TIDALHEALTH PENINSULA REGIONAL INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: TIDALHEALTH PENINSULA REGIONAL INC (EIN 52-0591628)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-16
IRS object ID: 201121369349304107
Schema version: 2009v1.7
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-05-16T12:30:40-04:00	Timestamp
Tax Period End Date	2010-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	75 BEATTIE PLACE SUITE 800	AddressLine1
City	GREENVILLE	City
State	SC	State
ZIP Code	29601	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	520591628	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	PENINSULA REGIONAL MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	PENI	NameControl
Phone	4105466400	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 EAST CARROLL STREET	AddressLine1
City	SALISBURY	City
State	MD	State
ZIP Code	21801	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Bruce I Ritchie	Name
Title	CFO	Title
Date Signed	2011-05-12	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	8642425740	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	MARGARET NALEPPA CEO	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	100 EAST CARROLL STREET	AddressLine1
City	SALISBURY	City
State	MD	State
ZIP Code	21801	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	489241479	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	WWW.PENINSULA.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1897	YearFormation
State Legal Domicile	MD	StateLegalDomicile
Activity Or Mission Description	IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	16	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	3226	TotalNbrEmployees
Total Nbr Volunteers	203	TotalNbrVolunteers
Total Gross UBI	1331351	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	453011	ContributionsGrantsPriorYear
Contributions Grants Current Year	338220	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	370503208	ProgramServiceRevenuePriorYear
Program Service Revenue CY	370978477	ProgramServiceRevenueCY
Investment Income Prior Year	-16693303	InvestmentIncomePriorYear
Investment Income Current Year	10994124	InvestmentIncomeCurrentYear
Other Revenue Prior Year	769492	OtherRevenuePriorYear
Other Revenue Current Year	961189	OtherRevenueCurrentYear
Total Revenue Prior Year	355032408	TotalRevenuePriorYear
Total Revenue Current Year	383272010	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	169508709	SalariesEtcPriorYear
Salaries Etc Current Year	173677704	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	492132	TotalFundrsngExpCurrentYear
Other Expense Prior Year	189364617	OtherExpensePriorYear
Other Expenses Current Year	190843480	OtherExpensesCurrentYear
Total Expenses Prior Year	358873326	TotalExpensesPriorYear
Total Expenses Current Year	364521184	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-3840918	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	18750826	RevenuesLessExpensesCY
Total Assets BOY	434945614	TotalAssetsBOY
Total Assets EOY	451108031	TotalAssetsEOY
Total Liabilities BOY	207629444	TotalLiabilitiesBOY
Total Liabilities EOY	199802875	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	227316170	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	251305156	NetAssetsOrFundBalancesEOY
Mission Description	IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	333133285	Expense
Revenue	369840390	Revenue
Description	Peninsula Regional Medical Center is a not-for-profit 501(c)(3) non-stock corporation founded in 1897 to serve the health care needs of the community. The Hospital's primary purpose is to provide the highest primary, secondary, and selected tertiary health care services to residents of and visitors to the Mid-Delmarva Peninsula in a competent, compassionate, and cost-effective manner designed to elicit a high degree of customer satisfaction. The Hospital's mission is to improve the health of the communities we serve by providing quality medical care regardless of race, creed, sex, national origin, handicap, or age. If a patient is unable to pay due to financial resources, efforts will be taken to assure care at an affordable cost, or obtained assistance through appropriate agencies on the patient's behalf. Emergency services care will be provided to everyone regardless of ability to pay. Peninsula Regional Medical Center served over 23,000 inpatients and provided more than 485,000 outpatient services during fiscal 2010. Food service provided more than 550,000 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 2010 provided: Charity and other allowances totaling $31,569,219 Discounts to third party payors including government programs such as Medicare and Medicaid $26,604,007 Write-off of uncollectible accounts $17,976,987 The total unreimbursed value of providing care to these patients is $76,150,213 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 2010 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 2010, Peninsula Regional Medical Center volunteers contributed over 46,500 hours toward the common purpose of servicing the health care of the community. PROGRAM ACTIVITY During FY 2010, Peninsula Regional Medical Center performed over 800 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 Diabetes Outpatient Education Program Childbirth Preparation Classes Refresher Course - Childbirth Sibling Classes Infant Care Classes Grandparent Classes Safe Sitter Program CPR to Community Organizations Women's Health Education Support Groups Diabetes Support Groups Bereavement 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: Asthma Camp March of Dimes Walk America United Way Wellness Community Fitness/Exercise Programming: Cardiac Rehabilitation Indoor Cycling and Weights Women and Weight Training	Description
Total Program Service Expense	333133285	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Balance Sheet Amounts Reported	true	BalanceSheetAmountsReported
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	207	NumberFormsTransmittedWith1096
Number W2 G Included	1	NumberW2GIncluded
Number Of Employees	3226	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Nbr Voting Governing Body Members	16	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	CA	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	NC	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	JIM GREGORY	NamePerson
Telephone Number	4109124979	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	100 EAST CARROLL ST	AddressLine1
City	SALSIBURY	City
State	MD	State
ZIP Code	21801	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Jeffrey F Turner
Board Member	1.0	X	0	0	0
Farouk A Sultani MD
Board Chairman (07/09-09/09)	10.0	X	7500	0	0	X
Margaret Naleppa
President/CEO	40.0	X	633893	0	54595	X
Martin Neat
Vice-Chairman	1.0	X	0	0	0	X
Herbert J Geary III
Board Member	1.0	X	0	0	0
Michael E Crouch MD
Board Member	1.0	X	0	0	0
Murray Hoy
Board Chairman (10/09-06/10)	10.0	X	22500	0	0	X
Christjon J Huddleston MD
Board Member	1.0	X	0	0	0
Hugh McLaughlin
Board Member	1.0	X	0	0	0
Rene Desmarais MD
Board Member (01/10 - 06/10 )	1.0	X	0	0	0
Susan Robinson
Board Member (04/10 - 06/10)	1.0	X	0	0	0
Brian Shockley
Board Member	1.0	X	0	0	0
Marion Keenan
Board Member	1.0	X	0	0	0
Conworth Dayton-Jones MD
Board Member (07/09-12/09)	1.0	X	0	0	0
Edward W Urban
Secretary	1.0	X	0	0	0	X
William R McCain
Treasurer	1.0	X	0	0	0	X
Monty Saylor
Board Member	1.0	X	0	0	0
Marilyn Booth
Board Member (07/09 - 03/10)	1.0	X	0	0	0
Bruce I Ritchie
CFO	40.0		359079	0	63955	X
Lura Lunsford
VP of Operations	40.0		249111	0	51490	X
Thomas Lawrence MD
VP of Medical Affairs	40.0		460975	0	61086		X
James Martin MD
Physician	40.0		539021	0	21078		X
Joseph Grasso MD
Physician	40.0		466623	0	29414		X
Justinian Ngaiza MD
Physician	40.0		519815	0	29517		X
Panpit Klug MD
Physician	40.0		688511	0	24794		X
R Alan Newberry
Former President/CEO	40.0		864716	0	77750			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4811744	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	413679	TotalOtherCompensation
Number Individuals GT100 K	125	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
SHERIDAN ANESTHESIA OF MD
PO BOX 452197	SUNRISE	FL	33323	ANESTHESIA SERVICES	7162251
HORIZON CSA
265 PIT RD	MOORESVILLE	NC	28115	BIOMEDICAL SERVICES	3915872
MAYO COLLABORATIVE SERVICES
PO BOX 9146	MINNEAPOLIS	MN	55480	MEDICAL SERVICES	1215006
CROTHALL SERVICES GROUP
955 CHESTERDROOK BLVD SUITE 300	WAYNE	PA	19087	ENVIRONMENTAL SVCS	975576
HCSG CARDIOVASCULAR SERVICES
PO BOX 11407	BIRMINGHAM	AL	35246	MEDICAL SERVICES	932514

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	58	NumberOfContractorsGT100K
Related Organizations	321717	RelatedOrganizations
All Other Contributions	16503	AllOtherContributions
Total Contributions	338220	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
Net patient services	621500	369688229	368565749	1122480
Partnership income	900099	1290248	1290248

Field	Value	IRS element (for citing)
Total Program Service Revenue	370978477	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	4581474	TotalRevenueColumn
Exclusion	$4,581,474	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	71760	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	77105	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-5345	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-5345	TotalRevenueColumn
Exclusion	-$5,345	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	112280395	Securities
Other	24619	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	105802605	Securities
Other	89759	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	6477790	Securities
Other	-65140	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	6412650	TotalRevenueColumn
Exclusion	$6,412,650	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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

Net Income From Gaming NetIncomeFromGaming

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

Net Income Or Loss NetIncomeOrLoss

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

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
CAFETERIA	900099	772617	$772,617
MEDICAL RECORDS	900099	653	$653
PARNERSHIP REVENUE	900003	43264		-15607	58871

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	150000	TotalRevenueColumn
Unrelated Business Revenue	150000	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	966534	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	383272010	TotalRevenueColumn
Related Or Exempt Function Income	369840390	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1331351	UnrelatedBusinessRevenue
Exclusion	$11,762,049	ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1442123	Total
Program Services	1313023	ProgramServices
Management And General	125618	ManagementAndGeneral
Fundraising	3482	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	942466	Total
Program Services	858115	ProgramServices
Management And General	82089	ManagementAndGeneral
Fundraising	2262	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	134970098	Total
Program Services	122888559	ProgramServices
Management And General	11756399	ManagementAndGeneral
Fundraising	325140	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	6343714	Total
Program Services	5775871	ProgramServices
Management And General	552561	ManagementAndGeneral
Fundraising	15282	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	20432544	Total
Program Services	18601642	ProgramServices
Management And General	1781629	ManagementAndGeneral
Fundraising	49273	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	9546759	Total
Program Services	8808694	ProgramServices
Management And General	720035	ManagementAndGeneral
Fundraising	18030	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	607933	Total
Program Services	2008	ProgramServices
Management And General	605925	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	149900	Total
Management And General	149900	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	25260	Total
Program Services	25260	ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	797039	Total
Management And General	797039	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	0	Total

Advertising Advertising

Field	Value	IRS element (for citing)
Total	0	Total

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	90594387	Total
Program Services	89958167	ProgramServices
Management And General	599592	ManagementAndGeneral
Fundraising	36628	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	729803	Total
Program Services	720665	ProgramServices
Management And General	9138	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	4775442	Total
Program Services	4775442	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	314650	Total
Program Services	221181	ProgramServices
Management And General	89565	ManagementAndGeneral
Fundraising	3904	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	66406	Total
Program Services	66406	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	6853109	Total
Program Services	6853109	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	20820902	Total
Program Services	20774808	ProgramServices
Management And General	46094	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2795113	Total
Program Services	300141	ProgramServices
Management And General	2494972	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
BAD DEBTS	17976987	17976987
EQUIP RENTAL AND MAINTENANCE	10961582	9464639	1492009	4934
PROFESSIONAL FEES	33047258	23670409	9344251	32598
MISCELLNEOUS	327709	78159	248951	599

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	364521184	Total
Program Services	333133285	ProgramServices
Management And General	30895767	ManagementAndGeneral
Fundraising	492132	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	298569	BOY
EOY	154899	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	17114706	BOY
EOY	25139457	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	37406473	BOY
EOY	35817855	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	6590441	BOY
EOY	7086954	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	3342471	BOY
EOY	4358438	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	425743372	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	213077893	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	215838468	BOY
EOY	212665479	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	95830020	BOY
EOY	105748847	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	58524466	BOY
EOY	60136102	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	434945614	BOY
EOY	451108031	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	17843703	BOY
EOY	14233918	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	140226545	BOY
EOY	137319548	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	90000	BOY
EOY	75000	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	49469196	BOY
EOY	48174409	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	207629444	BOY
EOY	199802875	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	206944044	BOY
EOY	231374493	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	12337825	BOY
EOY	11879875	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	8034301	BOY
EOY	8050788	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	227316170	BOY
EOY	251305156	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	434945614	BOY
EOY	451108031	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Both	X	FinancialStatementBoth
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$25,260	OtherActivitiesAmount
Total Lobbying Expenditures IIB	25260	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	OTHER ACTIVITIES	Identifier
Return Reference	PART II-B, LINE 1L	ReturnReference
Explanation	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 AMERCIAN HOSPITAL ASSOCIATION ATTRIBUTABLE TO LOBBYING WERE $9,677 AND THE PORTION OF DUES TO THE MARYLAND HOSPITAL ASSOCIATION WERE $15,583	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	25231843	BeginningOfYearBalance
Contributions	206865	Contributions
Investment Earnings Or Losses	3074487	InvestmentEarningsOrLosses
Administrative Expenses	217196	AdministrativeExpenses
End Of Year Balance	28295999	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	29317177	BeginningOfYearBalance
Contributions	110900	Contributions
Investment Earnings Or Losses	-4000545	InvestmentEarningsOrLosses
Administrative Expenses	195689	AdministrativeExpenses
End Of Year Balance	25231843	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.51180	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.00150	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.48670	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	10492173	OtherCostOrOtherBasis
Book Value	10492173	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	194392222	OtherCostOrOtherBasis
Depreciation	45978931	Depreciation
Book Value	148413291	BookValue

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovements

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	210232500	OtherCostOrOtherBasis
Depreciation	162628866	Depreciation
Book Value	47603634	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	10626477	OtherCostOrOtherBasis
Depreciation	4470096	Depreciation
Book Value	6156381	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	212665479	TotalOfBookValueLandBuildings

Other Assets OtherAssets (7 entries)

DescriptionDescription	Book ValueBookValue
INVESTMENT IN PARTNERSHIPS	826988
UNAMORTIZED FINANCING COSTS	2548454
OTHER ASSETS	954958
DEBT SERVICE RESERVE FUND	9375536
DONOR RESTRICTED FUND	19936903
SELF-INSURANCE FUND	13018577
BOARD DESIGNATED INVESTMENTS	13474686

Field	Value	IRS element (for citing)
Total Book Value Other Assets	60136102	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
ADVANCES FROM 3RD PARTY PAYORS	$8,157,600
ACCRUED SELF INSURANCE LIABITIES	$8,676,470
OTHER LIABILITIES	$4,989,423
EMP. COMP. RELATED PAYROLL TAXES	$11,740,584
PENSION FUND LIABILITY	$14,610,332

Field	Value	IRS element (for citing)
Total Of Amounts	48174409	TotalOfAmounts
Total Revenue	383272010	TotalRevenue
Total Expenses	364521184	TotalExpenses
Excess Or Deficit For Year	18750826	ExcessOrDeficitForYear
Net Unrealized GL On Investments	4978411	NetUnrealizedGLOnInvestments
Other	$259,749	OtherAmount
Total Adjustments	5238160	TotalAdjustments
Excess Or Deficit Per FS	23988986	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	388552616	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	4978411	NetUnrealizedGainsInvestments
Other Revenues	-60191	OtherRevenues
Revenue Not Rptd F990	4918220	RevenueNotRptdF990
Revenue Subtotal	383634396	RevenueSubtotal
Investment Expenses Not Included	797039	InvestmentExpensesNotIncluded
Other Revenues Not Included	-1159425	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-362386	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	383272010	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	363438816	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	77105	OtherExpensesIncluded
Expenses Not Rptd F990	77105	ExpensesNotRptdF990
Expenses Subtotal	363361711	ExpensesSubtotal
Investment Expenses Not Included2	797039	InvestmentExpensesNotIncluded2
Other Expenses Not Included	362434	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	1159473	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	364521184	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
INTENDED USE OF ENDOWMENTS FUNDS	PART V, LINE 4	THE ORGANIZATION'S ENDOWMENT FUND CAN BE USED FOR CAPITAL, PATIENT SERVICES OF 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. PART XI, LINE 8 - OTHER _______________________ PENSION ADJUSTMENT - FAS 158 $(1,619,960) ENDOWMENT ADJUSTMENT 11,276 INVESTMENT INCOME SWAP 1,371,859 CHANGE IN EQUITY INTEREST OF FOUNDATION 1,016,778 NET ASSETS RELEASED FROM RESTRICTION (382,908) PARTNERSHIP K-1 VS BOOK INCOME (137,296) __________ TOTAL $259,749 PART XII, LINE 2D - OTHER _________________________ RENTAL EXPENSE ON LINE 6B $77,105 PARTNERSHIP K-1 BOOK VS TAX (137,296) _________ TOTAL $(60,191) PART XII, LINE 4B - OTHER _________________________ EXPENSES ON PREMIER K-1 $ 3 FOUNDATION CONTRIBUTIONS 212,431 INVESTMENT INCOME SWAP (1,371,859) ____________ TOTAL $(1,159,425) PART XIII, LINE 2D - OTHER __________________________ RENTAL EXPENSE ON LINE 6B $77,105 _______ TOTAL $77,105 PART XIII, LINE 4B - OTHER __________________________ EXPENSES ON PREMIER K-1 $ 3 FOUNDATION CONTRIBUTIONS 212,431 MGMT FEES RECLASSED FORM EXPENSES 150,000 ________ TOTAL $362,434

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	12218922	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	12218922	NetCommunityBenefitExpense
Percent Of Total Expense	0.03530	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	12218922	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	12218922	NetCommunityBenefitExpense
Percent Of Total Expense	0.03530	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Persons Served	52846	PersonsServed
Total Community Benefit Expense	1422608	TotalCommunityBenefitExpense
Direct Offsetting Revenue	351169	DirectOffsettingRevenue
Net Community Benefit Expense	1071439	NetCommunityBenefitExpense
Percent Of Total Expense	0.00310	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Persons Served	1360	PersonsServed
Total Community Benefit Expense	375385	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	375385	NetCommunityBenefitExpense
Percent Of Total Expense	0.00110	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Persons Served	28402	PersonsServed
Total Community Benefit Expense	9400963	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2846883	DirectOffsettingRevenue
Net Community Benefit Expense	6554080	NetCommunityBenefitExpense
Percent Of Total Expense	0.01890	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3345	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	3345	NetCommunityBenefitExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Persons Served	3750	PersonsServed
Total Community Benefit Expense	165376	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	165376	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Persons Served	86358	PersonsServed
Total Community Benefit Expense	11367677	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3198052	DirectOffsettingRevenue
Net Community Benefit Expense	8169625	NetCommunityBenefitExpense
Percent Of Total Expense	0.02360	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Persons Served	86358	PersonsServed
Total Community Benefit Expense	23586599	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3198052	DirectOffsettingRevenue
Net Community Benefit Expense	20388547	NetCommunityBenefitExpense
Percent Of Total Expense	0.05890	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	5243	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	5243	NetCommunityBuildingExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	2446	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	2446	NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	50290	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	50290	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	30292	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	30292	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	5704	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	5704	NetCommunityBuildingExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	93975	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	93975	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$14,124,182	BadDebtExpenseAmount
Amount Reimbursed By Medicare	209590412	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	198641330	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	10949082	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	PENINSULA REGIONAL MEDICAL CENTER	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	100 E CARROLL STREET	AddressLine1
City	SALISBURY	City
State	MD	State
ZIP Code	218015493	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Income Based Criteria	Not applicable	IncomeBasedCriteria
Annual Community Benefit Expln	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).	AnnualCommunityBenefitExpln
Costing Method Used	Line 7a Column (c) & (d)- Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Cost Review Commission, (HSCRC) determines payment through a rate-setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all-payor system includes a method for referencing Uncompensated Care in each payors' rates, which does not enable Maryland hospitals to breakout any offsetting revenue related to Uncompensated Care. Line 7b column (c) & (f)- Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Cost Review Commission, (HSCRC) determines payment through a rate-setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all-payor system includes a method for referencing Uncompensated Care in each payors' rates, which does not enable Maryland hospitals to breakout any directed offsetting revenue related to Uncompensated Care. Community benefit expenses are equal to Medicaid revenues in Maryland, as such, the net effect is zero. The exception to this is the impact on the hospital of its share of the Medicaid assessment. In recent years, the state of Maryland has closed fiscal gaps in the state Medicaid budget by assessing hospitals through the rate-setting system. Line 7f column (c)- Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Cost Review Commission, (HSCRC) determines payment through a rate-setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all-payor system includes a method for referencing Uncompensated Care in each payors' rates, which does not enable Maryland hospitals to breakout any offsetting revenue related to Uncompensated Care. Line 7f column (d)- Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Cost Review Commission, (HSCRC) determines payment through a rate- setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all-payor system includes a method for referencing Uncompensated Care in each payors' rates, which does not enable Maryland hospitals to breakout any offsetting revenue related to Uncompensated Care. system includes a method for referencing Uncompensated Care in each payors' rates, which does not enable Maryland hospitals to breakout any offsetting revenue related to Uncompensated Care. The cost methodology for charity care and certain other community benefits is the cost-to-charge ratio used for the charity care programs and direct cost method for the other benefits/programs.	CostingMethodUsed
Percent Of Total Expense Expln	The amount of bad debt expense excluded from the denominatorin the column (f) percentages is $17,976,987.	PercentOfTotalExpenseExpln
Bad Debt Footnote	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 36%, respectively, of accounts receivable were due from the Medicare program as of June 30, 2010 and 2009, respectively. Laws and regulations governing Medicare and Medicaid programs are complex and subject to interpretation. The Hospital believes that it is in compliance with all applicable laws and regulations and is not aware of any pending or threatened investigations involving allegations of potential wrongdoing that would have a material effect on the financial statements. Compliance with such laws and regulations can be subject to future government review and interpretation as well as significant regulatory action including fines, penalties and exclusion from Medicare and Medicaid programs. Bad Debt Methodology - Peninsula Regional Medical Center is a tax-exempt not-for-profit hospital that provides quality medical services to patients regardless of their ability to pay. By providing medical services to all community members regardless of their ability to pay, the hospital's bad debt expense qualifies as a community benefit. The bad debt expense calculated on Line 2 was calculated using the patient care cost to charges methodology.	BadDebtFootnote
Shortfall As Community Benefit	Medicare allowable costs were calculated using a cost to charge ratio. Peninsula Regional Medical Center provides quality medical services to all patients regardless of what insurance they have. Approximately, 49.13% of the Medical Center's revenue is attributable to Medicare patients.	ShortfallAsCommunityBenefit
Debt Collection Policy	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.	DebtCollectionPolicy
Needs Assessment	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.	NeedsAssessment
Patient Education Assistance	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.	PatientEducationAssistance
Community Information	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 30th, 2010 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 23 percent of the Medical Center's total discharges during the same time period. PATIENT DISCHARGED FROM THE FOLLOWING GEOGRAPHICAL AREAS AREA 2010 Discharges % Wicomico 12,332 51.4% Worcester 3,714 15.5% Somerset 2,459 10.3% Dorchester 456 1.9% Delaware 2,867 12.0% Virginia 1,451 6.1% All Others 699 2.8% TOTAL 23,978 100.0% Source: Peninsula Regional Medical Center, Financial and Statistical Report, June 30, 2010. 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.	CommunityInformation
Community Building Activities	PART VI, LINE 5 Peninsula Regional Medical Center is committed to the health of the rural communities it serves. In FY 2010, the Hospital's charity care increased 20% ($11,506,723 to $13,865,063) from the previous year. In addition, combined charity and bad debt for FY2010 was $31,842,050. 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.	CommunityBuildingActivities
Other Information	PART VI, LINE 6 Community Flu Shots The mission of the Medical Center is to "Improve the health of the communities we serve." In fiscal year 2010, the Medical Center provided over 5,000 flu shots (below cost, we did ask for a donation) through a 3 day drive - thru flu campaign. The Medical Center gave over 750 free flu shots to the residents in Wicomico, Worcester, Somerset and Sussex counties. Atlantic United Methodist Church/Diakonia/Phillips Restaurant -100 Lower Shore Enterprises - 59 Salisbury Substance Abuse Center - 30 Laurel King's Methodist Church - 40 New Macedonia Baptist Church - 30 Homeless Community - 280 Village of Hope Clinic - 85 Three Lower Counties (TLC) - 58 Seton Center - 68 *Due to the national shortage, PRMC was not able to give out as many flu shots, as in 2010 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 In FY2010, Peninsula Partners had over 9,500 members and over 901 inpatient visits were made. 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 FY 10 we screened 415 members of the community with varied "at risk" levels. (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 CY2010, Hospital employees contributed over $156,000 to the United Way campaign, in addition to having over 100 employees walk and participate in the March of Dimes. Hospital employees and physicians also participated in the 2010 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 FY2010, over 62,500 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. PART VI, LINE 6 - SEE EXPLANATION FOR PART VI, LINE 5	OtherInformation
Affiliated Health Care System	PART VI, LINE 7 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.	AffiliatedHealthCareSystem
Reports Filed With States	MD	ReportsFiledWithStates

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	X	TravelForCompanions
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	true	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	true	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
R Alan Newberry
609529	0	182212	0	72975	0	55567	0	22183	0	942466	0	0	0
Bruce I Ritchie
278239	0	60608	0	20232	0	46228	0	17727	0	423034	0	0	0
Margaret Naleppa
490466	0	132880	0	10547	0	36398	0	18197	0	688488	0	0	0
Lura Lunsford
211241	0	31265	0	6605	0	34589	0	16901	0	300601	0	0	0
Thomas Lawrence MD
360970	0	97197	0	2808	0	42189	0	18897	0	522061	0	0	0
James Martin MD
539021	0	0	0	0	0	15222	0	5856	0	560099	0	0	0
Joseph Grasso MD
466623	0	0	0	0	0	15222	0	14192	0	496037	0	0	0
Justinian Ngaiza MD
519815	0	0	0	0	0	15120	0	14397	0	549332	0	0	0
Panpit Klug MD
688511	0	0	0	0	0	15222	0	9572	0	713305	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	Supplemental Compensation Information	Identifier
Return Reference	Schedule J	ReturnReference
Explanation	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.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	Maryland Health & Higher Educational Facilities Au	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	520936091	IssuerEIN
CUSIP Number	574217WT8	CUSIPNumber
Date Issued	2006-02-09	DateIssued
Issue Price	146668251	IssuePrice
Description Of Purpose	SEE SCHEDULE O	DescriptionOfPurpose
Defeased	false	Defeased
On Behalf Of Issuer	false	OnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Total Proceeds	154822905	TotalProceeds
Amount In Reserve Fund	11127422	AmountInReserveFund
Issuance Costs From Proceeds	1167501	IssuanceCostsFromProceeds
Capital Expenditures	100184165	CapitalExpenditures
Year Of Subst Completion	2009	YearOfSubstCompletion
Current Refunding	true	CurrentRefunding
Advance Refunding	false	AdvanceRefunding
Final Allocation Made	true	FinalAllocationMade
Adequate Books And Recds Maintaind	true	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	false	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	true	MngmentCntrctBondFinancdPrprty
Any Research Agreements	false	AnyResearchAgreements
Bond Counsel Routinely Engaged	true	BondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others	0.00830	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00120	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00950	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	true	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	false	Form8038TFiled
Variable Rate Issue	false	VariableRateIssue
Hedge Identified In Books And Recds	true	HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

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

Field	Value	IRS element (for citing)
Term Of Hedge	20.4	TermOfHedge
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGIC
Gross Proceeds Invested	false	GrossProceedsInvested
Exception To Rebate	true	ExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	PENINSULA CARDIOLOGY ASSOCIATES	NamePerson

Field	Value	IRS element (for citing)
Relationship	SEE SCHEDULE O	Relationship
Amount Of Transaction	229164	AmountOfTransaction
Description Of Transaction	CARDIOLOGY SVCS, RENTAL FEES	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifier	ExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 6	PENINSULA REGIONAL MEDICAL CENTER IS ORGANIZED AS A NON-STOCK, NOT FOR PROFIT CORPORATION WITH MEMBERS.
FORM 990, PART VI, SECTION A LINE 7A	THE NOMINATING COMMITTEE OF THE BOARD MAKES RECOMMENDATIONS FOR NEW MEMBERSHIP. THE BOARD OF TRUSTEES GIVES FINAL APPROVAL. FORM 990, PART VI, SECTION A, LINE 7B NEW RESOLUTIONS ARE ADOPTED BY THE BOARD'S COMMITTEE CHAIRPERSONS OR MEMBERS OF THE BOARD AND PRESENTED TO THE BOARD FOR APPROVAL.
FORM 990, PART VI, SECTION B, LINE 11	OVERSIGHT OF THE COMPLETION OF THE ORGANIZATION'S FORM 990 HAS BEEN DELEGATED TO THE CHIEF FINANCIAL OFFICER OF PENINSULA REGIONAL MEDICAL CENTER BY THE PRESIDENT OF THE ORGANIZATION. ONCE THE FORM 990 AND ALL SCHEDULES HAVE BEEN PREPARED BY THE ORGANIZATION'S INDEPENDENT TAX SERVICES PROVIDER, THEY ARE REVIEWED BY THE PRESIDENT PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	BOARD OF TRUSTEES ARE REQUIRED TO DISCLOSE ANNUALLY, IN WRITING, ANY AND ALL INTERESTS WHICH THEY OR ANY MEMBER OF THEIR IMMEDIATE FAMILY, MAY HAVE IN ANY BUSINESS ENTITY WHICH HAS OR SEEKS A CONTRACTUAL REALTIONSHIP WITH THE CORPORATION OR ANY OF ITS AFFILIATES. THE BOARD HAS 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 MEMBERSHIP ON THE BOARD.
FORM 990, PART VI SECTION B, LINE 15	THE ORGANIZATION USES A COMPENSATION COMMITTEE TO DETERMINE THE COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR AND OTHER KEY EMPLOYEES. THE CEO OF THE ORGINIZATION HAS A WRITTEN EMPLOYMENT CONTRACT. THE COMPENSATION COMMITTEE USES AN INDEPENDENT CONSULTANT, COMPENSATION SURVEYS AND OTHER ORGANIZATION'S FORM 990 IN THE DETERMINATION PROCESS.
FORM 990, PART VI, SECTION C, LINE 19	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.
SCHEDULE L	Rene Desmarias, M.D., a trustee of the Medical Center, is a more than 5% owner of Peninsula Cardiology Associates.
SCHEDULE K, PART I, COLUMN F	The proceeds of the issue, after payment of financing costs, were used primarily (i) to finance and refinance a portion of the costs of construction, renovation, acquisition and equipping of healthcare facilities; (ii) to refund outstanding 1993 bonds (issued 10/28/93); (iii) to pay a portion of the interest accruing on the Series 2006 Bonds for a period to extend to January 1, 2009; and (iv) to pay the Counterparty a termination payment of $1,575 in connection with a forward starting interest rate exchange agreement entered into on August 9, 2005 and unwound on January 24, 2006. SCHEDULE K, PART II, LINE 7 Of the amount reported on Part II, Line 7, $12,281,895 is capitalized interest.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1
PENINSULA REGIONAL MEDICAL FOUNDATION
100 EAST CARROLL ST	SALISBURY	MD	21801	521851935	FUNDRAISING	MD	501(C)(3)	11A	NA
PENINSULA REGIONAL HEALTH SYSTEM INC
100 EAST CARROLL ST	SALISBURY	MD	21801	522132761	PARENT	MD	501(C)(3)	11B	NA
PENINSULA GENERAL HOSPITAL INS TRUST
100 EAST CARROLL ST	SALISBURY	MD	21801	526321234	INS TRUST	MD	501(C)(3)	11D	NA

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	DELMARVA SURGERY CENTER	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	641 S SALISBURY BLVD	AddressLine1
City	SALISBURY	City
State	MD	State
ZIP Code	21801	ZIPCode

Field	Value	IRS element (for citing)
EIN	522251436	EIN
Primary Activity	HEALTHCARE	PrimaryActivity
Legal Domicile State	MD	LegalDomicileState
Disproportionate Allocations	false	DisproportionateAllocations
General Or Managing Partner	false	GeneralOrManagingPartner

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity
PENINSULA HEALTH VENTURES INC
100 EAST CARROLL ST SALISBURY	SALISBURY	MD	21801	522250012	INVESTMENT	MD	NA	C CORP
PRLTC INC
100 EAST CARROLL ST	SALISBURY	MD	21801	522190588	LONG TERM CARE	MD	NA	C CORP

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
PENINSULA REGIONAL MEDICAL CENTER FOUNDATION
L, R	2410588
PENINSULA REGIONAL MEDICAL CENTER FOUNDATION
M, N,	422581
PENINSULA HEALTH VENTURES INC
K	150000