TIDALHEALTH NANTICOKE INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- TIDALHEALTH NANTICOKE INC (EIN 51-0069243)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2011-11-11
- IRS object ID
- 201133159349302673
- Schema version
- 2010v3.4
- 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 C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-11T10:26:41-06:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NANTICOKE HEALTH SERVICES | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 MIDDLEFORD RD | AddressLine1 |
| City | SEAFORD | City |
| State | DE | State |
| ZIP Code | 199733636 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | 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 A SWINGLE | Name |
| Title | DIR. FINANCE/CHIEF TAX OFFICER | Title |
| Phone | 3026296611 | Phone |
| Date Signed | 2011-11-07 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Date Prepared | 2011-11-11 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | 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 | 114753445 | GrossReceipts |
| Group Return For Affiliates | false | 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 | 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 ABILITY TO PAY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 977 | TotalNbrEmployees |
| Total Nbr Volunteers | 235 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 103075460 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 110222611 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1311419 | InvestmentIncomePriorYear |
| Investment Income Current Year | 622793 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2082200 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1895372 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 106469079 | TotalRevenuePriorYear |
| Total Revenue Current Year | 112740776 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 155000 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 38899 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 54440096 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 56204048 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 51449388 | OtherExpensePriorYear |
| Other Expenses Current Year | 54207757 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 106044484 | TotalExpensesPriorYear |
| Total Expenses Current Year | 110450704 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 424595 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2290072 | RevenuesLessExpensesCY |
| Total Assets BOY | 93198476 | TotalAssetsBOY |
| Total Assets EOY | 91535165 | TotalAssetsEOY |
| Total Liabilities BOY | 65401218 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 60977575 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 27797258 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 30557590 | 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 ABILITY TO PAY. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 91130694 | Expense |
| Grants | 38899 | Grants |
| Description | SEE ATTACHED STATEMENT | Description |
| Total Program Service Expense | 91130694 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 168 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | false | ComplianceWithBackupWitholding |
| Number Of Employees | 977 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | DE | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | ACCOUNTING DEPT | NamePerson |
| Telephone Number | 3026296611 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 MIDDLEFORD RD | AddressLine1 |
| City | SEAFORD | City |
| State | DE | State |
| ZIP Code | 19973 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (11 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 | 40.00 | X | X | 416154 | 0 | 110833 | |
| DARR HALL | |||||||
| CFO/TREASURE | 40.00 | X | 227470 | 0 | 51540 | ||
| THERESA DRYE | |||||||
| FORMER CAO | 40.00 | X | 196297 | 0 | 12133 | ||
| THOMAS BROWN | |||||||
| SENIOR VP | 40.00 | X | 189468 | 0 | 43278 | ||
| DON TRICARICO | |||||||
| VP | 40.00 | X | 149846 | 0 | 24767 | ||
| PENNY SHORT | |||||||
| CNO | 40.00 | X | 145237 | 0 | 46845 | ||
| ROBERT FERBER MD | |||||||
| 40.00 | 230779 | 0 | 29442 | X | |||
| ABIMBOLA OLOWO MD | |||||||
| 40.00 | 222951 | 0 | 29394 | X | |||
| MAUSHUMI BAROOAH MD | |||||||
| 40.00 | 192689 | 0 | 12426 | X | |||
| IMRAN JANJUA MD | |||||||
| 40.00 | 186375 | 0 | 15493 | X | |||
| MEREDITH ARTHUR | |||||||
| 40.00 | 182952 | 0 | 8236 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2340218 | TotalReportableCompFromOrg |
| Total Other Compensation | 384387 | TotalOtherCompensation |
| Number Individuals GT100 K | 23 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | 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 | 2701065 |
| DELPHI HEALTHCARE | |||||
| 170 SOUTHPORT DRIVE | MORRISVILLE | NC | 27560 | ORTHOPEDICS | 1574613 |
| ANESTHESIA SERVICES PA | |||||
| 2 READS WAY | NEW CASTLE | DE | 19720 | ANESTHESIA | 1337499 |
| ARAMARK | |||||
| 25271 NETWORK PLACE | CHICAGO | IL | 60673 | FOOD SERVICE | 1138560 |
| MASTERPLAN | |||||
| 21540 PLUMMER STREET | CHATSWORTH | CA | 91311 | BIO-MEDICAL | 842391 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 26 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT REVENUE | Description |
| Total Revenue Column | 110222611 | TotalRevenueColumn |
| Related Or Exempt Function Income | 110222611 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 110222611 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 634962 | TotalRevenueColumn |
| Exclusion | $634,962 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2000000 | Securities |
| Other | 500 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2012669 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -12669 | Securities |
| Other | 500 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -12169 | TotalRevenueColumn |
| Related Or Exempt Function Income | -12169 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|
| MISCELLANEOUS REVENUE | 1186894 | 1186894 | |
| CAFETERIA REVENUE | 520403 | $520,403 | |
| GIFT SHOP REVENUE | 142661 | $142,661 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 45414 | TotalRevenueColumn |
| Exclusion | $45,414 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1895372 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 112740776 | TotalRevenueColumn |
| Related Or Exempt Function Income | 111397336 | RelatedOrExemptFunctionIncome |
| Exclusion | $1,343,440 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38899 | Total |
| Program Services | 38899 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1324472 | Total |
| Program Services | 1158833 | ProgramServices |
| Management And General | 165639 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40215775 | Total |
| Program Services | 36636571 | ProgramServices |
| Management And General | 3579204 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2377720 | Total |
| Program Services | 2166103 | ProgramServices |
| Management And General | 211617 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9528163 | Total |
| Program Services | 8680156 | ProgramServices |
| Management And General | 848007 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2757918 | Total |
| Program Services | 2512463 | ProgramServices |
| Management And General | 245455 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 232257 | Total |
| Management And General | 232257 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 136589 | Total |
| Management And General | 136589 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 714591 | Total |
| Program Services | 493068 | ProgramServices |
| Management And General | 221523 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3602718 | Total |
| Program Services | 2485875 | ProgramServices |
| Management And General | 1116843 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 293599 | Total |
| Program Services | 202583 | ProgramServices |
| Management And General | 91016 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2426549 | Total |
| Program Services | 2426549 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6569639 | Total |
| Program Services | 6569639 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1396585 | Total |
| Program Services | 963644 | ProgramServices |
| Management And General | 432941 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SUPPLIES | 17231888 | 11890003 | 5341885 |
| PURCH SRVCS-TECHNOLOGY | 3393481 | 2341502 | 1051979 |
| MEDICARE REIMB CONSULTANT | 2016748 | 1391556 | 625192 |
| EQUIPMENT RENTAL | 1671777 | 1153526 | 518251 |
| PURCH SRVCS-ORTHOPEDICS | 1485188 | 1024780 | 460408 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13036148 | Total |
| Program Services | 8994944 | ProgramServices |
| Management And General | 4041204 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 110450704 | Total |
| Program Services | 91130694 | ProgramServices |
| Management And General | 19320010 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3264557 | BOY |
| EOY | 130836 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11987861 | BOY |
| EOY | 11341985 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5247792 | BOY |
| EOY | 4775584 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1542740 | BOY |
| EOY | 1624950 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 706708 | BOY |
| EOY | 907311 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 92694669 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 55069750 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39457868 | BOY |
| EOY | 37624919 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24686378 | BOY |
| EOY | 28775634 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6304572 | BOY |
| EOY | 6353946 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 93198476 | BOY |
| EOY | 91535165 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9796005 | BOY |
| EOY | 9342958 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40795575 | BOY |
| EOY | 39752910 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6109000 | BOY |
| EOY | 6284685 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8700638 | BOY |
| EOY | 5597022 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 65401218 | BOY |
| EOY | 60977575 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27797258 | BOY |
| EOY | 30557590 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27797258 | BOY |
| EOY | 30557590 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 93198476 | BOY |
| EOY | 91535165 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 2290072 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 470260 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed4955 Tax | false | Form4720Filed4955Tax |
| Correction Made | false | CorrectionMade |
| Form1120 Pol Filed | false | Form1120PolFiled |
| Form4720 Filed | false | Form4720Filed |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | true | GrantsOtherOrganizations |
| Grants Other Organizations | $14,061 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | true | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 14061 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
| Substantially All Dues Nondeduct | false | SubstantiallyAllDuesNondeduct |
| Only In House Lobbying | false | OnlyInHouseLobbying |
| Agree To Carryover Prior Year | false | AgreeToCarryoverPriorYear |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | SCHEDULE C, PART II-B, LINE 1I | ReturnReference |
| Explanation | NANTICOKE MEMORIAL HOSPITAL PAYS DUES TO AHA AND DEHA: THE AMERICAN HOSPITAL ASSOCIATION AND THE DELAWARE HEALTHCARE ASSOCIATION. FOR 2010 THE AMOUNT OF DUES RELATING TO LOBBYING ACTIVITES WAS 14,061. NANTICOKE MEMORIAL HOSPITAL'S MANAGEMENT ALSO CORRESPONDS WITH OUR STATE AND FEDERAL LEGISLATORS REGARDING PENDING LEGISLATION AND REGULATIONS THAT MAY FINANCIALLY IMPACT THE HOSPITAL AND ITS ABILITY TO PROVIDE QUALITY HEALTHCARE TO THE COMMUNITY. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disclosed Orgs Legal Control | false | DisclosedOrgsLegalControl |
| Disclosed For Charitable Purposes | false | DisclosedForCharitablePurposes |
| Written Policy Monitoring | false | WrittenPolicyMonitoring |
| Sect170h Requirements Satisfied | false | Sect170hRequirementsSatisfied |
| Solicited Assets For Sale | false | SolicitedAssetsForSale |
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | false | IncludedOnFS |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 92694669 | InvestmentCostOrOtherBasis |
| Depreciation | 55069750 | Depreciation |
| Book Value | 37624919 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 37624919 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DEBT SERVICE FUND | 4042926 |
| DEFERRED FINANCING COSTS, NET | 1069265 |
| PENSION PLAN | 698124 |
| PRIN & INT SINKING FUND | 543631 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 6353946 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACC POST-RETIRE LIABILITY | $5,237,834 |
| INTEREST PAYABLE | $359,188 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 5597022 | TotalOfAmounts |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 1.75000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2004 | PersonsServed |
| Total Community Benefit Expense | 2775950 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2775950 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02510 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 36918 | PersonsServed |
| Total Community Benefit Expense | 27330399 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 19908903 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7421496 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06720 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 38922 | PersonsServed |
| Total Community Benefit Expense | 30106349 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 19908903 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10197446 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09230 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 320 | NumberOfActivitiesOrPrograms |
| Persons Served | 24887 | PersonsServed |
| Total Community Benefit Expense | 794334 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 794334 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00720 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 350 | NumberOfActivitiesOrPrograms |
| Persons Served | 4000 | PersonsServed |
| Total Community Benefit Expense | 167860 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 167860 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00150 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 670 | NumberOfActivitiesOrPrograms |
| Persons Served | 28887 | PersonsServed |
| Total Community Benefit Expense | 962194 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 962194 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00870 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 670 | NumberOfActivitiesOrPrograms |
| Persons Served | 67809 | PersonsServed |
| Total Community Benefit Expense | 31068543 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 19908903 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11159640 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10100 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 150 | NumberOfActivitiesOrPrograms |
| Persons Served | 150 | PersonsServed |
| Total Community Building Expense | 421797 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 421797 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00380 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 150 | NumberOfActivitiesOrPrograms |
| Persons Served | 150 | PersonsServed |
| Total Community Building Expense | 421797 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 421797 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00380 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $4,352,830 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 35130549 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 38716400 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -3585851 | 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 | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | 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 |
Form990 Schedule H Part VI Form990ScheduleHPartVI (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| COMMUNITY BUILDING ACTIVITIES | PART II | THE COMMUNITY BENEFIT COMMITTEE CBC OF THE BOARD CONTINUES TO TARGET COMMUNITY EDUCATION FOR STROKE CANCER AND DIGITAL MAMMOGRAPHY THESE TOPICS HAVE BEEN IDENTIFIED AS NEEDS WITHIN THE COMMUNITY THAT ALIGN WITH CURRENT NHS INITIATIVES IN ADDITION THE CBC USING THE DATA COMPLIED FOR THE OCTOBER 2010 CHA HAS DEVELOPED OUTREACH INITIATIVES SPECIFICALLY TARGETING DIABETES AND OBESITY THE CBC HAS ALSO FORMED A LATINO OUTREACH COMMITTEE CHARGED TO DEVELOP HEALTH EDUCATION AND OUTREACH FOR THE AREAS GROWING HISPANIC POPULATION |
| BAD DEBT EXPENSE EXPLANATION | 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 HOSPITALS POLICY IS TO HAVE A MINIMUM OF 2 3 STATMENTS AND A FINAL NOTICE BEFORE SENDING PATIENT ACCOUNTS TO COLLECTIONS ADDITIONALLY ACCOUNTS GREATER THAN 500 ARE ATTEMPTED TO BE REACHED BY TELEPHONE |
| MEDICARE EXPLANATION | PART III LINE 8 | THE ENTIRE SHORTFALL RELATED TO MEDICARE REPORTED ON LINE 7 PART III SHOULD BE CONSIDERED A COMMUNITY BENEFIT NANTICOKE MEMORIAL HOSPITAL IS BEARING THE BURDEN OF PROVIDING CARE IN EXCESS OF OUR COSTS TO THESE MEDICARE PATIENTS |
| NEEDS ASSESSMENT | PART VI | 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 WOMENS AND CHILDRENS 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 ONGOING BASIS |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | PART VI | NANTICOKE MEMORIAL HOSPITAL PROVIDES INFORMATION IN THEIR PATIENT INFORMATION AND VISITORS GUIDE UNDER THE FINANCIAL ARRANGEMENTINSURANCE 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 PATIENTS WITHOUT ANY HEALTH INSURANCE ARE INFORMED AND SCREENED FOR 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 OUTREACH AND PRESCRIPTION ASSISTANCE PROGRAM |
| COMMUNITY INFORMATION | PART VI | SEE ATTACHED STATEMENT |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | false | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AMERICAN CANCER SOCIETY | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 163 | AddressLine1 |
| City | SALISBURY | City |
| State | MD | State |
| ZIP Code | 21803 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 580659875 | EINOfRecipient |
| IRC Section | 3 | IRCSection |
| Amount Of Cash Grant | 7000 | AmountOfCashGrant |
| Purpose Of Grant | CANCER RESEARCH | PurposeOfGrant |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | 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 | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|---|---|---|
| STEVEN ROSE | ||||
| 371154 | 45000 | 42500 | 68333 | 526987 |
| DARR HALL | ||||
| 205514 | 21956 | 16500 | 35040 | 279010 |
| THERESA DRYE | ||||
| 196297 | 2683 | 9450 | 208430 | |
| THOMAS BROWN | ||||
| 176207 | 13261 | 16500 | 26778 | 232746 |
| DON TRICARICO | ||||
| 136511 | 13335 | 5604 | 19163 | 174613 |
| PENNY SHORT | ||||
| 142232 | 3005 | 16500 | 30345 | 192082 |
| ROBERT FERBER MD | ||||
| 230779 | 29442 | 260221 | ||
| ABIMBOLA OLOWO MD | ||||
| 222951 | 29394 | 252345 | ||
| MAUSHUMI BAROOAH MD | ||||
| 192689 | 12426 | 205115 | ||
| IMRAN JANJUA MD | ||||
| 186375 | 15493 | 201868 | ||
| MEREDITH ARTHUR | ||||
| 182952 | 8236 | 191188 | ||
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION | FORM 990 - ORGANIZATION'S MISSION | NANTICOKE MEMORIAL HOSPITAL OPERATES IN A MANNER CONSISTENT WITH THE REQUIREMENTS OF REVENUE RULING 69-545, THROUGH ITS PROVISION OF HEALTH CARE SERVICES TO THE COMMUNITY, REGARDLESS OF ABILITY TO PAY. |
| ADDITIONAL INFORMATION | FORM 990 | NANTICOKE MEMORIAL HOSPITAL PAID PENCO CORPORATION 37,783 FOR PLUMBING SUPPLIES, DURING 2010, IN THE ORDINARY COURSE OF BUSINESS. KENT PETERSON IS A BOARD MEMBER OF NANTICOKE MEMORIAL HOSPITAL AND A SHAREHOLDER OF PENCO CORPORATION. |
| RELATED PARTY INFORMATION AMONG OFFICERS | FORM 990, PAGE 6, PART VI, LINE 2 | PENNY SHORT DANNY SHORT CNO DIRECTOR IN-LAWS |
| CLASSES OF MEMBERS OR STOCKHOLDERS | FORM 990, PAGE 6, PART VI, LINE 6 | NANTICOKE HEALTH SERVICES, INC IS THE SOLE SHAREHOLDER. |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | A COPY OF THE FORM 990 IS PROVIDED TO EACH MEMBER OF THE BOARD OF DIRECTORS BEFORE BEING FILED. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | ANNUAL DISCLOSURES ARE REVIEWED BY THE FINANCE DEPARTMENT. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | FORM 990, PAGE 6, PART VI, LINE 15A | 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 PERFOMANCE, 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 THE 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. |
| COMPENSATION PROCESS FOR OFFICERS | FORM 990, PAGE 6, PART VI, LINE 15B | SEE QUESTION 15A, ABOVE. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC VIA ANOTHER'S WEB-SITE AND UPON REQUEST. |
| OTHER EXPENSES | FORM 990, PART IX, LINE 24F | PURCH SRVCS-ANESTHESIA 1,362,495 MGMT FEES-PHARMACY 991,481 PURCH SRVCS-CANCER CARE 873,131 PURCH SRVCS-BIO-MEDICAL 806,701 LAB EXPENSE 700,856 PURCH SRVCS-MED RECORDS 634,397 PURCH SRVCS-PRINT SHOP 588,679 PURCH SRVCS-RADIOLOGY 568,075 MISCELLANEOUS 526,210 EMER &TRAUMA EXPENSE 518,299 PURCH SRVCS-WOUND CARE 431,363 PURCH SRVCS-HOUSEKEEPING 429,900 RECRUITMENT 421,797 COLLECTION/BANK FEES 370,352 PURCH SRVCS-OTHER HEALTHC 331,397 TELEPHONE 306,716 POSTAGE 263,213 PURCH SRVCS-LINEN 262,889 PURCH SRVCS-FACILITIES 259,193 PURCH SRVCS-DIALYSIS 233,824 PURCH SRVCS- HUMAN RES 220,952 PURCH SRVCS-FOOD SRVC 198,377 CASH MANAGEMENT FEES 156,088 PURCH SRVCS-HOSPITALISTS 151,764 PROF FEES-CANCER CARE 150,000 MGMT FEES-FACILITIES 145,005 PURCH SRVCS-BUS OFFICE 142,000 PROF FEES-HUMAN RESOURCES 137,703 PURCH SRVCS-COMP MGMT 135,183 OTHER PHYSICIAN FEES 132,128 PROF FEES-ADMIN 127,866 PURCH SRVCS-MATL MGMT 122,529 TRASH REMOVAL 90,245 PURCH SRVCS-ACCOUNTING 74,770 BOARD EXPENSE 66,080 PURCH SRVCS-PT EXPERIENCE 39,074 OTHER PROFESSIONAL FEES 38,027 PURCH SRVCS-OCCUP HLTH 27,389 |
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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Business Name Line2DirectControllingEntityName/BusinessNameLine2 | Controlled OrgControlledOrg | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NANTICOKE HEALTH SERVICES INC | |||||||||||||||
| 801 MIDDLEFORD ROAD | SEAFORD | DE | 19973 | 510293888 | HEALTH SER | DE | 501C3 | 11B | NANTICOKE | HEALTH SERVICES | false | ||||
| NANTICOKE ALTERNATIVE CARE INC | |||||||||||||||
| 801 MIDDLEFORD ROAD | SEAFORD | DE | 19973 | 510328654 | HEALTH SER | DE | 501C3 | 9 | NANTICOKE | HEALTH SERVICES | true | ||||
| MID-SUSSEX MEDICAL CENTER INC | |||||||||||||||
| 801 MIDDLEFORD ROAD | SEAFORD | DE | 19973 | 510224470 | HEALTH SER | DE | 501C3 | 9 | NANTICOKE | HEALTH SERVICES | true | ||||
| DUAL DEVELOPMENT CORP | |||||||||||||||
| 801 MIDDLEFORD ROAD | SEAFORD | DE | 19973 | 510293892 | PROPERTY | DE | 501C3 | 11B | NANTICOKE | HEALTH SERVICES | true | ||||
| NANTICOKE INSURANCE CO | |||||||||||||||
| 980446259 | INSURANCE | NANTICOKE | HEALTH SERVICES | true | PO BOX 1109 GT | GEORGE TOWN | CJ | CJ | |||||||
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROPRIETARY ENTERPRISES INC | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| DUAL DEVELOPMENT | ||
| J | 933453 | CASH |
| NANTICOKE INSURANCE CO | ||
| L | 1433030 | CASH |