2026-05-15T13:15:21-05:00 2025-06-30 991856619 GRANT THORNTON ADVISORS LLC 1000 WILSON BOULEVARD SUITE 1500 ARLINGTON VA 22209 990 2024-07-01 510069243 TIDALHEALTH NANTICOKE INC TIDA 3026296611 801 MIDDLEFORD ROAD SEAFORD DE 19973 BENNY STOVER CFO 4105466400 2026-05-15 1 1 MARY TORRETTA P00847851 7038477500 2024 2025-03-06 01:10:19Z PENNY SHORT 801 MIDDLEFORD ROAD SEAFORD DE 19973 283617673 0 X WWW.TIDALHEALTH.ORG X 1945 DE IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. 13 7 0 67 0 0 3666668 13385005 166538172 228635247 560174 2477262 2508446 1475397 173273460 245972911 15000 5500 0 0 72774001 84624934 0 0 558142 98738764 149479539 171527765 234109973 1745695 11862938 163510252 185603047 22376528 7033181 141133724 178569866 X IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. 0 0 210141504 5500 228635247 SEE SCHEDULE O 210141504 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 13 7 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 DE X DEAN A SWINGLE DIRECTOR OF FINANCE 3022972444 613 HIGH STREET SEAFORD DE 19973 STEVEN LEONARD BOARD MEMBER/TIDALHEALTH PRESIDENT 1.00 51.00 X 0 1341372 309149 RICHARD SIMONS DO BOARD MEMBER 50.00 0.00 X 0 830952 84316 PENNY SHORT PRESIDENT 50.00 0.00 X X 0 565170 98106 FRANCISCO PADILLA QUIROZ MD BOARD MEMBER/MED. STAFF PRES. 50.00 0.00 X 0 402739 47099 SANDRA PALAVECINO MD BOARD MEMBER/PHYSICIAN 50.00 0.00 X 0 330533 36647 MARIA LEHMAN CHAIRPERSON 5.00 1.00 X X 0 0 0 MICHELE PROCINO-WELLS IMMEDIATE PAST CHAIRPERSON 1.00 1.00 X X 0 0 0 ANDREW HARTSTEIN SECRETARY 1.00 0.00 X X 0 0 0 FREDERICK MAST BOARD MEMBER 1.00 0.00 X 0 0 0 TRACY TULL NEILSON BOARD MEMBER 1.00 0.00 X 0 0 0 TAMMY PAXTON BOARD MEMBER THRU 12/24 1.00 0.00 X 0 0 0 DOUG POTVIN BOARD MEMBER 1.00 0.00 X 0 0 0 SEAN STEWARD BOARD MEMBER 1.00 0.00 X 0 0 0 VELMA NORWOOD BOARD MEMBER AS OF 01/25 1.00 0.00 X 0 0 0 STEPHANIE GARY V.P. FINANCE/CFO 1.00 53.00 X 0 656804 61476 TRUDY HALL MD V.P. CHIEF MEDICAL OFFICER 1.00 51.00 X 0 699113 65960 DENISE JESTER SENIOR DIRECTOR 40.00 0.00 X 0 197766 51584 ANGELA BRITTINGHAM CHIEF NURSING OFFICER 1.00 50.00 X 0 373531 80434 0 5397980 834771 0 0 1 0 0 691972 12693033 13385005 PATIENT REVENUE 622110 223933820 223933820 AMBULATORY PHARMACY 623000 4701427 4701427 228635247 940149 940149 534870 347666 187204 187204 187204 38709798 124411 37052917 244179 1656881 -119768 1537113 1537113 CAFETERIA 623000 974868 974868 MISCELLANEOUS 623000 313325 313325 1288193 245972911 228635247 0 3952659 X 5500 5500 2593811 2330046 257576 6189 66812898 60018694 6634788 159416 10214523 9175808 1014343 24372 5003702 4494875 496888 11939 38500 38500 121261 121261 180767 180767 27309202 24675643 2568017 65542 410365 368635 40751 979 2482789 2230314 246551 5924 6348555 5702970 630437 15148 3010164 2704061 298921 7182 50103 45008 4975 120 410 368 41 1 2143976 1925955 212905 5116 8495026 7631167 843590 20269 2625913 2358884 260764 6265 DRUGS 52239780 46927517 5187619 124644 MEDICAL SUPPLIES 26232233 23564677 2604966 62590 MISCELANEOUS EXPENSES 14634621 13146429 1453276 34916 BAD DEBT EXPENSE 2002759 1799098 198882 4779 1153115 1035855 114509 2751 234109973 210141504 23410327 558142 1171843 1902233 36074 19863751 29002100 5471739 7407123 481848 977672 138178343 45723297 86876502 92455046 48559712 53208407 1084857 614392 163510252 185603047 6277993 6332321 16098535 700860 22376528 7033181 X 141133724 178569866 141133724 178569866 163510252 185603047 X 11862938 2227133 23346071 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 141300 0 1 18461 159761 0 PART II-B, LINE 1: SCHEDULE C, PART II-B, LINE 1G TIDALHEALTH NANTICOKE ENGAGED A CONSULTING FIRM TO ASSIST THE HOSPITAL MAINTAINING ITS MEDICARE DEPENDENT HOSPITAL (MDH) STATUS. SCHEDULE C, PART II-B, LINE 1I TIDALHEALTH NANTICOKE PAYS DUES TO AHA AND DEHA: AMERICAN HOSPITAL ASSOCIATION (AHA) AND DELAWARE HEALTHCARE ASSOCIATION (DEHA), A PERCENTAGE OF WHICH WAS USED FOR LOBBYING PURPOSES. AS SUCH, THE ORGANIZATION HAS REPORTED THIS AMOUNT ON SCHEDULE C, PART IV AS LOBBYING ACTIVITIES. TIDALHEALTH NANTICOKE'S MANAGEMENT ALSO CORRESPONDS WITH 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. 7723189 7723189 72173186 19098453 53074733 45795804 25793719 20002085 12486164 831125 11655039 92455046 PENSION BENEFIT OBLIGATION 377839 LEASE LIABILITY 323021 700860 X PART X, LINE 2: LIABILITY FOR UNCERTAIN TAX POSITIONS (ASC 740) THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TIDALHEALTH, INC. THE RELEVANT TEXT OF THE INCOME TAX FOOTNOTE FROM THOSE FINANCIALS IS: THE HEALTH SYSTEM HAS DETERMINED THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2025 AND 2024. 1 1 1 X 1 X 1 1 1 0 0 2973033 2973033 0.01280 40481891 23419877 17062014 0.07350 43454924 23419877 20035047 0.08630 15050 15050 0.00010 13062462 13062462 0.05630 45220 45220 0.00020 13122732 13122732 0.05660 56577656 23419877 33157779 0.14290 1 2002759 55995718 56024137 -28419 X 1 1 1 1 TIDALHEALTH NANTICOKE 801 MIDDLEFORD ROAD SEAFORD DE 19973 WWW.TIDALHEALTH.ORG HSPTL-008 X X X TIDALHEALTH NANTICOKE 1 0 0 1 X X X X X X X X 25 1 1 1 1 X SEE SUPPLEMENTAL INFORMATION X HTTP://HEALTHYDELMARVA.ORG X X 1 25 1 SEE SUPPLEMENTAL INFORMATION 0 1 X 200.000000000000 300.000000000000 X X X X 1 1 X X X X 1 X SEE SUPPLEMENTAL INFORMATION X SEE SUPPLEMENTAL INFORMATION X SEE SUPPLEMENTAL INFO X X X X X X 1 X 0 X X X X 1 X 0 0 TIDALHEALTH NANTICOKE PART V, SECTION B, LINE 5: CONSULTING REPRESENTATIVES OF THE COMMUNITY SERVED BY THE HOSPITALIN 2024, TIDALHEALTH RETAINED ASCENDIENT HEALTHCARE ADVISORS, A HEALTHCARE CONSULTING FIRM, TO FACILITATE AND SUPPORT A NEW COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) THAT WILL COVER THE MARYLAND COMMUNITY BENEFITS SERVICE AREA OF SOMERSET, WICOMICO AND WORCESTER COUNTIES AND SUSSEX COUNTY, DELAWARE. THE CHNA WAS COMPLETED BY ASCENDIENT IN MAY 2025 AND PLACED ON TIDALHEALTH'S WEBSITE ALONG WITH THE PREVIOUS VERSION FOR PUBLIC ACCESS AFTER APPROVAL BY THE BOARDS OF DIRECTORS IN JULY.SYSTEM DESCRIPTIONTIDALHEALTH IS ANCHORED BY TWO HOSPITALS, TIDALHEALTH PENINSULA REGIONAL AND TIDALHEALTH NANTICOKE. IN ADDITION, TIDALHEALTH INCLUDES A LARGE PHYSICIAN NETWORK OF 300 PLUS PROVIDERS WITH OVER 32 LOCATIONS. TIDALHEALTH WAS FORMED WHEN THE FORMER PENINSULA REGIONAL MEDICAL CENTER, NANTICOKE MEMORIAL HOSPITAL IN SEAFORD, DE AND MCCREADY MEMORIAL HOSPITAL IN CRISFIELD, MD, UNITED TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE.EFFECTIVE JANUARY 1, 2020, TIDALHEALTH NANTICOKE AND TIDALHEALTH PHYSICIAN NETWORK, INC. LOCATED IN SEAFORD, DELAWARE, JOINED TIDALHEALTH. TIDALHEALTH NANTICOKE HAS 139 LICENSED ACUTE CARE BEDS (99 CURRENTLY OPERATED) AND PRIMARILY SERVES THE WESTERN SUSSEX COUNTY, DELAWARE PORTION OF THE HEALTH SYSTEM'S PRIMARY SERVICE AREA. TIDALHEALTH PHYSICIAN NETWORK PROVIDES OUTPATIENT MEDICAL SERVICES IN WESTERN SUSSEX COUNTY AND FEDERALSBURG, MD. EFFECTIVE MARCH 2020, MCCREADY FOUNDATION, INC., WHICH CONSISTED OF A THREE BED HOSPITAL, ALICE BYRD TAWES NURSING HOME, A 76-LICENSED BED SKILLED NURSING HOME AND CHESAPEAKE COVE ASSISTED LIVING CENTER IN CRISFIELD, MD, BECAME PART OF TIDALHEALTH. THE MCCREADY HOSPITAL DIVISION WAS MERGED INTO TIDALHEALTH PENINSULA REGIONAL AND LIMITED ITS FUNCTIONS TO THOSE CONSISTENT WITH STATUS AS A FREE-STANDING MEDICAL CENTER. HEALTHY COMMUNITIES INSTITUTE AND TIDALHEALTH PENINSULA REGIONAL HAVE COLLABORATED SINCE 2012 TO DEVELOP THE TIDALHEALTH CREATING HEALTHY COMMUNITIES' PLATFORM. CHNA PARTNERSHIPTHE LOCAL CHNA PARTNERSHIP COMBINED PRIMARY AND SECONDARY DATA TO INFORM ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE CHNA PROVIDES AN UNDERSTANDING OF THE HEALTH STATUS, QUALITY OF LIFE, AND RISK FACTORS OF OUR COMMUNITY THROUGH FINDINGS FROM QUALITATIVE AND SECONDARY DATA ANALYSIS. THE THEMES AND STRENGTHS PROVIDE INSIGHTS ABOUT WHAT TOPICS AND ISSUES COMMUNITY MEMBERS FEEL ARE IMPORTANT, HOW THEY PERCEIVE THEIR QUALITY OF LIFE, AND WHAT ASSETS THEY BELIEVE CAN BE USED TO IMPROVE HEALTH. FINDINGS FROM BOTH PRIMARY AND SECONDARY DATA HELPED TO FORM THE TOP COMMUNITY HEALTH NEEDS. EACH TYPE OF DATA WAS ANALYZED USING A DEFINED METHODOLOGY. PRIMARY DATA WAS OBTAINED THROUGH A COMMUNITY SURVEY, FOCUS GROUPS, AND KEY INFORMANT INTERVIEWS. SECONDARY DATA ARE HEALTH INDICATOR DATA THAT HAVE BEEN COLLECTED BY OTHER SOURCES, SUCH AS NATIONAL AND STATE LEVEL GOVERNMENT ENTITIES, AND MADE AVAILABLE FOR ANALYSIS.PRIMARY DATA COLLECTIONTO ENSURE THE PERSPECTIVES OF COMMUNITY MEMBERS WERE CONSIDERED, INPUT WAS COLLECTED FROM ALL THREE COUNTIES IN THE TRI-COUNTY REGION AND SUSSEX COUNTY, DE. PRIMARY DATA USED IN THIS ASSESSMENT CONSISTED OF AN ONLINE COMMUNITY SURVEY, ONLINE STAKEHOLDER SURVEY, ONLINE AND IN-PERSON FOCUS GROUPS, AND KEY INFORMANT INTERVIEWS. THE FINDINGS FROM THIS DATA EXPANDED UPON INFORMATION GATHERED FROM THE SECONDARY DATA ANALYSIS TO INFORM THIS COMMUNITY HEALTH NEEDS ASSESSMENT. FOCUS GROUPSTHE PROJECT TEAM DEVELOPED A FOCUS GROUP GUIDE MADE UP OF A SERIES OF QUESTIONS AND PROMPTS ABOUT THE HEALTH AND WELL-BEING OF RESIDENTS IN THE TRI-COUNTY REGION AND SUSSEX COUNTY, DE. ALL PARTICIPANTS VOLUNTEERED. ADVERTISEMENT WAS DONE VIA SOCIAL MEDIA, PRESS RELEASES AND FLYERS. VIRTUAL FOCUS GROUPS WERE HELD FOR RESIDENTS IN EACH OF THE REGION'S FOUR COUNTIES. ADDITIONALLY, IN-PERSON FOCUS GROUPS WERE HELD WITH INDIVIDUALS REPRESENTING THE HISPANIC, HAITIAN, AND OLDER ADULT RESIDENTS OF THE DELMARVA REGION. COMMUNITY MEMBERS WERE ASKED TO SPEAK ABOUT BARRIERS AND ASSETS TO THEIR HEALTH AND ACCESS TO HEALTHCARE. A TOTAL OF 53 PEOPLE PARTICIPATED IN THE FOCUS GROUPS. FACILITATORS IMPLEMENTED TECHNIQUES TO ENSURE THAT EVERYONE WAS ABLE TO PARTICIPATE IN THE DISCUSSIONS.KEY INFORMANT INTERVIEWSASCENDIENT HEALTHCARE ADVISORS' CONSULTANTS CONDUCTED KEY LEADER INTERVIEWS. INTERVIEWEES WHO WERE ASKED TO PARTICIPATE WERE RECOGNIZED AS HAVING EXPERTISE IN PUBLIC HEALTH, SPECIAL KNOWLEDGE OF COMMUNITY HEALTH NEEDS, AND/OR REPRESENTED THE BROAD INTEREST OF THE COMMUNITY SERVED BY THE HOSPITALS AND HEALTH DEPARTMENTS, AND/OR COULD SPEAK TO THE NEEDS OF MEDICALLY UNDERSERVED OR VULNERABLE POPULATIONS. A TOTAL OF 9 KEY INFORMANT INTERVIEWS WERE CONDUCTED DURING THE PRIMARY DATA COLLECTION PHASE BETWEEN NOVEMBER 2024 AND FEBRUARY 2025. INTERVIEWEES WERE ASKED QUESTIONS ABOUT THE COMMUNITY THEY SERVE, SPECIFICALLY RELATING TO HEALTH, SOCIAL, AND ENVIRONMENTAL ISSUES, AND ACCESS TO HEALTHCARE CHALLENGES AND BARRIERS. COMMUNITY SURVEYCOMMUNITY INPUT WAS COLLECTED VIA AN ONLINE COMMUNITY SURVEY. COMMUNITY MEMBERS AGED 18 OR OLDER WERE INVITED TO PARTICIPATE IN THE ONLINE SURVEY. INPUT FROM RESIDENTS WAS GATHERED ON A VARIETY OF TOPICS INCLUDING PERCEPTIONS ABOUT THE MOST SIGNIFICANT HEALTH AND SOCIAL NEEDS IN THE COMMUNITY, PERSONAL HEALTH STATUS, EXPERIENCES SEEKING AND RECEIVING HEALTHCARE SERVICES, PERCEIVED BARRIERS TO ACCESSING HEALTHCARE SERVICES, WHERE THEY SEEK AND RECEIVE HEALTH INFORMATION, AND HEALTH LITERACY. A TOTAL OF 1,274 RESIDENTS PARTICIPATED IN THE SURVEY.KEY LEADER SURVEYA KEY LEADER SURVEY WAS DISSEMINATED TO KEY LEADERS ACROSS THE REGION TO GATHER INSIGHTS ON SEVERAL TOPICS. THIS SURVEY ASKED RESPONDENTS FOR PERCEPTIONS AROUND GREATEST HEALTH AND SOCIAL CHALLENGES IMPACTING THE REGION, WHETHER THESE ISSUES HAVE BEEN CHANGING OVER THE PAST SEVERAL YEARS, BARRIERS TO HEALTHCARE AND OTHER SERVICES, RESOURCES CURRENTLY AVAILABLE IN THE COMMUNITY TO ADDRESS KNOWN CHALLENGES, AND MORE. A TOTAL OF 28 PEOPLE PARTICIPATED IN THE KEY LEADER SURVEY. TIDALHEALTH NANTICOKE PART V, SECTION B, LINE 6A: THE ORGANIZATION'S CHNA WAS CONDUCTED AS PART OF TIDALHEALTH'S CHNA OF THE GREATER AREA WHICH INCLUDED TIDALHEALTH PENINSULA REGIONAL. TIDALHEALTH NANTICOKE PART V, SECTION B, LINE 6B: CHNA CONDUCTED WITH ONE OR MORE ORGANIZATIONS OTHER THAN HOSPITAL FACILITIESA PARTNERSHIP WAS FORMED BETWEEN TIDALHEALTH, SOMERSET COUNTY HEALTH DEPARTMENT (SCHD), AND WICOMICO COUNTY HEALTH DEPARTMENT (WICHD) FOR THE BENEFIT OF THE COMMUNITY. THESE ORGANIZATIONS HAVE BEEN PARTNERING TOGETHER ON LOCAL HEALTH ASSESSMENT EFFORTS SINCE 1995. TWO OF THE ORGANIZATIONS ARE REQUIRED TO COMPLETE A CHNA.IN MAY OF 2025, TIDALHEALTH, SCHD, AND WICHD PUBLISHED THEIR 2025 CHNA. THE CHNA REPORT PROVIDES AN OVERVIEW OF SIGNIFICANT HEALTH NEEDS IN THE TRI-COUNTY SERVICE AREA AND ALSO SUSSEX COUNTY, DELAWARE. THIS CHNA REPORT WAS DEVELOPED TO PROVIDE AN OVERVIEW OF THE HEALTH NEEDS IN THE TRI-COUNTY SERVICE AREA, INCLUDING SOMERSET, WICOMICO, AND WORCESTER COUNTIES IN MARYLAND AND SUSSEX COUNTY, DELAWARE. TIDALHEALTH, SCHD, AND WICHD PARTNERED WITH ASCENDIENT HEALTHCARE ADVISORS TO CONDUCT THE CHNA. THE GOAL OF THIS REPORT IS TO OFFER A MEANINGFUL UNDERSTANDING OF THE GREATEST HEALTH NEEDS ACROSS THE FOUR COUNTY SERVICE AREA, AS WELL AS TO GUIDE PLANNING EFFORTS TO ADDRESS THOSE NEEDS. SPECIAL ATTENTION HAS BEEN GIVEN TO IDENTIFY HEALTH DISPARITIES, NEEDS OF THE VULNERABLE POPULATIONS, UNMET HEALTH NEEDS OR GAPS IN SERVICES, AND INPUT FROM THE COMMUNITY.PART V, LINE 7A: CHNA ON HOSPITAL FACILITY'S WEBSITEHTTPS://WWW.TIDALHEALTH.ORG/COMMUNITY-OUTREACH-PARTNERS/COMMUNITY-HEALTH-RESEARCH-DATAPART V, SECTION B, LINE 7D: PUBLIC AVAILABILITY OF TIDALHEALTH CHNA A PAPER COPY IS MADE AVAILABLE TO THE PUBLIC AT SEVERAL LOCATIONS WITHIN THE HOSPITAL FOR PUBLIC INSPECTION. THE PUBLIC CAN VIEW THE RESULTS OF OUR COMMUNITY HEALTH NEEDS ASSESSMENT ONLINE, AS WELL AS OUR ACTION PLAN OF STEPS WE PLAN TO TAKE BASED ON THE INFORMATION GATHERED IN THE ASSESSMENT. IN ADDITION, A COMMUNITY HEALTH DATA AND RESOURCES SECTION CAN BE ACCESSED BY THE PUBLIC. AS PART OF THIS CREATING HEALTHY COMMUNITIES, A MODULE IS AVAILABLE TO THE PUBLIC IN WHICH THEY CAN EXPLORE MULTIPLE DASHBOARDS THAT PROVIDE A GAUGE TO THE HEALTH OF THE COMMUNITIES SERVED, SOCIO-DEMOGRAPHICS AND PROMISING PRACTICES. THE DASHBOARDS INCLUDE FEATURES SUCH AS A CHNA GUIDE, HEALTH DATA, DEMOGRAPHIC DATA, HEALTH DISPARITIES, SOCIO NEEDS INDEXES, FINDING GRANTS, INDICATOR COMPARISONS, AND PROGRESS TRACKING. THIS IS AVAILABLE VIA A WEBSITE: HTTPS://WWW.HEALTHYDELMARVA.ORG. PART V, LINE 10A: IMPLEMENTATION STRATEGY ON HOSPITAL FACILITY'S WEBSITEHTTPS://WWW.TIDALHEALTH.ORG/COMMUNITY-OUTREACH-PARTNERS/COMMUNITY-HEALTH-RESEARCH-DATA TIDALHEALTH NANTICOKE HAS FINALIZED ITS 2026-2028 COMMUNITY HEALTH IMPROVEMENT PLAN, WHICH IS NOW PUBLISHED ON THE HOSPITAL'S WEBSITE. SOME NEW INITIATIVES HAVE BEEN INCLUDED IN THE UPDATED IMPLEMENTATION PLAN. SUCCESSFUL PROGRAMS AND INITIATIVES HAVE BEEN CARRIED OVER FROM THE PREVIOUS PLAN AS THEY HAVE PROVEN TO SUBSTANTIALLY IMPROVE THE HEALTH OF OUR COMMUNITIES. LOCAL HEALTH PARTNERSHIPS WILL ALSO REMAIN INTACT. TIDALHEALTH NANTICOKE PART V, SECTION B, LINE 11: HOW NEEDS IDENTIFIED IN THE CHNA ARE ADDRESSEDTIDALHEALTH NANTICOKE HAS A FIXED VALUE OF RESOURCES AVAILABLE, AND THE HOSPITAL FOCUSES THOSE RESOURCES TO THE AREAS WITH THE GREATEST IMPACT AND THOSE WHERE TIDALHEALTH HAS SPECIFIC EXPERTISE. THEREFORE, NOT ALL NEEDS, TO DATE, IDENTIFIED IN THE CHNA WERE ABLE TO BE ADDRESSED. NON-PRIORITIZED NEEDS INCLUDED CRIME AND CRIME PREVENTION, HOMELESSNESS AND UNSTABLE HOUSING, ORAL HEALTH, PREVENTION AND SAFETY. THESE NEEDS WERE NOT SELECTED BECAUSE THEY DID NOT MEET THE PRIORITIZATION CRITERIA AS STRONGLY AS THE SELECTED TOPICS. OTHER NEEDS WERE SELECTED BECAUSE OF GREATER IMPACT AND CAPACITY TO ADDRESS. EVEN THOUGH NOT ALL IDENTIFIED NEEDS ARE ADDRESSED SPECIFICALLY IN THE "IMPLEMENTATION STRATEGY COMMUNITY BENEFITS" PLAN, THERE ARE POPULATION HEALTH INITIATIVES ADOPTED THROUGH THE HEALTH SYSTEM'S STRATEGIC PLAN THAT PROMOTE HEALTH AND WELL-BEING WITHIN THE COMMUNITY, AND ADDRESS NEEDS WITHIN THE CHNA.BASED ON THE SIGNIFICANT NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT, THE FOLLOWING IMPLEMENTATION INITIATIVES WERE DEVELOPED AND OUTLINED IN OUR 2026-2028 IMPLEMENTATION STRATEGY PLAN FOR TIDALHEALTH AND ALSO IN THE COMMUNITY HEALTH IMPROVEMENT PLAN FOR SOMERSET COUNTY HEALTH DEPARTMENT AND WICOMICO COUNTY HEALTH DEPARTMENT. THIS REPORT WAS PRESENTED AND APPROVED BY THE HOSPITAL'S BOARD OF DIRECTORS AND LOCAL HEALTH IMPROVEMENT COALITIONS AND WAS PUBLISHED IN SUMMER OF 2025.AFTER A THOROUGH REVIEW OF THE HEALTH STATUS IN OUR COMMUNITY THROUGH THE CHNA, WE IDENTIFIED AREAS THAT WE COULD ADDRESS USING OUR RESOURCES, EXPERTISE AND COMMUNITY PARTNERS. THE FOLLOWING ARE THE PRIORITIZED HEALTH NEEDS THAT WILL BE ADDRESSED:- HEALTHCARE ACCESS AND QUALITY- BEHAVIORAL HEALTH (PREVENTION AND TREATMENT FOR MENTAL HEALTH AND MENTAL DISORDERS AS WELL AS SUBSTANCE ABUSE DISORDERS) - CHRONIC DISEASE AND WELLNESS TIDALHEALTH NANTICOKE PART V, SECTION B, LINE 13B: ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCEFINANCIAL ASSISTANCE POLICY: IN ACCORDANCE WITH STATE AND FEDERAL GUIDELINES, TIDALHEALTH WILL PROVIDE EMERGENCY AND MEDICALLY NECESSARY FREE AND/OR REDUCED-COST CARE TO PATIENTS WHO LACK HEALTH CARE COVERAGE OR WHOSE HEALTH CARE COVERAGE DOES NOT PAY THE FULL COST OF THEIR MEDICAL BILL. A PATIENT'S PAYMENT SHALL NOT EXCEED THE AMOUNT GENERALLY BILLED (AGB). ALL HOSPITAL REGULATED SERVICES (WHICH INCLUDES EMERGENCY AND MEDICALLY NECESSARY CARE) AT TIDALHEALTH PENINSULA REGIONAL WILL BE CHARGED CONSISTENTLY AS ESTABLISHED BY THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) WHICH EQUATES TO THE AMOUNTS GENERALLY BILLED (AGB) METHOD. ALL PATIENTS SEEN BY A TIDALHEALTH PROVIDER OR IN AN UNREGULATED AREA AT TIDALHEALTH PENINSULA REGIONAL OR ALL SERVICES AT TIDALHEALTH NANTICOKE HOSPITAL WILL BE CHARGED THE FEE SCHEDULE PLUS THE STANDARD MARK-UP WHICH IS THE AGB FOR TIDALHEALTH. SELF-PAY PATIENTS, FOR ALL SERVICES NOT REGULATED BY THE HSCRC, WILL RECEIVE A DISCOUNT TO REDUCE CHARGES TO THE AMOUNT TIDALHEALTH WOULD BE REIMBURSED BY MEDICARE WHICH IS THE PROSPECTIVE METHOD. FOR SELF-PAY PATIENTS, THE AMOUNT BILLED WILL NOT EXCEED THE MEDICARE FEE SCHEDULE FOR ALL UNREGULATED SERVICES.TIDALHEALTH WILL PROVIDE FREE MEDICALLY NECESSARY CARE TO PATIENTS WITH FAMILY INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. PATIENTS QUALIFYING FOR FINANCIAL ASSISTANCE BASED ON INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL HAVE NO COST FOR THEIR CARE AND THEREFORE PAY LESS THAN AGB.TIDALHEALTH WILL PROVIDE REDUCED-COST MEDICALLY NECESSARY CARE TO LOW-INCOME PATIENTS WITH FAMILY INCOME BETWEEN 200% AND 300% OF THE FEDERAL POVERTY LEVEL.TIDALHEALTH WILL PROVIDE REDUCED-COST MEDICALLY NECESSARY CARE TO LOW-INCOME PATIENTS WITH FAMILY INCOME BETWEEN 301% AND 500% OF THE FEDERAL POVERTY LEVEL WHO HAVE A MEDICAL HARDSHIP AS DEFINED BY MARYLAND LAW. MEDICAL HARDSHIP IS MEDICAL DEBT, INCURRED BY A FAMILY OVER A 12-MONTH PERIOD THAT EXCEEDS 25% OF THE FAMILY INCOME.PROCEDURE:IF A PATIENT IS UNABLE TO PAY DUE TO FINANCIAL RESOURCES, ALL EFFORTS WILL BE MADE TO HELP THE PATIENT OBTAIN ASSISTANCE THROUGH APPROPRIATE AGENCIES. IN THE EVENT THAT THE PATIENT HAS APPLIED FOR AND KEPT ALL NECESSARY APPOINTMENTS AND THIRD-PARTY ASSISTANCE IS NOT AVAILABLE, TIDALHEALTH WILL PROVIDE CARE AT REDUCED OR ZERO COST. WHEN NO THIRD-PARTY ASSISTANCE IS AVAILABLE TO COVER THE TOTAL BILL AND THE PATIENT INDICATES THAT THEY HAVE INSUFFICIENT FUNDS, FINANCIAL ASSISTANCE (FA) WILL BE OFFERED. THE UNIFORM FINANCIAL ASSISTANCE APPLICATION, FINANCIAL ASSISTANCE POLICY, PATIENT COLLECTION PRACTICE POLICY, AND PLAIN LANGUAGE SUMMARY, CAN BE OBTAINED BY ONE OF THE FOLLOWING WAYS:A. AVAILABLE FREE OF CHARGE AND UPON REQUEST BY CALLING (410) 543-7436 OR (877) 729-7762.B. ARE LOCATED IN THE REGISTRATION AREAS.C. DOWNLOADED FROM THE TIDALHEALTH WEBSITE: HTTPS://WWW.TIDALHEALTH.ORG/PATIENTS-VISITORS/BILLING-INSURANCE-MEDICAL-RECORDS/BILLING/TIDALHEALTH-FINANCIAL-ASSISTANCED. THE PLAIN LANGUAGE SUMMARY IS INSERTED IN THE ADMISSION PACKET AND WITH ALL PATIENT STATEMENTS.E. ANNUAL NOTIFICATION IN THE LOCAL NEWSPAPER.F. THE APPLICATION IS AVAILABLE IN ENGLISH, SPANISH, AND CREOLE. NO OTHER LANGUAGE CONSTITUTES A GROUP THAT IS 5% OR MORE, OR MORE THAN 1,000 RESIDENTS (WHICHEVER IS LESS) OF THE POPULATION IN OUR PRIMARY SERVICE AREA (WORCESTER, WICOMICO AND SOMERSET COUNTIES) FOR MARYLAND BASED ON U.S. CENSUS DATA. FOR DELAWARE, THE HOSPITAL POPULATION CONSIDERED WAS 5%.G. FOR PATIENTS WHO HAVE DIFFICULTY IN FILLING OUT AN APPLICATION, THE INFORMATION CAN BE TAKEN ORALLY BY CALLING (410) 912-6957 OR IN PERSON AT THE FINANCIAL COUNSELOR'S OFFICE LOCATED IN THE FRANK B. HANNA OUTPATIENT CENTER. PART V, LINES 16A, 16B & 16C: FINANCIAL ASSISTANCE POLICY. APPLICATION FORM, PLAIN LANGUAGE SUMMARY AVAILABLE ON THE HOSPITAL'S WEBSITEHTTPS://WWW.TIDALHEALTH.ORG/MEDICAL-CARE/FINANCIAL-ADMIN-SERVICES/BILLING/TIDALHEALTH-FINANCIAL-ASSISTANCE 3 1 - MEARS HEALTH CAMPUS 100 RAWLINS DRIVE SEAFORD DE 19973 MEDICAL FACILITY 2 - TIDALHEALTH FAMILY LAB 9111 ANTIQUE ALLEY BRIDGEVILLE DE 19933 LAB DRAWING STATION 3 - TIDALHEALTH FAMILY LAB 30549 SUSSEX HWY LAUREL DE 19956 LAB DRAWING STATION PART I, LINE 3C: OTHER METHOD USED IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCETIDALHEALTH NANTICOKE USES THE FPG IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. FINANCIAL ASSISTANCE IS ALSO CONSIDERED IF A PATIENT IS OVER INCOME CRITERION BUT HAS FINANCIAL HARDSHIP BASED ON MEDICAL DEBT. PATIENTS WHO ARE BENEFICIARIES/RECIPIENTS OF CERTAIN MEANS-TESTED SOCIAL SERVICES PROGRAM ADMINISTERED BY THE STATE OF THE PATIENT'S RESIDENCE ARE DEEMED TO HAVE PRESUMPTIVE ELIGIBILITY FOR TIDALHEALTH NANTICOKE'S FA PROGRAM. PART I, LINE 7, COLUMN (F): FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COSTTHE AMOUNT OF BAD DEBT EXPENSE EXCLUDED FROM THE DENOMINATOR IN THE COLUMN (F) PERCENTAGES IS $2,002,759.LINE 7B COLUMN (C) & (F):THE COST METHODOLOGY FOR CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS IS THE COST-TO-CHARGE RATIO USED FOR THE CHARITY CARE PROGRAMS AND DIRECT COST METHOD FOR THE OTHER BENEFITS/PROGRAMS. PART III, LINES 2 AND 3: METHODOLOGY USED TO ESTIMATE BAD DEBT EXPENSESEE RESPONSE BELOW TO LINE 4 REGARDING THE METHODOLOGY USED BY THE ORGANIZATION REGARDING BAD DEBT.PART III, LINE 4:BAD DEBT FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTSA RECEIVABLE IS RECOGNIZED WHEN THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS, WHICH HAVE THE UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYORS FOR RETROACTIVE ADJUSTMENTS, ARE RECORDED AS RECEIVABLES SINCE THE RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. THE ESTIMATED UNCOLLECTIBLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE RECORDED AS A DIRECT REDUCTION TO PATIENT ACCOUNTS RECEIVABLE.PART III, LINE 8:MEDICARE COSTING METHODOLOGYMEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO. TIDALHEALTH NANTICOKE PROVIDES QUALITY MEDICAL SERVICES TO ALL PATIENTS REGARDLESS OF WHAT INSURANCE THEY HAVE. APPROXIMATELY, 54.20% OF THE MEDICAL CENTER'S REVENUE IS ATTRIBUTABLE TO MEDICARE PATIENTS DURING THE YEAR ENDED JUNE 30, 2025.PART III, LINE 9B:COLLECTION POLICYTHE TIDALHEALTH NANTICOKE COLLECTION POLICY INCLUDES INFORMATION ABOUT OUR FINANCIAL ASSISTANCE POLICY (FAP) AND HOW TO FIND THE FAP. THE DEBT COLLECTION POLICY APPLIES TO ALL PATIENTS. ADDITIONALLY, OUR COLLECTION POLICY INSTRUCTS THAT EXTRAORDINARY COLLECTION ACTIONS (ECA) WILL BE SUSPENDED WHEN A PATIENT REQUESTS INFORMATION ON OUR FAP OR SUBMITS A FINANCIAL ASSISTANCE APPLICATION WITHIN 240 DAYS OF THE FIRST POST-DISCHARGE BILLING STATEMENT. OUR POLICY DESCRIBES WHAT TO DO IF THE FINANCIAL ASSISTANCE APPLICATION IS INCOMPLETE AND WHAT IS REQUIRED TO BE REFUNDED (AMOUNTS OVER $5) IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE AFTER MAKING A PAYMENT. WE INCLUDE CLARIFICATION OF WHAT DATES OF SERVICES ARE INCLUDED IN THE FINANCIAL ASSISTANCE SO THAT WE UNDERSTAND WHEN NORMAL COLLECTION EFFORTS ARE APPROPRIATE.WITHIN OUR COLLECTION POLICY WE DESCRIBE THAT A PATIENT DENIED FINANCIAL ASSISTANCE MAY REQUEST A RECONSIDERATION. FOR DATES OF SERVICES APPROVED FOR FINANCIAL ASSISTANCE COLLECTIONS PROCESSES ARE HALTED AS THE ACCOUNT IS ADJUSTED TO ZERO DUE FROM PATIENT. THE POLICY STATES HOW TO PROCESS THE PATIENT BALANCE WHEN ONLY A PORTION OF THE CHARGE QUALIFIED FOR FINANCIAL ASSISTANCE; COLLECTIONS WILL ONLY BE PURSUED ON THE AMOUNT THAT DID NOT QUALIFY FOR FINANCIAL ASSISTANCE. PART VI, LINE 2: NEEDS ASSESMENTTIDALHEALTH NANTICOKE ASSESSES COMMUNITY HEALTH NEEDS IN PARTNERSHIP WITH THE LOCAL COUNTY HEALTH DEPARTMENTS (WICOMICO, WORCESTER, SOMERSET) AND THE SUSSEX COUNTY HEALTH COALITION. WE MEET ON A REGULAR BASIS TO DISCUSS AND FORMULATE STRATEGIES AND ACTION PLANS IN WHICH WE COLLABORATE WITH EACH OTHER AND LOCAL ENTITIES TO ADDRESS RESIDENTS' MOST UNDERSERVED AND CRITICAL HEALTHCARE AND SOCIAL NEEDS. DEVELOPING RELATIONSHIPS WITH COMMUNITY PARTNERS IS CRITICAL TO CONTINUED IDENTIFICATION OF UNDERSERVED NEEDS AND POPULATION HEALTH MANAGEMENT SUCCESS; A CORNERSTONE OF TIDALHEALTH NANTICOKE STRATEGY. THE FOLLOWING LOCAL RELATIONSHIPS, PARTNERSHIPS AND MEMBERSHIPS HAS CREATED SYNERGY PRODUCING LOCAL HEALTHCARE DIVIDENDS. EXAMPLES OF THESE RELATIONSHIPS INCLUDE THE FOLLOWING: SWIFT (SALISBURY WICOMICO INTEGRATED FIRSTCARETEAM), FEDERALLY QUALIFIED HEALTH CENTERS, YMCA, PATIENT CARE ADVISORY COUNCIL, LOCAL SNFS, FAITH BASED ENTITIES, MAC (MAINTAINING ACTIVECITIZENS), SHELTERS (HALO, HOPE), LOCAL COLLEGES & HIGH SCHOOLS. WE ARE WORKING WITH DIVERSE AND DISPARATE LOCAL ENTITIES FOR THE UNITED BUT COMMON GOAL OF MEETING RESIDENTS' UNDERSERVED NEEDS. OUR GOAL IS A HEALTHIER COMMUNITY.IN ADDITION TO THE CHNA (DISCUSSED IN PREVIOUS SECTION), TIDALHEALTH NANTICOKE HAS EMBARKED ON IDENTIFYING AND TARGETING "SUPER UTILIZERS" WITHIN OUR CBSA (COMMUNITY BENEFIT SERVICE AREA); THESE RESIDENTS WILL BE IDENTIFIED, AND TARGETED FOR POPULATION HEALTH MANAGEMENT. - DEMOGRAPHICS (CENSUS TRACK, ZIP CODES)- DISPARITIES AND HEALTH EQUITY, USING A DEPRIVATION INDEX - RACE/ETHNICITY- AGE-COHORTS- CHRONIC CONDITIONSTHE TARGET POPULATION INCLUDES PATIENTS THAT HAVE CHRONIC CONDITIONS WHO HAVE DEMONSTRATED TO HAVE BEEN HIGH UTILIZERS AT TIDALHEALTH NANTICOKE OR ARE IDENTIFIED AS BEING AT RISK OF HIGH UTILIZATION BASED ON HIS/HER CHRONIC CONDITIONS AND PATTERNS OF CARE. CURRENT DATA INDICATES AN "OVERRELIANCE" BY LOCAL RESIDENTS ON TIDALHEALTH NANTICOKE'S EMERGENCY ROOM FOR PRIMARY AND CHRONIC CONDITION NEEDS. IN RESPONSE, TIDALHEALTH NANTICOKE HAS INTRODUCED INTERVENTIONS, CARE MANAGEMENT PROGRAMS, EDUCATION, AND FOLLOW-UP WITH MEASUREMENT AND OUTCOMES. BASED UPON A CURRENT ASSESSMENT THERE ARE MANY RESIDENTS THAT MEET THE CRITERIA OF "SUPER UTILIZERS" STRATIFIED BY SOCIO-DEMOGRAPHICS AND CHRONIC DISEASE. TIDALHEALTH NANTICOKE IS TARGETING CBSA ZIP CODES BASED UPON SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH TO INCLUDE THE UNINSURED, INDIGENT POPULATION, RESIDENTS WHO LACK TRANSPORTATION, LACK OF EDUCATION AND AVAILABILITY OF HEALTHY FOODS. TARGETING THIS BY CLUSTER AND CENSUS TRACK, WE SEEK TO IMPACT HEALTH BY PROVIDING PRIMARY HEALTH SERVICES, EDUCATION, ACCESS AND MORE IMPORTANTLY BY FOSTERING RELATIONSHIPS WITHIN THE COMMUNITY WE SERVE. FOR EXAMPLE, OUR WAGNER WELLNESS VAN TRAVELS LOCALLY TO CENSUS TRACK WHERE THERE WAS AN IDENTIFIED NEED FOR BASIC HEALTH SERVICES, IN ADDITION TO PROVIDING HEALTH SERVICES AND EDUCATION TO LOCAL ETHNIC CHURCHES AND CIVIC ORGANIZATIONS.WHILE IDENTIFYING WHICH BARRIERS AND DISPARITIES ARE CRITICAL COMPONENTS IN ASSESSING THE NEEDS OF A COMMUNITY, IT IS ALSO IMPORTANT TO UNDERSTAND THE SOCIAL DETERMINANTS OF HEALTH AND OTHER UPSTREAM FACTORS THAT INFLUENCE A COMMUNITY'S HEALTH AS WELL. THE CHALLENGES AND BARRIERS FACED BY A COMMUNITY MUST BE BALANCED BY IDENTIFYING PRACTICAL, COMMUNITY-DRIVEN SOLUTIONS. TOGETHER, THESE FACTORS COME TOGETHER TO INFORM AND FOCUS STRATEGIES TO POSITIVELY IMPACT A COMMUNITY'S HEALTH. TIDALHEALTH AND PARTNERS ARE OUTLINING OPPORTUNITIES FOR ON-GOING WORK AS WELL AS POTENTIAL FOR FUTURE IMPACT. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEIF A PATIENT IS UNABLE TO PAY DUE TO FINANCIAL RESOURCES, ALL EFFORTS WILL BE MADE TO HELP THE PATIENT OBTAIN ASSISTANCE THROUGH APPROPRIATE AGENCIES. IN THE EVENT THAT THE PATIENT HAS APPLIED FOR AND KEPT ALL NECESSARY APPOINTMENTS AND THIRD-PARTY ASSISTANCE IS NOT AVAILABLE, TIDALHEALTH WILL PROVIDE CARE AT REDUCED OR ZERO COST. WHEN NO THIRD-PARTY ASSISTANCE IS AVAILABLE TO COVER THE TOTAL BILL AND THE PATIENT INDICATES THAT THEY HAVE INSUFFICIENT FUNDS, FINANCIAL ASSISTANCE (FA) WILL BE OFFERED. THE UNIFORM FINANCIAL ASSISTANCE APPLICATION, FINANCIAL ASSISTANCE POLICY, PATIENT COLLECTION PRACTICE POLICY, AND PLAIN LANGUAGE SUMMARY, CAN BE OBTAINED BY ONE OF THE FOLLOWING WAYS:A. AVAILABLE FREE OF CHARGE AND UPON REQUEST BY CALLING (410) 543-7436 OR (877) 729-7762.B. ARE LOCATED IN THE REGISTRATION AREAS.C. DOWNLOADED FROM THE TIDALHEALTH WEBSITE:HTTPS://WWW.TIDALHEALTH.ORG/PATIENTS-VISITORS/BILLING-INSURANCE-MEDICAL-RECORDS/BILLING/TIDALHEALTH-FINANCIAL-ASSISTANCED. THE PLAIN LANGUAGE SUMMARY IS INSERTED IN THE ADMISSION PACKET AND WITH ALL PATIENT STATEMENTS.E. ANNUAL NOTIFICATION IN THE LOCAL NEWSPAPER.F. THE APPLICATION IS AVAILABLE IN ENGLISH, SPANISH, AND CREOLE. NO OTHER LANGUAGE CONSTITUTES A GROUP THAT IS 5% OR MORE, OR MORE THAN 1,000 RESIDENTS (WHICHEVER IS LESS) OF THE POPULATION IN OUR PRIMARY SERVICE AREA (WORCESTER, WICOMICO AND SOMERSET COUNTIES) FOR MARYLAND BASED ON U.S. CENSUS DATA. FOR DELAWARE, THE HOSPITAL POPULATION CONSIDERED WAS 5%.G. FOR PATIENTS WHO HAVE DIFFICULTY IN FILLING OUT AN APPLICATION, THE INFORMATION CAN BE TAKEN ORALLY BY CALLING (410) 912-6957 OR IN PERSON AT THE REGISTRATION OFFICE OF TIDALHEALTH NANTICOKE.SIGNS WILL BE POSTED IN VARIOUS LOCATIONS THROUGHOUT TIDALHEALTH TO INFORM PATIENTS WHERE TO CALL OR APPLY FOR FINANCIAL ASSISTANCE.THE PATIENT'S INCOME WILL BE COMPARED TO CURRENT FEDERAL POVERTY GUIDELINES (ON FILE WITH THE COLLECTION COORDINATOR). THE COLLECTION COORDINATOR REPRESENTATIVE WILL CONSULT WITH THE PATIENT AS NEEDED TO MAKE ASSESSMENT OF ELIGIBILITY.IT IS THE INTENTION OF TIDALHEALTH TO MAKE AVAILABLE TO ALL PATIENTS THE HIGHEST QUALITY OF MEDICAL CARE POSSIBLE WITHIN THE RESOURCES AVAILABLE. IF A PATIENT IS UNABLE TO PAY DUE TO FINANCIAL RESOURCES, ALL EFFORTS WILL BE MADE TO HELP THE PATIENT OBTAIN ASSISTANCE THROUGH APPROPRIATE AGENCIES, OR, IF NO HELP IS AVAILABLE, TO RENDER CARE AT A REDUCED OR ZERO COST FOR EMERGENCY. PART VI, LINE 4: COMMUNITY INFORMATIONTIDALHEALTH NANTICOKE IS A 99-BED NATIONALLY RECOGNIZED COMMUNITY HOSPITAL REACHING A 70-YEAR MILESTONE OF SERVICE IN 2022. THE HOSPITAL PROVIDEDS SPECIALITY AND SUBSCPECIALITY SERVICES, OUTPATIENT, DIAGNOSTIC, AND COMMUNITY HEALTH SERVICES. EACH YEAR, TIDALHEALTH NANTICOKE CARES FOR MORE THAN 6,000 ADMITTED PATIENTS, 30,000 PEOPLE IN THE EMERGENCY DEPARTMENT, AND PROVIDES MORE THAN 180,000 OUTPATIENT TESTS AND PROCEDURES. TIDALHEALTH NANTICOKE, INC PRIMARILY SERVES WESTERN SUSSEX COUNTY, DELAWARE AND PORTIONS OF MARYLAND INCLUDING DORCHESTER COUNTY. THE PRIMARY SERVICE AREA IS SEAFORD, DELMAR, BRIDGEVILLE, GREENWOOD AND GEORGETOWN, DELAWARE. SERVICE AREA IS EXPANDING WITH THE AFFILIATION. RESIDENTS OF WESTERN SUSSEX COUNTY GENERALLY HAVE A LOWER MEDIA INCOME, LOWER LEVEL OF POST HIGH SCHOOL EDUCATION AND EXPERIENCE A HIGHER UNEMPLOYMENT RATE THAT OTHER PARTS OF THE COUNTY. THE HOSPITAL SERVES A SIGNIFICANT NUMBER OF MEDICAID PATIENTS AND A HIGH NUMBER OF MEDICARE PATIENTS. MUCH OF THE WORKFORCE IS EMPLOYED IN HEALTHCARE, RETAIL OR AGRICULTURAL BUSINESSES. THE AREA CONTINUES TO EXPERIENCE RAPIDLY GROWING LATINX AND HAITIAN CREOLE POPULATIONS. WHILE THERE HAS BEEN A SMALL IMPROVEMENT, DISPARITIES REMAIN IN HEALTH EDUCATION AND EARLY DETECTION FOR THE BLACK AND HISPANIC COMMUNITIES. PART VI, LINE 5: THE MAJORITY OF THE ORGANIZATION'S BOARD MEMBERS ARE INDEPENDENT INDIVIDUALS THAT RESIDE OR WORK IN THE HOSPITAL'S PRIMARY SERVICE AREA. ADDITIONALLY, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO A MAJORITY OF THE QUALIFIED PHYSICIANS IN OUR COMMUNITY THAT MEET THE ORGANIZATION'S CREDENTIALING CRITERIA. LASTLY, THE HEALTH SYSTEM INVESTS ANY SURPLUS FUNDS BACK INTO THE COMMUNITY THROUGH MEDICAL EQUIPMENT, BUILDING ADDITIONS AND IMPROVEMENTS, PATIENT EDUCATION AND MEDICAL TRAINING FOR ALL MEDICAL STAFF.PROMOTION OF COMMUNITY HEALTHA MAJORITY OF TIDALHEALTH NANTICOKE, INC BOARD MEMBERS ARE INDEPENDENT COMMUNITY MEMBERS, MOST LIVING AND/OR WORKING IN THE HOSPITAL'S PRIMARY SERVICE AREA AND ARE VERY INVOLVED IN BETTERING THE HEALTH OF ITS COMMUNITY. BOARD MEMBERS PARTICIPATE IN THE OVERSIGHT OF COMMUNITY HEALTH PROGRAMS AND OFTEN GO INTO THE COMMUNITY ALONGSIDE STAFF MEMBERS TO HELP PROVIDE CONNECTION OF THE BOARD WITH COMMUNITY NEEDS. TIDALHEALTH NANTICOKE IS COMMITTED TO THE EDUCATION OF THE COMMUNITY RANGING FROM GENERAL AWARENESS TO PATIENT OR CONDITION SPECIFIC INFORMATION TO CLINICAL SCHOLARSHIPS FOR LOCAL HIGH SCHOOL STUDENTS AND FOR STAFF WANTING TO EXPAND SKILLS AND EXPERTISE. TIDALHEALTH NANTICOKE INVESTS IN MEDICAL EQUIPMENT AND TRAINING TO ENSURE THE BEST POSSIBLE CARE FOR ITS PATIENTS. IT USES PLANNED FUNDS, CONTINGENCY OR EXTRA FUNDS AND GRANT FUNDING TO AID IN ONGOING INVESTMENTS.PRIOR TO COMING ON STAFF TO CARE FOR PATIENTS, EACH PROVIDER PREPARES AN APPLICATION FOR MEMBERSHIP AND PRIVILEGES WHICH IS VERIFIED AND PRIMARY SOURCED, REVIEWED BY THE CREDENTIALS AND MEDICAL EXECUTIVE COMMITTEE BEFORE BEING RECOMMENDED TO THE BOARD OF DIRECTORS FOR THEIR APPROVAL. IN ADDITION, EVERY TWO YEARS, PROVIDER PERFORMANCE IS REVIEWED AND EVALUATED.CURRENTLY TIDALHEALTH OPERATES A MOBILE MULTIDISCIPLINARY TEAM THROUGH THE COMMUNITY WELLNESS DEPARTMENT OF POPULATION HEALTH MANAGEMENT DIVISION. THIS TEAM IS BASED IN SEAFORD. COMMUNITY WELLNESS INCLUDES A NURSE PRACTITIONER, REGISTERED NURSES, COMMUNITY HEALTH WORKERS, AND A SOCIAL WORKER. THE COMMUNITY WELLNESS TEAM CONDUCTS HOME VISITS OF HIGH-RISK PATIENTS IN THE COMMUNITY. THESE ASSESSMENTS INCLUDE SCREENING FOR SOCIAL DETERMINANTS OF HEALTH (SDOH) AND ADDRESSING GAPS IDENTIFIED BY CONNECTING PATIENTS TO COMMUNITY-BASED RESOURCES AND SUPPORTS AND CHRONIC DISEASE SELF-MANAGEMENT EDUCATION. ADDITIONALLY, THE COMMUNITY WELLNESS TEAM RECENTLY BEGAN TO OPERATE A MOBILE CLINIC AND WELLNESS VAN TO VISIT LOCAL SHELTERS, CHURCHES, AND OTHER AREAS IN TIDALHEALTH NANTICOKE'S COMMUNITY BENEFITS SERVICE AREA WHERE UNDERSERVED RESIDENTS CAN RECEIVE NON-EMERGENCY MEDICAL CARE, CHRONIC CARE MANAGEMENT AND HEALTHY LIFESTYLES EDUCATION. THE VAN VISITS AREAS WHERE THE SOCIAL DETERMINANTS OF HEALTH INDICATE THE GREATEST AMOUNT OF NEED. IT PROVIDES CARE IN AREAS WITH A HIGHER PREVALENCE OF ER VISITS, LOWER MEDIAN INCOMES, INDIGENT POPULATION, ACCESS ISSUES, COMMUNICATION BARRIERS AND OVERALL POOR HEALTH OUTCOMES. THERE HAS BEEN IMPROVED CONTROL OF DIABETES AND HYPERTENSION. THE COMMUNITY WELLNESS TEAM STRIVES TO EDUCATE PATIENTS BY PROVIDING NUTRITIONAL AND HEALTHY LIFESTYLE COUNSELING, IN ADDITION TO MEDICATION COMPLIANCE TO CONTROL DIABETES AND HYPERTENSION. HEALTH SCREENINGS ARE PERFORMED ON RESIDENTS TO HELP DETERMINE APPROPRIATE EDUCATION, SELF-MANAGEMENT CLASS INFORMATION OR REFERRALS TO COMMUNITY RESOURCES AND SERVICES. THESE SCREENINGS INCLUDE PRE-DIABETES, HYPERTENSION AND OBESITY. WHEN WARRANTED, DRUG AND ALCOHOL MISUSE SCREENINGS ARE ALSO CONDUCTED, AND COUNSELING IS AVAILABLE. NARCAN IS PROVIDED TO RESIDENTS TO SUPPORT EFFORTS TO PREVENT OPIOID MISUSE AND OVERDOSE. FLU SHOTS AND COVID SHOTS ARE PROVIDED TO COMMUNITY MEMBERS THROUGH THE COMMUNITY WELLNESS OUTREACH EFFORTS TO UNDERSERVED COMMUNITIES AND HOMEBOUND RESIDENTS. TO EXPAND OUR "HEALTHY LIVING" MESSAGE, TIDALHEALTH NANTICOKE SPONSORS AND PARTICIPATES IN MANY COMMUNITY-BASED HEALTH FAIRS PROVIDING NUTRITION EDUCATION, WEIGHT LOSS, DIABETES ASSESSMENT, MULTIPLE SCREENINGS, BLOOD PRESSURE CHECKS, AND HEALTH LITERACY. PARTICIPATION IN HEALTH FAIRS INCLUDE UNDERSERVED AREAS, A HAITIAN-CREOLE HEALTH FAIR IN LAUREL, HEALTHFEST IN LAUREL, DRIVE THRU FLU CLINIC IN GEORGETOWN, HEALTH SCREENING AND OUTREACH EVENTS IN LOCAL CHURCHES AND UNDERSERVED NEIGHBORHOODS TRANSFORMING THE CULTURE THROUGH PARTICIPATION AND SPONSORSHIP OF HEALTHY LIFESTYLES AND SCREENINGS, MEETING RESIDENTS AT COMMUNITY EVENTS LOCATED THROUGHOUT THE AREA. THESE ACTIVITIES IMPROVE TRUST AMONG UNDERSERVED RESIDENTS. HEALTH ASSESSMENTS AVAILABLE AT THESE EVENTS INCLUDE, BUT ARE NOT LIMITED TO:- CHOLESTEROL, HDL, TRIGLYCERIDES - RESTING 12-LEAD EKG - BODY FAT / MASS INDEX - BLOOD PRESSURE TESTING - PULSE OXIMETRY TESTING - 10-YEAR RISK ANALYSIS - REVIEW CURRENT MEDICATIONS - FOLLOW-UP CARE PLAN - EXERCISE/NUTRITION TIDALHEALTH NANTICOKE PARTICIPATES WITH MANY PARTNERS THAT MAKE IT POSSIBLE TO CREATE AND DELIVER POPULATION PROGRAMS THAT IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. THESE PARTNERS HAVE PROVIDED EXPERTISE AND ALLOCATED RESOURCES TO MEET THOSE URGENT HEALTHCARE NEEDS WITHIN OUR COMMUNITY. SOME OF THESE PARTNERS INCLUDE: DELAWARE PUBLIC HEALTH, SUSSEX COUNTY HEALTH COALITION, SEAFORD COMMUNITY OF HOPE, HABITAT FOR HUMANITY, LOVE, INC., FIRST STATE ACTION AGENCY, LA RED, LA ESPERANZA, FAITH-BASED ORGANIZATIONS, SEAFORD COMMUNITY OF HOPE, LOCAL COLLEGES AND SCHOOLS, NATIONAL KIDNEY FOUNDATION, TIDALHEALTH EMPLOYEES, POST-ACUTE CARE FACILITIES, DELAWARE FOODBANK, AND MORE. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM ROLESTIDALHEALTH IS ANCHORED BY TWO HOSPITALS, TIDALHEALTH PENINSULA REGIONAL AND TIDALHEALTH NANTICOKE. IN ADDITION, TIDALHEALTH INCLUDES AN EXPANSIVE PHYSICIAN NETWORK WITH MORE THAN 300 PROVIDERS IN 24 SPECIALTIES ACROSS 32 LOCATIONS.TIDALHEALTH NANTICOKE, INC IS PART OF TIDALHEALTH, INC. THE SYSTEM INCLUDES A FOUNDATION, A MEDICAL CENTER, AND FOR-PROFIT ENTITIES WITH INTERESTS IN VARIOUS HEALTH CARE JOINT VENTURES. IN ADDITION TO THE COMMUNITY BENEFITS PROVIDED BY THE RELATED MEDICAL CENTER, TIDALHEALTH NANTICOKE EVALUATES THE NEEDS OF THE COMMUNITY AND WILL PARTICIPATE IN COMMUNITY BENEFIT PROGRAMS AS NEEDED. PART VI, LINE 7: COMMUNITY BENEFIT REPORT STATE FILINGSSTATE(S) WITH WHICH THE ORGANIZATION FILES A COMMUNITY BENEFIT REPORT:NONE 1 LOVE INC PO BOX 1242 SEAFORD DE 19973 510583444 501(C)(3) 5500 0 SPONSORSHIP 1 0 PART I, LINE 2: THE ORGANIZATION CHOOSES TO SUPPORT OTHER PUBLIC CHARITIES WHICH ALSO WORK TO IMPROVE THE COMMUNITY SERVED BY THE HOSPITAL. GRANT FUNDS ARE DISTRIBUTED FOR SPECIFIC CHARITABLE EVENTS IN DELAWARE AND APPROVED BY THN EXECUTIVE LEADERSHIP. 0 1 0 0 0 0 0 0 0 STEVEN LEONARD BOARD MEMBER/TIDALHEALTH PRESIDENT 0 924564 0 272213 0 144595 0 282575 0 26574 0 1650521 0 99583 RICHARD SIMONS DO BOARD MEMBER 0 809234 0 20500 0 1218 0 56935 0 27381 0 915268 0 0 TRUDY HALL MD V.P. CHIEF MEDICAL OFFICER 0 561293 0 121478 0 16342 0 40569 0 25391 0 765073 0 0 STEPHANIE GARY V.P. FINANCE/CFO 0 541898 0 113688 0 1218 0 38612 0 22864 0 718280 0 0 PENNY SHORT PRESIDENT 0 455267 0 98093 0 11810 0 88354 0 9752 0 663276 0 0 ANGELA BRITTINGHAM CHIEF NURSING OFFICER 0 305133 0 50183 0 18215 0 65565 0 14869 0 453965 0 0 FRANCISCO PADILLA QUIROZ MD BOARD MEMBER/MED. STAFF PRES. 0 381123 0 20398 0 1218 0 27500 0 19599 0 449838 0 0 SANDRA PALAVECINO MD BOARD MEMBER/PHYSICIAN 0 273647 0 55668 0 1218 0 25706 0 10941 0 367180 0 0 DENISE JESTER SENIOR DIRECTOR 0 162274 0 26650 0 8842 0 35979 0 15605 0 249350 0 0 PART I, LINE 3 PROCESS FOR DETERMINING COMPENSATION A COMPENSATION COMMITTEE OF TIDALHEALTH INC. (THI), THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION, DETERMINES THE COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR OF THE ORGANIZATION. THE CEO OF THE ORGANIZATION HAS A WRITTEN EMPLOYMENT CONTRACT. THE COMPENSATION COMMITTEE USES AN INDEPENDENT CONSULTANT, COMPENSATION SURVEYS, AND OTHER ORGANIZATION'S FORM 990 IN THE DETERMINATION PROCESS AND KEEPS CONTEMPORANEOUS RECORDS OF DECISIONS MADE. PART I, LINE 4B SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: THI HAS A NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN (UNDER SECTION 457(F)). THIS PLAN WAS APPROVED BY THE COMPENSATION COMMITTEE OF THE THI BOARD OF DIRECTORS TO SUPPLEMENT THE EXECUTIVE'S RETIREMENT INCOME. THE SUPPLEMENTAL RETIREMENT PLAN WAS DEVELOPED BASED ON AN INDEPENDENT CONSULTANT REPORT ON MARKET-BASED PRACTICES FOR SUPPLEMENTAL RETIREMENT PLANS. THE PERCENTAGE OF FINAL AVERAGE PAY, THE REQUIREMENTS FOR VESTING, PARTICIPANTS, AND PAY-OUT PROVISIONS WERE ESTABLISHED, REVIEWED, AND APPROVED BY THE COMPENSATION COMMITTEE. THE CONTRIBUTIONS TO THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN C OR IN SCHEDULE J, PART II, COLUMN B(III) AS PART OF DEFERRED COMPENSATION. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THIS SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: STEVEN LEONARD THE FOLLOWING INDIVIDUALS RECEIVED A FUNDING AMOUNT DURING 2024: STEVEN LEONARD $209,040 THE FOLLOWING INDIVIDUAL RECEIVED A DISTRIBUTION DURING 2024 BASED ON THEIR PLAN'S VESTING DATE: STEVEN LEONARD $99,583 PART I, LINE 7 NON-FIXED PAYMENTS OFFICERS, KEY EMPLOYEES AND CERTAIN PHYSICIAN DIRECTORS OF THE FILING ORGANIZATION ARE PAID BY THI. THE COMPENSATION IS DETERMINED BY A NUMBER OF VARIABLES INCLUDING BUT NOT LIMITED TO INDIVIDUAL GOALS AS WELL AS ORGANIZATION OPERATIONAL ACHIEVEMENTS IN SERVICE, QUALITY, SAFETY, EMPLOYEE SATISFACTION, AND COST. THE FINAL DETERMINATION OF THE CONTINGENT COMPENSATION AMOUNT IS DETERMINED AND APPROVED BY THE BOARD AS PART OF THE OVERALL COMPENSATION REVIEW OF THOSE EMPLOYEES. FORM 990, PART III, LINE 4A, DESCRIPTION OF PROGRAM SERVICE: PROGRAM SERVICE ACCOMPLISHMENTS TIDALHEALTH NANTICOKE PROVIDES QUALITY MEDICAL CARE REGARDLESS OF RACE, CREED, SEX, SEXUAL ORIENTATION, NATIONAL ORIGIN, HANDICAP, AGE, RELIGION, DISABILITY, GENETICS OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF TIDALHEALTH NANTICOKE, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. THEREFORE, IN KEEPING WITH TIDALHEALTH NANTICOKE'S COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITY, HEALTH ACTIVITIES AND PROGRAMS NEEDED TO SUPPORT THE INABILITY TO PAY CO-EXIST. THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, SPECIAL PROGRAMS FOR THE UNDER SERVED, SCREENINGS ASSISTANCE AND A WIDE VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. PATIENTS SEEN: INPATIENTS 5,194; BIRTHS 799; ER VISITS 32,705; OP VISITS 180,319 DAYS OF INPATIENT CARE: ADULTS & PEDIATRICS 19,839; NEWBORN 1,532 OTHER FACTS: AVERAGE PATIENT STAY 3.82; OPERATIONS 7,836 TIDALHEALTH NANTICOKE 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 $ 9,587,026 DISCOUNTS TO MEDICARE, MEDICAID & OTHERS $ 361,732,268 ABOUT TIDALHEALTH NANTICOKE WHAT BEGAN AS A 32-BED HOSPITAL IN 1953 HAS GROWN TO INCLUDE INPATIENT SERVICES, OUTPATIENT SERVICES, URGENT CARE AND PROVIDER PRACTICES ACROSS SUSSEX COUNTY DELAWARE; BUSINESS SERVICES; AND A HOST OF PREVENTATIVE MEDICINE AND HEALTH EDUCATION PROGRAMS. EACH PART OF TIDALHEALTH WORKS TOGETHER TO FOCUS ON FULFILLING OUR MISSION: "TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE." TODAY, PATIENTS AND BUSINESSES ARE CONTINUALLY SEEKING SUPERIOR HEALTH CARE AT AN AFFORDABLE PRICE. TIDALHEALTH NANTICOKE STANDS COMMITTED TO PROVIDING THAT CARE. IN 2023, TIDALHEALTH NANTICOKE EARNED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR HOSPITAL ACCREDITATION BY DEMONSTRATING CONTINUOUS COMPLIANCE WITH ITS PERFORMANCE STANDARDS. THIS GOLD SEAL IS A SYMBOL OF QUALITY THAT REFLECTS A HEALTHCARE ORGANIZATION'S COMMITMENT TO PROVIDING SAFE AND QUALITY PATIENT CARE AND IS VALID FOR THREE YEARS. IN 2025, TIDALHEALTH NANTICOKE, FOR A SECOND CONSECUTIVE YEAR, WAS THE ONLY DELAWARE HOSPITAL TO BE 5-STAR RATED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) IN HOSPITAL QUALITY STAR RATINGS. TIDALHEALTH NANTICOKE IS ALSO ONE OF JUST 291 HOSPITALS IN THE UNITED STATES OF 2,891 SURVEYED, OR ROUGHLY 10%, TO EARN THIS HIGHEST RATING POSSIBLE BY CMS AFTER EXAMINING MORTALITY, SAFETY, READMISSIONS, PATIENT EXPERIENCE, AND TIMELY & EFFECTIVE CARE. AT TIDALHEALTH NANTICOKE, THE TEAM RETAINED, FOR A THIRD YEAR, A HEALTHGRADES FIVE STAR RANKING FOR THE TREATMENT OF SEPSIS, (2023-2025) AND A FIVE STAR RANKING FOR A SECOND YEAR (2024-2025) FOR THE TREATMENT OF RESPIRATORY FAILURE. TIDALHEALTH NANTICOKE PARTICIPATES IN A PROACTIVE ACCOUNTABLE CARE ORGANIZATION AND CONTINUES TO BE RECOGNIZED BY THE NATIONAL COUNCIL FOR QUALITY ASSURANCE AS A PATIENT-CENTERED MEDICAL HOME. TIDALHEALTH NANTICOKE ALSO INCLUDES A CANCER CENTER THAT IS ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER. OUR GROWTH IS EVIDENCED NOT ONLY THROUGH THE CONTINUED ADDITION TO MEDICAL PROGRAMS, BUT ALSO THROUGH SUCCESSFUL PHYSICIAN RECRUITMENT AND EXPANSION OF OUR MEDICAL STAFF TO OVER 32 DIFFERENT SPECIALTIES. AS OUR COMMUNITIES' HEALTHCARE NEEDS CHANGE, TIDALHEALTH NANTICOKE HEALTH SERVICES CONTINUES TO CHANGE AND EXPAND SERVICES TO MEET THOSE NEEDS. COMMUNITY OUTREACH TIDALHEALTH NANTICOKE'S TRAINED STAFF GOES INTO THE COMMUNITY TO PRESENT HEALTH EDUCATION SEMINARS AND PROVIDE HEALTH SCREENINGS. WE WORK WITH AREA SCHOOLS AND COMMUNITY ORGANIZATIONS TO EDUCATE OUR COMMUNITY ON DISEASE MANAGEMENT, CARE COORDINATION, DISEASE PREVENTION AND GENERAL WELLNESS. THERE ARE MANY SUPPORT GROUPS AND EDUCATIONAL MEETINGS HOSTED BY TIDALHEALTH NANTICOKE. TIDALHEALTH NANTICOKE WORKS WITH THE HEALTHIER SUSSEX COUNTY TASK FORCE AND THE SUSSEX COUNTY HEALTH COALITION ON COUNTY WIDE INITIATIVES. IN ADDITION, TIDALHEALTH NANTICOKE HAS AN ACTIVE EMPLOYEE WELLNESS PROGRAM ADDRESSING HEALTH AND WELLNESS ISSUES AMONG ITS EMPLOYED POPULATION. COMMUNITY WELLNESS TIDALHEALTH OPERATES A MOBILE, MULTIDISCIPLINARY COMMUNITY WELLNESS TEAM AS PART OF THE POPULATION HEALTH DIVISION OF THE SYSTEM. THIS TEAM OF NURSES AND COMMUNITY HEALTH WORKERS PROVIDE HEALTH SCREENINGS IN UNDERSERVED, LOW-INCOME COMMUNITIES. SCREENING ACTIVITIES INCLUDE REVIEW OF SOCIAL DETERMINANTS OF HEALTH, RESOURCE NAVIGATION, CONNECTION TO PCP AND HEALTH INSURANCE. THE TEAM ALSO PROVIDES BLOOD PRESSURE CHECKS, DIABETES RISK ASSESSMENTS, AND FLU SHOTS. PATIENTS AT HIGH RISK OF HOSPITALIZATION OR READMISSION BECAUSE OF UNMANAGED SDOH OR CHRONIC CONDITIONS MAY BE ASSIGNED A COMMUNITY HEALTH WORKER WHO CONDUCTS HOME VISITS TO IDENTIFY NEEDS AND CONNECT THE PATIENT TO COMMUNITY RESOURCES AND HEALTH EDUCATION TO BETTER SELF MANAGE AT HOME. THE COMMUNITY WELLNESS TEAM LEADS COMMUNITY FLU CLINICS. TIDALHEALTH NANTICOKE HOSTS SEVERAL MATERNITY CLASSES, DIABETES EDUCATION CLASSES CERTIFIED THROUGH THE AMERICAN DIABETES ASSOCIATION, AND HOSTS SUPPORT GROUPS INCLUDING STROKE, CHF, CANCER, AND MANY OTHERS. WE CONDUCT REGULAR CHOLESTEROL, DIABETES, AND BLOOD PRESSURE SCREENINGS AND ADULT AND INFANT/CHILD CPR INSTRUCTION IS OFFERED ON A REGULAR BASIS. PATIENT EDUCATION PATIENT AND FAMILY EDUCATION HAS BECOME AN INTEGRAL PART OF THE CLINICAL PATHWAY PROCESS UTILIZED THROUGHOUT TIDALHEALTH NANTICOKE HEALTH SERVICES. THROUGH THE PATIENT EDUCATION CENTER AND LEVERAGING OUR EMR PROGRAM, OUR PATIENT CARE AND EDUCATION STAFF HAVE BEEN TRAINED TO TEACH OUR PATIENTS AND THEIR FAMILIES ABOUT THEIR ILLNESSES AND TREATMENTS. USING AN ASSORTMENT OF PRINTED MATERIALS AND CLOSED CIRCUIT TELEVISION, WE ARE ABLE TO EFFECTIVELY TRANSFER CRITICAL INFORMATION DURING ALL PHASES OF CARE. FORM 990, PART V, LINES 1A & 2A THE FILING ORGANIZATION HAS ENTERED "0" IN PART V, LINE 1A AND LINE 2A BECAUSE THE ORGANIZATION'S 1099 AND W-2 RETURNS ARE FILED BY AND UNDER THE NAME AND EIN OF TIDALHEALTH, INC., A RELATED ENTITY, UNDER A SHARED SERVICES AGREEMENT. ACCORDINGLY, THE REQUIRED DISCLOSURES RELATED TO EMPLOYEES AND INDEPENDENT CONTRACTORS ARE INCLUDED ON THE FORM 990 OF TIDALHEALTH, INC. FORM 990, PART VI, SECTION A, LINE 2 BOARD MEMBERS FRANCISCO PADILLA QUIROZ, M.D. AND SANDRA PALAVECINO, M.D. HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OR STOCKHOLDERS TIDALHEALTH, INC. IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A ELECTION OF MEMBERS OF GOVERNING BODY IN ITS CAPACITY AS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, TIDALHEALTH, INC. HAS THE ABILITY TO ELECT MEMBERS OF THE ORGANIZATION'S GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS SUBJECT TO APPROVAL AS THE SOLE CORPORATE MEMBER, TIDALHEALTH, INC. HAS THE ABILITY TO APPROVE MAJOR EXPENDITURES AND LONG-TERM BORROWINGS OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B REVIEW PROCESS OF FORM 990 THE COMPLETION OF THE ORGANIZATION'S FORM 990 HAS BEEN DELEGATED TO THE AGENT OF THE ORGANIZATION BY THE PRESIDENT OF TIDALHEALTH, INC., THE PARENT CORPORATION. THE AGENT OF THE ORGANIZATION IS ALSO THE CHIEF FINANCIAL OFFICER OF THI. THE ORGANIZATION'S FORM 990 IS REVIEWED BY THE PRESIDENT OF THI. A COPY OF THE FORM 990 WAS MADE AVAILABLE TO ALL MEMBERS OF THE GOVERNING BODY PRIOR TO THE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C MONITORING AND ENFORCEMENT OF CONFLICT OF INTEREST POLICY A CONFLICT OF INTEREST POLICY HAS BEEN ADOPTED BY THE ORGANIZATION'S BOARD OF DIRECTORS/EXECUTIVE COMMITTEE. THE BOARD OF DIRECTORS IS REQUIRED TO DISCLOSE ANNUALLY, IN WRITING, ANY AND ALL INTERESTS WHICH THEY OR ANY IMMEDIATE FAMILY MEMBER MAY HAVE IN ANY BUSINESS ENTITY WHICH HAS OR SEEKS A CONTRACTUAL OR COMPETITIVE RELATIONSHIP WITH THE ORGANIZATION. THE BOARD WILL HAVE THE AUTHORITY TO DETERMINE IF A VIOLATION HAS OCCURRED AND WHETHER ANY INTEREST WHICH SHOULD BE DISCLOSED SHOULD DISQUALIFY A DIRECTOR FROM PARTICIPATING IN ANY SPECIFIC BOARD DISCUSSION OR BOARD MEMBERSHIP. FORM 990, PART VI, SECTION B, LINE 15 PROCESS FOR DETERMINING COMPENSATION A COMPENSATION COMMITTEE OF TIDALHEALTH INC. (THI), THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION, DETERMINES THE COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR OF THE ORGANIZATION. THE COMPENSATION COMMITTEE USES AN INDEPENDENT CONSULTANT, COMPENSATION SURVEYS, AND OTHER ORGANIZATIONS' FORMS 990 IN THE DETERMINATION PROCESS AND KEEPS CONTEMPORANEOUS RECORDS OF DECISIONS MADE. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF DOCUMENTS TO PUBLIC THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND FORM 990 ARE AVAILABLE TO THE PUBLIC UPON REQUEST TO THE ORGANIZATION'S OR THE PUBLIC INFORMATION OFFICE OF TIDALHEALTH PENINSULA REGIONAL, INC. AT 100 EAST CARROLL STREET, SALISBURY, MD 21801. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 7,453,685. MANAGEMENT AND GENERAL EXPENSES 664,209. FUNDRAISING EXPENSES 19,798. TOTAL EXPENSES 8,137,692. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 9,326,660. MANAGEMENT AND GENERAL EXPENSES 1,031,019. FUNDRAISING EXPENSES 24,773. TOTAL EXPENSES 10,382,452. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 7,895,298. MANAGEMENT AND GENERAL EXPENSES 872,789. FUNDRAISING EXPENSES 20,971. TOTAL EXPENSES 8,789,058. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS TO RELATED ORGANIZATIONS 23,241,366. CHANGE IN VALUE OF PENSION ASSET 104,705. TIDALHEALTH PHYSICIAN NETWORK 801 MIDDLEFORD ROAD SEAFORD DE 19973 510224470 HEALTH SERVICES DE 501(C)(3) LINE 10 TIDALHEALTH 0 TIDALHEALTH INC 100 EAST CARROLL STREET SALISBURY MD 21801 522132761 PARENT MD 501(C)(3) LINE 12C, III-FI N/A 0 TIDALHEALTH FOUNDATION INC 100 EAST CARROLL STREET SALISBURY MD 21801 521851935 FUNDRAISING MD 501(C)(3) LINE 7 TIDALHEALTH INC 0 PENINSULA GENERAL HOSPITAL INS TRUST 100 EAST CARROLL STREET SALISBURY MD 21801 526321234 INSURANCE MD 501(C)(3) LINE 12C, III-FI TIDALHEALTH INC 0 MCCREADY FOUNDATION INC 201 HALL HIGHWAY CRISFIELD MD 21817 520607921 FUNDRAISING MD 501(C)(3) LINE 10 TIDALHEALTH INC 0 TIDALHEALTH PENINSULA REGIONAL INC 100 EAST CARROLL STREET SALISBURY MD 21801 520591628 HOSPITAL MD 501(C)(3) LINE 3 TIDALHEALTH INC 0 ATLANTIC GENERAL HOSPITAL 9733 HEALTHWAY DRIVE BERLIN MD 21811 521656507 HOSPITAL MD 501(C)(3) LINE 3 TIDALHEALTH INC 0 DELMARVA ENDOSC CTR 11103 CATHAGE ROAD BERLIN MD 21801 831509115 HEALTHCARE MD N/A 0 0 PENINSULA HEALTH VENTURES (PHV) 100 EAST CARROLL STREET SALISBURY MD 21801 522250012 P'SHIP INVESTMENT MD N/A C 0 PRLTC INC 100 EAST CARROLL STREET SALISBURY MD 21801 522190588 LONG TERM CARE MD N/A C 0 DELMARVA PENINSULA INSURANCE COMPANY PO BOX 1159 GRAND CAYMAN CJ KY1-1102 981110617 INSURANCE CJ N/A C 0 0 0 1 0 0 0 0 0 0 1 0 1 1 1 1 1 1 1 1 SCHEDULE R, PART II: PENINSULA GENERAL HOSPITAL INSURANCE TRUST WAS DISSOLVED EFFECTIVE FEBRUARY 20, 2025. ON MAY 1, 2025 (THE ATLANTIC GENERAL ACQUISITION DATE), TIDALHEALTH, INC. ACQUIRED AND BECAME THE SOLE CORPORATE MEMBER OF ATLANTIC GENERAL HOSPITAL CORPORATION ("AGH"), A NOT-FOR-PROFIT 43 LICENSED BED HOSPITAL IN BERLIN, MARYLAND, SERVING THE HEALTH CARE NEEDS OF WORCESTER COUNTY. SCHEDULE R, PART IV: PRLTC DISSOLVED DURING THE FISCAL YEAR JUNE 30, 2025.