2025-05-14T19:50:53-05:00 2024-06-30 991856619 GRANT THORNTON ADVISORS LLC 2850 QUARRY LAKE DRIVE SUITE 306 BALTIMORE MD 21209 990 2023-07-01 522132761 TIDALHEALTH INC TIDA 4105466400 100 EAST CARROLL STREET SALISBURY MD 21801 STEPHANIE GARY CFO 4105466400 2025-05-14 1 0 MARY TORRETTA P00847851 4106854000 2023 2025-03-06 01:10:19Z STEVEN LEONARD 100 EAST CARROLL STREET SALISBURY MD 21801 194717542 0 X WWW.TIDALHEALTH.ORG X 1998 MD TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. 15 11 5778 12 0 0 0 0 178166249 192422716 842994 2276813 3036 12095 179012279 194711624 0 0 0 0 152131198 158179555 0 0 0 80376361 85122378 232507559 243301933 -53495280 -48590309 848592168 928715887 162015257 153130360 686576911 775585527 TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. 0 0 212745188 0 192422716 TIDALHEALTH, INC. (THI) OWNS AND INVESTS IN HEALTHCARE ORGANIZATIONS ON THE DELMARVA PENINSULA IN ORDER TO IMPROVE THE HEALTH OF THE CITIZENS OF THE COMMUNITY WE SERVE. THROUGH THI'S DISREGARDED ENTITY SUBSIDIARIES, THE FILING ORGANIZATION OPERATES A PHYSICIAN NETWORK PROVIDING INTEGRATED PHYSICIAN SERVICES AND AN AMBULATORY SURGERY CENTER FOR THE HEALTH SYSTEM. DURING FY24, THE ORGANIZATION PROVIDED PATIENT CARE IN 734,456 PHYSICIAN VISITS AND 5,357 SURGICAL CASES. 212745188 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 1 1 1 1 0 1 411 0 1 5778 1 0 1 CJ 0 0 0 0 0 0 0 0 1 0 X 15 11 1 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 1 1 X DEAN A SWINGLE DIRECTOR OF FINANCE 3025365203 100 EAST CARROLL STREET SALISBURY MD 21801 STEVEN LEONARD PRESIDENT/CEO 1.00 51.00 X X 1182770 0 97448 RYAN MCLAUGHLIN IMMEDIATE PAST CHAIRPERSON 2.00 2.00 X X 22500 0 0 MEMO DIRIKER CHAIRPERSON (BEG 11/23) 5.00 3.00 X X 7500 0 0 DAVID ROMMEL VICE-CHAIRMAN (BEG 11/23) 2.00 1.00 X X 0 0 0 ANDREA WILLIAMS SECRETARY/TREASURER (BEG 11/23) 1.00 0.00 X 0 0 0 DEBORAH ABBOTT BOARD MEMBER (THRU 12/23) 1.00 1.00 X 0 0 0 HEIDI ANDERSON BOARD MEMBER 1.00 0.00 X 0 0 0 TIMOTHY BENNING MD BOARD MEMBER 1.00 0.00 X 0 0 0 THOMAS COATES BOARD MEMBER 1.00 1.00 X 0 0 0 HERBERT J GEARY III BOARD MEMBER 1.00 0.00 X 0 0 0 MARK HIGDON BOARD MEMBER 1.00 0.00 X 0 0 0 MARIA LEHMAN BOARD MEMBER 1.00 5.00 X 0 0 0 VEL NATESAN MD BOARD MEMBER/PHYSICIAN 1.00 0.00 X 63144 0 0 KAREN POISKER BOARD MEMBER 1.00 1.00 X 0 0 0 MICHELE PROCINO-WELLS BOARD MEMBER 1.00 1.00 X 0 0 0 JULIUS ZANT MD BOARD MEMBER (BEG 01/24) 1.00 2.00 X X 0 0 0 LURA LUNSFORD V.P. OPERATIONS 1.00 50.00 X 817408 0 75715 TRUDY HALL MD V.P. CHIEF MEDICAL OFFICER 1.00 51.00 X 602369 0 58529 STEPHANIE GARY CFO 1.00 53.00 X 589051 0 59652 WILLIAM DORAN DO PHYSICIAN 40.00 0.00 X 1256954 0 69173 STEVEN HEARNE MD PHYSICIAN 40.00 0.00 X 1066769 0 142322 ZACHARY BAKER MD PHYSICIAN 40.00 0.00 X 1140552 0 66207 EMMANUEL NSAH MD PHYSICIAN 40.00 0.00 X 1005994 0 67904 JOHN HAMILTON MD PHYSICIAN 40.00 0.00 X 998472 0 64078 BRUCE RITCHIE FORMER CFO (THRU 01/23) 0.00 0.00 X 426118 0 29687 9179601 0 730715 907 1 1 0 INTERMED GROUP 13301 N W HWY 441 ALACHUA FL 326158512 BIOMEDICAL SERVICES 8078456 FOCUSONE SOLUTIONS LLC PO BOX 850861 MINNEAPOLIS MN 554850861 TEMPORARY LABOR SERVICES 8053588 EPIC SYSTEMS CORPORATION PO BOX 88314 MILWAUKEE WI 532880314 TECHNICAL SERVICES 5887615 CROTHALL SERVICES 13208 COLLECTIONS CENTER DR CHICAGO IL 60693 ENVIRONMENTAL SERVICES 5396101 APOGEE MEDICAL MANAGEMENT 15059 N SCOTTSDALE RD SUITE 600 SCOTTSDALE AZ 85254 HOSPITALIST SERVICES 4260830 95 PATIENT SERVICES 621500 144628193 144628193 PHYSICIAN SUBSIDIES 621500 45450517 45450517 CARE MANAGEMENT 621500 2344006 2344006 192422716 2276813 2276813 15023 5918 9105 9105 9105 PURCHASE DISCOUNT 900099 2990 2990 2990 194711624 192422716 0 2288908 3402415 3402415 258058 258058 137814350 129559116 8255234 3654057 186711 3467346 5680002 290231 5389771 7370673 6417192 953481 20313746 18317541 1996205 7431337 860515 6570822 614663 593867 20796 5692616 5496102 196514 156275 119442 36833 1939148 1939148 1575889 1575889 DRUGS EXPENSE 40132963 40132963 BAD DEBT 4073890 4073890 MEDICAL SUPPLIES 3004486 2997945 6541 DUES 187365 184636 2729 243301933 212745188 30556745 0 4937849 7424693 15453065 30540660 4381073 4503072 276764 276764 802073 770747 32146143 17180941 14305768 14965202 808435576 870234749 848592168 928715887 57997620 48119017 96132553 94414796 7885084 10596547 162015257 153130360 X 620860638 703289883 65716273 72295644 686576911 775585527 848592168 928715887 X -48590309 518872 137080053 X 0 1 X 1 0 X 1271234 88605548 126665822 178166249 192422716 587131569 1271234 88605548 126665822 178166249 192422716 587131569 0 0 0 587131569 197694 848950 2291836 3338480 197694 848950 2291836 3338480 15659 3036 2990 21685 1271234 88803242 126681481 179018235 194717542 590491734 0.99430 0.99730 0.00570 0.00260 X 87652533 11952711 19029 341932 99244283 87537245 10561995 54474 10000000 392233 87652533 102246212 -14214441 8774 485752 87537245 79165301 23584799 92960 410928 102246212 71424439 8133343 5217 387264 79165301 0.39380 0.08720 0.51900 0 0 21280952 8746088 12534864 10484825 8428936 2055889 380366 5917 374449 14965202 INVESTMENTS IN SUBSIDIARIES 764026986 INTERCOMPANY RECEIVABLE 62769741 CONSTRUCTION FUND BALANCE 30682112 SELF-INSURANCE FUND 8452116 SECTION 457(F) PLAN INVESTMENTS 2219520 RIGHT OF USE - LEASE ASSET 1390156 PRIVATE ESCROW FUND 508872 OTHER ASSETS 185246 870234749 ACCRUED SELF-INSURANCE LIABILITIES 4761481 SECTION 457(F) PLAN DEFERRED COMPENSATION 4408613 RIGHT OF USE - LEASE LIABILITY 1426453 10596547 X PART V, LINE 4: INTENDED USES OF ENDOWMENT FUNDS THE ORGANIZATION'S ENDOWMENT FUNDS ARE USED FOR CAPITAL, PATIENT SERVICES OR EDUCATIONAL PURPOSES. THE HEALTH SYSTEM ADMINISTERS THE ENDOWMENT FOR THE BENEFIT OF TIDALHEALTH PENINSULA REGIONAL INC. AND TIDALHEALTH FOUNDATION. PART X, LINE 2: LIABILITY FOR UNCERTAIN TAX POSITION (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, 2024 AND 2023. CENTRAL AMERICA AND THE CARIBBEAN 1 1 INVESTMENTS 100000 1 1 0 0 1 1 100000 0 100000 1 0 1 0 0 0 PART I, LINE 3: ACCOUNTING METHOD THE AMOUNTS IN COLUMN F WERE DETERMINED USING AN ACCRUAL METHOD OF ACCOUNTING. THE TOTAL AMOUNT REPRESENTS A CAPTIVE INSURANCE INVESTMENT. X 1 1 X X X X X 0 1 0 0 0 1 1 1 0 WILLIAM DORAN DO PHYSICIAN 875096 0 358186 0 23672 0 42113 0 27060 0 1326127 0 0 0 STEVEN LEONARD PRESIDENT/CEO 874064 0 236259 0 72447 0 71005 0 26443 0 1280218 0 0 0 STEVEN HEARNE MD PHYSICIAN 854685 0 190000 0 22084 0 114066 0 28256 0 1209091 0 0 0 ZACHARY BAKER MD PHYSICIAN 893370 0 90000 0 157182 0 43474 0 22733 0 1206759 0 155964 0 EMMANUEL NSAH MD PHYSICIAN 811898 0 95790 0 98306 0 41361 0 26543 0 1073898 0 75146 0 JOHN HAMILTON MD PHYSICIAN 977254 0 20000 0 1218 0 38124 0 25954 0 1062550 0 0 0 LURA LUNSFORD V.P. OPERATIONS 697278 0 113617 0 6513 0 68007 0 7708 0 893123 0 0 0 TRUDY HALL MD V.P. CHIEF MEDICAL OFFICER 514873 0 73625 0 13871 0 32647 0 25882 0 660898 0 0 0 STEPHANIE GARY CFO 509284 0 78505 0 1262 0 36919 0 22733 0 648703 0 0 0 BRUCE RITCHIE FORMER CFO (THRU 01/23) 167966 0 0 0 258152 0 28600 0 1087 0 455805 0 217958 0 PART I, LINE 1A TRAVEL FOR COMPANIONS TIDALHEALTH, INC. (THI) PROVIDES TRAVEL FOR COMPANIONS OF BOARD MEMBERS AND REPORTS THE VALUE OF THE COMPENSATION PROVIDED AS TAXABLE TO THE RECIPIENT. THIS POLICY HAS BEEN APPROVED BY THE BOARD. SCHEDULE J 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 BRUCE RITCHIE ZACHARY BAKER, M.D. STEVEN HEARNE, M.D. EMMANUEL NSAH, M.D. TIDALHEALTH PROVIDED THE FOLLOWING FUNDING AMOUNT DURING 2023: STEVEN HEARNE, M.D. - $50,000 THE FOLLOWING INDIVIDUALS RECEIVED A DISTRIBUTION DURING 2023 BASED ON THEIR PLAN'S VESTING DATE. ZACHARY BAKER, M.D. $155,964 EMMANUEL NSAH, M.D. $75,146 BRUCE RITCHIE $217,958 PART I, LINE 6A, 6B AND 7: CONTINGENT COMPENSATION AND NON-FIXED PAYMENTS OFFICERS, KEY EMPLOYEES AND CERTAIN PHYSICIANS OF TIDALHEALTH INC. ARE PAID COMPENSATION 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 OFFICERS AND KEY EMPLOYEES. A MARYLAND HEALTH & HIGHER EDUCATION FACILITIES AUTHORITY 520936091 5742188LO 2020-05-13 101939325 REFUNDING & NEW MONEY, SEE PART VI 0 0 0 A 4600000 103818788 28920249 31517071 1 0 0 1 A 0 1 1 1 1 1 0.00800 0.00400 0.01200 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 SCHEDULE K, PART I, LINE A, COLUMN (F): BOND A, ISSUED ON 05/13/2020 DESCRIPTION OF PURPOSE PROCEEDS WERE PRIMARILY USED TO (I) ADVANCE REFUND 2013 DELAWARE HFA BONDS-NANTICOKE MEMORIAL HOSPITAL PROJECT, (II) REPAY 2016 USDA $7.5M LOAN TO NANTICOKE, AND (III) FUND 2020 PROJECT, INCLUDING CRISFIELD FMF AND RENOVATIONS AND EQUIPMENT ACQUISITION AT SALISBURY AND NANTICOKE LOCATIONS. SCHEDULE K, PART II, LINE 3, BOND A TOTAL PROCEEDS OF ISSUE INCLUDES ISSUE PRICE AND INVESTMENT EARNINGS. S LEONARD PRES. SPLIT DOLLAR LIFE INSURANCE POLICY X 4282981 4503072 0 1 1 4503072 ROMMEL ELECTRIC SEE BELOW 451817 SERVICES 0 SCHEDULE L, PART IV DESCRIPTION OF TRANSACTIONS WITH INTERESTED PERSONSROMMEL ELECTRIC IS AN ENTITY OWNED MORE THAN 35% BY BOARD MEMBER, DAVID ROMMEL. ROMMEL ELECTRIC PROVIDES SERVICES TO TIDALHEALTH, INC. THE SERVICES PROVIDEDS WERE APPROVED BY INDEPENDENT MEMBERS OF THE GOVERNING BODY AND ARE CHARGED AT FAIR MARKET VALUE RATES.AT THE START OF EVERY MEETING BOARD MEMBERS ARE ASKED IF ANY COI EXISTS FOR ANY ITEMS ON THE AGENDA. THEY THEN RECUSE THEMSELVES, IF NEEDED. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIPS STEVEN LEONARD, DAVID ROMMEL, MEMO DIRIKER, RYAN MCLAUGHLIN AND THOMAS COATES ARE MEMBERS OF THE BOARD OF DIRECTORS OF PENINSULA HEALTH VENTURES, A WHOLLY-OWNED TAXABLE SUBSIDIARY OF TIDALHEALTH, INC. STEPHANIE GARY, THI'S CFO, ALSO SERVES AS SECRETARY/TREASURER OF PENINSULA HEALTH VENTURES. FORM 990, PART VI, SECTION A, LINE 8B CONTEMPORANEOUS DOCUMENTATION OF MEETINGS HELD/WRITTEN ACTIONS UNDERTAKEN THE GOVERNING BODY OF TIDALHEALTH, INC. DOCUMENTS ALL MEETINGS HELD. COMMITTEES OF THE HEALTH SYSTEM ALSO DOCUMENT ALL MEETINGS HELD, BUT DO NOT HAVE THE AUTHORITY TO ACT ON BEHALF OF THE BOARD. COMMITTEE CHAIRS PRESENT RESOLUTIONS TO THE GOVERNING BODY FOR APPROVAL. FORM 990, PART VI, SECTION B, LINE 11B REVIEW PROCESS OF FORM 990 ONCE THE FORM 990 AND ALL SCHEDULES HAVE BEEN PREPARED BY THE ORGANIZATION'S INDEPENDENT TAX SERVICES PROVIDER, THE ORGANIZATION'S FORM 990 IS REVIEWED BY THE PRESIDENT OF THE HEALTH SYSTEM PRIOR TO FILING. A COPY OF THE FORM 990 WAS MADE AVAILABLE TO ALL MEMBERS OF THE GOVERNING BODY PRIOR TO THE FILING WITH IRS. FORM 990, PART VI, SECTION B, LINE 12C MONITORING AND ENFORCEMENT OF CONFLICT OF INTEREST POLICY THE BOARD OF DIRECTORS ARE REQUIRED TO DISCLOSE ANNUALLY, IN WRITING, ANY AND ALL INTERESTS WHICH THEY OR ANY MEMBER OF THEIR IMMEDIATE FAMILY, MAY HAVE IN ANY BUSINESS ENTITY WHICH HAS OR SEEKS A CONTRACTUAL OR COMPETITIVE RELATIONSHIP WITH THE CORPORATION OR ANY OF ITS AFFILIATES. THE BOARD HAS 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. ALL DISCLOSURES ARE REVIEWED BY THE ORGANIZATION'S CHIEF COMPLIANCE OFFICER. ANY CONFLICTS ARE PRESENTED TO THE BOARD. IF A PERSON IS CONFLICTED, THEY WILL RECUSE THEMSELVES FROM ALL DISCUSSIONS AND DELIBERATIONS TO WHICH THEY WOULD APPEAR TO BE CONFLICTED. FORM 990, PART VI, SECTION B, LINE 15 PROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION USES A COMPENSATION COMMITTEE TO DETERMINE THE COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR AND OTHER KEY EMPLOYEES. THE COMPENSATION COMMITTEE USES AN INDEPENDENT CONSULTANT, COMPENSATION SURVEYS AND OTHER ORGANIZATION'S FORM 990 IN THE DETERMINATION PROCESS. 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 PUBLIC INFORMATION OFFICE OF TIDALHEALTH PENINSULA REGIONAL AT 100 EAST CARROLL STREET, SALISBURY, MD 21801. FORM 990, PART XI, LINE 9: CHANGES IN PENSION COST 8,619,239. DECREASE IN EQUITY IN INVESTMENT IN SUBSIDIARIES 128,460,814. PEN REG CLINICALLY INTEGRATED NETWORK 100 EAST CARROLL STREET SALISBURY MD 21801 474418815 CLINICAL MD 2344006 5567 TIDALHEALTH INC TIDALHEALTH SURGERY CENTER LLC 100 EAST CARROLL STREET SALISBURY MD 21801 474184623 CLINICAL MD 4108974 1795749 TIDALHEALTH INC TIDALHEALTH MEDICAL PARTNERS LLC 100 EAST CARROLL STREET SALISBURY MD 21801 850517067 CLINICAL MD 140759435 49674091 TIDALHEALTH INC TIDALHEALTH PRIMARY CARE LLC 100 EAST CARROLL STREET SALISBURY MD 21801 850517090 CLINICAL MD TIDALHEALTH MEDICAL PARTNER LLC TIDALHEALTH SPECIALTY CARE LLC 100 EAST CARROLL STREET SALISBURY MD 21801 850529460 CLINICAL MD TIDALHEALTH MEDICAL PARTNER LLC TIDALHEALTH PENINSULA REGIONAL (TPR) 100 EAST CARROLL STREET SALISBURY MD 21801 520591628 HOSPITAL MD 501(C)(3) LINE 3 TIDALHEALTH INC 1 TIDALHEALTH FOUNDATION 100 EAST CARROLL STREET SALISBURY MD 21801 521851935 FUNDRAISING MD 501(C)(3) LINE 7 TIDALHEALTH INC 1 PENINSULA GENERAL HOSPITAL INS TRUST 100 EAST CARROLL STREET SALISBURY MD 21801 526321234 INSURANCE MD 501(C)(3) LINE 12C, III-FI TIDALHEALTH INC 1 DELMARVA PENINSULA INSURANCE COMPANY PO BOX 1159 KY1-1102 CJ 981110617 INSURANCE CJ 501(C)(3) TIDALHEALTH INC 1 TIDALHEALTH PHYSICIAN NETWORK INC 801 MIDDLEFORD ROAD SEAFORD DE 19973 510224470 HEALTH SERVICES DE 501(C)(3) LINE 10 TIDALHEALTH INC 1 TIDALHEALTH NANTICOKE 801 MIDDLEFORD ROAD SEAFORD DE 19973 510069243 HOSPITAL DE 501(C)(3) LINE 3 TIDALHEALTH INC 1 MCCREADY FOUNDATION INC 201 HALL HIGHWAY CRISFIELD MD 21817 520607921 HEALTH SERVICES MD 501(C)(3) LINE 10 TIDALHEALTH INC 1 DELMARVA ENDOSC CTR 11103 CATHAGE RD BERLIN MD 21801 831509115 HEALTH CARE MD N/A 0 0 PENINSULA HEALTH VENTURES (PHV) 100 EAST CARROLL STREET SALISBURY MD 21801 522250012 P'SHIP INVESTMENT MD TIDALHEALTH INC C 6499773 37780622 1.00000 1 PRLTC INC 100 EAST CARROLL STREET SALISBURY MD 21801 522190588 LONG TERM CARE MD N/A C 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 DELMARVA PENINSULA INSURANCE COMPANY R 12160768 CASH