TIDALHEALTH NANTICOKE INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- TIDALHEALTH NANTICOKE INC (EIN 51-0069243)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-01-28
- IRS object ID
- 201340289349300549
- Schema version
- 2011v1.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-01-28T13:47:23-06:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410746749 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 610 WEST GERMANTOWN PIKE SUITE 400 | AddressLine1 |
| City | PLYMOUTH MEETING | City |
| State | PA | State |
| ZIP Code | 19462 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 510069243 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NANTICOKE MEMORIAL HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | NANT | NameControl |
| Phone | 3026296611 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 MIDDLEFORD ROAD | AddressLine1 |
| City | SEAFORD | City |
| State | DE | State |
| ZIP Code | 19973 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DEAN SWINGLE | Name |
| Title | DIR FINANCE/CHIEF TAX OFFICER | Title |
| Phone | 3026296611 | Phone |
| Date Signed | 2013-01-07 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MICHAEL SIEGEL | Name |
| PTIN | P01587323 | PTIN |
| Phone | 2156433900 | Phone |
| Date Prepared | 2013-01-07 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | STEVEN ROSE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 MIDDLEFORD ROAD | AddressLine1 |
| City | SEAFORD | City |
| State | DE | State |
| ZIP Code | 19973 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 142952145 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.NANTICOKE.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1945 | YearFormation |
| State Legal Domicile | DE | StateLegalDomicile |
| Activity Or Mission Description | PROVIDE HEALTH CARE SERVICES TO THE COMMUNITY, REGARDLESS OF THE ABILITY TO PAY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1005 | TotalNbrEmployees |
| Total Nbr Volunteers | 384 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 14362401 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 110222611 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 122486253 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 622793 | InvestmentIncomePriorYear |
| Investment Income Current Year | 892624 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1895372 | OtherRevenuePriorYear |
| Other Revenue Current Year | 4535420 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 112740776 | TotalRevenuePriorYear |
| Total Revenue Current Year | 142276698 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 38899 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 7033346 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 56204048 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 60470129 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 54207757 | OtherExpensePriorYear |
| Other Expenses Current Year | 59695077 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 110450704 | TotalExpensesPriorYear |
| Total Expenses Current Year | 127198552 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2290072 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 15078146 | RevenuesLessExpensesCY |
| Total Assets BOY | 91535165 | TotalAssetsBOY |
| Total Assets EOY | 116971831 | TotalAssetsEOY |
| Total Liabilities BOY | 60977575 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 76585778 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 30557590 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 40386053 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | NANTICOKE MEMORIAL HOSPITAL OPERATES IN A MANNER CONSISTENT WITH THE REQUIREMENTS OF REVENUE RULING 69-545, THROUGH ITS PROVISION OF HEALTH CARE SERVICES TO THE COMMUNITY, REGARDLESS OF THE ABILITY TO PAY. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 116953391 | Expense |
| Grants | 7025296 | Grants |
| Revenue | 122486253 | Revenue |
| Description | NANTICOKE MEMORIAL HOSPITAL PROVIDES QUALITY MEDICAL CARE REGARDLESS OF THE RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATIONS AND STABILITY OF MID-SUSSEX MEDICAL CENTER, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. THEREFORE, IN KEEPING WITH THE MEDICAL CENTER'S COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITY, HEALTH ACTIVITIES AND PROGRAMS NEEDED TO SUPPORT THE COMMUNITY WILL BE CONSIDERED WHERE THE NEED AND/OR THE INDIVIDUAL'S INABILITY TO PAY CO-EXISTS. THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, SPECIAL PROGRAMS FOR THE UNDER SERVED, SCREENING AND A WIDE VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES.PATIENTS SEEN.INPATIENTS 5,298; BIRTHS 864; ER VISITS 37,017; OP VISITS 80,666;DAYS OF INPATIENT CARE:ADULTS AND PEDIATRICS 19,278; NEWBORN 1,733;OTHER FACTS:AVERAGE PATIENT STAY 3.6; OPERATIONS 3,619;NANTICOKE MEMORIAL HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS. SERVICES PROVIDED TO THOSE UNABLE TO PAY $17,184,707. DISCOUNTS TO MEDICARE, MEDICAID, AND OTHERS $129,993,910. | Description |
| Total Program Service Expense | 116953391 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 176 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1005 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | DE | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ACCOUNTING DEPT | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3026296611 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 MIDDLEFORD ROAD | AddressLine1 |
| City | SEAFORD | City |
| State | DE | State |
| ZIP Code | 19973 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| STEVEN ROSE | |||||||
| CEO/PRESIDENT/SECRETARY | 40.00 | X | X | 482898 | 0 | 152131 | |
| JOHN ALLEN | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JOAQUIN CABRERA | |||||||
| DIRECTOR/PHYSICIAN | 40.00 | X | 28750 | 339635 | 14660 | ||
| DAVID CROUSE | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| FERNANDO GUAJARDO | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| DONALD HOLLENBECK | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| GREG JOHNSON | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| TRINA JOYNER | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JOSEPH KIM | |||||||
| DIRECTOR/PHYSICIAN | 40.00 | X | 15000 | 164617 | 49187 | ||
| HARRY LEHMAN | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| LYNDA MESSICK | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| PATRICIA OLEKSZYK | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| TAMMY PAXTON | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| KENT PETERSON | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| MICHELE PROCINO-WELLS | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JACK RIDDLE | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| REP DANNY SHORT | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| DARR HALL | |||||||
| FORMER CFO/TREASURER | 40.00 | X | 243347 | 0 | 69347 | ||
| PENNY SHORT | |||||||
| COO/CNO | 40.00 | X | 164379 | 0 | 53528 | ||
| THOMAS BROWN | |||||||
| SENIOR VP | 40.00 | X | 205673 | 0 | 56763 | ||
| DON TRICARICO | |||||||
| VP | 40.00 | X | 150288 | 0 | 56831 | ||
| MEREDITH ARTHUR | |||||||
| PHYSICIAN | 40.00 | 173283 | 0 | 5282 | X | ||
| ROBER FERBER | |||||||
| PHYSICIAN | 40.00 | 226371 | 0 | 49920 | X | ||
| ANJU BHARDWAJ | |||||||
| PHYSICIAN | 40.00 | 205080 | 0 | 21832 | X | ||
| LI ZHANG | |||||||
| PHYSICIAN | 40.00 | 215304 | 0 | 21774 | X | ||
| IMRAN JANJUA | |||||||
| PHYSICIAN | 40.00 | 203097 | 0 | 39478 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2313470 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 504252 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 590733 | TotalOtherCompensation |
| Number Individuals GT100 K | 26 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| CERNER CORPORATION | |||||
| 2800 ROCKCREEK PARKWAY | KANSAS CITY | MO | 64141 | TECHNOLOGY | 3957661 |
| ANESTHESIA SERVICES | |||||
| 2 READS WAY | NEW CASTLE | DE | 19720 | ANESTHESIA | 1449996 |
| DELPHI HEALTHCARE | |||||
| 170 SOUTHPORT DRIVE | MORRISVILLE | NC | 27560 | ORTHOPEDICS | 1420433 |
| ARAMARK | |||||
| 25271 NETWORK PLACE | CHICAGO | IL | 60673 | FOOD SERVICE | 1092159 |
| ARAMARK MASTERPLAN | |||||
| 12483 COLLECTIONS CENTER DRIVE | CHICAGO | IL | 60673 | BIO-MEDICAL | 742285 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 24 | NumberOfContractorsGT100K |
| Related Organizations | 14362401 | RelatedOrganizations |
| Total Contributions | 14362401 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT REVENUE | Description |
| Business Code | 623000 | BusinessCode |
| Total Revenue Column | 122486253 | TotalRevenueColumn |
| Related Or Exempt Function Income | 122486253 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 122486253 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 166207 | TotalRevenueColumn |
| Exclusion | $166,207 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 469041 | Securities |
| Other | 932823 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 675447 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 469041 | Securities |
| Other | 257376 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 726417 | TotalRevenueColumn |
| Exclusion | $726,417 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| MISCELLANEOUS | 623000 | 3896192 | $3,896,192 |
| CAFETERIA | 623000 | 525627 | $525,627 |
| GIFT SHOP | 623000 | 113601 | $113,601 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 4535420 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 142276698 | TotalRevenueColumn |
| Related Or Exempt Function Income | 122486253 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $5,428,044 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7033346 | Total |
| Program Services | 7033346 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2247034 | Total |
| Program Services | 2044801 | ProgramServices |
| Management And General | 202233 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44561607 | Total |
| Program Services | 40551062 | ProgramServices |
| Management And General | 4010545 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10764844 | Total |
| Program Services | 9796008 | ProgramServices |
| Management And General | 968836 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2896644 | Total |
| Program Services | 2635946 | ProgramServices |
| Management And General | 260698 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1165738 | Total |
| Program Services | 1060822 | ProgramServices |
| Management And General | 104916 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 137967 | Total |
| Management And General | 137967 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 123785 | Total |
| Management And General | 123785 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13538006 | Total |
| Program Services | 12319585 | ProgramServices |
| Management And General | 1218421 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1929689 | Total |
| Program Services | 1756017 | ProgramServices |
| Management And General | 173672 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 249133 | Total |
| Program Services | 226711 | ProgramServices |
| Management And General | 22422 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 77523 | Total |
| Program Services | 70546 | ProgramServices |
| Management And General | 6977 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5529408 | Total |
| Program Services | 5031761 | ProgramServices |
| Management And General | 497647 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 226067 | Total |
| Program Services | 205721 | ProgramServices |
| Management And General | 20346 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2975927 | Total |
| Program Services | 2975927 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6008814 | Total |
| Program Services | 6008814 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 117114 | Total |
| Program Services | 106574 | ProgramServices |
| Management And General | 10540 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SUPPLIES | 12669962 | 11529665 | 1140297 |
| BAD DEBT EXPENSE | 10930949 | 9947164 | 983785 |
| DRUGS | 3943134 | 3588252 | 354882 |
| MISCELLANEOUS | 64842 | 58282 | 6560 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7019 | Total |
| Program Services | 6387 | ProgramServices |
| Management And General | 632 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 127198552 | Total |
| Program Services | 116953391 | ProgramServices |
| Management And General | 10245161 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 130836 | BOY |
| EOY | 11635762 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11341985 | BOY |
| EOY | 10775290 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4775584 | BOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1624950 | BOY |
| EOY | 1560415 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 907311 | BOY |
| EOY | 1690653 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 116094397 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 66272092 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37624919 | BOY |
| EOY | 49822305 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28775634 | BOY |
| EOY | 31871491 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6353946 | BOY |
| EOY | 9615915 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 91535165 | BOY |
| EOY | 116971831 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9342958 | BOY |
| EOY | 19065541 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39752910 | BOY |
| EOY | 52320114 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6284685 | BOY |
| EOY | 3033521 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5597022 | BOY |
| EOY | 2166602 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60977575 | BOY |
| EOY | 76585778 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30557590 | BOY |
| EOY | 40386053 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30557590 | BOY |
| EOY | 40386053 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 91535165 | BOY |
| EOY | 116971831 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 15078146 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -5249683 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 1 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 1 | GrantsOtherOrganizations |
| Grants Other Organizations | $11,630 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 11630 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART IV, SUPPLEMENTAL INFORMATION: | Identifier |
| Explanation | SCHEDULE C, PART II-B, LINE 1I NANTICOKE MEMORIAL HOSPITAL PAYS DUES TO AHA AND DEHA: THE AMERICAN HOSPITAL ASSOCIATION AND THE DELAWARE HEALTHCARE ASSOCIATION. NANTICOKE MEMORIAL HOSPITAL'S MANAGEMENT ALSO CORRESPONDS WITH OUR STATE AND FEDERAL LEGISLATORS REGARDING CURRENT LEGISLATION AND REGULATIONS THAT MAY AFFECT THE FINANCIAL VIABILITY OF THE HOSPITAL AND ITS ABILITY TO CONTINUE TO PROVIDE QUALITY HEALTHCARE TO THE COMMUNITY. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2039510 | OtherCostOrOtherBasis |
| Book Value | 2039510 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 59946588 | OtherCostOrOtherBasis |
| Depreciation | 24904129 | Depreciation |
| Book Value | 35042459 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 631472 | OtherCostOrOtherBasis |
| Depreciation | 486940 | Depreciation |
| Book Value | 144532 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 53476827 | OtherCostOrOtherBasis |
| Depreciation | 40881023 | Depreciation |
| Book Value | 12595804 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 49822305 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| OTHER TRUSTEE FUNDS | 429162 |
| INTERCOMPANY RECEIVABLES | 7098305 |
| OTHER ASSETS | 2088448 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 9615915 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ESTIMATED THIRD PARTY PAYOR SETTLEMENTS | $950,000 |
| OTHER LIABILITIES | $1,216,602 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2166602 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | 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 2009 TO 2011 ARE OPEN TO EXAMINATION BY FEDERAL AND STATE AUTHORITIES. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 175.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2411 | PersonsServed |
| Total Community Benefit Expense | 2634772 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2634772 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02070 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 37360 | PersonsServed |
| Total Community Benefit Expense | 26525784 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 19007416 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7518368 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05910 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 39771 | PersonsServed |
| Total Community Benefit Expense | 29160556 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 19007416 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10153140 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07980 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 269 | NumberOfActivitiesOrPrograms |
| Persons Served | 33410 | PersonsServed |
| Total Community Benefit Expense | 968690 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 968690 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00760 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 275 | NumberOfActivitiesOrPrograms |
| Persons Served | 2390 | PersonsServed |
| Total Community Benefit Expense | 86686 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 86686 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 544 | NumberOfActivitiesOrPrograms |
| Persons Served | 35800 | PersonsServed |
| Total Community Benefit Expense | 1055376 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1055376 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00830 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 544 | NumberOfActivitiesOrPrograms |
| Persons Served | 75571 | PersonsServed |
| Total Community Benefit Expense | 30215932 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 19007416 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11208516 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08810 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 100 | NumberOfActivitiesOrPrograms |
| Persons Served | 100 | PersonsServed |
| Total Community Building Expense | 292835 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 292835 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00230 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 100 | NumberOfActivitiesOrPrograms |
| Persons Served | 100 | PersonsServed |
| Total Community Building Expense | 292835 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 292835 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00230 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $10,930,949 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 44751252 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 49191046 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -4439794 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NANTICOKE MEMORIAL HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 MIDDLEFORD ROAD | AddressLine1 |
| City | SEAFORD | City |
| State | DE | State |
| ZIP Code | 19973 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NANTICOKE MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 175.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 300.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| 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, L7 COL(F): THE HOSPITAL DID NOT INCLUDE ANY AMOUNT OF BAD DEBT EXPENSE IN THE NUMERATOR 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 V, SECTION B, LINE 5C: AVAILABLE VIA WEBSITE AT WWW.NANTICOKE.ORG/PDF-FILES/HEALTH-ASSESSMENT-2010_SMALLER.ASPX | NANTICOKE MEMORIAL HOSPITAL |
| PART 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. THIS NEED IS BEING ADDRESSED THROUGH ADVOCACY ONLY ALONG WITH CONTINUED DISCUSSIONS WITH OTHER STATE-WIDE RESOURCES. 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 HAVE COME TOGETHER TO FORM HEALTHIER SUSSEX COUNTY. THIS GROUP IS CURRENTLY WORKING TO PRODUCE A COMBINED CHNA AND STRATEGY FOR ADDRESSING COMMUNITY NEEDS ON A COUNTY-WIDE SCALE. | NANTICOKE MEMORIAL HOSPITAL |
| PART V, SECTION B, LINE 19D: 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. | NANTICOKE MEMORIAL HOSPITAL |
| 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. NANTICOKE MEMORIAL HOSPITAL TREATS A LARGE NUMBER OF MEDICAID PATIENTS. IN ADDITION, IN OCTOBER 2010, NANTICOKE CONDUCTED A COMMUNITY NEEDS ASSESSMENT SURVEY. SURVEYS WERE COLLECTED FROM PHYSICIANS, HIGH SCHOOL WELLNESS PROGRAM COORDINATORS, CLERGY AND THE COMMUNITY AT LARGE. RESULTS WERE COMBINED 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 PERSCRIPTION ASSISTANCE PROGRAM. | |
| PART VI, LINE 4: USING THE INFORMATION PROVIDED THROUGH NANTICOKE'S 2010 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 2011, THE FIRST STRATEGIC PLAN FOR COMMUNITY BENEFIT WAS DEVELOPED AND APPROVED BY THE NHS BOARD OF DIRECTORS IN JUNE 2011. THIS ESTABLISHED A PROCESS TO DO AN INITIAL ASSESSMENT ON THE CURRENT IDENTIFIED OUTREACH INITIATIVES. THESE INITIATIVES INCLUDE GROUPS WORKING ON: CANCER, STROKE, DIABETES, OBESITY, SCHOOL WELLNESS AND GENERAL OUTREACH. AFTER COMPLETING AN INITIAL ASSESSMENT, EACH GROUP DEVELOPED MEASURABLE GOALS. THESE INITIATIVES WORK ON A FISCAL YEAR THAT RUNS JULY 1 THROUGH JUNE 30. A ONE YEAR ASSESSMENT WAS REQUESTED FROM EACH GROUP AT THE CONCLUSION OF FISCAL YEAR 2012 (JUNE), RESULTS TO BE PRESENTED TO THE CBC IN DECEMBER 2012. RESULTS 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 2010 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 2010 CHNA, NANTICOKE REFERENCED THE "HISPANIC HEALTH IN DELAWARE: BARRIERS TO CARE FOR THE HISPANIC POPULATION". IN 2011 AND CONTINUING INTO 2012, NANTICOKE IS EXPANDING 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. THE CEO OF NANTICOKE HEALTH SERVICES ALSO SERVES ON AND PROVIDES LEADERSHIP FOR THE GOVERNOR'S COMMISSION ON HISPANIC AFFAIRS. IN ADDITION IN 2012, 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.BY THE END OF CALENDAR YEAR 2011, THE CEO'S FROM THE THREE SUSSEX COUNTY HOSPITALS HAD MET AND APPROVED THE FORMATION OF HEALTHIER SUSSEX COUNTY. HEALTHIER SUSSEX COUNTY 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. BEGINNING IN 2012, HEALTHIER SUSSEX COUNTY HAS TASK FORCES WORKING ON (1) A COUNTY WIDE CHNA; (2) A DIABETES TASK FORCE WORKING TOWARD INCREASING COMPLIANCE AND FOLLOW UP FOR DIAGNOSED DIABETICS; 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. | |
| PART VI, LINE 5: FOR THE 2010 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 GOVERNORS 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 235 RESPONSES TO THE COMMUNITY SURVEY. VIA A MAILED SURVEY, WE CONTACTED MEMBERS OF THE LOCAL CLERGY. FAITH-BASED GROUPS REPRESENT A LARGE NUMBER OF OUR SERVICE AREA POPULATION. WE RECEIVED 26 RESPONSES TO THIS SURVEY. LASTLY, VIA A MAILED SURVEY, WE SURVEYED THE ACTIVE AND COMMUNITY AFFILIATE PHYSICIANS FROM NANTICOKE MEMORIAL HOSPITAL. WE RECEIVED 62 RESPONSES FROM THIS GROUP. A COPY OF NANTICOKES CURRENT CHNA CAN BE FOUND AT WWW.NANTICOKE.ORG.FOR THE NEXT CHNA, NANTICOKE IS WORKING WITH TWO OTHER HOSPITALS THROUGH THE HEALTHIER SUSSEX COUNTY INITIATIVE TO JOINTLY ASSESS THE NEEDS OF SUSSEX COUNTY, DELAWARE. THIS WILL ALSO BE SHARED WITH HEALTHIER SUSSEX COUNTY, A COUNTY WIDE INITIATIVE TO ADDRESS THE HEALTH NEEDS OF RESIDENTS THROUGHOUT THE COUNTY THROUGH PARTNERSHIPS THAT ALLOW FOR MORE EFFICIENT AND EFFECTIVE INITIATIVES AND BETTER OUTCOMES. MORE INFORMATION ABOUT HEALTHIER SUSSEX COUNTY CAN BE ACCESSED THROUGH WWW.HEALTHIERSUSSEXCOUNTY.COM. | |
| PART VI, LINE 6: THE HOSPITAL IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 0 | RecordsMaintained |
Recipient Table RecipientTable (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant | Amount Of Non Cash AssistanceAmountOfNonCashAssistance |
|---|---|---|---|---|---|---|---|---|
| AMERICAN HEART ASSOCIATION | ||||||||
| 1109 MATTLIND WAY | MILFORD | DE | 19963 | 135613797 | 501(C)(3) | 8000 | CANCER RESEARCH | |
| MID-SUSSEX MEDICAL CENTER INC | ||||||||
| 801 MIDDLEFORD ROAD | SEAFORD | DE | 19973 | 510224470 | 501(C)(3) | 4874999 | TO PROVIDE FUNDS FOR NANTICOKE MEMORIAL HOSPITAL | |
| NANTICOKE ALTERNATIVE CARE INC | ||||||||
| 801 MIDDLEFORD ROAD | SEAFORD | DE | 19973 | 510328654 | 501(C)(3) | 770000 | TO PROVIDE FUNDS FOR NANTICOKE MEMORIAL HOSPITAL | |
| NANTICOKE ALTERNATIVE CARE INC | ||||||||
| 801 MIDDLEFORD ROAD | SEAFORD | DE | 19973 | 510328654 | 501(C)(3) | 1348347 | TO PROVIDE FUNDS FOR NANTICOKE MEMORIAL HOSPITAL | |
| AMERICAN CANCER SOCIETY | ||||||||
| PO BOX 163 | SALISBURY | MD | 21803 | 580659875 | 501(C)(3) | 7000 | CANCER RESEARCH | |
| DELAWARE TECHNICAL AND COMMUNITY COLLEGE | ||||||||
| PO BOX 610 | GEORGETOWN | DE | 19947 | 516000279 | 501(C)(3) | 25000 | DIAGNOSTIC MEDICAL SONOGRAPHY TECHNOLOGY PROGRAM | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 6 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STEVEN ROSE | |||||||||||||
| 437000 | 0 | 45898 | 0 | 0 | 0 | 42500 | 0 | 109631 | 0 | 635029 | 0 | 0 | 0 |
| JOAQUIN CABRERA | |||||||||||||
| 0 | 285000 | 0 | 0 | 28750 | 54635 | 0 | 0 | 0 | 14660 | 28750 | 354295 | 0 | 0 |
| JOSEPH KIM | |||||||||||||
| 0 | 161057 | 0 | 0 | 15000 | 3560 | 0 | 0 | 0 | 49187 | 15000 | 213804 | 0 | 0 |
| DARR HALL | |||||||||||||
| 223857 | 0 | 19490 | 0 | 0 | 0 | 16500 | 0 | 52847 | 0 | 312694 | 0 | 0 | 0 |
| PENNY SHORT | |||||||||||||
| 152379 | 0 | 12000 | 0 | 0 | 0 | 6005 | 0 | 47523 | 0 | 217907 | 0 | 0 | 0 |
| THOMAS BROWN | |||||||||||||
| 192330 | 0 | 13343 | 0 | 0 | 0 | 16500 | 0 | 40263 | 0 | 262436 | 0 | 0 | 0 |
| DON TRICARICO | |||||||||||||
| 140088 | 0 | 10200 | 0 | 0 | 0 | 5604 | 0 | 51227 | 0 | 207119 | 0 | 0 | 0 |
| MEREDITH ARTHUR | |||||||||||||
| 173283 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 5282 | 0 | 178565 | 0 | 0 | 0 |
| ROBER FERBER | |||||||||||||
| 226371 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 49920 | 0 | 276291 | 0 | 0 | 0 |
| ANJU BHARDWAJ | |||||||||||||
| 205080 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 21832 | 0 | 226912 | 0 | 0 | 0 |
| LI ZHANG | |||||||||||||
| 215304 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 21774 | 0 | 237078 | 0 | 0 | 0 |
| IMRAN JANJUA | |||||||||||||
| 203097 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 39478 | 0 | 242575 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 1A | STEVE ROSE- HEALTH OR SOCIAL CLUB DUES FOR $2,800 |
| PART I, LINES 4A-B | TERRI DRYE- SEVERANCE FOR $72,450 ED HANCOCK-SERP PLAN FOR $43,723 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVID CROUSE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | BOARD MEMBER OF NANTICOKE MEMORIAL HOSPITAL AND IS EMPLOYED BY PNC BANK. | Relationship |
| Amount Of Transaction | 104969 | AmountOfTransaction |
| Description Of Transaction | NANTICOKE HAS SEVERAL ACCOUNTS WITH PNC BANK. IN ORDER TO ELIMINATE ANY BIASES, DAVID CROUSE ABSTAINS FROM VOTING WHEN A TOPIC RELATED TO BANKING AND INVESTMENTS ARE DISCUSSED DURING BOARD MEETINGS. | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | DANNY SHORT (DIRECTOR) HAS A FAMILY RELATIONSHIP WITH PENNY SHORT (COO/CNO). | |
| FORM 990, PART VI, SECTION A, LINE 6 | NANTICOKE HEALTH SERVICES, INC IS THE SOLE MEMBER. | |
| FORM 990, PART VI, SECTION B, LINE 11 | A COPY OF THE FORM 990 IS PROVIDED TO EACH MEMBER OF THE BOARD BEFORE BEING FILED. | |
| FORM 990, PART VI, SECTION B, LINE 12C | 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, NANTICOKE ALTERNATIVE CARE (D/B/A LIFECARE AT LOFLAND PARK), MID-SUSSEX MEDICAL CENTER, AND DUAL DEVELOPMENT CORPORATION, ALL OF WHICH ARE TAX-EXEMPT CHARITABLE ORGANIZATIONS (REFERRED TO HEREIN AS "NHS"). POLICY:THE POLICY OF NHS IS TO REQUIRE THAT EACH INDIVIDUAL SUBJECT TO THIS POLICY STATEMENT PROMPTLY AND FULLY DISCLOSE (IN THE MANNER PROVIDED HEREIN) ANY ACTUAL, APPARENT, OR POTENTIAL CONFLICT OF INTEREST, AND THAT NHS WILL NOT ENGAGE IN ANY CONTRACT, TRANSACTION, OR ARRANGEMENT INVOLVING A CONFLICT OF INTEREST UNLESS THE DISINTERESTED MEMBERS OF THE BOARD OF DIRECTORS (ACTING AT A DULY CONSTITUTED MEETING THEREOF) (WITH THE ADVICE OF LEGAL COUNSEL) DETERMINE BY A MAJORITY VOTE THAT APPROPRIATE SAFEGUARDS TO PROTECT THE CHARITABLE MISSION OF NHS HAVE BEEN IMPLEMENTED. VIOLATIONS OF THE CONFLICTS OF INTEREST POLICY: IF THE BOARD OF DIRECTORS OR A COMMITTEE HAS REASON TO BELIEVE THAT AN INTERESTED PERSON HAS FAILED TO COMPLY WITH THE DISCLOSURE OBLIGATION OF THIS POLICY, THE BOARD OF DIRECTORS SHALL INFORM THAT PERSON OF THE BASIS FOR ITS BELIEF AND PROVIDE THAT PERSON AN OPPORTUNITY TO ADDRESS THE ALLEGED FAILURE TO DISCLOSE. AFTER HEARING THE RESPONSE OF SUCH PERSON AND CONDUCTING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED UNDER THE CIRCUMSTANCES, THE BOARD OF DIRECTORS SHALL DETERMINE WHETHER SUCH PERSON HAS, IN FACT, VIOLATED THE DISCLOSURE REQUIREMENTS OF THIS CONFLICT OF INTEREST POLICY. IF THE BOARD DETERMINES THAT THERE HAS BEEN A VIOLATION, THE BOARD SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION, WHICH MAY INCLUDE REMOVAL (IF THE INTERESTED PERSON IS A BOARD OR COMMITTEE MEMBER) OR TERMINATION (IF THE INTERESTED PERSON IS AN EMPLOYEE). INTENTIONALLY OR REPEATEDLY FAILING TO ADHERE TO THIS POLICY IS GROUNDS FOR REMOVAL FROM THE BOARD. | |
| FORM 990, PART VI, SECTION B, LINE 15 | ON AN ANNUAL BASIS, THE BOARD OF DIRECTORS' CHAIRMAN AND CHAIRMAN-ELECT REVIEW THE EXECUTIVE COMPENSATION OF THE CEO, SENIOR VP'S AND VP'S. AS PART OF THAT PROCESS, THE FACILITY'S OPERATIONS AND PERFORMANCE ARE TAKEN INTO CONSIDERATION, WHICH INCLUDE REVIEW OF HOSPITAL QUALITY INDICATORS, FINANCIAL PERFORMANCE, EMPLOYEE SATISFACTION SCORES AND PHYSICIAN SATISFACTION SCORES. THE PROCESS INCLUDES A REVIEW OF ACCOMPLISHMENTS OF EACH OF THE EXECUTIVES AND THEIR IMPORTANCE TO THE OVERALL ORGANIZATION. IN DETERMINING THE REASONABLENESS OF COMPENSATION, OTHER AREA HOSPITAL FORM 990'S ARE REVIEWED FOR THEIR EXECUTIVE COMPENSATION, AS WELL AS PUBLISHED NATIONAL SALARY SURVEY DATA. AFTER THE REVIEW AND RECOMMENDATION OF THE CHAIRMAN AND VICE CHAIRMAN, IT IS THEN PRESENTED TO THE FULL BOARD OF DIRECTORS, WHO REVIEW THE ANNUAL COMPENSATION REQUESTS AND EITHER APPROVE OR RECOMMEND APPROPRIATE CHANGES FOR IMPLEMENTATION. THE SAME PROCESS GOES FOR OTHER KEY EMPLOYEES AND OFFICERS. THIS WAS LAST COMPLETED IN 2012. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC VIA ANOTHER'S WEBSITE OR UPON REQUEST. | |
| FORM 990, PART XI, LINE 5: | NET UNREALIZED LOSSES ON INVESTMENTS: -309,345. PENSION AND POSTRETIREMENT ADJUSTMENT -4,940,352. ROUNDING 14. TOTAL TO FORM 990, PART XI, LINE 5: -5,249,683. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XII, LINE 2C | THE ORGANZIATION HAS NOT CHANGED ITS PROCESS. | |
| ABOUT NANTICOKE | 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, 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 RECOGNIZED AS AMONG THE TOP 10% OF HOSPITALS PARTICIPATING NATIONALLY. 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 60 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. WE ALSO HOST DIABETES EDUCATION CLASSES, STROKE SUPPORT GROUPS AND OTHERS. WE CONDUCT REGULAR CHOLESTEROL SCREENINGS, DIABETES AND GLUCOSE SCREENINGS, BLOOD PRESSURE AND PROSTATE SCREENINGS AND ADULT AND INFANT / CHILD CPR INSTRUCTION ON A REGULAR BASIS. IN 2010 NANTICOKE COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WHICH IDENTIFIED A NEED FOR A NUMBER OF OUTREACH PROGRAMS, INCLUDING PROGRAMS AROUND HEALTH AND WELLNESS, OBESITY AND DIABETES. THESE PROGRAMS HAVE BEEN ESTABLISHED AND ARE MEASURED ON AN ANNUAL BASIS BEGINNING IN JUNE 2011. NANTICOKE ALSO DEVELOPED A LATINO OUTREACH TEAM TO ADDRESS ACCESS TO CARE AND HAS EXPANDED PARTNERSHIPS WITH HEALTH AND SOCIAL SERVICE PROVIDERS FOR THE HISPANIC POPULATION. 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 PARTNERING WITH THE DELAWARE BREAST CANCER COALITION TO PROVIDE ACCESS TO MAMMOGRAMS FOR UNDERSERVED POPULATIONS. ADDITIONALLY, IN 2011 NANTICOKE ALONG WITH THE TWO OTHER HOSPITALS IN SUSSEX COUNTY PARTNERED TO ESTABLISH HEALTHIER SUSSEX COUNTY (WWW.HEALTHERSUSSEXCOUNTY.COM) WITH THE GOAL OF ADDRESSING HEALTH NEEDS THAT IMPACT ALL PARTS OF THE COUNTY. INCREASING MAMMOGRAMS IN MINORITY POPULATIONS, ESPECIALLY THE AFRICAN AMERICAN POPULATIONS, AND INCREASING COMPLAINCE OF SELF-MANAGEMENT AMONG DIAGNOSED DIABETICS WERE IDENTIFIED. PROGRAMS HAVE BEEN ESTABLISHED AND WERE CONTINUED INTO 2012. IN 2012 HEALTHIER SUSSEX COUNTY IS COMBINING EFFORTS TO DEVELOP A COUNTY WIDE HEALTH NEEDS ASSESSMENT TO BE PUBLISHED IN 2013. HEALTHIER SUSSEX COUNTY HAS EXPANDED TO INCLUDE NOT JUST THE HOSPITALS BUT OTHER COUNTY-WIDE HEALTH AND SOCIAL SERVICE ORGANIZATIONS. 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. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NANTICOKE HEALTH SERVICES | ||||||||||||||||
| 801 MIDDLEFORD ROAD | SEAFORD | DE | 19973 | 510293888 | HEALTH SERVICES | DE | 501(C)(3) | LINE 11B, II | N/A | 0 | ||||||
| NANTICOKE ALTERNATIVE CARE | ||||||||||||||||
| 801 MIDDLEFORD ROAD | SEAFORD | DE | 19973 | 510328654 | HEALTH SERVICES | DE | 501(C)(3) | LINE 9 | 0 | NHS | ||||||
| MID-SUSSEX MEDICAL CENTER | ||||||||||||||||
| 801 MIDDLEFORD ROAD | SEAFORD | DE | 19973 | 510224470 | HEALTH SERVICES | DE | 501(C)(3) | LINE 9 | 0 | NHS | ||||||
| DUAL DEVELOPMENT CORP | ||||||||||||||||
| 801 MIDDLEFORD ROAD | SEAFORD | DE | 19973 | 510293892 | PROPERTY | DE | 501(C)(3) | LINE 11B, II | 0 | NHS | ||||||
| NANTICOKE INSURANCE CO | ||||||||||||||||
| 980446259 | INSURANCE | 501(C)(15) | N/A | 0 | NHS | PO BOX 1109 GT | GEORGETOWN | CAYMAN ISLANDS | CJ | CJ | ||||||
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROPRIETARY ENTERPRISES | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 MIDDLEFORD ROAD | AddressLine1 |
| City | SEAFORD | City |
| State | DE | State |
| ZIP Code | 19973 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 510293887 | EIN |
| Primary Activity | INACTIVE | PrimaryActivity |
| Legal Domicile State | DE | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |