PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC (EIN 54-1083954)
Tax period: 2011-12-01 to 2012-11-30
Filed: 2013-10-09
IRS object ID: 201302829349300735
Schema version: 2011v1.5
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 J
Schedule L
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-10-09T12:35:40-05:00	Timestamp
Tax Period End Date	2012-11-30	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	2011-12-01	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 INC	BusinessNameLine1

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	2013-10-09	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	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	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	12220844	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	17	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	17	NbrIndependentVotingMembers
Total Nbr Employees	196	TotalNbrEmployees
Total Nbr Volunteers	0	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	6577916	ContributionsGrantsPriorYear
Contributions Grants Current Year	6685356	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	4770296	ProgramServiceRevenuePriorYear
Program Service Revenue CY	5533037	ProgramServiceRevenueCY
Investment Income Prior Year	5965	InvestmentIncomePriorYear
Investment Income Current Year	2451	InvestmentIncomeCurrentYear
Other Revenue Prior Year	0	OtherRevenuePriorYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	11354177	TotalRevenuePriorYear
Total Revenue Current Year	12220844	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	7553680	SalariesEtcPriorYear
Salaries Etc Current Year	8276029	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	4130516	OtherExpensePriorYear
Other Expenses Current Year	3721450	OtherExpensesCurrentYear
Total Expenses Prior Year	11684196	TotalExpensesPriorYear
Total Expenses Current Year	11997479	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-330019	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	223365	RevenuesLessExpensesCY
Total Assets BOY	5004637	TotalAssetsBOY
Total Assets EOY	5146825	TotalAssetsEOY
Total Liabilities BOY	1268352	TotalLiabilitiesBOY
Total Liabilities EOY	1187175	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	3736285	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	3959650	NetAssetsOrFundBalancesEOY
Mission Description	PROVIDING MEDICAL AND DENTAL CARE TO INDIGENT PATIENTS	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	7796037	Expense
Revenue	5533037	Revenue
Description	COMMUNITY HEALTH CENTER: PRIMARY MEDICAL, DENTAL AND HEALTHCARE ENABLING SERVICES FOR THE MEDICALLY UNDERSERVED AREAS OF NEWPORT NEWS, HAMPTON, SUFFOLK, VIRGINIA BEACH, AND MATHEWS COUNTY, VA.: 88,328 VISITS	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	700976	Expense
Description	HEALTHCARE FOR THE HOMELESS: PRIMARY MEDICAL CARE AND REFERRAL SERVICES FOR AREA HOMELESS: 12,835 VISITS	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	8497013	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	0	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	0	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
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	42	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	196	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	17	NbrVotingGoverningBodyMembers
Number Independent Voting Members	17	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 (26 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
DIRECTOR	2.00	X	0	0	0
MARJORIE EMERSON-LAWRENCE
DIRECTOR	8.00	X	0	0	0
EUGENE JOHNSON
PARLIAMENTARIAN	8.00	X	0	0	0
WANDA ALLEN ESQUIRE
DIRECTOR	6.00	X	0	0	0
BARBARA EASTER
DIRECTOR	2.00	X	0	0	0
JENNIFER SMITH
DIRECTOR	2.00	X	0	0	0
REV RALPH HAINES
DIRECTOR	2.00	X	0	0	0
BENITA JOHNSON
DIRECTOR	4.00	X	0	0	0
BARBARA MANLY
DIRECTOR	2.00	X	0	0	0
LOUVENIA MILTEER
DIRECTOR	2.00	X	0	0	0
CYNTHIA MULLEN
TREASURER	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
DIRECTOR	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
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
NILDA ANTE
PHYSICIAN	40.00		200745	0	2882		X
DAVID L LORENZO
PHYSICIAN	40.00		169960	0	22118		X
JACQUALYNNE K MCFARLANE
PHYSICIAN	40.00		162561	0	13894		X
CHARLIE M FAULK
PHYSICIAN	40.00		223246	0	6970		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

Name Of Contractor NameOfContractor

Name Business NameBusiness

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

Address Of Contractor AddressOfContractor

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	860 OMNI BLVD 302A	AddressLine1
City	NEWPORT NEWS	City
State	VA	State
ZIP Code	23606	ZIPCode

Field	Value	IRS element (for citing)
Description Of Services	LAB SERVICES	DescriptionOfServices
Compensation	558149	Compensation

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	1	NumberOfContractorsGT100K
Government Grants	6300281	GovernmentGrants
All Other Contributions	385075	AllOtherContributions
Total Contributions	6685356	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	NET PATIENT SERVICE RE	Description
Business Code	621110	BusinessCode
Total Revenue Column	5533037	TotalRevenueColumn
Related Or Exempt Function Income	5533037	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	5533037	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	2451	TotalRevenueColumn
Exclusion	$2,451	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	12220844	TotalRevenueColumn
Related Or Exempt Function Income	5533037	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$2,451	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	6291154	Total
Program Services	4809152	ProgramServices
Management And General	1482002	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	338263	Total
Program Services	338263	ProgramServices

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	632527	Total
Program Services	404989	ProgramServices
Management And General	227538	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	486946	Total
Program Services	340485	ProgramServices
Management And General	146461	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	37452	Total
Program Services	2330	ProgramServices
Management And General	35122	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	554934	Total
Program Services	277466	ProgramServices
Management And General	277468	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	7413	Total
Program Services	2164	ProgramServices
Management And General	5249	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	22218	Total
Program Services	4358	ProgramServices
Management And General	17860	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	334721	Total
Program Services	221881	ProgramServices
Management And General	112840	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	60834	Total
Program Services	24987	ProgramServices
Management And General	35847	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PROFESSIONAL FEES & CON	1246746	1018144	228602
EQUIPMENT AND FACILITY	557558	283014	274544
SUPPLIES	445326	360046	85280
TELEPHONE	159516	113551	45965

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	294732	Total
Program Services	145805	ProgramServices
Management And General	148927	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	11997479	Total
Program Services	8497013	ProgramServices
Management And General	3500466	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	2403686	BOY
EOY	2460128	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	429275	BOY
EOY	892490	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	399387	BOY
EOY	197769	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	63124	BOY
EOY	72488	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	4487970	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	2964020	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	1709165	BOY
EOY	1523950	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	5004637	BOY
EOY	5146825	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	844398	BOY
EOY	808451	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	423954	BOY
EOY	378724	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1268352	BOY
EOY	1187175	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3736285	BOY
EOY	3959650	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	3736285	BOY
EOY	3959650	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	5004637	BOY
EOY	5146825	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	223365	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
Audit Committee	1	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
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	1565011	OtherCostOrOtherBasis
Depreciation	1281118	Depreciation
Book Value	283893	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1628431	OtherCostOrOtherBasis
Depreciation	1174918	Depreciation
Book Value	453513	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1077328	OtherCostOrOtherBasis
Depreciation	507984	Depreciation
Book Value	569344	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1523950	TotalOfBookValueLandBuildings
Total Revenue	12220844	TotalRevenue
Total Expenses	11997479	TotalExpenses
Excess Or Deficit For Year	223365	ExcessOrDeficitForYear
Excess Or Deficit Per FS	223365	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	12434444	TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities	213600	DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990	213600	RevenueNotRptdF990
Revenue Subtotal	12220844	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	12220844	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	12211079	TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities	213600	DonatedServicesUseOfFacilities
Expenses Not Rptd F990	213600	ExpensesNotRptdF990
Expenses Subtotal	11997479	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	11997479	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	Identifier
Return Reference	PART X:	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 2008.	Explanation

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)

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
141522	0	0	0	0	0	0	0	27884	0	169406	0	0	0
ALADEE DELAHOUSSAYE MD
133431	0	0	0	0	0	0	0	16947	0	150378	0	0	0
CONCEPCION ASPILI
157909	0	0	0	0	0	0	0	22140	0	180049	0	0	0
NILDA ANTE
200745	0	0	0	0	0	0	0	2882	0	203627	0	0	0
DAVID L LORENZO
169960	0	0	0	0	0	0	0	22118	0	192078	0	0	0
JACQUALYNNE K MCFARLANE
162561	0	0	0	0	0	0	0	13894	0	176455	0	0	0
CHARLIE M FAULK
223246	0	0	0	0	0	0	0	6970	0	230216	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	8450	AmountOfTransaction
Description Of Transaction	COMPENSATION FOR GRANT WRITING;LIST TOTAL 8,450	DescriptionOfTransaction
Sharing Of Revenues	0	SharingOfRevenues

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.