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TIDALHEALTH NANTICOKE INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
TIDALHEALTH NANTICOKE INC (EIN 51-0069243)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-02-06
IRS object ID
201730379349300858
Schema version
2015v3.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2017-02-06T10:26:18-06:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11966 GREENSPRING DRIVE SUITE 300AddressLine1Txt
CityTIMONIUMCityNm
State AbbreviationMDStateAbbreviationCd
ZIP210934161ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN510069243EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NANTICOKE MEMORIAL HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNANTBusinessNameControlTxt
Phone3026296611PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDEAN A SWINGLEPersonNm
Person TitleASSISTANT VP OF FINANCEPersonTitleTxt
Phone3026296611PhoneNum
Signature2017-02-01SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOHN NORMAN CPAPreparerPersonNm
PTINP01506766PTIN
Phone4104530900PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSTEVEN ROSEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 MIDDLEFORD ROADAddressLine1Txt
CitySEAFORDCityNm
State AbbreviationDEStateAbbreviationCd
ZIP19973ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$159,796,317GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NANTICOKE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1945FormationYr
Legal Domicile StateDELegalDomicileStateCd
Activity Or MissionPROVIDE HEALTH CARE SERVICES TO THE COMMUNITY, REGARDLESS OF THE ABILITY TO PAY.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee1017TotalEmployeeCnt
Total Volunteers200TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$175,810PYContributionsGrantsAmt
CY Contributions Grants$1,984,117CYContributionsGrantsAmt
PY Program Service Revenue$140,186,862PYProgramServiceRevenueAmt
CY Program Service Revenue$141,117,195CYProgramServiceRevenueAmt
PY Investment Income$3,106,612PYInvestmentIncomeAmt
CY Investment Income$1,509,804CYInvestmentIncomeAmt
PY Other Revenue$3,024,988PYOtherRevenueAmt
CY Other Revenue$1,764,389CYOtherRevenueAmt
PY Total Revenue$146,494,272PYTotalRevenueAmt
CY Total Revenue$146,375,505CYTotalRevenueAmt
PY Grants And Similar Paid$6,954,853PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$7,754,467CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$58,890,786PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$64,683,761CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$66,879,227PYOtherExpensesAmt
CY Other Expenses$72,498,820CYOtherExpensesAmt
PY Total Expenses$132,724,866PYTotalExpensesAmt
CY Total Expenses$144,937,048CYTotalExpensesAmt
PY Revenues Less Expenses$13,769,406PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,438,457CYRevenuesLessExpensesAmt
Total Assets BOY$150,479,234TotalAssetsBOYAmt
Total Assets EOY$155,426,704TotalAssetsEOYAmt
Total Liabilities BOY$70,870,124TotalLiabilitiesBOYAmt
Total Liabilities EOY$81,114,929TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$79,609,110NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$74,311,775NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionNANTICOKE 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$132,737,034ExpenseAmt
Grant$7,754,467GrantAmt
Revenue$141,117,195RevenueAmt
DescNANTICOKE MEMORIAL HOSPITAL PROVIDES QUALITY MEDICAL CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE 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 AND A WIDE VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. NANTICOKE ALSO WORKS WITH CHOOSE DELAWARE, THE STATE HEALTH (SEE SCHEDULE O) INSURANCE EXCHANGE PROGRAM, AND PARTICIPATES WITH COMMONWELL FOR PATIENT EMR PORTABILITY. NANTICOKE IS A PARTNER IN THE HEALTHIER SUSSEX COUNTY TASK FORCE 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 5,315; BIRTHS 911; ER VISITS 37,814; OP VISITS 104,470DAYS OF INPATIENT CARE: ADULTS & PEDIATRICS 19,012; NEWBORN 1,917OTHER FACTS: AVERAGE PATIENT STAY 3.85; OPERATIONS 4,037 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 $15,464,575DISCOUNTS TO MEDICARE, MEDICAID & OTHERS $170,912,756Desc
Total Program Service Expenses$132,737,034TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document186IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1017EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldDEStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
JOHN ALLEN
DIRECTOR1.001.00Yes (X)$0$0$0
SONJA BIDDLE OD
DIRECTOR1.002.00Yes (X)$0$0$0
ALVARO BUENANO MD
DIRECTOR1.001.00Yes (X)$27,500$0$0
KEVIN CARSON EDD
DIRECTOR1.001.00Yes (X)$0$0$0
DAVID CROUSE
DIRECTOR1.001.00Yes (X)$0$0$0
REP TIM DUKES
DIRECTOR1.001.00Yes (X)$0$0$0
GREG JOHNSON
DIRECTOR1.001.00Yes (X)$0$0$0
TRINA JOYNER
DIRECTOR1.001.00Yes (X)$0$0$0
HARRY LEHMAN MD
DIRECTOR1.002.00Yes (X)$0$0$0
FREDERICK MAST
DIRECTOR1.001.00Yes (X)$0$0$0
PATRICIA OLEKSZYK
DIRECTOR1.002.00Yes (X)$0$0$0
TAMMY PAXTON
DIRECTOR1.001.00Yes (X)$0$0$0
KENT PETERSON
DIRECTOR1.001.00Yes (X)$0$0$0
MICHELE PROCINO-WELLS
DIRECTOR1.001.00Yes (X)$0$0$0
DONALD HOLLENBECK
DIRECTOR/SECRETARY1.002.00Yes (X)$0$0$0Yes (X)
LYNDA MESSICK
BOARD CHAIR1.001.00Yes (X)$0$0$0Yes (X)
STEVEN ROSE
CEO32.009.00Yes (X)$519,776$0$117,913Yes (X)
DENISE JESTER
CFO30.0011.00$220,400$0$14,347Yes (X)
THOMAS BROWN
SENIOR VP20.0021.00$242,702$0$23,441Yes (X)
PENNY SHORT
COO/CNO40.001.00$238,678$0$19,470Yes (X)
ROBERT FERBER MD
CHIEF CLINICAL INNOVATION OFF.30.0010.00$199,626$0$12,451Yes (X)
BARBARA HENDRICKS
VP30.0010.00$183,078$0$12,987Yes (X)
DON TRICARICO
VP (PART YEAR)40.001.00$179,482$0$9,918Yes (X)
MOHAMMAD CHOUDHRY
PHYSICIAN40.000.00$332,704$0$7,604Yes (X)
IMRAN JANJUA
PHYSICIAN40.000.00$299,015$0$6,661Yes (X)
DANIAL CHAN
PHYSICIAN40.000.00$281,626$0$6,303Yes (X)
SHAHZAD FAISAL
PHYSICIAN40.000.00$260,840$0$7,604Yes (X)
LI ZHANG
PHYSICIAN40.000.00$261,727$0$6,242Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,247,154TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$244,941TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K50IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CERNER CORPORATION
2800 ROCKCREEK PKWYKANSAS CITYMO64141TECHNOLOGY$8,208,116
WOHLSON CONSTRUCTION
548 STEEL WAYLANCASTERPA17604CONSTRUCTION$6,233,005
ANESTHESIA SERVICES PA
2 READS WAYNEW CASTLEDE19720ANESTHESIA$1,749,100
CURA HOSPITALITY
PO BOX 743676ATLANTAGA30374FOOD SERVICES$1,136,290
QUEST DIAGNOSTICS
PO BOX 828669PHILADELPHIAPA19182LAB SERVICES$897,816
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K35CntrctRcvdGreaterThan100KCnt
Related Organizations$1,984,117RelatedOrganizationsAmt
Total Contributions$1,984,117TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT REVENUEDesc
Business623000BusinessCd
Total Revenue Column$141,117,195TotalRevenueColumnAmt
Related Or Exempt Func Income$141,117,195RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$141,117,195TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,033,995TotalRevenueColumnAmt
Exclusion$1,033,995ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$472,452RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$722,160RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$249,708RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$249,708TotalRevenueColumnAmt
Exclusion-$249,708ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$13,140,800SecuritiesAmt
Other$33,661OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$12,520,006SecuritiesAmt
Other$178,646OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$620,794SecuritiesAmt
Other-$144,985OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$475,809TotalRevenueColumnAmt
Exclusion$475,809ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
MISC623000$1,047,784$1,047,784
CAFETERIA623000$935,304$935,304
GIFT SHOP623000$31,009$31,009
FieldValueIRS element (for citing)
Other Revenue Total$2,014,097OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$146,375,505TotalRevenueColumnAmt
Related Or Exempt Func Income$141,117,195RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,274,193ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$5,617,315TotalAmt
Program Services$5,617,315ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$2,137,152TotalAmt
Program Services$2,137,152ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,004,947TotalAmt
Program Services$1,824,502ProgramServicesAmt
Management And General$180,445ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$48,085,384TotalAmt
Program Services$43,757,699ProgramServicesAmt
Management And General$4,327,685ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$11,549,086TotalAmt
Program Services$10,509,668ProgramServicesAmt
Management And General$1,039,418ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,044,344TotalAmt
Program Services$2,770,353ProgramServicesAmt
Management And General$273,991ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,058,045TotalAmt
Program Services$962,821ProgramServicesAmt
Management And General$95,224ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$240,204TotalAmt
Management And General$240,204ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$251,344TotalAmt
Management And General$251,344ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$78,984TotalAmt
Management And General$78,984ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$200,948TotalAmt
Management And General$200,948ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$15,824,044TotalAmt
Program Services$14,471,756ProgramServicesAmt
Management And General$1,352,288ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,520,431TotalAmt
Program Services$2,293,592ProgramServicesAmt
Management And General$226,839ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$310,619TotalAmt
Program Services$282,663ProgramServicesAmt
Management And General$27,956ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,302,493TotalAmt
Program Services$3,915,269ProgramServicesAmt
Management And General$387,224ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,771,219TotalAmt
Program Services$3,431,809ProgramServicesAmt
Management And General$339,410ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$163,583TotalAmt
Program Services$148,861ProgramServicesAmt
Management And General$14,722ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,152,741TotalAmt
Program Services$2,152,741ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$6,476,042TotalAmt
Program Services$6,476,042ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$878,974TotalAmt
Program Services$799,866ProgramServicesAmt
Management And General$79,108ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$16,935,737$15,411,521$1,524,216
BAD DEBT EXPENSE$9,599,031$8,735,118$863,913
HOUSEKEEPING$6,988,386$6,359,431$628,955
MISCELLANEOUS$745,995$678,855$67,140

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$144,937,048TotalAmt
Program Services$132,737,034ProgramServicesAmt
Management And General$12,200,014ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,812,225BOYAmt
EOY-$861,302EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$14,889,175BOYAmt
EOY$16,836,216EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,596,152BOYAmt
EOY$3,716,098EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,998,860BOYAmt
EOY$1,589,760EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$146,631,903LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$83,899,307LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$52,916,721BOYAmt
EOY$62,732,596EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$62,546,215BOYAmt
EOY$63,139,720EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$264,741BOYAmt
EOY$225,053EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$881,791BOYAmt
EOY$832,749EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,573,354BOYAmt
EOY$7,215,814EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$150,479,234BOYAmt
EOY$155,426,704EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$17,189,243BOYAmt
EOY$21,858,473EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$45,765,069BOYAmt
EOY$44,088,530EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$6,252,434BOYAmt
EOY$13,923,807EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,663,378BOYAmt
EOY$1,244,119EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$70,870,124BOYAmt
EOY$81,114,929EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$79,609,110BOYAmt
EOY$74,311,775EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$79,609,110BOYAmt
EOY$74,311,775EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$150,479,234BOYAmt
EOY$155,426,704EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,438,457ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$2,033,585NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$4,702,207OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$78,984GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$78,984TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,250,429OtherCostOrOtherBasisAmt
Book Value$1,250,429BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$76,650,129OtherCostOrOtherBasisAmt
Depreciation$32,789,516DepreciationAmt
Book Value$43,860,613BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,249,783OtherCostOrOtherBasisAmt
Depreciation$956,432DepreciationAmt
Book Value$293,351BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$65,829,560OtherCostOrOtherBasisAmt
Depreciation$50,153,359DepreciationAmt
Book Value$15,676,201BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,652,002OtherCostOrOtherBasisAmt
Book Value$1,652,002BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$62,732,596TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ESTIMATED THIRD PARTY PAYOR SETTLEMENTS$300,000
OTHER LIABILITIES$944,119
FieldValueIRS element (for citing)
Total Liability$1,244,119TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$122,859,742TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$2,033,585NetUnrealizedGainsInvstAmt
Other Revenue-$19,866,238OtherRevenueAmt
Revenue Not Reported-$21,899,823RevenueNotReportedAmt
Revenue Subtotal$144,759,565RevenueSubtotalAmt
Investment Expenses Not Incld$200,948InvestmentExpensesNotIncldAmt
Other Revenues Not Included$1,414,992OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,615,940RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$146,375,505TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$128,157,077TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$722,160OtherExpensesIncludedAmt
Expenses Not Reported$722,160ExpensesNotReportedAmt
Expenses Subtotal$127,434,917ExpensesSubtotalAmt
Investment Expenses Not Incld2$200,948InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$17,301,183OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$17,502,131ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$144,937,048TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 -9,599,031. PENSION ADJUSTMENT -4,892,207. CONTRIBUTIONS, GIFTS, GRANTS TO RELATED ORGANIZATIONS -5,375,000.
PART XI, LINE 4B - OTHER ADJUSTMENTS:RENTAL EXPENSE -722,160. CHARITY CARE 2,137,152.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSE - INCLUDED WITH REVENUE IN PART VIII 722,160.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBTS 9,599,031. CONTRIBUTIONS, GIFTS, GRANTS TO RELATED ORGANIZATIONS 5,375,000. CHARITY CARE 2,137,152. CHARITABLE DONATION OF BUILDING 190,000.

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served3114PersonsServedCnt
Total Community Benefit Expns$2,236,556TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,236,556NetCommunityBenefitExpnsAmt
Total Expense0.01540TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served42876PersonsServedCnt
Total Community Benefit Expns$29,177,204TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,574,556DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,602,648NetCommunityBenefitExpnsAmt
Total Expense0.08010TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served45990PersonsServedCnt
Total Community Benefit Expns$31,413,760TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,574,556DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,839,204NetCommunityBenefitExpnsAmt
Total Expense0.09550TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs515ActivitiesOrProgramsCnt
Persons Served38120PersonsServedCnt
Total Community Benefit Expns$1,211,086TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,211,086NetCommunityBenefitExpnsAmt
Total Expense0.00840TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs253ActivitiesOrProgramsCnt
Persons Served2131PersonsServedCnt
Total Community Benefit Expns$80,240TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$80,240NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs768ActivitiesOrProgramsCnt
Persons Served40251PersonsServedCnt
Total Community Benefit Expns$1,291,326TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,291,326NetCommunityBenefitExpnsAmt
Total Expense0.00900TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs768ActivitiesOrProgramsCnt
Persons Served86241PersonsServedCnt
Total Community Benefit Expns$32,705,086TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,574,556DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,130,530NetCommunityBenefitExpnsAmt
Total Expense0.10450TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs103ActivitiesOrProgramsCnt
Persons Served103PersonsServedCnt
Total Community Benefit Expns$543,013TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$543,013NetCommunityBenefitExpnsAmt
Total Expense0.00370TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs103ActivitiesOrProgramsCnt
Persons Served103PersonsServedCnt
Total Community Benefit Expns$543,013TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$543,013NetCommunityBenefitExpnsAmt
Total Expense0.00370TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$9,599,031BadDebtExpenseAmt
Reimbursed By Medicare$44,312,780ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$49,413,480CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$5,100,700MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NANTICOKE MEMORIAL HOSPITALBusinessNameLine1Txt

US Address USAddress

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NANTICOKE MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTP://WWW.NANTICOKE.ORG/COMMUNITY-OUTREACH/StrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART VFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART VFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART VFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
NANTICOKE MEMORIAL HOSPITALPART V, SECTION B, LINE 6A: THE HOSPITAL FACILITY'S FISCAL YEAR 2016 CHNA WAS COMPLETED IN THE SPRING. 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 HOSPTIAL FACILITY INITATIVES, THE HEALTHIER SUSSEX COUNTY TASK FORCE WILL ALSO AGAIN WORK ON TARGETED AREAS OF NEED TOGETHER. IN 2017 FOCUS AREAS FOR HEALTHIER SUSSEX COUNTY INCLUDE MENTAL HEALTH/SUBSTANCE ABUSE AND OBESITY/PHYSICAL ACTIVITY. FOR THESE TWO AREAS, NANTICOKE AND HEALTHIER SUSSEX COUNTY ARE ALSO PARTNERING WITH THE HEALTHY NEIGHBORHOODS PROGRAM DEVELOPED THROUGH THE STATE OF DELAWARE 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.
NANTICOKE MEMORIAL HOSPITALPART V, SECTION B, LINE 7D: THE TAX YEAR 2015 CHNA CAN BE FOUND AT WWW.NANTICOKE.ORG/COMMUNITY- OUTREACH. A PAPER COPY OF THE ASSESSMENT IS AVAILABLE BY DOWNLOADING A PDF OF THE REPORT FROM THIS WEBSITE OR YOU MAY REQUEST COPIES BY CALLING THE MARKETING DEPARTMENT AT 302-629-6611 X8948. THE CHNA FOR 2015 IS THE ASSESSMENT COVERING THE TAX YEARS 2014 THROUGH 2016. THE 2017 TO 2019 CHNA WAS APPROVED AND PUBLISHED IN SEPTEMBER 2016 WITH THE ASSOCIATED IMPLEMENTATION PLAN APPROVED AND PUBLISHED JANUARY 2017. IN ADDITION TO ITS OWN INITIATIVES, NANTICOKE IS AN ACTIVE PARTNER WITH MANY AREA HEALTH INITIATIVES, WORKING WITH STATE AND LOCAL PROGRAMS SUCH AS HEALTHIER SUSSEX COUNTY, SUSSEX COUNTY HEALTH COALITION AND THE STAE OF DELAWARE HEALTH INNOVATION INITIATIVE INCLUDING THE HEALTHY NEIGHBORHOODS PROGRAM.
NANTICOKE MEMORIAL HOSPITALPART V, SECTION B, LINE 11: BECAUSE NANTICOKE MEMORIAL HOSPITAL IS A SMALL COMMUNITY HOSPITAL IT IS NOT ABLE TO FISCALLY SUPPORT ALL THE OUTREACH NEEDS FOR THE COMMUNITY ON ITS OWN. WITH THE COMPLETION OF THE 2017-2019 ASSESSMENT AND AFTER REVIEWING OTHER STATE AND LOCAL INITIATIVES, NANTICOKE IDENTIFIED THE GREATEST AREAS OF NEED WHERE IT CAN MAKE THE MOST IMPACT ON COMMUNITY HEALTH. A DETAILED IMPLEMENTATION PLAN TO SUPPORT THE 2017 CHNA WAS APPROVED AND PUBLISHED JANUARY 11, 2017 WITH WORK FROM THE PLAN ALREADY UNDERWAY. THIS IMPLEMENTATION PLAN WILL BE REVIEWED AND UPDATED INCLUDING MEASURE OF PROGRESS OR SUCCESS IN JANUARY OF EACH YEAR.
NANTICOKE MEMORIAL HOSPITALPART V, SECTION B, LINE 22D: NANTICOKE MEMORIAL HOSPITAL CHARGES PATIENTS WHO ARE UNINSURED AND WHOSE FAMILY INCOME IS LESS THAN 500% OF THE FEDERAL POVERTY LEVEL, AN AMOUNT NO GREATER THAN 115% OF THE APPLICABLE PAYMENT RATE UNDER THE FEDERAL MEDICARE PROGRAM ESTABLISHED PURSUANT TO PUB. L.89-87 (42 U.S.C.S.1395 ET SEQ.) THE AMOUNT IS IN ACCORDANCE WITH THE SLIDING SCALE BASED ON INCOME DEVELOPED BY THE DEPARTMENT OF HEALTH & SENIOR SERVICES PURSUANT TO THIS ACT AND IS BELOW THE GROSS CHARGE THAT WOULD NORMALLY BE PROVIDED.
NANTICOKE MEMORIAL HOSPITALPART V, LINE 16A, FAP WEBSITE:HTTPS://NANTICOKE.PATIENTCOMPASS.COM/RA/GENERAL/BILLINGPOLICIES/_FINANCIALASSISTANCE
NANTICOKE MEMORIAL HOSPITALPART V, LINE 16B, FAP APPLICATION WEBSITE:HTTPS://NANTICOKE.PATIENTCOMPASS.COM/RA/CONTENT/IMAGES/NANTICOKE/PRODUCTION/CHARITY_APPLICATION.PDF
FieldValueIRS element (for citing)
Facility4FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - MEARS HEALTH CAMPUS
100 RAWLINS DRIVESEAFORDDE19973MEDICAL FACILITY
2 - EZ LAB
9111 ANTIQUE ALLEYBRIDGEVILLEDE19933LAB DRAWING STATION
3 - EZ LAB
503 W MARKET STGEORGETOWNDE19947LAB DRAWING STATION
4 - EZ LAB
30549 SUSSEX HWYLAURELDE19956LAB DRAWING STATION

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:THE COSTING METHOD USED TO CALCULATE THE AMOUNTS REPORTED WAS THE MEDICARE OPERATING COST-TO-CHARGE RATIO FOR BOTH OUTPATIENT AND INPATIENT SERVICES.
PART I, LINE 7G:THE HOSPITAL DID NOT INCLUDE SUBSIDIZED HEALTH SERVICE ATTRIBUTABLE TO PHYSICIAN CLINICS.
PART I, 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 ESTABLISHED RATES 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 SOCITY. 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 RECENTLY 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. AS AN INDEPENDENT HOSPTAL, NANTICOKE ALSO 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. ONE EXAMPLE IS THE STROKE PROGRAM THAT 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. DATA IS BEING FOLLOWED TO EVALUATE THE EFFECTIVENESS OF THIS PROGRAM.
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 TRAINIG CENTER, MOUNTAIRE & PERDUE CHICKEN PLANTS, NANTICOKE INDIAN CENTER, PENINSULA HOME CARE, PEOPLE'S PLACE, PUBLIC HEALTH NURSES - GEORGETOWN, SOUTHERN DELAWARE TOURISM, STRONG COMMUNITIES, SUSSEX COUNT 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 ALSO WORKS IN MANY AREAS. 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. IN FISCAL YEAR 2016, 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 EMPLOYEES. NANTICOKE IS VERY INVOLVED WITH COMMUNITY ORGANIZATIONS 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

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
AMERICAN HEART ASSOCIATION
1109 MATTLIND WAYMILFORDDE19963135613797501(C)(3)$10,000HEART DISEASE
MID-SUSSEX MEDICAL CENTER INC
801 MIDDLEFORD ROADSEAFORDDE19973510224470501(C)(3)$5,391,935TO PROVIDE FUNDS FOR MID-SUSSEX MEDICAL CENTER, INC.
DELAWARE TECHNICAL AND COMMUNITY COLLEGE
PO BOX 610GEORGETOWNDE19947516000279501(C)(3)$5,000EDUCATION FOUNDATION
CANCER SUPPORT COMMUNITY DELAWARE
18947 JOHN J WILLIAMS HWYREHOBOTH BEACHDE19971510351863501(C)(3)$5,000CANCER SUPPORT
LOVE INC OF MID-DELMARVA INC
PO BOX 542SEAFORDDE19973501(C)(3)RELIGIOUS ORGANIZATION$190,000APPRAISAL VALUEBUILDING
FieldValueIRS element (for citing)
Total501c3 Org4Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeFINANCIAL ASSISTANCEGrantTypeTxt
Recipient116RecipientCnt
Cash Grant$1,698,534CashGrantAmt
Valuation Method UsedFMVValuationMethodUsedDesc

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationNANTICOKE 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

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
STEVEN ROSE
CEO$421,965$0$79,475$0$18,336$0$101,619$0$16,294$0$637,689$0$0$0
DENISE JESTER
CFO$191,595$0$28,031$0$774$0$9,000$0$5,347$0$234,747$0$0$0
THOMAS BROWN
SENIOR VP$209,766$0$31,748$0$1,188$0$18,000$0$5,441$0$266,143$0$0$0
PENNY SHORT
COO/CNO$209,581$0$28,683$0$414$0$14,180$0$5,290$0$258,148$0$0$0
ROBERT FERBER MD
CHIEF CLINICAL INNOVATION OFF.$174,785$0$23,607$0$1,234$0$7,752$0$4,699$0$212,077$0$0$0
BARBARA HENDRICKS
VP$160,747$0$21,557$0$774$0$8,923$0$4,064$0$196,065$0$0$0
DON TRICARICO
VP (PART YEAR)$154,756$0$23,952$0$774$0$6,528$0$3,390$0$189,400$0$0$0
MOHAMMAD CHOUDHRY
PHYSICIAN$276,322$0$56,382$0$0$0$0$0$7,604$0$340,308$0$0$0
IMRAN JANJUA
PHYSICIAN$276,202$0$22,813$0$0$0$0$0$6,661$0$305,676$0$0$0
DANIAL CHAN
PHYSICIAN$230,229$0$51,397$0$0$0$0$0$6,303$0$287,929$0$0$0
SHAHZAD FAISAL
PHYSICIAN$214,064$0$46,776$0$0$0$0$0$7,604$0$268,444$0$0$0
LI ZHANG
PHYSICIAN$212,369$0$49,358$0$0$0$0$0$6,242$0$267,969$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ASTEVE ROSE- HEALTH OR SOCIAL CLUB DUES FOR $4,660
PART I, LINE 4BSTEVEN ROSE PARTICIPATES IN A 457(B) AND 457(F) PLAN. THE ORGANIZATION CONTRIBUTED A COMBINED TOTAL OF $101,619 TO THOSE PLANS DURING THE TAX YEAR.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1DELAWARE HEALTH FACILITIES AUTHORITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN510272458BondIssuerEIN
CUSIP246388RD6CUSIPNum
Bond Issued2013-06-11BondIssuedDt
Issue Price$47,475,775IssuePriceAmt
PurposeDEBT REFINANCINGPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$1,585,000RetiredAmt
Total Proceeds$47,475,775TotalProceedsAmt
Issuance Costs From Proceeds$930,010IssuanceCostsFromProceedsAmt
Other Spent Proceeds$46,545,765OtherSpentProceedsAmt
Substantial Completion2013SubstantialCompletionYr
Current RefundingYes (1)CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (1)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (1)EngageBondCounselContractsInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6NANTICOKE HEALTH SERVICES, INC IS THE SOLE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7ASHAREHOLDER / 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 7BSHAREHOLDER / 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 ACTIVITES 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 11ORGANIZATION'S PROCESS TO REVIEW FORM 990: THE AUDIT & COMPLIANCE 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 12CENFORCEMENT 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 15ON 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 19THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC VIA ANOTHER'S WEBSITE OR UPON REQUEST.
FORM 990, PART IX, LINE 11GHR: PROGRAM SERVICE EXPENSES 74,266. MANAGEMENT AND GENERAL EXPENSES 7,345. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 81,611. PHARMACY: PROGRAM SERVICE EXPENSES 1,918,293. MANAGEMENT AND GENERAL EXPENSES 189,721. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,108,014. CANCER CARE: PROGRAM SERVICE EXPENSES 1,508,196. MANAGEMENT AND GENERAL EXPENSES 149,162. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,657,358. OTHER: PROGRAM SERVICE EXPENSES 10,971,001. MANAGEMENT AND GENERAL EXPENSES 1,006,060. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,977,061.
FORM 990, PART XI, LINE 9:PENSION AND POSTRETIREMENT ADJUSTMENT -4,892,207. BUILDING DONATION 190,000.
ABOUT NANTICOKENANTICOKE MEMORIAL HOSPITAL, ORIGINALLY INCORPORATED IN 1945, IS ORGANIZED UNDER THE CORPORATE TITLE OF NANTICOKE HEALTH SERVICES. WHAT STARTED AS A 32-BED HOSPITAL IN 1952, HAS GROWN TO INPATIENT SERVICES, OUTPATIENT SERVICES, AND 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 STATEMENT: "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 HEALTH SERVICES 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 GETWITH THE GUIDELINES PROGRAM FOR BOTH STROKE (GOLD ACHIEVEMENT AWARD) AND INTEVERNTIONAL CARDIOLOGY (SILVER ACHIEVEMENT AWARD). NANTICOKE IS RATED AS A 4-STAR HOSPITAL FOR PATIENT EXPERIENCE BY CMS, HAS RECEIVED A GRADE "A" FOR PATIENT SAFETY BY THE LEAPFROG GROUP, AND HAS BEEN NAMED ONE OF H&HN MOST WIRED HOSPITALS FOR THE SECOND YEAR. 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 OUR ORGANIZATION IS ABLE TO PROVIDE CARE FOR MORE OF OUR COMMUNITY'S HEALTH CARE NEEDS. NANTICOKE PARTICIPATES IN A PROACTIVE ACCOUNTABLE CARE ORGANIZATION AND HAS BEEN 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 HEALTH SCREENINGS. WE WORK WITH AREA SCHOOLS, SENIOR CENTERS AND CIVIC ORGANIZATIONS IN OUR EFFORTS TO EDUCATE OUR COMMUNITY ON PREVENTION AND WELLNESS. PHYSICIANS, NURSES, ANCILLARY STAFF AND ADMINISTRATIVE PERSONNEL HAVE ALL RESPONDED TO REQUESTS TO MEET WITH THESE VARIOUS ORGANIZATIONS. THERE ARE MANY SUPPORT GROUPS AND EDUCATIONAL MEETINGS WHICH ARE HOSTED AT NANTICOKE AS WELL. OUR MATERNITY EDUCATION PROGRAM IS VERY STRONG, AND INCLUDES CHILDBIRTH PREPARATION, SIBLING PREPARATION AND BREAST-FEEDING SUPPORT. NANTICOKE ALSO HOST DIABETES EDUCATION CLASSES CERTIFIED THROUGH THE AMERICAN DIABETES ASSOCIATION ALONG WITH STROKE, CHF, CANCER, AND MANY OTHER SUPPORT GROUPS. WE CONDUCT REGULAR CHOLESTEROL, DIABETES, AND BLOOD PRESSURE SCREENINGS AND ADULT AND INFANT / CHILD CPR INSTRUCTION ON A REGULAR BASIS. IN 2016 NANTICOKE COMPLETED AN UPDATED COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IS CURRENTLY WORKING ON AN UPDATED IMPLEMENTATION PLAN TO BE PUBLISHED IN NOVEMBER 2016. NEEDS IDENTIFIED INCLUDED A CONTINUING NEED FOR PROGRAMMING AROUND HEALTH AND WELLNESS, SPECIFICALLY AROUND OBESITY, MENTAL HEALTH & SUBSTANCE ABUSE, CERVICAL CANCER, AND PRENATAL EDUCATION. AS A PART OF ITS PLANNING FOR AN UPDATED IMPLEMENTATION PLAN 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 TO PARTNER ON PLANNING AND IMPLEMENTATION AROUND THESE NEEDS. NANTICOKE HAS AN ACTIVE EMPLOYEE WELLNESS PROGRAM, AND PARTNERING WITH THE DELAWARE BREAST CANCER COALITION TO PROVIDE ACCESS TO MAMMOGRAMS FOR UNDERSERVED POPULATIONS. NANTICOKE CONTINUES TO BE A LEAD PARTNER IN A GROUP KNOWN AS 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. THROUGH THE PATIENT EDUCATION CENTER, OUR PATIENT CARE STAFF HAS BEEN TRAINED TO TEACH OUR PATIENTS AND THEIR FAMILIES ABOUT THEIR ILLNESSES AND TREATMENTS. UTILIZING AN ASSORTMENT OF PRINTED MATERIALS AND CLOSED CIRCUIT TELEVISION, WE ARE ABLE TO EFFECTIVELY TRANSFER CRITICAL INFORMATION DURING ALL PHASES OF CARE. NANTICOKE CONTINUES TO EXPLORE WAYS TO PROVIDE PATIENT EDUCATION THAT IS EASIER TO ACCESS THROUGH TODAY'S TECHNOLOGIES.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
NANTICOKE HEALTH SERVICES
801 MIDDLEFORD ROADSEAFORDDE19973510293888HEALTH SERVICESDE501(C)(3)LINE 11B, IIN/A0
MID-SUSSEX MEDICAL CENTER
801 MIDDLEFORD ROADSEAFORDDE19973510224470HEALTH SERVICESDE501(C)(3)LINE 90NHS
NANTICOKE INSURANCE CO
980446259INSURANCE501(C)(15)N/A0NHSPO BOX 1109 GTGEORGETOWNCAYMAN ISLANDSCJCJ

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1PROPRIETARY ENTERPRISESBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 MIDDLEFORD ROADAddressLine1Txt
CitySEAFORDCityNm
State AbbreviationDEStateAbbreviationCd
ZIP19973ZIPCd
FieldValueIRS element (for citing)
EIN510293887EIN
Primary ActivitiesINACTIVEPrimaryActivitiesTxt
Legal Domicile StateDELegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MID-SUSSEX MEDICAL MEDICAL CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeBTransactionTypeTxt
Involved$5,391,935InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt