2022-05-16T13:12:21-05:00 2021-06-30 366055558 GRANT THORNTON LLP 1000 WILSON BOULEVARD SUITE 1400 ARLINGTON VA 22209 990 2020-07-01 510069243 TIDALHEALTH NANTICOKE INC TIDA 3026296611 801 MIDDLEFORD ROAD SEAFORD DE 19973 PENNY SHORT PRESIDENT 3026296611 2022-05-16 1 PENNY SHORT XXX-XX-XXXX MARY TORRETTA P00847851 7038477500 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z X PENNY SHORT 801 MIDDLEFORD ROAD SEAFORD DE 19973 163068607 0 X WWW.TIDALHEALTH.ORG X 1945 DE IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. 15 11 1230 150 0 0 14736332 7950000 133937883 140293654 2196354 4270650 2232724 2003281 153103293 154517585 9502957 265905 0 0 63999771 62913029 0 0 0 89764480 98255733 163267208 161434667 -10163915 -6917082 179471750 189690265 86306050 45325200 93165700 144365065 X IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. 0 0 146913031 265905 140293654 SEE SCHEDULE O 146913031 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 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 163 0 1 1230 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 11 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 DE X DEAN A SWINGLE DIRECTOR OF FINANCE 3025365203 100 EAST CARROLL ST SALISBURY MD 21801 PENNY SHORT PRESIDENT 40.00 0.00 X X 447502 0 72830 JANET PEDRO MD BOARD MEMBER TO 05/2021 1.00 40.00 X 0 461770 28542 JOSEPH KIM MD BOARD MEMBER 1.00 40.00 X 0 313464 45015 MICHELE PROCINO-WELLS SECRETARY 2.00 1.00 X X 0 0 0 DAVID CROUSE CHAIRPERSON 5.00 0.00 X X 0 0 0 SONJA BIDDLE OD BOARD MEMBER 1.00 0.00 X 0 0 0 ANDREW HARTSTEIN BOARD MEMBER 1.00 0.00 X 0 0 0 MARIA LEHMAN BOARD MEMBER 1.00 1.00 X 0 0 0 STEVEN LEONARD BOARD MEMBER 1.00 42.00 X 0 1037091 166821 TRINA JOYNER BOARD MEMBER 1.00 0.00 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 1.00 0.00 X 0 0 0 SARAH RUFFCORN BOARD MEMBER 1.00 0.00 X 0 0 0 RICHARD SIMONS DO BOARD MEMBER 1.00 0.00 X 0 0 0 SEAN STEWARD BOARD MEMBER 1.00 0.00 X 0 0 0 RAY FULKROD CNO 40.00 0.00 X 234930 0 29486 BRUCE RITCHIE CFO 0.00 42.00 X 0 730288 158256 DENISE JESTER SENIOR DIRECTOR 40.00 0.00 X 312008 0 65368 HARRY ANTHONY MD CHIEF MEDICAL OFFICER 0.00 40.00 X 0 238455 35403 JAMES WATSON SENIOR DIRECTOR 40.00 0.00 X 190009 0 41718 DEAN SWINGLE FINANCE DIRECTOR 40.00 0.00 X 186378 0 24037 LORI LEE SENIOR DIRECTOR 40.00 0.00 X 179570 0 25326 TOM DIEHL SENIOR DIRECTOR 40.00 0.00 X 175019 0 28853 GEORGE SCHWOBEL PHARMACY DIRECTOR 40.00 0.00 X 170694 0 23828 STEVEN ROSE FORMER CEO TO 01/31/20 0.00 0.00 X 1021122 0 2307 THOMAS BROWN FORMER SENIOR VP TO 06/11/20 0.00 0.00 X 320344 0 23667 TRACI ALLEY FORMER CHIEF HR OFFICER TO 02/02/20 0.00 0.00 X 250306 0 0 LILIA KULMACZEWSKI FORMER CHIEF COMPLIANCE OFFICER 40.00 0.00 X 208235 0 27852 3696117 2781068 799309 61 1 1 0 CERNER CORPORATION 2800 ROCKCREEK PKWY KANSAS CITY MO 64141 TECHNOLOGY 7614431 APOGEE MEDICAL MANAGEMENT 15059 N SCOTTSDALE RD SCOTTSDALE AZ 85254 HOSPITALISTS 3092276 ANESTHESIA SERVICES PA 2 READS WAY NEW CASTLE DE 19720 ANESTHESIA 2774689 QUEST DIAGNOSTICS PO BOX 828669 PHILADELPHIA PA 19182 LAB SERVICES 2207339 INTERMED 13301 US HWY 441 ALACHUA FL 32615 BIO MED SERVICES 1639631 37 7700000 250000 7950000 PATIENT REVENUE 623000 140293654 140293654 140293654 875729 875729 626768 407399 219369 219369 219369 11521544 17000 8100019 43604 3421525 -26604 3394921 3394921 MISCELLANEOUS 623000 1250194 1250194 CAFETERIA 623000 533718 533718 1783912 154517585 140293654 0 6273931 83139 83139 182766 182766 994441 904941 89500 102101 92912 9189 43827838 39883332 3944506 2964222 2697442 266780 11513485 10477272 1036213 3510942 3194958 315984 350384 318849 31535 59695 54322 5373 63626 63626 199324 181385 17939 13561239 12340728 1220511 462170 420575 41595 1930982 1757194 173788 13463742 12252005 1211737 2107434 1917765 189669 27569 25088 2481 2329627 2119961 209666 9956944 9060819 896125 548937 499533 49404 MEDICAL SUPPLIES 16218733 14759047 1459686 0 DRUGS 13060269 11884845 1175424 0 PHYSICIAN FEES 10378283 9444238 934045 0 BAD DEBT EXPENSE 8953578 8147756 805822 0 4583197 4212159 371038 161434667 146913031 14521636 0 8228921 5879363 22731016 26859522 12003679 13560376 4584412 4087321 2050070 1259400 103068528 13621114 89349477 89447414 37783297 46694278 2740878 1902591 179471750 189690265 14704587 19308603 0 0 0 6592773 3779781 65008690 22236816 86306050 45325200 X 93165700 144365065 93165700 144365065 179471750 189690265 X -6917082 4839892 53276555 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 1 0 0 0 1 63626 0 0 0 63626 0 SCHEDULE C, PART II-B, LINE 1I TIDALHEALTH NANTICOKE PAYS DUES TO AHA AND DEHA: THE AMERICAN HOSPITAL ASSOCIATION AND THE DELAWARE HEALTHCARE ASSOCIATION. TIDALHEALTH NANTICOKE'S MANAGEMENT ALSO CORRESPONDS WITH OUR STATE AND FEDERAL LEGISLATORS REGARDING CURRENT LEGISLATION AND REGULATIONS THAT MAY AFFECT THE FINANCIAL VIABILITY OF THE HOSPITAL AND ITS ABILITY TO CONTINUE TO PROVIDE QUALITY HEALTHCARE TO THE COMMUNITY. ALSO, WINNING STRATEGIES WASHINGTON, LLC PROVIDES LOBBYING SERVICES TO NANTICOKE TO ASSIST THE HOSPITAL IN MAINTAINING ITS MEDICARE DEPENDENT HOSPITAL (MDH) STATUS. 5490200 5490200 69251127 5045668 64205459 690087 62881 627206 26723988 8512565 18211423 913126 913126 89447414 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 20472786 OTHER LIABILITIES 1764030 22236816 X 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, 2021 AND 2020. 1 1 1 X 250.000000000000 1 X 250.000000000000 1 1 1 0 1 1 2309 4352995 4352995 0.02850 36381 30658889 15671319 14987570 0.09830 38690 35011884 15671319 19340565 0.12680 526 1510 566190 566190 0.00370 48 1827 73500 73500 0.00050 574 3337 639690 639690 0.00420 574 42027 35651574 15671319 19980255 0.13100 0.00000 0.00000 0.00000 0.00000 0.00000 0.00000 0.00000 4 4 5822 5822 0.00000 0.00000 4 4 5822 5822 0.00000 1 8953578 48367149 52425072 -4057923 X 1 1 1 NANTICOKE SURGICAL CENTER LLC SURGERY CENTER 0.51000 0.49000 1 1 TIDALHEALTH NANTICOKE INC 801 MIDDLEFORD ROAD SEAFORD DE 19973 HSPTL-008 X X X TIDALHEALTH NANTICOKE INC 1 0 1 1 X X X X X X X X X 19 1 1 1 1 X SEE SUPPLEMENTAL INFORMATION X 1 19 1 SEE SUPPLEMENTAL INFORMATION 0 1 X 250.000000000000 250.000000000000 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 1 X 0 0 TIDALHEALTH NANTICOKE, INC PART V, SECTION B, LINE 2: THE ORGANIZATION WAS ACQUIRED BY TIDALHEALTH, INC. ON JANUARY 1, 2020. TIDALHEALTH NANTICOKE, INC PART V, SECTION B, LINE 5: ASSIGNED STAFF MEMBERS WORKING IN CONJUNCTION WITH MEMBERS OF THE HEALTHIER SUSSEX COUNTY TASK FORCE AND THE SUSSEX COUNTY HEALTH COALITION WORKED TOGETHER TO CONDUCT THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). IN 2021, PREVIOUS TO MERGER, NANTICOKE, NOW A PART OF TIDALHEALTH, IS PREPARING TO CONDUCT A NEW COMMUNITY HEALTH NEEDS ASSESSMENT AS A HEALTH SYSTEM UNDER TIDALHEALTH. THE ASSESSMENT WILL COVER THE MD CBSA (COMMUNITY BENEFIT SERVICE AREA) OF SOMERSET, WICOMICO AND WORCESTER COUNTIES AND A NEW AREA OF SUSSEX COUNTY, DELAWARE. BACKGROUND: EFFECTIVE JANUARY 1, 2020, TIDALHEALTH NANTICOKE (THN) AND TIDALHEALTH PHYSICIAN NETWORK (TPN), LOCATED IN SEAFORD, DELAWARE, JOINED TIDALHEALTH, INC. NANTICOKE HAS 139 LICENSED ACUTE CARE BEDS (99 CURRENTLY OPERATED) AND PRIMARILY SERVES THE WESTERN SUSSEX COUNTY, DELAWARE PORTION OF TIDALHEALTH'S PRIMARY SERVICE AREA. TIDALHEALTH PHYSICIAN NETWORK PROVIDES OUTPATIENT MEDICAL SERVICES IN WESTERN SUSSEX COUNTY AND FEDERALSBURG, MD. EFFECTIVE MARCH 1, 2020, MCCREADY FOUNDATION, 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, INC. THE MCCREADY HOSPITAL DIVISION WAS MERGED IN TIDALHEALTH PENINSULA REGIONAL AND LIMITED ITS FUNCTIONS TO THOSE CONSISTENT WITH STATUS AS A FREE-STANDING MEDICAL CENTER. HCI AND TIDALHEALTH HAVE COLLABORATED SINCE 2012 TO DEVELOP THE TIDALHEALTH CREATING HEALTHY COMMUNITIES PLATFORM. ASSIGNED STAFF ALONG WITH COMMUNITY PARTNERS CONDUCTED KEY INFORMANT INTERVIEWS IN ORDER TO COLLECT COMMUNITY INPUT. KEY INFORMANT INTERVIEWS WERE CONDUCTED BETWEEN 11/4/2019 AND 08/30/2018. 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 HEALTH SYSTEM, AND/OR COULD SPEAK TO THE NEEDS OF THE MEDICALLY UNDERSERVED OR VULNERABLE POPULATIONS. THE FOLLOWING ORGANIZATIONS ARE REPRESENTATIVE OF THE INDIVIDUALS WHO PARTICIPATED IN THE INTERVIEWS:DELAWARE PUBLIC HEALTH INCLUDING REPRESENTATIVES FROM AREA SERVICES RANGING FROM CHILD TO SENIOR SERVICES, MEMBERS OF THE SUSSEX COUNTY HEALTH COALITION INCLUDING A WIDE RANGE OF REPRESENTATIVES PROVIDING HEALTH AND SOCIAL SERVICE SUPPORT TO VULNERABLE POPULATIONS (FOR A FULL LIST REFER TO NANTICOKE'S CHNA 2019), FIRST RESPONDERS, SKILLED NURSING REPRESENTATIVES, SENIOR SERVICE AGENCIES, SCHOOLS AND EDUCATORS AND LOCAL PHYSICIANS AND INDEPENDENT HEALTHCARE PROVIDERS. THREE FOCUS GROUPS WERE FACILITATED BY THE TEAM IN SUSSEX COUNTY. THESE INCLUDED FOCUS GROUPS HELD AT THE SUSSEX COUNTY HEALTH COALITION WELLNESS COMMITTEE, BEHAVIORAL HEALTH COMMITTEE AND ECONOMIC SUCCESS COMMITTEE. THESE FOCUS GROUPS WERE HELD JANUARY TO MARCH 2019. A COMMUNITY SURVEY WAS AVAILABLE USING SURVEY MONKEY, AN ONLINE SURVEY TOOL, AND A PAPER VERSION OF THE SURVEY. SURVEYS WERE CONDUCTED IN ENGLISH AND SPANISH, THOUGH MINIMAL LATINX PARTICIPATION WAS ACHIEVED. SURVEYING OF THE LATINX COMMUNITY WAS ATTEMPTED THROUGH COMMUNITY PARTNERS INCLUDING LA ESPERANZA. THE SURVEY WAS DISTRIBUTED ACROSS NANTICOKE'S SERVICE AREA FROM JULY 2018 UNTIL FEBRUARY 2019. TIDALHEALTH NANTICOKE, INC PART V, SECTION B, LINE 6A: THE HOSPITAL FISCAL YEAR 2020 (ENDING 6/30/2020) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS COMPLETED JUNE 2019 FOLLOWED BY ITS ACCOMPANYING IMPLEMENTATION PLAN. THROUGH DECEMBER 2020, THEN NANTICOKE HEALTH SERVICES CONTINUED WORK WITH TWO OTHER COUNTY HOSPITALS (BAYHEALTH MILFORD AND BEEBE HEALTHCARE) THROUGH THE HEALTHIER SUSSEX COUNTY TASK FORCE ON IDENTIFIED COMMUNITY HEALTH PROJECTS. HOWEVER, AS COVID ARRIVED IN THE AREA, MOST COMMUNITY CLINICS AND IN-PERSON COMMUNITY OUTREACH WERE DISCONTINUED. AS AN INDIVIDUAL HOSPITAL IN 2020, FOCUS AREAS INCLUDED BEHAVIORAL HEALTH PROJECTS SPECIFICALLY FOCUSED ON OPIOID AND SUBSTANCE ABUSE IN OUR COMMUNITY; CHRONIC DISEASE MANAGEMENT FOR DIABETES; CERVICAL CANCER, AND FOOD INSECURITY PROGRAMS FOR PATIENTS OF OUR HOSPITAL AND EMPLOYED PROVIDER NETWORK. AT PRESENT, WORK FROM THIS IMPLEMENTATION PLAN IS APPROXIMATELY 50 PERCENT COMPLETE INCLUDING A PATIENT FOOD PANTRY FOR OUR INPATIENT, OUTPATIENT, ED AND WALK IN CARE PATIENTS. NANTICOKE IS ALSO PARTICIPATING IN STATE WORK FOR SUBSTANCE ABUSE AS WELL AS WITH THE SUSSEX COUNTY HEALTH COALITION IN SUPPORT OF SEAFORD'S DRUG FREE COMMUNITIES TASK FORCE. ADDITIONAL COMMUNITY HEALTH SUPPORT DUE WITH THE ARRIVAL OF COVID IN THE COMMUNITY INCLUDED SUPPORT OF STATE PUBLIC HEALTH COVID SCREENING CLINICS IN 2020. ON JANUARY 1, 2020, NANTICOKE HEALTH SERVICES AFFILIATED WITH TIDALHEALTH, AND REBRANDED TO TIDALHEALTH NANTICOKE. NOW PART OF A LARGER SYSTEM, TIDALHEALTH NANTICOKE ANTICIPATES ADDITIONAL RESOURCES AROUND POPULATION AND COMMUNITY HEALTH PROJECTS INCLUDING THE EXPECTED ADDITION OF A MOBILE VAN TO PROVIDE SERVICES TO VULNERABLE POPULATIONS. AS OUR COMMUNITY BECOMES VACCINATED AND RETURNS TO MORE NORMAL OPERATIONS, WE ANTICIPATE RESUMING OUR WORK IN DIABETES MANAGEMENT AND CERVICAL CANCER AWARENESS AND SCREENING COMPLIANCE. TIDALHEALTH NANTICOKE, INC PART V, SECTION B, LINE 6B: IN DEVELOPING ITS CHNA, NMH WORKED WITH SUSSEX COUNTY HEALTH COALITION, THE HEALTHIER SUSSEX COUNTY TASK FORCE, DRUG FREE COMMUNITIES, PUBLIC HEALTH, AND MANY OTHER SOCIAL SERVICE GROUPS AND HEALTHCARE ORGANIZATIONS.FORM 990, SCHEDULE H, PART V, LINE 7ACHNA ON HOSPITAL FACILITY'S WEBSITEHTTPS://WWW.TIDALHEALTH.ORG/COMMUNITY-OUTREACH-PARTNERS/COMMUNITY-HEALTH-RESEARCH-DATA/CREATING-HEALTHY-COMMUNITIES TIDALHEALTH NANTICOKE, INC PART V, SECTION B, LINE 11: TIDALHEALTH NANTICOKE WORKS WITH SEVERAL COMMUNITY PARTNERS AND AGENCIES TO ADDRESS HEALTH NEEDS IN THE COMMUNITY. FROM THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT, NANTICOKE IDENTIFIED FOUR AREAS OF GREATEST NEED WITHIN OUR COMMUNITY. THEY ARE MENTAL HEALTH & SUBSTANCE ABUSE, CERVICAL CANCER PREVENTION, CHRONIC DISEASE MANAGEMENT MORE SPECIFICALLY DIABETES MANAGEMENT, AND FOOD INSECURITY. NANTICOKE WORKED WITH THE SUSSEX COUNTY HEALTH COALITION, THE DRUG FREE COMMUNITIES TASK FORCE AND SEVERAL SERVICE AGENCIES AND DEPARTMENTS FROM DELAWARE PUBLIC HEALTH ON INITIATIVES AROUND BEHAVIORAL HEALTH AND SUBSTANCE ABUSE. PROJECTS RANGED FROM SAFE PRESCRIBING TO CARE COORDINATION WITHIN THE MEDICAL PRACTICES TO AWARENESS AND PREVENTION. NANTICOKE ALSO PARTICIPATED IN SUPPORTING THE EXPANSION OF NARCAN TRAINING WITHIN THE COMMUNITY AS WELL AS YOUTH PREVENTION ACTIVITIES. FOR BOTH CERVICAL CANCER SCREENING AND DIABETES MANAGEMENT, EFFORTS WERE TAKEN IN PARTNERSHIP WITH THE EBRIGHT ACO AND THE HEALTHIER SUSSEX COUNTY TO DEVELOP SPECIFIC PROGRAMS OR INITIATIVES WITHIN PRIMARY CARE PROVIDER PRACTICES TO INCREASE COMPLIANCE. ADDITIONALLY, INITIATIVES WERE EXPANDED TO INCLUDE CARE MANAGEMENT FOR COMPLIANCE WITHIN EMPLOYEE POPULATIONS. WITH THE ONSET OF COVID 19, GENERAL COMMUNITY OUTREACH PROGRAMS SLOWED. HOWEVER, WITH THE INTEGRATION OF TIDALHEALTH NANTICOKE INTO WHAT IS NOW KNOWN AS TIDALHEALTH, INITIATIVES FOR OUTREACH IN THESE AND OTHER COMMUNITY HEALTH AREAS FOR SUSSEX COUNTY ARE CURRENTLY BEING DEVELOPED THROUGH ITS POPULATION HEALTH DEPARTMENT. FOR FOOD INSECURITY, THE IDENTIFIED GAP WAS WITH PATIENTS OF TIDALHEALTH NANTICOKE LEAVING THE HOSPITAL WITHOUT FOOD. UNDERSTANDING THE GAP WAS IN PROVIDING TIME TO HEAL TO GIVE TIME FOR PATIENTS TO CONNECT WITH OTHER AREA FOOD SERVICES, NANTICOKE OPENED A DEDICATED PATIENT FOOD PANTRY, PROVIDING FOOD TO PATIENTS FOR TWO TO FOUR WEEKS TO ALLOW PATIENTS TIME TO HEAL. NANTICOKE ALSO EXPANDED THE PROGRAM TO INCLUDE TRAVEL FOOD BAGS FOR HOMELESS PATIENTS COMING TO THE E.D. AS WELL AS WITHIN SPECIFIC PATIENT POPULATIONS INCLUDING CANCER PATIENTS AND MEDICAL PRACTICE PATIENTS. THIS PROGRAM IS DONE IN PARTNERSHIP WITH LOCAL BUSINESSES, THE DELAWARE FOOD BANK AND PROJECT SEARCH (STUDENT INTERNSHIP PROGRAM). FORM 990, SCHEDULE H, PART V, LINE 10A CHNA ON HOSPITAL FACILITY'S WEBSITEHTTPS://WWW.TIDALHEALTH.ORG/COMMUNITY-OUTREACH-PARTNERS/COMMUNITY-HEALTH-RESEARCH-DATA/CREATING-HEALTHY-COMMUNITIES FORM 990, SCHEDULE H, PART V, LINES 16A-C THE FAP, FAP APPLICATION, AND A PLAIN LANGUAGE SUMMARY OF THE FAP WAS AVAILABLE AT THE FOLLOWING WEBSITE: HTTPS://WWW.TIDALHEALTH.ORG/COMMUNITY-OUTREACH-PARTNERS/COMMUNITY-HEALTH-RESEARCH-DATA/CREATING-HEALTHY-COMMUNITIES 3 1 - MEARS HEALTH CAMPUS 100 RAWLINS DRIVE SEAFORD DE 19973 MEDICAL FACILITY 2 - EZ LAB 9111 ANTIQUE ALLEY BRIDGEVILLE DE 19933 LAB DRAWING STATION 3 - EZ LAB 30549 SUSSEX HWY LAUREL DE 19956 LAB DRAWING STATION PART I, LINE 7: THE COSTING METHOD USED TO CALCULATE THE AMOUNTS REPORTED WAS THE MEDICARE OPERATING COST-TO-CHARGE RATIO FOR BOTH OUTPATIENT AND INPATIENT SERVICES. PART I, LINE 7G: THE HOSPITAL DID NOT INCLUDE SUBSIDIZED HEALTH SERVICE ATTRIBUTABLE TO PHYSICIAN CLINICS. PART I, LINE 7 COL(F): THE AMOUNT OF BAD DEBT EXPENSE EXCLUDED FROM THE DENOMINATOR IN THE COLUMN (F) PERCENTAGES IS $8,953,578. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY OUTEACH:TIDALHEALTH NANTICOKE AND MANY DELAWARE HOSPITALS ARE CONTINUING TO DEAL WITH THE ONGOING EFFECTS OF THE PANDEMIC AND THE ADDITIONAL STAFFING SHORTAGES, INFLATED COSTS OF TEMPORARY LABOR, INCLUDING THE HIGH COSTS OF SUPPLIES, TESTING SUPPLIES AND THE ADDITIONAL RESOURCES NEEDED TO MAINTAIN ADDITIONAL BED CAPACITY AND ESTABLISHMENT OF VACCINATION CLINICS. THE PANDEMIC HAS NOT ENDED AS TIDALHEALTH NANTICOKE VOLUMES AND COVID-RELATED EXPENSES ARE VOLATILE AND MAY NOT SETTLE TO NORMAL UNTIL THE END OF THE CALENDAR YEAR 2022, IF NOT LATER. COVID HAS PRESENTED ORGANIZATIONAL CHALLENGES ESPECIALLY FOR TIDALHEALTH NANTICOKE A SMALLER RURAL MDH (MEDICARE DEPENDENT HOSPITAL) THE PANDEMIC HAS TEMPORARILY INHIBITED THE PURSUIT OF ENGAGING IN MORE ROBUST COMMUNITY BENEFIT OUTREACH PROGRAMS. HOWEVER, CONSIDERING OVERWHELMING STAFFING SHORTAGES, EMPLOYEES SIDELINED WITH COVID PROTOCOLS AND THE NEED TO CURTAIL "FACE TO FACE" INTERACTIONS WITH THE COMMUNITY MEMBERS, TIDALHEALTH IS CURRENTLY WORKING TIRELESSLY TO EDUCATE AND VACCINATE THE COMMUNITY AGAINST COVID. WE RECOGNIZE THAT EVEN THOUGH RESOURCES ARE BEING STRETCHED DURING THE PANDEMIC IT HAS BROUGHT ABOUT INNOVATION IN TELEHEALTH OUTREACH INTO OUR RURAL COMMUNITY AND HAS LED TO COLLABORATIONS WITHIN THE COMMUNITY.TIDALHEALTH NANTICOKE WORKS IN COLLABORATION WITH A VARIETY OF COMMUNITY-BASED STAKEHOLDERS TO ADDRESS THE NEEDS AND PRIORITIES IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT. TIDALHEALTH NANTICOKE AND PARTNERS IDENTIFIED FOUR AREAS OF GREATEST NEED WITHIN OUR COMMUNITY IN THE CHNA INCLUDING OPIOID AND SUBSTANCE ABUSE; DIABETES; CANCER; AND FOOD INSECURITY. THE HOSPITAL TEAM WORKED THE SUSSEX COUNTY HEALTH COALITION, DRUG FREE COMMUNITIES TASK FORCE AND VARIOUS DIVISIONS OF DELAWARE PUBLIC HEALTH TO DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN WHICH OUTLINES THE SPECIFIC GOALS, OBJECTIVES, STRATEGIES AND ACTIVITIES TO IMPACT THE FOUR PRIORITY AREAS.FOR FISCAL 2021, SUBSTANCE ABUSE PREVENTION INITIATIVES INCLUDED WORK WITH THE SUSSEX COUNTY HEALTH COALITION AND THE DELAWARE GOES PURPLE SUBSTANCE ABUSE AWARENESS CAMPAIGN. THE CAMPAIGN IS A MONTH-LONG PROGRAM THAT BRINGS AWARENESS ABOUT SUBSTANCE ABUSE WITHIN OUR COMMUNITY AND EMPOWERS YOUTH TO STAND UP AGAINST PEER PRESSURE AND DRUG EXPERIMENTATION. ADDITIONALLY, AS PART OF TIDALHEALTH NANTICOKE'S FOCUS ON BEHAVIORAL HEALTH AND ACCESS, THE TEAM PARTICIPATES ON THE SCHD DRUG FREE COMMUNITIES COMMITTEE. TIDALHEALTH MEDICAL PARTNERS CONTRIBUTED TO THE INITIATIVE BY CONTINUING TO INSTITUTE SAFE PRESCRIBING BEST PRACTICES AND CARE COORDINATION WITHIN PRIMARY CARE PRACTICES. TIDALHEALTH NANTICOKE ALSO PARTICIPATED IN SUPPORTING THE EXPANSION OF NARCAN TRAINING WITHIN THE COMMUNITY.TO ADDRESS CANCER RELATED NEEDS, TIDALHEALTH NANTICOKE COLLABORATES WITH THE DELAWARE BREAST CANCER COALITION. THE PROGRAM EDUCATES LOCAL COMMUNITIES ON BREAST HEALTH AWARENESS, PROVIDES SCREENINGS THROUGH PARTNERSHIPS AND ALSO SUPPORTS THE NEEDS OF BREAST CANCER SURVIVORS. DURING FISCAL 2021, WE CONTINUED OUR CANCER MISSION BY HOSTING OVER FORTY VIRTUAL GROUP MEETINGS SUPPORTING NEARLY 300 IN ATTENDANCE. SKIN CANCER IS ONE OF THE MOST COMMON TYPES OF CANCERS; OUR CLOSE PROXIMITY TO THE OCEAN, OUTDOOR WATER ACTIVITIES AND LARGE AGRICULTURAL COMMUNITY CONTRIBUTES TO THE HIGH PREVALENCE AND INCIDENCE RATE OF SKIN CANCER.TO ADDRESS DIABETES NEEDS THROUGHOUT THE COMMUNITY, TIDALHEALTH NANTICOKE OFFERS FREE COMMUNITY OUTREACH PROGRAM FOR DIABETES SUPPORT GROUPS. THE SUPPORT GROUPS WERE OFFERED IN FEBRUARY AND MAY 2021 BY VIRTUAL/TELEHEALTH FORMAT TO THE REGIONAL DIABETES COMMUNITY. SUPPORT GROUPS FOR DIABETES WERE OFFERED IN THIS FORMAT BECAUSE OF COVID-19 RESTRICTIONS AND SOCIAL DISTANCING REQUIREMENTS. A GENERAL SUPPORT PROGRAM WAS OFFERED IN FEBRUARY WITH A NURSE AND DIETITIAN WHO ARE BOTH CERTIFIED DIABETES EDUCATORS. THE MAY EVENT WAS CONDUCTED IN COLLABORATION WITH STEPHANIE ROSS, EXECUTIVE CHEF WITH THE AMERICAN HEALTH ASSOCIATION. THE PROGRAM WAS PART OF THE "SIMPLE COOKING WITH HEART KITCHEN," WHERE PARTICIPANTS OBSERVED A COOKING DEMONSTRATION ONLINE WHILE PREPARING THE SAME MEAL AT HOME TO LEARN HEALTHY COOKING TECHNIQUES.TIDALHEALTH NANTICOKE OPERATED A FOOD ASSISTANCE PROGRAM IN FISCAL 2021 TO ADDRESS FOOD INSECURITY THROUGHOUT THE COMMUNITY. AS AN MDH (MEDICARE DEPENDENT HOSPITAL) AND SERVING A SUBSTANTIAL MEDICAID POPULATION MANY OF OUR INPATIENTS ARE ACUTELY SICK AND SUBSEQUENTLY DISCHARGED HOME LACKING HEALTHY NUTRITIOUS FOOD, MAKING IT DIFFICULT FOR THEM TO CONTINUE THEIR RECOVERY PROCESS. WHILE MANY COMMUNITY FOOD ASSISTANCE PROGRAMS EXIST, IT MAY TAKE A LITTLE LONGER FOR A PATIENT RECOVERING FROM A HOSPITAL STAY TO CONNECT TO THESE RESOURCES. TIDALHEALTH NANTICOKE OPENED A DEDICATED PATIENT FOOD PANTRY, PROVIDING FOOD TO PATIENTS FOR TWO TO FOUR WEEKS TO ALLOW PATIENTS TIME TO HEAL. THE PROGRAM WAS EXPANDED TO INCLUDE TRAVEL FOOD BAGS FOR HOMELESS PATIENTS COMING TO THE E.D. AS WELL AS WITHIN SPECIFIC PATIENT POPULATIONS INCLUDING CANCER PATIENTS AND MEDICAL PRACTICE PATIENTS. THIS PROGRAM IS DONE IN PARTNERSHIP WITH LOCAL BUSINESSES, THE DELAWARE FOOD BANK AND PROJECT SEARCH (STUDENT INTERNSHIP PROGRAM).PATIENTS ARE IDENTIFIED AS 'IN NEED' AS A PART OF THEIR PATIENT CARE PROCESS. IF IDENTIFIED, THEY RECEIVE A FOOD PACKAGE BEFORE BEING DISCHARGED FROM THE HOSPITAL. BY PROVIDING FOOD FOR UP TO FOUR WEEKS, WE HOPE IT GIVES ENOUGH TIME FOR THEM TO CONNECT TO OTHER RESOURCES WITHOUT GOING HUNGRY DURING RECOVERY.THIS PROGRAM IS FOR INPATIENTS, WHICH MEANS THOSE ADMITTED OVERNIGHT TO THE HOSPITAL. KEY CLINICAL AND SOCIAL SERVICE STAFF CAN ACCESS THE FOOD CLOSET IN THE EVENT THERE IS AN URGENT NEED OUTSIDE OF THE INPATIENT CARE PROCESS.ON A REGULAR BASIS, WE DO OUR BEST TO KEEP A SUPPLY FOR A ROUNDED DIET, COLLECTING LOW-SODIUM (SALT) AND LOW-SUGAR PRODUCTS AS POSSIBLE. WE PROVIDE PATIENTS WITH A STOCK OF ITEMS FROM THE FOLLOWING FOOD GROUPS:1. PROTEINS - PACKAGES, SHELF-SUSTAINABLE MEATS, AND BEANS2. VEGETABLES - CANNED, LOW-SODIUM OR NO-SODIUM PREFERRED3. FRUITS - CANNED OR DRIED4. GRAINS - NON-SUGARY CEREALS, RICE, WHOLE WHEAT PASTAS, AND OATMEAL5. DAIRY - CANNED OR POWDERED MILK PART III, LINE 2 & LINE 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.DISCOUNTS RANGING FROM 2.0% TO 7.7% OF CHARGES ARE GIVEN TO MEDICARE, MEDICAID, AND CERTAIN APPROVED COMMERCIAL HEALTH INSURANCE AND HEALTH MAINTENANCE ORGANIZATION PROGRAMS FOR REGULATED SERVICES. DISCOUNTS IN VARYING PERCENTAGES ARE GIVEN FOR CERTAIN UNREGULATED SERVICES. PART III, LINE 8: THE COSTING METHOD USED TO DETERMINE ALLOWABLE COSTS ARE THE COSTS IN ACCORDANCE WITH MEDICARE REQUIREMENTS AND REGULATIONS. ONLY COSTS THAT ARE CONSISTENT WITH EFFICIENT, COST-EFFECTIVE MANAGEMENT AND OPERATIONS ARE ALLOWED. ONLY OPERATING COSTS THAT ARE DIRECTLY RELATED TO THE DELIVERY OF HEALTH CARE SERVICES TO MEDICARE AND MEDICAID PATIENTS WERE ALLOWED. PART III, LINE 9B: THE COLLECTION POLICY PERTAINS TO ALL PATIENTS WITH A SELF PAY BALANCE. IF A PATIENT APPLIES FOR EITHER CHARITY CARE OR ANY OTHER ASSISTANCE PROGRAM SUCH AS MEDICARE AND MEDICAID, ALL COLLECTION ACTIVITY IS PUT ON HOLD UNTIL A DETERMINATION OF ELIGIBILITY IS MADE. PART VI, LINE 2: TIDALHEALTH NANTICOKE, INC CURRENTLY USES SECONDARY DATA FROM FEDERAL, STATE AND COUNTY RESOURCES. THESE RESOURCES ARE WIDELY USED BY LOCAL AND NATIONAL HEALTH ORGANIZATIONS IN PREPARING A CHNA. RESOURCES RANGE FROM DELAWARE PUBLIC HEALTH DATA TO DATA FROM SOURCES SUCH AS THE CDC, RESEARCH AND GRANT AGENCIES SUCH AS THE LONGWOOD FOUNDATION, NATIONAL DISEASE FOCUSED AGENCIES SUCH AS THE AMERICAN CANCER SOCIETY AND THE AMERICAN HEART ASSOCIATION. STATE PUBLIC HEALTH DATA INCLUDES DATA COLLECTED BY TASK FORCES WORKING ON TOPICS RANGING FROM CANCER TO SUBSTANCE ABUSE. ADDITIONALLY, LOCAL DEMOGRAPHIC AND ECONOMIC DATA IS USED AS WELL AS INFORMATION FROM THE U.S. CENSUS. TIDALHEALTH NANTICOKE ALSO RELIES ON DATA PROVIDED FROM THE UNIVERSITY OF DELAWARE WHICH WORKS WITH THE STATE TO RESEARCH AND MONITOR HEALTH NEEDS THROUGHOUT THE STATE. NANTICOKE CONTINUES TO WORK WITH OTHER HOSPITALS, LOCAL PUBLIC HEALTH AND LOCAL SOCIAL SERVICE AGENCIES TO COLLECT DATA AND WORK ON IDENTIFIED NEEDS. ADDITIONALLY, TIDALHEALTH NANTICOKE CONDUCTED PRIMARY RESEARCH THROUGH MANY COMMUNITY SURVEYS AND STAKEHOLDER SURVEYS, INTERVIEWS AND FOCUS GROUPS TO HELP COMPLETE RESEARCH FOR THE 2019 CHNA. IN JANUARY 2020, THE HOSPITAL BECAME AN AFFILIATE OF TIDALHEALTH AND WORK BEGAN TO ANALYZE RESOURCES FOR FUTURE WORK TOWARD EXPANDED COMMUNITY OUTREACH, POST COVID, THROUGH TIDALHEALTH'S POPULATION HEALTH AND COMMUNITY OUTREACH TEAMS. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCETIDALHEALTH NANTICOKE, INC PROVIDES INFORMATION IN THEIR PATIENT INFORMATION AND VISITORS GUIDE UNDER THE "FINANCIAL ARRANGEMENT/INSURANCE" SECTION CONCERNING THE AVAILABILITY OF FINANCIAL COUNSELORS TO DISCUSS PAYMENT ARRANGEMENTS. AT THIS TIME, PATIENTS ARE INFORMED ABOUT ALL THE PROGRAMS AVAILABLE TO THEM, BOTH VERBALLY AND IN WRITTEN FORMAT OF POSSIBLE ELIGIBILITY FOR DELAWARE MEDICAID ASSISTANCE. THE FOLLOWING DEPARTMENTS OFFER THIS TYPE OF ASSISTANCE TO OUR PATIENTS: BUSINESS OFFICE, REGISTRATION, CASE MANAGEMENT, CHAPS COORDINATOR, CANCER CARE COORDINATOR, CANCER NURSE NAVIGATOR (SCREENING APPROACH), AND PRESCRIPTION ASSISTANCE PROGRAM. IN ADDITION, VARIOUS ORGANIZATIONS WERE INTERVIEWED FOR INPUT, INCLUDING: ALZHEIMER'S ASSOCIATION, AMERICAN CANCER SOCIETY, AMERICAN DIABETES ASSOCIATION, BAYHEALTH, BEEBE AND NANTICOKE SOCIAL WORKERS, DELAWARE ASSOCIATION OF HISPANIC NURSES, DELAWARE BREAST CANCER COALITION, DELAWARE HEALTHCARE ASSOCIATION, DELAWARE HOSPICE, DIVISION OF PUBLIC HEALTH -GEORGETOWN, EASTER SEALS, ELLENDALE RECOVERY CENTER, LA ESPERANZA, LA RED FEDERAL QUALIFIED HEALTH CENTERS, LAW ENFORCEMENT AGENCIES, MID-ATLANTIC AIDS TRAINING CENTER, MOUNTAIRE & PERDUE CHICKEN PLANTS, NANTICOKE INDIAN CENTER, PENINSULA HOME CARE, PEOPLE'S PLACE, PUBLIC HEALTH NURSES -GEORGETOWN, SOUTHERN DELAWARE TOURISM, STRONG COMMUNITIES, SUSSEX COUNTY ASSOCIATION OF TOWNS, SUSSEX CHILD HEALTH, SUSSEX COUNTY CHURCHES, SUSSEX COUNTY CHAMBER OF COMMERCE, SUSSEX COUNTY EMS, SUSSEX COUNTY LIBRARIES, SUSSEX COUNTY FIRE STATIONS, SUSSEX COUNTY SENIOR CENTERS, SUSSEX COUNTY VETERANS GROUP, VFW/AMERICAN LEGION. PART VI, LINE 4: TIDALHEALTH NANTICOKE, INC PRIMARILY SERVES WESTERN SUSSEX COUNTY, DELAWARE AND PORTIONS OF MARYLAND INCLUDING DORCHESTER COUNTY. THE PRIMARY SERVICE AREA IS 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: 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. PART VI, LINE 6: TIDALHEALTH NANTICOKE, INC IS PART OF TIDALHEALTH, INC. THE SYSTEM INCLUDES TWO FOUNDATIONS, 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: DELAWARE 1 DELAWARE COMMUNITY FOUNDATION PO BOX 1636 WILMINGTON DE 19989 222804785 501 (C) (3) 10000 SPONSORSHIP FOR DE GOES PURPLE 3 0 FINANCIAL ASSISTANCE 11 182766 FINANCIAL ASSISTANCE TO THOSE WHO QUALIFY UNDER THE FAP PART I, LINE 2: DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS REQUESTS FOR THE USE OF GRANT FUNDS ARE SUBMITTED TO THE FILING ORGANIZATION BY DEPARTMENT DIRECTORS OF TIDALHEALTH PENINSULA REGIONAL (TPR), AFTER RECEIVING APPROVAL OF VICE PRESIDENT OF TPR. THE REQUEST CONTAINS VENDOR INFORMATION AND THE EXPLANATION OF THE PROGRAM OF BENEFIT FOR WHICH THE FUNDS ARE REQUESTED. THE ORGANIZATION APPROVES THE USE OF FUNDS BASED ON THE DESIGNATED PERMITTED USE OF THE ORIGINAL CONTRIBUTION. 1 1 0 0 0 0 0 1 0 STEVEN LEONARD BOARD MEMBER 0 737498 0 228713 0 70880 0 145657 0 21164 0 1203912 0 0 STEVEN ROSE FORMER CEO TO 01/31/20 22106 0 2707 0 996309 0 0 0 2307 0 1023429 0 490945 0 BRUCE RITCHIE CFO 0 540191 0 147591 0 42506 0 142856 0 15400 0 888544 0 0 PENNY SHORT PRESIDENT 358078 0 89424 0 0 0 64107 0 8723 0 520332 0 0 0 JANET PEDRO MD BOARD MEMBER TO 05/2021 0 324940 0 106830 0 30000 0 20142 0 8400 0 490312 0 0 DENISE JESTER SENIOR DIRECTOR 244776 0 67232 0 0 0 44607 0 20761 0 377376 0 0 0 JOSEPH KIM MD BOARD MEMBER 0 290145 0 8319 0 15000 0 20142 0 24873 0 358479 0 0 THOMAS BROWN FORMER SENIOR VP TO 06/11/20 100737 0 50000 0 169607 0 19500 0 4167 0 344011 0 0 0 HARRY ANTHONY MD CHIEF MEDICAL OFFICER 0 212825 0 25630 0 0 0 31638 0 3765 0 273858 0 0 RAY FULKROD CNO 184541 0 50389 0 0 0 20988 0 8498 0 264416 0 0 0 TRACI ALLEY FORMER CHIEF HR OFFICER TO 02/02/20 19966 0 50000 0 180340 0 0 0 0 0 250306 0 0 0 LILIA KULMACZEWSKI FORMER CHIEF COMPLIANCE OFFICER 150712 0 57523 0 0 0 19466 0 8386 0 236087 0 0 0 JAMES WATSON SENIOR DIRECTOR 149890 0 36219 0 3900 0 17169 0 24549 0 231727 0 0 0 DEAN SWINGLE FINANCE DIRECTOR 151431 0 32874 0 2073 0 15762 0 8275 0 210415 0 0 0 LORI LEE SENIOR DIRECTOR 146068 0 33502 0 0 0 16959 0 8367 0 204896 0 0 0 TOM DIEHL SENIOR DIRECTOR 139572 0 35447 0 0 0 8458 0 20395 0 203872 0 0 0 GEORGE SCHWOBEL PHARMACY DIRECTOR 169944 0 750 0 0 0 15860 0 7968 0 194522 0 0 0 PART I, LINE 3 PROCESS FOR DETERMINING COMPENSATION COMPENSATION OF THE ORGANIZATION'S PRESIDENT IS DETERMINED BY THE PRESIDENT OF TIDALHEALTH PENINSULA REGIONAL (TPR), A RELATED TAX EXEMPT ORGANIZATION IDENTIFIED IN FORM 990, SCHEDULE R. PART I, LINES 4A-B SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: TPR HAS A NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN (UNDER SECTION 457 (F)). THIS PLAN WAS APPROVED BY THE COMPENSATION COMMITTEE OF THE TPR BOARD OF DIRECTORS TO SUPPLEMENT THE EXECUTIVE'S RETIREMENT INCOME. THE CONSULTANT REPORT ON MARKET-BASED PRACTICES FOR SUPPLEMENTAL RETIREMENT PARTICIPANTS, AND PAY-OUT PROVISIONS WERE ESTABLISHED, REVIEWED, AND SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN ARE INCLUDED IN SCHEDULE J, PART SUPPLEMENTAL RETIREMENT PLAN WAS DEVELOPED BASED ON AN INDEPENDENT PLANS. THE PERCENTAGE OF FINAL AVERAGE PAY, THE REQUIREMENTS FOR VESTING, 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 TPR PROVIDED THE FOLLOWING FUNDING AMOUNTS DURING 2020: STEVEN LEONARD $90,625 BRUCE RITCHIE $200,000 THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING 2020. THESE AMOUNTS ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B) (III): STEVEN ROSE $419,125 THOMAS BROWN $118,087 TRACI ALLEY $173,010 PART I, LINE 7 NON-FIXED PAYMENTS OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION ARE PAID COMPENSATION GOALS AS WELL AS ORGANIZATION OPERATIONAL ACHIEVEMENTS IN SERVICE, QUALITY, NON-FIXED PAYMENTS DETERMINED BY A NUMBER OF VARIABLES INCLUDING BUT NOT LIMITED TO INDIVIDUAL SAFETY, EMPLOYEE SATISFACTION, AND COST. VARIABLE COMPENSATION PAYMENTS ARE REPORTED IN SCHEDULE J, PART II, COLUMN B(II) AND REFLECT ATTAINMENT OF CERTAIN GOALS. ASHLEY PARKER FAMILY MBR OF DIR 35237 COMP 0 KRISTINA WARD FAMILY MBR OF DIR 66865 COMP 0 SCHEDULE L, PART IV BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:(A) NAME OF PERSON: ASHLEY PARKER(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SISTER OF DIRECTOR(C) AMOUNT OF TRANSACTION $ 35,237.(D) DESCRIPTION OF TRANSACTION: ASHLEY PARKER IS THE SISTER OF ANDREW HARTSTEIN, A DIRECTOR ON THE BOARD, AND IS EMPLOYED BY THE HOSPITAL.(E) SHARING OF ORGANIZATION REVENUES? = NO(A) NAME OF PERSON: KRISTINA WARD(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SISTER-IN-LAW OF DIRECTOR(C) AMOUNT OF TRANSACTION $ 66,865.(D) DESCRIPTION OF TRANSACTION: KRISTINA WARD IS THE SISTER-IN-LAW OF ANDREW HARTSTEIN, A DIRECTOR ON THE BOARD, AND IS EMPLOYED BY THE HOSPITAL.(E) SHARING OF ORGANIZATION REVENUES? = NO FORM 990, PART III, LINE 4A 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. NANTICOKE ALSO WORKS WITH CHOOSE DELAWARE, THE STATE HEALTH INSURANCE EXCHANGE PROGRAM, AND PARTICIPATES WITH COMMONWELL FOR PATIENT EMR PORTABILITY. NANTICOKE IS A PARTNER IN THE HEALTHIER SUSSEX COUNTY TASK FORCE AND THE SUSSEX COUNTY HEALTH COALITION WORKING WITH OTHER HOSPITALS AND COMMUNITY SUPPORT SERVICE ORGANIZATIONS IN THE COUNTY TO IMPROVE OVERALL COMMUNITY HEALTH. NANTICOKE LEARDERSHIP IS VERY ACTIVE WITH THE STATE OF DELAWARE HEALTH INNOVATIONS PLAN WORKING TO IMPROVE THE HEALTH OF ALL DELAWAREANS. PATIENTS SEEN: INPATIENTS 4,286; BIRTHS 802; ER VISITS 25,927; OP VISITS 109,339 DAYS OF INPATIENT CARE: ADULTS & PEDIATRICS 19,315; NEWBORN 1,578 OTHER FACTS: AVERAGE PATIENT STAY 4.51; OPERATIONS 4,218 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 $18,153,331 DISCOUNTS TO MEDICARE, MEDICAID & OTHERS $187,022,121 ABOUT NANTICOKE WHAT BEGAN AS A 32-BED HOSPITAL IN 1952 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: "WE EXIST TO POSITIVELY IMPACT OUR COMMUNITIES QUALITY OF LIFE THROUGH SUPERIOR HEALTH SERVICES." TODAY, PATIENTS AND BUSINESSES ARE CONTINUALLY SEEKING SUPERIOR HEALTH CARE AT AN AFFORDABLE PRICE. NANTICOKE STANDS COMMITTED TO PROVIDING THAT CARE. AS A PARTICIPANT IN THE CMS AND JOINT COMMISSION CORE MEASURE PROJECTS, TIDALHEALTH NANTICOKE IS AMONG ONLY 2% OF HOSPITALS NATIONALLY TO BE RECOGNIZED BY HEALTH GRADES (2017 AND 2018) FOR BOTH PATIENT SAFETY AND PATIENT EXPERIENCE. NANTICOKE HAS ALSO BEEN RECOGNIZED BY THE AMERICAN HEART ASSOCIATION'S GET WITH THE GUIDELINES PROGRAM FOR BOTH STROKE (GOLD PLUS ACHIEVEMENT AWARD) AND INTEVERNTIONAL CARDIOLOGY (GOLD PLUS ACHIEVEMENT AWARD). NANTICOKE IS RATED AS A 4-STAR HOSPITAL FOR PATIENT EXPERIENCE BY CMS. TIDALHEALTH NANTICOKE IN CONJUNCTION WITH SUSSEX COUNTY EMS RECEIVED THE AHA MISSION LIFELINE AWARD IN 2017 FOR ITS EFFORTS TO FURTHER DECREASE TREATMENT TIMES FOR THOSE SUFFERING FROM STEMIS. FEEDBACK FROM OUR PATIENTS OVERWHELMINGLY COMPLIMENTS US ON THE CARE AND FRIENDLINESS OF OUR STAFF IN ALL OF OUR ENTITIES. OUR DEDICATION TO SERVING OUR PATIENTS IS EVIDENCED THROUGH A COORDINATED SYSTEM OF CARE. 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. 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 160 HEALTH CARE PROVIDERS PRACTICING IN 40 DIFFERENT SPECIALIES. AS OUR COMMUNITIES' HEALTHCARE NEEDS CHANGE, 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 NANTICOKE. NANTICOKE HOSTS SEVERAL MATERNITY CLASSES, DIABETES EDUCATION CLASSES CERTIFIED THROUGH THE AMERICAN DIABETES ASSOCIATION, AND HOST 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. IN 2019 NANTICOKE COMPLETED AN UPDATED COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). AN ANNUAL IMPLEMENTATION PLAN ASSOCIATED WITH THIS CHNA WAS DEVELOPED AND ADOPTED IN 2019. NEEDS IDENTIFIED INCLUDED A CONTINUING NEED FOR PROGRAMMING AROUND HEALTH AND OBESITY, MENTAL HEALTH & SUBSTANCE ABUSE, AND CERVICAL CANCER AS A PART OF ITS IMPLEMENTATION FOR OBESITY AND MENTAL HEALTH NEEDS, NANTICOKE IS ACTIVELY WORKING WITH THE HEALTHIER SUSSEX COUNTY TASK FORCE, THE STATE OF DELAWARE HEALTH INNOVATION CENTER'S HEALTHY NEIGHBORHOODS PROGRAM, AND THE SUSSEX COUNTY HEALTH COALITION ON COUNTY WIDE INITIATIVES AROUND THESE NEEDS. NANTICOKE HAS AN ACTIVE EMPLOYEE WELLNESS PROGRAM ADDRESSING HEALTH AND WELLNESS ISSUES AMONG ITS EMPLOYED POPULATION. IT PARTICIPATES AS A LEAD ORGANIZATION IN HEALTHIER SUSSEX COUNTY, A PARTNERSHIP OF VARIOUS HEALTH CARE PROVIDERS IN THE AREA TO COMMONLY ADDRESS COUNTY HEALTH CARE NEEDS. HEALTHIER SUSSEX COUNTY SHARED FINDINGS FROM EACH OF THE COUNTY'S HOSPITAL'S HEALTH NEEDS ASSESSMENT AND DEVELOPED CORE STRATEGIES FOR THE TASK FORCE WHICH INCLUDED PHYSICAL ACTIVITY AND PHYSICIAN EDUCATION ON CANCER SCREENINGS. HEALTHIER SUSSEX COUNTY IS CURRENTLY ENGAGED IN DATA COLLECTION FOR ITS 2022 HEALTH NEEDS ASSESSMENT. NANTICOKE IS A LEAD ORGANIZATION WITH THE SUSSEX COUNTY HEALTH COALITION, WORKING WITH COMMUNITY PARTNERS ON PROJECTS FROM SUBSTANCE ABUSE AWARENESS AND PREVENTION TO CONNECTING WITH COMMUNITY SUPPORT SERVICES TO REDUCE GAPS IN AND BARRIERS TO CARE. NANTICOKE WORKS WITH STATE PROJECTS SUCH AS BUT NOT LIMITED TOUPSTREAM TO HELP REDUCE UNPLANNED, UNWANTED PREGNANCIES AMONG OUR YOUNG WOMEN. NANTIOKE ALSO PARTICIPATES IN STATE DRIVEN INITIATIVES SUCH AS THE DEVELOPMENT OF A MH/SUBST. ABUSE SYSTEM OF CARE. PATIENT EDUCATION PATIENT AND FAMILY EDUCATION HAS BECOME AN INTEGRAL PART OF THE CLINICAL PATHWAY PROCESS UTILIZED THROUGHOUT NANTICOKE HEALTH SERVICES. THROUGH THE PATIENT EDUCATION CENTER 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. NANTICOKE CONTINUES TO EXPLORE WAYS TO PROVIDE PATIENT EDUCATION THAT IS EASIER TO ACCESS THROUGH TODAY'S TECHNOLOGIES. FORM 990, PART VI, SECTION A, LINE 4 CHANGES TO GOVERNING DOCUMENTS AS OF JULY 29, 2020, NANTICOKE MEMORIAL HOSPITAL, INC. WAS RENAMED TO TIDALHEALTH NANTICOKE, INC. 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 APPROVAL OF GOVERNING BODY DECISIONS SHAREHOLDER/GOVERNING BODY HAS POWER TO: MANAGE SUPERVISE AND DIRECT BUSINESS AFFAIRS; ESTABLISH POLICIES, PROCEDURES AND PROGRAMS; DETERMINE HOSPITAL SERVICES; AUTHORIZE AND EXECUTE DEBT AGREEMENTS; DETERMINE POLICIES OF HOSPITAL; HAVE RESPONSIBILITY FOR QUALITY PATIENT CARE; TO PROVIDE FOR ADEQUATE FINANCING; DECIDE STRATEGIC PLANS; PROTECT HOSPITAL PROPERTY; PROVIDE FINANCIAL STABILITY; APPROVE ANNUAL BUDGET; ESTABLISH HOSPITAL POLICY; APPROVE BY-LAWS; PROVIDE FOR APPOINTMENT OF MEDICAL STAFF; REQUIRE MEDICAL STAFF MAINTAIN HIGH STANDARDS; AVOID PROFITING FROM HOSPITAL RELATIONSHIP; ESTABLISH COMMNICATION AMONG SHAREHOLDERS; MAINTAIN RECORDS; IMPLEMENT EXPENDITURE PLANS; EVALUATE PERFORMANCE; SELECT CHIEF EXECUTIVE OFFICER; ASSESS AND REVIEW COMPETENCIES OF STAFF; ENSURE AGE- APPROPRIATE CARE IS DELIVERED; PROVIDE SINGLE LEVEL OF PATIENT CARE; REQUIRE STAFF TO REPORT ON MEDICAL CARE; PROVIDE RESOURCES FOR RISK MANAGEMENT; APPROVE AUXILIARY ORGANIZATION ACTIVITIES; TO REMOVE HOSPITAL DIRECTOR OR STAFF WITHOUT CAUSE; AUTHORIZE ISSUANCE OF SHARES OF STOCK; APPROVE ACTIVITIES OF HOSPITAL DIRECTOR; AMEND CERTIFICATE OF ORGANIZATION; AUTHORIZE LIQUIDATION OF ASSETS; RESOLVE CONFLICTS; AUTHORIZE ACQUISITION OF SUBSIDIARIES; PROVIDE FOR COMPLIANCE WITH LAWS; PROVIDE FOR THE COLLABORATION OF LEADERS; EXERCISE POWERS OF BOARD OF DIRECTORS; EXERCISE POWERS OF TIDALHEALTH, INC. 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 OF BOTH TIDALHEALTH PENINSULA REGIONAL, INC. (TPR) AND THE ORGANIZATION. THE AGENT OF THE ORGANIZATION IS ALSO THE CHIEF FINANCIAL OFFICER OF TPR. THE ORGANIZATION'S FORM 990 IS REVIEWED BY THE PRESIDENT OF TPR. 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 TRUSTEES 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 COMPENSATION OF THE ORGANIZATION'S PRESIDENT IS DETERMINED BY THE PRESIDENT OF TIDALHEALTH PENINSULA REGIONAL (TPR), A RELATED TAX EXEMPT ORGANIZATION IDENTIFIED IN FORM 990, SCHEDULE R. 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 XI, LINE 9: POST RETIREMENT PLAN CHANGES 2,945,343. PENSION COST 799,312. EQUITY TRANSFERS FROM RELATED ORGANIZATIONS 49,531,900. TIDALHEALTH PHYSICIAN NETWORK 801 MIDDLEFORD ROAD SEAFORD DE 19973 510224470 HEALTH SERVICES DE 501(C)(3) LINE 10 TIDALHEALTH INC 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 DELMARVA PENINSULA INSURANCE COMPANY PO BOX 1159 GRAND CAYMAN CJ KY1-1102 981110617 INSURANCE CJ 501(C)(3) 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 DELMARVA SURG CTR 641 S SALISBURY BLVD SALISBURY MD 21801 522251436 HEALTHCARE MD N/A 0 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 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 1 1 1 1