196,240 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 38 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CERNER CORPORATION | |||||
| 2800 ROCKCREEK PKWY | KANSAS CITY | MO | 64141 | TECHNOLOGY | $8,517,301 |
| ANESTHESIA SERVICES PA | |||||
| 2 READS WAY | NEW CASTLE | DE | 19720 | ANESTHESIA | $2,163,754 |
| APOGEE MEDICAL MANAGEMENT | |||||
| 15059 N SCOTTSDALE RD | SCOTTSDALE | AZ | 85254 | HOSPITALISTS | $1,550,568 |
| THE MCR GROUP LLC | |||||
| 308 N PETERS RD | KNOXVILLE | TN | 37922 | REIMBURSEMENT | $1,362,673 |
| CURA HOSPITALITY | |||||
| PO BOX 743676 | ATLANTA | GA | 30374 | FOOD SERVICES | $1,208,439 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 39 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $274,148 | RelatedOrganizationsAmt |
| Total Contributions | $274,148 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT REVENUE | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $144,678,516 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $144,678,516 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $144,678,516 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $917,221 | TotalRevenueColumnAmt |
| Exclusion | $917,221 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $631,183 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $458,340 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $172,843 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $172,843 | TotalRevenueColumnAmt |
| Exclusion | $172,843 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $12,863,356 | SecuritiesAmt |
| Other | $78,105 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $12,250,743 | SecuritiesAmt |
| Other | $89,952 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $612,613 | SecuritiesAmt |
| Other | -$11,847 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $600,766 | TotalRevenueColumnAmt |
| Exclusion | $600,766 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|
| MISC | 623000 | $1,232,003 | $1,232,003 |
| CAFETERIA | 623000 | $1,021,133 | $1,021,133 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,253,136 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $148,896,630 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $144,678,516 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,253,136 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,690,830 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,329,778 | TotalAmt |
| Program Services | $6,329,778 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,406,262 | TotalAmt |
| Program Services | $2,406,262 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,887,738 | TotalAmt |
| Program Services | $1,717,842 | ProgramServicesAmt |
| Management And General | $169,896 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,781,355 | TotalAmt |
| Program Services | $44,391,033 | ProgramServicesAmt |
| Management And General | $4,390,322 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,663,797 | TotalAmt |
| Program Services | $9,704,055 | ProgramServicesAmt |
| Management And General | $959,742 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,174,388 | TotalAmt |
| Program Services | $2,888,693 | ProgramServicesAmt |
| Management And General | $285,695 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,971 | TotalAmt |
| Program Services | $100,074 | ProgramServicesAmt |
| Management And General | $9,897 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $163,137 | TotalAmt |
| Management And General | $163,137 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $298,314 | TotalAmt |
| Management And General | $298,314 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,152 | TotalAmt |
| Management And General | $74,152 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $189,502 | TotalAmt |
| Management And General | $189,502 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,506,803 | TotalAmt |
| Program Services | $13,268,668 | ProgramServicesAmt |
| Management And General | $1,238,135 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,227,258 | TotalAmt |
| Program Services | $2,026,805 | ProgramServicesAmt |
| Management And General | $200,453 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $304,366 | TotalAmt |
| Program Services | $276,973 | ProgramServicesAmt |
| Management And General | $27,393 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,312,368 | TotalAmt |
| Program Services | $3,014,255 | ProgramServicesAmt |
| Management And General | $298,113 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,727,537 | TotalAmt |
| Program Services | $3,392,059 | ProgramServicesAmt |
| Management And General | $335,478 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $137,836 | TotalAmt |
| Program Services | $125,431 | ProgramServicesAmt |
| Management And General | $12,405 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,294,121 | TotalAmt |
| Program Services | $2,294,121 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,068,318 | TotalAmt |
| Program Services | $7,068,318 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $665,706 | TotalAmt |
| Program Services | $605,792 | ProgramServicesAmt |
| Management And General | $59,914 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $17,224,928 | $15,674,684 | $1,550,244 |
| BAD DEBT EXPENSE | $12,209,470 | $11,110,618 | $1,098,852 |
| HOUSEKEEPING | $8,243,575 | $7,501,653 | $741,922 |
| MISCELLANEOUS | $1,093,944 | $995,489 | $98,455 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $147,094,624 | TotalAmt |
| Program Services | $134,892,603 | ProgramServicesAmt |
| Management And General | $12,202,021 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$861,302 | BOYAmt |
| EOY | $688,846 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,836,216 | BOYAmt |
| EOY | $16,934,842 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,716,098 | BOYAmt |
| EOY | $3,602,070 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,589,760 | BOYAmt |
| EOY | $1,729,772 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $157,770,901 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $90,590,713 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,732,596 | BOYAmt |
| EOY | $67,180,188 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,139,720 | BOYAmt |
| EOY | $60,488,314 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $225,053 | BOYAmt |
| EOY | $420,734 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $832,749 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,215,814 | BOYAmt |
| EOY | $5,478,656 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $155,426,704 | BOYAmt |
| EOY | $156,523,422 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,858,473 | BOYAmt |
| EOY | $18,026,194 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,088,530 | BOYAmt |
| EOY | $41,568,286 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,923,807 | BOYAmt |
| EOY | $13,447,740 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,244,119 | BOYAmt |
| EOY | $1,123,170 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,114,929 | BOYAmt |
| EOY | $74,165,390 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,311,775 | BOYAmt |
| EOY | $82,358,032 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,311,775 | BOYAmt |
| EOY | $82,358,032 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $155,426,704 | BOYAmt |
| EOY | $156,523,422 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,802,006 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $3,502,754 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $2,741,497 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | Yes (1) | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $74,152 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $74,152 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1I | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,500,658 | OtherCostOrOtherBasisAmt |
| Book Value | $1,500,658 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $79,971,898 | OtherCostOrOtherBasisAmt |
| Depreciation | $35,398,742 | DepreciationAmt |
| Book Value | $44,573,156 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,640,137 | OtherCostOrOtherBasisAmt |
| Depreciation | $992,239 | DepreciationAmt |
| Book Value | $647,898 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $73,130,825 | OtherCostOrOtherBasisAmt |
| Depreciation | $54,199,732 | DepreciationAmt |
| Book Value | $18,931,093 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,527,383 | OtherCostOrOtherBasisAmt |
| Book Value | $1,527,383 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $67,180,188 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ESTIMATED THIRD PARTY PAYOR SETTLEMENTS | $311,955 |
| OTHER LIABILITIES | $811,215 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,123,170 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $134,518,987 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $3,502,754 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$15,742,973 | OtherRevenueAmt |
| Revenue Not Reported | -$12,240,219 | RevenueNotReportedAmt |
| Revenue Subtotal | $146,759,206 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $189,502 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $1,947,922 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $2,137,424 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $148,896,630 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $126,472,730 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $458,340 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $458,340 | ExpensesNotReportedAmt |
| Expenses Subtotal | $126,014,390 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $189,502 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $20,890,732 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $21,080,234 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $147,094,624 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE ORGANIZATION FOLLOWS THE STANDARD OF ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE STANDARD PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX PROVISIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE APPLICATION OF THE STANDARD HAD NO IMPACT ON THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION'S TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBTS -12,209,470. PENSION ADJUSTMENT 2,741,497. CONTRIBUTIONS, GIFTS, GRANTS TO RELATED ORGANIZATIONS -6,275,000. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RENTAL EXPENSE -458,340. CHARITY CARE 2,406,262. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSE - INCLUDED WITH REVENUE IN PART VIII 458,340. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBTS 12,209,470. CONTRIBUTIONS, GIFTS, GRANTS TO RELATED ORGANIZATIONS 6,275,000. CHARITY CARE 2,406,262. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 3325 | PersonsServedCnt |
| Total Community Benefit Expns | $2,328,725 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,328,725 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01580 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 43503 | PersonsServedCnt |
| Total Community Benefit Expns | $28,625,790 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,778,765 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,847,025 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06690 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 46828 | PersonsServedCnt |
| Total Community Benefit Expns | $30,954,515 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,778,765 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,175,750 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08270 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 375 | ActivitiesOrProgramsCnt |
| Persons Served | 12850 | PersonsServedCnt |
| Total Community Benefit Expns | $1,108,457 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,108,457 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00750 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 267 | ActivitiesOrProgramsCnt |
| Persons Served | 2242 | PersonsServedCnt |
| Total Community Benefit Expns | $83,646 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $83,646 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 642 | ActivitiesOrProgramsCnt |
| Persons Served | 15092 | PersonsServedCnt |
| Total Community Benefit Expns | $1,192,103 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,192,103 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00810 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 642 | ActivitiesOrProgramsCnt |
| Persons Served | 61920 | PersonsServedCnt |
| Total Community Benefit Expns | $32,146,618 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,778,765 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,367,853 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09080 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 80 | ActivitiesOrProgramsCnt |
| Persons Served | 80 | PersonsServedCnt |
| Total Community Benefit Expns | $229,970 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $229,970 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 80 | ActivitiesOrProgramsCnt |
| Persons Served | 80 | PersonsServedCnt |
| Total Community Benefit Expns | $229,970 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $229,970 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $12,337,837 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $48,664,200 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $46,951,792 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $1,712,408 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NANTICOKE MEMORIAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 MIDDLEFORD ROAD | AddressLine1Txt |
| City | SEAFORD | CityNm |
| State Abbreviation | DE | StateAbbreviationCd |
| ZIP | 19973 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NANTICOKE MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | WWW.DELAWAREHEALTHTRACKER.COM | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTP://WWW.NANTICOKE.ORG/COMMUNITY-OUTREACH/ | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| NANTICOKE MEMORIAL HOSPITAL | PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITY'S FISCAL YEAR 2016 CHNA WAS COMPLETED SEPTEMBER 2016. NANTICOKE AGAIN WORKED WITH TWO OTHER COUNTY HOSPITALS (BAYHEALTH MILFORD AND BEEBE HEALTHCARE) THROUGH THE HEALTHIER SUSSEX COUNTY TASK FORCE TO COLLECT AND SHARE STAKEHOLDER AND COMMUNITY SURVEY DATA. IN ADDITION TO INIDVIDUAL HOSPITAL FACILITY INITIATIVES, THE HEALTHIER SUSSEX COUNTY TASK FORCE WILL ALSO WORK TOGETHER ON TARGETED AREAS OF NEED. IN 2017 FOCUS AREAS FOR NANTICOKE AND FOR HEALTHIER SUSSEX COUNTY INCLUDE MENTAL HEALTH/SUBSTANCE ABUSE AND OBESITY. FOR THESE TWO AREAS, NANTICOKE AND HEALTHIER SUSSEX COUNTY ARE ALSO PARTNERING WITH THE HEALTHY NEIGHBORHOODS PROGRAM DEVELOPED THROUGH THE STATE OF DELWARE'S HEALTH INNOVATION PLAN. NANTICOKE ITSELF WILL ALSO BE FOCUSING ON THESE TWO AREAS AS WELL AS FOCUS ON CERVICAL CANCER SCREENINGS, LUNG CANCER SCREENINGS AND ACCESS/EDUCATION REGARDING PRE-NATAL HEALTH. THE CURRENT IMPLEMENTATION PLAN RELATED TO THE 2015 CHNA WAS ADOPTED JANUARY 2017 AND IS SCHEDULED FOR REVIEW AND UPDATES IN ANNUALLY. |
| NANTICOKE MEMORIAL HOSPITAL | PART V, SECTION B, LINE 6B: SEVERAL DHSS SERVICE AREAS |
| NANTICOKE MEMORIAL HOSPITAL | PART V, SECTION B, LINE 7D: THE TAX YEAR 2015 CHNA AND ITS ASSOCIATED IMPLEMENTAITON PLAN CAN BE FOUND AT WWW.NANTICOKE.ORG/COMMUNITY-OUTREACH. PAPER COPIES OF THE CHNA ARE ALSO AVAILABLE UPON REQUEST BY CONTACTING THE MARKETING DEPARTMENT AT NANTICOKE. |
| NANTICOKE MEMORIAL HOSPITAL | PART V, SECTION B, LINE 11: BECAUSE NANTICOKE MEMORIAL HOSPITAL IS A SMALL COMMUNITY HOSPITAL IT IS NOT ABLE TO FISCALLY SUPPORT THE MANY NEEDS OF THE RURAL COMMUNITY. WITH THE 2015 CHNA, NANTICOKE IDENTIFIED THE GREATEST AREAS OF NEED WHERE IT CAN MAKE THE MOST IMPACT ON COMMUNITY HEALTH. NANTICOKE PARTNERS WITH MANY LOCAL, COUNTY, STATE AND SUPPORT GROUPS TO COLLABORATIVELY WORK ON IDENTIFIED COMMUNITY HEALTH NEEDS. IN ADDITION TO GROUPS MENTIONED PREVIOUSLY NANTICOKE AND ITS REPRESENTATIVES WORK WITH GROUPS INCLUDING BUT NOT LIMITED TO STATE HEALTH OFFICIALS, COUNTY PUBLIC HEALTH GROUPS, FIRST RESPONDERS, LOCAL SERVICE ORGANIZATIONS, SOCIAL SERVICE GROUPS, AREA SUPPORT SERVICE ORGANIZATIONS, AND COMMUNIITY GROUPS SUCH AS THE SUSSEX COUNTY HEALTH COALITION. AREAS OF NEED THAT ARE OUTSIDE OF NANTICOKE'S AREA OF EXPERTISE CANNOT BE ADDRESSED. ADDITIONALLY, AREAS OF NEED THAT ARE CURRENTLY BEING ADDRESSED BY OTHER AGENCIES MAY NOT BE ADDRESSED BY NANTICOKE. NEEDS IDENTIFIED BUT NOT CURRENTLY BEING ADDRESSED BY NANTICOKE ARE INCLUDED ALONG WITH EXPLANATION AS A PART OF ITS 2015 CHNA. |
| NANTICOKE MEMORIAL HOSPITAL | PART V, LINE 16A, FAP WEBSITE:HTTP://WWW.NANTICOKE.ORG/PATIENT-BILLING/FINANCIAL-ASSISTANCE-POLICY/ |
| NANTICOKE MEMORIAL HOSPITAL | PART V, LINE 16B, FAP APPLICATION WEBSITE:HTTP://WWW.NANTICOKE.ORG/PATIENT-BILLING/FINANCIAL-ASSISTANCE-POLICY/ |
| NANTICOKE MEMORIAL HOSPITAL | PART V, LINE 16C, PLAIN LANGUAGE SUMMARY:HTTP://WWW.NANTICOKE.ORG/PATIENT-BILLING/FINANCIAL-ASSISTANCE-POLICY/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 4 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - MEARS HEALTH CAMPUS | ||||
| 100 RAWLINS DRIVE | SEAFORD | DE | 19973 | MEDICAL FACILITY |
| 2 - EZ LAB | ||||
| 9111 ANTIQUE ALLEY | BRIDGEVILLE | DE | 19933 | LAB DRAWING STATION |
| 4 - EZ LAB | ||||
| 503 W MARKET ST | GEORGETOWN | DE | 19947 | LAB DRAWING STATION |
| 5 - EZ LAB | ||||
| 30549 SUSSEX HWY | LAUREL | DE | 19956 | LAB DRAWING STATION |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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, LN 7 COL(F): | THE HOSPITAL DID NOT INCLUDE ANY AMOUNT OF BAD DEBT EXPENSE IN THE DENOMINATOR IN COMPUTING THE PERCENTAGE IN COLUMN (F). |
| PART III, LINE 4: | THE ORGANIZATION PROVIDES CARE WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS AMOUNTS GENERALLY BILLED TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY. BECAUSE THE ORGANIZATION DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THOSE AMOUNTS ARE NOT REPORTED AS REVENUES. FOR THOSE PATIENTS WHO DID NOT MEET THE CHARITY CARE POLICY, THE ORGANIZATION MUST EVALUATE THEIR ABILITY TO COLLECT AMOUNTS DUE FROM PATIENTS THAT ARE PAST DUE. A PROVISION FOR BAD DEBTS IS RECORDED FOR AMOUNTS NOT YET WRITTEN OFF WHICH ARE EXPECTED TO BECOME UNCOLLECTIBLE. THE HOSPITAL'S POLICY IS TO HAVE A MINIMUM OF 2-3 STATEMENTS AND A FINAL NOTICE BEFORE SENDING PATIENT ACCOUNTS TO COLLECTIONS. ADDITIONALLY, ACCOUNTS GREATER THAN $500 ARE ATTEMPTED TO BE REACHED BY TELEPHONE. |
| 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 CURRENTLY USES SECONDARY DATA FROM FEDERAL, STATE AND COUNTY RESOURCES. THE STATE OF DELAWARE PROVIDES A USER-FRIENDLY REPOSITORY OF A LARGE AMOUNT OF THIS TYPE OF DATA THROUGH WWW.DELAWAREHEALTHTRACKER.COM. IN ADDITION, NANTICOKE ACCESSES COMMUNITY DATA FROM RESOURCES SUCH AS THE CDC, COUNTY DEMORGRAPHIC AND ECONOMIC DATA, AND NATIONAL RESEARCH GROUPS LIKE THE AMERICAN CANCER SOCIETY. NANTICOKE PARTNERS WITH TWO OTHER HOSPITALS IN THE COUNTY TO COLLECT PRIMARY DATA FROM STAKEHOLDERS AND THE COMMUNITY AT LARGE. IN ADDITION TO COMMUNITY HEALTH CARE NEEDS IDENTIFIED THROUGH THE CHNA, NANTICOKE PARTICIPATES WITH A STATE WIDE ACO THAT COLLECTS QUALITY AND OUTCOMES DATA TO IMPROVE PATIENT ACCESS AND CARE. NANTICOKE ALSO ENTERED INTO A PARTNERSHIP WITH SEVERAL OTHER STATE HEALTH SYSTEMS TO WORK COLLABORATIVELY AROUND THE POPULATION HEALTH MODEL TO IMPROVE QUALITY AND ACCESS TO CARE WHILE CLOSING GAPS AND REDUCING COSTS. ADDITIONALLY, AS AN INDEPENDENT HOSPTAL, NANTICOKE REPORTS AND REVIEWS ITS OWN DATA TO DETERMINE AREAS OF NEED AND DEVELOP DEPARTMENT OR SERVICE SPECIFIC COMMUNITY EDUCATION, SCREENINGS, OR OTHER INITAITIVES BASED ON THE IDENTIFIED NEED. ON EXAMPLE IS THE STROKE PROGRAM IDENTIFIED NEED FOR AWARENESS AROUND WHAT TO DO IN THE EVENT OF A STROKE - WORKING WITH THE OTHER AREA HOSPITALS AND THE AMERICAN HEART ASSOCIATION AN AWARENESS CAMPAIGN WAS IMPLEMENTED IN THE SPRING 2016. THIS CAMPAIGN CONTINUES IN 2017. ADDITIONALLY NANTICOKE WORKED WITH SUSSEX COUNTY EMS ON THE AHA MISSION LIFELINE PROGRAM TO FURTHER REDUCE TIME TO TREATMENT FOR STEMIS. COORDINATING WITH EMS, ALLOWING THEM TO PERFORM THE 12-LEAD EKG AND MAKE A DETERMINATION OF HOSPITAL STAFFING NEEDS TO TREAT PATIENTS HAS RESULTED IN FASTER CARE TIMES. |
| PART VI, LINE 3: | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE-NANTICOKE 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 HEALTH SERVICES PRIMARILY SERVES WESTERN SUSSEX COUNTY IN DELAWARE. THIS POPULATION INCLUDES A LARGE AND GROWING PERCENTAGE OF THOSE 55 YEARS AND OLDER. RESIDENTS OF WESTERN SUSSEX COUNTY GENERALLY HAVE A LOWER MEDIAN HOUSEHOLD INCOME THAN OTHER AREAS IN THE COUNTY. WESTERN SUSSEX ALSO HAS A LOWER PERCENTAGE OF THE POPULATION WORKING AT A PROFESSIONAL LEVEL. MANY WORK IN SERVICE, RETAIL OR AGRICULTURAL INDUSTRIES. NANTICOKE HEALTH SERVICES IS ONE OF THE LARGER EMPLOYERS IN WESTERN SUSSEX COUNTY. THIS PORTION OF THE COUNTY CURRENTLY HAS A MAJORITY OF THE POPULATION THAT IS CAUCASIAN BUT SERVES A VERY RAPIDLY EXPANDING HISPANIC POPULATION. ADDITIONALLY, THERE ARE SOME DISPARITIES REMAINING IN HEALTH EDUCATION, EARLY DETECTION AND MORBIDITY FOR THE AFRICAN AMERICAN AND HISPANIC COMMUNITIES IN WESTERN SUSSEX COUNTY. NANTICOKE'S PRIMARY SERVICE AREA INCLUDES SEAFORD, LAUREL, BRIDGEVILLE AND GEORGETOWN, ALL LOCATED IN DELAWARE. NANTICOKE'S SECONDARY SERVICE AREA INCLUDES DELMAR, GREENWOOD AND MILLSBORO, DELAWARE AS WELL AS HURLOCK AND FEDERALSBURG, MARYLAND. TOGETHER THESE TWO AREAS REPRESENT NEARLY 85 PERCENT OF PATIENTS SEEN AT ONE OF NANTICOKE'S SERVICE LOCATIONS. |
| PART VI, LINE 5: | IN ADDITION TO THE CHNA AND THE ASSOCIATED IMPLMENTATION PLAN, NANTICOKE WORKS IN MANY AREAS OF POPULATION HEALTH MANAGEMENT. AS MENTIONED IN THE NOTES ABOVE (PART VI, LINE 2), NANTICOKE REPRESENTATIVES MONITOR NEED USING PATIENT DATA. THEY DEVELOP COMMUNITY EDUCATION, AWARENESS, OFFER SCREENINGS OR OTHER INITIAITVIES AS IDENTIFIED. NANTICOKE PROVIDES MANY EDUCATIONAL OFFERINGS, SUPPORT GROUPS, AND FREE SCREENINGS TO THE COMMUNITY THROUGHOUT THE YEAR. MANY OUTREACH PROGRAMS ARE CONNECTED TO PATIENTS OF MID-SUSSEX MEDICAL CENTER AND CARE COORDINATION. FOR EXAMPLE CERVICAL CANCER COMPLIANCE IS A HEALTH NEED WHERE INIATIVIES HAVE BEGUN WITH COMMUNITY AT LARGE, MID-SUSSEX CARE COORDINATORS TO HELP PATIENTS NEEDING SCREENINGS, AND AN EMPLOYEE CARE COORDINATOR TO HELP EMPLOYEES NEEDING SCREENINGS. IN FISCAL YEAR 2017, NANTICOKE ALSO OFFERED COMMUNITY FLU VACCINES, PARTNERS WITH THE LOCAL CHAMBER OF WOMEN'S HEALTH AWARENESS EVENTS, AND WORKED WITH AREA EMPLOYERS ON EDUCATION AND SCREENINGS FOR EMPLOYEE POPULATIONS. NANTICOKE IS VERY INVOLVED WITH COMMUNITY ORGNAIZATIONS TO SUPPORT INITIATIVES AROUND ECONOMIC DEVELOPMENT AND OTHER SOCIO-ECONOMIC FACTORS IMPACTING HEALTH. IN ADDITION TO PATIENT, STATE AND FEDERAL DATA, NANTICOKE ALSO MAKES USE OF COMMUNITY ADVISORY BOARDS AND COMMUNITY AND EMPLOYEE FEEDBACK TO DEVELOP AND ASSESS THE EFFECTIVENESS OF INITIATIVES. |
| PART VI, LINE 6: | THE HOSPITAL IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| MID-SUSSEX MEDICAL CENTER INC | |||||||
| 801 MIDDLEFORD ROAD | SEAFORD | DE | 19973 | 510224470 | 501(C)(3) | $6,286,243 | TO PROVIDE FUNDS FOR MID-SUSSEX MEDICAL CENTER, INC. |
| DELAWARE TECHNICAL AND COMMUNITY COLLEGE | |||||||
| PO BOX 610 | GEORGETOWN | DE | 19947 | 516000279 | 501(C)(3) | $5,000 | EDUCATION FOUNDATION |
| LA ESPERANZA INC | |||||||
| 216 N RACE ST | GEORGETOWN | DE | 19947 | 311606956 | 501(C)(3) | $11,000 | COMMUNITY HEALTH ORGANIZATION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | FINANCIAL ASSISTANCE | GrantTypeTxt |
| Recipient | 109 | RecipientCnt |
| Cash Grant | $1,742,952 | CashGrantAmt |
| Valuation Method Used | FMV | ValuationMethodUsedDesc |
| Non Cash Assistance | FINANCIAL ASSISTANCE TO THOSE WHO QUALIFY UNDER THE FAP. | NonCashAssistanceDesc |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | NANTICOKE ENSURES THAT ALL ORGANIZATIONS ARE TAX EXEMPT UNDER IRS SECTION 501(C)(3) AND STILL IN GOOD STANDING. ADDITIONALLY, WE CONFIRM THAT THE ORGANIZATION'S GOALS AND OBJECTIVES ARE IN ALIGNMENT WITH NANTICOKE'S. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STEVEN ROSE | ||||||||||||||
| CEO | $440,202 | $0 | $48,450 | $0 | $24,192 | $0 | $75,863 | $0 | $6,124 | $0 | $594,831 | $0 | $0 | $0 |
| DENISE JESTER | ||||||||||||||
| CFO | $238,377 | $0 | $27,900 | $0 | $774 | $0 | $15,750 | $0 | $2,977 | $0 | $285,778 | $0 | $0 | $0 |
| THOMAS BROWN | ||||||||||||||
| SENIOR VP | $245,710 | $0 | $26,523 | $0 | $1,188 | $0 | $18,000 | $0 | $3,023 | $0 | $294,444 | $0 | $0 | $0 |
| PENNY SHORT | ||||||||||||||
| COO/CNO | $248,225 | $0 | $26,523 | $0 | $414 | $0 | $18,000 | $0 | $3,115 | $0 | $296,277 | $0 | $0 | $0 |
| ROBERT FERBER MD | ||||||||||||||
| CHIEF CLINICAL INNOVATION OFF. | $201,284 | $0 | $24,031 | $0 | $1,188 | $0 | $7,752 | $0 | $2,659 | $0 | $236,914 | $0 | $0 | $0 |
| BARBARA HENDRICKS | ||||||||||||||
| VP (PART YEAR) | $205,405 | $0 | $0 | $0 | $447 | $0 | $6,528 | $0 | $682 | $0 | $213,062 | $0 | $0 | $0 |
| LILIA KULMACZEWSKI | ||||||||||||||
| CHIEF COMPLIANCE OFFICER | $151,967 | $0 | $4,140 | $0 | $685 | $0 | $18,000 | $0 | $2,406 | $0 | $177,198 | $0 | $0 | $0 |
| FAISAL NIAZI | ||||||||||||||
| PHYSICIAN | $306,269 | $0 | $33,315 | $0 | $0 | $0 | $0 | $0 | $7,192 | $0 | $346,776 | $0 | $0 | $0 |
| GERALD WALKER | ||||||||||||||
| MAINTENANCE MECHANIC | $162,636 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $2,805 | $0 | $165,441 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | STEVE ROSE- HEALTH OR SOCIAL CLUB DUES FOR $2,160 |
| PART I, LINE 4B | STEVEN ROSE PARTICIPATES IN A 457(B) AND 457(F) PLAN. THE ORGANIZATION CONTRIBUTED A COMBINED TOTAL OF $75,863 TO THOSE PLANS DURING THE TAX YEAR. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELAWARE HEALTH FACILITIES AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 510272458 | BondIssuerEIN |
| CUSIP | 246388RD6 | CUSIPNum |
| Bond Issued | 2013-06-11 | BondIssuedDt |
| Issue Price | $47,475,775 | IssuePriceAmt |
| Purpose | DEBT REFINANCING | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $1,645,000 | RetiredAmt |
| Total Proceeds | $47,475,775 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $930,010 | IssuanceCostsFromProceedsAmt |
| Other Spent Proceeds | $46,545,765 | OtherSpentProceedsAmt |
| Substantial Completion | 2013 | SubstantialCompletionYr |
| Current Refunding | Yes (1) | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | Yes (1) | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | Yes (1) | EngageBondCounselContractsInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | NANTICOKE HEALTH SERVICES, INC IS THE SOLE MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7A | SHAREHOLDER / GOVERNING BODY HAS POWER TO SELECT THE DIRECTORS, OFFICERS, AND AGENTS OF THE HOSPITAL AND DEFINE THEIR DUTIES. |
| FORM 990, PART VI, SECTION A, LINE 7B | SHAREHOLDER / GOVERNING BODY HAS POWER TO: MANAGE SUPERVISE AND DIRECT BUSINESS AFFAIRS; ESTABLISH POLICIES, PROCEDURES AND PROGRAMS; DETERMINE HOSPITAL SERVICES; AUTHORIZE AND EXECUTE DEBT AGREEMENTS; DETERMINE POLICIES OF HOSPITAL; HAVE RESPONSIBILITY FOR QUALITY PATIENT CARE; TO PROVIDE FOR ADEQUATE FINANCING; DECIDE STRATEGIC PLANS; PROTECT HOSPITAL PROPERTY; PROVIDE FINANCIAL STABILITY; APPROVE ANNUAL BUDGET; ESTABLISH HOSPITAL POLICY; APPROVE BY-LAWS; PROVIDE FOR APPOINTMENT OF MEDICAL STAFF; REQUIRE MEDICAL STAFF MAINTAIN HIGH STANDARDS; AVOID PROFITING FROM HOSPITAL RELATIONSHIP; ESTABLISH COMMUNICATION AMONG SHAREHOLDERS; MAINTAIN RECORDS; IMPLEMENT EXPENDITURE PLANS; EVALUATE PERFORMANCE; SELECT CHIEF EXECUTIVE OFFICER; ASSESS AND REVIEW COMPETENCIES OF STAFF; ENSURE AGE-APPROPRIATE CARE IS DELIVERED; PROVIDE SINGLE LEVEL OF PATIENT CARE; REQUIRE STAFF TO REPORT ON MEDICAL CARE; PROVIDE RESOURCES FOR RISK MANAGEMENT; APPROVE AUXILIARY ORGANIZATION ACTIVITIES; TO REMOVE HOSPITAL DIRECTOR OR STAFF WITHOUT CAUSE; AUTHORIZE ISSUANCE OF SHARES OF STOCK; APPROVE ACTIVITIES OF HOSPITAL DIRECTOR; AMEND CERTIFICATE OF ORGANIZATION; AUTHORIZE LIQUIDATION OF ASSETS; RESOLVE CONFLICTS; AUTHORIZE ACQUISITION OF SUBSIDIARIES; PROVIDE FOR COMPLIANCE WITH LAWS; PROVIDE FOR THE COLLABORATION OF LEADERS; EXERCISE POWERS OF BOARD OF DIRECTORS; EXERCISE POWERS OF NANTICOKE HEALTH SERVICES, INC. |
| FORM 990, PART VI, SECTION B, LINE 11B | ORGANIZATION'S PROCESS TO REVIEW FORM 990: THE FINANCE & INVESTMENT COMMITTEE REVIEWS AND APPROVES THE FORM. AFTER THE REVIEW, IT IS PRESENTED TO THE FULL BOARD OF DIRECTORS FOR APPROVAL BEFORE BEING FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | ENFORCEMENT OF CONFLICTS POLICY: THE SUBJECT INTERESTED PERSON SHALL NOT BE PRESENT DURING ANY MEETING IN WHICH THE GOVERNANCE EFFECTIVENESS COMMITTEE CONDUCTS ITS EVALUATION, EXCEPT TO ANSWER QUESTIONS OF THE GOVERNANCE EFFECTIVENESS COMMITTEE AS MAY BE NECESSARY. THE GOVERNANCE EFFECTIVENESS COMMITTEE MAY REQUEST ADDITIONAL INFORMATION FROM ALL REASONABLE SOURCES AND SHALL INVOLVE THE GENERAL COUNSEL IN ITS DELIBERATIONS. THE CONFLICTED PARTY CAN PROVIDE INFORMATION TO THE BOARD DEPENDING ON THE TRANSACTION. ONCE ALL NECESSARY INFORMATION HAS BEEN OBTAINED, THE GOVERNANCE EFFECTIVENESS COMMITTEE SHALL MAKE A FINDING AS TO WHETHER A CONFLICT OF INTEREST INDEED EXISTS, AND SHALL FORWARD THAT FINDING TO THE BOARD OF DIRECTORS FOR DISCUSSION AND VOTE. ONLY DISINTERESTED DIRECTORS MAY VOTE TO DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. THE SUBJECT INTERESTED PERSON MAY NOT BE PRESENT WHEN THIS VOTE IS TAKEN. SCOPE: THIS POLICY IS APPLICABLE TO THE BOARD OF DIRECTORS, INCLUDING COMMUNITY AND PHYSICIAN MEMBERS OF BOARD COMMITTEES, AND ADMINISTRATION (COLLECTIVELY REFERRED TO AS "BOARD, COMMITTEE MEMBERS, AND ADMINISTRATION") OF NANTICOKE HEALTH SERVICES, NANTICOKE MEMORIAL HOSPITAL, AND MID-SUSSEX MEDICAL CENTER, ALL OF WHICH ARE TAX-EXEMPT CHARITABLE ORGANIZATIONS (REFERRED TO HEREIN AS "NHS"). POLICY: THE POLICY OF NHS IS TO REQUIRE THAT EACH INDIVIDUAL SUBJECT TO THIS POLICY STATEMENT PROMPTLY AND FULLY DISCLOSE (IN THE MANNER PROVIDED HEREIN) ANY ACTUAL, APPARENT, OR POTENTIAL CONFLICT OF INTEREST, AND THAT NHS WILL NOT ENGAGE IN ANY CONTRACT, TRANSACTION, OR ARRANGEMENT INVOLVING A CONFLICT OF INTEREST UNLESS THE DISINTERESTED MEMBERS OF THE BOARD OF DIRECTORS (ACTING AT A DULY CONSTITUTED MEETING THEREOF) (WITH THE ADVICE OF LEGAL COUNSEL) DETERMINE BY A MAJORITY VOTE THAT APPROPRIATE SAFEGUARDS TO PROTECT THE CHARITABLE MISSION OF NHS HAVE BEEN IMPLEMENTED. VIOLATIONS OF THE CONFLICTS OF INTEREST POLICY: IF THE BOARD OF DIRECTORS OR A COMMITTEE HAS REASON TO BELIEVE THAT AN INTERESTED PERSON HAS FAILED TO COMPLY WITH THE DISCLOSURE OBLIGATION OF THIS POLICY, THE BOARD OF DIRECTORS SHALL INFORM THAT PERSON OF THE BASIS FOR ITS BELIEF AND PROVIDE THAT PERSON AN OPPORTUNITY TO ADDRESS THE ALLEGED FAILURE TO DISCLOSE. AFTER HEARING THE RESPONSE OF SUCH PERSON AND CONDUCTING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED UNDER THE CIRCUMSTANCES, THE BOARD OF DIRECTORS SHALL DETERMINE WHETHER SUCH PERSON HAS, IN FACT, VIOLATED THE DISCLOSURE REQUIREMENTS OF THIS CONFLICT OF INTEREST POLICY. IF THE BOARD DETERMINES THAT THERE HAS BEEN A VIOLATION, THE BOARD SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION, WHICH MAY INCLUDE REMOVAL (IF THE INTERESTED PERSON IS A BOARD OR COMMITTEE MEMBER) OR TERMINATION (IF THE INTERESTED PERSON IS AN EMPLOYEE). INTENTIONALLY OR REPEATEDLY FAILING TO ADHERE TO THIS POLICY IS GROUNDS FOR REMOVAL FROM THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 15 | 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. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC VIA ANOTHER'S WEBSITE OR UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | PENSION AND POSTRETIREMENT ADJUSTMENT 2,741,497. |
| 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; THE NANTICOKE HEALTH FOUNDATION; 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 HAS ACHIEVED THE TOP SCORES IN THE STATE OF DELAWARE FOR CARDIAC CARE, AND HAS BEEN RECOGNIZED BY THE AMERICAN HEART ASSOCIATIONS GET WITH THE GUIDELINES PROGRAM FOR BOTH STROKE (GOLD PLUS ACHIEVEMENT AWARD) AND INTEVERNTIONAL CARDIOLOGY (SILVER ACHIEVEMENT AWARD). NANTICOKE IS RATED AS A 4-STAR HOSPITAL FOR PATIENT EXPERIENCE BY CMS, AND THE ONLY HOSPITAL IN DELAWARE TO RECEIVE BOTH HEALTHGRADES OUTSTANDING PATIENT EXPERIENCE AND PATIENT SAFETY EXCELLENCE AWARDS, AND HAS BEEN NAMED ONE OF H&HN MOST WIRED HOSPITALS FOR THE THIRD YEAR. 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. 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 COMMUNITY NEEDS. COMMUNITY OUTREACH NANTICOKE HEALTH SERVICES' 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, HEALTHIER SUSSEX COUNTY, A PARTNERSHIP OF VARIOUS HEALTH CARE PROVIDERS IN THE AREA TO COMMONLY ADDRESS COUNTY HEALTH CARE NEEDS (WWW.HEALTHERSUSSEXCOUNTY.COM). 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. PATIENT EDUCATION PATIENT AND FAMILY EDUCATION HAS BECOME AN INTEGRAL PART OF THE CLINICAL PATHWAY PROCESS UTILIZED THROUGHOUT NANTICOKE HEALTH SERVICES. PATIENT CARE STAFF, WHETHER IN THE PHYSICIAN'S OFFICE, THE OUTPATIENT UNITS, OR OUR INPATIENT FLOORS, ARE TRAINED TO TEACH OUR PATIENTS AND THEIR FAMILIES/CAREGIVERS ABOUT THEIR IMMEDIATE ILLNESS, TREATMENT NEEDED OR PROVIDED, AND STEPS TO FOLLOW AFTER LEAVING OUR FACILITIES. USING A VARIETY OF PRINTED MATERIALS, OUR CLOSED CIRCUIT TV AND VIDEOS, 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 (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NANTICOKE HEALTH SERVICES | |||||||||||||||||
| 801 MIDDLEFORD ROAD | SEAFORD | DE | 19973 | 510293888 | HEALTH SERVICES | DE | 501(C)(3) | LINE 12B, II | N/A | 0 | |||||||
| MID-SUSSEX MEDICAL CENTER | |||||||||||||||||
| 801 MIDDLEFORD ROAD | SEAFORD | DE | 19973 | 510224470 | HEALTH SERVICES | DE | 501(C)(3) | LINE 10 | 0 | NHS | |||||||
| NANTICOKE INSURANCE COMPANY LTD | |||||||||||||||||
| 980446259 | INSURANCE | 501(C)(15) | N/A | 0 | NHS | PO BOX 10233 3RD FLR WILLOW HOUSE | GEORGETOWN | CAYMAN ISLANDS | CJ | K1-1002 | CJ | ||||||
| NANTICOKE HEALTH FOUNDATION | |||||||||||||||||
| 801 MIDDLEFORD ROAD | SEAFORD | DE | 19973 | 812731803 | SUPPORT NHS | DE | 501(C)(3) | LINE 7 | 0 | NHS | |||||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROPRIETARY ENTERPRISES | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 MIDDLEFORD ROAD | AddressLine1Txt |
| City | SEAFORD | CityNm |
| State Abbreviation | DE | StateAbbreviationCd |
| ZIP | 19973 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 510293887 | EIN |
| Primary Activities | INACTIVE | PrimaryActivitiesTxt |
| Legal Domicile State | DE | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |