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TIDALHEALTH NANTICOKE INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
TIDALHEALTH NANTICOKE INC (EIN 51-0069243)
Tax period
2013-07-01 to 2014-06-30
Filed
2014-12-18
IRS object ID
201403529349300210
Schema version
2013v3.0
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)
Return2014-12-18T10:14:40-06:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1610 WGERMANTOWN PIKE STE400AddressLine1
CityPLYMOUTH MEETINGCity
StatePAState
ZIP Code19462ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN510069243EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NANTICOKE MEMORIAL HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlNANTBusinessNameControlTxt
Phone3026296611PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 MIDDLEFORD ROADAddressLine1
CitySEAFORDCity
StateDEState
ZIP Code19973ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDEAN A SWINGLEPersonNm
Person TitleDIR FINANCE/CHIEF TAX OFFICERPersonTitleTxt
Phone3026296611PhoneNum
Signature2014-12-17SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMATTHEW CLAEYS CPAPreparerPersonNm
PTINP00025339PTIN
Phone2156433900PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSTEVEN ROSEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 MIDDLEFORD ROADAddressLine1
CitySEAFORDCity
StateDEState
ZIP Code19973ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$158,089,214GrossReceiptsAmt
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 Employee1020TotalEmployeeCnt
Total Volunteers438TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$230,248PYContributionsGrantsAmt
CY Contributions Grants$342,514CYContributionsGrantsAmt
PY Program Service Revenue$125,724,350PYProgramServiceRevenueAmt
CY Program Service Revenue$134,627,495CYProgramServiceRevenueAmt
PY Investment Income$814,285PYInvestmentIncomeAmt
CY Investment Income$1,889,927CYInvestmentIncomeAmt
PY Other Revenue$3,032,102PYOtherRevenueAmt
CY Other Revenue$2,967,591CYOtherRevenueAmt
PY Total Revenue$129,800,985PYTotalRevenueAmt
CY Total Revenue$139,827,527CYTotalRevenueAmt
PY Grants And Similar Paid$4,907,656PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$4,659,765CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$59,577,729PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$57,948,525CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$60,599,588PYOtherExpensesAmt
CY Other Expenses$63,564,850CYOtherExpensesAmt
PY Total Expenses$125,084,973PYTotalExpensesAmt
CY Total Expenses$126,173,140CYTotalExpensesAmt
PY Revenues Less Expenses$4,716,012PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$13,654,387CYRevenuesLessExpensesAmt
Total Assets BOY$124,252,419TotalAssetsBOYAmt
Total Assets EOY$140,312,351TotalAssetsEOYAmt
Total Liabilities BOY$74,854,912TotalLiabilitiesBOYAmt
Total Liabilities EOY$73,885,457TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$49,397,507NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$66,426,894NetAssetsOrFundBalancesEOYAmt
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$115,457,559ExpenseAmt
Grant$4,659,765GrantAmt
Revenue$134,627,495RevenueAmt
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 INSURANCE EXCHANGE PROGRAM.PATIENTS SEEN:INPATIENTS 5,278 ; BIRTHS 882 ; ER VISITS 37,702 ; OP VISITS 88,323 ;DAYS OF INPATIENT CARE:ADULTS & PEDIATRICS 20,137 ; NEWBORN 1,704 ;OTHER FACTS:AVERAGE PATIENT STAY 3.8 ; OPERATIONS 3,585 NANTICOKE MEMORIAL HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS. SERVICES PROVIDED TO THOSE UNABLE TO PAY $19,593,304DISCOUNTS TO MEDICARE, MEDICAID & OTHERS $146,919,329Desc
Total Program Service Expenses$115,457,559TotalProgramServiceExpensesAmt
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 Individuals0GrantsToIndividualsInd
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 Document173IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1020EmployeeCnt
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 Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldDEStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DEAN A SWINGLE DIR FINANCECHIEF TAX OFFICERBusinessNameLine1
FieldValueIRS element (for citing)
Phone3026296611PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 MIDDLEFORD ROADAddressLine1
CitySEAFORDCity
StateDEState
ZIP Code19973ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
STEVEN ROSE
CEO32.009.00Yes (X)Yes (X)$653,325$0$51,343
JOHN ALLEN
DIRECTOR1.001.00Yes (X)$0$0$0
SONJA BIDDLE OD
DIRECTOR1.002.00Yes (X)$0$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
DONALD HOLLENBECK
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
JOSEPH KIM DO
DIRECTOR/PHYSICIAN1.0041.00Yes (X)$30,000$198,505$3,824
HARRY LEHMAN MD
DIRECTOR1.002.00Yes (X)$0$0$0
LYNDA MESSICK
BOARD CHAIR ELECT1.001.00Yes (X)Yes (X)$0$0$0
PATRICIA OLEKSZYK
DIRECTOR1.002.00Yes (X)$0$0$0
TAMMY PAXTON
DIRECTOR1.001.00Yes (X)$0$0$0
KENT PETERSON
BOARD CHAIR1.001.00Yes (X)Yes (X)$0$0$0
MICHELE PROCINO-WELLS
DIRECTOR1.001.00Yes (X)$0$0$0
JACK RIDDLE
SECRETARY1.002.00Yes (X)Yes (X)$0$0$0
THOMAS BROWN
SENIOR VP20.0021.00Yes (X)$244,706$0$22,467
PENNY SHORT
COO/CNO32.008.00Yes (X)$228,784$0$19,878
DON TRICARICO
VP40.001.00Yes (X)$162,147$0$12,631
BARBARA HENDRICKS
VP30.0010.00Yes (X)$160,416$0$9,220
DENISE JESTER
CFO30.0011.00Yes (X)$164,528$0$9,032
IMRAN JANJUA
PHYSICIAN40.000.00$309,372$0$6,119Yes (X)
DANIAL CHAN
PHYSICIAN40.000.00$244,942$0$5,386Yes (X)
ROBERT FERBER
PHYSICIAN40.000.00$242,768$0$7,418Yes (X)
LI ZHANG
PHYSICIAN40.000.00$218,926$0$5,897Yes (X)
ANJU BHARDWAJ
PHYSICIAN40.000.00$190,651$0$436Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,850,565TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$198,505TotReportableCompRltdOrgAmt
Total Other Compensation$153,651TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K41IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
CERNER CORPORATION
2800 ROCKCREEK PARKWAYKANSAS CITYMO64141TECHNOLOGY$3,018,102
MCR GROUP LLC
308 N PETERS RDKNOXVILLETN37922REIMBURSEMENT CONSULTANT$1,737,959
ANESTHESIA SERVICES
2 READS WAYNEW CASTLEDE19720ANESTHESIA$1,500,000
SEIBERLICH TRANE
66 SOUTHGATE BLVDNEW CASTLYDE19720HVAC SERVICES$809,544
ARAMARK MASTERPLAN
12483 COLLECTIONS CENTER DRIVECHICAGOIL60673BIO-MEDICAL$733,833
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K28CntrctRcvdGreaterThan100KCnt
Related Organizations$342,514RelatedOrganizationsAmt
Total Contributions$342,514TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT REVENUEDesc
Business623000BusinessCd
Total Revenue Column$134,627,495TotalRevenueColumnAmt
Related Or Exempt Func Income$134,627,495RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$134,627,495TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$979,394TotalRevenueColumnAmt
Exclusion$979,394ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$246,968RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$350,399RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$103,431RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$103,431TotalRevenueColumnAmt
Exclusion-$103,431ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$18,389,513SecuritiesAmt
Other$432,308OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$17,325,505SecuritiesAmt
Other$585,783OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,064,008SecuritiesAmt
Other-$153,475OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$910,533TotalRevenueColumnAmt
Exclusion$910,533ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
MISC623000$2,272,485$2,272,485
CAFETERIA623000$699,245$699,245
GIFT SHOP623000$99,292$99,292
FieldValueIRS element (for citing)
Other Revenue Total$3,071,022OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$139,827,527TotalRevenueColumnAmt
Related Or Exempt Func Income$134,627,495RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$4,857,518ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$4,659,765TotalAmt
Program Services$4,659,765ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,575,915TotalAmt
Program Services$1,434,083ProgramServicesAmt
Management And General$141,832ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$44,558,942TotalAmt
Program Services$40,548,637ProgramServicesAmt
Management And General$4,010,305ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,749,998TotalAmt
Program Services$7,962,498ProgramServicesAmt
Management And General$787,500ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,063,670TotalAmt
Program Services$2,787,940ProgramServicesAmt
Management And General$275,730ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,169,477TotalAmt
Program Services$1,064,224ProgramServicesAmt
Management And General$105,253ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$93,039TotalAmt
Management And General$93,039ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$274,035TotalAmt
Management And General$274,035ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$222,160TotalAmt
Management And General$222,160ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$11,864,467TotalAmt
Program Services$10,796,665ProgramServicesAmt
Management And General$1,067,802ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,235,324TotalAmt
Program Services$2,034,145ProgramServicesAmt
Management And General$201,179ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$263,815TotalAmt
Program Services$240,072ProgramServicesAmt
Management And General$23,743ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,163,249TotalAmt
Program Services$2,878,557ProgramServicesAmt
Management And General$284,692ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,316,833TotalAmt
Program Services$3,928,318ProgramServicesAmt
Management And General$388,515ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$200,015TotalAmt
Program Services$182,014ProgramServicesAmt
Management And General$18,001ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,370,535TotalAmt
Program Services$2,370,535ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$6,038,618TotalAmt
Program Services$6,038,618ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$136,494TotalAmt
Program Services$124,210ProgramServicesAmt
Management And General$12,284ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$14,693,591$13,371,168$1,322,423
BAD DEBT EXPENSE$10,977,107$9,989,167$987,940
HOUSEKEEPING$5,411,479$4,924,446$487,033
MISCELLANEOUS$134,612$122,497$12,115

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$126,173,140TotalAmt
Program Services$115,457,559ProgramServicesAmt
Management And General$10,715,581ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,074,238BOYAmt
EOY$10,460,747EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$13,363,548BOYAmt
EOY$16,439,485EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,654,472BOYAmt
EOY$1,800,766EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,005,994BOYAmt
EOY$1,194,380EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$118,561,317LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$71,957,557LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$47,549,467BOYAmt
EOY$46,603,760EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$48,871,627BOYAmt
EOY$56,722,901EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$347,352BOYAmt
EOY$275,147EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$968,349BOYAmt
EOY$930,833EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,417,372BOYAmt
EOY$5,884,332EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$124,252,419BOYAmt
EOY$140,312,351EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$19,013,957BOYAmt
EOY$19,914,628EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$47,468,147BOYAmt
EOY$47,376,608EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$6,154,953BOYAmt
EOY$4,857,990EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,217,855BOYAmt
EOY$1,736,231EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$74,854,912BOYAmt
EOY$73,885,457EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$49,397,507BOYAmt
EOY$66,426,894EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$49,397,507BOYAmt
EOY$66,426,894EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$124,252,419BOYAmt
EOY$140,312,351EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$13,654,387ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$3,434,909NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$59,909OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

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$14,938GrantsOtherOrganizationsAmt
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$14,938TotalLobbyingExpendituresAmt
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.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,380,076OtherCostOrOtherBasisAmt
Book Value$1,380,076BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$63,768,174OtherCostOrOtherBasisAmt
Depreciation$28,074,290DepreciationAmt
Book Value$35,693,884BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,234,700OtherCostOrOtherBasisAmt
Depreciation$952,690DepreciationAmt
Book Value$282,010BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$51,635,786OtherCostOrOtherBasisAmt
Depreciation$42,930,577DepreciationAmt
Book Value$8,705,209BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$542,581OtherCostOrOtherBasisAmt
Book Value$542,581BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$46,603,760TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ESTIMATED THIRD PARTY PAYOR SETTLEMENTS$722,046
OTHER LIABILITIES$1,014,185
FieldValueIRS element (for citing)
Total Liability$1,736,231TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$127,753,659TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$3,434,909NetUnrealizedGainsInvstAmt
Other Revenue-$15,637,016OtherRevenueAmt
Revenue Not Reported-$12,202,107RevenueNotReportedAmt
Revenue Subtotal$139,955,766RevenueSubtotalAmt
Investment Expenses Not Incld$222,160InvestmentExpensesNotIncldAmt
Other Revenues Not Included-$350,399OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$128,239RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$139,827,527TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$110,724,272TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$350,399OtherExpensesIncludedAmt
Expenses Not Reported$350,399ExpensesNotReportedAmt
Expenses Subtotal$110,373,873ExpensesSubtotalAmt
Investment Expenses Not Incld2$222,160InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$15,577,107OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$15,799,267ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$126,173,140TotalExpensesPerForm990Amt

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. THE TAX RETURNS FOR THE YEARS 2011 TO 2013 ARE OPEN TO EXAMINATION BY FEDERAL AND STATE AUTHORITIES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBTS -10,977,107. PENSION ADJUSTMENT -59,909. CONTRIBUTIONS, GIFTS, GRANTS TO RELATED ORGANIZATIONS -4,600,000.
PART XI, LINE 4B - OTHER ADJUSTMENTS:RENTAL EXPENSE -350,399.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSE - INCLUDED WITH REVENUE IN PART VIII 350,399.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBTS 10,977,107. CONTRIBUTIONS, GIFTS, GRANTS TO RELATED ORGANIZATIONS 4,600,000.

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 Served3581PersonsServedCnt
Total Community Benefit Expns$3,262,188TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,262,188NetCommunityBenefitExpnsAmt
Total Expense0.02590TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served39444PersonsServedCnt
Total Community Benefit Expns$25,694,916TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,100,827DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,594,089NetCommunityBenefitExpnsAmt
Total Expense0.04430TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served43025PersonsServedCnt
Total Community Benefit Expns$28,957,104TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,100,827DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,856,277NetCommunityBenefitExpnsAmt
Total Expense0.07020TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs467ActivitiesOrProgramsCnt
Persons Served14415PersonsServedCnt
Total Community Benefit Expns$809,109TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$809,109NetCommunityBenefitExpnsAmt
Total Expense0.00640TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs275ActivitiesOrProgramsCnt
Persons Served2314PersonsServedCnt
Total Community Benefit Expns$88,515TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$88,515NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs742ActivitiesOrProgramsCnt
Persons Served16729PersonsServedCnt
Total Community Benefit Expns$897,624TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$897,624NetCommunityBenefitExpnsAmt
Total Expense0.00710TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs742ActivitiesOrProgramsCnt
Persons Served59754PersonsServedCnt
Total Community Benefit Expns$29,854,728TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,100,827DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,753,901NetCommunityBenefitExpnsAmt
Total Expense0.07730TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs107ActivitiesOrProgramsCnt
Persons Served107PersonsServedCnt
Total Community Benefit Expns$725,989TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$725,989NetCommunityBenefitExpnsAmt
Total Expense0.00580TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs107ActivitiesOrProgramsCnt
Persons Served107PersonsServedCnt
Total Community Benefit Expns$725,989TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$725,989NetCommunityBenefitExpnsAmt
Total Expense0.00580TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$10,977,107BadDebtExpenseAmt
Reimbursed By Medicare$47,862,036ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$46,809,245CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$1,052,791MedicareSurplusOrShortfallAmt

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 HOSPITALBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 MIDDLEFORD ROADAddressLine1
CitySEAFORDCity
StateDEState
ZIP Code19973ZIPCode
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 HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
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 Conducted12CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE SECTION COwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Exec Community Wide PlanYes (X)ExecCommunityWidePlanInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs Addressed0AllNeedsAddressedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (1)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care250.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (1)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Asset LevelYes (X)AssetLevelInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Posted In Emergency RoomYes (X)PostedInEmergencyRoomInd
Posted In Admission OfficeYes (X)PostedInAdmissionOfficeInd
Provided On AdmissionYes (X)ProvidedOnAdmissionInd
Available On RequestYes (X)AvailableOnRequestInd
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 (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
NANTICOKE MEMORIAL HOSPITALPART V, SECTION B, LINE 4: THE HOSPITAL FACILITY'S FISCAL YEAR 2013 CHNA WAS COMPLETED. TWO OTHER COUNTY HOSPITALS WORKED WITH NANTICOKE TO COLLECT AND SHARE INFORMATION.
NANTICOKE MEMORIAL HOSPITALPART V, SECTION B, LINE 5D: THE FISCAL YEAR 2013 NANTICOKE COMMUNITY NEEDS ASSESSMENT IMPLEMENTATION PLAN CAN BE FOUND AT HTTP://WWW.NANTICOKE.ORG/COMMUNITY-OUTREACH/PROGRAMS-AND-INITIATIVES.ASPX.
NANTICOKE MEMORIAL HOSPITALPART V, SECTION B, LINE 7: BECAUSE OF THE METHOD OF COLLECTION, MORE NEEDS WERE IDENTIFIED THAN WE ARE ABLE TO ADDRESS INDIVIDUALLY. FOR EXAMPLE, MENTAL HEALTH WAS IDENTIFIED AS A TOP NEED FOR THE COUNTY. THIS NEED IS NOT BEING DIRECTLY ADDRESSED BY NANTICOKE SINCE, AS A RURAL COMMUNITY HOSPITAL, WE ARE UNABLE TO FINANCIALLY SUSTAIN A SOLUTION ON OUR OWN. NANTICOKE STAFF DOES HOWEVER PARTICIPATE IN STATE WORK GROUPS ADDRESSING THIS ISSUE. MENTAL HEALTH IS A GREAT NEED THROUGHOUT THE STATE OF DELAWARE. TO ADDRESS THE BROADER NEED, NANTICOKE ALONG WITH THE OTHER TWO HOSPITALS WITHIN SUSSEX COUNTY WORK TOGETHER AS HEALTHIER SUSSEX COUNTY. THIS GROUP PRODUCED A COMBINED CHNA AND STRATEGY FOR ADDRESSING COMMUNITY NEEDS ON A COUNTY-WIDE SCALE, AND DEVELOPED AN ASSOCIATED IMPLEMENTATION PLAN WITH 2014-2016 TARGETS.
NANTICOKE MEMORIAL HOSPITALPART V, SECTION B, LINE 20D: 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.
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MEARS HEALTH CAMPUSBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 RAWLINS DRIVEAddressLine1
CitySEAFORDCity
StateDEState
ZIP Code19973ZIPCode
FieldValueIRS element (for citing)
FacilityMEDICAL FACILITYFacilityTxt

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:NEEDS ASSESSMENT-NANTICOKE HEALTH SERVICES CURRENTLY USES AVAILABLE STATE DATA ON COMMUNITY HEALTH NEEDS. THE STATE OF DELAWARE CURRENTLY CONDUCTS STATEWIDE REPORTS ON HEALTH DISPARITIES FOR THOSE WITHOUT INSURANCE. THIS REPORT IS PRODUCED ABOUT EVERY FIVE YEARS. ADDITIONALLY, THE STATE OF DELAWARE PUBLISHED "RACIAL AND ETHNIC DISPARITIES HEALTH STATUS REPORT CARD" IN 2008. THIS REPORT INCLUDES COUNTY LEVEL DETAIL. THE STATE OF DELAWARE ALSO PRODUCES HEALTH NEED DATA ON DIABETES, CANCER, WOMEN'S AND CHILDREN'S HEALTH AND PROVIDER ACCESS. IN ADDITION TO STATE DATA, HOSPITAL DATA IS USED. MUCH OF DELAWARE'S DATA IS AVAILABLE BY COUTY AT WWW.DELAWAREHEALTHTRACKER.COM. NANTICOKE MEMORIAL HOSPITAL TREATS A LARGE NUMBER OF MEDICAID PATIENTS. IN ADDITION, NANTICOKE CONTINUALLY CONDUCTS COMMUNITY NEEDS ASSESSMENT SURVEYS. RESULTS ARE USED WITH THE ABOVE MENTIONED STATE DATA FOR THE PURPOSES OF PLANNING FOR COMMUNITY HEALTH OUTREACH NEEDS. COMMUNITY SURVEYS ARE CONDUCTED ON AN ON-GOING BASIS.
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. IN 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:USING THE INFORMATION PROVIDED THROUGH NANTICOKE'S FISCAL YEAR 2013 CHNA, NANTICOKE'S COMMUNITY BENEFIT COMMITTEE (CBC) OF THE BOARD CONTINUED TO FOCUS OUTREACH EFFORTS AND BUILD STRUCTURE AROUND THE COMMUNITY BENEFIT PROCESS. DURING CALENDAR YEAR 2013, THE COMMUNITY BENEFIT IMPLEMENTATION PLAN WAS DEVELOPED AND APPROVED BY THE NHS BOARD OF DIRECTORS IN JUNE 2013. THIS ESTABLISHED TARGET STRATEGIES AND MEASURES FOR IDENTIFIED OUTREACH INITIATIVES FROM THE CHNA. REPORTING OF MEASURES WILL BE USED TO DETERMINE IF PROGRESS IS BEING MADE IN IMPROVING HEALTH OR ACCESS TO CARE IN THESE AREAS.IN ADDITION TO IDENTIFYING HEALTH NEEDS, THE 2013 CHNA ALSO IDENTIFIED BOTH THE GROWING HISPANIC POPULATION OF SUSSEX COUNTY AS WELL AS THE AFRICAN AMERICAN POPULATION AS GROUPS WITH INCREASED COMMUNITY HEALTH NEEDS. IN THE 2013 CHNA, NANTICOKE REFERENCED THE "HISPANIC HEALTH IN DELAWARE: BARRIERS TO CARE FOR THE HISPANIC POPULATION". IN 2012 AND CONTINUING INTO 2013, NANTICOKE IS WORKING ON INITIATIVES WITH BOTH LA RED AND LA ESPERANZA, ORGANIZATIONS THAT PROVIDE HEALTH AND SOCIAL SERVICES FOR THE GROWING HISPANIC POPULATION WITHIN THE COUNTY. HISPANIC REPRESENTATION ON BOTH THE NHS BOARD OF DIRECTORS AND THE COMMUNITY BENEFIT COMMITTEE HAS BEEN INCREASED. IN ADDITION IN 2013, NANTICOKE IS SPECIFICALLY TARGETING INCREASED PARTNERSHIPS TO ADDRESS THE NEEDS OF THE AFRICAN AMERICAN POPULATION AS WELL. THIS BEGAN WITH A COMMUNITY MEETING WITH CLERGY AND OTHER AFRICAN AMERICAN COMMUNITY REPRESENTATIVES TO OPENLY DISCUSS PRESSING NEEDS FOR THIS POPULATION. THE AFRICAN AMERICAN POPULATION IS A TARGET AREA FOR OUTREACH RELATED TO INCREASING MAMMOGRAPHY SCREENINGS SINCE THIS POPULATION IS AT HIGHER RISK TO DISCOVER THE CANCER IN LATER STAGES, WHICH INCREASES THE RISK OF DEATH FROM THE DISEASE.HEALTHIER SUSSEX COUNTY IS A GROUP THAT BRINGS TOGETHER THE THREE HOSPITALS AND OTHER HEALTH PROVIDERS AND RESOURCES TO TARGET HEALTH ISSUES THAT IMPACT NOT JUST INDIVIDUAL HOSPITAL SERVICE AREA POPULATIONS, BUT RESIDENTS THROUGHOUT THE COUNTY. IN 2013, HEALTHIER SUSSEX COUNTY HOSPITAL PARTICIPANTS COMPLETED A COMBINED, APPREVIATED CHNA AND ARE TOGETHER WORKING ON (1) A DIABETES TASK FORCE WORKING TOWARD INCREASING COMPLIANCE AND FOLLOW UP FOR DIAGNOSED DIABETICS; (2) AWARENES CAMPAIGN AND ACTIVITIES AROUND PHYSICAL ACTIVITY; AND (3) A MAMMOGRAPHY TASK FORCE WORKING TO INCREASE THE NUMBER OF WOMEN COMPLETING HAVE THEIR ANNUAL MAMMOGRAM, PARTICULARLY THOSE FROM MINORITY POPULATIONS AND/OR THOSE WITHOUT INSURANCE. THESE INITIATIVES COMBINE THE RESOURCES OF ALL THREE HOSPITALS AS WELL AS OTHER HEALTH PROVIDERS IN THE AREA INCLUDING LA RED, DELAWARE BREAST CANCER COALITION, SUSAN G. KOMEN, AMERICAN DIABETES ASSOCIATION REPRESENTATIVES, COMMUNITY CLINICIANS, INSURERS, AND STATE HEALTH RESOURCES. MORE INFORMATION ABOUT HEALTHIER SUSSEX COUNTY CAN BE FOUND AT WWW.HEALTHIERSUSSEXCOUNTY.COM.
PART VI, LINE 5:FOR THE 2013 CHNA, STATE DATA FROM DELAWARE HEALTH AND SOCIAL SERVICES. THIS INCLUDED COUNTY LEVEL DATA AND WAS THE PRIMARY SOURCE OF INFORMATION RELATED TO TRENDS AND SERVICE AREA HEALTH NEEDS. NO INDIVIDUAL AT DHSS WAS INTERVIEWED. IN ADDITION TO THE ABOVE, NANTICOKE REFERENCED THE "HISPANIC HEALTH IN DELAWARE: BARRIERS TO CARE FOR THE HISPANIC POPULATION" PRODUCED BY THE GOVERNOR COMMISSION ON HISPANIC AFFAIRS.TO BETTER UNDERSTAND LOCAL NEEDS OF SEAFORD, DELAWARE AND THE SURROUNDING AREAS NANTICOKE CONDUCTED THREE SURVEYS WITHIN OUR PRIMARY SERVICE AREA. FIRST WE SURVEYED THE COMMUNITY AT LARGE DURING A NUMBER OF COMMUNITY HEALTH EVENT AND RECEIVED OVER 500 RESPONSES TO THE COMMUNITY SURVEY. A COPY OF NANTICOKE'S CURRENT CHNA CAN BE FOUND AT WWW.NANTICOKE.ORG.
PART VI, LINE 6:THE HOSPITAL IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
AMERICAN HEART ASSOCIATION
1109 MATTLIND WAYMILFORDDE19963135613797501(C)(3)$8,000HEART DISEASE
MID-SUSSEX MEDICAL CENTER INC
801 MIDDLEFORD ROADSEAFORDDE19973510224470501(C)(3)$4,600,000TO PROVIDE FUNDS FOR MID-SUSSEX MEDICAL CENTER, INC.
DELAWARE TECHNICAL AND COMMUNITY COLLEGE
PO BOX 610GEORGETOWNDE19947516000279501(C)(3)$5,000EDUCATION FOUNDATION
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

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 Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed 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$457,770$0$61,625$0$133,930$0$0$0$51,343$0$704,668$0$0$0
JOSEPH KIM DO
DIRECTOR/PHYSICIAN$0$198,505$0$0$30,000$0$0$0$0$3,824$30,000$202,329$0$0
THOMAS BROWN
SENIOR VP$223,255$0$20,677$0$774$0$0$0$22,467$0$267,173$0$0$0
PENNY SHORT
COO/CNO$210,334$0$18,036$0$414$0$0$0$19,878$0$248,662$0$0$0
DON TRICARICO
VP$147,870$0$13,503$0$774$0$0$0$12,631$0$174,778$0$0$0
BARBARA HENDRICKS
VP$145,029$0$14,973$0$414$0$0$0$9,220$0$169,636$0$0$0
DENISE JESTER
CFO$142,808$0$21,125$0$595$0$0$0$9,032$0$173,560$0$0$0
IMRAN JANJUA
PHYSICIAN$309,372$0$0$0$0$0$0$0$6,119$0$315,491$0$0$0
DANIAL CHAN
PHYSICIAN$244,942$0$0$0$0$0$0$0$5,386$0$250,328$0$0$0
ROBERT FERBER
PHYSICIAN$242,768$0$0$0$0$0$0$0$7,418$0$250,186$0$0$0
LI ZHANG
PHYSICIAN$218,926$0$0$0$0$0$0$0$5,897$0$224,823$0$0$0
ANJU BHARDWAJ
PHYSICIAN$190,651$0$0$0$0$0$0$0$436$0$191,087$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 1AFormAndLineReferenceDesc
ExplanationSTEVE ROSE- HEALTH OR SOCIAL CLUB DUES FOR $2,800ExplanationTxt

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 AUTHORITYBusinessNameLine1
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$99,167RetiredAmt
Total Proceeds$47,475,775TotalProceedsAmt
Issuance Costs From Proceeds$930,010IssuanceCostsFromProceedsAmt
Other Spent Proceeds$46,545,765OtherSpentProceedsAmt
Substantial Completion2013SubstantialCompletionYr
Current Refunding0CurrentRefundingInd
Advance RefundingYes (1)AdvanceRefundingInd
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 Prop0MgmtContractBondFincdPropInd
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 Action0ProceduresCorrectiveActionInd

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 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 12CTHIS 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 WAS LAST COMPLETED IN SEPTEMBER 2014.
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 XI, LINE 9:PENSION AND POSTRETIREMENT ADJUSTMENT -59,909.
FORM 990, PART XII, LINE 2CTHE OVERSIGHT AND SELECTION PROCESS HAVE NOT CHANGED FROM THE PRIOR YEAR.
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, MEDICAL CENTERS 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 BY THE AMERICAN HERT ASSOCIATIONS GETWITH THE GUIDELINES FOR BOTH STROKE (GOLD ACHEIVEMENT AWARE) AND INTEVERNTIONAL CARDIOLOGY (SILVER ACHIEVEMENT AWARD). 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 TREAT YOU AND YOUR FAMILY ACROSS THE COMPLETE SPECTRUM OF HEALTHCARE NEEDS. OUR GROWTH IS EVIDENCED NOT ONLY THROUGH THE CONTINUED ADDITION TO MEDICAL PROGRAMS, BUT ALSO THROUGH SUCCESSFUL PHYSICIAN RECRUITMENT - OVER 65 PHYSICANS IN THE LAST 15 YEARS. AS OUR COMMUNITIES' HEALTHCARE NEEDS CHANGE, NANTICOKE HEALTH SERVICES CONTINUES TO CHANGE AND EXPAND SERVICES TO MEET COMMUNITY NEEDS. RECOGNIZED NATIONALLY FOR OUR ACCOMPLISHMENTS BY ORGANIZATIONS SUCH AS THE AMERICAN HOSPITAL ASSOCIATION AND THE CENTER FOR CASE MANAGEMENT, OUR STAFF WELCOMES THE OPPORTUNITY TO MEET YOUR HEALTHCARE NEEDS. COMMUNITY OUTREACH NANTICOKE HEALTH SERVICES' TRAINED STAFF GOES INTO THE COMMUNITY TO PRESENT HEALTH EDUCATION SEMINARS AND HEALTH SCREENINGS. WE HAVE WORKED 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 HELD IN THE HOSPITAL 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 2013-2014 NANTICOKE COMPLETED AN UPDATED COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND ASSOCIATED IMPLEMENTATION PLAN. NEEDS IDENTIFIED INCLUDED A CONTINUING NEED FOR PROGRAMMING AROUND HEALTH AND WELLNESS AND OBESITY AND DIABETES. ADDITIONALLY, WORK IS BEING DONE TO SUSTAIN EDUCATIONAL PROGRAMS FOR EXPECTING MOTHERS AND NEWBORNS FROM THE HISPANIC POPULATION. NANTICOKE IS ALSO WORKING THROUGH A COUNTY-WIDE PARTNERSHIP KNOWN AS HEALTHIER SUSSEX COUNTY ON OBESITY, WOMEN'S HEALTH AND PHYSICIAN EDUCATION REGARDING SCREENINGS FOR PROSTATE CANCER. THESE PROGRAMS HAVE BEEN ESTABLISHED AND ARE MEASURED ON AN ANNUAL BASIS. OTHER PARTNERSHIPS ALSO CONTINUE AS NANTICOKE CONTINUES CONNECTIONS WITH COMMUNITY PARTNERS ON HEALTH NEEDS SUCH AS PARTNERING WITH THE SUSSEX CHILD HEALTH PROMOTION COALITION IN THE DEVELOPMENT OF THE PRESCRIPTION FOR HEALTH PROGRAM AND WORKPLACE 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/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Address Line1ForeignAddress/AddressLine1CityForeignAddress/CityProvince Or StateForeignAddress/ProvinceOrStateCountryForeignAddress/CountryLegal 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 ENTERPRISESBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 MIDDLEFORD ROADAddressLine1
CitySEAFORDCity
StateDEState
ZIP Code19973ZIPCode
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 INCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeBTransactionTypeTxt
Involved$4,600,000InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt