Civic Intelligence

Peninsula Regional Health System Inc

EIN 52-2132761 • 501(c)3 • Salisbury, MD

Profile

To improve the health of the community we serve.

100 East Carroll StreetSalisbury, MD 21801

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

34th percentile

0.16x

Higher debt load relative to assets than 34% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Liabilities / Revenue

68th percentile

0.79x

Higher debt load relative to revenue than 68% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Net Margin

7th percentile

-25%

Higher net margin than 7% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Top Officer Pay

68th percentile

$1,326,127

Higher top officer pay than 68% of similar nonprofits.

Top officer pay equals 0.7% of source-year revenue.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Asset Growth

66th percentile

9.4%

Faster asset growth than 66% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2023 to 2024

Revenue Growth

50th percentile

8.8%

Faster revenue growth than 50% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2023 to 2024

Assets

Up

$928,715,887

Up $80,123,719 (+9.4%) from 2023

Liabilities

Down

$153,130,360

Down $8,884,897 (-5.5%) from 2023

Net Assets

Up

$775,585,527

Up $89,008,616 (+13%) from 2023

Revenue

Up

$194,711,624

Up $15,699,345 (+8.8%) from 2023

Expenses

Up

$243,301,933

Up $10,794,374 (+4.6%) from 2023

Net Income

Up

-$48,590,309

Up $4,904,971 (+9.2%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$1.0B$500M$0Assets 2011: $329,114,665Liabilities 2011: $0Net Assets 2011: $329,114,6652011Assets 2012: $333,580,968Liabilities 2012: $0Net Assets 2012: $333,580,9682012Assets 2013: $362,750,384Liabilities 2013: $0Net Assets 2013: $362,750,3842013Assets 2014: $422,686,196Liabilities 2014: $0Net Assets 2014: $422,686,1962014Assets 2015: $451,127,268Liabilities 2015: $195,115Net Assets 2015: $450,932,1532015Assets 2016: $435,861,566Liabilities 2016: $272,875Net Assets 2016: $435,588,6912016Assets 2017: $459,748,847Liabilities 2017: $706,454Net Assets 2017: $459,042,3932017Assets 2018: $531,837,647Liabilities 2018: $2,522,323Net Assets 2018: $529,315,3242018Assets 2019: $574,291,404Liabilities 2019: $3,659,140Net Assets 2019: $570,632,2642019Assets 2020: $786,747,162Liabilities 2020: $106,618,201Net Assets 2020: $680,128,9612020Assets 2021: $944,636,875Liabilities 2021: $132,272,376Net Assets 2021: $812,364,4992021Assets 2022: $824,220,157Liabilities 2022: $134,187,457Net Assets 2022: $690,032,7002022Assets 2023: $848,592,168Liabilities 2023: $162,015,257Net Assets 2023: $686,576,9112023Assets 2024: $928,715,887Liabilities 2024: $153,130,360Net Assets 2024: $775,585,5272024

Highlighted filing

2024

Assets$928,715,887
Liabilities$153,130,360
Net Assets$775,585,527

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$300M$200M$100M$0-$100MRevenue 2011: $12Expenses 2011: $0Net Income 2011: $122011Expenses 2012: $02012Expenses 2013: $02013Revenue 2014: $6Expenses 2014: $0Net Income 2014: $62014Revenue 2015: $3Expenses 2015: $6,615Net Income 2015: -$6,6122015Revenue 2016: -$34,762Expenses 2016: $0Net Income 2016: -$34,7622016Revenue 2017: $86,687Expenses 2017: $1,728,249Net Income 2017: -$1,641,5622017Revenue 2018: $420,079Expenses 2018: $2,435,279Net Income 2018: -$2,015,2002018Revenue 2019: $1,758,799Expenses 2019: $3,594,727Net Income 2019: -$1,835,9282019Revenue 2020: $1,183,475Expenses 2020: $2,718,058Net Income 2020: -$1,534,5832020Revenue 2021: $88,803,242Expenses 2021: $142,851,257Net Income 2021: -$54,048,0152021Revenue 2022: $125,589,713Expenses 2022: $191,323,860Net Income 2022: -$65,734,1472022Revenue 2023: $179,012,279Expenses 2023: $232,507,559Net Income 2023: -$53,495,2802023Revenue 2024: $194,711,624Expenses 2024: $243,301,933Net Income 2024: -$48,590,3092024

Highlighted filing

2024

Revenue$194,711,624
Expenses$243,301,933
Net Income-$48,590,309

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$929$153$776$195$243$48.6
2023Detailed filing. Detailed filing data is available for this year.$849$162$687$179$233$53.5
2022Detailed filing. Detailed filing data is available for this year.$824$134$690$126$191$65.7
2021Detailed filing. Detailed filing data is available for this year.$945$132$812$88.8$143$54.0
2020Detailed filing. Detailed filing data is available for this year.$787$107$680$1.18$2.72$1.53
2019Detailed filing. Detailed filing data is available for this year.$574$3.66$571$1.76$3.59$1.84
2018Detailed filing. Detailed filing data is available for this year.$532$2.52$529$0.42$2.44$2.02
2017Detailed filing. Detailed filing data is available for this year.$460$0.71$459$0.09$1.73$1.64
2016Detailed filing. Detailed filing data is available for this year.$436$0.27$436$0.03$0.00$0.03
2015Detailed filing. Detailed filing data is available for this year.$451$0.20$451$0.00$0.01$0.01
2014Detailed filing. Detailed filing data is available for this year.$423$0.00$423$0.00$0.00$0.00
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$363$0.00$363$0.00
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$334$0.00$334$0.00
2011Summary only. Only limited summary data is available for this year.$329$0.00$329$0.00$0.00$0.00
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 14, 2025
Return Version
2023v6.0
Gross Receipts
$194,717,542
Mission and Program Overview

Mission

To improve the health of the community we serve.

To improve the health of the communities we serve.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$15,453,065$30,540,660▲ $15,087,595
Land, Buildings, and Equipment, Net$14,305,768$14,965,202▲ $659,434
Savings and Temporary Cash Investments$4,937,849$7,424,693▲ $2,486,844
Receivables From Officers Etc$4,381,073$4,503,072▲ $121,999
Prepaid Expenses and Deferred Charges$802,073$770,747▼ $31,326
Inventories for Sale or Use$276,764$276,764→ $0
Total Assets$848,592,168$928,715,887▲ $80,123,719
Other Assets Total$808,435,576$870,234,749▲ $61,799,173
Liabilities
Tax Exempt Bond Liabilities$96,132,553$94,414,796▼ $1,717,757
Accounts Payable and Accrued Expenses$57,997,620$48,119,017▼ $9,878,603
Other Liabilities$7,885,084$10,596,547▲ $2,711,463
Total Liabilities$162,015,257$153,130,360▼ $8,884,897
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$620,860,638$703,289,883▲ $82,429,245
Net Assets With Donor Restrictions$65,716,273$72,295,644▲ $6,579,371
Total Net Assets Fund Balance$686,576,911$775,585,527▲ $89,008,616
Total Liabilities and Net Assets / Fund Balance$848,592,168$928,715,887▲ $80,123,719

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$12,534,864$8,746,088$21,280,952
Equipment$2,055,889$8,428,936$10,484,825
Other Land Buildings$374,449$5,917$380,366
Other Assets Org$185,246--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2023$87,652,533-▲ $11,952,711-$99,244,283
2022$87,537,245-▲ $10,561,995$10,000,000$87,652,533
2021$102,246,212-▼ $14,214,441-$87,537,245
2020$79,165,301-▲ $23,584,799-$102,246,212
2019$71,424,439-▲ $8,133,343-$79,165,301
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
William Doran DoPhysicianFT$875,096$451,031$1,326,127
Steven LeonardPresident/CEO-$874,064$406,154$1,280,218
Steven Hearne MdPhysicianFT$854,685$354,406$1,209,091
Zachary Baker MdPhysicianFT$893,370$313,389$1,206,759
Emmanuel Nsah MdPhysicianFT$811,898$262,000$1,073,898
John Hamilton MdPhysicianFT$977,254$85,296$1,062,550
Lura LunsfordV.p. Operations-$697,278$195,845$893,123
Trudy Hall MdV.p. Chief Medical Officer-$514,873$146,025$660,898
Stephanie GaryCFO-$509,284$139,419$648,703
Bruce RitchieFormer CFO (thru 01/23)-$167,966$287,839$455,805
Vel Natesan MdBoard Member/physician-$63,144-$63,144
Ryan MclaughlinImmediate Past Chairperson-$22,500-$22,500
Memo DirikerChairperson (beg 11/23)PT$7,500-$7,500

Board Members and Trustees

NameTitle
David RommelVice-chairman (beg 11/23)
Heidi AndersonBoard Member
Herbert J Geary IiiBoard Member
Karen PoiskerBoard Member
Maria LehmanBoard Member
Mark HigdonBoard Member
Michele Procino-wellsBoard Member
Thomas CoatesBoard Member
Timothy Benning MdBoard Member
Julius Zant MdBoard Member (beg 01/24)
Deborah AbbottBoard Member (thru 12/23)
Andrea WilliamsSecretary/treasurer (beg 11/23)

Highest Paid Contractors

ContractorServicesLocationCompensation
Intermed GroupBiomedical Services13301 N W HWY 441, Alachua, FL 32615-8512$8,078,456
Focusone Solutions LLCTemporary Labor ServicesPO BOX 850861, Minneapolis, MN 55485-0861$8,053,588
Epic Systems CorporationTechnical ServicesPO BOX 88314, Milwaukee, WI 53288-0314$5,887,615
Crothall ServicesEnvironmental Services13208 COLLECTIONS CENTER DR, Chicago, IL 60693$5,396,101
Apogee Medical ManagementHospitalist Services15059 N SCOTTSDALE RD SUITE 600, Scottsdale, AZ 85254$4,260,830
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$192,422,716
Investment Income
$2,276,813
Other Revenue
$12,095
Change in Net Assets
$-48,590,309
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$158,179,555
Other Expenses$85,122,378
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$129,559,116$8,255,234-$137,814,350
Fees for Services Other$18,317,541$1,996,205-$20,313,746
Office Expenses$860,515$6,570,822-$7,431,337
Payroll Taxes$6,417,192$953,481-$7,370,673
Occupancy$5,496,102$196,514-$5,692,616
Other Employee Benefits$290,231$5,389,771-$5,680,002
Pension Plan Contributions$186,711$3,467,346-$3,654,057
Current Officers, Directors, Trustees, and Key Employees-$3,402,415-$3,402,415
Depreciation Depletion$1,939,148--$1,939,148
Insurance$1,575,889--$1,575,889
Information Technology$593,867$20,796-$614,663
Comp Disqual Persons-$258,058-$258,058
Other Expenses$184,636$2,729-$187,365
Travel$119,442$36,833-$156,275
Total Functional Expenses$212,745,188$30,556,745$0$243,301,933
International Activity

International Summary

Offices
1
Employees
1
Spending
$100,000

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
Yes
Foreign partnership interest
No
Interest in foreign trust
No
Passive foreign investment company interest
No
Transfers to foreign corporations
Yes

International Activities

RegionActivityServicesOfficesEmployeesSpending
Central America and the CaribbeanInvestments-11$100,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-See BelowServicesNo$451,817

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Officers, Directors, Trustees, and Key Employees$4,381,073$4,503,072▲ $121,999
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Accrued Self-insurance Liabilities$4,761,481
Section 457(f) Plan Deferred Compensation$4,408,613
Right of Use - Lease Liability$1,426,453

Bond Issues

BondIssuerIssuedIssue PricePurpose
AMaryland Health & Higher Education Facilities Authority2020-05-13$101,939,325Refunding & new money, see part vi

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$103,818,788-$4,600,000-

Bond Financing Compliance

No rebate due
No
Rebate not yet due
Yes
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 2

Business relationships steven leonard, david rommel, memo diriker, ryan mclaughlin and thomas coates are members of the board of directors of peninsula health ventures, a wholly-owned taxable subsidiary of tidalhealth, inc. Stephanie gary, thi's cfo, also serves as secretary/treasurer of peninsula health ventures.

Form 990, Part VI, Section A, Line 8B

Contemporaneous documentation of meetings held/written actions undertaken the governing body of tidalhealth, inc. Documents all meetings held. Committees of the health system also document all meetings held, but do not have the authority to act on behalf of the board. Committee chairs present resolutions to the governing body for approval.

Form 990, Part VI, Section B, Line 11B

Review process of form 990 once the form 990 and all schedules have been prepared by the organization's independent tax services provider, the organization's form 990 is reviewed by the president of the health system prior to filing. A copy of the form 990 was made available to all members of the governing body prior to the filing with irs.

Form 990, Part VI, Section B, Line 12C

Monitoring and enforcement of conflict of interest policy the board of directors 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 or competitive relationship with the corporation or any of its affiliates. The board has the authority to determine if a violation has occurred and whether any interest which should be disclosed should disqualify a director from participating in any specific board discussion or board membership. All disclosures are reviewed by the organization's chief compliance officer. Any conflicts are presented to the board. If a person is conflicted, they will recuse themselves from all discussions and deliberations to which they would appear to be conflicted.

Form 990, Part VI, Section B, Line 15

Process for determining compensation the organization uses a compensation committee to determine the compensation of the ceo/executive director and other key employees. The compensation committee uses an independent consultant, compensation surveys and other organization's form 990 in the determination process.

Form 990, Part VI, Section C, Line 19

Availability of documents to public the organization's governing documents, conflict of interest policy, financial statements, and form 990 are available to the public upon request to the public information office of tidalhealth peninsula regional at 100 east carroll street, salisbury, md 21801.

Filing and Contact Details

Filer

Filer Name
Tidalhealth Inc
EIN
52-2132761
Phone
4105466400
Address
100 EAST CARROLL STREET, SALISBURY, MD 21801

Signing Officer

Name
Stephanie Gary
Title
CFO
Phone
4105466400
Signed
2025-05-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Steven Leonard
Formed
1998
Legal Domicile
Md
Voting Board Members
15
Independent Board Members
11
Employees
5,778
Volunteers
12

Preparer

Firm
Grant Thornton Advisors LLC
Address
2850 QUARRY LAKE DRIVE SUITE 306, BALTIMORE, MD 21209
Preparer
Mary Torretta
Phone
4106854000
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Changes in pension cost 8,619,239. Decrease in equity in investment in subsidiaries 128,460,814.

Financial Statement Notes

PART V, LINE 4:

Intended uses of endowment funds the organization's endowment funds are used for capital, patient services or educational purposes. The health system administers the endowment for the benefit of tidalhealth peninsula regional inc. And tidalhealth foundation.

PART X, LINE 2:

Liability for uncertain tax position (asc 740) the organization is included in the consolidated financial statements of tidalhealth, inc. The relevant text of the income tax footnote from those financials is: the health system has determined there are no material uncertain tax positions that require recognition or disclosure in the consolidated financial statements at june 30, 2024 and 2023.

Raw XML AppendixShowing 400 of 1,147 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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