SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public Inspection
Name of the organization
TIDALHEALTH NANTICOKE INC
 
Employer identification number

51-0069243
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		  2,309 4,352,995   4,352,995 2.850 %
b Medicaid (from Worksheet 3, column a) . . . . .   36,381 30,658,889 15,671,319 14,987,570 9.830 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .   38,690 35,011,884 15,671,319 19,340,565 12.680 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4). 526 1,510 566,190   566,190 0.370 %
f Health professions education (from Worksheet 5) . . .            
g Subsidized health services (from Worksheet 6) . . . .            
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . . 48 1,827 73,500   73,500 0.050 %
j Total. Other Benefits . . 574 3,337 639,690   639,690 0.420 %
k Total. Add lines 7d and 7j . 574 42,027 35,651,574 15,671,319 19,980,255 13.100 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing           0 %
2 Economic development           0 %
3 Community support           0 %
4 Environmental improvements           0 %
5 Leadership development and
training for community members		           0 %
6 Coalition building           0 %
7 Community health improvement advocacy           0 %
8 Workforce development 4 4 5,822   5,822 0 %
9 Other           0 %
10 Total 4 4 5,822   5,822 0 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
8,953,578
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
48,367,149
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
52,425,072
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-4,057,923
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
11 NANTICOKE SURGICAL CENTER LLC
  		SURGERY CENTER 51.000 %   49.000 %
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 TIDALHEALTH NANTICOKE INC
801 MIDDLEFORD ROAD
SEAFORD,DE19973
HSPTL-008 		X X         X      
Schedule H (Form 990) 2020
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Schedule H (Form 990) 2020
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Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
TIDALHEALTH NANTICOKE INC
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2 Yes  
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 19
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SUPPLEMENTAL INFORMATION
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2020
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Schedule H (Form 990) 2020
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Part VFacility Information (continued)

Financial Assistance Policy (FAP)
TIDALHEALTH NANTICOKE INC
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SUPPLEMENTAL INFORMATION
b
SEE SUPPLEMENTAL INFORMATION
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
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Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
TIDALHEALTH NANTICOKE INC
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2020
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Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
TIDALHEALTH NANTICOKE INC
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2020
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Schedule H (Form 990) 2020
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
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
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2020
Page 9
Schedule H (Form 990) 2020
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?3
Name and address Type of Facility (describe)
1 1 - MEARS HEALTH CAMPUS
100 RAWLINS DRIVE
SEAFORD,DE19973 		MEDICAL FACILITY
2 2 - EZ LAB
9111 ANTIQUE ALLEY
BRIDGEVILLE,DE19933 		LAB DRAWING STATION
3 3 - EZ LAB
30549 SUSSEX HWY
LAUREL,DE19956 		LAB DRAWING STATION
4
5
6
7
8
9
10
Schedule H (Form 990) 2020
Page 10
Schedule H (Form 990) 2020
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
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
Schedule H (Form 990) 2020
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