TIDALHEALTH PENINSULA REGIONAL INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
TIDALHEALTH PENINSULA REGIONAL INC (EIN 52-0591628)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-04-30
IRS object ID
201321209349300717
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-04-30T10:15:00-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line175 BEATTIE PLACE SUITE 800AddressLine1
CityGREENVILLECity
StateSCState
ZIP Code29601ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN520591628EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PENINSULA REGIONAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% JIM GREGORYInCareOfName
Name ControlPENINameControl
Phone4105466400Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 EAST CARROLL STREETAddressLine1
CitySALISBURYCity
StateMDState
ZIP Code21801ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBruce RitchieName
TitleChief Financial OfficerTitle
Date Signed2013-04-11DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone8642425740Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARGARET NALEPPA CEONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1100 EAST CARROLL STREETAddressLine1
CitySALISBURYCity
StateMDState
ZIP Code21801ZIPCode
FieldValueIRS element (for citing)
Gross Receipts470888938GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.PENINSULA.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1897YearFormation
State Legal DomicileMDStateLegalDomicile
Activity Or Mission DescriptionIMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees3242TotalNbrEmployees
Total Nbr Volunteers203TotalNbrVolunteers
Total Gross UBI1172743TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year173096ContributionsGrantsPriorYear
Contributions Grants Current Year212650ContributionsGrantsCurrentYear
Program Service Revenue Prior Year382714431ProgramServiceRevenuePriorYear
Program Service Revenue CY380732888ProgramServiceRevenueCY
Investment Income Prior Year13455158InvestmentIncomePriorYear
Investment Income Current Year7636984InvestmentIncomeCurrentYear
Other Revenue Prior Year945351OtherRevenuePriorYear
Other Revenue Current Year873844OtherRevenueCurrentYear
Total Revenue Prior Year397288036TotalRevenuePriorYear
Total Revenue Current Year389456366TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year174993931SalariesEtcPriorYear
Salaries Etc Current Year182271785SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year476663TotalFundrsngExpCurrentYear
Other Expense Prior Year192962626OtherExpensePriorYear
Other Expenses Current Year193157852OtherExpensesCurrentYear
Total Expenses Prior Year367956557TotalExpensesPriorYear
Total Expenses Current Year375429637TotalExpensesCurrentYear
Revenues Less Expenses Prior Year29331479RevenuesLessExpensesPriorYear
Revenues Less Expenses CY14026729RevenuesLessExpensesCY
Total Assets BOY492408066TotalAssetsBOY
Total Assets EOY507967270TotalAssetsEOY
Total Liabilities BOY183373272TotalLiabilitiesBOY
Total Liabilities EOY196739340TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY309034794NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY311227930NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionIMPROVE THE HEALTH OF THE COMMUNITIES WE SERVEMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense339657325Expense
Revenue380732888Revenue
DescriptionPeninsula Regional Medical Center is a not-for-profit 501 (c)( 3 ) non-stock corporation founded in 1897 to serve the health care needs of the community. The Hospital's primary purpose is to provide the highest primary, secondary, and selected tertiary health care services to residents of and visitors to the Mid-Delmarva Peninsula in a competent, compassionate, and cost-effective manner designed to elicit a high degree of customer satisfaction. The Hospital's mission is to improve the health of the communities we serve by providing quality medical care regardless of race, creed, sex, national origin, handicap, or age. If a patient is unable to pay due to financial resources, efforts will be taken to assure care at an affordable cost, or obtained assistance through appropriate agencies on the patient's behalf. Emergency services care will be provided to everyone regardless of ability to pay. Peninsula Regional Medical Center served over 21,000 inpatients and provided more than 500,000 outpatient services during fiscal 2012. Food service provided more than 475,000 meals to patients and employees. Although reimbursement for services rendered is critical to the operation and stability of Peninsula Regional Medical Center, it is recognized that not all individuals possess the ability to pay for essential medical services. The Hospital, in keeping with the commitment to serve all members of the community, during fiscal 2012 provided: Charity and other allowances totaling $54,387,811 Discounts to third party payors including government programs such as Medicare and Medicaid $44,354,270 Write-off of uncollectible accounts $16,616,061 The total unreimbursed value of providing care to these patients is $115,358,142 Also provided are many wellness programs, community education and free programs offered throughout the year based upon activities and services that Peninsula Regional Medical Center believes will serve a bona fide community health need. Some of the programs are as follows: A variety of brochures are displayed in all hospital waiting areas to educate members of the community regarding programs and services. Participation in health fairs during FY 2012 in order to foster health education in the community. Being called upon to speak before community organizations on a variety of healthcare topics. We provide childbirth preparation classes, exercise classes for prenatal and postpartum women and CPR classes. We provide assistance to educators through our work with student nurses, radiology, respiratory and laboratory technicians. During FY 2012, Peninsula Regional Medical Center volunteers contributed over 45,500 hours toward the common purpose of servicing the health care of the community. PROGRAM ACTIVITY During FY 2012, Peninsula Regional Medical Center performed over 275 community outreach activities. Specific examples of education and outreach programs, support groups, community health screenings, and fitness and wellness activities supported by Peninsula Regional Medical Center are as follows: Community Educational and Outreach Programs: - Labor & Delivery Tours (exclusive of Childbirth Class Tours) - CPR - Childbirth Preparation Classes - Refresher Course - Childbirth - Sibling Classes - Infant Care Classes - Grandparent Classes - Safe Sitter Program - Women's Health Education Support Groups: - Diabetes Support Groups - Stroke Support Group - Head and Neck Cancer Support Group Events: Community Screenings: - Height/Weight, Blood Pressure - Skin Cancer Screenings - Oral, Head and Neck Cancer Screenings - Hearing Screenings - Flu Clinic Educational Exhibits: - Diabetes Education - Trauma - Women's Health - Safe Sitter - Relay for Life Benefits: - March of Dimes Walk America - United Way - Women Supporting Women Fitness/Exercise Programming: - Cardiac Rehabilitation - Indoor Cycling and Weights - Women and Weight TrainingDescription
Total Program Service Expense339657325TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096226NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees3242NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMDStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNCStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJIM GREGORYNamePerson
Telephone Number4109124979TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1100 EAST CARROLL STAddressLine1
CitySALISBURYCity
StateMDState
ZIP Code21801ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Jeffrey F Turner
Board Member ( 7/11-10/11 )1.0X000
Farouk A Sultani MD
Board Member1.0X000
Margaret Naleppa
President/CEO40.0X741950048904X
Martin Neat
Chairman10.0X2291100X
Herbert J Geary III
Board Member1.0X000
Michael E Crouch MD
Board Member1.0X000
Murray K Hoy
Board Member1.0X796800
Christjon J Huddleston MD
Board Member1.0X000
Hugh McLaughlin
Board Member1.0X000
Rene Desmarais MD
Board Member (7/11-12/11)1.0X000
Cynthia Holloway
Board Member ( 4/12-6/12 )1.0X000
Marion Keenan
Board Member1.0X000
DebORAH Abbott
Board Member ( 10/11-6/12 )1.0X000
Thomas Coates
Board Member ( 10/11-6/12 )1.0X000
Edward W Urban
Secretary1.0X000X
William R McCain
Vice-Chairman1.0X000X
Monty Sayler
Treasurer1.0X000X
Thomas Riccio MD
Board Member (1/12-6/12 )1.0X000
Lura Lunsford
VP of Operations40.0353197045560X
Bruce I Ritchie
CFO40.0407391069045X
Justinian Ngaiza MD
Physician40.0557898028384X
Paul Zorsky MD
Physician40.0577043022962X
Gayatri Sonti
Physician40.0600918017439X
Andy Pierre MD
Physician40.0694672033332X
Jacek Malik MD
Physician40.0698369031150X
R Alan Newberry
Former President/CEO0.068872900X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5351046TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation296776TotalOtherCompensation
Number Individuals GT100 K144NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HORIZON CSA
265 PIT ROADMOORESVILLENC28115BIOMEDICAL SERVICES4993909
SHERIDAN ANESTHESIA OF MD
PO BOX 452197SUNRISEFL333232197ANESTHESIA SERVICES2146332
MAYO MEDICAL LABORATORIES
PO BOX 9146MINNEAPOLISMN554809146MEDICAL SERVICES1449422
SLEEP WAVES INC
873 E BALTIMORE PIKE STE 345KENNETT SQUAREPA19348MEDICAL SERVICES1300000
SPECIALITY CARE CARDIOVASCULAR RESO
DEPT 1614 PO BOX 1614BIRMINGHAMAL352461614MEDICAL SERVICES1094750
FieldValueIRS element (for citing)
Number Of Contractors GT100 K59NumberOfContractorsGT100K
Related Organizations149246RelatedOrganizations
Government Grants42857GovernmentGrants
All Other Contributions20547AllOtherContributions
Total Contributions212650TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICES900099379600682378643996956686
PURCHASING PARTNERSHIP INC FROM MEMBERS90009911575321157532
MARYLAND ECARE PARTNERSHIP INCOME900099-25326-25326
FieldValueIRS element (for citing)
Total Program Service Revenue380732888TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5501205TotalRevenueColumn
Exclusion$5,501,205ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real122518Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real179333Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-56815Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-56815TotalRevenueColumn
Exclusion-$56,815ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities83376324Securities
Other12694Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities81197898Securities
Other55341Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2178426Securities
Other-42647Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2135779TotalRevenueColumn
Exclusion$2,135,779ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
CAFETERIA722210705123$705,123
PARTNERSHIP INCOME9000991605716057
MANAGEMENT FEES561000200000200000

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column9479TotalRevenueColumn
Exclusion$9,479ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue930659TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column389456366TotalRevenueColumn
Related Or Exempt Function Income379776202RelatedOrExemptFunctionIncome
Unrelated Business Revenue1172743UnrelatedBusinessRevenue
Exclusion$8,294,771ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1782643Total
Program Services1614106ProgramServices
Management And General164667ManagementAndGeneral
Fundraising3870Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total292558Total
Program Services264899ProgramServices
Management And General27024ManagementAndGeneral
Fundraising635Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total144174017Total
Program Services130543351ProgramServices
Management And General13317684ManagementAndGeneral
Fundraising312982Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total5460128Total
Program Services4943910ProgramServices
Management And General504365ManagementAndGeneral
Fundraising11853Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total20572478Total
Program Services18625517ProgramServices
Management And General1902256ManagementAndGeneral
Fundraising44705Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total9989961Total
Program Services9156042ProgramServices
Management And General814356ManagementAndGeneral
Fundraising19563Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total549485Total
Program Services981ProgramServices
Management And General548504ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total182776Total
Management And General182776ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total28836Total
Program Services28836ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total1111235Total
Management And General1111235ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total102395853Total
Program Services100090204ProgramServices
Management And General2248983ManagementAndGeneral
Fundraising56666Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total778303Total
Program Services769605ProgramServices
Management And General8698ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4820033Total
Program Services4820033ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total560640Total
Program Services377322ProgramServices
Management And General175654ManagementAndGeneral
Fundraising7664Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total80300Total
Program Services80300ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total6212928Total
Program Services6212928ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total21715233Total
Program Services21669139ProgramServices
Management And General46094ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total4079547Total
Program Services750087ProgramServices
Management And General3329460ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PROFESSIONAL FEES33484700229209461054555118203
BAD DEBTS1661606116616061
DUES541922173058368342522

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total375429637Total
Program Services339657325ProgramServices
Management And General35295649ManagementAndGeneral
Fundraising476663Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY150629BOY
EOY272321EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY25487082BOY
EOY24436989EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY35831829BOY
EOY39259952EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY7612015BOY
EOY7526666EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4722221BOY
EOY5696943EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis445417663LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec245183046LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY206153752BOY
EOY200234617EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY141953184BOY
EOY160583035EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY70497354BOY
EOY69956747EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY492408066BOY
EOY507967270EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY13928109BOY
EOY19292791EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY134315588BOY
EOY131216694EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY60000BOY
EOY45000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY35069575BOY
EOY46184855EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY183373272BOY
EOY196739340EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY286634592BOY
EOY287902813EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY14335033BOY
EOY15254167EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY8065169BOY
EOY8070950EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY309034794BOY
EOY311227930EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY492408066BOY
EOY507967270EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses14026729ReconcilationRevenueExpenses
Reconcilation Other Changes-11833593ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$28,836OtherActivitiesAmount
Total Lobbying Expenditures IIB28836TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierOTHER ACTIVITIESIdentifier
Return ReferencePART II-B, LINE 1IReturnReference
ExplanationPENINSULA REGIONAL MEDICAL CENTER PAYS DUES TO ORGANIZATIONS THAT LOBBY FEDERAL AND STATE LEGISLATORS ON BEHALF OF HOSPITALS AND HEALTH SYSTEMS. THE PORTION OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION AND THE MARYLAND HOSPITAL ASSOCIATION ATTRIBUTABLE TO LOBBYING DURING FY 2012 TOTALED $28,836.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance34191392BeginningOfYearBalance
Contributions12685Contributions
Investment Earnings Or Losses801060InvestmentEarningsOrLosses
Administrative Expenses271030AdministrativeExpenses
End Of Year Balance34734107EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance28295999BeginningOfYearBalance
Contributions105500Contributions
Investment Earnings Or Losses6047698InvestmentEarningsOrLosses
Administrative Expenses257805AdministrativeExpenses
End Of Year Balance34191392EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance25231843BeginningOfYearBalance
Contributions206865Contributions
Investment Earnings Or Losses3074487InvestmentEarningsOrLosses
Administrative Expenses217196AdministrativeExpenses
End Of Year Balance28295999EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance29317177BeginningOfYearBalance
Contributions110900Contributions
Investment Earnings Or Losses-4000545InvestmentEarningsOrLosses
Administrative Expenses195689AdministrativeExpenses
End Of Year Balance25231843EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.50825BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.00153PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.49022TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis10636389OtherCostOrOtherBasis
Book Value10636389BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis199046366OtherCostOrOtherBasis
Depreciation58823259Depreciation
Book Value140223107BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis221877626OtherCostOrOtherBasis
Depreciation180781833Depreciation
Book Value41095793BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis13857282OtherCostOrOtherBasis
Depreciation5577954Depreciation
Book Value8279328BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings200234617TotalOfBookValueLandBuildings

Other Assets OtherAssets (7 entries)

DescriptionDescriptionBook ValueBookValue
INVESTMENT IN PARTNERSHIP950793
UNAMORTIZED FINANCING COSTS2352419
OTHER ASSETS3104051
DEBT SERVICE RESERVE FUND9311461
DONOR RESTRICTED FUND24488500
SELF-INSURANCE FUND13003852
BOARD DESIGNATED INVESTMENTS16745671
FieldValueIRS element (for citing)
Total Book Value Other Assets69956747TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
ADVANCES FROM THIRD PARTY PAYORS$9,957,866
ACCRUED SELF INSURANCE LIABILITIES$11,069,951
OTHER LIABILITIES$2,539,346
EMP. COMP. RELATED PAYROLL TAX$13,505,228
PENSION FUNDING LIABILITY$9,112,464
FieldValueIRS element (for citing)
Total Of Amounts46184855TotalOfAmounts
Total Revenue389456366TotalRevenue
Total Expenses375429637TotalExpenses
Excess Or Deficit For Year14026729ExcessOrDeficitForYear
Net Unrealized GL On Investments-868468NetUnrealizedGLOnInvestments
Other-$10,965,125OtherAmount
Total Adjustments-11833593TotalAdjustments
Excess Or Deficit Per FS2193136ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt389954664TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-868468NetUnrealizedGainsInvestments
Other Revenues2614558OtherRevenues
Revenue Not Rptd F9901746090RevenueNotRptdF990
Revenue Subtotal388208574RevenueSubtotal
Investment Expenses Not Included1111235InvestmentExpensesNotIncluded
Other Revenues Not Included136557OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt1247792RevenueNotRptdOnFinStmt
Total Revenue Per Form990389456366TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt374161168TotExpensesEtcAuditedFinclStmt
Other Expenses Included179333OtherExpensesIncluded
Expenses Not Rptd F990179333ExpensesNotRptdF990
Expenses Subtotal373981835ExpensesSubtotal
Investment Expenses Not Included21111235InvestmentExpensesNotIncluded2
Other Expenses Not Included336567OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt1447802ExpensesNotRptdOnFinStmt
Total Expenses Per Form990375429637TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INTENDED USE OF ENDOWMENT FUNDSPART V, LINE 4THE ORGANIZATION'S ENDOWMENT FUNDS ARE USED FOR CAPITAL, PATIENT SERVICES OR EDUCATIONAL PURPOSES.
FIN 48 FOOTNOTEPART X, LINE 2The organization did not have any uncertain tax positions that were material to the financial statements. Accordingly, the organization did not include a FIN 48 footnote in its audited financial statements.
RECONCILIATIONPARTS XI - XIIIPART XI, LINE 8 - PENSION ADJUSTMENT - FAS 158 $(14,092,708) INVESTMENT INCOME SWAP 2,131,445 CHANGE IN EQUITY INTEREST OF FOUNDATION 931,783 CAPITAL CAMPAIGN TRANSFERS FROM FOUNDATION 332 U/R NET ASSETS RELEASED FROM RESTRICTION 40,325 ENDOWMENT DONATIONS (12,685) NET ASSETS RELEASED FROM RESTRICTION (267,401) PARTNERSHIP K-1 INCOME ON RETURN NOT ON BOOKS 303,790 ROUNDING (6) ---------- TOTAL $(10,965,125) ============= PART XII, LINE 2D - RENT EXPENSE NETTED AGAINST REVENUE $ 179,333 PARTNERSHIP K-1 BOOK TO TAX 303,790 BASIS SWAP INCOME $2,131,435 --------- $2,614,558 ========== PART XII - LINE 4B - FOUNDATION CONTRIBUTIONS $136,557 ======== PART XIII - LINE 2D - RENT EXPENSE NETTED AGAINST REVENUE $179,333 ======== PART XIII - LINE 4B - OTHER EXPENSES ON PREMIER K-1 $ 10 FOUNDATION CONTRIBUTIONS 136,557 MANAGEMENT FEES RECLASSED FROM EXPENSES 200,000 -------- $336,567 ========

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense15312109TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense15312109NetCommunityBenefitExpense
Percent Of Total Expense0.04270PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense15312109TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense15312109NetCommunityBenefitExpense
Percent Of Total Expense0.04270PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Persons Served52872PersonsServed
Total Community Benefit Expense1692659TotalCommunityBenefitExpense
Direct Offsetting Revenue316904DirectOffsettingRevenue
Net Community Benefit Expense1375755NetCommunityBenefitExpense
Percent Of Total Expense0.00380PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Persons Served1466PersonsServed
Total Community Benefit Expense804863TotalCommunityBenefitExpense
Direct Offsetting Revenue43028DirectOffsettingRevenue
Net Community Benefit Expense761835NetCommunityBenefitExpense
Percent Of Total Expense0.00210PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Persons Served27258PersonsServed
Total Community Benefit Expense9414847TotalCommunityBenefitExpense
Direct Offsetting Revenue3237036DirectOffsettingRevenue
Net Community Benefit Expense6177811NetCommunityBenefitExpense
Percent Of Total Expense0.01720PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Benefit Expense3973TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense3973NetCommunityBenefitExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Persons Served5258PersonsServed
Total Community Benefit Expense145303TotalCommunityBenefitExpense
Direct Offsetting Revenue420DirectOffsettingRevenue
Net Community Benefit Expense144883NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Persons Served86854PersonsServed
Total Community Benefit Expense12061645TotalCommunityBenefitExpense
Direct Offsetting Revenue3597388DirectOffsettingRevenue
Net Community Benefit Expense8464257NetCommunityBenefitExpense
Percent Of Total Expense0.02350PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Persons Served86854PersonsServed
Total Community Benefit Expense27373754TotalCommunityBenefitExpense
Direct Offsetting Revenue3597388DirectOffsettingRevenue
Net Community Benefit Expense23776366NetCommunityBenefitExpense
Percent Of Total Expense0.06620PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense910TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense910NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense11776TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense11776NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Total Community Building Expense143802TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense143802NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense17506TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense17506NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense2028TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense2028NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense176022TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense176022NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$16,616,061BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare229798559AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare211176281CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall18622278MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1PENINSULA REGIONAL MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1100 E CARROLL STREETAddressLine1
CitySALISBURYCity
StateMDState
ZIP Code218015493ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1PENINSULA REGIONAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Consulting ProcessXConsultingProcess
Needs Assessment Conducted08NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiestrueOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Other MethodXOtherMethod
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Participate Community PlanXParticipateCommunityPlan
Include Operational PlansXIncludeOperationalPlans
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
Other Needs AddressedXOtherNeedsAddressed
All Needs AddressedtrueAllNeedsAddressed
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent300.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Medicare RateXMedicareRate
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargestrueGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
ExplanationPART I, LINE 3C N/A PART I, LINE 6A PENINSULA REGIONAL MEDICAL CENTER FILES ANNUALLY A COMMUNITY BENEFIT REPORT WITH THE STATE OF MARYLAND. THE REPORT IS FILED WITH THE HSCRC (HEALTH SERVICES COST REVIEW COMMISSION). PART I, LINE 7: LINE 7, COLUMN (F) - THE AMOUNT OF BAD DEBT EXPENSE EXCLUDED FROM THE DENOMINATOR IN THE COLUMN (F) PERCENTAGES IS $16,616,061. LINE 7B COLUMN (C) & (F)- MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION, (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY DIRECTED OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. COMMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO. THE EXCEPTION TO THIS IS THE IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE-SETTING SYSTEM. THE COST METHODOLOGY FOR CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS IS THE COST-TO-CHARGE RATIO USED FOR THE CHARITY CARE PROGRAMS AND DIRECT COST METHOD FOR THE OTHER BENEFITS/PROGRAMS. PART III, LINE 4 THE HOSPITAL PROVIDES SERVICES TO PATIENTS IN THE EASTERN SHORE AREA OF MARYLAND, DELAWARE AND VIRGINIA, THE MAJORITY OF WHOM ARE COVERED BY THIRD-PARTY HEALTH INSURANCE. THE HOSPITAL BILLS THE INSURER DIRECTLY FOR SERVICES PROVIDED. INSURANCE COVERAGE AND FINANCIAL INFORMATION IS OBTAINED FROM PATIENTS UPON ADMISSION WHEN AVAILABLE. THE HOSPITAL'S POLICY IS TO PERFORM IN-HOUSE COLLECTION PROCEDURES FOR APPROXIMATELY 85 DAYS. A DETERMINATION IS MADE AT THAT TIME AS TO WHAT ADDITIONAL COLLECTION EFFORTS TO PURSUE. A PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS RECORDED FOR AMOUNTS NOT YET WRITTEN OFF, WHICH ARE EXPECTED TO BECOME UNCOLLECTIBLE. DISCOUNTS RANGING FROM 2% TO 6% OF CHARGES ARE GIVEN TO MEDICARE, MEDICAID AND CERTAIN APPROVED COMMERCIAL HEALTH INSURANCE AND HEALTH MAINTENANCE ORGANIZATION PROGRAMS FOR REGULATED SERVICES. DISCOUNTS IN VARYING PERCENTAGES ARE GIVEN FOR CERTAIN UNREGULATED SERVICES. THESE MAJOR PAYORS ROUTINELY REVIEW PATIENT BILLINGS AND DENY PAYMENT FOR CERTAIN CHARGES AS MEDICALLY UNNECESSARY OR AS PERFORMED WITHOUT APPROPRIATE PREAUTHORIZATION. DISCOUNTS AND DENIALS ARE RECORDED AS REDUCTIONS OF NET PATIENT SERVICE REVENUE. ACCOUNTS RECEIVABLE FROM THESE THIRD-PARTY PAYORS HAVE BEEN ADJUSTED TO REFLECT THE DIFFERENCE BETWEEN CHARGES AND THE ESTIMATED REIMBURSABLE AMOUNTS. APPROXIMATELY 37% AND 33%, RESPECTIVELY, OF ACCOUNTS RECEIVABLE WERE DUE FROM THE MEDICARE PROGRAM AS OF JUNE 30, 2012 AND 2011, RESPECTIVELY. LAWS AND REGULATIONS GOVERNING MEDICARE AND MEDICAID PROGRAMS ARE COMPLEX AND SUBJECT TO INTERPRETATION. THE HOSPITAL BELIEVES THAT IT IS IN COMPLIANCE WITH ALL APPLICABLE LAWS AND REGULATIONS AND IS NOT AWARE OF ANY PENDING OR THREATENED INVESTIGATIONS INVOLVING ALLEGATIONS OF POTENTIAL WRONGDOING THAT WOULD HAVE A MATERIAL EFFECT ON THE FINANCIAL STATEMENTS. COMPLIANCE WITH SUCH LAWS AND REGULATIONS CAN BE SUBJECT TO FUTURE GOVERNMENT REVIEW AND INTERPRETATION AS WELL AS SIGNIFICANT REGULATORY ACTION INCLUDING FINES, PENALTIES AND EXCLUSION FROM MEDICARE AND MEDICAID PROGRAMS. BAD DEBT METHODOLOGY - PENINSULA REGIONAL MEDICAL CENTER IS A TAX-EXEMPT NOT-FOR-PROFIT HOSPITAL THAT PROVIDES QUALITY MEDICAL SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. BY PROVIDING MEDICAL SERVICES TO ALL COMMUNITY MEMBERS REGARDLESS OF THEIR ABILITY TO PAY, THE HOSPITAL'S BAD DEBT EXPENSE QUALIFIES AS A COMMUNITY BENEFIT. THE BAD DEBT EXPENSE CALCULATED ON LINE 2 WAS CALCULATED USING THE PATIENT CARE COST TO CHARGES METHODOLOGY PART III, LINE 8 MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO. PENINSULA REGIONAL MEDICAL CENTER PROVIDES QUALITY MEDICAL SERVICES TO ALL PATIENTS REGARDLESS OF WHAT INSURANCE THEY HAVE. APPROXIMATELY, 48.2% OF THE MEDICAL CENTER'S REVENUE IS ATTRIBUTABLE TO MEDICARE PATIENTS during the year ended June 30, 2012. PART III, LINE 9B COLLECTION POLICIES ARE THE SAME FOR ALL PATIENTS. IF A PATIENT NOTIFIES THE MEDICAL CENTER ABOUT THEIR INABILITY TO PAY, THE MEDICAL CENTER WILL SEND THEM THE CHARITY CARE AND FINANCIAL ASSISTANCE FORMS TO FILL OUT. ONCE THE FORMS ARE COMPLETE AND RETURNED TO THE MEDICAL CENTER AND THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, THEN THE PATIENT'S ACCOUNT WILL BE REMOVED FROM COLLECTIONS AND THE ACCOUNT WILL BE WRITTEN OFF. PART V, LINE 13G PENINSULA REGIONAL MEDICAL CENTER PUBLISHES ANNUALLY AN ADVERTISEMENT IN THE LOCAL NEWSPAPER ANNOUNCING THE AVAILABILITY OF FREE OR REDUCED COST CARE. PART V, LINE 19D PENINSULA REGIONAL MEDICAL CENTER IS A MARYLAND HOSPITAL. AS SUCH PATIENTS AND ALL INSURANCE COMPANIES, INCLUDING MEDICARE & MEDICAID, PAY THE SAME RATE. THIS RATE IS DETERMINED BY THE STATE AGENCY, THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION. PART V, LINE 21 PENINSULA REGIONAL MEDICAL CENTER IS A MARYLAND HOSPITAL. AS SUCH, PATIENTS AND ALL INSURANCE COMPANIES INCLUDING MEDICARE & MEDICAID PAY THE GROSS CHARGE. PART VI, LINE 2 PENINSULA REGIONAL MEDICAL CENTER IN COOPERATION WITH THE WICOMICO, WORCESTER AND SOMERSET COUNTIES, HEALTH DEPARTMENTS, THE ATLANTIC GENERAL HOSPITAL AND THE EDWARD W. MCCREADY MEMORIAL HOSPITAL, HAS BEEN CONDUCTING COMMUNITY HEALTH SURVEYS OF THE TRI-COUNTY AREA SINCE 1995. THESE SURVEYS, ADMINISTERED BY PROFESSIONAL RESEARCH CONSULTANTS (PRC) OF OMAHA, NEBRASKA WERE ADMINISTERED IN 1995, 2000, 2004 AND 2009. IN ADDITION TO THESE ADULT SURVEYS, A SEPARATE ADOLESCENT SURVEY WAS CONDUCTED IN 2000, 2005, AND 2010. RESULTS OF THESE SURVEYS ARE USED BY THE PARTICIPANTS TO ASSESS COMMUNITY HEALTH NEEDS AND PLAN FUTURE SERVICES. OF PARTICULAR NOTE WAS THE DEVELOPMENT OF THE TRI-COUNTY DIABETES ALLIANCE, WHICH IS A COOPERATIVE VENTURE BETWEEN ALL THE PARTNERS AND COMMUNITY AGENCIES TO REDUCE THE INCIDENCES OF DIABETES IN THE TRI-COUNTY AREA. OTHER OUTCOMES RESULTING FROM THE SURVEY FINDINGS INCLUDE SMOKING CESSATION PROGRAMS, OTHER EARLY DETECTION AND SCREENING PROGRAMS FOR HEART AND CANCER, AS WELL AS HEALTH PROMOTION AND EDUCATION WITH A FOCUS ON PREVENTION. THE PRC COMMUNITY HEALTH ASSESSMENT IS A SYSTEMATIC, DATA-DRIVEN APPROACH TO DETERMINING THE HEALTH STATUS, BEHAVIORS AND NEEDS OF OUR COMMUNITY RESIDENTS. SURVEY RESULTS ARE SHARED WITH THE COMMUNITY AND ARE POSTED TO THE PARTICIPANTS WEBSITES. THIS COMMUNITY HEALTH ASSESSMENT SERVES AS A TOOL TOWARDS REACHING THE FOLLOWING THREE GOALS: 1. TO IMPROVE RESIDENTS' HEALTH STATUS, INCREASE THEIR LIFE SPANS, AND ELEVATE THEIR OVERALL QUALITY OF LIFE. 2. REDUCE THE HEALTH DISPARITIES AMONG RESIDENTS BY GATHERING DEMOGRAPHIC INFORMATION ALONG WITH HEALTH STATUS AND BEHAVIOR DATA. 3. TO INCREASE ACCESSIBILITY TO PREVENTIVE SERVICES FOR ALL COMMUNITY RESIDENTS. PART VI, LINE 3 PENINSULA REGIONAL MEDICAL CENTER MAKES AVAILABLE TO ALL PATIENTS THE HIGHEST QUALITY OF MEDICAL CARE POSSIBLE WITHIN THE RESOURCES AVAILABLE. IF A PATIENT IS UNABLE TO PAY DUE TO FINANCIAL RESOURCES, ALL EFFORTS WILL BE MADE TO HELP THE PATIENT OBTAIN ASSISTANCE THROUGH APPROPRIATE AGENCIES, OR, IF HELP IS NOT AVAILABLE, TO PROVIDE CARE AT REDUCED OR ZERO COST. ONE OF PENINSULA REGIONAL'S OVERALL GUIDING PRINCIPLES IS THAT CONCERN OVER A HOSPITAL BILL SHOULD NEVER PREVENT ANY INDIVIDUAL FROM RECEIVING EMERGENCY HEALTH SERVICES THE MEDICAL CENTER WILL COMMUNICATE THIS MESSAGE CLEARLY TO PROSPECTIVE PATIENTS AND TO LOCAL COMMUNITY SERVICE AGENCIES AND MAKE IT CLEAR THAT EMERGENCY SERVICES WILL BE PROVIDED WITHOUT REGARD TO ABILITY TO PAY. THE MEDICAL CENTER WILL ENSURE THAT AN EMERGENCY ADMISSION OR TREATMENT IS NOT DELAYED OR DENIED PENDING DETERMINATION OF COVERAGE OR REQUIREMENT FOR PREPAYMENT OR DEPOSIT. THE MEDICAL CENTER WILL POST ADEQUATE NOTICE OF THE AVAILABILITY OF MEDICAL SERVICES, AND THE GENERAL OBLIGATION OF THE HOSPITAL TO PROVIDE CHARITY CARE. PENINSULA REGIONAL'S "FINANCIAL ASSISTANCE POLICY" INCLUDES THE REQUIRED LANGUAGE OF DETERMINATION OF PROBABLE ELIGIBILITY WITHIN TWO BUSINESS DAYS. ON PAGE 2, THE "FINANCIAL ASSISTANCE POLICY" STATES THAT UPON RECEIPT OF THE FINANCIAL ASSISTANCE REQUEST, THE REPRESENTATIVE WILL REVIEW INCOME AND ALL DOCUMENTATION. THE PATIENT MUST BE NOTIFIED WITHIN TWO BUSINESS DAYS OF THEIR PROBABLE ELIGIBILITY. IN ACCORDANCE WITH SECTION 1, 2 AND 3, PENINSULA REGIONAL PROVIDES PUBLIC NOTICE AND INFORMATION REGARDING ITS CHARITY CARE POLICY IN DELMARVA'S LARGEST PAPER "THE DAILY TIMES", POSTED SIGNS IN THE ADMISSION, BUSINESS OFFICE EMERGENCY ROOM AND OTHER MAJOR SERVICE AREAS OF THE MEDICAL CENTER; ADDITIONALLY INDIVIDUAL NOTICE IS PROVIDED TO EACH PERSON WHO SEEKExplanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgstrueCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Margaret Naleppa
56681901604110147200351720137320790854000
Lura Lunsford
290065059234038980332150123450398757000
Bruce I Ritchie
334335069158038980482540207910476436000
R Alan Newberry
688729000000000688729000
Justinian Ngaiza MD
55668000012180135040148800586282000
Paul Zorsky MD
5758250001218096010133610600005000
Gayatri Sonti
5997000001218010018074210618357000
Andy Pierre MD
643454050000012180157330175990728004000
Jacek Malik MD
647151050000012180181830129670729519000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSupplemental Compensation InformationIdentifier
ExplanationPART I, LINE 4B Margaret Naleppa is a participant in the 457F non qualified plan. Part I, Lines 6A and 6B Officers and key employees of Peninsula Regional Medical Center are paid compensation determined by the net earnings activity of the Medical Center and Peninsula Regional Health System. During calendar year 2011 the following bonuses were paid based on earnings: Margaret Naleppa $160,411, Lura Lunsford $59,234 and Bruce Ritchie $69,158. Part I, Line 7 During calendar year 2011, Andy Pierre, M.D. and Jacek Malik, M.D. each received a $50,000 sign-on bonus.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MARYLAND HEALTH & HIGHER EDUCATION FACILITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN520936091IssuerEIN
CUSIP Number574217WT8CUSIPNumber
Date Issued2006-02-09DateIssued
Issue Price146668251IssuePrice
Description Of PurposeSEE PART VIDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired154822905AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds154822905TotalProceeds
Amount In Reserve Fund11127422AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds1167501IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures100184165CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2009YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtytrueMngmentCntrctBondFinancdPrprty
Engage Bond Counsel ContractsfalseEngageBondCounselContracts
Any Research AgreementstrueAnyResearchAgreements
Engage Bond Counsel ResearchtrueEngageBondCounselResearch
Prcntge Prvt Business Use By Others0.00870PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00120PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00990TotalPrivateBusinessUse
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdstrueHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1MORGAN STANLEYBusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge20.4TermOfHedge
Superintegrated HedgefalseSuperintegratedHedge
Hedge TerminatedfalseHedgeTerminated
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatetrueExceptionToRebate

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SCHEDULE K, PART I, COLUMN F0THE PROCEEDS OF THE ISSUE, AFTER PAYMENT OF FINANCING COSTS, WERE USED PRIMARILY (I) TO FINANCE AND REFINANCE A PORTION OF THE COSTS OF CONSTRUCTION, RENOVATION, ACQUISITION AND EQUIPPING OF HEALTHCARE FACILITIES; (II) TO REFUND OUTSTANDING 1993 BONDS (ISSUED 10/28/93); (III) TO PAY A PORTION OF THE INTEREST ACCRUING ON THE SERIES 2006 BONDS FOR A PERIOD TO EXTEND TO JANUARY 1, 2009; AND (IV) TO PAY THE COUNTERPARTY A TERMINATION PAYMENT OF $1,575 IN CONNECTION WITH A FORWARD STARTING INTEREST RATE EXCHANGE AGREEMENT ENTERED INTO ON AUGUST 9, 2005 AND UNWOUND ON JANUARY 24, 2006.
SCHEDULE K, PART II, LINE 100OF THE AMOUNT REPORTED ON PART II, LINE 10, $12,281,895 IS CAPITALIZED INTEREST.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonPENINSULA CARDIOLOGY ASSOCIATESNamePerson
FieldValueIRS element (for citing)
RelationshipSEE PART VRelationship
Amount Of Transaction159994AmountOfTransaction
Description Of TransactionRENTAL FEESDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierSCHEDULE L, PART IVIdentifier
ExplanationRENE DESMARIAS, M.D., A TRUSTEE OF THE MEDICAL CENTER, IS A MORE THAN 5% OWNER OF PENINSULA CARDIOLOGY ASSOCIATES.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 2BUSINESS RELATIONSHIPSMARGARET NALEPPA, MARTIN NEAT, AND HUGH MCLAUGHLIN are members of the board of directors of Peninsula Health Ventures, a wholly-owned taxable subsidiary of Peninsula Regional Health System.
FORM 990, PART VI, SECTION A, LINE 6MEMBERS OF THE ORGANIZATIONPENINSULA REGIONAL HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF THE MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 7A MEMBER'S ABILITY TO ELECT MEMBERS OF THE GOVERNING BODY IN ITS CAPACITY AS THE SOLE CORPORATE MEMBER OF THE MEDICAL CENTER, PENINSULA REGIONAL HEALTH SYSTEM HAS THE ABILITY TO ELECT MEMBERS OF THE MEDICAL CENTER'S GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS SUBJECT TO APPROVAL BY MEMBERS AS THE SOLE CORPORATE MEMBER, PENINSULA REGIONAL HEALTH SYSTEM HAS THE ABILITY TO APPROVE MAJOR EXPENDITURES AND LONG TERM BORROWINGS OF THE MEDICAL CENTER.
FORM 990, PART VI, SECTION B, LINE 11BREVIEW PROCESS OF FORM 990OVERSIGHT OF THE COMPLETION OF THE ORGANIZATION'S FORM 990 HAS BEEN DELEGATED TO THE CHIEF FINANCIAL OFFICER OF PENINSULA REGIONAL MEDICAL CENTER BY THE PRESIDENT OF THE ORGANIZATION. ONCE THE FORM 990 AND ALL SCHEDULES HAVE BEEN PREPARED BY THE ORGANIZATION'S INDEPENDENT TAX SERVICES PROVIDER, THEY ARE REVIEWED BY THE PRESIDENT PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CMONITORING AND ENFORCEMENT OF CONFLICT OF INTEREST POLICYTHE BOARD OF TRUSTEES ARE REQUIRED TO DISCLOSE ANNUALLY, IN WRITING, ANY AND ALL INTERESTS WHICH THEY OR ANY IMMEDIATE MEMBER OF THEIR FAMILY MAY HAVE IN ANY BUSINESS ENTITY WHICH HAS OR SEEKS A CONTRACTUAL OR COMPETITIVE RELATIONSHIP WITH THE ORGANIZATION. THE BOARD HAS 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, LINES 15A & 15BPROCESS USED TO DETERMINE COMPENSATIONTHE ORGANIZATION USES A COMPENSATION COMMITTEE TO DETERMINE THE COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR AND OTHER KEY EMPLOYEES. THE CEO OF THE ORGANIZATION HAS A WRITTEN EMPLOYMENT CONTRACT. THE COMPENSATION COMMITTEE USES AN INDEPENDENT CONSULTANT, COMPENSATION SURVEYS AND OTHER ORGANIZATION'S FORM 990 IN THE DETERMINATION PROCESS.
FORM 990, PART VI, SECTION C, LINE 19AVAILABILITY OF DOCUMENTS, POLICIES & FINANCIAL STATEMENTS TO THE PUBLICTHE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST TO THE PUBLIC INFORMATION OFFICE OF PENINSULA REGIONAL MEDICAL CENTER AT 100 EAST CARROLL STREET, SALISBURY, MD 21801.
FORM 990, PART VII, SECTION A, COLUMN (B)AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONSMURRAY K. HOY PENINSULA REGIONAL MEDICAL CENTER FOUNDATION - 1 HR/WK PENINSULA REGIONAL HEALTH SYSTEM - 1 HR/WK MARTIN NEAT PENINSULA REGIONAL HEALTH SYSTEM - 1HR/WK PENINSULA HEALTH VENTURES - 1 HR/WK EDWARD URBAN PENINSULA REGIONAL HEALTH SYSTEM - 1 HR/WK WILLIAM MCCAIN PENINSULA REGIONAL HEALTH SYSTEM - 1 HR/WK MICHAEL CROUCH, M.D. PENINSULA REGIONAL HEALTH SYSTEM - 1 HR/WK DEBORAH ABBOTT PENINSULA REGIONAL HEALTH SYSTEM - 1 HR/WK PENINSULA REGIONAL MEDICAL CENTER FOUNDATION - 1 HR/WK HERBERT J. GEARY III PENINSULA REGIONAL HEALTH SYSTEM - 1 HR/WK CHRISTJON J. HUDDLESTON, M.D. PENINSULA REGIONAL HEALTH SYSTEM - 1 HR/WK MARION KEENAN PENINSULA REGIONAL HEALTH SYSTEM - 1 HR/WK HUGH MCLAUGHLIN PENINSULA REGIONAL HEALTH SYSTEM - 1 HR/WK PENINSULA HEALTH VENTURES - 1 HR/WK MONTY SAYLOR PENINSULA REGIONAL HEALTH SYSTEM - 1 HR/WK THOMAS COATES PENINSULA REGIONAL HEALTH SYSTEM - 1 HR/WK MARGARET NALEPPA PENINSULA REGIONAL HEALTH SYSTEM - 10 HRS/WK PENINSULA HEALTH VENTURES - 1 HR/WK
FORM 990, PART XI, LINE 5OTHER CHANGES IN NET ASSETS OR FUND BALANCEPension Adjustment - FAS 158 $(14,092,708) Unrealized loss on investments (868,468) Investment income Swap 2,131,445 Change in equity interest of Foundation 931,783 Capital campaign transfers from Foundation 332 U/R Net assets released from restriction 40,325 Endowment Donations (12,685) Net assets released from restriction (267,401) Partnership K-1 Income oN return NOT ON BOOKS 303,790 ROUNDING (6) ------------- Net Change in fund balance $(11,833,593) =============

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
PENINSULA REGIONAL MED CTR FOUNDATION
100 EAST CARROLL STSALISBURYMD21801521851935FUNDRAISINGMD501(C)(3)11 TYPE IPRHSfalse
PENINSULA REGIONAL HEALTH SYSTEM (PRHS)
100 EAST CARROLL STSALISBURYMD21801522132761PARENTMD501(C)(3)11 TYPE IINAfalse
PENINSULA GENERAL HOSPITAL INS TRUST
100 EAST CARROLL STSALISBURYMD21801526321234INSURANCEMD501(C)(3)11 TYPE IIIPRHStrue

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1DELMARVA SURG CTRBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1641 S SALISBURYAddressLine1
CitySALISBURYCity
StateMDState
ZIP Code21801ZIPCode
FieldValueIRS element (for citing)
EIN522251436EIN
Primary ActivityHEALTHCAREPrimaryActivity
Legal Domicile StateMDLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1PHVBusinessNameLine1

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
PENINSULA HEALTH VENTURES (PHV)
100 EAST CARROLL ST SALISBURYSALISBURYMD21801522250012P'SHIP INVMDPRHSC CORP
PRLTC INC
100 EAST CARROLL STSALISBURYMD21801522190588LONG TERM CAREMDPHVC CORP
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
PENINSULA REGIONAL MEDICAL CENTER FOUNDATION
L, R189567FMV
PENINSULA REGIONAL MEDICAL CENTER FOUNDATION
M, N,418908FMV
PENINSULA HEALTH VENTURES
K200000FMV

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.