TidalHealth
Legal name: Tidalhealth Inc
Nonprofit profile at a glance
- EIN
- 522132761
- IRS 990 coverage
- 2011–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024, Form 990-T 2024
- Location
- Salisbury, MD, USA
- Phone
- 4105466400
- Rating
- 71
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Community Health Systems
Reported finances
- Revenue
- $324,202,464
- Expenses
- $333,734,203
- Assets
- $1,056,469,749
- Liabilities
- $191,398,785
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
24 people listed
Executive titles in this filing
- STEVEN LEONARD (PRESIDENT/CEO)
Highest reported compensation
- STEVEN LEONARD (PRESIDENT/CEO): $1,650,521 total reported compensation
- ISMET LUKOLIC MD (PHYSICIAN): $1,414,686 total reported compensation
- ZACHARY BAKER MD (PHYSICIAN): $1,190,129 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Mission is to improve the health of our communities.
What it reported doing in 2024
Tidalhealth, inc. (thi) owns and invests in healthcare organizations on the delmarva peninsula in order to improve the health of the citizens of the community we serve. Through thi's disregarded entity subsidiaries, the filing organization operates a physician network providing integrated physician services and an ambulatory surgery center for the health system. During fy25, the organization provided patient care in 803,686 physician visits and 24,571 surgical cases.
Operating model
- Revenue model
- Mixed. Its operating money came from several sources; no one source provided a clear majority.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
SUPPORTED - The filed numbers largely add up and most voting board members are independent. The filing reports few safeguards for money sent abroad and expenses are high relative to revenue.
Rating breakdown
- Financial Efficiency: 55
- Transparency & Controls: 78
- Accountability: 92
- Sustainability: 43
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 62.9%; rating input score 63
- Program expense ratio: 60.8%; rating input score 61
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 92.9%; rating input score 93; 17th percentile among comparable filings
- Pay-setting controls: 5 of 6 controls in place; rating input score 83
- Compensation committee: Pass
- Independent consultant: Pass
- Other Form 990s reviewed: Pass
- Written employment contract: Missing
- Compensation survey or study: Pass
- Board or committee approval: Pass
- Foreign activity oversight: Scored; rating input score 0
- Grant itemization coverage: 97.7%; rating input score 98; 33rd percentile among comparable filings
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Yes; rating input score 100
Accountability
- Independent voting board: 86.7%; rating input score 87; 33rd percentile among comparable filings
- Governance controls: 9 of 9 controls in place; rating input score 100
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: Pass
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: -2.9%; rating input score 17; 17th percentile among comparable filings
- Total-asset coverage ratio: 3.17; rating input score 77; 77th percentile among comparable filings
- Liabilities to assets ratio: 0.18; rating input score 71; 71st percentile among comparable filings
- Officer compensation ratio: 3.1%; rating input score 37; 37th percentile among comparable filings
Growth
- Program expense growth: 31% per year; rating input score 100; 96th percentile among comparable filings
- Revenue growth: 31.2% per year; rating input score 100; 97th percentile among comparable filings
- Asset growth: 8.8% per year; rating input score 100; 64th percentile among comparable filings
Details
- What they do: 1 programs and campaigns described on the official site
- Where the money goes: 62.9% of revenue deployed · 60.8% of spending went to programs
- Governance: 13 of 15 board members independent · 9 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $202.8M in reported program spending
- Leadership: top reported pay $1.7M · 24 people listed · 5 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $33.5M reported
- Consistency: 34 of 35 current checks pass · 1 finding to review
- Schedules: 11 filed schedules · includes major donors, foreign activity, grants, executive pay, and related organizations
- Filing history: 14 filing years from 2011 to 2024
- Contacts: How to reach this organization
- Money network: 20 filed money-flow records
- Related organizations: 23 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
- Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Transparency & Controls: Foreign activity oversight scored 0/100.
- High — Sustainability: Operating margin scored 17/100.
- Moderate — Sustainability: Officer compensation ratio scored 37/100.
- Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.