2024-05-09T15:30:24-04:00 2023-12-31 814693463 COMPASS US ACCOUNTANTS & ADVISORS (SAL) 1405 WESLEY DR SALISBURY MD 21801 990 2023-01-01 521320813 MEDICAL STAFF OF PENINSULA REGIONAL MEDICAL CENTER MEDI 4105437412 100 EAST CARROLL STREET SALISBURY MD 21801 ANTHONY ADRIGNOLO III MD PRESIDENT 4105437415 2024-01-11 true ANTHONY ADRIGNOLO XXX-XX-XXXX true CINDY BOUNDS P00632129 4107491919 2024-05-09 2023 2023-04-26 12:10:37Z ANTHONY ADRIGNOLO III MD 24965 RIVERMERE DRIVE EDEN MD 21822 303202 false X X 1990 MD TO PROVIDE LEADERSHIP TO THE MEDICAL STAFF OF TIDAL HEALTH AND TO ASSIST WITH PHYSICIAN RECRUITMENT 17 17 0 0 0 236576 302180 1023 1022 0 237599 303202 14400 16369 0 155000 155000 0 0 102025 130187 271425 301556 -33826 1646 111235 112881 0 111235 112881 TO PROVIDE LEADERSHIP TO THE MEDICAL STAFF OF TIDAL HEALTH AND TO ASSIST WITH PHYSICIAN RECRUITMENT false false 280100 CREDENTIALING OF APPLICANTS FOR MEMBERSHIP AND CLINICAL PRIVILEGES ON THE MEDICAL STAFF AT TIDAL HEALTH 16369 16369 TO DISBURSE CHARITABLE FUNDS TO ADVANCE THE EDUCATION OF LOCAL STUDENTS AND ASSISTING WITH LOCAL CAUSES 296469 true false false false false false false false false false true false false false false false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false false false true 27 0 0 false false false false false false false false X 17 17 false false false false true true true true true false false true true true true true true true true false MD X PATRICIA C SERKES 4105437412 100 EAST CARROLL STREET SALISBURY MD 21801 ANTHONY ADRIGNOLO III MD PRESIDENT 4.00 X 56250 0 0 EMERGENCY SERVICE ASSOCIATES PA DIRECTOR 2.00 X 18750 0 0 LAUREN MCGOVERN MD SECRETARY/TR 2.00 X 12500 0 0 MID-ATLANTIC SURGICAL GROUP DIRECTOR 4.00 X 10000 0 0 ERIC WEAVER MD DIRECTOR 2.00 X 10000 0 0 PATRICK HOLT MD DIRECTOR 2.00 X 10000 0 0 USAID HASAN MD DIRECTOR 2.00 X 10000 0 0 HEATHER METCALF MD DIRECTOR 2.00 X 5000 0 0 KRYSTAL BAKER MD DIRECTOR 2.00 X 5000 0 0 SIMONA ENG DO DIRECTOR 2.00 X 2500 0 0 MARK T EDNEY MD DIRECTOR 2.00 X 2500 0 0 DANIEL CASON MD DIRECTOR 2.00 X 2500 0 0 GLENN HORNSTEIN MD DIRECTOR 2.00 X 2500 0 0 JOHN HAMILTON MD DIRECTOR 2.00 X 2500 0 0 KIM CUESTA MD DIRECTOR 2.00 X 2500 0 0 OVAIS KHALID MD DIRECTOR 2.00 X 2500 0 0 155000 false false false MEMBERSHIP DUES 132330 132330 PRMC MATCH 77500 77500 APPLICATION FEES 49350 49350 REAPPOINTMENT FEES 43000 43000 302180 1022 1022 303202 303202 14869 14869 1500 1500 155000 155000 6600 6600 5010 5010 MEETINGS & CONFERENCES 39956 39956 PHYSICIAN ENGAGEMENT 26411 26411 LICENSE VERIFICATION FEES 23448 23448 CRIMINAL BACKGROUND CHECK 13837 13837 14925 14848 77 301556 296469 5087 0 111235 112881 10549 10549 111235 112881 0 0 X 111235 112881 111235 112881 111235 112881 1646 X false false false X X X 1 TIDAL HEALTH TIDAL HEALTH 520591628 3 true 0 0 1 0 true false false false false false false false false false false false false false false false true false X true true PART IV, SECTION E, LINE 2A THE ORGANIZATION PROVIDES RECRUITMENT AND CREDENTIALING SERVICES FOR THE FUTHERMENT OF STAFF AT TIDAL HEALTH. THESE SERVICES ARE CONSIDERED ESSENTIAL FOR TIDAL HEALTH TO MAINTAIN HIGHLY QUALIFIED PERSONNEL. PART IV, SECTION E, LINE 2B TIDAL HEALTH WOULD NORMALLY BE ENGAGED IN SUCH SERVICES ON IT'S OWN, IF IT WERE NOT FOR THE EXISTENCE OF THIS ORGANIZATION. THE PURPOSE OF THE ORGANIZATION IS TO PROVIDE IMPROVED RECRUITMENT AND CREDENTIALING OF APPLICANTS COMPARED TO IF THE SAME SERVICES WERE COMPLETED BY THE SUPPORTED ORGANIZATION. 10549 10549 true TIDAL HEALTH FOUNDATION 100 E CARROLL STREET SALISBURY MD 21801 14869 FORM 990, PAGE 6, PART VI, LINE 6 ORGANIZATION HAS MEMBERS COMPRISED OF THE MEDICAL STAFF OF TIDAL HEALTH FORM 990, PAGE 6, PART VI, LINE 7A BOARD OF DIRECTORS ARE VOTED ON ANNUALLY BY ALL MEMBERS FORM 990, PAGE 6, PART VI, LINE 7B THE DECISIONS OF THE BOARD OF DIRECTORS ARE SUBJECT TO THE APPROVAL OF THE MEMBERS FORM 990, PAGE 6, PART VI, LINE 11B THE TAX RETURN IS PRESENTED AT THE ANNUAL BOARD MEETING WITH THE ACCOUNTANT WHO PREPARED THE RETURN PRESENT TO ANSWER ANY QUESTIONS FORM 990, PAGE 6, PART VI, LINE 12C REVIEW OF THE ANNUAL DISCLOSURE FORMS SUBMITTED BY COVERED PERSONS, COMPILE AND MAINTAIN A LIST OF POTENTIALLY CONFLICTED ENTITIES AND INDIVIDUALS. IF APPLICABLE, TAKING APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION IF A PERSON WHO IS COVERED BY THE CONFLICT OF INTEREST POLICY FAILS TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST. FORM 990, PAGE 6, PART VI, LINE 15A BOARD APPROVAL FORM 990, PAGE 6, PART VI, LINE 15B BOARD APPROVAL FORM 990, PAGE 6, PART VI, LINE 19 THE FINANCIAL STATEMENTS AND BYLAWS ARE AVAILABLE UPON REQUEST AND ARE ALSO PRESENTED TO THE MEDICAL STAFF AT THE ANNUAL MEETING.