2012-05-15T16:42:31-04:00 2011-06-30 ERNST & YOUNG US LLP 75 BEATTIE PLACE SUITE 800 GREENVILLE SC 29601 990 2010-07-01 520591628 PENINSULA REGIONAL MEDICAL CENTER PENI 4105466400 100 EAST CARROLL STREET SALISBURY MD 21801 BRUCE I RITCHIE 2012-05-15 8642425740 2010 2016-02-24 21:20:13Z MARGARET NALEPPA CEO 100 EAST CARROLL STREET SALISBURY MD 21801 469092623 false X WWW.PENINSULA.ORG X 1897 MD IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. 16 14 3181 203 1244279 -163940 338220 173096 370978477 382714431 10994124 13455158 961189 945351 383272010 397288036 0 0 0 0 173677704 174993931 0 0 499005 190843480 192962626 364521184 367956557 18750826 29331479 451108031 492408066 199802875 183373272 251305156 309034794 X IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. false false 333106649 382697174 Peninsula 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 Training 333106649 true true false true false false false false false true true false false true true false true true false false false false false false false false true true false false true true false false false false false false false false false true false false false false false true true true false false true 267 0 true 3181 true true true false false false false false false false false false X 16 14 true false false false true true true true true false false false false false false true true true false CA MD NC X JIM GREGORY 4109124979 100 EAST CARROLL ST SALSIBURY MD 21801 X Jeffrey F Turner 1.0 X 0 0 0 Farouk A Sultani MD 1.0 X 0 0 0 Margaret Naleppa 40.0 X X 742361 0 54851 Martin Neat 1.0 X X 0 0 0 Herbert J Geary III 1.0 X 0 0 0 Michael E Crouch MD 1.0 X 0 0 0 Murray Hoy 10.0 X X 30731 0 0 Christjon J Huddleston MD 1.0 X 0 0 0 Hugh McLaughlin 1.0 X 0 0 0 Rene Desmarais MD 1.0 X 0 0 0 Susan Robinson 1.0 X 0 0 0 Brian Shockley 1.0 X 0 0 0 Marion Keenan 1.0 X 0 0 0 SUSAN PEACOCK 1.0 X 0 0 0 Edward W Urban 1.0 X X 0 0 0 William R McCain 1.0 X X 0 0 0 Monty Saylor 1.0 X 0 0 0 Bruce I Ritchie 40.0 X 413043 0 67377 Lura Lunsford 40.0 X 361272 0 51972 Thomas Lawrence MD 40.0 X 508410 0 64000 James Martin MD 40.0 X 573638 0 19633 PAUL ZORSKY MD 40.0 X 508047 0 31094 Justinian Ngaiza MD 40.0 X 607198 0 29134 Panpit Klug MD 40.0 X 533007 0 23418 R Alan Newberry X 1567831 0 0 5845538 0 341479 139 true true false HORIZON CSA 265 PIT ROAD MOORESVILLE NC 28115 BIOMEDICAL SERVICES 4841504 SHERIDAN ANESTHESIA OF MD PO BOX 452197 SUNRISE FL 33323 ANESTHESIA SERVICES 1606057 MAYO MEDICAL LABORATORIES PO BOX 9146 MINNEAPOLIS MN 55480 MEDICAL SERVICES 1379692 SPECIALITY CARE CARDIOVASCULAR RESO DEPT 1614 PO BOX 1614 BIRMINGHAM AL 35246 MEDICAL SERVICES 1211461 PENINSULA ORTHOPAEDIC ASSOCIATES 1675 WOODBROOKE DRIVE SALISBURY MD 21801 MEDICAL SERVICES 1021757 51 158781 14315 173096 NET PATIENT SERVICES 621500 381449967 380428592 1021375 PARTNERSHIP INCOME 900099 1264464 1264464 382714431 4938903 4938903 0 0 178302 186640 -8338 -8338 -8338 80067642 66560 71584366 33581 8483276 32979 8516255 8516255 0 0 0 CAFETERIA 900099 746888 746888 PARTNERSHIP REVENUE 900099 5647 -17257 22904 MEDICAL RECORDS 900003 1154 1154 200000 200000 953689 397288036 381675799 1244279 14194862 0 0 0 0 1708329 1562142 142464 3723 1361720 1245193 113559 2968 135841291 124216893 11328359 296039 5725533 5235579 477476 12478 20736110 18968738 1722362 45010 9620948 8864543 738196 18209 0 629706 1296 628410 190400 190400 32138 32138 0 927540 927540 31287331 21615724 9619424 52183 0 102609020 98893645 3651164 64211 738432 729960 8472 0 5095376 5095376 374107 273585 97865 2657 0 85614 85614 6544090 6544090 0 21733777 21687683 46094 4775587 496535 4278080 972 BAD DEBT 17410750 17410750 DUES 528758 147165 381038 555 367956557 333106649 34350903 499005 154899 150629 25139457 25487082 35817855 35831829 7086954 7612015 4358438 4722221 439903907 233750155 212665479 206153752 105748847 141953184 60136102 70497354 451108031 492408066 14233918 13928109 137319548 134315588 75000 60000 48174409 35069575 199802875 183373272 X 231374493 286634592 11879875 14335033 8050788 8065169 251305156 309034794 451108031 492408066 X 29331479 28398159 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 32138 32138 false OTHER ACTIVITIES PART II-B, LINE 1I PENINSULA 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. 28295999 105500 6047698 257805 34191392 25231843 206865 3074487 217196 28295999 29317177 110900 -4000545 195689 25231843 0.50820 0.00150 0.49030 false false 10492173 10492173 198207576 52205214 146002362 219975787 176533779 43442008 11228371 5011162 6217209 206153752 INVESTMENT IN PARTNERSHIPS 778518 UNAMORTIZED FINANCING COSTS 2450436 OTHER ASSETS 2908202 DEBT SERVICE RESERVE FUND 9349305 DONOR RESTRICTED FUND 23606442 SELF-INSURANCE FUND 14984150 BOARD DESIGNATED INVESTMENTS 16420301 70497354 0 ADVANCES FROM 3RD PARTY PAYORS 8461106 ACCRUED SELF INSURANCE LIABILITIES 11803381 OTHER LIABILITIES 2226507 EMP. COMP. RELATED PAYROLL TAX 12578581 35069575 397288036 367956557 29331479 14624321 13773838 28398159 57729638 413756222 14624321 2925143 17549464 396206758 927540 153738 1081278 397288036 366861915 186640 186640 366675275 927540 353742 1281282 367956557 INTENDED USE OF ENDOWMENTS FUNDS PART V, LINE 4 THE ORGANIZATION'S ENDOWMENT FUND CAN BE USED FOR CAPITAL, PATIENT SERVICES OR EDUCATIONAL PURPOSES. FIN 48 FOOTNOTE PART X, LINE 2 The 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. RECONCILIATION PART 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 true true true X true X true true true false true true 13058859 13058859 0.03760 13058859 13058859 0.03760 50120 1401468 313572 1087896 0.00310 1480 562540 57520 505020 0.00150 26001 9400926 3242013 6158913 0.01770 4421 137256 137256 0.00040 82022 11502190 3613105 7889085 0.02270 82022 24561049 3613105 20947944 0.06030 862 862 0.00000 1920 1920 0.00000 30276 30276 0.00010 19078 19078 0.00010 2834 2834 0.00000 54970 54970 0.00020 true 12929056 225943392 208264578 17678814 X true true 1 1 PENINSULA REGIONAL MEDICAL CENTER

100 E CARROLL STREET SALISBURY MD 218015493

X X X PENINSULA REGIONAL MEDICAL CENTER 1 true X X X X X X 08 true true true X X X X X X X X X X X X true true true 200. true 300. true X X X X X true true X X X X X X X true X X X true X X X X X X true X X false true SUPPLEMENTAL INFORMATION PART 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 REPORT 990 SCHEDULE H, PART VI MD, X X true true X X X X X X false true false false false true true false false R Alan Newberry 785358 0 0 0 782473 0 0 0 0 0 1567831 0 0 0 Bruce I Ritchie 314624 0 62340 0 36079 0 47221 0 20156 0 480420 0 0 0 Margaret Naleppa 539971 0 148651 0 53739 0 34548 0 20303 0 797212 0 0 0 Lura Lunsford 273505 0 53344 0 34423 0 32666 0 19306 0 413244 0 0 0 Thomas Lawrence MD 372384 0 86142 0 49884 0 40571 0 23429 0 572410 0 0 0 James Martin MD 573638 0 0 0 0 0 13185 0 6448 0 593271 0 0 0 PAUL ZORSKY MD 498047 0 10000 0 0 0 9602 0 21492 0 539141 0 0 0 Justinian Ngaiza MD 607198 0 0 0 0 0 13079 0 16055 0 636332 0 0 0 Panpit Klug MD 533007 0 0 0 0 0 13185 0 10233 0 556425 0 0 0 Supplemental Compensation Information Schedule J Part 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. MARYLAND HEALTH & HIGHER EDUCATION FACILITY 520936091 574217WT8 2006-02-09 146668251 SEE PART IV false false false 154822905 154822905 11127422 1167501 100184165 2009 true false true true false false true false true 0.00850 0.00120 0.00970 true false false true MORGAN STANLEY 20.4 false false false false true SCHEDULE K, PART I, COLUMN F The 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. PENINSULA CARDIOLOGY ASSOCIATES SEE PART V 258589 RENTAL FEES false SCHEDULE L, PART IV RENE DESMARIAS, M.D., A TRUSTEE OF THE MEDICAL CENTER, IS A MORE THAN 5% OWNER OF PENINSULA CARDIOLOGY ASSOCIATES. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIPS MARGARET 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 6 MEMBERS OF THE ORGANIZATION PENINSULA 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 11B REVIEW PROCESS OF FORM 990 OVERSIGHT 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 & 16B WRITTEN POLICIES THE 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 15 PROCESS USED TO DETERMINE COMPENSATION THE 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 19 AVAILABILITY OF GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS THE 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 ORGANIZATIONS MURRAY 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 5 OTHER CHANGES IN NET ASSETS OR FUND BALANCE Pension 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 PENINSULA REGIONAL MEDICAL FOUNDATION 100 EAST CARROLL ST SALISBURY MD 21801 521851935 FUNDRAISING MD 501(C)(3) 11 TYPE I NA PENINSULA REGIONAL HEALTH SYSTEM INC 100 EAST CARROLL ST SALISBURY MD 21801 522132761 PARENT MD 501(C)(3) 11 TYPE II NA PENINSULA GENERAL HOSPITAL INS TRUST 100 EAST CARROLL ST SALISBURY MD 21801 526321234 INS TRUST MD 501(C)(3) 11 TYPE III NA DELMARVA SURGERY CENTER 641 S SALISBURY BLVD SALISBURY MD 21801 522251436 HEALTHCARE MD NA N/A PENINSULA HEALTH VENTURES INC 100 EAST CARROLL ST SALISBURY SALISBURY MD 21801 522250012 INVESTMENTS MD NA C CORP PRLTC INC 100 EAST CARROLL ST SALISBURY MD 21801 522190588 LONG TERM CARE MD NA C CORP false false false false false false false false false false true true true true false true false true PENINSULA REGIONAL MEDICAL CENTER FOUNDATION L, R 1458780 PENINSULA REGIONAL MEDICAL CENTER FOUNDATION M, N, 440431 PENINSULA HEALTH VENTURES K 200000