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        <PersonNm>DENISE JESTER</PersonNm>
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        <PersonNm>ROBERT FERBER MD</PersonNm>
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        <EOYAmt>74311775</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>79609110</BOYAmt>
        <EOYAmt>74311775</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>155426704</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>1438457</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-2033585</NetUnrlzdGainsLossesInvstAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
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      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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      <PaidStaffOrManagementInd>1</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>1</GrantsOtherOrganizationsInd>
      <GrantsOtherOrganizationsAmt>78984</GrantsOtherOrganizationsAmt>
      <DirectContactLegislatorsInd>0</DirectContactLegislatorsInd>
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      <OtherActivitiesInd>0</OtherActivitiesInd>
      <TotalLobbyingExpendituresAmt>78984</TotalLobbyingExpendituresAmt>
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        <FormAndLineReferenceDesc>SCHEDULE C, PART II-B, LINE 1I</FormAndLineReferenceDesc>
        <ExplanationTxt>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>
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      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LIABILITIES</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedFinclStmtAmt>1615940</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>146375505</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>128157077</TotExpnsEtcAuditedFinclStmtAmt>
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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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        <HowDataObtainedInd>X</HowDataObtainedInd>
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        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
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        <OwnWebsiteURLTxt>SEE PART V, SECTION C</OwnWebsiteURLTxt>
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        <ImplementationStrategyAdptYr>13</ImplementationStrategyAdptYr>
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        <FAPAvailableOnWebsiteURLTxt>SEE PART V</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SEE PART V</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>SEE PART V</FAPSummaryOnWebsiteURLTxt>
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        <FormAndLineReferenceDesc>NANTICOKE MEMORIAL HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART 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.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>NANTICOKE MEMORIAL HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>NANTICOKE MEMORIAL HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART 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.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>NANTICOKE MEMORIAL HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART 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 &amp; SENIOR SERVICES PURSUANT TO THIS ACT AND IS BELOW THE GROSS CHARGE THAT WOULD NORMALLY BE PROVIDED.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>NANTICOKE MEMORIAL HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, LINE 16A, FAP WEBSITE:HTTPS://NANTICOKE.PATIENTCOMPASS.COM/RA/GENERAL/BILLINGPOLICIES/_FINANCIALASSISTANCE</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>NANTICOKE MEMORIAL HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, LINE 16B, FAP APPLICATION WEBSITE:HTTPS://NANTICOKE.PATIENTCOMPASS.COM/RA/CONTENT/IMAGES/NANTICOKE/PRODUCTION/CHARITY_APPLICATION.PDF</ExplanationTxt>
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      <FacilityNum>4</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - MEARS HEALTH CAMPUS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>100 RAWLINS DRIVE</AddressLine1Txt>
            <CityNm>SEAFORD</CityNm>
            <StateAbbreviationCd>DE</StateAbbreviationCd>
            <ZIPCd>19973</ZIPCd>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2 - EZ LAB</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>9111 ANTIQUE ALLEY</AddressLine1Txt>
            <CityNm>BRIDGEVILLE</CityNm>
            <StateAbbreviationCd>DE</StateAbbreviationCd>
            <ZIPCd>19933</ZIPCd>
          </USAddress>
          <FacilityTxt>LAB DRAWING STATION</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>3 - EZ LAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>503 W MARKET ST</AddressLine1Txt>
            <CityNm>GEORGETOWN</CityNm>
            <StateAbbreviationCd>DE</StateAbbreviationCd>
            <ZIPCd>19947</ZIPCd>
          </USAddress>
          <FacilityTxt>LAB DRAWING STATION</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>4 - EZ LAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>30549 SUSSEX HWY</AddressLine1Txt>
            <CityNm>LAUREL</CityNm>
            <StateAbbreviationCd>DE</StateAbbreviationCd>
            <ZIPCd>19956</ZIPCd>
          </USAddress>
          <FacilityTxt>LAB DRAWING STATION</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COSTING METHOD USED TO CALCULATE THE AMOUNTS REPORTED WAS THE MEDICARE OPERATING COST-TO-CHARGE RATIO FOR BOTH OUTPATIENT AND INPATIENT SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7G:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL DID NOT INCLUDE SUBSIDIZED HEALTH SERVICE ATTRIBUTABLE TO PHYSICIAN CLINICS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LN 7 COL(F):</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL DID NOT INCLUDE ANY AMOUNT OF BAD DEBT EXPENSE IN THE DENOMINATOR IN COMPUTING THE PERCENTAGE IN COLUMN (F).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 &amp; 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AMERICAN HEART ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1109 MATTLIND WAY</AddressLine1Txt>
          <CityNm>MILFORD</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19963</ZIPCd>
        </USAddress>
        <RecipientEIN>135613797</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>HEART DISEASE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MID-SUSSEX MEDICAL CENTER INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>801 MIDDLEFORD ROAD</AddressLine1Txt>
          <CityNm>SEAFORD</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19973</ZIPCd>
        </USAddress>
        <RecipientEIN>510224470</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>5391935</CashGrantAmt>
        <PurposeOfGrantTxt>TO PROVIDE FUNDS FOR MID-SUSSEX MEDICAL CENTER, INC.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DELAWARE TECHNICAL AND COMMUNITY COLLEGE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 610</AddressLine1Txt>
          <CityNm>GEORGETOWN</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19947</ZIPCd>
        </USAddress>
        <RecipientEIN>516000279</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>EDUCATION FOUNDATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CANCER SUPPORT COMMUNITY DELAWARE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>18947 JOHN J WILLIAMS HWY</AddressLine1Txt>
          <CityNm>REHOBOTH BEACH</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19971</ZIPCd>
        </USAddress>
        <RecipientEIN>510351863</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>CANCER SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LOVE INC OF MID-DELMARVA INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 542</AddressLine1Txt>
          <CityNm>SEAFORD</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19973</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>190000</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>APPRAISAL VALUE</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>BUILDING</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>RELIGIOUS ORGANIZATION</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>4</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>FINANCIAL ASSISTANCE</GrantTypeTxt>
        <RecipientCnt>116</RecipientCnt>
        <CashGrantAmt>1698534</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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      <WrittenPolicyRefTAndEExpnssInd>1</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEVEN ROSE</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>421965</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>79475</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>18336</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>101619</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>16294</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>637689</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>DENISE JESTER</PersonNm>
        <TitleTxt>CFO</TitleTxt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>THOMAS BROWN</PersonNm>
        <TitleTxt>SENIOR VP</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>18000</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>266143</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PENNY SHORT</PersonNm>
        <TitleTxt>COO/CNO</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT FERBER MD</PersonNm>
        <TitleTxt>CHIEF CLINICAL INNOVATION OFF.</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BARBARA HENDRICKS</PersonNm>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>196065</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DON TRICARICO</PersonNm>
        <TitleTxt>VP (PART YEAR)</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>23952</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>774</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>6528</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>3390</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>189400</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MOHAMMAD CHOUDHRY</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7604</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>340308</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>IMRAN JANJUA</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>305676</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANIAL CHAN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>230229</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>51397</BonusFilingOrganizationAmount>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>287929</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHAHZAD FAISAL</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>214064</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>46776</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7604</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>268444</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LI ZHANG</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>212369</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>49358</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>6242</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>267969</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>STEVE ROSE- HEALTH OR SOCIAL CLUB DUES FOR $4,660</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>STEVEN 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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>DELAWARE HEALTH FACILITIES AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>510272458</BondIssuerEIN>
        <CUSIPNum>246388RD6</CUSIPNum>
        <BondIssuedDt>2013-06-11</BondIssuedDt>
        <IssuePriceAmt>47475775</IssuePriceAmt>
        <PurposeDesc>DEBT REFINANCING</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>1585000</RetiredAmt>
        <TotalProceedsAmt>47475775</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>930010</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>46545765</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2013</SubstantialCompletionYr>
        <CurrentRefundingInd>1</CurrentRefundingInd>
        <AdvanceRefundingInd>0</AdvanceRefundingInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>1</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>1</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>NANTICOKE HEALTH SERVICES, INC IS THE SOLE MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>SHAREHOLDER / GOVERNING BODY HAS POWER TO SELECT THE DIRECTORS, OFFICERS, AND AGENTS OF THE HOSPITAL AND DEFINE THEIR DUTIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>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 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>ORGANIZATION'S PROCESS TO REVIEW FORM 990: THE AUDIT &amp; COMPLIANCE COMMITTEE REVIEWS AND APPROVES THE FORM. AFTER THE REVIEW, IT IS PRESENTED TO THE FULL BOARD OF DIRECTORS FOR APPROVAL BEFORE BEING FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC VIA ANOTHER'S WEBSITE OR UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>HR: 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>PENSION AND POSTRETIREMENT ADJUSTMENT -4,892,207. BUILDING DONATION 190,000.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>ABOUT NANTICOKE</FormAndLineReferenceDesc>
        <ExplanationTxt>NANTICOKE 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&amp;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 &amp; 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.</ExplanationTxt>
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