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Nonprofiteer
← PENINSULA GENERAL HOSPITAL INSURANCE TRUST

Form 990 for tax year 2022

Filed by PENINSULA GENERAL HOSPITAL INSURANCE TRUST.

Totals

Total revenue
$225,623
Total expenses
$34,216
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$0
Investment income
$225,623
Other revenue
$0
Total assets, end of year
$6,911,346
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$6,911,346
Program services expenses (Part IX)
$34,216
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$34,216

Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 3 · Investment income

    total $127,620 · excluded $127,620

  • 7a · Gross sales of assets other than inventory

    securities $2,233,297

  • 7b · Less cost or other basis and sales expenses

    securities $2,135,294

  • 7c · Gain or loss

    securities $98,003

  • 7d · Net gain or loss

    total $98,003 · excluded $98,003

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $2,600 · program services $2,600

  • 11f · Fees: investment management

    total $31,616 · program services $31,616

Balance sheet

Part X, book values.

  • 4 · Accounts receivable

    beginning of year $26,590 · end of year $32,126

  • 11 · Investments: publicly traded securities

    beginning of year $7,193,196 · end of year $6,879,220

  • 28 · Net assets with donor restrictions

    beginning of year $7,219,786 · end of year $6,911,346

Mission and programs · 2022

Mission

TO SUPPORT TIDALHEALTH PENINSULA REGIONAL, INC. (EIN 52-0591628) BY PROVIDING A SEGREGATED FUND FROM WHICH WORKERS COMPENSATION CLAIMS AND ASSOCIATED ADMINISTRATIVE COSTS NOT OTHERWISE COVERED BY OTHER WORKERS COMPENSATION INSURANCE MAY BE PAID.

Activities or mission (Part I)

SUPPORT TIDALHEALTH PENINSULA REGIONAL, INC. BY PROVIDING A SEGREGATED FUND FROM WHICH COVERED CLAIMS NOT OTHERWISE COVERED BY OTHER WORKERS COMPENSATION INSURANCE MAY BE PAID.

  • TIDALHEALTH PENINSULA REGIONAL, INC. (EIN 52-0591628), A COMMUNITY HOSPITAL, ESTABLISHED A TRUST ON 3/1/1986 FOR THE PURPOSE OF CREATING AND MAINTAINING A SEGREGATED FUND FROM WHICH WORKERS COMPENSATION CLAIMS AND ASSOCIATED ADMINISTRATIVE COSTS NOT OTHERWISE COVERED BY OTHER WORKERS COMPENSATION INSURANCE MAY BE PAID. TO THE EXTENT THAT SUCH COSTS ARE INCLUDED IN THE REQUIRED FUNDING AMOUNT, FOR THE PAYMENT OF REASONABLE COSTS OF INVESTIGATION, ADJUSTMENT, AND DEFENSE OF SUCH ACCOUNTING ACTIVITIES OF THIS TRUST ARE ALSO INCLUDED IN THE ANNUAL FORM 990 FILING BY TIDALHEALTH PENINSULA REGIONAL, INC. THIS TRUST DOES NOT HAVE ANY EMPLOYEES.

    Expenses $34,216

As filed on the 2022 return.

Listed in Part VII

  • Pnc Institutional Investments

    TRUSTEE

    Total calculated
    $2,600
    From this org
    $2,600
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • DELMARVA ENDOSC CTR

    HEALTH CARE · MD

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • PENINSULA HEALTH VENTURES (PHV)

    C · P'SHIP INVESTMENT · MD

  • PRLTC INC

    C · LONG TERM CARE · MD

Provenance

Return type
form_990
Tax year
2022
Filed
7 July 2023
IRS schema version
2022v5.0
Source object
202301889349300625

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