2014-05-08T11:11:35-05:00 2013-06-30 ERNST & YOUNG US LLP ONE COMMERCE SQUARE SUITE 700 PHILADELPHIA PA 19103 990 2012-07-01 520591628 PENINSULA REGIONAL MEDICAL CENTER % JIM GREGORY PENI 4105466400 100 EAST CARROLL STREET Suite SALISBURY MD 21801 BRUCE RITCHIE 4109121341 2014-05-07 2154485000 2012 2015-11-30 17:44:51Z MARGARET NALEPPA CEO 100 EAST CARROLL STREET SALISBURY MD 21801 515717351 false X WWW.PENINSULA.ORG X 1897 MD IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. 16 14 3340 189 852051 212650 593132 380732888 382051695 7636984 13735595 873844 858548 389456366 397238970 0 0 0 0 182271785 189253691 0 0 526563 193157852 197278315 375429637 386532006 14026729 10706964 507967270 525513661 196739340 187252460 311227930 338261201 X IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE false false 347709540 0 381437104 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 2013. Food service provided more than 450,000 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 2013 provided: Charity and other allowances totaling $56,792,433 Discounts to third party payors including government programs such as Medicare and Medicaid $46,015,032 Write-off of uncollectible accounts $15,598,456 The total unreimbursed value of providing care to these patients is $118,405,921 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 2013 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 2013, Peninsula Regional Medical Center volunteers contributed over 43,500 hours toward the common purpose of servicing the health care of the community. PROGRAM ACTIVITY During FY 2013, Peninsula Regional Medical Center performed over 550 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 to promote Healthy lifestyles Benefits: March of Dimes Walk America United Way Fitness/Exercise Programming: Cardiac Rehabilitation Indoor Cycling and Weights 347709540 true true false true false false false false false true true false false true true false true true false true true false false false false false true true false false true true false false false false false false false false false true false false false false false true true true false false true 235 0 true 3340 true true true true CJ false false false false false false false false X 16 14 true false false false true true true true true false false false true true true true true true true true true CA MD NC X JIM GREGORY 4109124979 100 EAST CARROLL ST SALISBURY MD 21801 Farouk A Sultani MD 1.0 0.0 X Margaret Naleppa 40.0 11.0 X X 873885 0 54424 Martin Neat 10.0 2.0 X X 31902 Herbert J Geary III 1.0 1.0 X Michael E Crouch MD 1.0 1.0 X Murray K Hoy 1.0 1.0 X Christjon J Huddleston MD 1.0 1.0 X Hugh McLaughlin 1.0 1.0 X Cynthia Holloway 1.0 2.0 X Marion Keenan 1.0 1.0 X Debbie Abbott 1.0 1.0 X Thomas Coates 1.0 1.0 X Edward W Urban 1.0 1.0 X X William R McCain 1.0 1.0 X X Monty Sayler 1.0 1.0 X X Thomas Riccio MD 1.0 1.0 X Ryan McLaughlin 1.0 1.0 X Lura Lunsford 40.0 0.0 X 409640 0 47057 Bruce I Ritchie 40.0 0.0 X 449622 0 71161 Gayatri Sonti DO 40.0 0.0 X 645248 0 17517 Andy Pierre MD 40.0 0.0 X 744828 0 34418 Jacek Malik MD 40.0 0.0 X 723369 0 32097 Daniel Daniels MD 40.0 0.0 X 656806 0 23247 Halim Charbel MD 40.0 0.0 X 694987 0 11729 5230287 0 291650 179 false true false HORIZON CSA 265 PIT ROAD MOORESVILLE NC 28115 BIOMEDICAL SERVICES 5280184 SHERIDAN ANESTHESIA OF MD PO BOX 452197 SUNRISE FL 333232197 ANESTHESIA SERVICES 2038609 SLEEP WAVES INC 873 E BALTIMORE PIKE STE 345 KENNETT SQUARE PA 19348 MEDICAL SERVICES 1850000 ASSOCIATES IN RADIATION MED 4901 TELSA DR STE A BOWIE MD 20715 MEDICAL SERVICES 1346476 MAYO COLLABORATIVE SERVICES PO BOX 9146 MINNEAPOLIS MN 554809146 MEDICAL SERVICES 1322159 56 325700 267432 593132 NET PATIENT SERVICES 621500 380759844 380145253 614591 PURCHASING PARTNERSHIP INC FROM MEMBERS 900099 1280627 1280627 MARYLAND ECARE PARTNERSHIP INCOME 900099 11224 11224 382051695 5148443 5148443 0 0 81886 149134 -67248 0 -67248 -67248 126718734 197665 118324412 4835 8394322 192830 8587152 8587152 0 0 0 CAFETERIA 722513 675928 675928 PARTNERSHIP INCOME 900099 37460 37460 MANAGEMENT FEES 561000 200000 200000 12408 12408 925796 397238970 381437104 852051 14356683 0 0 0 0 2361076 2124353 231461 5262 0 147066587 132321447 14417341 327799 6477727 5828259 635030 14438 23249992 20914519 2283553 51920 10098309 9205144 874018 19147 0 421986 811 421175 185604 185604 30001 30001 0 1304061 1304061 0 0 102993319 100802937 2112170 78212 828476 820052 8424 0 3627594 3627594 625088 422475 193396 9217 0 74613 74613 6104915 6104915 0 21931613 21885519 46094 4253575 814659 3438916 PROFESSIONAL FEES 38772109 26969592 11782722 19795 BAD DEBTS 15598456 15598456 DUES 526905 164194 361938 773 386532006 347709540 38295903 526563 272321 653349 24436989 18467868 0 0 39259952 36976172 0 0 0 0 0 0 7526666 7148121 5696943 5596743 474495637 266653146 200234617 207842491 160583035 176347198 0 0 0 0 0 0 69956747 72481719 507967270 525513661 19292791 20131916 0 0 0 0 131216694 128009466 0 0 0 0 0 0 45000 30000 46184855 39081078 196739340 187252460 X 287902813 312179653 15254167 17998482 8070950 8083066 311227930 338261201 507967270 525513661 X 10706964 9259719 7066588 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 30001 30001 false OTHER ACTIVITIES PART II-B, LINE 1I PENINSULA REGIONAL MEDICAL CENTER PAYS DUES TO ORGANIZATIONS THAT LOBBY FEDERAL AND STATE LEGISLATORS ON BEHALF OF HOSPITALS AND HEALTH SYSTEMS. THE PORTION OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION AND THE MARYLAND HOSPITAL ASSOCIATION ATTRIBUTABLE TO LOBBYING DURING FY 2013 TOTALED $30,001. 34734107 6448 4624939 311066 39054428 34191392 12685 801060 271030 34734107 28295999 105500 6047698 257805 34191392 25231843 206865 3074487 217196 28295999 29317177 110900 -4000545 195689 25231843 0.50820 0.00150 0.49030 false false 10636389 10636389 212172686 65864236 146308450 237829280 194654153 43175127 13857282 6134757 7722525 207842491 INVESTMENT IN PARTNERSHIP 980843 UNAMORTIZED FINANCING COSTS 2254401 OTHER ASSETS 1336251 DEBT SERVICE RESERVE FUND 9245095 DONOR RESTRICTED FUND 26044932 SELF-INSURANCE FUND 13679243 BOARD DESIGNATED INVESTMENTS 18940954 72481719 0 ADVANCES FROM THIRD PARTY PAYORS 8054490 ACCRUED SELF INSURANCE LIABILITY 11020099 OTHER LIABILITIES 2735262 EMP. COMP. RELATED PAYROLL TAX 14285955 PENSION FUNDING LIABILITY 2985272 39081078 390442999 9259719 -15557109 -6297390 396740389 1304061 -805480 498581 397238970 369259350 149134 149134 369110216 1304061 16117729 17421790 386532006 INTENDED USE OF ENDOWMENT FUNDS PART V, LINE 4 THE ORGANIZATION'S ENDOWMENT FUNDS ARE USED FOR CAPITAL, PATIENT SERVICES OR EDUCATIONAL PURPOSES. FIN 48 FOOTNOTE PART X, LINE 2 The organization did not have any uncertain tax positions that were material to the financial statements. Accordingly, the organization did not include a FIN 48 footnote in its audited financial statements. OTHER RECONCILING ITEMS FORM 990 TO FINANCIAL STATEMENTS FORM 990, SCHEDULE D, PART XI, LINE 1D RENT EXPENSE NETTED AGAINST RENT REVENUE $ 149,134 PARTNERSHIP K-1 BOOK TO TAX (107,787) BAD DEBT EXPENSE $(15,598,456) ------------ TOTAL $(15,557,109) FORM 990, SCHEDULE D, PART XI, LINE 4B INVESTMENT INCOME SWAP $(1,135,977) NET ASSETS RELEASED FROM RESTRICTION 319,252 PARTNERSHIP INCOME 11,224 OTHER EXPENSES ON PREMIER K- 1 20 ROUNDING 1 ---------- TOTAL $ (805,480) FORM 990, SCHEDULE D, PART XII, LINE 2D RENT EXPENSE NETTED AGAINST REVENUE $ 149,134 --------- FORM 990, SCHEDULE D, PART XII, LINE 4B BAD DEBT EXPENSE $15,598,456 FOUNDATION CONTRIBUTIONS 319,252 MANAGEMENT FEES RECLASSED FROM EXPENSE 200,000 OTHER EXPENSES ON PREMIER K-1 20 ROUNDING 1 --------- TOTAL $16,117,729 Central America and the Caribbean 1 1 Investments 100000 1 1 1 1 100000 100000 true false true false false false ACTIVITIES PER REGION SCHEDULE F, PART I, LINE 3, COLUMN F THE AMOUNTS IN COLUMN F WERE DETERMINED USING AN ACCRUAL METHOD OF ACCOUNTING. THE ENTIRE $100,000 REPRESENTS A CAPITVE DISCLOSURE INVESTMENT. true true X true X true X true true true false true true 17773383 17773383 0.04790 17773383 17773383 0.04790 54480 2167321 309730 1857591 0.00500 745 1156587 36583 1120004 0.00300 82743 33971388 15318907 18652481 0.05030 3973 3973 10127 199924 199924 0.00050 148095 37499193 15665220 21833973 0.05880 148095 55272576 15665220 39607356 0.10670 601 601 13891 13891 151231 151231 0.00040 74888 74888 0.00020 2600 2600 243211 243211 0.00060 true 15598456 228454237 216504566 11949671 X true true 1 1 PENINSULA REGIONAL MEDICAL CENTER

100 E CARROLL ST SALISBURY MD 218015493

X X X PENINSULA REGIONAL MEDICAL CENTER 1 true X X X X X X 13 true false true X X X X X X X X X X X false false true true 200. true 300. true X X X X X true true X X X X X X X true false X X X true X X false false PART I, LINE 3C N/A PART I, LINE 6A PENINSULA REGIONAL MEDICAL CENTER FILES ANNUALLY A COMMUNITY BENEFIT REPORT WITH THE STATE OF MARYLAND. THE REPORT IS FILED WITH THE HSCRC (HEALTH SERVICES COST REVIEW COMMISSION). PART I, LINE 7: PART I, LINE 7, COLUMN (F) - THE AMOUNT OF BAD DEBT EXPENSE EXCLUDED FROM THE DENOMINATOR IN THE COLUMN (F) PERCENTAGES IS $15,598,456. 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. 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 38% AND 37%, RESPECTIVELY, OF ACCOUNTS RECEIVABLE WERE DUE FROM THE MEDICARE PROGRAM AS OF JUNE 30, 2013 AND 2012, 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. BAD DEBT METHODOLOGY - PENINSULA REGIONAL MEDICAL CENTER IS A TAX-EXEMPT NOT-FOR-PROFIT HOSPITAL THAT PROVIDES QUALITY MEDICAL SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. BY PROVIDING MEDICAL SERVICES TO ALL COMMUNITY MEMBERS REGARDLESS OF THEIR ABILITY TO PAY, THE HOSPITAL'S BAD DEBT EXPENSE QUALIFIES AS A COMMUNITY BENEFIT. THE BAD DEBT EXPENSE CALCULATED ON LINE 2 WAS CALCULATED USING THE PATIENT CARE COST TO CHARGES METHODOLOGY. PART III, LINE 8 MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO. PENINSULA REGIONAL MEDICAL CENTER PROVIDES QUALITY MEDICAL SERVICES TO ALL PATIENTS REGARDLESS OF WHAT INSURANCE THEY HAVE. APPROXIMATELY, 38% OF THE MEDICAL CENTER'S REVENUE IS ATTRIBUTABLE TO MEDICARE PATIENTS DURING THE YEAR ENDED JUNE 30, 2013. PART III, LINE 9B COLLECTION POLICIES ARE THE SAME FOR ALL PATIENTS. IF A PATIENT NOTIFIES THE MEDICAL CENTER ABOUT THEIR INABILITY TO PAY, THE MEDICAL CENTER WILL SEND THEM THE CHARITY CARE AND FINANCIAL ASSISTANCE FORMS TO FILL OUT. ONCE THE FORMS ARE COMPLETE AND RETURNED TO THE MEDICAL CENTER AND THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, THEN THE PATIENT'S ACCOUNT WILL BE REMOVED FROM COLLECTIONS AND THE ACCOUNT WILL BE WRITTEN OFF. PART V, LINE 13G PENINSULA REGIONAL MEDICAL CENTER PUBLISHES ANNUALLY AN ADVERTISEMENT IN THE LOCAL NEWSPAPER ANNOUNCING THE AVAILABILITY OF FREE OR REDUCED COST CARE. PART V, LINE 20D PENINSULA REGIONAL MEDICAL CENTER IS A MARYLAND HOSPITAL. AS SUCH PATIENTS AND ALL INSURANCE COMPANIES, INCLUDING MEDICARE & MEDICAID, PAY THE SAME RATE. THIS RATE IS DETERMINED BY THE STATE AGENCY, THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION. PART 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. 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. 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 X X true true X X X X X X false true false false false true true true false Margaret Naleppa 654318 0 199237 0 20330 0 40472 0 13952 0 928309 0 0 0 Lura Lunsford 316585 0 88407 0 4648 0 34537 0 12520 0 456697 0 0 0 Bruce I Ritchie 364535 0 80439 0 4648 0 50290 0 20871 0 520783 0 0 0 Gayatri Sonti DO 578032 0 65998 0 1218 0 10586 0 6931 0 662765 0 0 0 Andy Pierre MD 643610 0 75000 0 26218 0 16630 0 17788 0 779246 0 0 0 Jacek Malik MD 647151 0 75000 0 1218 0 19130 0 12967 0 755466 0 0 0 Daniel Daniels MD 438247 0 191957 0 26602 0 12735 0 10512 0 680053 0 0 0 Halim Charbel MD 440594 0 253175 0 1218 0 10930 0 799 0 706716 0 0 0 Supplemental Compensation Information PART I, LINE 4B Margaret Naleppa is a participant in the 457F non qualified plan. Part I, Line 6A and 6B Officers and key employees of Peninsula Regional Medical Center are paid compensation determined by the net earnings activity of the Medical Center and Peninsula Regional Health System. DURING CALENDAR YEAR 2013 THE FOLLOWING BONUSES WERE PAID BASED ON EARNINGS: MARGARET NALEPPA $199,237, LURA LUNSFORD $88,407 AND BRUCE RITCHIE $80,439. Part I, Line 7 DURING CALENDAR YEAR 2012, THE FOLLOWING BONUSES WERE PAID BASED ON PRODUCTIVITY: GAYATRI SONTI, D.O. $ 65,998 ANDY PIERRE, M.D. $ 75,000 JACEK MALIK, M.D. $ 75,000 DANIEL DANIELS, M.D. $191,957 HALIM CHARBEL, M.D. $253,175 A MARYLAND HEALTH & HIGHER EDUCATION FACILITY 520936091 574217WT8 2006-02-09 146668251 SEE PART VI false false false A 154822905 0 154822905 11127422 0 0 1167501 0 0 100184165 0 0 2009 true false true true A false false true false true true 0.00900 0.00230 0.01130 true false false true A false false true false false true MORGAN STANLEY 20.4 false true false 0 false true A true SCHEDULE K, PART I, COLUMN F 0 THE PROCEEDS OF THE ISSUE, AFTER PAYMENT OF FINANCING COSTS, WERE USED PRIMARILY (I) TO FINANCE AND REFINANCE A PORTION OF THE COSTS OF CONSTRUCTION, RENOVATION, ACQUISITION AND EQUIPPING OF HEALTHCARE FACILITIES; (II) TO REFUND OUTSTANDING 1993 BONDS (ISSUED 10/28/93); (III) TO PAY A PORTION OF THE INTEREST ACCRUING ON THE SERIES 2006 BONDS FOR A PERIOD TO EXTEND TO JANUARY 1, 2009; AND (IV) TO PAY THE COUNTERPARTY A TERMINATION PAYMENT OF $1,575 IN CONNECTION WITH A FORWARD STARTING INTEREST RATE EXCHANGE AGREEMENT ENTERED INTO ON AUGUST 9, 2005 AND UNWOUND ON JANUARY 24, 2006. SCHEDULE K, PART II, LINE 10 0 OF THE AMOUNT REPORTED ON PART II, LINE 10, NONE IS CAPITALIZED INTEREST. SCHEDULE K, PART IV, LINE 2C 0 Thomas Riccio MD TRUSTEE 99225 SEE PART V false Christjon Huddleston MD TRUSTEE 42825 SEE PART V false Martin Neat OFFICER 31902 SEE PART V false Murray Hoy EdD TRUSTEE 165461 SEE PART V false DESCRIPTION OF TRANSACTIONS WITH INTERESTED PERSONS SCHEDULE L, PART IV, COLUMN D THOMAS RICCIO, M.D. IS PRESIDENT OF THE MEDICAL STAFF. TRANSACTIONS ARE STIPENDS FOR OFFICERS AND DEPARTMENT CHIEFS. CHRISTJON HUDDLESTON M.D. IS THE PRMC HEALTH PLAN MEDICAL DIRECTOR, DIABETES DISEASE MANAGEMENT MEDICAL DIRECTOR, AND PATIENT CENTERED HOME MEDICAL DIRECTOR. TRANSACTIONS ARE FOR DIRECTORSHIP PAYMENTS AND ADMINISTRATION FOR THE EMPLOYEE HEALTH PLAN. MARTY NEAT TRANSACTIONS ARE FOR COMPENSATION AND EXPENSE REIMBURSEMENT FOR THE BOARD CHAIRMAN. MURRAY HOY IS PRESIDENT OF WOR-WIC COMMUNITY COLLEGE. TRANSACTIONS ARE PAYMENTS FOR TUITION AND FEES TO THE COLLEGE. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIPS MARGARET NALEPPA, MARTIN NEAT, AND HUGH MCLAUGHLIN are members of the board of directors of Peninsula Health Ventures, a wholly-owned taxable subsidiary of Peninsula Regional Health System. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OF THE ORGANIZATION PENINSULA REGIONAL HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF THE MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 7A MEMBER'S ABILITY TO ELECT MEMBERS OF THE GOVERNING BODY IN ITS CAPACITY AS THE SOLE CORPORATE MEMBER OF THE MEDICAL CENTER, PENINSULA REGIONAL HEALTH SYSTEM HAS THE ABILITY TO ELECT MEMBERS OF THE MEDICAL CENTER'S GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS SUBJECT TO APPROVAL BY MEMBERS AS THE SOLE CORPORATE MEMBER, PENINSULA REGIONAL HEALTH SYSTEM HAS THE ABILITY TO APPROVE MAJOR EXPENDITURES AND LONG TERM BORROWINGS OF THE MEDICAL CENTER. FORM 990, PART VI, SECTION B, LINE 11B REVIEW PROCESS OF FORM 990 OVERSIGHT OF THE COMPLETION OF THE ORGANIZATION'S FORM 990 HAS BEEN DELEGATED TO THE CHIEF FINANCIAL OFFICER OF PENINSULA REGIONAL MEDICAL CENTER BY THE PRESIDENT OF THE ORGANIZATION. ONCE THE FORM 990 AND ALL SCHEDULES HAVE BEEN PREPARED BY THE ORGANIZATION'S INDEPENDENT TAX SERVICES PROVIDER, THEY ARE REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C MONITORING AND ENFORCEMENT OF CONFLICT OF INTEREST POLICY THE BOARD OF TRUSTEES ARE REQUIRED TO DISCLOSE ANNUALLY, IN WRITING, ANY AND ALL INTERESTS WHICH THEY OR ANY IMMEDIATE MEMBER OF THEIR FAMILY MAY HAVE IN ANY BUSINESS ENTITY WHICH HAS OR SEEKS A CONTRACTUAL OR COMPETITIVE RELATIONSHIP WITH THE ORGANIZATION. THE BOARD HAS THE AUTHORITY TO DETERMINE IF A VIOLATION HAS OCCURRED AND WHETHER ANY INTEREST WHICH SHOULD BE DISCLOSED SHOULD DISQUALIFY A DIRECTOR FROM PARTICIPATING IN ANY SPECIFIC BOARD DISCUSSION OR BOARD MEMBERSHIP. FORM 990, PART VI, SECTION B, LINES 12A, 13, 14 & 16B WRITTEN POLICIES THE ORGANIZATION HAS WRITTEN CONFLICT OF INTEREST, WHISTLEBLOWER, DOCUMENT RETENTION & DESTRUCTION AND JOINT VENTURE POLICIES WITH WHICH IT COMPLIES. HOWEVER, THE POLICIES HAD BEEN FORMALLY ADOPTED BY THE HOSPITAL BOARD OR A COMMITTEE OF THE BOARD AS OF JUNE 30, 2013. FORM 990, PART VI SECTION B, LINE 15a & 15b PROCESS USED TO DETERMINE COMPENSATION THE ORGANIZATION USES A COMPENSATION COMMITTEE TO DETERMINE THE COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR AND OTHER KEY EMPLOYEES. THE CEO OF THE 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. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF DOCUMENTS, POLICIES & FINANCIAL STATEMENTS TO THE PUBLIC 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. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE Pension Adjustment - FAS 158 $ 5,143,324 Investment income Swap 1,148,701 Change in equity interest of Foundation 836,688 Capital campaign transfers from Foundation (205,296) U/R Net assets released from restriction 68,939 Endowment Donations (6,448) Net assets released from restriction 199,690 Partnership K-1 Income on books not on Tax return (119,011) Rounding 1 ------------- $ 7,066,588 ============= PENINSULA REGIONAL MED CTR FOUNDATION 100 EAST CARROLL ST SALISBURY MD 21801 521851935 FUNDRAISING MD 501(C)(3) 11 TYPE I PRHS false PENINSULA REGIONAL HEALTH SYSTEM (PRHS) 100 EAST CARROLL ST SALISBURY MD 21801 522132761 PARENT MD 501(C)(3) 11 TYPE II NA false PENINSULA GENERAL HOSPITAL INS TRUST 100 EAST CARROLL ST SALISBURY MD 21801 526321234 INSURANCE MD 501(C)(3) 11 TYPE III PRHS true DELMARVA SURG CTR 641 S SALISBURY SALISBURY MD 21801 522251436 HEALTHCARE MD PHV PENINSULA HEALTH VENTURES (PHV) 100 EAST CARROLL ST SALISBURY SALISBURY MD 21801 522250012 P'SHIP INV MD PRHS C CORP true PRLTC INC 100 EAST CARROLL ST SALISBURY MD 21801 522190588 LONG TERM CAR MD PHV C CORP true false false false false false false false false false false false true true true true false true false true PENINSULA REGIONAL MEDICAL CENTER FOUNDATION N, O, 458913 FMV PENINSULA REGIONAL MEDICAL CENTER FOUNDATION M, S 394639 FMV PENINSULA HEALTH VENTURES L 200000 FMV