Civic Intelligence

Tidalhealth Nanticoke Inc

EIN 51-0069243 • 501(c)3 • Seaford, DE

Profile

Improve the health of the communities we serve.

801 Middleford RoadSeaford, DE 19973

www.tidalhealth.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

34th percentile

0.14x

Higher debt load relative to assets than 34% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

20th percentile

0.13x

Higher debt load relative to revenue than 20% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Net Margin

38th percentile

1.0%

Higher net margin than 38% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

85th percentile

$1,280,218

Higher top officer pay than 85% of similar nonprofits.

Top officer pay equals 0.7% of source-year revenue.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Asset Growth

65th percentile

9.4%

Faster asset growth than 65% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

62nd percentile

13%

Faster revenue growth than 62% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Assets

Up

$163,510,252

Up $14,029,256 (+9.4%) from 2023

Liabilities

Up

$22,376,528

Up $15,272,638 (+215%) from 2023

Net Assets

Down

$141,133,724

Down $1,243,382 (-0.9%) from 2023

Revenue

Up

$173,273,460

Up $19,631,305 (+13%) from 2023

Expenses

Up

$171,527,765

Up $7,424,387 (+4.5%) from 2023

Net Income

Up

$1,745,695

Up $12,206,918 (+117%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$200M$150M$100M$50M$0Assets 2011: $91,535,165Liabilities 2011: $60,977,575Net Assets 2011: $30,557,5902011Assets 2012: $116,971,831Liabilities 2012: $76,585,778Net Assets 2012: $40,386,0532012Assets 2013: $124,252,419Liabilities 2013: $74,854,912Net Assets 2013: $49,397,5072013Assets 2014: $140,312,351Liabilities 2014: $73,885,457Net Assets 2014: $66,426,8942014Assets 2015: $150,479,234Liabilities 2015: $70,870,124Net Assets 2015: $79,609,1102015Assets 2016: $155,426,704Liabilities 2016: $81,114,929Net Assets 2016: $74,311,7752016Assets 2017: $156,523,422Liabilities 2017: $74,165,390Net Assets 2017: $82,358,0322017Assets 2018: $160,919,697Liabilities 2018: $68,031,929Net Assets 2018: $92,887,7682018Assets 2019: $152,991,466Liabilities 2019: $63,493,386Net Assets 2019: $89,498,0802019Assets 2020: $179,471,750Liabilities 2020: $86,306,050Net Assets 2020: $93,165,7002020Assets 2021: $189,690,265Liabilities 2021: $45,325,200Net Assets 2021: $144,365,0652021Assets 2022: $148,683,961Liabilities 2022: $16,538,504Net Assets 2022: $132,145,4572022Assets 2023: $149,480,996Liabilities 2023: $7,103,890Net Assets 2023: $142,377,1062023Assets 2024: $163,510,252Liabilities 2024: $22,376,528Net Assets 2024: $141,133,7242024

Highlighted filing

2024

Assets$163,510,252
Liabilities$22,376,528
Net Assets$141,133,724

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$200M$150M$100M$50M$0-$50MExpenses 2011: $110,450,7042011Expenses 2012: $127,198,5522012Expenses 2013: $125,084,9732013Revenue 2014: $139,827,527Expenses 2014: $126,173,140Net Income 2014: $13,654,3872014Revenue 2015: $146,494,272Expenses 2015: $132,724,866Net Income 2015: $13,769,4062015Revenue 2016: $146,375,505Expenses 2016: $144,937,048Net Income 2016: $1,438,4572016Revenue 2017: $148,896,630Expenses 2017: $147,094,624Net Income 2017: $1,802,0062017Revenue 2018: $157,886,527Expenses 2018: $152,524,464Net Income 2018: $5,362,0632018Revenue 2019: $164,220,438Expenses 2019: $168,065,393Net Income 2019: -$3,844,9552019Revenue 2020: $153,103,293Expenses 2020: $163,267,208Net Income 2020: -$10,163,9152020Revenue 2021: $154,517,585Expenses 2021: $161,434,667Net Income 2021: -$6,917,0822021Revenue 2022: $151,436,995Expenses 2022: $164,704,307Net Income 2022: -$13,267,3122022Revenue 2023: $153,642,155Expenses 2023: $164,103,378Net Income 2023: -$10,461,2232023Revenue 2024: $173,273,460Expenses 2024: $171,527,765Net Income 2024: $1,745,6952024

Highlighted filing

2024

Revenue$173,273,460
Expenses$171,527,765
Net Income$1,745,695

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$164$22.4$141$173$172$1.75
2023Detailed filing. Detailed filing data is available for this year.$149$7.10$142$154$164$10.5
2022Detailed filing. Detailed filing data is available for this year.$149$16.5$132$151$165$13.3
2021Detailed filing. Detailed filing data is available for this year.$190$45.3$144$155$161$6.92
2020Detailed filing. Detailed filing data is available for this year.$179$86.3$93.2$153$163$10.2
2019Detailed filing. Detailed filing data is available for this year.$153$63.5$89.5$164$168$3.84
2018Detailed filing. Detailed filing data is available for this year.$161$68.0$92.9$158$153$5.36
2017Detailed filing. Detailed filing data is available for this year.$157$74.2$82.4$149$147$1.80
2016Detailed filing. Detailed filing data is available for this year.$155$81.1$74.3$146$145$1.44
2015Detailed filing. Detailed filing data is available for this year.$150$70.9$79.6$146$133$13.8
2014Detailed filing. Detailed filing data is available for this year.$140$73.9$66.4$140$126$13.7
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$124$74.9$49.4$125
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$117$76.6$40.4$127
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$91.5$61.0$30.6$110
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 14, 2025
Return Version
2023v6.0
Gross Receipts
$201,365,751
Mission and Program Overview

Mission

Nanticoke memorial hospital operates in a manner consistent with the requirements of revenue ruling 69-545, through its provision of health care services to the community, regardless of the ability to pay.

Improve the health of the communities we serve.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$80,876,495$86,876,502▲ $6,000,007
Investments in Publicly Traded Securities$43,905,106$48,559,712▲ $4,654,606
Accounts Receivable$17,908,902$19,863,751▲ $1,954,849
Inventories for Sale or Use$4,636,722$5,471,739▲ $835,017
Cash and Non-Interest-Bearing Accounts$951,269$1,171,843▲ $220,574
Prepaid Expenses and Deferred Charges$729,557$481,848▼ $247,709
Total Assets$149,480,996$163,510,252▲ $14,029,256
Other Assets Total$472,945$1,084,857▲ $611,912
Liabilities
Other Liabilities$1,414,910$16,098,535▲ $14,683,625
Accounts Payable and Accrued Expenses$5,514,202$6,277,993▲ $763,791
Mortgage Notes Payable Secured by Investment Property$174,778$0▼ $174,778
Total Liabilities$7,103,890$22,376,528▲ $15,272,638
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$142,377,106$141,133,724▼ $1,243,382
Total Net Assets Fund Balance$142,377,106$141,133,724▼ $1,243,382
Total Liabilities and Net Assets / Fund Balance$149,480,996$163,510,252▲ $14,029,256

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$55,789,003$15,475,097$71,264,100
Equipment$15,727,043$21,159,930$36,886,973
Other Land Buildings$9,892,274$686,761$10,579,035
Land$5,468,182-$5,468,182
Compensation and Service Providers

Board Members and Trustees

NameTitle
Maria LehmanChairperson as of 11/23
Michele Procino-wellsImmediate Past Chairperson
Steven LeonardBoard Member/tidalhealth President
Penny ShortPresident
Doug PotvinBoard Member
Frederick MastBoard Member
Sean StewardBoard Member
Tammy PaxtonBoard Member
Tracy Tull NeilsonBoard Member
Sonja Biddle OdBoard Member Thru 12/23
Richard Simons DoBoard Member/physician
Sandra Palavecino MdBoard Member/physician
Denise JesterSenior Director
Francisco Padilla Quiroz MdBrd Mem/med. Staff Pres. Beg 01/24
Joseph Kim MdBrd Mem/med. Staff Pres. Thru 12/23
Stephanie GaryCFO
Angela BrittinghamChief Nursing Officer
Bruce RitchieFormer CFO Thru 01/23
Andrew HartsteinSecretary as of 11/23
Trudy Hall MdV.p. Chief Medical Officer
Revenue and Support

Revenue Composition

Contributions and Grants
$3,666,668
Program Service Revenue
$166,538,172
Investment Income
$560,174
Other Revenue
$2,508,446
Change in Net Assets
$1,745,695
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$98,738,764
Salaries, Compensation, and Employee Benefits$72,774,001
Total Fundraising Expense$445,934
Grants and Similar Amounts Paid$15,000
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$52,607,038$3,618,469$153,649$56,379,156
Fees for Services Other$23,440,284$2,822,735$68,462$26,331,481
Depreciation Depletion$6,872,868$827,647$20,074$7,720,589
Other Employee Benefits$6,376,653$767,892$18,624$7,163,169
Other Expenses$5,244,314$631,533$15,317$5,891,164
Information Technology$4,032,537$485,608$11,778$4,529,923
Payroll Taxes$3,886,311$467,999$11,351$4,365,661
Current Officers, Directors, Trustees, and Key Employees-$2,716,596-$2,716,596
Interest$1,937,907$233,367$5,660$2,176,934
Occupancy$1,932,083$232,666$5,643$2,170,392
Pension Plan Contributions$1,913,413$230,418$5,588$2,149,419
All Other Expenses$1,541,444$185,623$4,501$1,731,568
Insurance$994,147$119,718$2,904$1,116,769
Office Expenses$669,256$80,593$1,955$751,804
Advertising$343,741$41,394$1,004$386,139
Fees for Service Investment Mgmnt Fees$182,528$21,981$533$205,042
Fees for Services Lobbying$66,845$8,050$195$75,090
Travel$38,182$4,598$112$42,892
Fees for Services Legal$15,300$1,842$45$17,187
Grants to Domestic Orgs$15,000--$15,000
Total Functional Expenses$152,695,663$18,386,168$445,934$171,527,765
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
American Heart Association IncDes Moines, IA501(c)(3)Sponsorship$10,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$15,116,489
Pension Benefit Obligation$437,911
Estimated Third Party Payor Settlements$300,000
Lease Liability$244,135
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

Members or stockholders tidalhealth, inc. Is the sole member of the organization.

Form 990, Part VI, Section A, Line 7A

Election of members of governing body in its capacity as the sole corporate member of the organization, tidalhealth, inc. Has the ability to elect members of the organization's governing body.

Form 990, Part VI, Section A, Line 7B

Decisions subject to approval as the sole corporate member, tidalhealth, inc. Has the ability to approve major expenditures and long-term borrowings of the organization.

Form 990, Part VI, Section B, Line 11B

Review process of form 990 the completion of the organization's form 990 has been delegated to the agent of the organization by the president of tidalhealth, inc., the parent corporation. The agent of the organization is also the chief financial officer of thi. The organization's form 990 is reviewed by the president of thi. A copy of the form 990 was made available to all members of the governing body prior to the filing with the irs.

Form 990, Part VI, Section B, Line 12C

Monitoring and enforcement of conflict of interest policy a conflict of interest policy has been adopted by the organization's board of directors/executive committee. The board of directors is required to disclose annually, in writing, any and all interests which they or any immediate family member may have in any business entity which has or seeks a contractual or competitive relationship with the organization. The board will have the authority to determine if a violation has occurred and whether any interest which should be disclosed should disqualify a director from participating in any specific board discussion or board membership.

Form 990, Part VI, Section B, Line 15

Process for determining compensation a compensation committee of tidalhealth inc. (thi), the sole corporate member of the filing organization, determines the compensation of the ceo/executive director of the organization. The compensation committee uses an independent consultant, compensation surveys, and other organization's form 990 in the determination process and keeps contemproaneous records of decisions made.

Form 990, Part VI, Section C, Line 19

Availability of documents to public the organization's governing documents, conflict of interest policy, financial statements, and form 990 are available to the public upon request to the organization's or the public information office of tidalhealth peninsula regional, inc. At 100 east carroll street, salisbury, md 21801.

Filing and Contact Details

Filer

Filer Name
Tidalhealth Nanticoke Inc
EIN
51-0069243
Phone
3026296611
Address
801 MIDDLEFORD ROAD, SEAFORD, DE 19973

Signing Officer

Name
Stephanie Gary
Title
CFO
Phone
4105466400
Signed
2025-05-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Penny Short
Formed
1945
Legal Domicile
De
Voting Board Members
13
Independent Board Members
8
Employees
0
Volunteers
70

Preparer

Firm
Grant Thornton Advisors LLC
Address
2850 QUARRY LAKE DRIVE SUITE 306, BALTIMORE, MD 21209
Preparer
Mary Torretta
Phone
4106854000
Supplemental Narrative

Additional Explanations

FORM 990, PART III, LINE 4A, DESCRIPTION OF PROGRAM SERVICE:

Program service accomplishments tidalhealth nanticoke provides quality medical care regardless of race, creed, sex, sexual orientation, national origin, handicap, age, religion, disability, genetics or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of tidalhealth nanticoke, it is recognized that not all individuals possess the ability to purchase essential medical services. Therefore, in keeping with tidalhealth nanticoke's commitment to serve all members of the community, health activities and programs needed to support the inability to pay co-exist. These activities include wellness programs, community education programs, special programs for the under served, screenings assistance and a wide variety of broad community support activities. Patients seen: inpatients 4,831; births 765; er visits 32,157; op visits 159,892 days of inpatient care: adults & pediatrics 19,040; newborn 1,654 other facts: average patient stay 3.94; operations 7,684 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 $ 11,684,355 discounts to medicare, medicaid & others $ 219,940,681

About Tidalhealth 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: "to improve the health of the communities we serve." today, patients and businesses are continually seeking superior health care at an affordable price. Tidalhealth nanticoke stands committed to providing that care. In 2023, tidalhealth nanticoke earned the joint commission's gold seal of approval for hospital accreditation by demonstrating continuous compliance with its performance standards. This gold seal is a symbol of quality that reflects a healthcare organization's commitment to providing safe and quality patient care and is valid for three years. In 2024, tidalhealth nanticoke was the only delaware hospital to be 5-star rated by the centers for medicare and medicaid services (cms) in hospital quality star ratings. Tidalhealth nanticoke is also one of just 381 hospitals in the united states of 3,000 surveyed, or roughly 8%, to earn this highest rating possible by cms after examining mortality, safety, readmissions, patient experience, and timely & effective care. For the first time in 2024, tidalhealth nanticoke was presented the healthgrades coronary interventional excellence award, placing that service in the top 10% in the nation. The seaford hospital was also 5-star rated for the first time in coronary intervention, treatment of heart attack, and treatment of respiratory failure. Tidalhealth nanticoke is also the only hospital in the state of delaware to achieve the healthgrades 5-star rating for the treatment of heart attack. Tidalhealth nanticoke participates in a proactive accountable care organization and continues to be recognized by the national council for quality assurance as a patient-centered medical home. Tidalhealth nanticoke also includes a cancer center that is accredited by the american college of surgeons commission on cancer. Our growth is evidenced not only through the continued addition to medical programs, but also through successful physician recruitment and expansion of our medical staff to over 32 different specialties. As our communities' healthcare needs change, tidalhealth nanticoke health services continues to change and expand services to meet those needs. Community outreach tidalhealth nanticoke's trained staff goes into the community to present health education seminars and provide health screenings. We work with area schools and community organizations to educate our community on disease management, care coordination, disease prevention and general wellness. There are many support groups and educational meetings hosted by tidalhealth nanticoke. Tidalhealth nanticoke works with the healthier sussex county task force and the sussex county health coalition on county wide initiatives. In addition, tidalhealth nanticoke has an active employee wellness program addressing health and wellness issues among its employed population. Community wellness tidalhealth operates a mobile, multidisciplinary community wellness team as part of the population health division of the system. This team of nurses and community health workers provide health screenings in underserved, low-income communities. Screening activities include review of social determinants of health, resource navigation, connection to pcp and health insurance. The team also provides blood pressure checks, diabetes risk assessments, and flu shots. Patients at high risk of hospitalization or readmission because of unmanaged sdoh or chronic conditions may be assigned a community health worker who conducts home visits to identify needs and connect the patient to community resources and health education to better self manage at home. The community wellness team leads community flu clinics. Tidalhealth nanticoke hosts

Form 990, Part V, Lines 1A & 2A

The filing organization has entered "0" in part v, line 1a and line 2a because the organization's 1099 and w-2 returns are filed by and under the name and ein of tidalhealth, inc., a related entity, under a shared services agreement. Accordingly, the required disclosures related to employees and independent contractors are included on the form 990 of tidalhealth, inc.

Form 990, Part IX, Line 11G

Professional fees: program service expenses 399,329. Management and general expenses 48,088. Fundraising expenses 1,166. Total expenses 448,583. Contract labor: program service expenses 15,079,960. Management and general expenses 1,815,965. Fundraising expenses 44,044. Total expenses 16,939,969. Physician fees: program service expenses 7,960,995. Management and general expenses 958,682. Fundraising expenses 23,252. Total expenses 8,942,929.

FORM 990, PART XI, LINE 9:

Equity transfers to related organizations -7,709,909. Change in value of pension asset 415,651.

Financial Statement Notes

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.

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