2011-05-16T12:30:40-04:00 2010-06-30 ERNST & YOUNG US LLP 75 BEATTIE PLACE SUITE 800 GREENVILLE SC 29601 990 2009-07-01 520591628 PENINSULA REGIONAL MEDICAL CENTER PENI 4105466400 100 EAST CARROLL STREET SALISBURY MD 21801 Bruce I Ritchie 2011-05-12 8642425740 2009 2016-02-24 21:20:13Z MARGARET NALEPPA CEO 100 EAST CARROLL STREET SALISBURY MD 21801 489241479 false X WWW.PENINSULA.ORG X 1897 MD IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. 16 14 3226 203 1331351 0 453011 338220 370503208 370978477 -16693303 10994124 769492 961189 355032408 383272010 0 0 0 0 169508709 173677704 0 0 492132 189364617 190843480 358873326 364521184 -3840918 18750826 434945614 451108031 207629444 199802875 227316170 251305156 IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. false false 333133285 369840390 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 333133285 true true false true false false false false true true true true false false false false false false false false true false false true true false false false false false false false false false true false false false false false true true false false true 207 1 3226 true true true false false false false false false false false 16 14 false false false false true true true true true false false false true true true true true true true true true CA NC X JIM GREGORY 4109124979 100 EAST CARROLL ST SALSIBURY MD 21801 Jeffrey F Turner 1.0 X 0 0 0 Farouk A Sultani MD 10.0 X X 7500 0 0 Margaret Naleppa 40.0 X X 633893 0 54595 Martin Neat 1.0 X X 0 0 0 Herbert J Geary III 1.0 X 0 0 0 Michael E Crouch MD 1.0 X 0 0 0 Murray Hoy 10.0 X X 22500 0 0 Christjon J Huddleston MD 1.0 X 0 0 0 Hugh McLaughlin 1.0 X 0 0 0 Rene Desmarais MD 1.0 X 0 0 0 Susan Robinson 1.0 X 0 0 0 Brian Shockley 1.0 X 0 0 0 Marion Keenan 1.0 X 0 0 0 Conworth Dayton-Jones MD 1.0 X 0 0 0 Edward W Urban 1.0 X X 0 0 0 William R McCain 1.0 X X 0 0 0 Monty Saylor 1.0 X 0 0 0 Marilyn Booth 1.0 X 0 0 0 Bruce I Ritchie 40.0 X 359079 0 63955 Lura Lunsford 40.0 X 249111 0 51490 Thomas Lawrence MD 40.0 X 460975 0 61086 James Martin MD 40.0 X 539021 0 21078 Joseph Grasso MD 40.0 X 466623 0 29414 Justinian Ngaiza MD 40.0 X 519815 0 29517 Panpit Klug MD 40.0 X 688511 0 24794 R Alan Newberry 40.0 X 864716 0 77750 4811744 0 413679 125 true true false 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 58 321717 16503 338220 Net patient services 621500 369688229 368565749 1122480 Partnership income 900099 1290248 1290248 370978477 4581474 4581474 0 0 71760 77105 -5345 -5345 -5345 112280395 24619 105802605 89759 6477790 -65140 6412650 6412650 0 0 0 CAFETERIA 900099 772617 772617 MEDICAL RECORDS 900099 653 653 PARNERSHIP REVENUE 900003 43264 -15607 58871 150000 150000 966534 383272010 369840390 1331351 11762049 0 0 0 1442123 1313023 125618 3482 942466 858115 82089 2262 134970098 122888559 11756399 325140 6343714 5775871 552561 15282 20432544 18601642 1781629 49273 9546759 8808694 720035 18030 0 607933 2008 605925 149900 149900 25260 25260 0 797039 797039 0 0 90594387 89958167 599592 36628 729803 720665 9138 0 4775442 4775442 314650 221181 89565 3904 0 66406 66406 6853109 6853109 0 20820902 20774808 46094 2795113 300141 2494972 BAD DEBTS 17976987 17976987 EQUIP RENTAL AND MAINTENANCE 10961582 9464639 1492009 4934 PROFESSIONAL FEES 33047258 23670409 9344251 32598 MISCELLNEOUS 327709 78159 248951 599 364521184 333133285 30895767 492132 298569 154899 17114706 25139457 37406473 35817855 6590441 7086954 3342471 4358438 425743372 213077893 215838468 212665479 95830020 105748847 58524466 60136102 434945614 451108031 17843703 14233918 140226545 137319548 90000 75000 49469196 48174409 207629444 199802875 X 206944044 231374493 12337825 11879875 8034301 8050788 227316170 251305156 434945614 451108031 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 25260 25260 false OTHER ACTIVITIES PART II-B, LINE 1L 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 25231843 206865 3074487 217196 28295999 29317177 110900 -4000545 195689 25231843 0.51180 0.00150 0.48670 false false 10492173 10492173 194392222 45978931 148413291 210232500 162628866 47603634 10626477 4470096 6156381 212665479 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 60136102 0 ADVANCES FROM 3RD PARTY PAYORS 8157600 ACCRUED SELF INSURANCE LIABITIES 8676470 OTHER LIABILITIES 4989423 EMP. COMP. RELATED PAYROLL TAXES 11740584 PENSION FUND LIABILITY 14610332 48174409 383272010 364521184 18750826 4978411 259749 5238160 23988986 388552616 4978411 -60191 4918220 383634396 797039 -1159425 -362386 383272010 363438816 77105 77105 363361711 797039 362434 1159473 364521184 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 true true true X true X true true true false true true 12218922 0 12218922 0.03530 12218922 0 12218922 0.03530 52846 1422608 351169 1071439 0.00310 1360 375385 0 375385 0.00110 28402 9400963 2846883 6554080 0.01890 3345 0 3345 3750 165376 0 165376 0.00050 86358 11367677 3198052 8169625 0.02360 86358 23586599 3198052 20388547 0.05890 5243 0 5243 2446 0 2446 50290 0 50290 0.00010 30292 0 30292 0.00010 5704 0 5704 93975 0 93975 0.00020 true 14124182 209590412 198641330 10949082 X true true PENINSULA REGIONAL MEDICAL CENTER

100 E CARROLL STREET SALISBURY MD 218015493

X X X Not applicable 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). 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. The amount of bad debt expense excluded from the denominatorin the column (f) percentages is $17,976,987. 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. 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. 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 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 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. 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. 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 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. MD X X true true X X X X X X false true false false false true true false false 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 Supplemental Compensation Information Schedule J 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. Maryland Health & Higher Educational Facilities Au 520936091 574217WT8 2006-02-09 146668251 SEE SCHEDULE O false false 154822905 11127422 1167501 100184165 2009 true false true true false false true false true 0.00830 0.00120 0.00950 true false false true Morgan Stanley 20.4 false false true PENINSULA CARDIOLOGY ASSOCIATES SEE SCHEDULE O 229164 CARDIOLOGY SVCS, RENTAL FEES false 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. 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 DELMARVA SURGERY CENTER 641 S SALISBURY BLVD SALISBURY MD 21801 522251436 HEALTHCARE MD false false 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 false false false false false false false false false false true true true true false true false true PENINSULA REGIONAL MEDICAL CENTER FOUNDATION L, R 2410588 PENINSULA REGIONAL MEDICAL CENTER FOUNDATION M, N, 422581 PENINSULA HEALTH VENTURES INC K 150000