TIDALHEALTH PENINSULA REGIONAL INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: TIDALHEALTH PENINSULA REGIONAL INC (EIN 52-0591628)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-07-09
IRS object ID: 202021919349302612
Schema version: 2018v3.3
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-07-09T16:58:23-05:00	ReturnTs
Tax Period End	2019-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Grant Thornton LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1000 WILSON BLVD SUITE 1400	AddressLine1Txt
City	ARLINGTON	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	22209	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	520591628	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Peninsula Regional Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% JIM GREGORY	InCareOfNm
Business Name Control	PENI	BusinessNameControlTxt
Phone	4105466400	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 East Carroll Street	AddressLine1Txt
City	Salisbury	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21801	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	BRUCE RITCHIE	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	4105466400	PhoneNum
Signature	2020-06-30	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MARY TORRETTA	PreparerPersonNm
PTIN	P00847851	PTIN
Phone	7038477500	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	68.100.106.138	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	54681420201915000011	FederalOriginalSubmissionId
Federal Original Submission Id	2020-07-09	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	F3025B962F5CDC81089D134DBE2E83273904A17C	AtSubmissionCreationDeviceId
At Submission Filing Device Id	03CBAE45BD8E2F188EB28F31E827C7F4869431D2	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-09-23 17:36:50Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Steven Leonard CEO	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 East Carroll Street	AddressLine1Txt
City	Salisbury	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21801	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$689,203,781	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.peninsula.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1897	FormationYr
Legal Domicile State	MD	LegalDomicileStateCd
Activity Or Mission	IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	3607	TotalEmployeeCnt
Total Volunteers	320	TotalVolunteersCnt
Total Gross UBI	$10,082,884	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,514,392	PYContributionsGrantsAmt
CY Contributions Grants	$1,445,254	CYContributionsGrantsAmt
PY Program Service Revenue	$442,908,283	PYProgramServiceRevenueAmt
CY Program Service Revenue	$463,023,019	CYProgramServiceRevenueAmt
PY Investment Income	$28,677,072	PYInvestmentIncomeAmt
CY Investment Income	$39,905,644	CYInvestmentIncomeAmt
PY Other Revenue	$1,073,092	PYOtherRevenueAmt
CY Other Revenue	$1,048,884	CYOtherRevenueAmt
PY Total Revenue	$475,172,839	PYTotalRevenueAmt
CY Total Revenue	$505,422,801	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$222,301,968	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$234,717,145	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$589,565	CYTotalFundraisingExpenseAmt
PY Other Expenses	$215,782,545	PYOtherExpensesAmt
CY Other Expenses	$226,139,423	CYOtherExpensesAmt
PY Total Expenses	$438,084,513	PYTotalExpensesAmt
CY Total Expenses	$460,856,568	CYTotalExpensesAmt
PY Revenues Less Expenses	$37,088,326	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$44,566,233	CYRevenuesLessExpensesAmt
Total Assets BOY	$710,683,927	TotalAssetsBOYAmt
Total Assets EOY	$750,488,371	TotalAssetsEOYAmt
Total Liabilities BOY	$205,044,508	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$203,768,078	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$505,639,419	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$546,720,293	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$416,832,381	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$453,206,658	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$416,832,381	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	Yes (true)	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	Yes (true)	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	295	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3607	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MD	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JIM GREGORY	PersonNm
Phone	4109124979	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 EAST CARROLL STREET	AddressLine1Txt
City	Salisbury	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21801	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Herbert J Geary III
Chairman	5.0	7.0	Yes (X)	Yes (X)	$41,150	$0	$0
Deborah Abbott
Vice Chairman	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
Ryan McLaughlin
Secretary	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
David Rommel
Treasurer	1.0	3.0	Yes (X)	Yes (X)	$0	$0	$0
Timothy Benning MD
Board Member	1.0	1.0	Yes (X)		$0	$0	$0
Thomas Coates
Board Member	1.0	1.0	Yes (X)		$0	$0	$0
Memo Diriker
Board Member	1.0	2.0	Yes (X)		$0	$0	$0
Simona Eng DO
Board Member	40.0	2.0	Yes (X)		$430,819	$0	$50,672
Mark Higdon
Board Member	1.0	1.0	Yes (X)		$0	$0	$0
William R McCain
Board Member (THRU 10/18)	1.0	1.0	Yes (X)		$0	$0	$0
Vel Natesan MD
Board Member	1.0	1.0	Yes (X)		$38,750	$0	$0
Martin Neat
Board Member	1.0	2.0	Yes (X)		$0	$0	$0
Thomas Riccio MD
Board Member	1.0	1.0	Yes (X)		$0	$0	$0
Montgomery Sayler
Board Member	1.0	3.0	Yes (X)		$0	$0	$0
Julius Zant MD
Board Member	1.0	1.0	Yes (X)		$0	$0	$0
Andrea Williams
Board Member	1.0	1.0	Yes (X)		$0	$0	$0
Steven Leonard
President/CEO	40.0	3.0	Yes (X)	Yes (X)	$1,067,567	$0	$174,433
Lura Lunsford
VP of Operations	40.0	2.0		Yes (X)	$903,136	$0	$53,205
Bruce I Ritchie
CFO	40.0	3.0		Yes (X)	$924,631	$0	$86,376
Charles Silvia Jr MD
VP - Chief Medical Officer	40.0	1.0		Yes (X)	$518,209	$0	$65,916
Sara Scott
VP People & Organization Dev.	40.0	0.0			$279,887	$0	$65,036	Yes (X)
Kathryn Fiddler
VP- Population Health	40.0	0.0			$240,501	$0	$30,324	Yes (X)
Thomas DeMarco MD
VP - PRMG	40.0	0.0			$393,498	$0	$31,289	Yes (X)
Sheri Matter Thru 0818
VP Patient Care Services	40.0	0.0			$232,807	$0	$7,065	Yes (X)
James Todd MD
Physician	40.0	0.0			$987,429	$0	$303,260		Yes (X)
Daniel Daniels MD
Physician	40.0	0.0			$1,002,633	$0	$26,123		Yes (X)
Zachary Baker MD
Physician	40.0	0.0			$733,339	$0	$152,453		Yes (X)
Karim Arnaout MD
Physician	40.0	0.0			$823,951	$0	$31,002		Yes (X)
Walid El Ayass MD
Physician	40.0	0.0			$820,985	$0	$33,029		Yes (X)
Margaret Naleppa
President/CEO (Thru 01/18)	0.0	0.0			$1,080,124	$0	$1,297			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$10,519,416	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,111,480	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	313	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SHERIDAN ANESTHESIA OF MD
PO BOX 744883	ATLANTA	GA	303744883	ANESTHESIA SERVICES	$6,721,242
HORIZON CSA LLC
265 PIT ROAD	MOORESVILLE	NC	28115	BIOMEDICAL SERVICES	$5,909,779
EPIC SYSTEMS CORP
PO BOX 88314	MILWAUKEE	WI	532880314	TECHNICAL SERVICES	$4,182,838
FOCUSONE SOLUTIONS LLC
PO BOX 3037	OMAHA	NE	681030037	TEMP LABOR SERVICES	$3,572,275
SLEEP WAVES INC
873 E BALTIMORE PIKE	KENNETT SQUARE	PA	19348	SLEEP LAB SERVICES	$2,815,200

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	88	CntrctRcvdGreaterThan100KCnt
Related Organizations	$944,754	RelatedOrganizationsAmt
All Other Contributions	$500,500	AllOtherContributionsAmt
Total Contributions	$1,445,254	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT SERVICES	621500	$454,266,882	$452,989,435	$1,277,447	$0
AMBULATORY PHARMACY	900099	$8,521,242	$0	$8,521,242	$0
INVESTMENT IN PREMIER	900099	$234,895	$217,223	$17,672	$0

Field	Value	IRS element (for citing)
Total Program Service Revenue	$463,023,019	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,773,187	TotalRevenueColumnAmt
Unrelated Business Revenue	-$150	UnrelatedBusinessRevenueAmt
Exclusion	$8,773,337	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$179,538	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$319,826	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$140,288	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$140,288	TotalRevenueColumnAmt
Exclusion	-$140,288	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$214,513,452	SecuritiesAmt
Other	$80,159	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$183,396,819	SecuritiesAmt
Other	$64,335	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$31,116,633	SecuritiesAmt
Other	$15,824	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$31,132,457	TotalRevenueColumnAmt
Exclusion	$31,132,457	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
CAFETERIA	722514	$915,010	$0	$0	$915,010
MANAGEMENT FEES	561000	$200,000	$0	$200,000	$0
LIFELINE	532283	$67,135	$0	$67,135	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,027	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$462	UnrelatedBusinessRevenueAmt
Exclusion	$7,489	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,189,172	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$505,422,801	TotalRevenueColumnAmt
Related Or Exempt Func Income	$453,206,658	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$10,082,884	UnrelatedBusinessRevenueAmt
Exclusion	$40,688,005	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,531,013	TotalAmt
Program Services	$4,016,048	ProgramServicesAmt
Management And General	$506,029	ManagementAndGeneralAmt
Fundraising	$8,936	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$184,985,463	TotalAmt
Program Services	$164,030,259	ProgramServicesAmt
Management And General	$20,590,382	ManagementAndGeneralAmt
Fundraising	$364,822	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$8,062,881	TotalAmt
Program Services	$7,146,507	ProgramServicesAmt
Management And General	$900,473	ManagementAndGeneralAmt
Fundraising	$15,901	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$24,657,299	TotalAmt
Program Services	$21,805,509	ProgramServicesAmt
Management And General	$2,802,304	ManagementAndGeneralAmt
Fundraising	$49,486	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$12,480,489	TotalAmt
Program Services	$11,156,892	ProgramServicesAmt
Management And General	$1,302,742	ManagementAndGeneralAmt
Fundraising	$20,855	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,406,427	TotalAmt
Program Services	$239,680	ProgramServicesAmt
Management And General	$1,166,747	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$211,299	TotalAmt
Management And General	$211,299	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$14,335	TotalAmt
Management And General	$14,335	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,746,504	TotalAmt
Management And General	$1,746,504	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$54,866,221	TotalAmt
Program Services	$44,777,756	ProgramServicesAmt
Management And General	$10,041,339	ManagementAndGeneralAmt
Fundraising	$47,126	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$787,917	TotalAmt
Program Services	$787,917	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$76,630,935	TotalAmt
Program Services	$74,713,881	ProgramServicesAmt
Management And General	$1,850,065	ManagementAndGeneralAmt
Fundraising	$66,989	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,630,906	TotalAmt
Program Services	$1,604,002	ProgramServicesAmt
Management And General	$24,322	ManagementAndGeneralAmt
Fundraising	$2,582	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,150,712	TotalAmt
Program Services	$4,070,929	ProgramServicesAmt
Management And General	$79,783	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$756,576	TotalAmt
Program Services	$567,468	ProgramServicesAmt
Management And General	$176,913	ManagementAndGeneralAmt
Fundraising	$12,195	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$40,190	TotalAmt
Program Services	$40,190	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,140,269	TotalAmt
Program Services	$5,140,269	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$29,689,310	TotalAmt
Program Services	$29,360,155	ProgramServicesAmt
Management And General	$329,155	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,299,285	TotalAmt
Program Services	$3,961,536	ProgramServicesAmt
Management And General	$1,337,749	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
BAD DEBTS	$7,975,041	$7,975,041	$0	$0
DUES	$678,086	$322,932	$354,481	$673
MEDICAL SUPPLIES	$35,115,410	$35,115,410	$0	$0

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$460,856,568	TotalAmt
Program Services	$416,832,381	ProgramServicesAmt
Management And General	$43,434,622	ManagementAndGeneralAmt
Fundraising	$589,565	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$6,080,563	BOYAmt
EOY	$8,705,521	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$24,606,955	BOYAmt
EOY	$28,985,323	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$40,179,034	BOYAmt
EOY	$42,498,723	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$9,452,400	BOYAmt
EOY	$9,104,522	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,097,279	BOYAmt
EOY	$7,401,487	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$582,556,632	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$366,318,924	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$220,434,295	BOYAmt
EOY	$216,237,708	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$288,997,688	BOYAmt
EOY	$317,793,489	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$114,835,713	BOYAmt
EOY	$119,761,598	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$710,683,927	BOYAmt
EOY	$750,488,371	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$17,074,076	BOYAmt
EOY	$18,752,504	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$136,625,004	BOYAmt
EOY	$133,622,095	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$51,345,428	BOYAmt
EOY	$51,393,479	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$205,044,508	BOYAmt
EOY	$203,768,078	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$463,247,749	BOYAmt
EOY	$499,696,969	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$34,155,903	BOYAmt
EOY	$38,777,912	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,235,767	BOYAmt
EOY	$8,245,412	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$505,639,419	BOYAmt
EOY	$546,720,293	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$710,683,927	BOYAmt
EOY	$750,488,371	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$44,566,233	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$630,871	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$2,854,488	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Form4720 Filed	false	Form4720FiledInd
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$14,335	OtherActivitiesAmt
Total Lobbying Expenditures	$14,335	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	OTHER ACTIVITIES	FormAndLineReferenceDesc
Explanation	SCHEDULE C, PART II-B, LINE 1I PENINSULA REGIONAL MEDICAL CENTER DOES NOT ENGAGE IN ANY DIRECT LOBBYING ACTIVITIES. THE ORGANIZATION PAYS MEMBERSHIP DUES TO MARYLAND HOSPITAL ASSOCIATION (MHA). MHA ENGAGES IN MANY SUPPORT ACTIVITIES INCLUDING LOBBYING AND ADVOCATING FOR ITS MEMBER HOSPITALS. THE MHA REPORTED THAT 4.80% OF MEMBER DUES WERE USED FOR LOBBYING PURPOSES AND SUCH, THE ORGANIZATION HAS REPORTED THIS AMOUNT ON SCHEDULE C PART IV AS LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$64,583,287	BeginningYearBalanceAmt
Investment Earnings Or Losses	$7,263,806	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$9,245	GrantsOrScholarshipsAmt
Administrative Expenses	$413,409	AdministrativeExpensesAmt
End Year Balance	$71,424,439	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$56,672,686	BeginningYearBalanceAmt
Contributions	$257,832	ContributionsAmt
Investment Earnings Or Losses	$8,059,133	InvestmentEarningsOrLossesAmt
Other Expenditures	$900	OtherExpendituresAmt
Administrative Expenses	$405,464	AdministrativeExpensesAmt
End Year Balance	$64,583,287	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$49,801,243	BeginningYearBalanceAmt
Contributions	$250,000	ContributionsAmt
Investment Earnings Or Losses	$6,985,039	InvestmentEarningsOrLossesAmt
Administrative Expenses	$363,596	AdministrativeExpensesAmt
End Year Balance	$56,672,686	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$50,044,611	BeginningYearBalanceAmt
Contributions	$500,000	ContributionsAmt
Investment Earnings Or Losses	-$399,685	InvestmentEarningsOrLossesAmt
Administrative Expenses	$343,683	AdministrativeExpensesAmt
End Year Balance	$49,801,243	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$45,972,891	BeginningYearBalanceAmt
Contributions	$647,931	ContributionsAmt
Investment Earnings Or Losses	$3,765,292	InvestmentEarningsOrLossesAmt
Administrative Expenses	$341,503	AdministrativeExpensesAmt
End Year Balance	$50,044,611	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.47915	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.11645	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.40440	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,022,582	OtherCostOrOtherBasisAmt
Book Value	$12,022,582	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$264,379,275	OtherCostOrOtherBasisAmt
Depreciation	$126,989,683	DepreciationAmt
Book Value	$137,389,592	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$294,350,222	OtherCostOrOtherBasisAmt
Depreciation	$232,411,724	DepreciationAmt
Book Value	$61,938,498	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,804,553	OtherCostOrOtherBasisAmt
Depreciation	$6,917,517	DepreciationAmt
Book Value	$4,887,036	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$216,237,708	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
DONOR RESTRICTED FUND	$43,894,152
BOARD DESIGNATED INVESTMENTS	$34,223,095
SELF INSURANCE FUND	$27,896,943
OTHER ASSETS	$6,903,001
INTERCOMPANY RECEIVABLES	$3,703,899
INVESTMENT IN PARTNERSHIPS	$3,140,508

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$119,761,598	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
EMPLOYEE COMP RELATED PAYROLL TAXES	$20,596,179
ACCRUED SELF INSURANCE LIABILITY	$20,308,141
ADVANCES FROM THIRD PARTY PAYORS	$9,775,169
OTHER LIABILITIES	$713,990

Field	Value	IRS element (for citing)
Total Liability	$51,393,479	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$493,212,288	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$1,231,132	NetUnrealizedGainsInvstAmt
Other Revenue	$319,826	OtherRevenueAmt
Revenue Not Reported	-$911,306	RevenueNotReportedAmt
Revenue Subtotal	$494,123,594	RevenueSubtotalAmt
Investment Expenses Not Incld	$1,746,504	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$9,552,703	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$11,299,207	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$505,422,801	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$451,254,849	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$319,826	OtherExpensesIncludedAmt
Expenses Not Reported	$319,826	ExpensesNotReportedAmt
Expenses Subtotal	$450,935,023	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$1,746,504	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$8,175,041	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$9,921,545	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$460,856,568	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
INTENDED USE OF ENDOWMENT FUNDS	SCHEDULE D, PART V, LINE 4 THE ORGANIZATION'S ENDOWMENT FUNDS ARE USED FOR CAPITAL, PATIENT SERVICES OR EDUCATIONAL PURPOSES.
FIN 48 (ASC 740) FOOTNOTE	SCHEDULE D, PART X, LINE 2 Peninsula Regional Medical Center (PRMC) follows guidance that clarifies the accounting for uncertainty in tax positions taken or expected to be taken in a tax return, including issues relating to financial statement recognition and measurement. This guidance provides that the tax effects from an uncertain tax position can only be recognized in the financial statements if the position is "more-likely-than-not" to be sustained if the position were to be challenged by a taxing authority. The assessment of the tax position is based solely on the technical merits of the position, without regard to the likelihood that the tax position may be challenged. The tax years ending June 30, 2019, 2018, 2017 and 2016 are still open to audit for both federal and state purposes. PRMC has determined that there are no material uncertain tax positions that require recognition or disclosure in the consolidated financial statements for the years ended June 30, 2019 and 2018. RECONCILIATION OF REVENUE AND EXPENSES TO AUDITED FINANCIAL STATEMENTS SCHEDULE D, PART XI, LINE 2D RENT EXPENSES $319,826
SCHEDULE D, PART XI, LINE 4B	BAD DEBT EXPENSES $7,975,041 Foundation Contributions $944,754 Other Contributions $500,500 MANAGEMENT FEES RECLASSED FROM EXPENSES $200,000 Partnership Income Tax Adjustment $(67,592) ----------- TOTAL $ 9,552,703
SCHEDULE D, PART XII, LINE 2D	RENT EXPENSES $319,826
SCHEDULE D, PART XII, LINE 4B	BAD DEBT EXPENSES $7,975,041 RECOVERY OF EXPENSES $200,000 ---------- TOTAL $8,175,041

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Offices	1	OfficesCnt
Employee	1	EmployeeCnt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Region Total Expenditures	$5,673,427	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	1	SubtotalOfficesCnt
Subtotal Employees	1	SubtotalEmployeesCnt
Total Office	1	TotalOfficeCnt
Total Employee	1	TotalEmployeeCnt
Subtotal Spent	$5,673,427	SubtotalSpentAmt
Total Spent	$5,673,427	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	ACTIVITIES PER REGION	FormAndLineReferenceDesc
Explanation	SCHEDULE F, PART IV THE AMOUNTS IN COLUMN F WERE DETERMINED USING AN ACCRUAL METHOD OF ACCOUNTING. THE TOTAL AMOUNT REPRESENTS A CAPTIVE INSURANCE INVESTMENT.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,411,983	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,411,983	NetCommunityBenefitExpnsAmt
Total Expense	0.01640	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,411,983	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,411,983	NetCommunityBenefitExpnsAmt
Total Expense	0.01640	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	54966	PersonsServedCnt
Total Community Benefit Expns	$1,676,837	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$265,489	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,411,348	NetCommunityBenefitExpnsAmt
Total Expense	0.00310	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	588	PersonsServedCnt
Total Community Benefit Expns	$3,875,541	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$46,200	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,829,341	NetCommunityBenefitExpnsAmt
Total Expense	0.00830	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	151404	PersonsServedCnt
Total Community Benefit Expns	$76,579,285	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,257,311	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$45,321,974	NetCommunityBenefitExpnsAmt
Total Expense	0.09830	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Persons Served	2628	PersonsServedCnt
Total Community Benefit Expns	$168,856	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$168,856	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	209586	PersonsServedCnt
Total Community Benefit Expns	$82,300,519	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,569,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$50,731,519	NetCommunityBenefitExpnsAmt
Total Expense	0.11010	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	209586	PersonsServedCnt
Total Community Benefit Expns	$89,712,502	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,569,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$58,143,502	NetCommunityBenefitExpnsAmt
Total Expense	0.12650	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Persons Served	1	PersonsServedCnt
Total Community Benefit Expns	$1,036	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,036	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Persons Served	359	PersonsServedCnt
Total Community Benefit Expns	$309,587	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$309,587	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$361,022	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$361,022	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Persons Served	751	PersonsServedCnt
Total Community Benefit Expns	$2,134,115	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,134,115	NetCommunityBenefitExpnsAmt
Total Expense	0.00460	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Persons Served	1111	PersonsServedCnt
Total Community Benefit Expns	$2,805,760	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,805,760	NetCommunityBenefitExpnsAmt
Total Expense	0.00610	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$7,975,041	BadDebtExpenseAmt
Reimbursed By Medicare	$283,453,190	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$173,991,343	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$109,461,847	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Peninsula Regional Medical Center	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 E Carroll Street	AddressLine1Txt
City	Salisbury	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21801	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.PENINSULA.ORG	WebsiteAddressTxt
State License	210019	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Peninsula Regional Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SUPPLEMENTAL INFORMATION	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE SUPPLEMENTAL INFORMATION	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE SUPPLEMENTAL INFORMATION	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SUPPLEMENTAL INFORMATION	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SUPPLEMENTAL INFORMATION	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
CONSULTING REPRESENTATIVES OF THE COMMUNITY SERVED BY THE HOSPITAL	Schedule H, Part V, Line 5 Conduent Healthy Communities Institute (HCI), a Xerox Company, was retained by Peninsula Regional Medical Center to conduct the 2019 Community Health Needs Assessment (CHNA). HCI provides customizable, web-based information systems that offer a full range of tools and content to improve community health. HCI and PRHS have collaborated since 2012 to develop the PRHS Creating Healthy Communities platform. HCI consultants conducted key informant interviews in order to collect community input. Key Informant Interviews were conducted between 07/26/2018 and 08/30/2018. Interviewees who were asked to participate were recognized as having expertise in public health, special knowledge of community health needs and/or represented the broad interest of the community served by the health system, and/or could speak to the needs of the medically underserved or vulnerable populations. The following organizations are representative of the individuals who participated in the interviews: Chesapeake Health Center, CoreLife, Deer's Head Hospital Center, HOPE, Inc. (Health and Outreach Point of Entry), Lower Shore Clinic, Lower Shore Enterprises, MAC, Inc. (Maintaining Active Citizens), Salisbury Rehabilitation and Skilled Nursing Center Genesis Healthcare, Salisbury University, TGM Group LLC, Wicomico County Executive, Wicomico County Health Department, Peninsula Regional Medical Center, and the Somerset County Health Department. There were also three Focus Groups that were organized and facilitated by Peninsula Regional Medical Center, Wicomico County Health Department, and Somerset County Health Department. The focus groups convened on 08/23/2018, 08/29/2018, and 09/14/2018. The August 23rd focus group consisted of professionals and providers from various disciplines in the tri-county area and was held at PRMC. The August 29th focus group was held in Salisbury at the Salvation Army and included members of the greater Salisbury community. The September 14th focus group was held in Pocomoke City in Worcester County at the Pocomoke Library and included members of the greater Pocomoke area. A community survey was available using Survey Monkey, an online survey tool, and a paper version of the survey. The survey was distributed across PRMC's entire service area from 07/23/2018 to 09/10/2018. A total of 584 responses were collected and a report was created.
CHNA CONDUCTED WITH ONE OR MORE ORGANIZATIONS OTHER THAN HOSPITAL	FACILITIES Schedule H, Part V, Line 6B The hospital facility's CHNA is conducted with one or more organizations other than the hospital. These organizations we partnered with include the Wicomico County Health Department (WiCHD) and the Somerset County Health Department (SCHD). A partnership was formed between PRMC, WiCHD, and SCHD to collaborate for the benefit of the community. These organizations have been partnering together on local assessment efforts since 1995. Two of the organizations are required to complete a CHNA; PRMC is a non-profit hospital and WiCHD as an accredited health department. SCHD is in the early phase of public health accreditation. In December 2018, PRMC, SCHD, and WiCHD published their 2019 CHNA. The CHNA Report provides an overview of significant health needs in the Tri-County service area. This CHNA report was developed to provide an overview of the health needs in the Tri-County service area, including Somerset, Wicomico, and Worcester counties in Maryland. PRMC, SCHD, and WiCHD partnered with Conduent Healthy Communities Institute (HCI) to conduct the CHNA. The goal of this report is to offer a meaningful understanding of the greatest health needs across the Tri-County service area, as well as to guide planning efforts to address those needs. Special attention has been given to identify health disparities, needs of the vulnerable populations, unmet health needs or gaps in services, and input from the community.
CHNA ON HOSPITAL FACILITY'S WEBSITE	Schedule H, Part V, Line 7a https://www.peninsula.org/community/community-health-needs-assessment-and- implementation-plan
OTHER WAYS THE HOSPITAL MAKES ITS CHNA REPORT AVAILABLE TO THE PUBLIC	Schedule H, Part V, Line 7D Peninsula Regionals comprehensive CHNA Report is made available to the public online at https://www.peninsula.org/community/community-health-needs-assessment-and- implementation-plan and a paper copy is made available to the public at several locations within the hospital for public inspection. In addition, the report has been translated into Spanish and the hospital is looking into a further translation to Creole. We partner with Conduent Healthy Communities Institute to discover what the most pressing health challenges are in Somerset, Worcester and Wicomico Counties. The public can view the results of our Community Health Needs Assessment online, as well as our action plan of steps we plan to take based on the information gathered in the assessment. In addition, a community health data and resources section can be accessed by the public. As part of this Creating Healthy Communities, a module is available to the public in which they can explore multiple dashboards that provide a gauge to the health of the communities served, socio-demographics and promising practices. The dashboards include features such as a CHNA guide, health data, demographic data, health disparities, socio needs indexes, finding grants, indicator comparisons, and progress tracking.
IMPLEMENTATION STRATEGY ON HOSPITAL FACILITY'S WEBSITE	SCHEDULE H, PART V, LINE 10A https://www.peninsula.org/community/community-health-needs-assessment-and- implementation-plan
HOW NEEDS IDENTIFIED IN THE CHNA ARE ADDRESSED	SCHEDULE H, PART V, LINE 11 Peninsula Regional Medical Center has a fixed value of resources available, and the hospital focuses those resources to the areas with the greatest impact, therefore not all needs, to date, identified in the CHNA were able to be addressed. Non-prioritized needs included Access to Health Services, Older Adults & Aging, and Oral Health. These needs were not selected because they did not meet the prioritization criteria as strongly as the selected topics. Even though not all identified needs are addressed specifically in the "Implementation Strategy Community Benefits" plan, there are population health initiatives adopted through the Health System's 2020 Strategic Plan that promote health and well-being within the community, and address needs within the CHNA. Based on the significant needs identified in the Community Health Needs Assessment, the following implementation initiatives were developed and outlined in our 2019-2021 Implementation Strategy Plan for Peninsula Regional Medical Center, and also in the Community Health Improvement Plan for Somerset County Health Department and Wicomico County Health Department. This booklet can be found at https://www.peninsula.org/community/community-health-needs-assessment-and- implementation-plan in addition to where the Community Health Needs Assessment can also be found. After a thorough review of the health status in our community through the CHNA, we identified areas that we could address using our resources, expertise and community partners. The following are the prioritized health needs that will be addressed: - Behavioral Health (Mental Health and Mental Disorders as well as Substance Abuse) - Diabetes - Cancer (Focus Areas: Breast, Colorectal, Cervical, Lung, Skin) Priority Areas Identified Behavioral Health Goals: - Address behavioral issues in the Tri-County service area by reducing the instances of opioid related deaths. - Address behavioral issues in the Tri-County service area by targeting seniors suffering with minor to major depression. Strategies: - Collaboratively address the opioid crisis in the Tri-County service area with an emphasis on prevention, treatment, resources and enforcement. - Provide peer support for people who have overdosed or sought help for opioid addiction issues. - Address depression in adults 50 years or older through skill building, problem solving and socialization activities. Objectives and Anticipated Impact: - Work collaboratively to address policy, develop education and raise community awareness in the fight against opioid use, and continue to reduce instances of heroin overdose each year. - Utilizing the Community Outreach Addictions Team (COAT), contact and provide linkage to treatment and other support services to community members dealing with substance abuse issues. - Reduce the instances of depression in older adults through outreach and access to an evidence-based intervention program. Increase percent of program participants with a significant reduction of depression above the 2018 baseline of 50%. 1. Peninsula Regional to collaborate with Wicomico County Opioid Intervention Team and Somerset County Opioid United Team Activities: - Bring awareness, education and resources to the community to work toward eliminating opioid abuse. - Target awareness activities and campaigns to the community and schools. - Participation in drug awareness coalitions. - Narcan training for community members. - Develop and implement an Opioid Intervention Team educational trailer for parents, guardians and adults. This is a mock teenage bedroom set up to show possible red flags for unhealthy behavior and/or substance use. - Coordinate and host first responder dinner to help address compassion fatigue. - Work with community partners to coordinate the Go Purple Awareness Campaign Program. 2. Program to Encourage Active and Rewarding Lives (PEARLS) Activities: - Raise awareness of this free program through targeted outreach to clinicians caring for older adults, as well as senior centers and other local organizations serving older community members. - Provide engaging and impactful curriculum in an easy-to-learn approach through flexible one-on-one visits at locations convenient for the community member being served. 3. ER Utilization Reduction and Access Improvement Activities: - SWIFT, a mobile integrated health team, makes home-based visits to individuals utilizing 911 at least five times over a six-month period for non-life-threatening medical reasons. The team provides physical, mental and safety assessments and screens for social determinants of health. Based on their assessment, patients are referred, as necessary, for appropriate care interventions such as primary care providers, medical specialists, in home providers, financial and social resources, as well as other community resources. Alignment Opportunities: - PRMC, as part of a regional partnership with Atlantic General Hospital in Worcester County, SCHD and WiCHD, is collaborating with the Maryland Health Service Cost Review Commission to develop a regional approach to behavioral health for FY 2021. Work in these three areas will be incorporated into this Tri-County Regional Partnership and updated in this document in 2021. - WiCHD Strategic Plan 2017-2022, Priority #1: Improve community health and wellness by focusing on priority areas identified in collaboration with the Local Health Improvement Coalition: chronic disease and behavioral health. PRMC and WiCHD will build off the successful efforts that were included for this program in their 2016 Implementation Strategy Plan. Collaborative Activities: - Train peer support specialists. - Provide phone and in-person support for people who have overdosed or who struggle with opioid addiction, as well as other substance abuse issues. - Provide connections to resources including treatment options. - Provide peer outreach to high-risk areas of the community. - Maintain ongoing communications about metrics between PRMC and COAT team. - Evaluate expansion to Somerset County. Diabetes Goal: Improve health of people with diabetes or pre-diabetes in the Tri-County service area. Strategies: - Offer Evidence-Based Chronic Disease Self-Management Classes (CDSM) throughout the Tri-County service area. - Expand access to diabetes screening, education and resources throughout the Tri-County service area with the Wagner Wellness Van mobile clinic services. - Provide a free evidence-based weight loss, nutrition and physical activity program for women and children in Wicomico and Somerset Counties. Objectives and Anticipated Impact: - By December 2020, increase the number of six-week educational classes with identified diabetes patients and their supporting caregivers from 26 to 52 per year. - By partnering with other community stakeholders, the Community Wellness Program will increase access to diabetes screening, education and connection to community resources. This program, which includes the Wagner Wellness Van outreach, provides health outreach events that are both large-scale and small-scale, and can be aimed toward the public or a targeted population or geographic area. - Starting in September 2019 and ending in June 2021, SCALE's expected outcomes include: 80% of adult participants will report weight loss of at least 5% of their total body weight from baseline; 20% of adult participants will report a drop-in hemoglobin A1C by 0.2 points or more; 20% of adult participants will report a decrease in blood pressure (diastolic and systolic) by 5 points or more; demonstrated behavior change and improved health status. 1. Chronic Disease Self-Management (CDSM) Classes PRMC will build off the successful efforts that were included for this program in its 2016 Implementation Strategy Plan Activities. Activities: - Target and identify patients who have diabetes and their caregivers through self-referral or provider referral. - Train Community Peer Trainers and PRMC Community Health Workers to conduct classes. - Offer classes in English, Spanish and American Sign Language. - Explore the possibility to offer classes in Haitian-Creole, Korean and Mandarin languages, based on availability of peer trainers in these languages. - Offer six-week classes at least once weekly. - Educate participants on diabetes self-management and have them set and track weekly personal goals and share those with their providers. - Partner with MAC, Inc. to collect data on pre and post A1C values. - Connect with the statewide Health Information Exchange to make referrals between provider offices and MAC, Inc. for all CDSM classes. 2. Wagner Wellness Van Expansion PRMC and WiCHD will build off the successful efforts that were included for this program in its 2016 Implementation Strategy Plan. Activities: - Outreach to communities utilizing a Nurse Practitioner (NP) to provide primary care services. - Provide screenings for diabetes (other screenings provided as well). -
ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE	SCHEDULE H, PART V, LINES 13B & 13H PENINSULA REGIONAL MEDICAL CENTER OFFERS FINANCIAL ASSISTANCE TO PATIENTS WHOSE INCOME IS AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES. PRMC ALSO PROVIDES FINANCIAL ASSISTANCE BASED UPON SEVERAL SPECIAL SITUATIONS: 1) FINANCIAL ASSISTANCE WILL BE CONSIDERED IF PATIENT IS OVER INCOME CRITERION, BUT HAS A FINANCIAL HARDSHIP. A FINANCIAL HARDSHIP EXISTS WHEN THE AMOUNT OF MEDICAL DEBT AT PENINSULA REGIONAL MEDICAL CENTER EXCEEDS 25% OF THE FAMILY'S INCOME IN A YEAR. 2) A PATIENT THAT HAS QUALIFIED FOR MARYLAND MEDICAL ASSISTANCE IS DEEMED TO AUTOMATICALLY QUALIFY FOR PRMC'S FINANCIAL ASSISTANCE PROGRAM. THE AMOUNT DUE FROM A PATIENT ON THESE ACCOUNTS MAY BE WRITTEN OFF TO FINANCIAL ASSISTANCE WITH VERIFICATION OF MEDICAID ELIGIBILITY. NORMAL DOCUMENTATION REQUIREMENTS ARE WAIVED FOR FINANCIAL ASSISTANCE GRANTED UPON THE BASIS OF MARYLAND MEDICAL ASSISTANCE ELIGIBILITY. 3) PATIENTS WHO ARE BENEFICIARIES/RECIPIENTS OF CERTAIN MEANS-TESTED SOCIAL SERVICES PROGRAMS ADMINISTERED BY THE STATE OF MARYLAND ARE DEEMED TO HAVE PRESUMPTIVE ELIGIBILITY FOR PRMC'S FINANCIAL ASSISTANCE PROGRAM. THE AMOUNT DUE FROM A PATIENT ON THESE ACCOUNTS MAY BE WRITTEN OFF TO FINANCIAL ASSISTANCE WITH VERIFICATION OF ELIGIBILITY FOR ONE OF THESE PROGRAMS. NORMAL DOCUMENTATION REQUIREMENTS ARE WAIVED FOR FINANCIAL ASSISTANCE GRANTED UPON THE BASIS OF PRESUMPTIVE ELIGIBILITY. IT IS THE RESPONSIBILITY OF PATIENTS TO NOTIFY THE HOSPITAL THEY ARE IN A MEANS TESTED PROGRAM AND PROVIDE THE DOCUMENTATION, BUT PRMC STAFF DOES INQUIRE AS TO THIS STATUS DURING THE INTAKE PROCESS AND AT OTHER POINTS DURING THE FINANCIAL ASSISTANCE DETERMINATION PROCESS.
PUBLICIZING THE FINANCIAL ASSISTANCE POLICY	SCHEDULE H, PART V, LINE 15E IF A PATIENT IS UNABLE TO PAY DUE TO FINANCIAL RESOURCES, ALL EFFORTS WILL BE MADE TO HELP THE PATIENT OBTAIN ASSISTANCE THROUGH APPROPRIATE AGENCIES. IN THE EVENT THAT THE PATIENT HAS APPLIED FOR AND KEPT ALL NECESSARY APPOINTMENTS AND THIRD PARTY ASSISTANCE IS NOT AVAILABLE, PENINSULA REGIONAL MEDICAL CENTER WILL PROVIDE CARE AT REDUCED OR ZERO COST. WHEN NO THIRD PARTY ASSISTANCE IS AVAILABLE TO COVER THE TOTAL BILL AND THE PATIENT INDICATES THAT THEY HAVE INSUFFICIENT FUNDS, THE FOLLOWING PROCEDURE WILL OCCUR: 1) THE MARYLAND STATE UNIFORM FINANCIAL ASSISTANCE APPLICATION SHOULD BE REVIEWED BY STAFF, IN CONSULTATION WITH THE PATIENT, TO MAKE INITIAL ASSESSMENT OF ELIGIBILITY. 2) COMPARE PATIENT'S INCOME TO CURRENT FEDERAL POVERTY GUIDELINES. 3) IF PRELIMINARILY ELIGIBLE PER GUIDELINES, SEND MARYLAND STATE UNIFORM FINANCIAL ASSISTANCE APPLICATION TO PATIENT/GUARANTOR FOR COMPLETION AND SIGNATURE. PATIENT SHOULD ATTACH APPROPRIATE DOCUMENTATION AND RETURN TO REPRESENTATIVE WITHIN 10 DAYS. UPON RECEIPT OF THE FINANCIAL ASSISTANCE REQUEST, THE REPRESENTATIVE WILL REVIEW INCOME AND ALL DOCUMENTATION. THE PATIENT MUST BE NOTIFIED WITHIN TWO BUSINESS DAYS OF THEIR PROBABLE ELIGIBILITY AND INFORMED THAT THE FINAL DETERMINATION WILL BE MADE ONCE THE COMPLETED FORM AND ALL SUPPORTING DOCUMENTS ARE RECEIVED, REVIEWED, AND THE INFORMATION VERIFIED. INCOME INFORMATION WILL BE VERIFIED USING THE DOCUMENTATION PROVIDED BY THE PATIENT AND EXTERNAL RESOURCES WHEN AVAILABLE. A FINANCIAL ASSISTANCE DISCOUNT WILL BE APPLIED TO THE PATIENT'S RESPONSIBILITY ACCORDINGLY. 4) IF INELIGIBLE, THE REPRESENTATIVE WILL NOTIFY THE PATIENT AND RESUME NORMAL DUNNING PROCESS AND FILE DENIAL WITH THE ACCOUNT. THE DENIALS WILL BE KEPT ON FILE IN THE COLLECTION OFFICE. ALL DENIALS WILL BE REVIEWED BY THE COLLECTION COORDINATOR LEVEL OR ABOVE. THE PATIENT MAY REQUEST RECONSIDERATION BY SUBMITTING A LETTER TO THE DIRECTOR OF PATIENT FINANCIAL SERVICES INDICATING THE REASON FOR THE REQUEST. ONLY INCOME AND FAMILY SIZE WILL BE CONSIDERED IN APPROVING APPLICATIONS FOR FINANCIAL ASSISTANCE UNLESS ONE OF THE FOLLOWING THREE SCENARIOS OCCURS: - THE AMOUNT REQUESTED IS GREATER THAN $50,000. - THE TAX RETURN SHOWS A SIGNIFICANT AMOUNT OF INTEREST INCOME, OR THE PATIENT STATES THEY HAVE BEEN LIVING OFF OF THEIR SAVINGS ACCOUNTS. - DOCUMENTATION INDICATES SIGNIFICANT WEALTH. IF ONE OF THE ABOVE THREE SCENARIOS ARE APPLICABLE IN THE APPLICATION, LIQUID ASSETS MAY BE CONSIDERED INCLUDING: CHECKING AND SAVINGS ACCOUNTS, STOCKS, BONDS, CERTIFICATES OF DEPOSIT, MONEY MARKET OR ANY OTHER ACCOUNTS FOR THE PAST THREE MONTHS ALONG WITH THE PAST YEAR'S TAX RETURN, AND A CREDIT REPORT MAY BE REVIEWED. THE FOLLOWING ASSETS ARE EXCLUDED: - THE FIRST $10,000 OF MONETARY ASSETS. - UP TO $150,000 IN A PRIMARY RESIDENCE. CERTAIN RETIREMENT BENEFITS (SUCH AS A 401-K WHERE THE IRS HAS GRANTED PREFERENTIAL TAX TREATMENT AS A RETIREMENT ACCOUNT INCLUDING BUT NOT LIMITED TO DEFERRED-COMPENSATION PLANS QUALIFIED UNDER THE INTERNAL REVENUE CODE, OR NONQUALIFIED DEFERRED-COMPENSATION PLANS) WHERE THE PATIENT POTENTIALLY COULD PAY TAXES AND/OR PENALTIES BY CASHING IN THE BENEFIT. IF THE BALANCE DUE IS SUFFICIENT TO WARRANT IT AND THE ASSETS ARE SUITABLE, A LIEN WILL BE PLACED ON THE ASSETS FOR THE AMOUNT OF THE BILL. COLLECTION EFFORTS WILL CONSIST OF PLACEMENT OF THE LIEN WHICH WILL RESULT IN PAYMENT TO THE HOSPITAL UPON SALE OR TRANSFER OF THE ASSET. 5) COLLECTION COORDINATOR WILL REVIEW DOCUMENTATION. IF ELIGIBLE, THE ACCOUNT WILL BE WRITTEN OFF TO FINANCIAL ASSISTANCE AND THE "REQUEST FOR FINANCIAL ASSISTANCE" FORM FINALIZED. A COPY IS RETAINED IN THE PATIENT'S FILE. THE REPRESENTATIVE WILL CALL THE PATIENT AND NOTIFY HIM/HER OF THE FINAL DETERMINATION OF ELIGIBILITY. 6) PENINSULA REGIONAL MEDICAL CENTER WILL REVIEW ONLY THOSE ACCOUNTS WHERE THE PATIENT OR GUARANTOR INQUIRE ABOUT FINANCIAL ASSISTANCE, MAILS IN AN APPLICATION, OR IN THE NORMAL WORKING OF THE ACCOUNT THERE IS INDICATION THAT THE PATIENT MAY BE ELIGIBLE. ANY PATIENT/CUSTOMER SERVICE REPRESENTATIVE, FINANCIAL COUNSELOR, OR COLLECTION REPRESENTATIVE MAY BEGIN THE REQUEST PROCESS. PRE-PLANNED SERVICE MAY ONLY BE CONSIDERED FOR FINANCIAL ASSISTANCE WHEN THE SERVICE IS MEDICALLY NECESSARY. FOR EXAMPLE, NO COSMETIC SURGERY WILL BE ELIGIBLE. INPATIENT, OUTPATIENT, EMERGENCY, AND PENINSULA REGIONAL MEDICAL GROUP PHYSICIAN CHARGES ARE ALL ELIGIBLE. FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, PLAIN LANGUAGE SUMMARY AVAILABLE ON THE HOSPITAL'S WEBSITE SCHEDULE H, PART V, LINES 16A, 16B & 16C https://www.peninsula.org/patients-visitors/patient-billing-information/fi nancial-assistance-documents
MAXIMUM CHARGE AMOUNTS FOR FAP-ELIGIBLE INDIVIDUALS	SCHEDULE H, PART V, LINE 22D 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.

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
OTHER METHOD USED IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE	SCHEDULE H, PART I, LINE 3C N/A - PENINSULA REGIONAL MEDICAL CENTER USES THE FPG IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. FINANCIAL ASSISTANCE IS ALSO CONSIDERED IF A PATIENT IS OVER INCOME CRITERION BUT HAS FINANCIAL HARDSHIP BASED ON MEDICAL DEBT. PATIENTS WHO ARE BENEFICIARIES/RECIPIENTS OF CERTAIN MEANS-TESTED SOCIAL SERVICES PROGRAM ADMINISTERED BY THE STATE OF THE PATIENT'S RESIDENCE ARE DEEMED TO HAVE PRESUMPTIVE ELIGIBILITY FOR PRMC'S FA PROGRAM.
COMMUNITY BENEFIT REPORT	SCHEDULE H, 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).
FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST	SCHEDULE H, PART I, LINE 7, COLUMN (F) THE AMOUNT OF BAD DEBT EXPENSE EXCLUDED FROM THE DENOMINATOR IN THE COLUMN (F) PERCENTAGES IS $7,975,041. LINE 7B COLUMN (C) & (F)- MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY DIRECTED OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. COMMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO. THE EXCEPTION TO THIS IS THE IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE-SETTING SYSTEM. THE COST METHODOLOGY FOR CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS IS THE COST-TO-CHARGE RATIO USED FOR THE CHARITY CARE PROGRAMS AND DIRECT COST METHOD FOR THE OTHER BENEFITS/PROGRAMS.
COMMUNITY BUILDING ACTIVITIES	SCHEDULE H, PART II PENINSULA REGIONAL FUNDS A VARIETY OF PROGRAMS THAT WORK TO PROMOTE THE HEALTH AND SAFETY OF OUR COMMUNITY. THESE PROGRAMS INCLUDE ACTIVITIES IN THE AREAS OF HOUSING, ECONOMIC DEVELOPMENT, COMMUNITY SUPPORT, ENVIRONMENTAL IMPROVEMENTS, COALITION BUILDING, AND WORKFORCE DEVELOPMENT. THE NUMBER OF PERSONS SERVED BY THE COMMUNITY BUILDING ACTIVITIES WERE NOT TRACKED FOR ALL PROGRAMS THROUGHOUT THE COURSE OF THE YEAR. COALITION BUILDING HISTORICALLY PENINSULA REGIONAL HAS FACILITATED INVOLVEMENT WITH HEALTH IMPROVEMENT ORGANIZATIONS TO IDENTIFY, ASSESS, AND CREATE AGGREGATE ACTION PLANS TO ADDRESS LOCAL EMERGING AND CHRONIC COMMUNITY BENEFIT SERVICE AREA HEALTHCARE ISSUES. KATHRYN FIDDLER (EXECUTIVE DIRECTOR OF POPULATION HEALTH) AND STEPHANIE ELLIOT (DIRECTOR OF COMMUNITY SERVICES HEALTH) ATTEND THE FOLLOWING LOCAL HEALTH IMPROVEMENT COALITION'S INCLUDING SOME OF THE FRONT-LINE CARE MANAGEMENT COORDINATORS AND PHYSICIANS. - WICOMICO COUNTY LHIC - WORCESTER COUNTY HRSA - HEALTHY SOMERSET COALITION - WORCESTER COUNTY LHIC - TRI COUNTY HEALTH IMPROVEMENT PLANNING - TRI COUNTY ALLIANCE FOR THE HOMELESS - PROJECT LIVING WELL ADVISORY COMMITTEE MAC (MAINTAINING ACTIVE CITIZENS) PHYSICIAN RECRUITING PENINSULA REGIONAL FEELS IT IS IMPORTANT TO CONTINUALLY MONITOR SPECIALTIES WHERE A SIGNIFICANT AMOUNT OF PATIENT CARE WITHIN THE SERVICE AREA IS PROVIDED BY OLDER PHYSICIANS, AS A SUDDEN OR UNEXPECTED LOSS OF COVERAGE COULD HAVE AN ADVERSE EFFECT ON THE PROVISION OF MEDICAL SERVICES TO THE COMMUNITY. SUCCESSION PLANNING AND RECRUITMENT GO HAND-IN-HAND, AS DOES SOCIO-DEMOGRAPHICS AND GOVERNMENTAL INITIATIVES ALL OF WHICH MUST BE CONSIDERED TO ASSESS APPROPRIATE PHYSICIAN RECRUITMENT. KEY FINDINGS, ACCORDING TO THE MOST RECENT MEDICAL STAFF DEVELOPMENT PLAN, INDICATE AN IMMEDIATE NEED FOR RECRUITMENT OF PRIMARY CARE PHYSICIANS TO ENGAGE IN CHRONIC DISEASE MANAGEMENT AS PART OF OUR POPULATION HEALTH INITIATIVES. SUCCESSION PLANNING IS A KEY OBJECTIVE AS TEN PRIMARY CARE PHYSICIANS ARE ABOVE THE AGE OF 55 WHICH WILL LEAVE A VOID IN AN ALREADY UNDERSERVED AREA. DEMOGRAPHICS ALSO PLAY A KEY ROLE AS THE MEDICARE POPULATION IS GROWING AT A FASTER RATE THAN THE STATE OF MARYLAND AND THE NATION. AS A GROWING RETIREMENT COMMUNITY, THERE IS AN INCREASED NEED FOR ADDITIONAL PRIMARY CARE PHYSICIANS AND CERTAIN SPECIALTIES. THERE WILL BE A 22.7% GROWTH OF THOSE BETWEEN THE AGES OF 65 TO 74 OVER THE NEXT 5 YEARS. DEFICIENCIES AND SURPLUSES IN THE CURRENT SUPPLY OF PHYSICIANS WERE DETERMINED BY REVIEWING PHYSICIAN TO-POPULATION RATIOS, PHYSICIAN PATIENT VOLUMES, POPULATION DATA, AND OTHER DATA. MANAGEMENT CONSULTANTS RECOMMEND EVALUATING POTENTIAL RECRUITMENT OF PRIMARY CARE FAMILY MEDICINE, PRIMARY CARE INTERNAL MEDICINE AND PRIMARY CARE PEDIATRICS OVER THE NEXT SEVERAL YEARS. MEDICAL SPECIALTY NEEDS ARE DRIVEN BY THE OVERALL MARKET SUPPLY, WAIT TIMES FOR NEW PATIENT APPOINTMENTS, AND CALL COVERAGE AND INPATIENT CONSULTATION NEEDS. CURRENT MEDICAL SPECIALTY RECOMMENDATIONS INCLUDE RECRUITMENT OF THE FOLLOWING PHYSICIAN SPECIALTIES DUE TO COMMUNITY NEEDS ASSESSMENT, MARKET DEMAND AND RETIREMENT: ALLERGY/IMMUNOLOGY, DERMATOLOGY, ENDOCRINOLOGY, INFECTIOUS DISEASE, NEUROLOGY, OB/GYN, PAIN MANAGEMENT, PSYCHIATRY AND RHEUMATOLOGY. OF THE MEDICAL STAFF, 32% IS EITHER AT OR ABOVE THE AGE OF 55, WHICH POSES SUCCESSION RISK. PENINSULA REGIONAL A RURAL HOSPITAL, AND OTHER LIKE-KIND RURAL COMMUNITIES ARE TYPICALLY CHALLENGED IN BOTH RECRUITMENT AND RETENTION OF PHYSICIANS DUE TO NUMEROUS FACTORS. SOME OF THESE CHALLENGES ARE DUE TO THE LOCATION AND GEOGRAPHY OF THE AREA AND AVAILABILITY OF HEALTHCARE RESOURCES. RETAINING AND RECRUITING RESOURCES IN SUB-SPECIALTIES CAN BE HARD FOR REGIONAL RURAL HOSPITALS AND PENINSULA REGIONAL MEDICAL CENTER IS NO EXCEPTION. TO ADDRESS SPECIFIC COMMUNITY HEALTHCARE NEEDS THE MEDICAL CENTER HAS HAD TO RECRUIT, RETAIN, EMPLOY AND SUBSIDIZE SOME OF THE FOLLOWING SUBSPECIALTIES; PULMONARY, NEURO-HOSPITALIST, NEUROSURGERY, MEDICAL ONCOLOGY & HEMATOLOGY, GASTROENTEROLOGY, PEDIATRIC SPECIALTIES, ENDOCRINOLOGY, CARDIOLOGY, CARDIOVASCULAR SURGERY, AND PAIN MANAGEMENT. RURAL COMMUNITIES LACK THE CULTURAL AND EDUCATIONAL RESOURCES THAT LARGER URBAN CENTERS PROVIDE MAKING IT HARDER TO RETAIN AND RECRUIT THESE PHYSICIANS. LOW POPULATION PATTERNS BY GEOGRAPHY MAKE IT MORE COSTLY AND HARDER FOR COMMUNITIES AND BUSINESSES TO PROVIDE VARIOUS TYPES OF SERVICES ESPECIALLY SPECIALTY PHYSICIAN SERVICES. OVERALL, OUR LOCAL ECONOMY IS NOT AS ROBUST AS THE URBAN CENTERS AS INDICATED BY OUR LOW AVERAGE HOUSEHOLD INCOME IN THE TRI-COUNTY AREA. DISASTER READINESS PENINSULA REGIONAL MEDICAL CENTER IS A MEMBER OF DRHMAG (DELMARVA REGIONAL HEALTH MUTUAL AID GROUP) WHICH IS A COALITION OF LOCAL HEALTH DEPARTMENTS, HOSPITALS AND NURSING HOMES. THEY MEET QUARTERLY TO DISCUSS ISSUES OF DISASTER PREPAREDNESS IN THE DELMARVA REGION. PRMC HAS AN INTERNAL EMERGENCY MANAGEMENT COMMITTEE THAT MEETS MONTHLY WHOSE MEMBERS INCLUDE THE SAFETY COORDINATOR, CHIEF OF SECURITY, EMERGENCY DEPARTMENT RN, RISK MANAGEMENT, INFECTION PREVENTION, EXECUTIVE TEAM REPRESENTATIVE, PHARMACIST, EMERGENCY MANAGEMENT COORDINATOR, FIREFIGHTER, AND A COUNTY HEALTH DEPARTMENT REPRESENTATIVE. PRMC ALSO MEETS QUARTERLY WITH OUR LOCAL PARTNERS THAT INCLUDE FIRE, POLICE, EMERGENCY MEDICAL SERVICES, AND WICOMICO COUNTY EMERGENCY MANAGEMENT TO FACILITATE DISASTER PLANNING AND MOCK DRILLS WITHIN THE COMMUNITY.
METHODOLOGY USED TO ESTIMATE BAD DEBT EXPENSE	SCHEDULE H, PART III, LINES 2 AND 3 SEE RESPONSE BELOW TO LINE 4 REGARDING THE METHODOLOGY USED BY THE ORGANIZATION REGARDING BAD DEBT.
BAD DEBT FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS	SCHEDULE H, PART III, LINE 4 Under the provisions of ASU 2014-09, when there is an unconditional right to payment, subject only to the passage of time, the right is treated as a receivable. Patient accounts receivable, including billed accounts and unbilled accounts, which have the unconditional right to payment, and estimated amounts due from third-party payers for retroactive adjustments, are recorded as receivables since the right to consideration is unconditional and only the passage of time is required before payment of that consideration is due. The estimated uncollectible amounts are generally considered implicit price concessions that are recorded as a direct reduction to patient accounts receivable rather than an allowance for doubtful accounts. 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.
MEDICARE COSTING METHODOLOGY	SCHEDULE H, 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, 52% OF THE MEDICAL CENTER'S REVENUE IS ATTRIBUTABLE TO MEDICARE PATIENTS DURING THE YEAR ENDED JUNE 30, 2019.
COLLECTION POLICY	SCHEDULE H, PART III, LINE 9B THE PENINSULA REGIONAL MEDICAL CENTER COLLECTION POLICY INCLUDES INFORMATION ABOUT OUR FINANCIAL ASSISTANCE POLICY (FAP) AND HOW TO FIND THE FAP. THE DEBT COLLECTION POLICY APPLIES TO ALL PATIENTS. ADDITIONALLY OUR COLLECTION POLICY INSTRUCTS THAT EXTRAORDINARY COLLECTION ACTIONS (ECA) WILL BE SUSPENDED WHEN A PATIENT REQUESTS INFORMATION ON OUR FAP OR SUBMITS A FINANCIAL ASSISTANCE APPLICATION WITHIN 240 DAYS OF THE FIRST POST-DISCHARGE BILLING STATEMENT. OUR POLICY DESCRIBES WHAT TO DO IF THE FINANCIAL ASSISTANCE APPLICATION IS INCOMPLETE AND WHAT IS REQUIRED TO BE REFUNDED (AMOUNTS OVER $5) IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE AFTER MAKING A PAYMENT. WE INCLUDE CLARIFICATION OF WHAT DATES OF SERVICES ARE INCLUDED IN THE FINANCIAL ASSISTANCE SO THAT WE UNDERSTAND WHEN NORMAL COLLECTION EFFORTS ARE APPROPRIATE. WITHIN OUR COLLECTION POLICY WE DESCRIBE THAT A PATIENT DENIED FINANCIAL ASSISTANCE MAY REQUEST A RECONSIDERATION. FOR DATES OF SERVICES APPROVED FOR FINANCIAL ASSISTANCE COLLECTIONS PROCESSES ARE HALTED AS THE ACCOUNT IS ADJUSTED TO ZERO DUE FROM PATIENT. THE POLICY STATES HOW TO PROCESS THE PATIENT BALANCE WHEN ONLY A PORTION OF THE CHARGE QUALIFIED FOR FINANCIAL ASSISTANCE; COLLECTIONS WILL ONLY BE PURSUED ON THE AMOUNT THAT DID NOT QUALIFY FOR FINANCIAL ASSISTANCE.
NEEDS ASSESSMENT	SCHEDULE H, PART VI, LINE 2 PENINSULA REGIONAL ASSESSES COMMUNITY HEALTH NEEDS IN PARTNERSHIP WITH THE LOCAL COUNTY HEALTH DEPARTMENTS (WICOMICO, WORCESTER, SOMERSET). WE MEET ON A REGULAR BASIS TO DISCUSS AND FORMULATE STRATEGIES AND ACTION PLANS IN WHICH WE COLLABORATE WITH EACH OTHER AND LOCAL ENTITIES TO ADDRESS RESIDENTS' MOST UNDERSERVED AND CRITICAL HEALTHCARE AND SOCIAL NEEDS. DEVELOPING RELATIONSHIPS WITH COMMUNITY PARTNERS IS CRITICAL TO CONTINUED IDENTIFICATION OF UNDERSERVED NEEDS AND POPULATION HEALTH MANAGEMENT SUCCESS; A CORNERSTONE OF PENINSULA REGIONAL STRATEGY. THE FOLLOWING LOCAL RELATIONSHIPS, PARTNERSHIPS AND MEMBERSHIPS HAS CREATED SYNERGY PRODUCING LOCAL HEALTHCARE DIVIDENDS, EXAMPLES OF THESE RELATIONSHIPS INCLUDE THE FOLLOWING: TRI-COUNTY DIABETES ALLIANCE, SWIFT (SALISBURY WICOMICO INTEGRATED FIRSTCARE TEAM), FEDERALLY QUALIFIED HEALTH CENTERS, YMCA, PATIENT CARE ADVISORY COUNCIL, LOCAL SNFS, FAITH BASED ENTITIES, MAC (MAINTAINING ACTIVE CITIZENS), SHELTERS (HALO, HOPE), LOCAL COLLEGES & HIGH SCHOOLS. WORKING TOGETHER WITH DIVERSE AND DISPARATE LOCAL ENTITIES FOR THE UNITED BUT COMMON GOAL OF MEETING RESIDENTS' UNDERSERVED NEEDS- PLANNING TOGETHER, APPLYING RESOURCES OUR GOAL IS A HEALTHIER COMMUNITY. IN ADDITION TO THE CHNA, PENINSULA REGIONAL HAS EMBARKED ON IDENTIFYING AND TARGETING "SUPER UTILIZERS" WITHIN OUR CBSA (COMMUNITY BENEFIT SERVICE AREA); THESE RESIDENTS WILL BE IDENTIFIED, AND TARGETED FOR POPULATION HEALTH MANAGEMENT. - DEMOGRAPHICS (BLOCK GROUPS, ZIP CODES) - RACE/ETHNICITY - AGE-COHORTS - CHRONIC CONDITIONS THE TARGET POPULATION INCLUDES PATIENTS THAT HAVE CHRONIC CONDITIONS WHO HAVE DEMONSTRATED TO HAVE BEEN HIGH UTILIZERS AT PRMC, OR ARE IDENTIFIED AS BEING AT RISK OF HIGH UTILIZATION BASED ON HIS/HER CHRONIC CONDITIONS AND PATTERNS OF CARE. CURRENT DATA INDICATES AN "OVERRELIANCE" BY LOCAL RESIDENTS ON PENINSULA REGIONAL'S EMERGENCY ROOM FOR PRIMARY AND CHRONIC CONDITION NEEDS. IN RESPONSE, PRMC HAS INTRODUCED INTERVENTIONS, CARE MANAGEMENT PROGRAMS, EDUCATION, AND FOLLOW-UP WITH MEASUREMENT AND OUTCOMES. BASED UPON A CURRENT ASSESSMENT THERE ARE APPROXIMATELY 1,000+ RESIDENTS THAT MEET THE CRITERIA OF "SUPER UTILIZERS" STRATIFIED BY SOCIO-DEMOGRAPHICS AND CHRONIC DISEASE. PENINSULA REGIONAL IS TARGETING CBSA ZIP CODES BASED UPON SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH TO INCLUDE THE UNINSURED, INDIGENT POPULATION, RESIDENTS WHO LACK TRANSPORTATION, LACK OF EDUCATION AND AVAILABILITY OF HEALTHY FOODS. TARGETING THIS BY CLUSTER AND BLOCK GROUPS, WE SEEK TO IMPACT THE HEALTH BY PROVIDING PRIMARY HEALTH SERVICES, EDUCATION, ACCESS AND MORE IMPORTANTLY BY FOSTERING RELATIONSHIPS WITHIN THE COMMUNITY WE SERVE. FOR EXAMPLE, OUR WAGNER WELLNESS VAN TRAVELS LOCALLY TO BLOCK GROUPS WHERE THERE WAS AN IDENTIFIED NEED FOR BASIC HEALTH SERVICES, IN ADDITION TO PROVIDING HEALTH SERVICES AND EDUCATION TO LOCAL ETHNIC CHURCHES AND CIVIC ORGANIZATIONS.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	SCHEDULE H, PART VI, LINE 3 PENINSULA REGIONAL MEDICAL CENTER MAKES AVAILABLE TO ALL PATIENTS THE HIGHEST QUALITY OF MEDICAL CARE POSSIBLE WITHIN THE RESOURCES AVAILABLE. IF A PATIENT IS UNABLE TO PAY DUE TO FINANCIAL RESOURCES, ALL EFFORTS WILL BE MADE TO HELP THE PATIENT OBTAIN ASSISTANCE THROUGH APPROPRIATE AGENCIES, OR, IF HELP IS NOT AVAILABLE, TO PROVIDE CARE AT REDUCED OR ZERO COST. ONE OF PENINSULA REGIONAL'S OVERALL GUIDING PRINCIPLES IS THAT CONCERN OVER A HOSPITAL BILL SHOULD NEVER PREVENT ANY INDIVIDUAL FROM RECEIVING EMERGENCY HEALTH SERVICES. THE MEDICAL CENTER WILL COMMUNICATE THIS MESSAGE CLEARLY TO PROSPECTIVE PATIENTS AND TO LOCAL COMMUNITY SERVICE AGENCIES AND MAKE IT CLEAR THAT EMERGENCY SERVICES WILL BE PROVIDED WITHOUT REGARD TO ABILITY TO PAY. THE MEDICAL CENTER WILL ENSURE THAT AN EMERGENCY ADMISSION OR TREATMENT IS NOT DELAYED OR DENIED PENDING DETERMINATION OF COVERAGE OR REQUIREMENT FOR PREPAYMENT OR DEPOSIT. THE MEDICAL CENTER WILL POST ADEQUATE NOTICE OF THE AVAILABILITY OF MEDICAL SERVICES, AND THE GENERAL OBLIGATION OF THE HOSPITAL TO PROVIDE CHARITY CARE. PENINSULA REGIONAL'S "FINANCIAL ASSISTANCE POLICY" INCLUDES THE REQUIRED LANGUAGE OF DETERMINATION OF PROBABLE ELIGIBILITY WITHIN TWO BUSINESS DAYS. ON PAGE 2, THE "FINANCIAL ASSISTANCE POLICY" STATES THAT UPON RECEIPT OF THE FINANCIAL ASSISTANCE REQUEST, THE REPRESENTATIVE WILL REVIEW INCOME AND ALL DOCUMENTATION. THE PATIENT MUST BE NOTIFIED WITHIN TWO BUSINESS DAYS OF THEIR PROBABLE ELIGIBILITY. IN ACCORDANCE WITH SECTION 1, 2 AND 3, PENINSULA REGIONAL PROVIDES PUBLIC NOTICE AND INFORMATION REGARDING ITS CHARITY CARE POLICY IN DELMARVA'S LARGEST PAPER "THE DAILY TIMES", POSTED SIGNS IN THE ADMISSION, BUSINESS OFFICE EMERGENCY ROOM AND OTHER MAJOR SERVICE AREAS OF THE MEDICAL CENTER; ADDITIONALLY INDIVIDUAL NOTICE IS PROVIDED TO EACH SELF-PAY ACCOUNT WHO SEEKS SERVICES IN THE MEDICAL CENTER AT THE TIME OF PRE-ADMISSION, ADMISSION, OR UPON REQUEST. A COPY OF THE FINANCIAL ASSISTANCE POLICY IS PROVIDED DURING INTAKE AND DISCHARGE PROCESS UPON REQUEST, AND A FINANCIAL ASSISTANCE INFORMATION BROCHURE IS PROVIDED TO ALL SELFPAY PATIENTS DURING INTAKE. THE AVAILABILITY OF FINANCIAL ASSISTANCE IS PRINTED ON BILLING STATEMENTS SENT TO PATIENTS. PRMC NOTIFIES THE PATIENT OR POTENTIAL PATIENT OF GOVERNMENT PROGRAMS, INCLUDING PROVIDING THEM WITH INITIAL ASSISTANCE TO APPLY FOR SUCH PROGRAMS.
Community Information	Schedule H, Part VI, Line 4 Peninsula Regional Medical Center at 266 licensed beds functions as the primary hospital provider for the rural southernmost three counties of the Eastern Shore of Maryland, which includes Wicomico, Worcester and Somerset Counties. Approximately 78% of the patients discharged from the Medical Center are residents of the primary service area, which has an estimated population of approximately 181,350 in 2019, and is expected to increase to 185,357 or by 2.2% by 2024. The Medical Center also services Dorchester County, Maryland, the southern portion of Sussex County, Delaware and the northern portion of Accomack County, Virginia. Peninsula Regional's CBSA (Community Benefits Service Area) consists of those zip codes within our primary service area. Most of the population resides in Wicomico County (105,103) with Salisbury serving as the capital of the Eastern Shore. Salisbury is located on the headwaters of the Wicomico River and it is located at the crossroads of the Bay and the Ocean. The region is unique; the city of Salisbury has similar socio-economic and demographic characteristics of a large city, however, the area surrounding Salisbury is rural and has like-kind characteristics of small-town America. Due to this dichotomy, serving both sometimes presents a challenge in delivering healthcare. The two other counties in Peninsula Regional's CBSA include Worcester County, with a population of 52,030 and Somerset County with a population of 24,217. The greater "metropolitan" Salisbury area (zip codes 21801, 21804) has a higher population density than the surrounding rural areas. This area has a vulnerable population that includes the indigent and a higher Medicaid mix. Moving east towards the beach, located in Worcester County are several larger towns, like Berlin (21811) and Ocean City (21842) that have a high population density. South of Salisbury, located in Somerset County, are the larger towns of Princess Anne (21853) and Crisfield (21817). Excluding the greater Salisbury area, the landscape and environment is considered rural, made up of small businesses and agriculture. All three counties can be classified as rural with a historic economic foundation in agriculture, poultry and tourism. Watermen and farmers have always comprised a large percentage of the peninsula population, however, their numbers have been declining with a growth in the population and expansion of other small businesses. Ocean City, MD located in Worcester County, is a major tourist destination. During the summer weekends, the city hosts between 320,000 and 345,000 vacationers, and up to 8 million visitors annually. The three counties have a diversified economic base; however, it is predominately made up of small employers (companies with less than 50 employees). Major employers include local hospitals, the poultry industry, local colleges and teaching institutions. The median income of $55,681 in our Community Benefits Service Area is considerably less than Marylands median income of $85,459. In addition, September 2019 unemployment rates were higher for Marylands most Eastern Shore counties. The unemployment rate in Maryland was 3.7%, the Nation 3.6% compared to Wicomico 4.1%; Worcester 4.7% and Somerset 5.4%. Research indicates lower median incomes and higher unemployment rates contribute to a disparity in access to medical care and a prevalence of untreated chronic disease. The baby boomer population (those aged 55+) represent a greater portion of the total population in Peninsula Regionals CBSA as compared to the Nation. The Eastern Shore of Maryland is becoming a popular retirement destination and the trend is likely to continue. The chronic conditions of this age grouping consume healthcare resources at much higher rates than some of the other younger age-cohorts. Medicare Population % ----------------------------- Wicomico 16.1% Worcester 27.8% Somerset 16.9% ----------------------------- Maryland 15.7% United States 16.2% Source: Truven Health Analytics/IBM 2019 Peninsula Regional's primary service area (Wicomico, Worcester, Somerset) represent some of the neediest counties in the state of Maryland (www.Countyhealthrankings.org/Maryland), based upon a SocioNeeds Index income, poverty, unemployment, occupation, educational attainment and linguistic barriers that are associated with poor health outcomes, including preventable hospitalizations and premature death. Peninsula Regional has zip codes in each of its primary service area counties with high SocioNeeds Index levels. Deployment of resources is key in these communities with high socioeconomic needs as we focus and target prevention and outreach services. To meet its mission of improving the health of the communities it serves, Peninsula Regional has developed a Population Health division and has engaged in population health strategies to support the Maryland Total Cost of Care Model, which aims to improve outcomes, improve the patient experience and reduce the total cost of care. The hospital is coordinating care, including mental health and post-acute care, across hospital and non-hospital settings. The Population Health division incorporates a multidisciplinary team of nurses, social workers and community health workers supporting the community with a broad range of primary care services. The division also fosters community partnerships with local hospitals Atlantic General and McCready Health in addition to community-based organizations including local health departments, fire departments, the Maryland state Area Agency on Aging and other agencies to provide patient support aligned with social determinants of health.
Promotion of Community Health	Schedule H, Part VI, Line 5 Peninsula Regional Medical Center is committed to the health of the rural communities it serves. In FY 2019, the Hospital's charity care was $8,454,930; combined charity and bad debt for FY 2019 was $16,429,970. As part of Peninsula Regionals ongoing commitment and mission statement "To Improve the Health of the Communities We Serve," we continue to assess the health needs of the community through building relationships and collaborations with organizations that are addressing unmet health needs. The Wagner Wellness Van is a mobile clinic that visits local shelters, churches and other areas in PRMC's Community Benefits Service Area where underserved residents can receive non-emergency medical care, chronic care management and healthy lifestyles education. The van visits areas where the social determinants of health indicate the greatest amount of need. It provides care in areas with a higher prevalence of ER visits, lower median incomes, indigent population, access issues, communication barriers and overall poor health outcomes. There has been improved control of diabetes and hypertension. The Wagner Wellness Van strives to educate patients by providing nutritional and healthy lifestyle counseling, in addition to medication compliance to control diabetes and hypertension. Health screenings are performed on residents to help determine appropriate education, self-management class information or referrals to community resources and services. These screenings include pre-diabetes, hypertension and obesity. When warranted, drug and alcohol misuse screenings are also conducted, and counseling is available. If a resident is at risk for diabetes, an A1C screening is performed to further assist with diagnosis and treatment. Smith Island Telehealth- Smith Island is known for its watermen, Smith Island cake, exceptional seafood and being isolated with limited contact from mainland visitors. For this reason, Peninsula Regional Medical Center created a partnership with McCready Health, MAC Area Agency on Aging, Somerset County Health Department and the Crisfield Clinic. The goal of the partnership is to improve the health of Smith Island residents, with the target of effectively reducing potentially avoidable ED utilization. The program was led by the Smith Island Community Health Staff, which provides chronic disease education, management and connects 250 residents of Smith Island via telehealth for primary care physician visits. Community health workers play an integral role in changing Island residents' health behaviors and actions; these embedded health facilitators are able to effectively bridge relationships with the residents of Smith Island. These facilitators are essentially a personal health coach that assists residents with medication management, timely compliance and ultimately helping guide residents through prescribed healthcare plans. Flu shots were administered ensuring the residents of Smith Island were protected during the flu season, effectively reducing ED visits. Since inception, the partnership has had great successes. For example, there has been substantial reductions in A1C levels in residents diagnosed with diabetes; a prime example of the "Triple Aim" improving health, providing access, chronic disease education, and reducing the probability of a future Emergency Department visit. Residents are learning how to self-manage their chronic diseases and are being exposed to the principles of leading healthy lifestyles. To expand our "Healthy Living" message, Peninsula Regional sponsors and participates in many community-based health fairs providing nutrition education, weight loss, diabetes assessment, multiple screenings and health literacy. Participation in health fairs include underserved areas like Smith Island, an island on the Chesapeake Bay with a population of only 250, a Haitian Creole Health Fair, HealthFest and screenings at the Governors Basketball Challenge at the Civic Center in Wicomico County. Transforming the culture through participation and sponsorship of healthy lifestyles and screenings, meeting residents at community events located throughout the Tri-County area. Health Assessments - Cholesterol, HDL, Triglycerides - Resting 12-Lead EKG - Body Fat / Mass Index - Blood Pressure Testing - Pulse Oximetry Testing - 10-Year Risk Analysis - Review Current Medications - Follow-up Care Plan - Exercise/Nutrition WalkWicomico promotes walking Trails, personal challenges, and avenues to enjoy the outdoors- the primary objective is to increase awareness of and engagement in healthy lifestyle behaviors promoting exercise to help with weight loss, increase energy, reduce risk of chronic disease and make people feel happier. WalkWicomico is primarily targeting those that reside in the county (pop. 100,000+); however, it would also be an attraction for adjacent counties including visitors. Peninsula Regional, as a participant, has a common goal to transform the community's culture by providing education, guidance and resources towards promoting exercise through walkability as an integral part of a healthy lifestyle. The Coalition's initiatives included creating a website and phone app specific to walking in Wicomico County; communicating with the community via social media; working with civic organizations, churches, local businesses, towns, county health departments and other groups to encourage local walkability. WalkWicomico has marked walking routes, increased the number of walking routes, participated in and launched walking events, and is engaged with decision makers through input and feedback about making walking safer easier and more accessible. Peninsula Regional participates with many partners that make it possible to create and deliver population programs that improve the health of the communities we serve. These partners have provided expertise and allocated resources to meet those urgent healthcare needs within our community. Some of these partners include: Wicomico County Health Department, Somerset County Health Department, Worcester County Health Department, Wicomico County Local Health Improvement Coalition, The City of Salisbury, YMCA, Crisfield Clinic, Chesapeake Health Care, SWIFT, Salisbury Fire Department/EMS, Atlantic General Hospital, Faith Based Organizations, McCready Memorial Hospital, MAC (Maintaining Active Citizens), Local Colleges/ and Schools, C.O.A.T, National Kidney Foundation, Peninsula Regional Employees, Post-Acute Care Facilities, HALO, WalkWicomico (Coalition), Lower Shore Clinic, Wicomico County Sheriffs Office, Resource and Recovery Center and others. Sheriffs Office, Resource and Recovery Center and others.
AFFILIATED HEALTH CARE SYSTEM ROLES	SCHEDULE H, PART VI, LINE 6 PENINSULA REGIONAL MEDICAL CENTER IS PART OF THE PENINSULA REGIONAL HEALTH SYSTEM. THE SYSTEM INCLUDES A FOUNDATION AND FOR-PROFIT ENTITIES WITH INTERESTS IN VARIOUS HEALTH CARE JOINT VENTURES. IN ADDITION TO THE COMMUNITY BENEFITS PROVIDED BY THE MEDICAL CENTER, THE HEALTH SYSTEM EVALUATES THE NEEDS OF THE COMMUNITY AND WILL PARTICIPATE IN COMMUNITY BENEFIT PROGRAMS AS NEEDED.
COMMUNITY BENEFIT REPORT STATE FILINGS	SCHEDULE H, PART VI, LINE 7 STATE(S) WITH WHICH THE ORGANIZATION FILES A COMMUNITY BENEFIT REPORT: MARYLAND

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (true)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	Yes (true)	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Margaret Naleppa
President/CEO (Thru 01/18)	$679	$0	$0	$0	$1,079,445	$0	$692	$0	$605	$0	$1,081,421	$0	$500,000	$0
Simona Eng DO
Board Member	$372,601	$0	$57,000	$0	$1,218	$0	$39,032	$0	$11,640	$0	$481,491	$0	$0	$0
Lura Lunsford
VP of Operations	$464,484	$0	$168,644	$0	$270,008	$0	$45,699	$0	$7,506	$0	$956,341	$0	$200,000	$0
Bruce I Ritchie
CFO	$470,854	$0	$122,051	$0	$331,726	$0	$66,374	$0	$20,002	$0	$1,011,007	$0	$200,000	$0
Charles Silvia Jr MD
VP - Chief Medical Officer	$442,983	$0	$74,008	$0	$1,218	$0	$50,942	$0	$14,974	$0	$584,125	$0	$0	$0
Sara Scott
VP People & Organization Dev.	$244,152	$0	$29,817	$0	$5,918	$0	$46,984	$0	$18,052	$0	$344,923	$0	$0	$0
Kathryn Fiddler
VP- Population Health	$212,094	$0	$27,425	$0	$982	$0	$29,678	$0	$646	$0	$270,825	$0	$0	$0
Thomas DeMarco MD
VP - PRMG	$326,000	$0	$58,223	$0	$9,275	$0	$14,327	$0	$16,962	$0	$424,787	$0	$0	$0
Sheri Matter Thru 0818
VP Patient Care Services	$43,168	$0	$0	$0	$189,639	$0	$6,854	$0	$211	$0	$239,872	$0	$0	$0
James Todd MD
Physician	$853,597	$0	$0	$0	$133,832	$0	$284,796	$0	$18,464	$0	$1,290,689	$0	$132,614	$0
Daniel Daniels MD
Physician	$512,477	$0	$488,938	$0	$1,218	$0	$18,900	$0	$7,223	$0	$1,028,756	$0	$0	$0
Zachary Baker MD
Physician	$694,668	$0	$0	$0	$38,671	$0	$135,933	$0	$16,520	$0	$885,792	$0	$0	$0
Karim Arnaout MD
Physician	$610,299	$0	$212,434	$0	$1,218	$0	$14,836	$0	$16,166	$0	$854,953	$0	$0	$0
Walid El Ayass MD
Physician	$613,517	$0	$206,250	$0	$1,218	$0	$17,953	$0	$15,076	$0	$854,014	$0	$0	$0
Steven Leonard
President/CEO	$568,970	$0	$169,400	$0	$329,197	$0	$147,358	$0	$27,075	$0	$1,242,000	$0	$200,000	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Travel for Companions	SCHEDULE J, PART I, LINE 1A PRMC PROVIDES TRAVEL FOR COMPANIONS OF BOARD MEMBERS AND REPORTS THE VALUE OF THE COMPENSATION PROVIDED AS TAXABLE TO THE RECIPIENT. THIS POLICY HAS BEEN APPROVED BY THE BOARD.
Severance Payment or Change-of-control Payment	Schedule J, Part I, Line 4a The following employee received a severance payment: SHERI MATTER $135,116
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN	SCHEDULE J, PART I, LINE 4B PRMC HAS A NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN (UNDER SECTION 457 (F)). THIS PLAN WAS APPROVED BY THE COMPENSATION COMMITTEE OF THE PRMC BOARD OF DIRECTORS TO SUPPLEMENT THE EXECUTIVE'S RETIREMENT INCOME. THE SUPPLEMENTAL RETIREMENT PLAN WAS DEVELOPED BASED ON AN INDEPENDENT CONSULTANT REPORT ON MARKET-BASED PRACTICES FOR SUPPLEMENTAL RETIREMENT PLANS. THE PERCENTAGE OF FINAL AVERAGE PAY, THE REQUIREMENTS FOR VESTING, PARTICIPANTS, AND PAY-OUT PROVISIONS WERE ESTABLISHED, REVIEWED, AND APPROVED BY THE COMPENSATION COMMITTEE. THE CONTRIBUTIONS TO THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN C OR IN SCHEDULE J, PART II, COLUMN B(III) AS PART OF DEFERRED COMPENSATION. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THIS SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: MARGARET NALEPPA, LURA LUNSFORD, BRUCE RITCHIE, STEVEN LEONARD, AND JAMES TODD. AMOUNTS REPORTED ON SCHEDULE J, PART II, COLUMN B (III) INCLUDE DEFERRED COMPENSATION AMOUNTS UNDER A BOARD OF TRUSTEES APPROVED EXECUTIVE COMPENSATION PLAN IN ACCORDANCE WITH SECTION 457(F) OF THE INTERNAL REVENUE CODE. THESE AMOUNTS WERE DISTRIBUTED FROM A QUALIFIED RETIREMENT PLAN TRUSTEE DUE TO VESTING. FOR CEO MARGARET NALEPPA, PRMC CONTRIBITED $500,000 WHICH APPRECIATED WITH INVESTMENT EARNINGS TO $988,823 BETWEEN THE PERIOD OF 06/24/11 AND 01/01/18. PRMC CONTRIBUTED $200,000 EACH FOR STEVEN LEONARD, LURA LUNSFORD AND BRUCE RITCHIE WHICH APPRECIATED TO $315,180, $264,040, AND $330,508 RESPECTIVELY, BETWEEN THE PERIOD OF 01/01/13 AND 01/01/18. JAMES TODD RECIEVED A PARTIAL DISTRIBUTION OF $132,614 DURING 2018 BASED ON HIS PLAN'S VESTING DATES. PRMC PROVIDED THE FOLLOWING FUNDING AMOUNTS DURING 2018: STEVEN LEONARD $98,750 JAMES TODD $250,000 ZACHARY BAKER $125,000
Contingent Compensation	SCHEDULE J, PART I, LINE 6A, 6B AND 7 OFFICERS AND KEY EMPLOYEES OF PENINSULA REGIONAL MEDICAL CENTER ARE PAID COMPENSATION DETERMINED BY A NUMBER OF VARIABLES INCLUDING BUT NOT LIMITED TO INDIVIDUAL GOALS AS WELL AS ORGANIZATION OPERATIONAL ACHIEVEMENTS IN SERVICE, QUALITY, SAFETY, EMPLOYEE SATISFACTION, AND COST. THE FINAL DETERMINATION OF THE CONTINGENT COMPENSATION AMOUNT IS DETERMINED AND APPROVED BY THE BOARD AS PART OF THE OVERALL COMPENSATION REVIEW OF OFFICERS AND KEY EMPLOYEES. VARIABLE COMPENSATION PAYMENTS ARE REPORTED IN SCHEDULE J, PART II, COLUMN B(II) AND REFLECT ATTAINMENT OF CERTAIN GOALS. ALSO INCLUDED IN THAT COLUMN ARE PRODUCTIVITY PAYMENTS OF $461,938 (DANIELS), $212,434 (ARNAOUT) AND $206,250 (EL AYASS).

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Maryland Health & Higher Education Facilities
A	520936091	574217UF8	2015-02-05	$122,212,727	Refer to Part VI	Yes (true)	false	false
Maryland Health & Higher Education Facilities
B	520936091	574218UE1	2015-02-05	$25,222,024	Refer to Part VI	Yes (true)	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$525,000	$0	$122,212,727	$0	$0	$121,024,047	$1,188,680	$0	$0	$0	$0	$0	false	Yes (true)	Yes (true)	Yes (true)
B	$250,000	$0	$25,222,024	$0	$0	$0	$222,024	$0	$0	$25,000,000	$0	$0	false	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.00810	0.00540	0.01350	false	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.00810	0.00540	0.01350	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Exception To RebateExceptionToRebateInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Rebate Not Due YetRebateNotDueYetInd
0
A	false	Yes (true)	false	false	false	0	false	Yes (true)
0
B	false		false	false	false	0	false	Yes (true)	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Description of Purpose	Schedule K, Part I, Column F PROCEEDS OF PUBLICLY-OFFERED, FIXED RATE SERIES 2015 BONDS, TOGETHER WITH FUNDS HELD IN AN EXISTING DEBT SERVICE RESERVE FUND ACCOUNT AND THE EXISTING PRINCIPAL AND INTEREST ACCOUNTS, HAVE BEEN USED TO 1) ADVANCE REFUND ALL OF PENINSULA REGIONAL MEDICAL CENTER'S ("PRMC") OUTSTANDING SERIES 2006 BONDS (ISSUED 2/09/06) FOR SAVINGS, 2) FUND VARIOUS CAPITAL EXPENDITURES (INCLUDING EQUIPMENT PURCHASES) (THE "PROJECT"), AND 3) PAY ALL BOND ISSUANCE EXPENSES.
Schedule K, Part I, Line A (F)	REFUNDING OF BONDS ISSUED ON 02/09/2006
Schedule K, Part II, Line 13	A - 2006 PROJECTS - 2009; 1993 PROJECTS - 1998 B - 2015 PROJECTS - 2017

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
SIMONA ENG DO
TRUSTEE	$137,715	MEDICAL STAFF FEES	false
David Rommel
TRUSTEE	$739,219	ELECTRICAL/MECHANICAL SERVICES	false
Kirstie Silvia
Family Member of Officer	$62,231	Employee Compensation	false
Brian Ritchie
Family Member of Officer	$58,750	Employee Compensation	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	DESCRIPTION OF TRANSACTIONS WITH INTERESTED PERSONS	FormAndLineReferenceDesc
Explanation	SCHEDULE L, PART IV EACH OF THE ABOVE-NAMED TRUSTEES ARE OWNERS OF BUSINESSES WHICH PROVIDE SERVICES TO PRMC. THE SERVICES PROVIDED WERE APPROVED BY INDEPENDENT MEMBERS OF THE GOVERNING BODY AND ARE CHARGED AT FAIR MARKET VALUE RATES.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (23 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	FORM 990, PART III, LINE 4A 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 17,000 INPATIENTS AND PROVIDED MORE THAN 614,000 OUTPATIENT SERVICES DURING FISCAL 2019. FOOD SERVICE PROVIDED MORE THAN 460,000 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 2019 PROVIDED: - CHARITY AND OTHER ALLOWANCES TOTALING $43,432,697 - DISCOUNTS TO THIRD PARTY PAYORS INCLUDING GOVERNMENT PROGRAMS SUCH AS MEDICARE AND MEDICAID $73,815,885 - WRITE-OFF OF UNCOLLECTIBLE ACCOUNTS $7,975,041 - TOTAL UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS IS $125,223,622 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 2019 IN ORDER TO FOSTER HEALTH EDUCATION IN THE COMMUNITY. - 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 2019, PENINSULA REGIONAL MEDICAL CENTER VOLUNTEERS CONTRIBUTED OVER 24,500 HOURS TOWARD THE COMMON PURPOSE OF SERVICING THE HEALTH CARE OF THE COMMUNITY. PROGRAM ACTIVITY DURING FY 2019, PENINSULA REGIONAL MEDICAL CENTER PERFORMED OVER 500 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: - CPR - CHILDBIRTH PREPARATION CLASSES - REFRESHER COURSE - CHILDBIRTH - INFANT CARE CLASSES - SAFE SITTER PROGRAM - WOMEN'S HEALTH EDUCATION SUPPORT GROUPS: - DIABETES SUPPORT GROUP - HEAD AND NECK CANCER SUPPORT GROUP - CAREGIVER SUPPORT GROUP EVENTS: - COMMUNITY SCREENINGS - HEIGHT/WEIGHT, BLOOD PRESSURE - SKIN CANCER SCREENINGS - ORAL, HEAD AND NECK CANCER SCREENINGS - HEARING SCREENINGS - FLU CLINIC - EDUCATIONAL EXHIBITS TO PROMOTE HEALTHY LIFESTYLES BENEFITS: - UNITED WAY - HEALTHFEST - MARCH OF DIMES FITNESS/EXERCISE PROGRAMMING: - CARDIAC REHABILITATION - INDOOR CYCLING AND WEIGHTS
BUSINESS RELATIONSHIPS	FORM 990, PART VI, SECTION A, LINE 2 STEVEN LEONARD, DAVID ROMMEL, MEMO DIRIKER, MARGARET NALEPPA, RYAN MCLAUGHLIN AND MONTY SAYLER ARE MEMBERS OF THE BOARD OF DIRECTORS OF PENINSULA HEALTH VENTURES, A WHOLLY-OWNED TAXABLE SUBSIDIARY OF PENINSULA REGIONAL HEALTH SYSTEM. BRUCE I. RITCHIE, PRMC'S CFO, ALSO SERVES AS SECRETARY/TREASURER OF PENINSULA HEALTH VENTURES.
MEMBERS OR STOCKHOLDERS	FORM 990, PART VI, SECTION A, LINE 6 PENINSULA REGIONAL HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF THE MEDICAL CENTER.
MEMBERS OR STOCKHOLDERS WHO MAY ELECT	FORM 990, PART VI, SECTION A, LINE 7A 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.
DECISIONS SUBJECT TO APPROVAL	FORM 990, PART VI, SECTION A, LINE 7B 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 REVIEW PROCESS	FORM 990, PART VI, SECTION B, LINE 11B 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. THE RETURN IS PRESENTED TO THE BOARD OF TRUSTEES BY THE ORGANIZATION'S INDEPENDENT TAX ADVISORS FROM GRANT THORNTON LLP AND APPROVED FOR SUBMISSION.
CONFLICT OF INTEREST POLICY MONITORING & ENFORCEMENT	FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF TRUSTEES ARE REQUIRED TO DISCLOSE ANNUALLY, IN WRITING, ANY AND ALL INTEREST WHICH THEY OR ANY IMMEDIATE MEMBER OF THEIR FAMILY MAY HAVE IN ANY BUSINESS ENTITY WHICH HAS OR SEEKS A CONTRACTUAL OR COMPETITIVE RELATIONSHIP WITH THE ORGANIZATION. THE BOARD HAS THE AUTHORITY TO DETERMINE IF A VIOLATION HAS OCCURRED AND WHETHER ANY INTEREST WHICH SHOULD BE DISCLOSED SHOULD DISQUALIFY A DIRECTOR FROM PARTICIPATING IN ANY SPECIFIC BOARD DISCUSSION OR BOARD MEMBERSHIP. ALL DISCLOSURES ARE REVIEWED BY THE ORGANIZATION'S CHIEF COMPLIANCE OFFICER. ANY CONFLICTS ARE PRESENTED TO THE BOARD. IF A PERSON IS CONFLICTED, THEY WILL RECUSE THEMSELVES FROM ALL DISCUSSIONS AND DELIBERATIONS TO WHICH THEY WOULD APPEAR TO BE CONFLICTED.
PROCESS FOR DETERMINING COMPENSATION	FORM 990, PART VI, SECTION B, LINES 15A & 15B THE ORGANIZATION USES A COMPENSATION COMMITTEE TO DETERMINE THE COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR AND OTHER KEY EMPLOYEES. THE CEO OF THE ORGANIZATION HAS A WRITTEN EMPLOYMENT CONTRACT. THE COMPENSATION COMMITTEE USES AN INDEPENDENT CONSULTANT, COMPENSATION SURVEYS AND OTHER ORGANIZATION'S FORM 990 IN THE DETERMINATION PROCESS. THE MEMBERS OF THE COMPENSATION COMMITTEE ARE INDEPENDENT AND RELY ON THIS COMPARABILITY DATA WHEN THEY DISCUSS AND DETERMINE THE INDIVIDUAL'S COMPENSATION. CONTEMPORANEOUS MINUTES OF SUCH DISCUSSIONS ARE KEPT AND MAINTAINED IN THE ORGANIZATION'S FILES.
HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC	FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND FORM 990 ARE AVAILABLE TO THE PUBLIC UPON REQUEST TO THE PUBLIC INFORMATION OFFICE OF PENINSULA REGIONAL MEDICAL CENTER AT 100 EAST CARROLL STREET, SALISBURY, MD 21801.
OTHER CHANGES IN NET ASSETS	FORM 990, PART XI, LINE 9 PENSION ADJUSTMENT FAS 158 $(4,653,741) Contribution from foundation $(944,754) Other contributions $(500,500) Increase in capital $3,176,915 Partnership income - tax adjustment $67,592 ------------- TOTAL $(2,854,488)
FORM 990 PART IX LINE 11G	DESCRIPTION:TECHNICAL PROFESSIONAL FEES TOTAL FEES:7066510
FORM 990 PART IX LINE 11G	DESCRIPTION:REFERENCE LAB WORK TOTAL FEES:2665025
FORM 990 PART IX LINE 11G	DESCRIPTION:MEDICAL STAFF ADMINISTRATION TOTAL FEES:77500
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:23854434
FORM 990 PART IX LINE 11G	DESCRIPTION:LICENSES TAXES TOTAL FEES:347260
FORM 990 PART IX LINE 11G	DESCRIPTION:COLLECTION FEES TOTAL FEES:844574
FORM 990 PART IX LINE 11G	DESCRIPTION:TEMPORARY LABOR TOTAL FEES:5832168
FORM 990 PART IX LINE 11G	DESCRIPTION:PEST CONTROL TOTAL FEES:53476
FORM 990 PART IX LINE 11G	DESCRIPTION:TRASH PICKUP TOTAL FEES:417536
FORM 990 PART IX LINE 11G	DESCRIPTION:CANDIDATE EXPENSE TOTAL FEES:222885
FORM 990 PART IX LINE 11G	DESCRIPTION:EMPLOYEE MOVING EXPENSE TOTAL FEES:79854
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN PROFESSIONAL FEES TOTAL FEES:13438031
FORM 990 PART IX LINE 11G	DESCRIPTION:RECOVERY OF EXPENSES TOTAL FEES:-33032

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
Peninsula Regional Med Center Foundation
100 East Carroll Street	Salisbury	MD	21801	521851935	Fundraising	MD	501(c)(3)	07	PRHS	false
Peninsula Regional Health System (PRHS)
100 East Carroll Street	Salisbury	MD	21801	522132761	Parent	MD	501(c)(3)	12-II	NA	false
Peninsula General Hospital INS Trust
100 East Carroll Street	Salisbury	MD	21801	526321234	Insurance	MD	501(c)(3)	12 type III	PRHS	false
Delmarva Peninsula Insurance Company
				981110617	Insurance		501(c)(3)		PRMC	Yes (true)	PO Box 1159 KY1-1102	Grand Cayman	CJ	CJ

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt
Delmarva Surg Ctr
641 S Salisbury	Salisbury	MD	21801	522251436	Healthcare	MD	NA	n/a
Delmarva Endosc Ctr
11103 Cathage Road	Berlin	MD	21811	831509115	Healthcare	MD	NA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt
Peninsula Health Ventures (PHV)
100 East Carroll Street	Salisbury	MD	21801	522250012	P'SHIP INV	MD	NA	C Corp
PRLTC Inc
100 East Carroll Street	Salisbury	MD	21801	522190588	LT Care	MD	NA	C Corp

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	DELMARVA PENINSULA INSURANCE COMPANY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	r	TransactionTypeTxt
Involved	$5,673,427	InvolvedAmt
Method Of Amount Determination	FMV	MethodOfAmountDeterminationTxt