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TIDALHEALTH PENINSULA REGIONAL INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
TIDALHEALTH PENINSULA REGIONAL INC (EIN 52-0591628)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-04-29
IRS object ID
201531199349301173
Schema version
2013v4.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2015-04-29T14:25:25-05:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Grant Thornton LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12010 CORPORATE RIDGE SUITE 400AddressLine1
CityMCLEANCity
StateVAState
ZIP Code22102ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN520591628EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Peninsula Regional Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of% JIM GREGORYInCareOfNm
Business Name ControlPENIBusinessNameControlTxt
Phone4105466400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 East Carroll StreetAddressLine1
Address Line2SuiteAddressLine2
CitySalisburyCity
StateMDState
ZIP Code21801ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBRUCE RITCHIEPersonNm
Person TitleCFOPersonTitleTxt
Phone4109124979PhoneNum
Signature2015-04-28SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMary TorrettaPreparerPersonNm
PTINP00847851PTIN
Phone4109124979PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMargaret Naleppa CEOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 East Carroll StreetAddressLine1
CitySalisburyCity
StateMDState
ZIP Code21801ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$528,820,045GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.peninsula.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1897FormationYr
Legal Domicile StateMDLegalDomicileStateCd
Activity Or MissionImprove the health of the communities we serve.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee3212TotalEmployeeCnt
Total Volunteers189TotalVolunteersCnt
Total Gross UBI$2,477,051TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$85,989NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$593,132PYContributionsGrantsAmt
CY Contributions Grants$476,043CYContributionsGrantsAmt
PY Program Service Revenue$382,051,695PYProgramServiceRevenueAmt
CY Program Service Revenue$389,447,738CYProgramServiceRevenueAmt
PY Investment Income$13,735,595PYInvestmentIncomeAmt
CY Investment Income$22,081,011CYInvestmentIncomeAmt
PY Other Revenue$858,548PYOtherRevenueAmt
CY Other Revenue$729,289CYOtherRevenueAmt
PY Total Revenue$397,238,970PYTotalRevenueAmt
CY Total Revenue$412,734,081CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$189,253,691PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$190,652,104CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$503,544CYTotalFundraisingExpenseAmt
PY Other Expenses$197,278,315PYOtherExpensesAmt
CY Other Expenses$193,374,899CYOtherExpensesAmt
PY Total Expenses$386,532,006PYTotalExpensesAmt
CY Total Expenses$384,027,003CYTotalExpensesAmt
PY Revenues Less Expenses$10,706,964PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$28,707,078CYRevenuesLessExpensesAmt
Total Assets BOY$525,513,661TotalAssetsBOYAmt
Total Assets EOY$585,875,889TotalAssetsEOYAmt
Total Liabilities BOY$187,252,460TotalLiabilitiesBOYAmt
Total Liabilities EOY$182,269,635TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$338,261,201NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$403,606,254NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionIMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$345,078,830ExpenseAmt
Grant$0GrantAmt
Revenue$387,768,807RevenueAmt
DescSEE SCHEDULE O.Desc
Total Program Service Expenses$345,078,830TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficeYes (true)ForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document248IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee3212EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMDStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNCStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJIM GREGORYPersonNm
Phone4109124979PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Margaret Naleppa
President/CEO40.01.0Yes (X)Yes (X)$1,313,451$0$133,270
Martin Neat
Immediate Past Chairman10.01.0Yes (X)$22,500$0$0
Herbert J Geary III
Treasurer1.01.0Yes (X)Yes (X)$0$0$0
Michael Crouch MD
Board Member (07/13-10/13)1.01.0Yes (X)$0$0$0
Murray K Hoy
Board Member1.01.0Yes (X)$0$0$0
Christjon J Huddleston MD
Board Member1.01.0Yes (X)$0$0$0
Cynthia Holloway
Board Member (07/13-04/14)1.01.0Yes (X)$0$0$0
Marion Keenan
Board Member1.01.0Yes (X)$0$0$0
DebORAH Abbott
Secretary1.01.0Yes (X)Yes (X)$0$0$0
Thomas Coates
Board Member1.01.0Yes (X)$0$0$0
Edward W Urban
Board Member (07/13-10/13)1.01.0Yes (X)$0$0$0
William McCain
Chairman1.01.0Yes (X)Yes (X)$7,500$0$0
Monty Sayler
Vice-Chairman1.01.0Yes (X)Yes (X)$0$0$0
Thomas Riccio MD
Board Member1.01.0Yes (X)$0$0$0
Timothy Benning
Board Member (10/13-06/14)1.01.0Yes (X)$0$0$0
Farouk A Sultani MD
Board Member (7/13-10/13)1.01.0Yes (X)$0$0$0
David Rommel
Board Member (10/13-06/14)1.02.0Yes (X)
William Todd MD
Board Member (01/14-06/14)1.02.0Yes (X)$0$0$0
Ryan McLaughlin
Board Member1.01.0Yes (X)
Lura Lunsford
VP of Operations40.00.0Yes (X)$432,792$0$88,602
Bruce I Ritchie
CFO40.00.0Yes (X)$475,610$0$113,542
CHARLES SILVIA JR MD
VP - CHIEF MEDICAL OFFICER40.00.0Yes (X)$439,319$41,855
MARY BETH D'AMICO
VP PATIENT CARE SERVICES40.00.0$213,504$34,386Yes (X)
SARA SCOTT
VP PEOPLE & ORGANIZATION DEV.40.00.0$212,617$46,063Yes (X)
STEVEN LEONARD
VP OPERATION OPTIMIZATION & IN40.00.0$241,132$83,393Yes (X)
KAREN POISKER
VP POPULATION HEALTH40.00.0$273,308$110,647Yes (X)
DANIEL MULVANNY
VP - GENERAL COUNSEL40.00.0$329,747$55,462Yes (X)
Paul Zorsky MD
Physician40.00.0$715,850$26,283Yes (X)
Andy Pierre MD
Physician40.00.0$776,654$33,240Yes (X)
Jacek Malik MD
Physician40.00.0$789,451$35,051Yes (X)
Daniel Daniels MD
Physician40.00.0$724,513$24,422Yes (X)
Halim Charbel MD
Physician40.00.0$763,966$12,363Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,731,914TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$838,579TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K195IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
HORIZON CSA
265 PIT RDMOORESVILLENC28115BIOMEDICAL SERVICES$5,368,933
SLEEP WAVES INC
873 BALTIMORE PIKE STE 345KENNETT SQUAREPA19348SLEEP LAB SERVICES$2,688,000
SHERIDAN ANESTHESIA OF MD
PO BOX 452197SUNRISEFL33323ANESTHESIA SERVICES$2,039,858
MAYO COLLABORATIVE SERVICES
PO BOX 9146MINNEAPOLISMN55480MEDICAL SERVICES$1,423,222
ASSOCIATES IN RADIATION MEDICINE
4901 TESLA DR STE ABOWIEMD20715MEDICAL SERVICES$1,188,764
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K70CntrctRcvdGreaterThan100KCnt
Related Organizations$49,365RelatedOrganizationsAmt
Government Grants$57,000GovernmentGrantsAmt
All Other Contributions$369,678AllOtherContributionsAmt
Total Contributions$476,043TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICES621500$387,912,437$387,153,975$758,462
AMBULATORY PHARMACY900099$1,535,301$1,535,301
FieldValueIRS element (for citing)
Total Program Service Revenue$389,447,738TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,265,925TotalRevenueColumnAmt
Unrelated Business Revenue-$16,712UnrelatedBusinessRevenueAmt
Exclusion$5,282,637ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$84,724RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$174,064RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$89,340RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$89,340TotalRevenueColumnAmt
Exclusion-$89,340ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$132,452,846SecuritiesAmt
Other$274,140OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$115,897,228SecuritiesAmt
Other$14,672OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$16,555,618SecuritiesAmt
Other$259,468OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,815,086TotalRevenueColumnAmt
Exclusion$16,815,086ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
CAFETERIA722210$614,832$614,832
MANAGEMENT FEES561000$200,000$200,000
ALL OTHER REVENUE900099$3,797$3,797
FieldValueIRS element (for citing)
Other Revenue Total$818,629OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$412,734,081TotalRevenueColumnAmt
Related Or Exempt Func Income$387,768,807RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,477,051UnrelatedBusinessRevenueAmt
Exclusion$22,012,180ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,944,218TotalAmt
Program Services$1,750,018ProgramServicesAmt
Management And General$189,731ManagementAndGeneralAmt
Fundraising$4,469FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$148,434,528TotalAmt
Program Services$133,652,421ProgramServicesAmt
Management And General$14,485,345ManagementAndGeneralAmt
Fundraising$296,762FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$9,811,906TotalAmt
Program Services$8,831,836ProgramServicesAmt
Management And General$957,519ManagementAndGeneralAmt
Fundraising$22,551FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$20,432,094TotalAmt
Program Services$18,380,048ProgramServicesAmt
Management And General$2,005,137ManagementAndGeneralAmt
Fundraising$46,909FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$10,029,358TotalAmt
Program Services$9,138,101ProgramServicesAmt
Management And General$874,306ManagementAndGeneralAmt
Fundraising$16,951FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$838,732TotalAmt
Management And General$838,732ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$206,385TotalAmt
Management And General$206,385ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$26,423TotalAmt
Program Services$26,423ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,367,593TotalAmt
Management And General$1,367,593ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$39,061,276TotalAmt
Program Services$25,290,362ProgramServicesAmt
Management And General$13,729,107ManagementAndGeneralAmt
Fundraising$41,807FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$422,925TotalAmt
Program Services$273,824ProgramServicesAmt
Management And General$148,648ManagementAndGeneralAmt
Fundraising$453FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$100,472,235TotalAmt
Program Services$98,882,942ProgramServicesAmt
Management And General$1,523,230ManagementAndGeneralAmt
Fundraising$66,063FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$810,593TotalAmt
Program Services$798,618ProgramServicesAmt
Management And General$11,785ManagementAndGeneralAmt
Fundraising$190FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,113,502TotalAmt
Program Services$4,113,502ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$292,172TotalAmt
Program Services$220,746ProgramServicesAmt
Management And General$65,276ManagementAndGeneralAmt
Fundraising$6,150FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$39,736TotalAmt
Program Services$39,736ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,989,891TotalAmt
Program Services$5,989,891ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$22,605,993TotalAmt
Program Services$22,559,899ProgramServicesAmt
Management And General$46,094ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,809,171TotalAmt
Program Services$326,949ProgramServicesAmt
Management And General$1,482,222ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
BAD DEBTS$14,313,694$14,313,694
DUES$508,264$168,480$339,076$708
OTHER EXPENSES$496,314$321,340$174,443$531

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$384,027,003TotalAmt
Program Services$345,078,830ProgramServicesAmt
Management And General$38,444,629ManagementAndGeneralAmt
Fundraising$503,544FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$653,349BOYAmt
EOY$1,991,438EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$18,467,868BOYAmt
EOY$25,272,529EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$36,976,172BOYAmt
EOY$38,407,998EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,148,121BOYAmt
EOY$9,208,496EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,596,743BOYAmt
EOY$5,234,547EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$492,351,587LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$289,015,241LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$207,842,491BOYAmt
EOY$203,336,346EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$176,347,198BOYAmt
EOY$209,601,997EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$72,481,719BOYAmt
EOY$92,822,538EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$525,513,661BOYAmt
EOY$585,875,889EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$20,131,916BOYAmt
EOY$16,261,817EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$128,009,466BOYAmt
EOY$124,686,859EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$30,000BOYAmt
EOY$15,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$39,081,078BOYAmt
EOY$41,305,959EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$187,252,460BOYAmt
EOY$182,269,635EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$312,179,653BOYAmt
EOY$375,152,248EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$17,998,482BOYAmt
EOY$20,361,044EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,083,066BOYAmt
EOY$8,092,962EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$338,261,201BOYAmt
EOY$403,606,254EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$525,513,661BOYAmt
EOY$585,875,889EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$28,707,078ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$15,086,233NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$21,551,742OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
Form4720 FiledfalseForm4720FiledInd
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$26,423OtherActivitiesAmt
Total Lobbying Expenditures$26,423TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceOTHER ACTIVITIESFormAndLineReferenceDesc
ExplanationOTHER ACTIVITIES PART II-B, LINE 1I PENINSULA REGIONAL MEDICAL CENTER does not engage in any direct lobbying activities. The organization 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 6.22% and 23.65% 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

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$28,295,999BeginningYearBalanceAmt
Contributions$105,500ContributionsAmt
Investment Earnings Or Losses$6,047,698InvestmentEarningsOrLossesAmt
Administrative Expenses$257,805AdministrativeExpensesAmt
End Year Balance$34,191,392EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$25,231,843BeginningYearBalanceAmt
Contributions$206,865ContributionsAmt
Investment Earnings Or Losses$3,074,487InvestmentEarningsOrLossesAmt
Administrative Expenses$217,196AdministrativeExpensesAmt
End Year Balance$28,295,999EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.50750BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.49100PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00150TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$221,070,459OtherCostOrOtherBasisAmt
Depreciation$74,130,404DepreciationAmt
Book Value$146,940,055BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$246,787,457OtherCostOrOtherBasisAmt
Depreciation$208,194,459DepreciationAmt
Book Value$38,592,998BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,857,282OtherCostOrOtherBasisAmt
Depreciation$6,690,378DepreciationAmt
Book Value$7,166,904BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$203,336,346TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDescBook ValueBookValueAmt
INVESTMENT IN PARTNERSHIPS$2,113,005
UNAMORTIZED FINANCING COSTS$2,156,384
OTHER ASSETS$11,299,740
DEBT SERVICE RESERVE FUND$9,266,926
DONOR RESTRICTED FUND$28,610,389
SELF INSURANCE FUND$17,151,850
BOARD DESIGNATED INVESTMENTS$22,224,244
FieldValueIRS element (for citing)
Total Book Value Other Assets$92,822,538TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
ADVANCES FROM THIRD PARTY PAYORS$9,220,834
ACCRUED SELF INSURANCE LIABILITY$13,519,472
OTHER LIABILITIES$3,623,359
EMPLOYEE COMPENSATION RELATED PAYROLL TAXES$14,942,294
FieldValueIRS element (for citing)
Total Liability$41,305,959TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$414,842,531TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$15,086,233NetUnrealizedGainsInvstAmt
Other Revenue-$11,460,825OtherRevenueAmt
Revenue Not Reported$3,625,408RevenueNotReportedAmt
Revenue Subtotal$411,217,123RevenueSubtotalAmt
Investment Expenses Not Incld$1,367,593InvestmentExpensesNotIncldAmt
Other Revenues Not Included$149,365OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,516,958RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$412,734,081TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$382,484,109TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$174,064OtherExpensesIncludedAmt
Expenses Not Reported$174,064ExpensesNotReportedAmt
Expenses Subtotal$382,310,045ExpensesSubtotalAmt
Investment Expenses Not Incld2$1,367,593InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$349,365OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,716,958ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$384,027,003TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Intended Use of Endowment FundsSchedule 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 STATEMENTSSCHEDULE D, PART XI, LINE 2D BAD DEBT EXPENSES $(14,313,694) RENT EXPENSES 174,064 PARTNERSHIP K-1 INCOME - TAX DIFFERENCES 2,678,805 -------------- $(11,460,825) SCHEDULE D, PART XI, LINE 4B FOUNDATION CONTRIBUTIONS $ 149,365 SCHEDULE D, PART XII, LINE 2D RENT EXPENSES $ 174,064 SCHEDULE D, PART XII, LINE 4D FOUNDATION CONTRIBUTIONS $ 149,365 MANAGEMENT FEES RECLASSED FROM EXPENSES 200,000 ----------- $ 349,365

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegionTxt
Offices1OfficesCnt
Employee1EmployeeCnt
Type Of Activities ConductedINVESTMENTSTypeOfActivitiesConductedTxt
Region Total Expenditures$3,353,720RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices1SubtotalOfficesCnt
Subtotal Employees1SubtotalEmployeesCnt
Total Office1TotalOfficeCnt
Total Employee1TotalEmployeeCnt
Subtotal Spent$3,353,720SubtotalSpentAmt
Total Spent$3,353,720TotalSpentAmt
Transfer To Foreign CorpYes (true)TransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceACTIVITIES PER REGIONFormAndLineReferenceDesc
ExplanationSchedule F, Part IV THE AMOUNTS IN COLUMN F WERE DETERMINED USING AN ACCRUAL METHOD OF ACCOUNTING. THE ENTIRE $3,353,720 REPRESENTS A CAPTIVE INSURANCE INVESTMENT.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,133,985TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$15,133,985NetCommunityBenefitExpnsAmt
Total Expense0.04110TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,133,985TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$15,133,985NetCommunityBenefitExpnsAmt
Total Expense0.04110TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served50702PersonsServedCnt
Total Community Benefit Expns$1,901,590TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$295,363DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,606,227NetCommunityBenefitExpnsAmt
Total Expense0.00440TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Persons Served354PersonsServedCnt
Total Community Benefit Expns$500,816TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,079DirectOffsettingRevenueAmt
Net Community Benefit Expns$472,737NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served85686PersonsServedCnt
Total Community Benefit Expns$35,335,095TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,660,493DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,674,602NetCommunityBenefitExpnsAmt
Total Expense0.05070TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Persons Served3425PersonsServedCnt
Total Community Benefit Expns$132,129TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$132,129NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Persons Served140167PersonsServedCnt
Total Community Benefit Expns$37,869,630TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,983,935DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,885,695NetCommunityBenefitExpnsAmt
Total Expense0.05680TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Persons Served140167PersonsServedCnt
Total Community Benefit Expns$53,003,615TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,983,935DirectOffsettingRevenueAmt
Net Community Benefit Expns$36,019,680NetCommunityBenefitExpnsAmt
Total Expense0.09790TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$198TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$198NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,600TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,600NetCommunityBenefitExpnsAmt

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$137,587TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$137,587NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$90,106TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$90,106NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$236,491TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$236,491NetCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$14,313,694BadDebtExpenseAmt
Reimbursed By Medicare$229,438,037ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$217,060,260CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$12,377,777MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Peninsula Regional Medical CenterBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 E Carroll StreetAddressLine1
CitySalisburyCity
StateMDState
ZIP Code21801ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Peninsula Regional Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.PENINSULA.ORGOwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Exec Community Wide PlanYes (X)ExecCommunityWidePlanInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs AddressedfalseAllNeedsAddressedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (true)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (true)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care300.FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (true)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Asset LevelYes (X)AssetLevelInd
Medical IndigencyYes (X)MedicalIndigencyInd
Medicaid MedicareYes (X)MedicaidMedicareInd
State RegulationYes (X)StateRegulationInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Attached To InvoiceYes (X)AttachedToInvoiceInd
Posted In Emergency RoomYes (X)PostedInEmergencyRoomInd
Posted In Admission OfficeYes (X)PostedInAdmissionOfficeInd
Provided On AdmissionYes (X)ProvidedOnAdmissionInd
Available On RequestYes (X)AvailableOnRequestInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Medicare RatesYes (X)MedicareRatesInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Other Method used in determining eligibility for financial assistanceSchedule H, Part I, Line 3c N/A - Peninsula Regional Medical Center uses the FPG in determining eligibility for financial assistance. Community Benefit Report Schedule H, Part I, Line 6a PENINSULA REGIONAL MEDICAL CENTER FILES ANNUALLY A COMMUNITY BENEFIT REPORT WITH THE STATE OF MARYLAND. THE REPORT IS FILED WITH THE HSCRC (HEALTH SERVICES COST REVIEW COMMISSION). Executive Summary - Community Benefit Report - FY2014 Peninsula Regional's FY2014 Community Benefits Narrative Report which was submitted to the Health Services Cost Review Commission (HSCRC) is broken into three sections. The report provides the types and scope of community benefit activities including our previously filed Community Health Needs Assessment & Implementation Plan. From a review of the data, Peninsula Regional has identified several health priority areas and developed an implementation plan. One area is Diabetes the other Obesity - our goal better manage diabetes and reduce obesity through creating awareness, education and management of these chronic diseases in our primary service area. There is a team that meets quarterly to evaluate the implementation plan. The Report is made up of the following six sections differentiated by blue paper. This report is now entered electronically online through the internet (Note: a printer friendly version is not available and page numbers sometimes do not follow sequential order throughout the entire report.) 1.) Section I - General Hospital Demographics and Characteristics 2.) Section II - Community Health Needs Assessment 3.) Section III- Community Benefit Administration 4.) Section IV- Hospital Community Benefit Program and Initiatives 5.) Section V- Physicians 6.) Section VI- Appendices Last Page- Community Activities Summary The difference in total community benefit dollars comparing FY2013 to FY2014: FY 2013 - $40,401,235 FY 2014 - $35,900,136 Difference - $ 4,501,099 Reduction of 4.5 Million is due to: 1. Reduction in Charity Care of 3.4 Million. 2. The other 1.1 Million reductions are due to: a. 336 plan through b. Reduction in clinical interns pt, ot, st and predominately nursing
Financial Assistance and Certain Other Community Benefits at CostSchedule H, Part I, Line 7 Part I, Line 7, Column (F)- THE AMOUNT OF BAD DEBT EXPENSE EXCLUDED FROM THE DENOMINATOR IN THE COLUMN (F) PERCENTAGES IS $14,313,694. 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.
Methodology Used to esimated Bad Debt expenseSchedule 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 provides services to patients in the Eastern Shore area of Maryland, Delaware and Virginia, the majority of whom are covered by third-party health insurance. The Hospital bills the insurer directly for services provided. Insurance coverage and financial information is obtained from patients upon admission when available. The Hospital's policy is to perform in-house collection procedures for approximately 85 days. A determination is made at that time as to what additional collection efforts to pursue. A provision for uncollectible accounts is recorded for amounts not yet written off, which are expected to become uncollectible. Discounts ranging from 2% to 6% of charges are given to Medicare, Medicaid and certain approved commercial health insurance and health maintenance organization programs for regulated services. Discounts in varying percentages are given for certain unregulated services. These major payors routinely review patient billings and deny payment for certain charges as medically unnecessary or as performed without appropriate preauthorization. Discounts and denials are recorded as reductions of net patient service revenue. Accounts receivable from these third-party payors have been adjusted to reflect the difference between charges and the estimated reimbursable amounts. Approximately 36% and 38%, respectively, of accounts receivable were due from the Medicare program as of June 30, 2014 and 2013, 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 MethodologySchedule 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, 2014.
Collection PolicySchedule 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.
Needs Assessment - Promotion of Community HealthSchedule 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. THESE SURVEYS, ADMINISTERED BY PROFESSIONAL RESEARCH CONSULTANTS (PRC) OF OMAHA, NEBRASKA WERE ADMINISTERED IN 1995, 2000, 2004 AND 2009. IN ADDITION TO THESE ADULT SURVEYS, A SEPARATE ADOLESCENT SURVEY WAS CONDUCTED IN 2000, 2005, AND 2010. RESULTS OF THESE SURVEYS ARE USED BY THE PARTICIPANTS TO ASSESS COMMUNITY HEALTH NEEDS AND PLAN FUTURE SERVICES. OF PARTICULAR NOTE WAS THE DEVELOPMENT OF THE TRI-COUNTY DIABETES ALLIANCE, WHICH IS A COOPERATIVE VENTURE BETWEEN ALL THE PARTNERS AND COMMUNITY AGENCIES TO REDUCE THE INCIDENCES OF DIABETES IN THE TRI-COUNTY AREA. OTHER OUTCOMES RESULTING FROM THE SURVEY FINDINGS INCLUDE SMOKING CESSATION PROGRAMS, OTHER EARLY DETECTION AND SCREENING PROGRAMS FOR HEART AND CANCER, AS WELL AS HEALTH PROMOTION AND EDUCATION WITH A FOCUS ON PREVENTION. THE PRC COMMUNITY HEALTH ASSESSMENT IS A SYSTEMATIC, DATA-DRIVEN APPROACH TO DETERMINING THE HEALTH STATUS, BEHAVIORS AND NEEDS OF OUR COMMUNITY RESIDENTS. SURVEY RESULTS ARE SHARED WITH THE COMMUNITY AND ARE POSTED TO THE PARTICIPANTS WEBSITES. THIS COMMUNITY HEALTH ASSESSMENT SERVES AS A TOOL TOWARDS REACHING THE FOLLOWING THREE GOALS: 1. TO IMPROVE RESIDENTS' HEALTH STATUS, INCREASE THEIR LIFE SPANS, AND ELEVATE THEIR OVERALL QUALITY OF LIFE. 2. REDUCE THE HEALTH DISPARITIES AMONG RESIDENTS BY GATHERING DEMOGRAPHIC INFORMATION ALONG WITH HEALTH STATUS AND BEHAVIOR DATA. 3. TO INCREASE ACCESSIBILITY TO PREVENTIVE SERVICES FOR ALL COMMUNITY RESIDENTS.
Patient Education of Eligibility for AssistanceSchedule 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.
Community InformationSchedule 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, 2013 THESE COUNTIES CONTRIBUTED APPROXIMATELY 77 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 21 PERCENT OF THE MEDICAL CENTER'S TOTAL DISCHARGES DURING THE SAME TIME PERIOD. PATIENTS DISCHARGED FROM THE FOLLOWING GEOGRAPHICAL AREAS: AREA 2014 DISCHARGES % --------------------------------------------------------- WICOMICO 9,794 49.3% WORCESTER 3,338 16.8% SOMERSET 2,135 10.7% DORCHESTER, TALBOT,CAROLINE 618 3.1% DELAWARE 2,317 11.7% VIRGINIA 1,250 6.3% ALL OTHERS 431 2.1% ------ ------ TOTAL 19,883 100.0% SOURCE: PENINSULA REGIONAL MEDICAL CENTER, FINANCIAL AND STATISTICAL REPORT, JUNE 30, 2014. BETWEEN 2009 AND 2014, THE MEDICAL CENTER'S PRIMARY SERVICE AREA (WICOMICO, WORCESTER AND SOMERSET COUNTIES, MARYLAND) IS EXPECTED TO GROW 5.3 PERCENT OR SLIGHTLY MORE THAN 1 PERCENT PER YEAR. MUCH OF THIS GROWTH WILL BE EXPERIENCED IN WICOMICO COUNTY AT A RATE OF 6.8 PERCENT FOLLOWED BY WORCESTER COUNTY AT 3.4 PERCENT AND SOMERSET COUNTY AT 3.3 PERCENT. IN THE MEDICAL CENTER'S SECONDARY SERVICE AREA (DORCHESTER COUNTY, MARYLAND, SUSSEX COUNTY, DELAWARE, AND ACCOMACK COUNTY, VIRGINIA) THE POPULATION IS EXPECTED TO GROW 8 PERCENT OR 1.6 PERCENT PER YEAR OVER THE SAME TIME PERIOD. MOST OF THIS GROWTH (10.2 PERCENT) IS EXPECTED TO OCCUR IN SUSSEX COUNTY, DELAWARE. (10.2 PERCENT) IS EXPECTED TO OCCUR IN SUSSEX COUNTY, DELAWARE.
Promotion of Community HealthSchedule H, Part VI, Line 5 PENINSULA REGIONAL MEDICAL CENTER IS COMMITTED TO THE HEALTH OF THE RURAL COMMUNITIES IT SERVES. IN FY 2013, THE HOSPITAL'S CHARITY CARE INCREASED 19.3% ($18,575,221 TO $22,153,022) FROM THE PREVIOUS YEAR. IN ADDITION, COMBINED CHARITY AND BAD DEBT FOR FY 2014 WAS $14,313,694. THE HEALTH OF THE COMMUNITY IS THE HOSPITAL'S MISSION PROVIDING QUALITY HEALTHCARE AND EASE OF ACCESS FOR A RURAL POPULATION. TO THAT END, THE HOSPITAL HAS ESTABLISHED 9 PRIMARY CARE PHYSICIAN SATELLITE OFFICES LOCATED STRATEGICALLY THROUGHOUT THE SERVICE AREA. THESE SATELLITE LOCATIONS ADDRESS THE SPECIFIC DISEASES THAT ARE INDIGENT TO THESE RURAL AREAS. BASED ON THE INFORMATION GATHERED THROUGH THE MOST RECENT COMMUNITY HEALTH ASSESSMENT AND THE GUIDELINES SET FORTH IN HEALTHY PEOPLE 2010, THE FOLLOWING "HEALTH PRIORITIES" REPRESENT A SIGNIFICANT OPPORTUNITY FOR HEALTH IMPROVEMENT WHICH ARE BEING ADDRESSED BY THE HOSPITAL, PHYSICIAN SATELLITE OFFICES AND THE COUNTY HEALTH DEPARTMENTS: - DIABETES (AS A RESULT OF THE COMMUNITY HEALTH ASSESSMENT SURVEY, A TRI-COUNTY DIABETES ALLIANCE WAS ESTABLISHED TO HELP EDUCATE, CREATE AWARENESS, AND IMPROVE THE HEALTH OF PEOPLE WITH DIABETES AND THOSE AT RISK FOR DEVELOPING DIABETES) WWW.TRIDIABETES.ORG - HEART DISEASE & STROKE - NUTRITION - ACCESS TO HEALTH CARE SERVICES IN ADDITION TO THESE AREAS, THERE ARE MULTIPLE OTHER PRIORITIES AND CONTRIBUTING FACTORS THAT EACH PARTNER ASSESSED IN CONJUNCTION WITH THIS SURVEY. IN IDENTIFYING PRIORITIES FOR COMMUNITY ACTION AND DESIGNING STRATEGIES FOR IMPLEMENTATION, A NUMBER OF CRITERIA WERE APPLIED TO THE CONSIDERATION PROCESS, INCLUDING: - IMPACT: THE DEGREE TO WHICH THE ISSUE AFFECTS OR EXACERBATES OTHER QUALITY OF LIFE AND HEALTH-RELATED ISSUES. - MAGNITUDE: THE NUMBER OF PERSONS AFFECTED, ALSO TAKING INTO ACCOUNT VARIANCE FROM BENCHMARK DATA AND YEAR 2010 TARGETS. - SERIOUSNESS: THE DEGREE TO WHICH THE PROBLEM LEADS TO DEATH, DISABILITY OR IMPAIRS ONE'S QUALITY OF LIFE. - FEASIBILITY: THE ABILITY OF ORGANIZATIONS TO REASONABLY IMPACT THE ISSUE, GIVEN AVAILABLE RESOURCES. - CONSEQUENCES OF INACTION: THE RISK OF EXACERBATING THE PROBLEM BY NOT ADDRESSING AT THE EARLIEST OPPORTUNITY. EACH PARTNER WAS RESPONSIBLE FOR ENGAGING IN ACTIVITIES SPECIFIC TO THE GEOGRAPHY WITHIN WHICH THEY OPERATE. EACH PARTNER USED THE RESULTS OF THE SURVEY TO PLAN SCREENINGS AND/OR INTERVENTIONS TAILORED TO THE NEEDS OF THEIR POPULATION. PARTNERS SHARED PLANS AND COLLABORATED WHERE POSSIBLE. IN ADDITION TO THE PROGRAMS ALREADY PRESENTED, A NUMBER OF OTHER INITIATIVES FROM THE COMMUNITY HEALTH SURVEY HAVE BEEN STARTED INCLUDING: - UNDER THE PRIORITY AREA OF ACCESS TO CARE, ACCESS TO DENTAL SERVICES, PARTICULARLY FOR CHILDREN WAS IDENTIFIED. AS A RESULT, GRANTS AND GIFTS WERE RECEIVED TO EXPAND DENTAL PROGRAMS AT THE LOCAL HEALTH DEPARTMENT. - FOR HEART DISEASE, A STATE GRANT SUPPLIED THE MONEY TO DO WORK SITE WELLNESS PROGRAMS INCLUDING SCREENINGS. - FOR CANCER, MONEY FROM THE CIGARETTE RESTITUTION FUND WAS USED TO PROVIDE COLORECTAL SCREENINGS INCLUDING PREVENTION, EDUCATION, DIAGNOSIS AND TREATMENT. ADDITIONALLY, FUNDS WERE OBTAINED FROM A GRANT TO PROVIDE MAMMOGRAMS FOR LOW INCOME WOMEN. - IN TERMS OF OBESITY, A THREE YEAR FEDERAL GRANT PROVIDED FUNDS TARGETED AT AFRICAN-AMERICAN FAMILIES TO PARTICIPATE IN A PROGRAM TO MAKE LIFESTYLE CHANGES, QUIT SMOKING, CONTROL THEIR BLOOD PRESSURE, EXERCISE (THROUGH A WALKING PROGRAM) AND MEETINGS WITH A NUTRITIONIST TO MODIFY THEIR EATING BEHAVIOR. - FOR SUBSTANCE ABUSE, A NEW SUBOXONE (A HEROIN ALTERNATIVE) CLINIC WAS ESTABLISHED WITH GREAT SUCCESS. THIS IS THE ONLY SUCH CLINIC ON THE EASTERN SHORE. - AND FINALLY, FOR MENTAL HEALTH CARE, A NEW CLINIC WHICH IS CO-LOCATED IN A PRIMARY CARE SITE EXPANDS CARE FOR MENTAL HEALTH PATIENTS WITHOUT THE STIGMA OF BEING SEEN IN A MENTAL HEALTH CLINIC. COMMUNITY FLU SHOTS THE MISSION OF THE MEDICAL CENTER IS TO "IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE." IN FISCAL YEAR 2014, THE MEDICAL CENTER PROVIDED 5,150 FLU SHOTS (BELOW COST, WE DID ASK FOR A DONATION) THROUGH A THREE DAY DRIVE-THRU FLU CAMPAIGN. THE AMOUNT OF COMMUNITY BENEFIT PROVIDED WAS $102,973. PENINSULA PARTNERS PENINSULA PARTNERS IS DESIGNED FOR INDIVIDUALS 55 AND OLDER AND IS A SPECIAL PROGRAM PROVIDED AS A SERVICE TO OUR COMMUNITY ABSOLUTELY FREE. PENINSULA PARTNERS MEMBERS WILL LEARN TIPS ON HEALTHY LIVING, ATTEND SEMINARS AND PARTICIPATE IN HEALTH SCREENINGS. THIS PROGRAM PROVIDES: - MONTHLY LIFESTYLE NEWSLETTER - FEATURING HEALTHY TIPS, IN DEPTH HEALTH ARTICLES, ETC. - SAFE DRIVING CLASSES - HEALTH SCREENINGS - SOCIAL EVENTS - INPATIENT VISITS - SAFETY CLASSES - SEMINARS ON VARIOUS HEALTH TOPICS WAGNER WELLNESS VAN PENINSULA REGIONAL'S WAGNER WELLNESS VAN DELIVERS HEALTH CARE ASSESSMENTS AND EDUCATION TO RURAL LOCATIONS WITHIN THE HOSPITALS SERVICE AREA. THE VAN HAS MULTIPLE USES AND MANY VENUES. IT IS ON SITE AT LOCAL COMMUNITY OUTDOOR FESTIVALS WITH STAFF PROVIDING THE FOLLOWING SCREENINGS: BLOOD PRESSURE, PULSE OXIMETRY, BODY FAT ANALYSIS, GRIP STRENGTH, AND VISION. DURING FY2014 WE SCREENED 1,599 MEMBERS OF THE COMMUNITY WITH VARIED "AT RISK" LEVELS AT 58 LOCATIONS. (THIS ONLY REPRESENTS OUR VAN PRESENCE AT MAJOR COMMUNITY INITIATIVES, AND DOES NOT REPRESENT THE MULTITUDE OF COMMUNITY APPEARANCES MADE BY OTHER MEDICAL CENTER DEPARTMENTS AT HEALTH FAIRS ON THE DELMARVA PENINSULA.) IN OCTOBER 2008, IN AN EFFORT TO EXPAND OUR MOBILE SERVICE TO THE AT-RISK AND UNDERSERVED POPULATIONS, PENINSULA REGIONAL MEDICAL CENTER FORMED A PARTNERSHIP WITH THE WICOMICO HEALTH DEPARTMENT TO OFFER DIABETES, STROKE AND HYPERTENSION EDUCATION AND SCREENINGS TO THESE POPULATIONS (SITES RECOMMENDED BY THE HEALTH DEPARTMENT). THIS PROGRAM CONTINUES TODAY. OTHER INITIATIVES THE HOSPITAL AND ITS EMPLOYEES ALSO PARTICIPATE ON AN ANNUAL BASIS IN MANY CHARITABLE CAUSES THAT PROMOTE A HEALTHY LIFESTYLE AND OVERALL WELL-BEING OF THOSE IN THE COMMUNITY. IN FY2013, HOSPITAL EMPLOYEES CONTRIBUTED OVER $106,000 TO THE UNITED WAY CAMPAIGN, IN ADDITION TO HAVING EMPLOYEES WALK AND PARTICIPATE IN THE MARCH OF DIMES, HOSPITAL EMPLOYEES AND PHYSICIANS ALSO PARTICIPATED IN THE 2011 WICOMICO COUNTY RELAY FOR LIFE. THIS CANCER SURVIVOR'S RECEPTION HOSTED OVER 600 CANCER SURVIVORS AND BRINGS HOPE TO THOSE SUFFERING. EVERY YEAR HOSPITAL EMPLOYEES ARE ENGAGED IN COMMUNITY OUTREACH WHICH ARE VOLUNTEER TYPE SERVICES PROVIDED "OUTSIDE THE REALM OF NORMAL HOSPITAL PATIENT CARE." THE HOSPITAL ENCOURAGES VOLUNTEERISM IN THE FOLLOWING AREAS: - HEALTH SCREENINGS - HEALTH EDUCATION - SUPPORT GROUPS - PROGRAM SUPPORT - RESEARCH - FINANCIAL CONTRIBUTIONS IN FY2014, 251,040 HOURS WERE GIVEN BY EMPLOYEES. AS AN EXAMPLE, THE HOSPITAL IS A COMMUNITY PARTNER WITH "THE WELLNESS COMMUNITY OF DELMARVA." THIS IS A NON-PROFIT ORGANIZATION DEDICATED TO PROVIDING FREE EMOTIONAL SUPPORT, EDUCATION AND HOPE FOR PEOPLE AFFECTED BY CANCER AND THEIR LOVED ONES. THE HOSPITAL'S EMPLOYEES VOLUNTARILY GIVE OF THEIR TIME AND TALENTS TO SUPPORT THIS TERRIFIC PROGRAM. THE HOSPITAL ALSO PARTICIPATES IN THE "HEALTHIEST MARYLAND" INITIATIVE A RECENT PROGRAM LAUNCHED BY LT. GOVERNOR BROWN, THE ADMINISTRATION AND SECRETARY COLMERS. THIS IS A STATEWIDE MOVEMENT TO CREATE A CULTURE OF WELLNESS - AN ENVIRONMENT WHERE THE HEALTHIEST CHOICE IS EASY. MARYLAND RURAL HEALTHCARE ASSOCIATION IS ANOTHER AGENCY THAT PROMOTES THE DELIVERY OF RURAL HEALTH CARE, THEIR MISSION STATEMENT IS TO: ENHANCE THE HEALTH AND WELL BEING OF RURAL POPULATIONS IN MARYLAND THROUGH LEADERSHIP, EDUCATION, ADVOCACY AND COLLABORATION. THE HOSPITAL IS REPRESENTED ON THIS COMMITTEE AND IS COMMITTED TO FINDING SOLUTIONS TO PROVIDING THE MOST EFFICIENT AND EFFECTIVE HEALTHCARE DELIVERY TO AN UNDERSERVED RURAL POPULATION. THERE EXIST GEOGRAPHIC POCKETS IN PENINSULA REGIONAL'S SERVICE AREA WHICH ARE FEDERALLY LISTED AS BEING UNDERSERVED BY HEALTHCARE PROVIDERS. IN AN EFFORT TO ADDRESS THE RURAL POPULATIONS NEED FOR PROVIDERS, THE HOSPITAL HAS PARTNERED IN DEVELOPING HEALTHCARE PROGRAMS WITH LOCAL COLLEGES AND UNIVERSITIES. FOR EXAMPLE, THE HOSPITAL HAS COLLABORATED WITH UMES (UNIVERSITY OF MARYLAND EASTERN SHORE) AND HAS MADE A 5 YEAR $250,000 DOLLAR INVESTMENT IN THEIR PHYSICIAN ASSISTANT PROGRAM. THIS INVESTMENT WILL EXPAND THE HEALTHCARE EDUCATIONAL OPPORTUNITIES, AND IN THE FUTURE PROVIDE HEALTH CARE PROFESSIONALS AVAILABLE TO CARE FOR RESIDENTS IN OUR REGION. THERE CONTINUES TO BE ONGOING COLLABORATIONS WITH WOR-WIC COMMUNITY COLLEGE AND SALISBURY UNIVERSITY TO FURTHER DEVELOP HEALTHCARE PROGRAMS AND PROVIDERS TO MEET THE CHALLENGES OF 21ST CENTURY HEALTHCARE.
Affiliated Health Care System RolesSchedule 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 FilingsSchedule H, Part VI, Line 7 State(s) with which the organization files a community benefit report: MARYLAND

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsYes (X)TravelForCompanionsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (true)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Margaret Naleppa
President/CEO$689,840$0$197,075$0$426,536$0$119,040$0$14,230$0$1,446,721$0$0$0
Lura Lunsford
VP of Operations$355,382$0$73,512$0$3,898$0$75,642$0$12,960$0$521,394$0$0$0
Bruce I Ritchie
CFO$387,364$0$84,348$0$3,898$0$92,341$0$21,201$0$589,152$0$0$0
Paul Zorsky MD
Physician$714,632$0$1,218$11,111$15,172$742,133$0
Andy Pierre MD
Physician$644,186$100,000$32,468$17,551$15,689$809,894$0
Jacek Malik MD
Physician$648,233$140,000$1,218$24,064$10,987$824,502$0
Daniel Daniels MD
Physician$438,615$258,237$27,661$13,355$11,067$748,935$0
Halim Charbel MD
Physician$466,424$296,324$1,218$11,527$836$776,329$0
MARY BETH D'AMICO
VP PATIENT CARE SERVICES$191,303$19,290$2,911$12,903$21,483$247,890$0
SARA SCOTT
VP PEOPLE & ORGANIZATION DEV.$192,639$19,463$515$28,591$17,472$258,680$0
STEVEN LEONARD
VP OPERATION OPTIMIZATION & IN$214,020$23,214$3,898$59,347$24,046$324,525$0
KAREN POISKER
VP POPULATION HEALTH$244,385$25,025$3,898$95,067$15,580$383,955$0
DANIEL MULVANNY
VP - GENERAL COUNSEL$297,226$28,623$3,898$41,346$14,116$385,209$0
CHARLES SILVIA JR MD
VP - CHIEF MEDICAL OFFICER$384,075$54,026$1,218$22,622$19,233$481,174$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Supplemental nonqualified retirement planSchedule J, Part I, Line 4b PRMC has a non-qualified supplemental retirement plan. 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 I, 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 AMOUNTS REPORTED ON SCHEDULE J , PART II, COLUMN (B)(III) INCLUDE DEFERRED COMPENSATION AMOUNTS UNDER A BOARD OF TRUSTEES APPROVED EXECUTIVE COMPENSATION PLAN IN ACCORDANCE WITH SECTION 457(F) OF THE INTERNAL REVENUE CODE. THESE AMOUNTS WERE DISTRIBUTED FROM A QUALIFIED RETIREMENT PLAN TRUSTEE ACCOUNT DUE TO VESTING. FOR CEO, MARGARET NALEPPA, PRMC CONTRIBUTED $250,000 WHICH APPRECIATED WITH INVESTMENT EARNINGS TO $408,027 BETWEEN THE PERIOD 4/1/2008 AND 4/1/2013.
Contingent CompensationSchedule J, Part I, Lines 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 2013, the following bonuses were paid: Margaret Naleppa $197,075 Lura Lunsford $73,512 Bruce I. Ritchie $84,348 MARY BETH D'AMICO $19,290 SARA SCOTT $19,463 STEVEN LEONARD $23,214 KAREN POISKER $25,025 DANIEL MULVANNY $28,623 CHARLES SILVIA JR, M.D. $54,026
Non-Fixed PaymentsSchedule J, Part I, Line 7 During calendar year 2013, the following retention and productivity bonuses were paid: Andy Pierre, M.D. $100,000 Jacek Malik, M.D. $140,000 Daniel Daniels, M.D. $258,237 Halim Charbel, M.D. $296,324

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MARYLAND HEALTH & HIGHER EDUCATION FACILITYBusinessNameLine1
FieldValueIRS element (for citing)
Bond Issuer EIN520936091BondIssuerEIN
CUSIP574217WT8CUSIPNum
Bond Issued2006-02-09BondIssuedDt
Issue Price$146,668,251IssuePriceAmt
PurposeSEE PART VIPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$154,822,905RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$154,822,905TotalProceedsAmt
In Reserve Fund$11,127,422InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$1,167,501IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$100,184,165CapitalExpendituresAmt
Other Spent Proceeds$0OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion2009SubstantialCompletionYr
Current RefundingYes (true)CurrentRefundingInd
Advance RefundingfalseAdvanceRefundingInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (true)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsfalseEngageBondCounselContractsInd
Any Research AgreementsYes (true)AnyResearchAgreementsInd
Engage Bond Counsel ResearchYes (true)EngageBondCounselResearchInd
Private Bus Use By Others0.00900PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00420PrivateBusConcerningUBIPct
Total Private Business Use0.01320TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt TestYes (true)BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetfalseRebateNotDueYetInd
Exception To RebateYes (true)ExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Variable Rate IssuefalseVariableRateIssueInd
Hedge Identified In Bks And RecYes (true)HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line1MORGAN STANLEYBusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge20.4TermOfHedgePct
Superintegrated HedgefalseSuperintegratedHedgeInd
Hedge TerminatedYes (true)HedgeTerminatedInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Description of PurposeSCHEDULE K, PART I, COLUMN F THE PROCEEDS OF THE ISSUE, AFTER PAYMENT OF FINANCING COSTS, WERE USED PRIMARILY (I) TO FINANCE AND REFINANCE A PORTION OF THE COSTS OF CONSTRUCTION, RENOVATION, ACQUISITION AND EQUIPPING OF HEALTHCARE FACILITIES; (II) TO REFUND OUTSTANDING 1993 BONDS (ISSUED 10/28/93); (III) TO PAY A PORTION OF THE INTEREST ACCRUING ON THE SERIES 2006 BONDS FOR A PERIOD TO EXTEND TO JANUARY 1, 2009; AND (IV) TO PAY THE COUNTERPARTY A TERMINATION PAYMENT OF $1,575 IN CONNECTION WITH A FORWARD STARTING INTEREST RATE EXCHANGE AGREEMENT ENTERED INTO ON AUGUST 9, 2005 AND UNWOUND ON JANUARY 24, 2006.
Capital Expenditures From ProceedsSCHEDULE K, PART II, LINE 10 OF THE AMOUNT REPORTED ON PART II, LINE 10, $12,281,895 IS CAPITALIZED INTEREST.
Date of Rebate ComputationSchedule K, Part IV, Line 2c The rebate computation was performed in August 2010.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
William Todd MD
Trustee$97,771Medical Staff Feesfalse
William Todd MD
Trustee$144,701Emergency Room Servicesfalse
David Rommel
Trustee$879,379Electrical/Mechanical Servicesfalse
Timothy Benning
Trustee$464,667Pathology Servicesfalse
Christjon J Huddleston MD
Trustee$54,020Medical Director Feesfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDESCRIPTION OF TRANSACTIONS WITH INTERESTED PERSONSFormAndLineReferenceDesc
ExplanationSCHEDULE 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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSForm 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 500,000 outpatient services during fiscal 2014. Food service provided more than 400,000 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 2014 provided: -Charity and other allowances totaling: $49,665,021 -Discounts to third party payors including government programs such as -Medicare and Medicaid: $49,134,776 -Write-off of uncollectible accounts: $14,313,694 -The total unreimbursed value of providing care to these patients is $113,113,491. 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 2014 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 2014, Peninsula Regional Medical Center volunteers contributed over 41,000 hours toward the common purpose of servicing the health care of the community. PROGRAM SERVICE ACTIVITY Form 990, Part III, Line 4a During FY 2014, Peninsula Regional Medical Center performed over 400 community outreach activities. Specific examples of education and outreach programs, support groups, community health screenings, and fitness and wellness activities supported by Peninsula Regional Medical Center are as follows: Community Educational and Outreach Programs: - Labor & Delivery Tours (exclusive of Childbirth Class Tours) - CPR - Childbirth Preparation Classes - Refresher Course - Childbirth - Sibling Classes - Infant Care Classes - Grandparent Classes - Safe Sitter Program - Women's Health Education Support Groups: - Diabetes Support Groups - Stroke Support Group - Head and Neck Cancer Support Group Events: Community Screenings: - Height/Weight, Blood Pressure - Skin Cancer Screenings - Oral, Head and Neck Cancer Screenings - Hearing Screenings - Flu Clinic Educational Exhibits: - Diabetes Education - Trauma - Women's Health - Safe Sitter - Relay for Life Benefits: - March of Dimes Walk America - United Way - Women Supporting Women Fitness/Exercise Programming: - Cardiac Rehabilitation - Indoor Cycling and Weights - Women and Weight Training
Business RelationshipsForm 990, Part VI, Line 2 Margaret Naleppa, Martin Neat, and Hugh McLaughlin are members of the board of directors of Peninsula Health Ventures, a wholly-owned taxable subsidiary of Peninsula Regional Health System.
Significant Changes to Governing DocumentsForm 990, Part VI, Line 4 The following changes were made to the organization's bylaws: 1. In Article II. Board of Trustees, Section 1 b. Appointive Trustees: The President of the Junior Auxiliary Board President of PRMC was removed as one of the Ex Officio Trustees. d. Limitations on Trustee Qualification: The revision in this section refers to the Chairman. This provision used to read: "The provision shall not prevent a Chairman from completing the second year of a two year term, or the third year of a three year term." Deleted - Or the third year of a three year term. 2. In Article III. Officers, Section 2 Chairman: Removal of Chairman's term extension language. This rovision used to read: "A Trustee must not serve as Chairman for more than two years during a continuous period of Board Membership, unless a 2/3 majority of the Board approves, and the Chairman accepts, a one (1) year extension of the Chairman's term." Deleted: Unless a 2/3 majority of the Board approves, and the Chairman accepts, a one (1) year extension of the Chairman's term was deleted. 3. In Article IV. Committees, Section 1 Committees: Corporate Strategy & Planning Committee, and Contract Committee were added 4. In Article IV. Committees, Section 9 Contract Committee: Added new Section 9 defining Contract Committee and re-numbered The Contract Committee reviews substantial contracts, determines that contracts align with Hospital's goals and mission, determines that contracts are consistent with for Fair Market Value including review and access methodologies, makes recommendations to the Board of Trustees and the President regarding these matters. Meets on a monthly basis, as called by Chairman. Changed Signatory from Edward W. Urban to Debbie Abbott
Members or StockholdersForm 990, Part VI, Line 6 Peninsula Regional Health System is the sole corporate member of the medical center.
Members or Stockholders Who May ElectForm 990, Part VI, Line 7a In its capacity as the sole corporate member of the medical center, Peninsula Regional Health System has the ability to elect members of the medical center's governing body.
Decisions Subject to ApprovalForm 990, Part VI, Line 7b As the sole corporate member, Peninsula Regional Health System has the ability to approve major expenditures and long term borrowings of the medical center.
Form 990 Review ProcessForm 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. Further, a copy of the Form 990 is provided to all Board members prior to filing. The return is reviewed by the Audit/Finance Committee in conjunction with management and the organization's independent tax advisors from Grant Thornton LLP.
Conflict of Interest Policy Monitoring & EnforcementForm 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 CompensationForm 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 PublicForm 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 AssetsForm 990, Part XI, Line 9 Pension Adjustment - FAS 158 $ 12,083,867 Capital contribution 6,000,000 Transfer from Foundation for Capital Campaign 1,900,000 T/R Net assets released from restriction (1,069,715) Withdrawal from Adkins endowment (41,210) Partnership K-1 Income not on books 2,678,805 Other Changes in Net Assets (5) --------------- Total $ 21,551,742
FORM 990 PART IX LINE 11GDESCRIPTION:PHYSICIAN CONTRACTED SERVICES TOTAL FEES:8305520
FORM 990 PART IX LINE 11GDESCRIPTION:TECHNICAL PROFESSIONAL FEES TOTAL FEES:7047472
FORM 990 PART IX LINE 11GDESCRIPTION:REFERENCE LAB WORK TOTAL FEES:1764184
FORM 990 PART IX LINE 11GDESCRIPTION:MEDICAL STAFF ADMNINISTRATION TOTAL FEES:75000
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACTED SERVICES TOTAL FEES:19644983
FORM 990 PART IX LINE 11GDESCRIPTION:COLLECTION FEES TOTAL FEES:930945
FORM 990 PART IX LINE 11GDESCRIPTION:TEMPORARY LABOR TOTAL FEES:991003
FORM 990 PART IX LINE 11GDESCRIPTION:PEST CONTROL TOTAL FEES:25256
FORM 990 PART IX LINE 11GDESCRIPTION:TRASH PICKUP TOTAL FEES:268792
FORM 990 PART IX LINE 11GDESCRIPTION:EMPLOYEE MOVING TOTAL FEES:8121

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
Peninsula Regional Medical Center Fdn
100 East Carroll StreetSalisburyMD21801521851935FundraisingMD501(c)(3)11 TYPE IPRHSfalse
Peninsula Regional Health System (PRHS)
100 East Carroll StreetSalisburyMD21801522132761ParentMD501(c)(3)11 TYPE IINAfalse
Peninsula General Hospital INS Trust
100 East Carroll StreetSalisburyMD21801526321234InsuranceMD501(c)(3)11 TYPE IIIPRHSfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Delmarva Surg CtrBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1641 S SalisburyAddressLine1
CitySalisburyCity
StateMDState
ZIP Code21801ZIPCode
FieldValueIRS element (for citing)
EIN522251436EIN
Primary ActivitiesHealthcarePrimaryActivitiesTxt
Legal Domicile StateMDLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1PHVBusinessNameLine1
FieldValueIRS element (for citing)
Share Of Total Income$0ShareOfTotalIncomeAmt
Share Of EOY Assets$0ShareOfEOYAssetsAmt
Ownership0.00000OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1Province Or StateForeignAddress/ProvinceOrStateCountryForeignAddress/CountryPostal CodeForeignAddress/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
Peninsula Health Ventures (PHV)
100 East Carroll StreetSalisburyMD21801522250012P'SHIP INVMDPRHSC Corp$0$00.00000false
PRLTC Inc
100 East Carroll StreetSalisburyMD21801522190588LT CareMDPHVC Corp$0$0false
Delmarva Peninsula Insurance Company
981110617InsurancePRMCC corp$0$17,985,4071.00000Yes (true)PO Box 1159Grand CaymanCJKY1-1102CJ
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PENINSULA REGIONAL MEDICAL CENTER FOUNDATION
N,O,Q$419,460FMV
PENINSULA REGIONAL MEDICAL CENTER FOUNDATION
M,S$2,049,365FMV
PENINSULA HEALTH VENTURES
L$200,000FMV
Delmarva Peninsula Insurance Company
R$3,082,729FMV