PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC (EIN 54-1083954)
Tax period: 2012-12-01 to 2013-11-30
Filed: 2014-06-30
IRS object ID: 201441819349300219
Schema version: 2012v2.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule J
Schedule L
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-06-30T10:08:50-05:00	Timestamp
Tax Period End Date	2013-11-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	541967771	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CAVANAUGH NELSON PLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	999 WATERSIDE DRIVE SUITE 2250	AddressLine1
City	NORFOLK	City
State	VA	State
ZIP Code	23510	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-12-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	541083954	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	PENINSULA INSTITUTE FOR COMMUNITY HEALTH	BusinessNameLine1
Business Name Line2	DBA SOUTHEASTERN VIRGINIA HEALTH SYSTEM	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	PENI	NameControl
Phone	7573808709	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1033 28TH STREET 2ND FLOOR	AddressLine1
City	NEWPORT NEWS	City
State	VA	State
ZIP Code	23607	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	ANGELA FUTRELL	Name
Title	CEO	Title
Phone	7573808709	Phone
Date Signed	2014-06-30	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	MARK A NELSON	Name
PTIN	P00358004	PTIN
Phone	7575784900	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	ANGELA FUTRELL	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1033 28TH STREET 2ND FLOOR	AddressLine1
City	NEWPORT NEWS	City
State	VA	State
ZIP Code	23607	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	12125576	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.PICH.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1978	YearFormation
State Legal Domicile	VA	StateLegalDomicile
Activity Or Mission Description	PROVIDE HIGH QUALITY, COMPREHENSIVE, PRIMARY HEALTH CARE SERVICES TO VIRGINIA RESIDENTS LIVING IN HAMPTON ROADS REGARDLESS OF THEIR ABILITY TO PAY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	19	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	19	NbrIndependentVotingMembers
Total Nbr Employees	192	TotalNbrEmployees
Total Nbr Volunteers	0	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	6685356	ContributionsGrantsPriorYear
Contributions Grants Current Year	6922238	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	5533037	ProgramServiceRevenuePriorYear
Program Service Revenue CY	5168479	ProgramServiceRevenueCY
Investment Income Prior Year	2451	InvestmentIncomePriorYear
Investment Income Current Year	5855	InvestmentIncomeCurrentYear
Other Revenue Prior Year	0	OtherRevenuePriorYear
Other Revenue Current Year	13262	OtherRevenueCurrentYear
Total Revenue Prior Year	12220844	TotalRevenuePriorYear
Total Revenue Current Year	12109834	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	8276029	SalariesEtcPriorYear
Salaries Etc Current Year	7904844	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	3721450	OtherExpensePriorYear
Other Expenses Current Year	3692488	OtherExpensesCurrentYear
Total Expenses Prior Year	11997479	TotalExpensesPriorYear
Total Expenses Current Year	11597332	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	223365	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	512502	RevenuesLessExpensesCY
Total Assets BOY	5146825	TotalAssetsBOY
Total Assets EOY	5754107	TotalAssetsEOY
Total Liabilities BOY	1187175	TotalLiabilitiesBOY
Total Liabilities EOY	1281955	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	3959650	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	4472152	NetAssetsOrFundBalancesEOY
Mission Description	PROVIDING MEDICAL AND DENTAL CARE TO INDIGENT PATIENTS	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	7139391	Expense
Revenue	5168479	Revenue
Description	COMMUNITY HEALTH CENTER: PRIMARY MEDICAL, DENTAL AND HEALTHCARE ENABLING SERVICES FOR THE MEDICALLY UNDERSERVED AREAS OF NEWPORT NEWS, HAMPTON, SUFFOLK, VIRGINIA BEACH, CHESAPEAKE, AND MATHEWS COUNTY, VA.: 84,007 VISITS	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	715032	Expense
Description	HEALTHCARE FOR THE HOMELESS: PRIMARY MEDICAL CARE AND REFERRAL SERVICES FOR AREA HOMELESS: 11,339 VISITS	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	7854423	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	0	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	1	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	1	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	50	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	192	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	19	NbrVotingGoverningBodyMembers
Number Independent Voting Members	19	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	THE ORGANIZATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	7573808709	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1033 28TH STREET 2ND FLOOR	AddressLine1
City	NEWPORT NEWS	City
State	VA	State
ZIP Code	23607	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee
ROBERT AYERS
SECRETARY	2.00	X	0	0	0
MARJORIE EMERSON-LAWRENCE
IMMEDIATE PAST CHAIR	8.00	X	0	0	0
EUGENE JOHNSON
PARLIAMENTARIAN	8.00	X	0	0	0
WANDA ALLEN ESQUIRE
CHAIR	6.00	X	0	0	0
BARBARA EASTER
DIRECTOR	2.00	X	0	0	0
JENNIFER SMITH
TREASURER	2.00	X	0	0	0
SHELIA HENDERSON
DIRECTOR	2.00	X	0	0	0
BARBARA MANLY
DIRECTOR	2.00	X	0	0	0
JACQUELINE HUDGINS
DIRECTOR	2.00	X	0	0	0
ALTON SKEETER
DIRECTOR	2.00	X	0	0	0
SHIRLEY WILLS
DIRECTOR	2.00	X	0	0	0
WENDELL BRAXTON
DIRECTOR	2.00	X	0	0	0
CATHY WILLIAMS
DIRECTOR	2.00	X	0	0	0
DOROTHY MURRAY
VICE-CHAIR	2.00	X	0	0	0
PAMELA PERRY
DIRECTOR	2.00	X	0	0	0
THOMAS E HARMON IV
DIRECTOR	2.00	X	0	0	0
MELISSA COUNCE
DIRECTOR	2.00	X	0	0	0
ANTHONY TAYLOR
DIRECTOR	2.00	X	0	0	0
MELINDA WILLIAMS
DIRECTOR	2.00	X	0	0	0
ANGELA FUTRELL
CEO	40.00		141522	0	27884	X
VALDA BRANCH
COO	40.00		86611	0	13402	X
DENISE NEWLON
CFO	40.00		100959	0	6383	X
ALADEE DELAHOUSSAYE MD
CMO	40.00		133431	0	16947	X
CONCEPCION ASPILI
PHYSICIAN	40.00		157909	0	22140		X
DAVID L LORENZO
PHYSICIAN	40.00		169960	0	22118		X
CHARLIE M FAULK
PHYSICIAN	40.00		223246	0	6970		X
NILDA ANTE
PHYSICIAN	40.00		200745	0	2882		X
JACQUALYNNE K MCFARLANE
PHYSICIAN	40.00		162561	0	13894		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1376944	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	132620	TotalOtherCompensation
Number Individuals GT100 K	18	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
LABCORP
860 OMNI BLVD 302A	NEWPORT NEWS	VA	23606	LAB SERVICES	340618
PATIENTS CHOICE DISCOUNT PHARMACY
533 DENBIGH BLVD	NEWPORT NEWS	VA	23608	PHARMACEUTICALS	143817

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	2	NumberOfContractorsGT100K
Government Grants	6181762	GovernmentGrants
All Other Contributions	740476	AllOtherContributions
Total Contributions	6922238	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	NET PATIENT SERVICE REVENUE	Description
Business Code	621110	BusinessCode
Total Revenue Column	5168479	TotalRevenueColumn
Related Or Exempt Function Income	5168479	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	5168479	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	2655	TotalRevenueColumn
Exclusion	$2,655	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	3200	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	0	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	3200	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	3200	TotalRevenueColumn
Exclusion	$3,200	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	29004	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	15742	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	13262	TotalRevenueColumn
Exclusion	$13,262	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	12109834	TotalRevenueColumn
Related Or Exempt Function Income	5168479	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$19,117	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	527139	Total
Program Services	150378	ProgramServices
Management And General	376761	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	6124042	Total
Program Services	4354413	ProgramServices
Management And General	1769629	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	233068	Total
Program Services	157787	ProgramServices
Management And General	75281	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	540705	Total
Program Services	441483	ProgramServices
Management And General	99222	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	479890	Total
Program Services	309014	ProgramServices
Management And General	170876	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	33146	Total
Program Services	27424	ProgramServices
Management And General	5722	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	28496	Total
Program Services	23576	ProgramServices
Management And General	4920	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	1060746	Total
Program Services	877587	ProgramServices
Management And General	183159	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	56150	Total
Program Services	3212	ProgramServices
Management And General	52938	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1255442	Total
Program Services	860236	ProgramServices
Management And General	395206	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	85736	Total
Program Services	85736	ProgramServices

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	567576	Total
Program Services	293098	ProgramServices
Management And General	274478	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	17129	Total
Program Services	700	ProgramServices
Management And General	16429	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	36814	Total
Program Services	80	ProgramServices
Management And General	36734	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	306341	Total
Program Services	210841	ProgramServices
Management And General	95500	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	89251	Total
Program Services	23271	ProgramServices
Management And General	65980	ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
DUES AND PUBLICATIONS	132543	34408	98135
TAXES AND LICENSES	17570	1179	16391
RECRUITMENT	5548	0	5548

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	11597332	Total
Program Services	7854423	ProgramServices
Management And General	3742909	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	2460128	BOY
EOY	3397313	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	892490	BOY
EOY	533068	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	197769	BOY
EOY	169018	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	72488	BOY
EOY	172246	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	4734995	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	3252533	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	1523950	BOY
EOY	1482462	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	5146825	BOY
EOY	5754107	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	808451	BOY
EOY	774502	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	378724	BOY
EOY	507453	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1187175	BOY
EOY	1281955	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3959650	BOY
EOY	4472152	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	3959650	BOY
EOY	4472152	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	5146825	BOY
EOY	5754107	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	512502	ReconcilationRevenueExpenses
Reconcilation Other Changes	0	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	217200	OtherCostOrOtherBasis
Book Value	217200	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1601124	OtherCostOrOtherBasis
Depreciation	1329654	Depreciation
Book Value	271470	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1628431	OtherCostOrOtherBasis
Depreciation	1305181	Depreciation
Book Value	323250	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1288240	OtherCostOrOtherBasis
Depreciation	617698	Depreciation
Book Value	670542	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1482462	TotalOfBookValueLandBuildings
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	12323434	TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities	213600	DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990	213600	RevenueNotRptdF990
Revenue Subtotal	12109834	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	12109834	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	11810932	TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities	213600	DonatedServicesUseOfFacilities
Expenses Not Rptd F990	213600	ExpensesNotRptdF990
Expenses Subtotal	11597332	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	11597332	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Field	Value	IRS element (for citing)
Identifier	DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	Identifier
Return Reference	PART X, LINE 2:	ReturnReference
Explanation	THE TAXPAYER IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, EXCEPT ON NET INCOME DERIVED FROM UNRELATED BUSINESS ACTIVITIES. INTERNAL REVENUE CODE SECTION 513(A)DEFINES AN UNRELATED TRADE OR BUSINESS OF AN EXEMPT ORGANIZATION AS ANY TRADE OR BUSINESS WHICH IS NOT SUBSTANTIALLY RELATED TO THE EXERCISE OR PERFORMANCE OF ITS EXEMPT PURPOSE. CURRENTLY, THE TAXPAYER HAS NO OBLIGATION FOR ANY UNRELATED BUSINESS INCOME TAX. THE TAXPAYER BELIEVES IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. PENINSULA INSTITUTE FOR COMMUNITY HEALTH, INC.'S RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) IS GENERALLY NOT SUBJECT TO EXAMINATION BY THE IRS FOR THE RETURNS FILED PRIOR TO 2009.	Explanation

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Special Fundraising Events	X	SpecialFundraisingEvents
Agreement Ref Fundraising	0	AgreementRefFundraising

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	FALL FETE	NameOfEvent1
Gross Receipts Event1	29004	GrossReceiptsEvent1
Gross Revenue Event1	29004	GrossRevenueEvent1
Food And Beverage Event1	10742	FoodAndBeverageEvent1
Other Direct Expenses Event1	5000	OtherDirectExpensesEvent1
Gross Receipts Total	29004	GrossReceiptsTotal
Gross Revenue Total Events	29004	GrossRevenueTotalEvents
Food And Beverage Total Events	10742	FoodAndBeverageTotalEvents
Other Direct Expenses Total Events	5000	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	15742	DirectExpenseSummaryEvents
Net Income Summary	13262	NetIncomeSummary

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Written Employment Contract	X	WrittenEmploymentContract
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ANGELA FUTRELL
CEO	141522	0	0	0	0	0	0	0	27884	0	169406	0	0	0
ALADEE DELAHOUSSAYE MD
CMO	133431	0	0	0	0	0	0	0	16947	0	150378	0	0	0
CONCEPCION ASPILI
PHYSICIAN	157909	0	0	0	0	0	0	0	22140	0	180049	0	0	0
DAVID L LORENZO
PHYSICIAN	169960	0	0	0	0	0	0	0	22118	0	192078	0	0	0
CHARLIE M FAULK
PHYSICIAN	223246	0	0	0	0	0	0	0	6970	0	230216	0	0	0
NILDA ANTE
PHYSICIAN	200745	0	0	0	0	0	0	0	2882	0	203627	0	0	0
JACQUALYNNE K MCFARLANE
PHYSICIAN	162561	0	0	0	0	0	0	0	13894	0	176455	0	0	0

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	EDWINA GARY	NamePerson

Field	Value	IRS element (for citing)
Relationship	FORMER CEO	Relationship
Amount Of Transaction	18150	AmountOfTransaction
Description Of Transaction	COMPENSATION FOR GRANT WRITING;LIST TOTAL $18,150	DescriptionOfTransaction
Sharing Of Revenues	0	SharingOfRevenues

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Description	YEARLY LEASES	Description
Number Of Contributions	3	NumberOfContributions
Noncash Contribs Rptd F990	213600	NoncashContribsRptdF990
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGifts
Third Parties Used	0	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReference	ExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11	THE CFO AND CEO REVIEW FORM 990 BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12C	THE BOARD IS CHARGED WITH REVIEWING THE POLICIES ANNUALLY OR AS APPROPRIATE.
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION NEGOTIATIONS ARE BASED UPON EXPERIENCE AND SKILL SET IN KEEPING WITH FAIR MARKET VALUE AND FORMAL PAY SCALE
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
	THE PROCESSES FOR AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT HAVE NOT CHANGED.