TIDALHEALTH PENINSULA REGIONAL INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: TIDALHEALTH PENINSULA REGIONAL INC (EIN 52-0591628)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-05-09
IRS object ID: 201711299349301491
Schema version: 2015v3.0
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	2017-05-09T13:39:52-05:00	ReturnTs
Tax Period End	2016-06-30	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	2015-07-01	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	2017-05-09	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

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Margaret Naleppa 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	$585,368,385	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	12	VotingMembersIndependentCnt
Total Employee	3492	TotalEmployeeCnt
Total Volunteers	281	TotalVolunteersCnt
Total Gross UBI	$7,657,123	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$483,971	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$639,051	PYContributionsGrantsAmt
CY Contributions Grants	$541,790	CYContributionsGrantsAmt
PY Program Service Revenue	$403,960,086	PYProgramServiceRevenueAmt
CY Program Service Revenue	$415,667,877	CYProgramServiceRevenueAmt
PY Investment Income	$18,313,873	PYInvestmentIncomeAmt
CY Investment Income	$9,246,018	CYInvestmentIncomeAmt
PY Other Revenue	$774,562	PYOtherRevenueAmt
CY Other Revenue	$937,804	CYOtherRevenueAmt
PY Total Revenue	$423,687,572	PYTotalRevenueAmt
CY Total Revenue	$426,393,489	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	$187,534,771	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$200,320,027	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$479,926	CYTotalFundraisingExpenseAmt
PY Other Expenses	$210,226,154	PYOtherExpensesAmt
CY Other Expenses	$218,212,886	CYOtherExpensesAmt
PY Total Expenses	$397,760,925	PYTotalExpensesAmt
CY Total Expenses	$418,532,913	CYTotalExpensesAmt
PY Revenues Less Expenses	$25,926,647	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$7,860,576	CYRevenuesLessExpensesAmt
Total Assets BOY	$641,573,965	TotalAssetsBOYAmt
Total Assets EOY	$639,262,347	TotalAssetsEOYAmt
Total Liabilities BOY	$212,476,437	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$228,707,154	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$429,097,528	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$410,555,193	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	$366,038,057	ExpenseAmt
Revenue	$408,211,765	RevenueAmt
Desc	see schedule o	Desc
Total Program Service Expenses	$366,038,057	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	false	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	266	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3492	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	12	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 (32 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
Margaret Naleppa
President/CEO	40.0	1.0	Yes (X)	Yes (X)	$936,075	$0	$167,764
William R McCain
Chairman	1.0	2.0	Yes (X)	Yes (X)	$22,500	$0	$0
Monty Sayler
Vice Chairman	1.0	1.0	Yes (X)	Yes (X)	$7,500	$0	$0
Deborah Abbott
Secretary	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
Herbert J Geary III
Treasurer	1.0	1.0	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	1.0	Yes (X)		$0	$0	$0
Mark Higdon
Board Member	1.0	1.0	Yes (X)		$4,996	$0	$0
David Kerrigan MD
Board Member	1.0	1.0	Yes (X)		$0	$0	$0
Marion Keenan
Board Member	1.0	1.0	Yes (X)		$0	$0	$0
Ryan McLaughlin
Board Member	1.0	1.0	Yes (X)		$0	$0	$0
Vel Natesan MD
Board Member	1.0	1.0	Yes (X)		$14,975	$0	$0
Martin Neat
Board Member	10.0	1.0	Yes (X)		$0	$0	$0
Thomas Riccio MD
Board Member	1.0	1.0	Yes (X)		$0	$0	$0
David Rommel
Board Member	1.0	2.0	Yes (X)		$0	$0	$0
Murray K Hoy
Board Member, Ended 11/2015	1.0	1.0	Yes (X)		$0	$0	$0
William Todd MD
Board Member, Ended 12/2015	1.0	2.0	Yes (X)		$0	$0	$0
Lura Lunsford
VP of Operations	40.0	1.0		Yes (X)	$517,423	$0	$93,405
Bruce I Ritchie
CFO	40.0	1.0		Yes (X)	$522,622	$0	$117,474
Charles Silvia Jr MD
VP - Chief Medical Officer	40.0	0.0		Yes (X)	$442,102	$0	$64,166
Sara Scott
VP People & Organization Dev.	40.0	0.0			$218,117	$0	$53,558	Yes (X)
Steven Leonard
VP Operation Optimization & In	40.0	0.0			$305,002	$0	$86,143	Yes (X)
Karen Poisker
VP Population Health	40.0	0.0			$286,650	$0	$118,885	Yes (X)
Thomas DeMarco MD
VP - PRMG	40.0	0.0			$354,425	$0	$27,135	Yes (X)
Andy Pierre MD
Physician	40.0	0.0			$732,975	$0	$39,436		Yes (X)
Jacek Malik MD
Physician	40.0	0.0			$788,941	$0	$34,977		Yes (X)
Walid El Ayass MD
Physician	40.0	0.0			$1,076,753	$0	$24,434		Yes (X)
James Todd MD
Physician	40.0	0.0			$747,690	$0	$91,926		Yes (X)
Kurt Wehberg MD
Physician	40.0	0.0			$737,473	$0	$94,101		Yes (X)
Mary Beth D'Amico
Fmr VP Patient Care Services	0.0	0.0			$241,743	$0	$23,386			Yes (X)
Daniel Mulvanny
Fmr VP General Counsel	0.0	0.0			$186,284	$0	$13,855			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,144,246	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,050,645	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	241	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
EPIC SYSTEMS CORPORATION
PO BOX 88314	MILWAUKEE	WI	532880314	TECHNICAL SERVICES	$6,327,831
HORIZON CSA LLC
265 PIT ROAD	MOORESVILLE	NC	28115	BIOMEDICAL SERVICES	$5,733,037
SHERIDAN ANETHESIA of MD
PO BOX 452197	SUNRISE	FL	333232197	ANESTHESIA SERVICES	$3,593,370
SLEEP WAVES INC
873 E BALTIORE PIKE STE 345	KENNETT SQUARE	PA	19348	SLEEP LAB SERVICES	$2,700,000
MEDICUS HOSPITALIST SERVICES LLC
22 ROULSTON Road	WINDHAM	NH	03087	HOSPITALIST SERVICES	$1,868,170

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	82	CntrctRcvdGreaterThan100KCnt
Related Organizations	$270,791	RelatedOrganizationsAmt
All Other Contributions	$270,999	AllOtherContributionsAmt
Total Contributions	$541,790	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICES	621500	$409,766,949	$407,619,746	$2,147,203
AMBULATORY PHARMACY	900099	$5,298,181		$5,298,181
INVESTMENT IN PREMIER	900099	$602,747	$592,019	$10,728

Field	Value	IRS element (for citing)
Total Program Service Revenue	$415,667,877	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,816,797	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,011	UnrelatedBusinessRevenueAmt
Exclusion	$6,815,786	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	$324,177	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$404,389	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$80,212	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$80,212	TotalRevenueColumnAmt
Exclusion	-$80,212	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$160,055,167	SecuritiesAmt
Other	$944,561	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$157,689,133	SecuritiesAmt
Other	$881,374	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,366,034	SecuritiesAmt
Other	$63,187	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,429,221	TotalRevenueColumnAmt
Exclusion	$2,429,221	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA	722514	$818,016	$818,016
MANAGEMENT FEES	561000	$200,000		$200,000

Field	Value	IRS element (for citing)
Other Revenue Total	$1,018,016	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$426,393,489	TotalRevenueColumnAmt
Related Or Exempt Func Income	$408,211,765	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$7,657,123	UnrelatedBusinessRevenueAmt
Exclusion	$9,982,811	ExclusionAmt

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	$4,365,844	TotalAmt
Program Services	$3,903,437	ProgramServicesAmt
Management And General	$453,855	ManagementAndGeneralAmt
Fundraising	$8,552	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	$162,085,406	TotalAmt
Program Services	$144,918,170	ProgramServicesAmt
Management And General	$16,849,732	ManagementAndGeneralAmt
Fundraising	$317,504	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,387,680	TotalAmt
Program Services	$4,817,045	ProgramServicesAmt
Management And General	$560,081	ManagementAndGeneralAmt
Fundraising	$10,554	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$17,284,494	TotalAmt
Program Services	$15,467,083	ProgramServicesAmt
Management And General	$1,783,798	ManagementAndGeneralAmt
Fundraising	$33,613	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$11,196,603	TotalAmt
Program Services	$10,137,483	ProgramServicesAmt
Management And General	$1,041,337	ManagementAndGeneralAmt
Fundraising	$17,783	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	$611,451	TotalAmt
Program Services	$1,576	ProgramServicesAmt
Management And General	$609,875	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$273,539	TotalAmt
Management And General	$273,539	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$25,982	TotalAmt
Management And General	$25,982	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	$1,648,946	TotalAmt
Management And General	$1,648,946	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$52,111,760	TotalAmt
Program Services	$35,128,020	ProgramServicesAmt
Management And General	$16,965,179	ManagementAndGeneralAmt
Fundraising	$18,561	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$778,147	TotalAmt
Program Services	$778,147	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$112,788,814	TotalAmt
Program Services	$111,007,033	ProgramServicesAmt
Management And General	$1,720,153	ManagementAndGeneralAmt
Fundraising	$61,628	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,109,377	TotalAmt
Program Services	$1,075,495	ProgramServicesAmt
Management And General	$33,389	ManagementAndGeneralAmt
Fundraising	$493	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,322,290	TotalAmt
Program Services	$4,225,174	ProgramServicesAmt
Management And General	$97,116	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$906,483	TotalAmt
Program Services	$124,199	ProgramServicesAmt
Management And General	$771,694	ManagementAndGeneralAmt
Fundraising	$10,590	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	$34,646	TotalAmt
Management And General	$34,646	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,918,158	TotalAmt
Management And General	$4,918,158	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$22,564,666	TotalAmt
Program Services	$22,518,844	ProgramServicesAmt
Management And General	$45,822	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,112,862	TotalAmt
Program Services	$263,741	ProgramServicesAmt
Management And General	$3,849,121	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
BAD DEBTS	$11,448,645	$11,448,645
DUES	$557,120	$223,965	$332,507	$648

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$418,532,913	TotalAmt
Program Services	$366,038,057	ProgramServicesAmt
Management And General	$52,014,930	ManagementAndGeneralAmt
Fundraising	$479,926	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,605,466	BOYAmt
EOY	$2,261,850	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$44,566,906	BOYAmt
EOY	$26,994,129	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	$38,694,139	BOYAmt
EOY	$41,519,879	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	$10,189,320	BOYAmt
EOY	$9,363,458	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,921,805	BOYAmt
EOY	$6,275,679	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$517,904,767	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$297,233,585	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$202,333,316	BOYAmt
EOY	$220,671,182	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$232,783,197	BOYAmt
EOY	$233,113,292	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	$106,479,816	BOYAmt
EOY	$99,062,878	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$641,573,965	BOYAmt
EOY	$639,262,347	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$17,577,598	BOYAmt
EOY	$17,724,004	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	$146,651,280	BOYAmt
EOY	$143,614,264	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	$48,247,559	BOYAmt
EOY	$67,368,886	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$212,476,437	BOYAmt
EOY	$228,707,154	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$397,331,967	BOYAmt
EOY	$377,252,005	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$23,519,520	BOYAmt
EOY	$25,058,289	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,246,041	BOYAmt
EOY	$8,244,899	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$429,097,528	BOYAmt
EOY	$410,555,193	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$641,573,965	BOYAmt
EOY	$639,262,347	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$7,860,576	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$10,143,394	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$16,259,517	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	$25,982	OtherActivitiesAmt
Total Lobbying Expenditures	$25,982	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) AND THE AMERICAN HOSPITAL ASSOCIATION (AHA). MHA AND AHA ENGAGE IN MANY SUPPORT ACTIVITIES INCLUDING LOBBYING AND ADVOCATING FOR THEIR MEMBER HOSPITALS. THE MHA AND AHA REPORTED THAT 6.15% AND 22.12% 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	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$39,054,428	BeginningYearBalanceAmt
Contributions	$500,000	ContributionsAmt
Investment Earnings Or Losses	$6,781,222	InvestmentEarningsOrLossesAmt
Other Expenditures	$41,210	OtherExpendituresAmt
Administrative Expenses	$321,549	AdministrativeExpensesAmt
End Year Balance	$45,972,891	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$34,734,107	BeginningYearBalanceAmt
Contributions	$6,448	ContributionsAmt
Investment Earnings Or Losses	$4,624,939	InvestmentEarningsOrLossesAmt
Administrative Expenses	$311,066	AdministrativeExpensesAmt
End Year Balance	$39,054,428	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$34,191,392	BeginningYearBalanceAmt
Contributions	$12,685	ContributionsAmt
Investment Earnings Or Losses	$801,060	InvestmentEarningsOrLossesAmt
Administrative Expenses	$271,030	AdministrativeExpensesAmt
End Year Balance	$34,734,107	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.50760	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.00150	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.49090	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,636,389	OtherCostOrOtherBasisAmt
Book Value	$10,636,389	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$255,577,507	OtherCostOrOtherBasisAmt
Depreciation	$93,327,936	DepreciationAmt
Book Value	$162,249,571	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$240,118,452	OtherCostOrOtherBasisAmt
Depreciation	$198,647,980	DepreciationAmt
Book Value	$41,470,472	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,572,419	OtherCostOrOtherBasisAmt
Depreciation	$5,257,669	DepreciationAmt
Book Value	$6,314,750	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$220,671,182	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDesc	Book ValueBookValueAmt
DONOR RESTRICTED FUND	$33,217,571
BOARD DESIGNATED INVESTMENTS	$23,583,932
SELF INSURANCE FUND	$20,237,854
CONSTRUCTION FUND	$10,227,977
OTHER ASSETS	$7,464,978
INVESTMENT IN PARTNERSHIPS	$2,679,949
UNAMORTIZED FINANCING COSTS	$1,309,738
INTERCOMPANY RECEIVABLES	$340,879

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$99,062,878	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
ACCRUED SELF INSURANCE LIABILITY	$17,496,292
PENSION LIABILITY	$16,306,060
EMPLOYEE COMPENSATION RELATED PAYROLL TAXES	$14,936,175
ADVANCES FROM THIRD PARTY PAYORS	$11,401,259
OTHER LIABILITIES	$7,229,100

Field	Value	IRS element (for citing)
Total Liability	$67,368,886	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$412,476,752	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	$404,389	OtherRevenueAmt
Revenue Not Reported	$404,389	RevenueNotReportedAmt
Revenue Subtotal	$412,072,363	RevenueSubtotalAmt
Investment Expenses Not Incld	$1,648,968	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$12,672,158	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$14,321,126	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$426,393,489	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$405,639,689	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$404,389	OtherExpensesIncludedAmt
Expenses Not Reported	$404,389	ExpensesNotReportedAmt
Expenses Subtotal	$405,235,300	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$1,648,968	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$11,648,645	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$13,297,613	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$418,532,913	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.
Reconciliation of Revenue and Expenses to Audited Financial Statements	Schedule D, Part XI, Line 2d Rent Expenses $404,389
Schedule D, Part XI, Line 4a	Investment Management Fees $1,648,968 Schedule D, Part XI, Line 4b Bad Debt Expenses $11,448,645 Premier Book Tax Difference $381,208 Foundation Contributions $270,791 Other Contributions $250,000 Management Fees Reclassed from Expenses $200,000 DPIC Book Tax Difference $120,503 ESHP Book Tax Difference $1,011 -------- Total $12,672,158
Schedule D, Part XII, line 2d	Rent Expenses $404,389
Schedule D, Part XII, line 4b	Bad Debt Expenses $11,448,645 Management Fees Reclassed From Expenses $200,000 ------------ Total $11,648,645

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	$2,503,417	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	$2,503,417	SubtotalSpentAmt
Total Spent	$2,503,417	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 ENTIRE $2,503,417 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	$7,110,500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,110,500	NetCommunityBenefitExpnsAmt
Total Expense	0.01650	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,110,500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,110,500	NetCommunityBenefitExpnsAmt
Total Expense	0.01650	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	47832	PersonsServedCnt
Total Community Benefit Expns	$2,111,799	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$284,847	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,826,952	NetCommunityBenefitExpnsAmt
Total Expense	0.00470	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	538	PersonsServedCnt
Total Community Benefit Expns	$1,153,751	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$46,914	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,106,837	NetCommunityBenefitExpnsAmt
Total Expense	0.00270	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	112052	PersonsServedCnt
Total Community Benefit Expns	$34,785,830	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,217,783	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,568,047	NetCommunityBenefitExpnsAmt
Total Expense	0.07410	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Persons Served	1961	PersonsServedCnt
Total Community Benefit Expns	$117,157	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$117,157	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	162383	PersonsServedCnt
Total Community Benefit Expns	$38,168,537	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,549,544	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,618,993	NetCommunityBenefitExpnsAmt
Total Expense	0.08180	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	162383	PersonsServedCnt
Total Community Benefit Expns	$45,279,037	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,549,544	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,729,493	NetCommunityBenefitExpnsAmt
Total Expense	0.09830	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$397	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$397	NetCommunityBenefitExpnsAmt

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$35,961	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$35,961	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$33,323	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$33,323	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$112,651	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$112,651	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$368,416	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$368,416	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$421	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$421	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$551,169	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$551,169	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$11,448,645	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$244,184,549	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$161,500,608	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$82,683,941	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	16	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.PENINSULA.ORG	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	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	www.peninsula.org	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
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.PENINSULA.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.PENINSULA.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.PENINSULA.ORG	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
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Medicare Rates	Yes (X)	MedicareRatesInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Consulting a representative of the community served by the Hospital	Schedule H, Part V, Line 5 Peninsula Regional Medical Center conducted a Community Needs Assessment Survey of 335 individuals. These individuals were Board Members, the Executive Team, Peninsula Partners (a community senior group), churches, the Lions and Rotary clubs and community wellness and screening events. In addition the survey was posted on our website, Facebook and blog. The health departments of Wicomico, Worcester, and Somerset Counties were consulted with regards to health surveys and were also involved in the CHNA surveys.
Other ways the Hospital makes its CHNA report available to the public	Schedule H, Part V, Line 7d Peninsula Regionals CHNA plan is available to the Public, through our website under Quick Links - Creating Healthy Communities at (www.peninsula.org/community/creating-healthy-communities). Available to the public is the current and comprehensive Community Health Needs Assessment and the Implementation Strategy. In addition, there is a Community Health Data and Resources section than can be accessed by the public, collaboration between Peninsula Regional Medical Center, Wicomico County; Atlantic General, Worcester County; and Edward McCready Memorial Hospital, Somerset County. As part of this Creating Healthy Communities Module available to the public is Disparity Dashboard, Demographics, Healthy People 2020 Tracker, Maryland SHIP Tracker and Promising. How Needs Identified in 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, therfore not all needs identified in the CHNA were able to be addressed to date. Based on the significant needs identified in the Community Health Needs Assessment, the following implementation initiatives were developed and outlined below: 1) Reduce diabetes complications: a. Provide awareness, education and diabetes management to the community. i. Continue to create general public awareness around the high prevalence of diabetes in this region. ii. Create and continue a "Diabetes Support Group for Teens and Kids" that meets the medical, educational and social needs of this group. iii. "Educating the Educators." Work with multiple educators to promote adolescent and adult diabetes awareness. iv. Support and partner with the Tri-County Diabetes Alliance to create awareness, education and management of the diabetes population in the lower three counties. v. Disease Self- Management Program. Partner with Maintaining Active Citizens in the statewide license for chronic disease self-management education. The primary objective is to deliver chronic disease self-management services to community residents. The program will promote increased patient competence and coping through treatment plans that include education and referrals to necessary resources, provide comprehensive assessments and help the patient utilize the health system appropriately. Healthy Living with Diabetes. A diabetes self-management education program at MAC. Healthy Living with Diabetes is a 6-8 week workshop developed at Stanford University, based on self-management. vi. Partner with local health departments under the 1422 grant to prevent obesity and diabetes. 2) Reduce obesity: a. Reduce the number of child and adolescents in Wicomico, Worcester and Somerset counties who are considered overweight. b. Develop educational modules and increase educational awareness around childhood and adolescent obesity to reduce the total number of children who are overweight. c. The primary objective is to educate our children on how to make better healthy lifestyle choices at a young age, and to involve the parents in healthy lifestyle activities so they will start to commit to a healthier lifestyle and reinforce this with their children. d. Create diabetes community awareness and provide education regarding healthy lifestyles within the tri-county region (Wicomico, Worcester & Somerset). e. Provide screenings and education for underserved and uninsured members of the community through HealthFest, an annual health expo. f. Provide pediatric obesity screenings and education for under and uninsured community members. Increase breast feeding rates to help lower pediatric obesity. Promote physical activity. g. Provide healthy heart screenings to residents of Delmarva using a mobile van to reach communities that have limited access to healthcare. The two healthy heart initiatives include: - CCC- Coastal Cardiac Checks - Women's Heart Screenings Obesity Component An integral component of these heart screenings includes an educational session that highlights reducing obesity, exercising and healthy food choices -all of which contribute to a healthy heart. - Obesity Screening Component Includes: - Height - Weight - BMI - Body Fat % - Educational Session on Nutrition and Healthy Lifestyles - Resources Available - Potential Referral if Needed
Eligibility Criteria for Financial Assistance	Schedule H, Part V, Line 13 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 exceptions: 1) Financial assistance will be considered if patient is over income criterion, but have 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. PUBLICIZING THE FINANCIAL ASSISTANCE POLICY SCHEDULE H, PART V, LINE 15 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 in 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, CD's, 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. Refer account to Collection Coordinator for filing a lien. 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.
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 (10 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 MARYLAND ARE DEEMED TO HAVE PRESUMPTIVE ELEGIBILITY FOR PRMC'S FA PROGRAM. Community Benefit Report Schedule H, Part I, Line 6a Peninsula Regional Medical Center 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. In FY 2016, approximately 77% of the patients discharged from the Medical Center were residents of the primary service area, which has an estimated population of approximately 179,752 in 2016 and is expected to increase to 183,873 in 2021, or by 2.3%. The primary service area population has grown by an estimated 10% since 2000. Peninsula Regionals CBSA (Community Benefit Service Area) consists of those zip codes within our primary service area. The majority of the population resides in Wicomico County (103,773) 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 Regionals CBSA include Worcester County, with a popucylation of 52,052 and Somerset County with a population of 23,639. 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 several of the larger towns Berlin (21811) and Ocean City (21842) have a higher population density. South of Salisbury, located in Somerset County, the town of Princess Anne (21853) and Crisfield (21817) are two of the larger towns. 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 growth in the population and expansion of other small businesses. Ocean City, 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 chicken industry, local colleges and teaching institutions. The median income in our Community Benefits Service Area is considerably less than $54,131, compared to Marylands median income of $77,385. In addition, 2015 unemployment rates were higher for Marylands most Eastern Shore counties. The unemployment rate in Maryland was 5.2%, the Nation 5.3% compared to Wicomico 6.0%; Worcester 8.6%; and Somerset 8.1%. 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. In the past Peninsula regionals approach to rural population health and community benefits was generalized and consisted of touching our three primary counties: Wicomico, Worcester and Somerset. However, there are examples where Peninsula Regional has participated with our neighbors in Delaware and Virginia on urgent community healthcare needs. Many of the social determinants of rural health in our three county areas spill over state lines creating similar issues in our neighboring states and allowing us to work together. Until now, most of PRMCs initiatives have been "reactive," activated by patients presenting in the emergency room or as inpatients. PRMC now seeks to deploy resources and embed care management functions within primary care practices to address some of the determinants (or root causes) of high utilization. By moving care back out into the community with PCPS (primary care providers) and care managers embedded within those PCPs, the right care will be delivered, reducing the need for inpatient hospital admissions and readmissions. Peninsula Regional has embarked on identifying and targeting "Super Utilizers" within our CBSA; 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 Regionals 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 1,330 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. 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 $11,448,645. 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. 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 THE HOSPITAL, THROUGH ITS MEMBER COMPANIES, PROVIDES SERVICES TO PATIENTS IN THE EASTERN SHORE AREA OF MARYLAND, DELAWARE, AND VIRGINIA, THE MAJORITY OF WHOM ARE COVERED BY THIRD-PARTY HEALTH INSURANCE. THE HOSPITAL BILLS THE INSURER DIRECTLY FOR SERVICES PROVIDED. INSURANCE COVERAGE AND FINANCIAL INFORMATION IS OBTAINED FROM PATIENTS UPON ADMISSION WHEN AVAILABLE. THE HOSPITAL'S POLICY IS TO PERFORM IN-HOUSE COLLECTION PROCEDURES FOR APPROXIMATELY 85 DAYS. A DETERMINATION IS MADE AT THAT TIME AS TO WHICH ADDITIONAL COLLECTION EFFORTS TO PURSUE. A PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS RECORDED FOR AMOUNTS NOT YET WRITTEN OFF, WHICH ARE EXPECTED TO BECOME UNCOLLECTIBLE. DISCOUNTS RANGING FROM 2% TO 6% OF CHARGES ARE GIVEN TO MEDICARE, MEDICAID, AND CERTAIN APPROVED COMMERCIAL HEALTH INSURANCE AND HEALTH MAINTENANCE ORGANIZATION PROGRAMS FOR REGULATED SERVICES. DISCOUNTS IN VARYING PERCENTAGES ARE GIVEN FOR CERTAIN UNREGULATED SERVICES. THESE MAJOR PAYORS ROUTINELY REVIEW PATIENT BILLINGS AND DENY PAYMENT FOR CERTAIN CHARGES AS MEDICALLY UNNECESSARY OR AS PERFORMED WITHOUT APPROPRIATE PREAUTHORIZATION. DISCOUNTS AND DENIALS ARE RECORDED AS REDUCTIONS OF NET PATIENT SERVICE REVENUE. REVENUE AND ACCOUNTS RECEIVABLE FROM THESE THIRD-PARTY PAYORS HAVE BEEN ADJUSTED TO REFLECT THE DIFFERENCE BETWEEN CHARGES AND THE ESTIMATED REIMBURSABLE AMOUNTS. APPROXIMATELY 35% AND 38% OF ACCOUNTS RECEIVABLE WERE DUE FROM THE MEDICARE PROGRAM AS OF JUNE 30, 2016 AND 2015, RESPECTIVELY. THE MEDICARE AND MEDICAID REIMBURSEMENT PROGRAMS REPRESENT A SUBSTANTIAL PORTION OF THE HOSPITAL'S REVENUES. THE HOSPITAL'S OPERATIONS ARE SUBJECT TO NUMEROUS LAWS AND REGULATIONS OF FEDERAL, STATE, AND LOCAL GOVERNMENTS. THESE LAWS AND REGULATIONS INCLUDE, BUT ARE NOT NECESSARILY LIMITED TO, MATTERS SUCH AS LICENSURE, ACCREDITATION, GOVERNMENT HEALTH CARE PROGRAM PARTICIPATION REQUIREMENTS, REIMBURSEMENT FOR PATIENT SERVICES AND MEDICARE, AND MEDICAID FRAUD AND ABUSE.
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, 38% OF THE MEDICAL CENTER'S REVENUE IS ATTRIBUTABLE TO MEDICARE PATIENTS DURING THE YEAR ENDED JUNE 30, 2016. THERE WAS NOT A SHORTFALL REPORTED IN PART III, LINE 7 FOR THE YEAR ENDING JUNE 30, 2016.
COLLECTION POLICY	Schedule H, Part III, Line 9b COLLECTION POLICIES ARE THE SAME FOR ALL PATIENTS. IF A PATIENT NOTIFIES THE MEDICAL CENTER ABOUT THEIR INABILITY TO PAY, THE MEDICAL CENTER WILL SEND THEM THE CHARITY CARE AND FINANCIAL ASSISTANCE FORMS TO FILL OUT. ONCE THE FORMS ARE COMPLETE AND RETURNED TO THE MEDICAL CENTER AND THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, THEN THE PATIENT'S ACCOUNT WILL BE REMOVED FROM COLLECTIONS AND THE ACCOUNT WILL BE WRITTEN OFF. PART V, LINE 13G PENINSULA REGIONAL MEDICAL CENTER PUBLISHES ANNUALLY AN ADVERTISEMENT IN THE LOCAL NEWSPAPER ANNOUNCING THE AVAILABILITY OF FREE OR REDUCED COST CARE.
NEEDS ASSESSMENT - PROMOTION OF COMMUNITY HEALTH	SCHEDULE H, PART VI, LINE 2 PENINSULA REGIONAL MEDICAL CENTER IN COOPERATION WITH THE WICOMICO, WORCESTER AND SOMERSET COUNTIES, HEALTH DEPARTMENTS, THE ATLANTIC GENERAL HOSPITAL AND THE EDWARD W. MCCREADY MEMORIAL HOSPITAL, HAS BEEN CONDUCTING COMMUNITY HEALTH SURVEYS OF THE TRI-COUNTY AREA SINCE 1995. PENINSULA REGIONAL MEDICAL CENTER FUNCTIONS AS THE PRIMARY HOSPITAL FOR THE RURAL SOUTHERNMOST THREE COUNTIES OF THE EASTERN SHORE OF MARYLAND, WHICH INCLUDES SOMERSET, WICOMICO, AND WORCESTER. COMMUNITY HEALTH NEEDS ARE WOVEN THROUGHOUT PENINSULA REGIONALS STRATEGIC PLAN AND ARE INTEGRAL TO EACH ONE OF THEIR STRATEGIC TENETS, WHICH ENCOMPASS THE FOLLOWING THEMES: PATIENT-CENTERED CARE, POPULATION HEALTH MANAGEMENT, AND EXPANDING ACCESS THROUGH GROWTH OF AN AMBULATORY PRESENCE. PENINSULA REGIONALS MISSION STATEMENT IS TO "IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE." IN JUNE 2016, PENINSULA REGIONAL MEDICAL CENTER (PRMC) PUBLISHED THEIR 2016 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THIS CHNA REPORT WAS DEVELOPED TO PROVIDE AN OVERVIEW OF THE HEALTH NEEDS IN THE PRMC TRI-COUNTY SERVICE AREA, INCLUDING SOMERSET, WICOMICO, AND WORCESTER COUNTIES. PRMC PARTNERED WITH HEALTHY COMMUNITIES INSTITUTE (HCI), A XEROX COMPANY, TO CONDUCT THE CHNA. THE GOAL OF THIS REPORT WAS TO OFFER A MEANINGFUL UNDERSTANDING OF THE GREATEST HEALTH NEEDS ACROSS THE PRMC SERVICE AREA, AS WELL AS TO GUIDE PLANNING EFFORTS TO ADDRESS THOSE NEEDS. SPECIAL ATTENTION WAS GIVEN TO IDENTIFY HEALTH DISPARITIES, NEEDS OF VULNERABLE POPULATIONS, UNMET HEALTH NEEDS OR GAPS IN SERVICES, AND INPUT FROM THE COMMUNITY. THE CHNA FINDINGS WERE DRAWN FROM AN ANALYSIS OF AN EXTENSIVE SET OF SECONDARY DATA (OVER 100 INDICATORS FROM NATIONAL AND STATE DATA SOURCES) AND IN-DEPTH PRIMARY DATA FROM COMMUNITY HEALTH LEADERS (INCLUDING THE HEALTH OFFICERS FROM THE THREE HEALTH DEPARTMENTS) AND ORGANIZATIONS THAT SERVE THE COMMUNITY AT LARGE, AS WELL AS NON-HEALTH PROFESSIONALS AND COMMUNITY MEMBERS. THE MAIN SOURCE FOR THE SECONDARY DATA, OR DATA THAT HAS BEEN PREVIOUSLY COLLECTED, WAS THE PENINSULA REGIONAL MEDICAL CENTER CREATING HEALTHY COMMUNITIES PLATFORM, A PUBLICLY AVAILABLE DATA PLATFORM THAT IS EMBEDDED ON THE MAIN PRMC WEBSITE. ON JUNE 8, 2016, PRMCS COMMUNITY BENEFIT TEAM AND OTHER MEMBERS FROM VARIOUS DEPARTMENTS IN THE HOSPITAL CAME TOGETHER TO PRIORITIZE THE SIGNIFICANT HEALTH NEEDS IN A SESSION LED BY CONSULTANTS FROM HCI. THE TEAM REVIEWED THE SIGNIFICANT HEALTH NEEDS USING THE FOLLOWING PRIORITIZATION CRITERIA: - IMPORTANCE OF PROBLEM TO THE COMMUNITY - ALIGNMENT WITH 2017 MD SHIP OBJECTIVES - OPPORTUNITY FOR PARTNERSHIP - ADDRESSES DISPARITIES OF SUBGROUPS - EXISTING RESOURCES/PROGRAMS TO ADDRESS THE PROBLEM USING THE PRIORITIZATION MATRIX METHOD, THE FOLLOWING THREE TOPICS WERE IDENTIFIED AS PRIORITIES TO ADDRESS: - DIABETES - EXERCISE, NUTRITION, AND WEIGHT - BEHAVIORAL HEALTH (FOCUSING ON THE TOPIC AREAS OF MENTAL HEALTH AND MENTAL DISORDERS AS WELL AS SUBSTANCE ABUSE) OTHER SIGNIFICANT HEALTH NEEDS NOT CHOSEN WERE: ACCESS TO HEALTH SERVICES, CANCER, HEART DISEASE AND STROKE, AND PREVENTION AND SAFETY. THESE NEEDS WERE NOT SELECTED BECAUSE THEY DID NOT MEET THE PRIORITIZATION CRITERIA AS STRONGLY AS THE SELECTED TOPICS. PRMC HAS OTHER PROGRAMS IN THESE AREAS, BUT THEY ARE NOT THE FOCUS OF THIS REPORT. OVER THE YEARS, THE COMMUNITY HEALTH NEEDS ASSESSMENT HAS ALSO DEVELOPED THE TRI-COUNTY DIABETES ALLIANCE, WHICH IS A COOPERATIVE VENTURE BETWEEN ALL THE PARTNERS AND COMMUNITY AGENCIES TO REDUCE THE INCIDENCES OF DIABETES IN THE TRI-COUNTY AREA. OTHER OUTCOMES RESULTING FROM THE SURVEY FINDINGS INCLUDE SMOKING CESSATION PROGRAMS, OTHER EARLY DETECTION AND SCREENING PROGRAMS FOR HEART AND CANCER, AS WELL AS HEALTH PROMOTION AND EDUCATION WITH A FOCUS ON PREVENTION.
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 PERSON WHO SEEKS SERVICES IN THE MEDICAL CENTER AT THE TIME OF PRE-ADMISSION OR ADMISSION. ADDITIONALLY INDIVIDUAL NOTICE IS PROVIDED TO EACH PERSON WHO SEEKS SERVICES IN THE MEDICAL CENTER AT THE TIME OF PRE-ADMISSION OR ADMISSION.
Community Information	SCHEDULE H, PART VI, LINE 4 PENINSULA REGIONAL IS LOCATED IN SALISBURY, MARYLAND. THE HOSPITAL'S SERVICE AREA IS PREDOMINATELY RURAL AND COVERS 6 COUNTIES LOCATED IN THREE DIFFERENT STATES: MARYLAND, DELAWARE AND VIRGINIA. SOME OF THE UNIQUE HEALTHCARE CHARACTERISTICS OF THESE COUNTIES INCLUDE A HIGH PREVALENCE OF DIABETES WHICH IS APPROXIMATELY TWICE THAT OF THE STATE OF MARYLAND. THERE IS A HIGHER INCIDENCE OF SKIN CANCER AND THE INCIDENCE RATE FOR HEART DISEASE IS STATISTICALLY SIGNIFICANTLY HIGHER THAN MARYLAND. IN ADDITION, THE MEDIAN INCOME IS LOWER THAN THAT OF MARYLAND AND EDUCATIONAL ATTAINMENT LAGS BEHIND THE STATES AVERAGE. THE MEDICAL CENTER'S PRIMARY SERVICE AREA IS COMPRISED OF THE MAJORITY OF ZIP CODES IN WICOMICO, WORCESTER, AND SOMERSET COUNTIES. AS OF JUNE 30, 2016 THESE COUNTIES CONTRIBUTED APPROXIMATELY 78 PERCENT OF PENINSULA REGIONAL'S TOTAL DISCHARGES. THE MEDICAL CENTER ALSO SERVICES DORCHESTER COUNTY, MARYLAND, THE SOUTHERN PORTION OF SUSSEX COUNTY, DELAWARE AND THE NORTHERN PORTION OF ACCOMACK COUNTY, VIRGINIA. THESE COUNTIES COMPRISED AN ADDITIONAL 20 PERCENT OF THE MEDICAL CENTER'S TOTAL DISCHARGES DURING THE SAME TIME PERIOD. PATIENTS DISCHARGED FROM THE FOLLOWING GEOGRAPHICAL AREAS: AREA 2016 DISCHARGES % --------------------------------------------------------- WICOMICO 9,787 51.4% WORCESTER 3,040 16.0% SOMERSET 1,984 10.4% DORCHESTER, TALBOT, CAROLINE 674 3.5% DELAWARE 1,985 10.4% VIRGINIA 1,165 6.1% ALL OTHERS 395 2.1% ------ ------ TOTAL 19,030 100.0% SOURCE: PENINSULA REGIONAL MEDICAL CENTER, FINANCIAL AND STATISTICAL REPORT, JUNE 30, 2016. BETWEEN 2009 AND 2014, THE MEDICAL CENTER'S PRIMARY SERVICE AREA (WICOMICO, WORCESTER AND SOMERSET COUNTIES, MARYLAND) HAD AN ESTIMATED POPULATION OF 179,605 IN 2013 AND IS EXPECTED TO INCREASE TO 183,893 IN 2020, OR BY 2.4%. IN THE MEDICAL CENTER'S SECONDARY SERVICE AREA (DORCHESTER COUNTY, MARYLAND, SUSSEX COUNTY, DELAWARE, AND ACCOMACK COUNTY, VIRGINIA) THE POPULATION WAS ESTIMATED AT 177,422 IN 2013, AND IS EXPECTED TO INCREASE TO 179,814 IN 2017.
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 2016, THE HOSPITAL'S CHARITY CARE WAS $8,669,839; COMBINED CHARITY AND BAD DEBT FOR FY 2016 WAS $20,118,484. AS PART OF PENINSULA REGIONAL'S ONGOING COMMITMENT AND MISSION STATEMENT 'TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE,' WE CONTINUE TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY. WE ATTEND TRI-COUNTY COMMUNITY HEALTH IMPROVEMENT (T-CHIP) PROCESS MEETINGS. THESE MEETINGS ARE MADE UP OF WICOMICO, WORCESTER AND SOMERSET'S HEALTH DEPARTMENT, LOCAL HOSPITALS, LOCAL AND NATIONAL COMMUNITY HEALTH ORGANIZATIONS AND OTHER LOCAL HEALTHY LIFESTYLE PROGRAMS. WE SYNERGIZE AS A GROUP WORKING TOWARD OUR IDENTIFIED SHIP (STATE HEALTH IMPROVEMENT PROCESS INITIATIVES) IN ADDITION TO SHARING WITH EACH OTHER OUR PROGRAM SUCCESSES AND SOMETIMES FAILURES. THE DIVERSITY OF THE PARTICIPANTS AND THE DYNAMICS OF THIS PARTICULAR GROUP ALLOW US TO KEEP A BETTER PULSE ON THE NEEDS OF THE COMMUNITY WITH CONTRIBUTES TO PLANNING AND FORMULATION OF TACTICS TO MEET LOCAL HEALTH OBJECTIVES. PENINSULA REGIONAL CLINICIANS AND EXECUTIVES ATTEND VARIOUS PUBLIC MEETINGS AS REQUESTED BY EITHER ENTITY AS WE EXCHANGE COMMUNITY HEALTH IDEAS, DATA OR BRING RESOURCES TO BEAR THAT BOTH PARTIES CAN BENEFIT FROM. AS MENTIONED EARLIER, IN JUNE 2016, PENINSULA REGIONAL MEDICAL CENTER PUBLISHED THEIR 2016 COMMUNITY HEALTH NEEDS ASSESSMENT. THE CHNA WAS DEVELOPED AFTER CAREFUL REVIEW OF EXTENSIVE SECONDARY DATA, INPUT FROM KEY INFORMATS INCLUDING THE HEALTH OFFICERS FROM WICOMICO, WORCESTER AND SOMMERSET COUNTIES. ALSO, PENINSULA REGIONAL HAS KICKED OFF A "LIVE WELL" COMMUNITY CAMPAIGN THAT SPANS SEVERAL YEARS AND WILL ADDRESS AND PROMOTE HEALTH LIFESTYLE CHOICES WITH A NEW MONTHLY THEME. A LIVE WELL DELMARVA WEBSITE WAS LAUNCHED THAT EMBODIES THE SPIRIT OF CARE/COACH/CONNECT, WHERE PRMC WILL CARE FOR YOU, COACH YOU TO WELLNESS AND CONNECT YOU WITH THE RIGHT PROVIDERS THE SITE PROVIDES INFORMATION ON HEALTHY LIFESTYLE CHOICES WITH LOCAL AND REGIONAL INFORMATION SUCH AS "FARM TO TABLE" IN-SEASON FRESH FRUITS AND VEGETABLES, INCLUDING NUTRITIONAL RECIPES. THE IMPORTANCE OF EXERCISE AND NUTRITION IS A THEME THAT IS WOVEN THROUGHOUT, WITH LISTINGS OF FREE SCREENINGS AND EVENTS FOR THE COMMUNITY THAT INCLUDE FREE SKIN CANCER SCREENINGS, LIVE WELL HEALTH FEST EVENT, FREE HEART SCREENINGS, BABIES HEALTH STARTS, DRIVE-THRU FLU CLINIC, HEALTH TIPS AND CANCER SURVIVORSHIP CELEBRATIONS. THE WEBSITE ALSO ADDRESSES REGIONAL HEALTH ISSUES NATIVE TO THE EASTERN SHORE. TIPS AND CANCER SURVIVORSHIP CELEBRATIONS. THE WEBSITE ALSO ADDRESSES REGIONAL HEALTH ISSUES NATIVE TO THE EASTERN SHORE.
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	$712,976	$0	$207,644	$0	$15,455	$0	$153,909	$0	$13,855	$0	$1,103,839	$0	$0	$0
Lura Lunsford
VP of Operations	$392,302	$0	$123,903	$0	$1,218	$0	$79,550	$0	$13,855	$0	$610,828	$0	$0	$0
Bruce I Ritchie
CFO	$428,416	$0	$92,988	$0	$1,218	$0	$95,218	$0	$22,256	$0	$640,096	$0	$0	$0
Charles Silvia Jr MD
VP - Chief Medical Officer	$387,405	$0	$53,479	$0	$1,218	$0	$40,332	$0	$23,834	$0	$506,268	$0	$0	$0
Sara Scott
VP People & Organization Dev.	$196,531	$0	$20,368	$0	$1,218	$0	$33,252	$0	$20,306	$0	$271,675	$0	$0	$0
Steven Leonard
VP Operation Optimization & In	$249,096	$0	$54,688	$0	$1,218	$0	$60,257	$0	$25,886	$0	$391,145	$0	$0	$0
Karen Poisker
VP Population Health	$258,519	$0	$26,913	$0	$1,218	$0	$102,530	$0	$16,355	$0	$405,535	$0	$0	$0
Thomas DeMarco MD
VP - PRMG	$320,438	$0	$32,769	$0	$1,218	$0	$10,637	$0	$16,498	$0	$381,560	$0	$0	$0
Andy Pierre MD
Physician	$643,839	$0	$62,918	$0	$26,218	$0	$23,717	$0	$15,719	$0	$772,411	$0	$0	$0
Jacek Malik MD
Physician	$647,723	$0	$140,000	$0	$1,218	$0	$24,043	$0	$10,934	$0	$823,918	$0	$0	$0
Walid El Ayass MD
Physician	$791,745	$0	$253,184	$0	$31,824	$0	$11,386	$0	$13,048	$0	$1,101,187	$0	$0	$0
James Todd MD
Physician	$704,549	$0	$35,000	$0	$8,141	$0	$74,334	$0	$17,592	$0	$839,616	$0	$0	$0
Kurt Wehberg MD
Physician	$701,255	$0	$35,000	$0	$1,218	$0	$74,009	$0	$20,092	$0	$831,574	$0	$0	$0
Mary Beth D'Amico
Fmr VP Patient Care Services	$240,619	$0	$0	$0	$1,124	$0	$0	$0	$23,386	$0	$265,129	$0	$0	$0
Daniel Mulvanny
Fmr VP General Counsel	$186,284	$0	$0	$0	$0	$0	$0	$0	$13,855	$0	$200,139	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SEVERANCE PAYMENTS MADE	SCHEDULE J, PART I, LINE 4A MARY BETH D'AMICO $224,813 DANIEL MULVANNY $186,284 Supplemental non-qualified 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 $76,923 Lura Lunsford $40,000 Bruce I. Ritchie $40,000 Steven Leonard $40,000 James Todd, M.D. $50,000 Kurt Wehberg, M.D. $50,000 PRMC Provided $34,500 in funding to Dr. Naleppa's plan on 10/19/2015.
CONTINGENT COMPENSATION	Schedule J, Part I, Line 6a & 6b 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 CONTIGENT COMPENSATION AMOUNT IS DETERMINED AND APPROVED BY THE BOARD AS PART OF THE OVERALL COMPENSATION REVIEW OF OFFICERS AND KEY EMPLOYEES. DURING CALENDAR YEAR 2015, THE FOLLOWING BONUSES WERE PAID: Margaret Naleppa $207,644 Lura Lunsford $123,903 Bruce I. Ritchie $92,988 Charles Silvia Jr, M.D. $53,479 Andy Pierre, M.D. $42,918 Jacek Malik, M.D. $50,000 Walid El Ayass, M.D. $178,184 Sara Scott $20,368 Steven Leonard $54,688 Karen Poisker $26,913 Thomas DeMarco, M.D. $32,769
NON FIXED PAYMENTS	SCHEDULE J, PART I, LINE 7 During calendar 2015, the following productivity bonuses were paid: Walid El Ayass, M.D. $75,000 James Todd, M.D. $35,000 Andy Pierre, M.D. $20,000 Jacek Malik, M.D. $90,000 Kurt Wehberg, M.D. $35,000

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	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	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)	0.00900	0.00440	0.01340	false	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.00900	0.00440	0.01340	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	YEAR OF SUBSTANTIAL COMPLETION A - 2006 PROJECTS - 2009; 1993 PROJECTS - 199_ B - 2015 PROJECTS - 201_

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
David Kerrigan MD
Trustee	$105,071	Medical Staff Fees	false
David Kerrigan MD
Trustee	$219,050	Medical Director Fees	false
David Rommel
Trustee	$609,662	Electrical/Mechanical service	false
Vel Natsan MD
Director	$37,750	Real Estate Rental	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 (21 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Form 990, Part III, Line 4 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 19,000 inpatients and provided more than 580,000 outpatient services during fiscal 2016. 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 2016 provided: -Charity and other allowances totaling $40,433,943 -Discounts to third party payors including government programs such as -Medicare and Medicaid $54,403,215 -Write-off of uncollectible accounts $11,448,645 -The total unreimbursed value of providing care to these patients is $106,285,803 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 2016 in order to foster health education in the community. -Being called upon to speak before community organizations on a variety of healthcare topics. We provide childbirth preparation classes, exercise classes for prenatal and postpartum women and CPR classes. -We provide assistance to educators through our work with student nurses, radiology, respiratory and laboratory technicians. During FY 2016, Peninsula Regional Medical Center volunteers contributed over 30,500 hours toward the common purpose of servicing the health care of the community. During FY 2016, Peninsula Regional Medical Center performed over 600 community outreach activities. Specific examples of education and outreach programs, support groups, community health screenings, and fitness and wellness activities supported by Peninsula Regional Medical Center are as follows: Community Educational and Outreach Programs: - Labor & Delivery Tours (exclusive of Childbirth Class Tours) - CPR - Childbirth Preparation Classes - Refresher Course - Childbirth - Infant Care Classes - Grandparent Classes - Safe Sitter Program - Women's Health Education Support Groups: - Diabetes Support Groups - 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, Line 2 Margaret Naleppa, Martin Neat, Ryan McLaughlin, Herbert Geary III, 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, PRMCs CFO, also serves as Secretary/Treasurer of Peninsula Health Ventures.
MEMBERS OR STOCKHOLDERS	FORM 990, PART VI, 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, Line 7A Member's ability to elect members of the governing body in its capacity as the sole corporate member of the medical center, Peninsula Regional Health System has the ability to elect members of the medical center's governing body.
DECISIONS SUBJECT TO APPROVAL	FORM 990, PART VI, LINE 7B Decisions subject to approval by members as the sole corporate member, Peninsula Regional Health System has the ability to approve major expenditures and long term borrowings of the medical center.
FORM 990 REVIEW PROCESS	Form 990, Part VI, 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, 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 OCCURED 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, Line 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, Line 19 The organization's governing documents, conflict of interest policy and financial statements are available to the public upon request to the public information office of Peninsula Regional Medical Center at 100 East Carroll Street, Salisbury, MD 21801
Other Changes in Net Assets	Form 990, Part XI, Line 9 Pension Adjustment - FAS 158 $(16,514,259) Partnership Income - Tax Adjustment $(502,722) Contribution from Foundation $(270,791) Other Contributions $(250,000) Change in Net Assets Endowment $1,278,255 --------------- Total $ (16,259,517)
FORM 990 PART IX LINE 11G	DESCRIPTION:TECHNICAL PROFESSIONAL FEES TOTAL FEES:8070933
FORM 990 PART IX LINE 11G	DESCRIPTION:REFERENCE LAB WORK TOTAL FEES:1990286
FORM 990 PART IX LINE 11G	DESCRIPTION:MEDICAL STAFF ADMINISTRATION TOTAL FEES:75000
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:24181675
FORM 990 PART IX LINE 11G	DESCRIPTION:LICENSES AND TAXES TOTAL FEES:526536
FORM 990 PART IX LINE 11G	DESCRIPTION:COLLECTION FEES TOTAL FEES:859433
FORM 990 PART IX LINE 11G	DESCRIPTION:TEMPORARY LABOR TOTAL FEES:6467001
FORM 990 PART IX LINE 11G	DESCRIPTION:PEST CONTROL TOTAL FEES:45116
FORM 990 PART IX LINE 11G	DESCRIPTION:TRASH PICKUP TOTAL FEES:296027
FORM 990 PART IX LINE 11G	DESCRIPTION:RECRUITMENT EXPENSE TOTAL FEES:276379
FORM 990 PART IX LINE 11G	DESCRIPTION:EMPLOYEE MOVING EXPENSE TOTAL FEES:31946
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN CONTRACTED SERVICES TOTAL FEES:9291428

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 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
Peninsula Regional Medical Center Fdn
100 East Carroll Street	Salisbury	MD	21801	521851935	Fundraising	MD	501(c)(3)	11 TYPE I	PRHS	false
Peninsula Regional Health System (PRHS)
100 East Carroll Street	Salisbury	MD	21801	522132761	Parent	MD	501(c)(3)	11-II	NA	false
Peninsula General Hospital INS Trust
100 East Carroll Street	Salisbury	MD	21801	526321234	Insurance	MD	501(c)(3)	11 TYPE III	PRHS	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Delmarva Surg Ctr	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	641 S Salisbury	AddressLine1Txt
City	Salisbury	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21801	ZIPCd

Field	Value	IRS element (for citing)
EIN	522251436	EIN
Primary Activities	Healthcare	PrimaryActivitiesTxt
Legal Domicile State	MD	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	N/A	PredominantIncomeTypeTxt

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
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
Delmarva Peninsula Insurance Company
				981110617	Insurance		PRMC	C Corp	PO Box 1159 KY1-1102	Grand Cayman	CJ	CJ	$0	$21,366,150	1.00000	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	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	$2,503,417	InvolvedAmt
Method Of Amount Determination	FMV	MethodOfAmountDeterminationTxt