TIDALHEALTH PENINSULA REGIONAL INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
TIDALHEALTH PENINSULA REGIONAL INC (EIN 52-0591628)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-15
IRS object ID
201201369349307160
Schema version
2010v3.7
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)
Timestamp2012-05-15T16:42:31-04:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

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 Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN520591628EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PENINSULA REGIONAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
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 I RITCHIEName
TitleCFOTitle
Date Signed2012-05-15DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone8642425740Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts469092623GrossReceipts
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 Members14NbrIndependentVotingMembers
Total Nbr Employees3181TotalNbrEmployees
Total Nbr Volunteers203TotalNbrVolunteers
Total Gross UBI1244279TotalGrossUBI
Net Unrelated Business Txbl Income-163940NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year338220ContributionsGrantsPriorYear
Contributions Grants Current Year173096ContributionsGrantsCurrentYear
Program Service Revenue Prior Year370978477ProgramServiceRevenuePriorYear
Program Service Revenue CY382714431ProgramServiceRevenueCY
Investment Income Prior Year10994124InvestmentIncomePriorYear
Investment Income Current Year13455158InvestmentIncomeCurrentYear
Other Revenue Prior Year961189OtherRevenuePriorYear
Other Revenue Current Year945351OtherRevenueCurrentYear
Total Revenue Prior Year383272010TotalRevenuePriorYear
Total Revenue Current Year397288036TotalRevenueCurrentYear
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 Year173677704SalariesEtcPriorYear
Salaries Etc Current Year174993931SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year499005TotalFundrsngExpCurrentYear
Other Expense Prior Year190843480OtherExpensePriorYear
Other Expenses Current Year192962626OtherExpensesCurrentYear
Total Expenses Prior Year364521184TotalExpensesPriorYear
Total Expenses Current Year367956557TotalExpensesCurrentYear
Revenues Less Expenses Prior Year18750826RevenuesLessExpensesPriorYear
Revenues Less Expenses CY29331479RevenuesLessExpensesCY
Total Assets BOY451108031TotalAssetsBOY
Total Assets EOY492408066TotalAssetsEOY
Total Liabilities BOY199802875TotalLiabilitiesBOY
Total Liabilities EOY183373272TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY251305156NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY309034794NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionIMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense333106649Expense
Revenue382697174Revenue
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 23,000 inpatients and provided more than 475,000 outpatient services during fiscal 2011. Food service provided more than 530,000 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 2011 provided: Charity and other allowances totaling $39,261,709 Discounts to third party payors including government programs such as Medicare and Medicaid $37,721,489 Write-off of uncollectible accounts $17,410,750 The total unreimbursed value of providing care to these patients is $94,393,948 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 2011 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 2011, Peninsula Regional Medical Center volunteers contributed over 45,000 hours toward the common purpose of servicing the health care of the community. PROGRAM ACTIVITY During FY 2011, Peninsula Regional Medical Center performed over 375 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 Expense333106649TotalProgramServiceExpense
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 With1096267NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees3181NumberOfEmployees
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 Members14NumberIndependentVotingMembers
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 PolicyfalseConflictOfInterestPolicy
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
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
CitySALSIBURYCity
StateMDState
ZIP Code21801ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Jeffrey F Turner
Board Member1.0X000
Farouk A Sultani MD
BOARD MEMBER1.0X000
Margaret Naleppa
President/CEO40.0X742361054851X
Martin Neat
Vice-Chairman1.0X000X
Herbert J Geary III
Board Member1.0X000
Michael E Crouch MD
Board Member1.0X000
Murray Hoy
Board Chairman10.0X3073100X
Christjon J Huddleston MD
Board Member1.0X000
Hugh McLaughlin
Board Member1.0X000
Rene Desmarais MD
Board Member1.0X000
Susan Robinson
Board Member (07/10 - 03/11)1.0X000
Brian Shockley
Board Member1.0X000
Marion Keenan
Board Member1.0X000
SUSAN PEACOCK
Board Member (04/11 - 06/11)1.0X000
Edward W Urban
Secretary1.0X000X
William R McCain
Treasurer1.0X000X
Monty Saylor
Board Member1.0X000
Bruce I Ritchie
CFO40.0413043067377X
Lura Lunsford
VP of Operations40.0361272051972X
Thomas Lawrence MD
VP of Medical Affairs40.0508410064000X
James Martin MD
Physician40.0573638019633X
PAUL ZORSKY MD
Physician40.0508047031094X
Justinian Ngaiza MD
Physician40.0607198029134X
Panpit Klug MD
Physician40.0533007023418X
R Alan Newberry
Former President/CEO156783100X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5845538TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation341479TotalOtherCompensation
Number Individuals GT100 K139NumberIndividualsGT100K
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 SERVICES4841504
SHERIDAN ANESTHESIA OF MD
PO BOX 452197SUNRISEFL33323ANESTHESIA SERVICES1606057
MAYO MEDICAL LABORATORIES
PO BOX 9146MINNEAPOLISMN55480MEDICAL SERVICES1379692
SPECIALITY CARE CARDIOVASCULAR RESO
DEPT 1614 PO BOX 1614BIRMINGHAMAL35246MEDICAL SERVICES1211461
PENINSULA ORTHOPAEDIC ASSOCIATES
1675 WOODBROOKE DRIVESALISBURYMD21801MEDICAL SERVICES1021757
FieldValueIRS element (for citing)
Number Of Contractors GT100 K51NumberOfContractorsGT100K
Related Organizations158781RelatedOrganizations
All Other Contributions14315AllOtherContributions
Total Contributions173096TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICES6215003814499673804285921021375
PARTNERSHIP INCOME90009912644641264464
FieldValueIRS element (for citing)
Total Program Service Revenue382714431TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4938903TotalRevenueColumn
Exclusion$4,938,903ExclusionAmount

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)
Real178302Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real186640Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-8338Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-8338TotalRevenueColumn
Exclusion-$8,338ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities80067642Securities
Other66560Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities71584366Securities
Other33581Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities8483276Securities
Other32979Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column8516255TotalRevenueColumn
Exclusion$8,516,255ExclusionAmount

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 ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
CAFETERIA900099746888$746,888
PARTNERSHIP REVENUE9000995647-1725722904
MEDICAL RECORDS9000031154$1,154

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column200000TotalRevenueColumn
Unrelated Business Revenue200000UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue953689TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column397288036TotalRevenueColumn
Related Or Exempt Function Income381675799RelatedOrExemptFunctionIncome
Unrelated Business Revenue1244279UnrelatedBusinessRevenue
Exclusion$14,194,862ExclusionAmount

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)
Total1708329Total
Program Services1562142ProgramServices
Management And General142464ManagementAndGeneral
Fundraising3723Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total1361720Total
Program Services1245193ProgramServices
Management And General113559ManagementAndGeneral
Fundraising2968Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total135841291Total
Program Services124216893ProgramServices
Management And General11328359ManagementAndGeneral
Fundraising296039Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total5725533Total
Program Services5235579ProgramServices
Management And General477476ManagementAndGeneral
Fundraising12478Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total20736110Total
Program Services18968738ProgramServices
Management And General1722362ManagementAndGeneral
Fundraising45010Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total9620948Total
Program Services8864543ProgramServices
Management And General738196ManagementAndGeneral
Fundraising18209Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total629706Total
Program Services1296ProgramServices
Management And General628410ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total190400Total
Management And General190400ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total32138Total
Program Services32138ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total927540Total
Management And General927540ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total31287331Total
Program Services21615724ProgramServices
Management And General9619424ManagementAndGeneral
Fundraising52183Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total102609020Total
Program Services98893645ProgramServices
Management And General3651164ManagementAndGeneral
Fundraising64211Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total738432Total
Program Services729960ProgramServices
Management And General8472ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total5095376Total
Program Services5095376ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total374107Total
Program Services273585ProgramServices
Management And General97865ManagementAndGeneral
Fundraising2657Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total85614Total
Program Services85614ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total6544090Total
Program Services6544090ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total21733777Total
Program Services21687683ProgramServices
Management And General46094ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total4775587Total
Program Services496535ProgramServices
Management And General4278080ManagementAndGeneral
Fundraising972Fundraising

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
BAD DEBT1741075017410750
DUES528758147165381038555

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total367956557Total
Program Services333106649ProgramServices
Management And General34350903ManagementAndGeneral
Fundraising499005Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY154899BOY
EOY150629EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY25139457BOY
EOY25487082EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY35817855BOY
EOY35831829EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY7086954BOY
EOY7612015EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4358438BOY
EOY4722221EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis439903907LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec233750155LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY212665479BOY
EOY206153752EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY105748847BOY
EOY141953184EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY60136102BOY
EOY70497354EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY451108031BOY
EOY492408066EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY14233918BOY
EOY13928109EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY137319548BOY
EOY134315588EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY75000BOY
EOY60000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY48174409BOY
EOY35069575EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY199802875BOY
EOY183373272EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY231374493BOY
EOY286634592EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY11879875BOY
EOY14335033EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY8050788BOY
EOY8065169EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY251305156BOY
EOY309034794EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY451108031BOY
EOY492408066EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses29331479ReconcilationRevenueExpenses
Reconcilation Other Changes28398159ReconcilationOtherChanges
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$32,138OtherActivitiesAmount
Total Lobbying Expenditures IIB32138TotalLobbyingExpendituresIIB
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 2011 TOTALED $32,138.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 Balance28295999BeginningOfYearBalance
Contributions105500Contributions
Investment Earnings Or Losses6047698InvestmentEarningsOrLosses
Administrative Expenses257805AdministrativeExpenses
End Of Year Balance34191392EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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 Balance0.50820BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.00150PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.49030TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis10492173OtherCostOrOtherBasis
Book Value10492173BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis198207576OtherCostOrOtherBasis
Depreciation52205214Depreciation
Book Value146002362BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis219975787OtherCostOrOtherBasis
Depreciation176533779Depreciation
Book Value43442008BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11228371OtherCostOrOtherBasis
Depreciation5011162Depreciation
Book Value6217209BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings206153752TotalOfBookValueLandBuildings

Other Assets OtherAssets (7 entries)

DescriptionDescriptionBook ValueBookValue
INVESTMENT IN PARTNERSHIPS778518
UNAMORTIZED FINANCING COSTS2450436
OTHER ASSETS2908202
DEBT SERVICE RESERVE FUND9349305
DONOR RESTRICTED FUND23606442
SELF-INSURANCE FUND14984150
BOARD DESIGNATED INVESTMENTS16420301
FieldValueIRS element (for citing)
Total Book Value Other Assets70497354TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
ADVANCES FROM 3RD PARTY PAYORS$8,461,106
ACCRUED SELF INSURANCE LIABILITIES$11,803,381
OTHER LIABILITIES$2,226,507
EMP. COMP. RELATED PAYROLL TAX$12,578,581
FieldValueIRS element (for citing)
Total Of Amounts35069575TotalOfAmounts
Total Revenue397288036TotalRevenue
Total Expenses367956557TotalExpenses
Excess Or Deficit For Year29331479ExcessOrDeficitForYear
Net Unrealized GL On Investments14624321NetUnrealizedGLOnInvestments
Other$13,773,838OtherAmount
Total Adjustments28398159TotalAdjustments
Excess Or Deficit Per FS57729638ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt413756222TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments14624321NetUnrealizedGainsInvestments
Other Revenues2925143OtherRevenues
Revenue Not Rptd F99017549464RevenueNotRptdF990
Revenue Subtotal396206758RevenueSubtotal
Investment Expenses Not Included927540InvestmentExpensesNotIncluded
Other Revenues Not Included153738OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt1081278RevenueNotRptdOnFinStmt
Total Revenue Per Form990397288036TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt366861915TotExpensesEtcAuditedFinclStmt
Other Expenses Included186640OtherExpensesIncluded
Expenses Not Rptd F990186640ExpensesNotRptdF990
Expenses Subtotal366675275ExpensesSubtotal
Investment Expenses Not Included2927540InvestmentExpensesNotIncluded2
Other Expenses Not Included353742OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt1281282ExpensesNotRptdOnFinStmt
Total Expenses Per Form990367956557TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INTENDED USE OF ENDOWMENTS FUNDSPART V, LINE 4THE ORGANIZATION'S ENDOWMENT FUND CAN BE 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.
RECONCILIATIONPART XI, LINE 8 - OTHER PENSION ADJUSTMENT - FAS 158 $10,215,573 INVESTMENT INCOME SWAP 2,697,577 CHANGE IN EQUITY INTREST OF FOUNDATION 1,140,445 CAPITAL CAMPAIGN TRANSFERS FROM FOUNDATION 127 U/R NET ASSETS RELEASED FROM RESTRICTION 1,200,000 NET ASSETS RELEASED FROM RESTRICTION (1,520,810) PARTNERSHIP K-1 INCOME ON BOOKS NOT ON RETURN 40,926 ---------- TOTAL 13,773,838 PART XII, LINE 2D - OTHER RENT EXPENSE 186,640 PARTNERSHIP K-1 BOOK TO TAX 40,926 BASIS SWAP INCOME 2,697,577 --------- 2,925,143 PART XII - LINE 4B - OTHER EXPENSES PREMIER K-1 687 CONTRIBUTIONS 153,051 ------- 153,738 PART XIII - LINE 2D - OTHER RENT EXPENSE 186,640 PART XIII - LINE 4B - OTHER EXPENSES ON PREMIER K-1 687 EXPENSE ROUNDING 4 FOUNDATION CONTRIBUTIONS 153,051 MANAGEMENT FEES RECLASSED FROM EXPENSES 200,000 ------- 353,742

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
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 Expense13058859TotalCommunityBenefitExpense
Net Community Benefit Expense13058859NetCommunityBenefitExpense
Percent Of Total Expense0.03760PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense13058859TotalCommunityBenefitExpense
Net Community Benefit Expense13058859NetCommunityBenefitExpense
Percent Of Total Expense0.03760PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Persons Served50120PersonsServed
Total Community Benefit Expense1401468TotalCommunityBenefitExpense
Direct Offsetting Revenue313572DirectOffsettingRevenue
Net Community Benefit Expense1087896NetCommunityBenefitExpense
Percent Of Total Expense0.00310PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Persons Served1480PersonsServed
Total Community Benefit Expense562540TotalCommunityBenefitExpense
Direct Offsetting Revenue57520DirectOffsettingRevenue
Net Community Benefit Expense505020NetCommunityBenefitExpense
Percent Of Total Expense0.00150PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Persons Served26001PersonsServed
Total Community Benefit Expense9400926TotalCommunityBenefitExpense
Direct Offsetting Revenue3242013DirectOffsettingRevenue
Net Community Benefit Expense6158913NetCommunityBenefitExpense
Percent Of Total Expense0.01770PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Persons Served4421PersonsServed
Total Community Benefit Expense137256TotalCommunityBenefitExpense
Net Community Benefit Expense137256NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Persons Served82022PersonsServed
Total Community Benefit Expense11502190TotalCommunityBenefitExpense
Direct Offsetting Revenue3613105DirectOffsettingRevenue
Net Community Benefit Expense7889085NetCommunityBenefitExpense
Percent Of Total Expense0.02270PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Persons Served82022PersonsServed
Total Community Benefit Expense24561049TotalCommunityBenefitExpense
Direct Offsetting Revenue3613105DirectOffsettingRevenue
Net Community Benefit Expense20947944NetCommunityBenefitExpense
Percent Of Total Expense0.06030PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense862TotalCommunityBuildingExpense
Net Community Building Expense862NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense1920TotalCommunityBuildingExpense
Net Community Building Expense1920NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense30276TotalCommunityBuildingExpense
Net Community Building Expense30276NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense19078TotalCommunityBuildingExpense
Net Community Building Expense19078NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense2834TotalCommunityBuildingExpense
Net Community Building Expense2834NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense54970TotalCommunityBuildingExpense
Net Community Building Expense54970NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$12,929,056BadDebtExpenseAmount
Amount Reimbursed By Medicare225943392AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare208264578CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall17678814MedicareSurplusOrShortfall

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
Permit Report To Credit AgencyXPermitReportToCreditAgency
Permit LawsuitXPermitLawsuit
Permit Lien On ResidenceXPermitLienOnResidence
Collection ActivitiestrueCollectionActivities
Report To Credit AgencyXReportToCreditAgency
LawsuitXLawsuit
Lien On ResidenceXLienOnResidence
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 (2 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
SUPPLEMENTAL INFORMATIONPART 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 $17,410,750. LINE 7A COLUMN (C) & (D)- 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 OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. 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. LINE 7F COLUMN (C)- 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 OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. LINE 7F COLUMN (D)- 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 OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. 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 33% AND 36%, RESPECTIVELY, OF ACCOUNTS RECEIVABLE WERE DUE FROM THE MEDICARE PROGRAM AS OF JUNE 30, 2011 AND 2010, 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, 49.44% OF THE MEDICAL CENTER'S REVENUE IS ATTRIBUTABLE TO MEDICARE PATIENTS. 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 PREVENT
STATE FILING OF COMMUNITY BENEFIT REPORTMD,990 SCHEDULE H, PART VI

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 PaymentsfalseAnyNonFixedPayments
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
R Alan Newberry
785358000782473000001567831000
Bruce I Ritchie
3146240623400360790472210201560480420000
Margaret Naleppa
53997101486510537390345480203030797212000
Lura Lunsford
2735050533440344230326660193060413244000
Thomas Lawrence MD
3723840861420498840405710234290572410000
James Martin MD
5736380000013185064480593271000
PAUL ZORSKY MD
49804701000000096020214920539141000
Justinian Ngaiza MD
60719800000130790160550636332000
Panpit Klug MD
53300700000131850102330556425000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSupplemental Compensation InformationIdentifier
Return ReferenceSchedule JReturnReference
ExplanationPart I, Line 4B Margaret Naleppa is a participant in the 457F non qualified plan. Part I, Line 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.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 IVDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired154822905AmountRetired
Total Proceeds154822905TotalProceeds
Amount In Reserve Fund11127422AmountInReserveFund
Issuance Costs From Proceeds1167501IssuanceCostsFromProceeds
Capital Expenditures100184165CapitalExpenditures
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
Any Research AgreementsfalseAnyResearchAgreements
Bond Counsel Routinely EngagedtrueBondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0.00850PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00120PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00970TotalPrivateBusinessUse
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
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatetrueExceptionToRebate

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
IdentifierSCHEDULE K, PART I, COLUMN FIdentifier
ExplanationThe 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 10 Of the amount reported on Part II, Line 10, $12,281,895 is capitalized interest.Explanation

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 Transaction258589AmountOfTransaction
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, LINES 12A, 13, 14 & 16BWRITTEN POLICIESTHE ORGANIZATION DOES HAVE WRITTEN CONFLICT OF INTEREST, WHISTLEBLOWER, DOCUMENT RETENTION & DESTRUCTION AND JOINT VENTURE POLICIES WITH WHICH IT COMPLIES. HOWEVER, THE POLICIES HAD NOT BEEN FORMALLY ADOPTED BY THE HOSPITAL BOARD OR A COMMITTEE OF THE BOARD AS OF JUNE 30, 2011.
FORM 990, PART VI SECTION B, LINE 15PROCESS 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 ORGINIZATION 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 GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTSTHE 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.
FORM 990, PART VII, SECTION A, COLUMN (B)AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONSMURRAY HOY PENINSULA REGIONAL MEDICAL CENTER FOUNDATION - 1HR/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 MARGARET NALEPPA PENINSULA REGIONAL HEALTH SYSTEM - 10 HRS/WK PENINSULA HEALTH VENTURES - 1 HR/WK MICHAEL CROUCH, M.D. PENINSULA REGIONAL HEALTH SYSTEM - 1 HR/WK RENE DESMARAIS, M.D. PENINSULA REGIONAL HEALTH SYSTEM - 1 HR/WK HERBERT GEARY III PENINSULA REGIONAL HEALTH SYSTEM - 1 HR/WK CHRISTJON 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 FAROUK SULTANI, M.D. PENINSULA REGIONAL HEALTH SYSTEM - 1 HR/WK JEFFREY TURNER PENINSULA REGIONAL HEALTH SYSTEM - 1 HR/WK
FORM 990, PART XI, LINE 5OTHER CHANGES IN NET ASSETS OR FUND BALANCEPension Adjustment - FAS 158 $10,215,573 Unrealized gains on investments 14,624,321 Investment income Swap 2,697,577 Change in equity interest of Foundation 1,140,445 Capital campaign transfers from Foundation 127 U/R Net assets released from restriction 1,200,000 Net assets released from restriction (1,520,810) Partnership K-1 Income on books not on Tax return 40,926 ----------- $28,398,159

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/BusinessNameLine1
PENINSULA REGIONAL MEDICAL FOUNDATION
100 EAST CARROLL STSALISBURYMD21801521851935FUNDRAISINGMD501(C)(3)11 TYPE INA
PENINSULA REGIONAL HEALTH SYSTEM INC
100 EAST CARROLL STSALISBURYMD21801522132761PARENTMD501(C)(3)11 TYPE IINA
PENINSULA GENERAL HOSPITAL INS TRUST
100 EAST CARROLL STSALISBURYMD21801526321234INS TRUSTMD501(C)(3)11 TYPE IIINA

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1DELMARVA SURGERY CENTERBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1641 S SALISBURY BLVDAddressLine1
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 Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeN/APredominantIncomeType

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 INC
100 EAST CARROLL ST SALISBURYSALISBURYMD21801522250012INVESTMENTSMDNAC CORP
PRLTC INC
100 EAST CARROLL STSALISBURYMD21801522190588LONG TERM CAREMDNAC 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 InvolvedAmountInvolved
PENINSULA REGIONAL MEDICAL CENTER FOUNDATION
L, R1458780
PENINSULA REGIONAL MEDICAL CENTER FOUNDATION
M, N,440431
PENINSULA HEALTH VENTURES
K200000

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