2015-11-13T08:46:39-06:00 2014-12-31 990 2014-01-01 540648699 HALIFAX REGIONAL HOSPITAL INC HALI 4345173183 2204 WILBORN AVENUE SOUTH BOSTON VA 24592 STEWART R NELSON CFO 4345173183 2015-11-13 2014 2016-02-25 16:41:14Z CHRIS A LUMSDEN 2204 WILBORN AVENUE SOUTH BOSTON VA 24592 143636087 0 X WWW.HRHS.ORG X 1948 VA TO PROVIDE THE HIGHEST QUALITY CARE BASED ON THE HEALTHCARE NEEDS OF THE PEOPLE WE SERVE. 18 10 790 177 3941273 0 530699 1671904 27824253 86312827 733935 7357950 179650 689796 29268537 96032477 2187531 6769606 0 0 12978951 37814397 0 0 76198 15675914 46808487 30842396 91392490 -1573859 4639987 126369856 132809118 42186919 45010912 84182937 87798206 X THE PURPOSE OF HALIFAX REGIONAL HOSPITAL, INC. IS TO PROVIDE THE HIGHEST QUALITY CARE BASED ON THE HEALTHCARE NEEDS OF THE PEOPLE WE SERVE. FOR MORE INFORMATION, SEE SCHEDULE O. 0 0 85564257 6769606 82375526 SEE SCHEDULE O. 85564257 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 148 0 1 790 1 1 1 0 0 0 0 0 0 0 0 0 X 18 10 1 0 0 0 1 1 1 1 1 0 0 1 1 0 1 1 1 0 0 0 VA X STEWART R NELSON 4345173183 2204 WILBORN AVENUE SOUTH BOSTON VA 24592 DAVID H WHITE JR CHAIR(THRU 5/14) 1.00 5.00 X 0 0 0 CAROL C THOMAS CHAIR(EFF. 5/14) 1.00 5.00 X 0 0 0 HABIB BASSIL MD SECRETARY 1.00 0.00 X 75736 0 0 SAID B ISKANDAR MD BOARD MEMBER 1.00 5.00 X 0 0 0 VALDIVIA T MARSHALL BOARD MEMBER 1.00 0.00 X 0 0 0 J KENNETH MORGAN BOARD MEMBER 1.00 0.00 X 0 0 0 TERRANCE J TRUITT MD BOARD MEMBER 1.00 0.00 X 21750 0 0 WILLIAM E COLEMAN BOARD MEMBER 1.00 0.00 X 0 0 0 W JOSEPH FERGUSON MD BOARD MEMBER 1.00 0.00 X 0 59027 11084 DABNEY TP GILLIAM JR BOARD MEMBER 1.00 0.00 X 0 0 0 KATHRYN F ROBERTS BOARD MEMBER 1.00 0.00 X 0 0 0 GARY D WALKER BOARD MEMBER 1.00 0.00 X 0 0 0 RICHARD O HARRELL III BOARD MEMBER 1.00 2.00 X 0 0 0 MICHAEL R LYON BOARD MEMBER 1.00 0.00 X 0 0 0 LARRY P SNEED TREASURER 1.00 0.00 X X 0 0 0 ROBERT A BROERMANN BOARD MEMBER 1.80 51.00 X 0 1506536 238926 MICHAEL V GENTRY VICE CHAIRMAN 1.80 42.00 X X 0 945093 137601 MEGAN PERRY BOARD MEMBER 1.00 40.00 X 0 737001 267820 ARASH CHEHRAZI MD BOARD MEMBER 1.00 5.00 X 10463 0 0 CHRIS A LUMSDEN PRESIDENT 35.00 5.00 X 365073 43360 41192 STEWART R NELSON CHIEF FINANCIAL OFFICER 35.00 5.00 X 241189 29045 28139 THOMAS S KLUGE CHIEF OPERATING OFFICER 35.00 5.00 X 209993 24884 54986 MING Y LIU MD PHYSICIAN 40.00 0.00 X 356576 0 27133 GREGORY SHUFORD MD PHYSICIAN 40.00 0.00 X 355918 0 11923 HECTOR MARQUEZ MD PHYSICIAN 40.00 0.00 X 379557 0 26101 CAROLINE WIGAN MD PHYSICIAN 40.00 0.00 X 355862 0 27235 PABLO SOUZA MD PHYSICIAN 40.00 0.00 X 348477 0 27000 2720594 3344946 899140 20 0 1 0 MCKESSON TECHNOLOGIES INC PO BOX 98347 CHICAGO IL 60693 MEDICAL SYS SUPPORT 2686194 SIEMENS MEDICAL SOLUTIONS USA INC PO BOX 120001 DEPT 0733 DALLAS TX 75312 MEDICAL SYS SUPPORT 1912321 PULMONARY ASSOCIATES OF SOUTHSIDE VIRGIN 2210 WILBORN AVENUE SOUTH BOSTON VA 24592 MEDICAL PROFESSIONAL SVCS 930925 HEALTHGRAM INC PO BOX 11088 CHARLOTTE NC 28220 ONLINE SERVICES 649664 SODEXO INC & AFFILIATES PO BOX 536922 ATLANTA GA 30353 MANAGEMENT FEES & CONTRACT LABOR 605714 23 96000 1486934 88970 1671904 NET PATIENT SERVICE REVENUE 541900 82375526 82375526 OUTSIDE LAB SERVICES 541900 3937301 3937301 86312827 1594313 1594313 40707 0 40707 40707 40707 53176779 63376 47348688 127830 5828091 -64454 5763637 5763637 74642 51860 22782 22782 146704 75232 71472 71472 CAFE/VENDING 721000 484909 484909 MISCELLANEOUS 900099 69926 3972 65954 554835 96032477 82375526 3941273 8043774 6738826 6738826 30780 30780 1048521 1048521 28552216 26461640 2031966 58610 922283 824395 96061 1827 5039269 4591639 437450 10180 2252108 2013079 234568 4461 141502 141502 -644 -644 5671145 5364865 306280 252619 252619 6096908 5613162 483457 289 2643061 2643061 1331434 1331434 175895 166832 8527 536 79902 48265 31637 923797 923797 5410105 5410105 -20416 -20416 MEDICAL SUPPLIES 12729605 12729605 BAD DEBT 6006449 6006449 PURCHASED SERVICES 4106785 3549581 557204 UBIT 180000 180000 1080340 936742 143303 295 91392490 85564257 5752035 76198 5393033 5002754 10512155 10682360 647440 395754 2804458 2709152 3956933 3626164 61322903 8924385 53200633 52398518 46590193 53887895 2479623 2968000 785388 1138521 126369856 132809118 11411607 11350884 208404 161828 19581736 18949621 10985172 14548579 42186919 45010912 X 84182937 87798206 84182937 87798206 126369856 132809118 X 4639987 -3974300 2949582 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2576000 2576000 27476144 3107412 24368732 27829730 5474650 22355080 3441029 342323 3098706 52398518 ACCRUED PENSION PLAN 3832067 CAPITALIZED LEASE OBLIGATIONS 9704 DUE TO THIRD-PARTY PROGRAMS 3230000 OTHER LONG TERM LIABILITIES 2235386 DUE TO AFFILIATES 5241422 14548579 CENTRAL AMERICA/CARIBBEAN 0 0 PROGRAM SERVICES JOINT VENTURE AGREEMENT WITH VIRGINIA SOLUTIONS SPC, LTD - INSURANCE CAPTIVE 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 SCHEDULE F, PART I, LINE 3: EQUITY PART I, LINE 3, COLUMN (E): REGION: CENTRAL AMERICA AND THE CARIBBEAN SPECIFIC TYPES OF SERVICES IN REGION: JOINT VENTURE AGREEMENT WITH VIRGINIA SOLUTIONS SPC, LTD - INSURANCE CAPTIVE THAT UNDERWRITES HOSPITAL AND PHYSICIAN LIABILITY AND WORKERS COMPENSATION POLICIES FOR ITS MEMBER HOSPITALS. THE ORGANIZATION HAS A 0% OWNERSHIP INTEREST IN THE CAPTIVE AT YEAR END. UNIFORM SALES 49597 49597 41041 BOOK SALES 25045 25045 10819 74642 74642 51860 51860 22782 1 1 1 X 1 X 275.000000000000 1 1 0 1 1 2629296 2629296 0.03080 8309073 7361404 947669 0.01110 99233 72882 26351 0.00030 11037602 7434286 3603316 0.04220 302925 302925 0.00350 106318 3795 102523 0.00120 8554000 8554000 0.10020 180199 180199 0.00210 9143442 3795 9139647 0.10700 20181044 7438081 12742963 0.14920 8660 8660 0.00010 88 88 0.00000 76 76 0.00000 1850821 1850821 0.02170 1859645 1859645 0.02180 1 6006449 33999208 31030832 2968376 X 1 1 1 1 HALIFAX REGIONAL HOSPITAL INC 2204 WILBORN AVENUE SOUTH BOSTON VA 24592 WWW.SENTARA.COM H1853 X X X HOME HEALTH HOSPICE HALIFAX REGIONAL HOSPITAL INC 1 0 0 1 X X X X X X X X X 12 1 0 0 1 X HTTP://WWW.HRHS.ORG/PDFS/CHNA2013.PDF X SEE SECTION C BELOW. X 1 12 0 1 0 1 X 150.000000000000 275.000000000000 X X 1 1 X X X 1 X X X X X X X X 1 X 0 X X X X 1 X 0 0 HALIFAX REGIONAL HOSPITAL, INC. PART V, SECTION B, LINE 5: THE HOSPITAL FACILITY CONDUCTED A DELPHI PROCESS TO DELINEATE COMMUNITY NEEDS, WITH PARTICIPANTS ANSWERING TWO ROUNDS OF QUESTIONS. THE ANSWERS WERE THEN COLLECTED AND INTEGRATED INTO THE CHNA, ALONG WITH THE RESULTS OF INTERVIEWS OF HOSPITAL LEADERSHIP MEMBERS WHO ARE HEAVILY INVOLVED IN ALL ASPECTS OF COMMUNITY DEVELOPMENT AND THE HARD DATA RESULTING FROM SEARCHES OF PUBLISHED INFORMATION. THOSE CONSULTED INCLUDED REPRESENTATIVES FROM THE DEPT. OF SOCIAL SERVICES, THE SOUTHSIDE COMMUNITY SERVICES BOARD, THE SOUTH BOSTON POLICE DEPT., THE VIRGINIA COMMONWEALTH ATTORNEY'S OFFICE, HALIFAX CO. HEALTH DEPT., THE HALIFAX CO. SHERIFF'S OFFICE, THE LAKE COUNTRY AREA AGENCY ON AGING, THE TRI-COUNTY COMMUNITY ACTION AGENCY, HALIFAX CO. PUBLIC SCHOOLS, HALIFAX COUNTY BOARD OF SUPERVISORS, SOUTH BOSTON PARKS AND REC, SVHEC, ABB, PRESTO PRODUCTS, HALIFAX COUNTY RESCUE SQUAD, HALIFAX COUNTY CHAMBER OF COMMERCE, SOUTH BOSTON ROTARY CLUB, SOUTH BOSTON LIONS CLUB, WINNS CREEK BAPTIST CHURCH, THE AMERICAN RED CROSS, HALIFAX UNITED WAY, SOUTH BOSTON COUNCIL/VA TOBACCO COMMISSION, THE HRHS BOARD OF DIRECTORS, THE YMCA, HALIFAX PHARMACY, THE CENTER FOR NURSING EXCELLENCE, IDA, SOUTH BOSTON JUNIOR WOMEN'S CLUB, HEAD START, DOLLAR GENERAL, THE VA FARM BUREAU, THE VA COOPERATIVE EXTENSION, CME CHURCHES, CHILD PROTECTIVE SERVICES, THE HALIFAX CO. CANCER ASSOCIATION, AND VARIOUS OTHER ACTIVE AND RETIRED PROFESSIONALS SERVING IN AN INDIVIDUAL CAPACITY. HALIFAX REGIONAL HOSPITAL, INC. PART V, SECTION B, LINE 7D: A LINK TO THE HOSPITAL FACILITY'S COMMUNITY HEALTH NEEDS ASSESSMENT WAS ALSO ON THE SENTARA HEALTHCARE WEBSITE:HTTP://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/CHNA2013.PDF HALIFAX REGIONAL HOSPITAL, INC. PART V, SECTION B, LINE 11: AMONG THE TOP 13 COMMUNITY HEALTH NEEDS ADDRESSED BY THE ORGANIZATION'S CHNA, NUMBERS 4 (MATERNAL AND INFANT MEASURES) AND 5 (PRIORITY POPULATIONS) WERE DETERMINED TO BE TWO AREAS WHERE THE ORGANIZATION WOULD NOT CREATE AND EXECUTE AN IMPLEMENTATION PLAN TO ADDRESS THE NEED. REASONING FOR THOSE DETERMINATIONS FOLLOWS.MATERNAL AND INFANT MEASURES:THE ORGANIZATION DOES NOT INTEND TO DEVELOP AN IMPLEMENTATION PLAN FOR THIS NEED FOR THE FOLLOWING REASONS: - LACK OF EXPERTISE: THIS IS A COMPLEX ISSUE THAT IS A LONGSTANDING AND INTRACTABLE CHALLENGE IN THE ORGANIZATION'S COMMUNITY. - A LACK OF IDENTIFIED EFFECTIVE INTERVENTIONS TO ADDRESS THIS NEED: THE COMMONWEALTH OF VIRGINIA IS STILL DEBATING THE MERITS OF VARIOUS APPROACHES TO IMPROVING THE CONDITIONS OF YOUNG FAMILIES AND WOMEN IN THEIR CHILDBEARING YEARS. - THIS NEED IS BEING ADDRESSED BY OTHER ORGANIZATIONS.PRIORITY POPULATIONS:THE ORGANIZATION DOES NOT INTEND TO DEVELOP AN IMPLEMENTATION PLAN FOR THIS NEED FOR THE FOLLOWING REASONS: - THE NEED IS ADDRESSED BY OTHER ORGANIZATIONS. - THE NEED IS ADDRESSED IN EXISTING ORGANIZATIONAL PROGRAMMING ALTHOUGH NOT AS A CONSOLIDATED WHOLE.- THERE EXISTS A LACK OF IDENTIFIED EFFECTIVE INTERVENTIONS TO ADDRESS THE NEED. - THIS NEED GROUPING INCORPORATES A BROAD SPECTRUM OF SOCIAL AND ECONOMIC CHALLENGES WHICH CREATE AN OVERALL ENVIRONMENT THAT CAUSES POPULATION MEMBERS TO STRUGGLE TO MAINTAIN A FUNCTIONAL LIFESTYLE ON MANY FRONTS. THE ORGANIZATION BELIEVES THAT EFFORTS TO ADDRESS THESE CHALLENGES MUST INCORPORATE ECONOMIC, EDUCATIONAL, AND SOCIAL EFFORTS AS WELL AS HEALTHCARE INTERVENTIONS. THE ORGANIZATION WILL MONITOR THE LOCAL ATTEMPTS TO ADDRESS THESE ISSUES TO DETERMINE HOW IT CAN BEST ASSIST. HALIFAX REGIONAL HOSPITAL, INC. PART V, SECTION B, LINE 16I: A NOTICE REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE, INCLUDING CONTACT INFORMATION, WAS PRINTED ON ALL BILLING INVOICES. A SEPARATE NOTICE, WHICH INCLUDED A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND INCOME GUIDELINES, WAS SENT OUT TO ALL UNINSURED PATIENTS. A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY WAS POSTED IN THE HOSPITAL FACILITY'S EMERGENCY ROOM, WAITING ROOMS, AND ADMISSIONS OFFICE. A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY WITH INCOME GUIDELINES WAS PROVIDED TO PATIENTS UPON ADMISSION. SEE ALSO PART VI LINE 3 FOR ADDITIONAL INFORMATION. HALIFAX REGIONAL HOSPITAL, INC. PART V, SECTION B, LINE 20E: A SUMMARY OP THE FINANCIAL ASSISTANCE POLICY WAS POSTED IN THE HOSPITAL FACILITY'S EMERGENCY ROOM, WAITING ROOMS, AND ADMISSIONS OFFICE AND INCLUDED A PHONE NUMBER TO CALL FOR ADDITIONAL INFORMATION. FINANCIAL OPTIONS BROCHURES WERE ALSO AVAILABLE IN THOSE AREAS. IN ADDITION, QUARTERLY ARTICLES WERE PLACED IN LOCAL NEWSPAPERS TO INFORM THE PUBLIC ABOUT THE FINANCIAL ASSISTANCE POLICY. PART I, LINE 6A: THE ORGANIZATION'S COMMUNITY BENEFIT REPORT WAS CONTAINED IN A SYSTEM-WIDE REPORT PREPARED BY SENTARA HEALTHCARE, EIN 52-1271901, THE ORGANIZATION'S 501(C)(3) SOLE MEMBER. PART I, LINE 7: EXCEPT FOR SUBSIDIZED HEALTH SERVICES, THE ORGANIZATION USED A COST-TO-CHARGES RATIO FROM WORKSHEET 2 TO DETERMINE THE AMOUNTS REPORTED IN PART I, LINE 7. COST METHOD WAS USED FOR SUBSIDIZED HEALTH SERVICES (7G). PART I, LINE 7G: $8,554,000 OF THE AMOUNT REPORTED WAS ATTRIBUTABLE TO PHYSICIAN CLINICS. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 6,006,449. PART II, COMMUNITY BUILDING ACTIVITIES: EMPLOYEES DONATE HUNDREDS OF HOURS AND SHARE THEIR TALENTS AND EXPERTISE AS MEMBERS OF VARIOUS CIVIC AND RELIGIOUS ORGANIZATIONS IN THEIR COMMUNITIES, AS WELL AS SERVING ON RESCUE SQUADS AND FIRE DEPARTMENTS. THE HOSPITAL ALLOWS AND ENCOURAGES EMPLOYEES TO PROVIDE SERVICE TO THE COMMUNITY DURING WORKING HOURS ALSO. EMPLOYEES SERVE IN VARIOUS CAPACITIES INCLUDING ON BOARDS AND ADVISORY COMMITTEES OF A NUMBER OF COMMUNITY GROUPS AND STATE ORGANIZATIONS ADVANCING COMMUNITY HEALTH AND WELLNESS AND WORKFORCE DEVELOPMENT INCLUDING THE FOLLOWING: HALIFAX COUNTY CHAMBER OF COMMERCE; CHARLOTTE COUNTY CHAMBER OF COMMERCE; CLARKSVILLE CHAMBER OF COMMERCE; MECKLENBURG COUNTY BUSINESS EDUCATION PARTNERSHIP; HALIFAX ADVOCATES FOR SUBSTANCE ABUSE PREVENTION; SOUTHSIDE HEALTH COALITION, HALIFAX VOCATIONAL EDUCATION FOUNDATION; SOUTHSIDE VIRGINIA COMMUNITY COLLEGE SCHOOL OF NURSING ADVISORY COUNCIL; COMMITTEE FOR THE CENTER FOR NURSING EXCELLENCE; SOUTHERN VIRGINIA HIGHER EDUCATION CENTER; VIRGINIA COMMUNITY COLLEGE SYSTEM; VIRGINIA FOUNDATION FOR COMMUNITY COLLEGES; HALIFAX EDUCATION FOUNDATION; HALIFAX COUNTY PUBLIC SCHOOLS EDUCATION FOUNDATION; VIRGINIA ADVANCED STUDY ON STRATEGIES BOARD; ECONOMIC DEVELOPMENT COMMITTEE; WORKFORCE INVESTMENT BOARD; HALIFAX COUNTY UNITED WAY: MENTOR ROLE MODEL PROGRAM AND THE MECKLENBURG COUNTY YMCA. HALIFAX REGIONAL HOSPITAL CONTINUES TO PARTICIPATE IN REGIONAL AND LOCAL EXERCISES TO TEST THE EMERGENCY OPERATIONS PLAN AND TO CONDUCT INTERNAL EXERCISES. THESE INITIATIVES HELP HALIFAX REGIONAL HOSPITAL PREPARE FOR AND COORDINATE CRISIS RESPONSE AND RECOVERY OPERATIONS WITH STATE, LOCAL AND FEDERAL AGENCIES IN THE EVENT OF A BIOTERRORIST EVENT/DISASTER. OUTSIDE THE REALM OF THE GRANT FUNDING, HALIFAX REGIONAL HOSPITAL SUPPLIED THE EMPLOYEE TIME INVOLVED IN TRAINING FOR COMMUNITY EMERGENCY PREPAREDNESS AS WELL AS FOR COMMUNITY DISASTER TRAINING DRILLS. OUR FOCUS CONTINUES TO BE ON PREPARING THE HOSPITAL STAFF AND THE COMMUNITY FOR "ALL HAZARDS." PART III, LINE 4: SEE PAGE 17 OF THE ATTACHED FINANCIAL STATEMENTS FOR THE FOOTNOTE WHICH DISCUSSES BAD DEBT. PART III, LINE 8: MEDICARE ALLOWABLE COSTS OF CARE AND RELATED REIMBURSEMENT WERE OBTAINED FROM THE 2014 MEDICARE COST REPORT INCLUDING DSH AND BAD DEBT REIMBURSEMENT. THE MEDICARE ALLOWABLE COST AS REPORTED ON THE MEDICARE COST REPORT REFLECTED IN THE AMOUNT REPORTED IN PART III, LINE 6 IS IN COMPLIANCE WITH FEDERAL MEDICARE REGULATIONS REGARDING THE CALCULATION OF MEDICARE ALLOWABLE COST. PART III, LINE 9B: HALIFAX REGIONAL HOSPITAL HAS AN "ACCOUNT FOLLOW UP" POLICY OUTLINING STATEMENT INTERVALS AND LEGAL ACTIVITY. THE POLICY APPLIES TO ALL PATIENTS. THE HOSPITAL FACILITY ALSO HAS A "FINANCIAL POLICY" OUTLINING ITS STATEMENT SERIES. IF ANY TYPE OF PATIENT HAS NO INSURANCE UPON REGISTRATION, THEY ARE REQUESTED TO SIGN A "STATEMENT OF NO INSURANCE" DOCUMENT WHICH ENTITLES THEM TO AUTOMATICALLY RECEIVE A 32% DISCOUNT OF TOTAL CHARGES. IF THE PATIENT QUALIFIES FOR FREE CARE BASED ON FEDERAL POVERTY GUIDELINES, THE ENTIRE BALANCE IS WRITTEN OFF TO CHARITY AND NO COLLECTION EFFORTS ARE MADE. A NOTICE IS SENT TO THE PATIENT ADVISING THAT CHARITY QUALIFICATIONS HAVE BEEN MET. IF THE PATIENT QUALIFIES FOR DISCOUNTED CARE, THE APPROPRIATE DISCOUNT IS APPLIED TO THE BALANCE. A NOTICE IS SENT TO THE PATIENT ADVISING THAT CHARITY QUALIFICATIONS HAVE BEEN MET AND THE PATIENT IS REQUESTED TO CONTACT THE HOSPITAL FACILITY TO SET UP THE REMAINING BALANCE ON A PAYMENT PLAN.THE HOSPITAL FACILITY DID NOT IMPOSE COLLECTION ACTIONS FOR ANY PATIENT WITHOUT FIRST MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THE PATIENT WAS ELIGIBLE FOR FINANCIAL ASSISTANCE. PART VI, LINE 2: THE ORGANIZATION STRIVES TO PROVIDE THE HIGHEST QUALITY CARE BASED ON THE HEALTHCARE NEEDS OF THE PEOPLE IT SERVES AND EMPLOYS A VARIETY OF METHODS TO IDENTIFY AND PRIORITIZE SERVICES THAT WILL BEST MEET THE HEALTHCARE NEEDS OF THOSE IN THE REGION. IN TODAY'S EVER-CHANGING HEALTHCARE ENVIRONMENT AND WITH THE INCEPTION OF HEALTHCARE REFORM, THE ORGANIZATION IS PROUD OF ITS ABILITY TO RESPOND TO CURRENT MEDICAL CHALLENGES AND PRUDENTLY PLAN HEALTH AND WELLNESS OPPORTUNITIES FOR FUTURE GENERATIONS. IN CONJUNCTION WITH THE CONDUCT OF ITS CHNA, THE ORGANIZATION USED A VARIETY OF INTERNAL AND EXTERNAL HEALTH DATA RESOURCES TO ASSESS THE COMMUNITY'S HEALTH CARE NEEDS, INCLUDING COLLABORATIVE ASSESSMENT EFFORTS WITH OTHER ORGANIZATIONS WITH SIMILAR INTERESTS.ASSESSMENT TOOLS INCLUDED:*PATIENT SATISFACTION DATA, TELEPHONE INTERVIEWS, SURVEYS, LETTERS,ETC.*HOSPITAL ADMISSION AND DISCHARGE DATA*FEEDBACK FROM CIVIC ENTITIES, GOVERNMENTAL AGENCIES, AND RESCUE SQUADS*CENTRAL VIRGINIA HEALTH PLANNING AGENCY SOCIO-DEMOGRAPHIC INFORMATION*CENTRAL VIRGINIA HEALTH PLANNING AGENCY NEEDS ASSESSMENT*VIRGINIA CENTER FOR HEALTHY COMMUNITIES - VIRGINIA ATLAS OF COMMUNITYHEALTH*COMMUNITY PERCEPTION SURVEY 2010*PHYSICIAN MANPOWER ANALYSIS*BOARD, MEDICAL STAFF, AND EMPLOYEE FEEDBACK*PATIENT AND FAMILY FOCUS GROUP FEEDBACK*VHHA "INDICATORS OF HEALTHY COMMUNITIES 2003"*DIRECTION FROM LICENSURE, ACCREDITATION, AND REGULATORY BODIES*LITERATURE REVIEW AND INTERNET RESEARCH*STATE MEDICAL FACILITIES PLAN*VISION 2020, A COMMUNITY-WIDE ACTION PLAN FOR FUTURE GROWTH ANDDEVELOPMENT*PHYSICIAN SATISFACTION SURVEY 2010INFORMATION FROM THE VARIOUS DATA SOURCES WAS UTILIZED TO ASSESS THE ORGANIZATION'S BUSINESS DEVELOPMENT PLANS AND TO COORDINATE OUTREACH ACTIVITIES WITH COMMUNITY ORGANIZATIONS. PART VI, LINE 3: WHEN A PATIENT IS REGISTERED AT THE ORGANIZATION'S HOSPITAL FACILITY, S/HE IS PROVIDED A NOTICE OF FINANCIAL ASSISTANCE WHICH INCLUDES INCOME GUIDELINES AND CONTACT INFORMATION FOR ADDITIONAL INFORMATION. FRAMED COPIES OF THE NOTICE ARE LOCATED IN REGISTRATION AREAS AND KEY PUBLIC AREAS OF THE FACILITY. THE FACILITY ALSO HAS FINANCIAL OPTIONS BROCHURES IN THOSE SAME AREAS WITH LITERATURE REGARDING FINANCIAL ASSISTANCE. THE FACILITY'S TELEPHONE SYSTEM OFFERS "ON HOLD" MESSAGING THAT IS UTILIZED TO INFORM INCOMING CALLERS OF FINANCIAL ASSISTANCE INFORMATION EVERY OTHER MONTH. QUARTERLY ARTICLES ARE PLACED IN AREA NEWSPAPERS AS A CUSTOMER SERVICE TOOL TO REMIND PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE. FINANCIAL ASSISTANCE INFORMATION, ALONG WITH AN APPLICATION FOR FINANCIAL ASSISTANCE, IS LOCATED ON THE FACILITY'S WEBSITE. A NOTICE REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE IS PRINTED ON PATIENT BILLS AND INCLUDES CONTACT INFORMATION FOR ADDITIONAL INFORMATION. ALL SELF PAY INDIVIDUALS RECEIVE A NOTICE ENCLOSED WITH THE FIRST BILLING STATEMENT WHICH INCLUDES DETAILED INFORMATION REGARDING FINANCIAL ASSISTANCE, INCLUDING INCOME GUIDELINES.THE ORGANIZATION HAS PARTNERED WITH FIRSTSOURCE TO AID UNINSURED EMERGENCY DEPARTMENT PATIENTS, UNINSURED AND UNDERINSURED INPATIENTS, OUTPATIENT SURGERY, AND OBSERVATION PATIENTS IN APPLYING FOR MEDICAL ASSISTANCE THROUGH GOVERNMENT PROGRAMS. FIRSTSOURCE ASSISTS PATIENTS THROUGHOUT THE ENTIRE APPLICATION PROCESS TO ENSURE ALL DOCUMENTATION IS COMPLETE.FIRSTSOURCE ALSO HELPS PATIENTS COMPLETE FINANCIAL ASSISTANCEAPPLICATIONS IF THEY MAY NOT QUALIFY FOR GOVERNMENT ASSISTANCE. PART VI, LINE 4: HALIFAX REGIONAL HOSPITAL (HRH) OPERATED AS A SOLE COMMUNITY HOSPITAL UNTIL JULY 31, 2013, WHEN IT BECAME AFFILIATED WITH SENTARA HEALTHCARE. IT IS LOCATED IN SOUTH BOSTON, HALIFAX COUNTY, VIRGINIA AND IS THE ONLY HOSPITAL WITHIN A THIRTY-FIVE MILE RADIUS. THE PRIMARY SERVICES AREA IS HALIFAX COUNTY (POPULATION = 35,200); THE SECONDARY SERVICES AREA INCLUDES BOTH CHARLOTTE COUNTY (POPULATION = 12,225) AND MECKLENBURG COUNTY (POPULATION = 31,192). ALL THREE COUNTIES ARE DESIGNATED RURAL, MEDICALLY UNDERSERVED AREAS (MUA), AND HEALTHCARE PROVIDER SHORTAGE AREAS (HPSA) FOR PRIMARY CARE, DENTAL CARE, AND MENTAL HEALTH SERVICES. OF THE APPROXIMATELY 80,000 RESIDENTS LIVING IN THE SERVICE AREA, FORTY-SEVEN PERCENT LIVE AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL (FPL). THE MEDIAN HOUSEHOLD INCOME IN 2013 WAS $35,046, A DECLINE OF MORE THAN ONE PERCENT FROM THE PREVIOUS YEAR AND JUST 55% OF THE MEDIAN INCOME FOR THE STATE AS A WHOLE, AT $63,907. SIXTEEN PERCENT ARE UNINSURED, A TREND THAT HAD BEEN RISING, ALTHOUGH THE EFFECTS OF THE ACA ON INSURANCE LEVELS HAVE NOT YET BEEN MADE PUBLIC, WHILE 14% OF RESIDENTS OF VIRGINIA AS A WHOLE ARE UNINSURED, A TREND THAT IS SLOWLY DECLINING. APPROXIMATELY NINE PERCENT ARE UNEMPLOYED VERSUS 4.7% IN VIRGINIA AS A WHOLE, AND 23% OF THE POPULATION OVER 25 YEARS OF AGE HAVE NOT ATTAINED A HIGH SCHOOL DIPLOMA (VERSUS 13% FOR VIRGINIA AS A WHOLE) AND ONLY 15% HAVE ACHIEVED AT LEAST A BACHELOR'S DEGREE (VERSUS 35% FOR VIRGINIA AS A WHOLE). ANNUALLY, HRH PROVIDES CARE WITH APPROXIMATELY 4,300 INPATIENT ADMISSIONS, 86,600 OUTPATIENT VISITS AND 27,500 ER PATIENTS. HRH PROVIDES CARE TO ALL REGARDLESS OF THEIR ABILITY TO PAY. IN 2014, 52% OF HRH PATIENTS WERE MEDICARE; 12% MEDICAID; 1002 PATIENTS WERE SERVED THROUGH THE HRH PATIENT FINANCIAL ASSISTANCE PROGRAM. IN 2014 UNCOMPENSATED CARE WAS VALUED AT $16,155,000 OR 6.2% OF PATIENT REVENUE. IN ADDITION, $131,358,000 OR 50.4% OF PATIENT REVENUE WAS UNCOMPENSATED CARE FOR PATIENTS COVERED BY MEDICARE OR MEDICAID. PART VI, LINE 5: THE ORGANIZATION'S GOVERNING BODY IS A COMMUNITY-BASED BOARD COMPRISED OF A MAJORITY OF MEMBERS WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION OR ITS AFFILIATES, NOR FAMILY MEMBERS THEREOF. GENERALLY, MEDICAL STAFF MEMBERSHIP IS OPEN TO ALL CARE PROVIDERS WHO MEET CREDENTIALING REQUIREMENTS. THE ORGANIZATION'S SURPLUS FUNDS ARE USED FOR IMPROVEMENTS IN PATIENT CARE, PROVISION OF SERVICES TO THE UNINSURED AND UNDERINSURED, MEDICAL EDUCATION, AND COMMUNITY PROGRAMS. PART VI, LINE 6: THE ORGANIZATION IS AFFILIATED WITH THE SENTARA HEALTHCARE SYSTEM ("SENTARA"). SENTARA, A NOT FOR PROFIT HEALTH SYSTEM, OPERATES MORE THAN 100 SITES OF CARE SERVING RESIDENTS ACROSS VIRGINIA AND NORTHEASTERN NORTH CAROLINA. THE SYSTEM IS COMPRISED OF 12 ACUTE CARE HOSPITALS, INCLUDING SEVEN IN HAMPTON ROADS, ONE IN NORTHERN VIRGINIA, TWO IN THE BLUE RIDGE REGIONS, ONE IN SOUTH CENTRAL VIRGINIA AND ONE IN NORTHEASTERN NORTH CAROLINA, ADVANCED IMAGINING CENTERS, NURSING AND ASSISTED-LIVING CENTERS, OUT PATIENT CAMPUSES, TWO HOME HEALTH AND HOSPICE AGENCIES, A 3,800-PROVIDER MEDICAL STAFF, AND FIVE MEDICAL GROUPS WITH OVER 600 PROVIDERS. ITS AFFILIATION WITH SENTARA ENHANCES THE ORGANIZATION'S ABILITY TO ACHIEVE BEST PRACTICES IN HEALTHCARE DELIVERY; ACQUIRE CUTTING EDGE TECHNOLOGY AND INTEGRATED INFORMATION SYSTEMS; AND PROVIDE A HIGHER LEVEL OF MEDICAL CARE TO VIRGINIA'S BLUE RIDGE REGION COMMUNITY. THESE ATTRIBUTES BETTER POSITION THE ORGANIZATION TO ADDRESS HEALTH CARE REFORM AND OTHER PROFOUND CHANGES AFFECTING THE HEALTHCARE ENVIRONMENT. 1 HALIFAX REGIONAL DEVELOPMENT FOUNDATION 2204 WILBORN AVENUE SOUTH BOSTON VA 24592 541801459 501(C)(3) 57472 FUNDING OF COMMUNITY PARTNERSHIP DOMINION HEALTH MEDICAL ASSOCIATES LTD 2204 WILBORN AVENUE SOUTH BOSTON VA 24592 541060357 6675000 SUPPORT DOMINION HEALTH MEDICAL ASSOCIATES LTD 2204 WILBORN AVENUE SOUTH BOSTON VA 24592 541060357 5854 FUNDING FOR MOBILE DENTAL EQUIPMENT 1 2 ELISE THOMSON CLARK MEMORIAL FUNDS APPLIED TO INDIVIDUAL PATIENT ACCOUNTS 36 15813 EVERY WOMAN'S LIFE FUNDS APPLIED TO INDIVIDUAL PATIENT ACCOUNTS 50 14967 PART I, LINE 2: GRANTS FROM HALIFAX REGIONAL HOSPITAL, INC. ARE ONLY MADE TO AFFILIATES WHOSE FINANCIAL RECORDS ARE MAINTAINED BY THE HOSPITAL. SCHEDULE I, PART III INDIVIDUAL GRANTS ARE FOR THE PROVISION OF HEALTH CARE TO THE UNINSURED. X 1 1 0 1 0 0 0 0 0 0 0 ROBERT A BROERMANN BOARD MEMBER 0 750106 0 537843 0 218587 0 221150 0 17776 0 1745462 0 98673 MICHAEL V GENTRY VICE CHAIRMAN 0 534422 0 307694 0 102977 0 123532 0 14069 0 1082694 0 52785 MEGAN PERRY BOARD MEMBER 0 462786 0 232336 0 41879 0 253584 0 14236 0 1004821 0 32630 CHRIS A LUMSDEN PRESIDENT 321755 43360 0 0 43318 0 22172 6077 10159 2784 397404 52221 0 0 STEWART R NELSON CHIEF FINANCIAL OFFICER 215534 29045 2000 0 23655 0 21265 5829 820 225 263274 35099 0 0 THOMAS S KLUGE CHIEF OPERATING OFFICER 184652 24884 2000 0 23341 0 33146 9085 10011 2744 253150 36713 0 0 MING Y LIU MD PHYSICIAN 356576 0 0 0 0 0 10400 0 16733 0 383709 0 0 0 GREGORY SHUFORD MD PHYSICIAN 355918 0 0 0 0 0 10400 0 1523 0 367841 0 0 0 HECTOR MARQUEZ MD PHYSICIAN 379557 0 0 0 0 0 10400 0 15701 0 405658 0 0 0 CAROLINE WIGAN MD PHYSICIAN 355862 0 0 0 0 0 10400 0 16835 0 383097 0 0 0 PABLO SOUZA MD PHYSICIAN 348477 0 0 0 0 0 10400 0 16600 0 375477 0 0 0 PART I, LINE 1A MONTHLY COUNTRY CLUB DUES ARE PAID BY THE ORGANIZATION FOR ITS PRESIDENT AND ARE INCLUDED IN HIS TAXABLE INCOME. AMOUNT IS SUBSTANTIATED BY AN INVOICE FROM THE CLUB, AND DUES ARE PAID DIRECTLY TO THE CLUB. PART I, LINE 3 THE ORGANIZATION RELIED ON A RELATED ORGANIZATION THAT USED ONE OR MORE METHODS LISTED ON LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. PART I, LINE 4B ROBERT BROERMANN, MICHAEL GENTRY AND MEGAN PERRY PARTICIPATED IN THE SENTARA CAPITAL ACCUMULATION ACCOUNT PLAN. PARTICIPATION IS LIMITED TO A SELECT GROUP OF CORPORATE EXECUTIVES AS APPROVED BY SENTARA HEALTHCARE'S BOARD OF DIRECTOR'S COMPENSATION COMMITTEE. TERMS OF THE PLAN CHANGED EFFECTIVE JANUARY 1, 2009, WHEREBY VESTING OF CONTRIBUTIONS MADE ON OR AFTER THAT DATE NOW OCCURS ON THE EARLIER OF FIVE YEARS FOR EACH YEARS' CONTRIBUTIONS OR AGE 55 WITH 10 YEARS OF SERVICE. UNDER THE OLD TERMS, VESTING OF CONTRIBUTIONS MADE PRIOR TO JANUARY 1, 2009 OCCURS ON THE EARLIEST OF ASSIGNED DISTRIBUTION DATE, DEATH, INVOLUNTARY TERMINATION WITHOUT CAUSE OR COMPLETION OF TWO-YEAR NON-COMPETE AFTER VOLUNTARY TERMINATION (REGARDLESS OF ORIGINAL ASSIGNED DISTRIBUTION DATE). DURING 2014, THE FOLLOWING CORPORATE EXECUTIVES RECEIVED VESTED DISTRIBUTIONS UNDER THE PLAN: ROBERT BROERMANN ($210,317); MICHAEL GENTRY ($88,045); AND MEGAN PERRY ($38,153.) THESE AMOUNTS HAVE BEEN REPORTED IN COLUMN (B)(III) OF SCHEDULE J, PART II. A IDA OF CHARLOTTE COUNTY VA 541643556 160831AA1 2007-10-17 20089290 FINANCING FOR HOSPITAL PROJECTS 0 0 0 A 1255000 20454800 1386087 391741 18644632 32339 2008 0 0 1 1 A 0 0 1 1 0 0 0 1 A 0 0 0 1 0 0 0 1 1 A 1 SCH K, PART II-IV ISSUER A: SERIES 2007 (HALIFAX REGIONAL HOSPITAL, INC.) HOSPITAL FACILITIES & DEBT NOW ACQUIRED AND OWNED BY SENTARA HEALTHCARE. PART II, 3 - AMOUNT OF TOTAL PROCEEDS OF ISSUE INCLUDES ISSUE PRICE, PLUS INVESTMENT EARNINGS (MAINLY FROM THE PROJECT FUND AND DEBT SERVICE RESERVE FUND). PART II, 11 - INCLUDES INTEREST EARNINGS FROM THE DEBT SERVICE RESERVE FUND WHICH WERE TRANSFERRED ON A REGULAR BASIS TO BE USED FOR DEBT SERVICE PURPOSES ON THE SERIES 2007 BONDS. PART IV, 2C - ARBITRAGE COMPLIANCE REPORTS ARE SUBMITTED TO HALIFAX (SENTARA) ANNUALLY. REPORT WAS COMPLETED 8/31/12 (FIRST INSTALLMENT EVALUATION DATE) REFLECTING NO REBATE DUE. PART IV, 6 - PROJECT FUND WAS INVESTED PAST THE THREE-YEAR TEMPORARY PERIOD. HOWEVER, A YIELD REDUCTION PAYMENT WAS NOT DUE TO THE IRS. ALL PROJECT FUND PROCEEDS WERE FULLY EXPENDED AS OF 12/23/2010. HALIFAX HEART CENTER SEE BELOW 1210000 SEE BELOW 0 HALIFAX RADIOLOGICAL ASSOC SEE BELOW 550000 SEE BELOW 0 SCH L, PART IV A) NAME OF PERSON: HALIFAX HEART CENTER(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BOARD MEMBER SAID ISKANDAR, MD AND BOARD MEMBER/OFFICER HABIB BASSIL, MD ARE GREATER THAN 35% PARTNERS IN HALIFAX HEART CENTER.D) DESCRIPTION OF TRANSACTION: PROFESSIONAL FEES/SUBSIDIES A) NAME OF PERSON: HALIFAX RADIOLOGICAL ASSOCIATESB) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BOARD MEMBER ARASH CHEHRAZI, MD IS A GREATER THAN 35% PARTNER IN RADIOLOGICAL ASSOCIATES.(D) DESCRIPTION OF TRANSACTION: PROFESSIONAL FEES/MEDICAL DIRECTOR FEES FORM 990, PART III, LINE 1, ORGANIZATION'S MISSION HALIFAX REGIONAL HOSPITAL, INC. IS ORGANIZED TO BUILD, ESTABLISH, MAINTAIN AND OPERATE HOSPITALS AND OTHER HEALTH CARE FACILITIES AND CLINICS; PROVIDE ANCILLARY AND RELATED MEDICAL AND OTHER HEALTHCARE SERVICES; PROVIDE MANAGEMENT, ADVISORY, SERVICE ASSISTANCE AND OTHER SUPPORT TO HEALTH CARE ORGANIZATIONS HAVING THE SAME PURPOSES AS ITS OWN; ENGAGE IN OTHER RELATED, EXCLUSIVELY CHARITABLE, SCIENTIFIC, EDUCATIONAL AND MEDICAL RESEARCH ACTIVITIES AS MAY BE AUTHORIZED FROM TIME TO TIME BY ITS GOVERNING BODY; AND FOR SUCH PURPOSES, SOLICIT AND RECEIVE FUNDS AND OTHER PROPERTY BY GIFT, TRANSFER, DEVISE, OR BEQUEST, AND INVEST, REINVEST, HOLD, MANAGE, ADMINISTER, EXPEND, AND APPLY SUCH FUNDS AND PROPERTY SUBJECT TO APPLICABLE CONDITIONS AND LIMITATIONS. ALL SUCH ACTIVITIES SUPPORT ITS MISSION TO PROVIDE THE HIGHEST QUALITY CARE BASED ON THE HEALTHCARE NEEDS OF THE PEOPLE SERVED. FORM 990, PART III, LINE 4, PROGRAM SERVICE ACCOMPLISHMENTS STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS: AS A NON-PROFIT ENTITY, HALIFAX REGIONAL HOSPITAL (HRH) PROVIDES A VARIETY OF COMMUNITY BENEFIT SERVICES, RESPONDING TO IDENTIFIED COMMUNITY NEEDS AND SUPPORTING THE GENERAL HEALTH AND WELFARE OF APPROXIMATELY 80,000 PEOPLE IN THE REGION. THE HOSPITAL AND LONG-TERM CARE FACILITIES UTILIZE EXCESS REVENUE OVER EXPENSES TO UPGRADE FACILITIES, TO PURCHASE NEW EQUIPMENT AND TO UPGRADE CLINICAL AND INFORMATION TECHNOLOGY IN ORDER TO IMPROVE QUALITY AND PATIENT SAFETY, AND TO PROMOTE AND SUPPORT HEALTH AND WELLNESS IN THE COMMUNITY. IN THE YEAR ENDING DECEMBER 31, 2014, CONTRIBUTIONS TO CHARITY CARE PROVIDED BY HRH WAS MORE THAN $1.6 MILLION. EMPLOYEES SPEND HUNDREDS OF HOURS VOLUNTEERING THEIR TIME AND TALENTS IN SCHOOLS AND COMMUNITY ORGANIZATIONS, SPEAKING TO CIVIC GROUPS, PROVIDING FREE HEALTH SCREENINGS, AND SERVING ON COMMUNITY AND STATE ORGANIZATIONS. HALIFAX REGIONAL HOSPITAL DONATED $112,550 THROUGH ITS COMMUNITY PARTNERSHIP PROGRAM TO ASSIST COMMUNITY GROUPS AND AGENCIES IN ORDER TO HELP PROMOTE ALL AREAS OF HEALTH AND WELLNESS IN THE COMMUNITY, INCLUDING PHYSICAL, MENTAL, VOCATIONAL, EMOTIONAL, INTELLECTUAL AND SPIRITUAL WELL-BEING. HRH ALSO ASSISTS WITH FUND RAISING ACTIVITIES FOR GROUPS SUCH AS EMERGENCY MEDICAL SERVICES GROUPS AND CO-SPONSORS PUBLIC EVENTS PLANNED BY VARIOUS CLUBS, SCHOOLS AND BUSINESSES. HRH PROVIDES A NUMBER OF COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION SERVICES AND COMMUNITY BUILDING ACTIVITIES. IF HALIFAX REGIONAL HOSPITAL DID NOT PERFORM THESE ESSENTIAL ROLES-PROVIDING CHARITY CARE, MONETARY CONTRIBUTIONS AND WELLNESS EDUCATION, THESE OBLIGATIONS WOULD MOST LIKELY HAVE TO BE ASSUMED BY GOVERNMENT AND SUPPORTED BY TAXPAYERS. SINCE HALIFAX REGIONAL HOSPITAL OPENED ITS DOORS JULY 1, 1953 THE ACUTE CARE DIVISION'S MISSION HAS BEEN TO PROVIDE THE HIGHEST QUALITY CARE BASED ON THE HEALTHCARE NEEDS OF CITIZENS IN THE REGION. HALIFAX REGIONAL HOSPITAL SERVES THE COUNTIES OF HALIFAX, WESTERN MECKLENBURG, AND CHARLOTTE, PLUS MANY COMMUNITIES THAT BORDER THESE COUNTIES. IN JULY OF 2013, HALIFAX REGIONAL HOSPITAL AND ITS OWNED ENTITIES BECAME AFFILIATED WITH SENTARA HEALTHCARE, A LARGE NON-PROFIT HEALTHCARE SYSTEM BASED IN NORFOLK, VA. THE MISSIONS AND COMMITMENTS OF THE TWO ORGANIZATIONS - TO PROVIDE EXCELLENT CARE WHILE MAINTAINING THE COMMUNITY-FOCUSED SERVICE MODEL OF A NON-PROFIT SYSTEM - FIT WELL TOGETHER AND THE AFFILIATION IS EXPECTED TO BRING RESOURCES, EXPERTISE AND OPPORTUNITY TO OUR SERVICE AREA IN THE PURSUIT OF HEALTH AND WELLNESS. HEALTHCARE TAKES MANY FORMS AT HALIFAX REGIONAL HOSPITAL. IN ADDITION TO MEDICAL SERVICES FOR INPATIENTS AND OUTPATIENTS, ACUTE-CARE AND SKILLED-CARE SERVICES, AND REHABILITATION PROGRAMS, WELLNESS IS PROMOTED THROUGH VARIOUS INITIATIVES, SUCH AS HEALTH SCREENINGS, SEMINARS AND CLASSES, CO-SPONSORED PROGRAMS AND CHARITABLE CONTRIBUTIONS OFFERED BY A COMMUNITY-HEALTH ORIENTED ADMINISTRATION, BOARD OF DIRECTORS AND VOLUNTEERS. FOR THE MOST PART, EDUCATIONAL PROGRAMS AND SCREENINGS ARE FREE. OTHERS ARE OFFERED AT REDUCED RATES. THE HOSPITAL IS LICENSED TO OPERATE 192 BEDS, INCLUDING 122 MEDICAL/SURGICAL BEDS, 10 INTENSIVE/ CARDIAC CARE BEDS, 21 OBSTETRIC BEDS, 20 BASSINETS AND SPECIAL-CARE NURSERY BEDS, AND 19 LICENSED SKILLED NURSING FACILITY BEDS (SUBACUTE). IT OFFERS THE REGION ADVANCED DIAGNOSTIC AND TREATMENT CAPABILITIES INCLUDING CAP ACCREDITED CLINICAL LABORATORY SERVICES, AN ON-SITE BLOOD BANK AND DIRECT ACCESS TESTING; DIAGNOSTIC RADIOLOGY, INCLUDING NUCLEAR MEDICINE, COMPUTERIZED AXIAL TOMOGRAPHY (CAT); IN-HOUSE MRI AND MOBILE PET/CT COMBINATION SCANNING; COMPUTER-AIDED DETECTION (CAD) MAMMOGRAPHY, INCLUDING STEREOTACTIC AND SENTINEL-NODE BIOPSY; NON-INVASIVE AND NUCLEAR CARDIOLOGY; STRESS TESTING; INTERVENTIONAL CARDIOLOGY SERVICES AND INPATIENT DIALYSIS. THE HOSPITAL OFFERS EMERGENCY MEDICINE AND INPATIENT AND OUTPATIENT SURGERY, INCLUDING GENERAL, OPHTHALMOLOGIC, GYNECOLOGICAL, ORAL/MAXILLOFACIAL, ORTHOPEDIC AND VASCULAR SURGERY; AND UPPER AND LOWER GI ENDOSCOPIES AND TOTAL-JOINT REPLACEMENT. TREATMENTS FOR PROBLEM WOUNDS SUCH AS THOSE CAUSED BY DIABETIC COMPLICATIONS, RADIATION TISSUE DAMAGE, CRUSH INJURIES AND INFECTIONS CAN BE ADDRESSED AT THE OUTPATIENT CENTER FOR WOUND CARE. CARDIOPULMONARY/RESPIRATORY THERAPY, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY, HOME HEALTH, HOSPICE AND BEREAVEMENT SERVICES ARE ALSO OFFERED FOR INPATIENTS, OUTPATIENTS AND FOR THE HOMEBOUND. THE CENTER FOR BEHAVIORAL HEALTH OFFERS MENTAL HEALTH SERVICES ON AN OUTPATIENT BASIS FOR ADULTS, INCLUDING GERIATRICS, AND CHILDREN, AGES SIX AND ABOVE. DURING 2014, HALIFAX REGIONAL HOSPITAL SERVED 4,582 INPATIENTS, INCLUDING NEWBORNS, PROVIDED SERVICES TO 86,321 OUTPATIENTS AND HAD 30,203 EMERGENCY DEPARTMENT VISITS. HALIFAX REGIONAL PARTICIPATES IN BOTH MEDICARE AND MEDICAID AND, BASED UPON ITS MISSION TO THE COMMUNITY, PROVIDES SERVICES TO ALL INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. AS A COMMUNITY-OWNED, NOT-FOR-PROFIT ORGANIZATION, HALIFAX REGIONAL HOSPITAL TAKES PRIDE IN ITS MISSION TO PROVIDE CARE TO ALL CITIZENS REGARDLESS OF THEIR ABILITY TO PAY. HALIFAX COUNTY UNINSURED AND UNEMPLOYED STATISTICS AND POVERTY RATES, AS WELL AS THOSE IN THE SURROUNDING COUNTIES, ARE SIGNIFICANTLY HIGHER THAN THE PERCENTAGES FOR THE STATE OF VIRGINIA. ALTHOUGH THE PROVISION OF HEALTHCARE SERVICES TO A GROWING UNINSURED AND UNDERINSURED POPULATION WHILE MAINTAINING FISCAL RESPONSIBILITY IS ONE OF THE GREATEST CHALLENGES THAT HOSPITALS FACE, WE BELIEVE THAT A LACK OF FINANCIAL RESOURCES SHOULD NEVER GET IN THE WAY OF A PATIENT RECEIVING ESSENTIAL HEALTH SERVICES. HRH'S PATIENT FINANCIAL ASSISTANCE POLICY IS DESIGNED TO OFFER LOW-INCOME, UNINSURED AND UNDERINSURED PATIENTS DISCOUNTED CHARGES AT INCREASED PERCENTAGES OF THE FEDERAL POVERTY GUIDELINES (FPG). THE HOSPITAL PROVIDES A 32 PERCENT DISCOUNT FROM CHARGES FOR PATIENTS WITHOUT INSURANCE REGARDLESS OF INCOME. A MEDICALLY INDIGENT DISCOUNT IS PROVIDED FOR INDIVIDUALS AT THE 150% TO 275% FPG BASED UPON TOTAL MEDICAL RELATED BILLS. IN ADDITION TO THE ONGOING COMMUNICATIONS OF THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM THROUGH BROCHURES, POSTINGS THROUGHOUT THE HOSPITAL AND INFORMATION PROVIDED DIRECTLY TO PATIENTS, THE HOSPITAL PLACES AN AD IN LOCAL NEWSPAPERS QUARTERLY TO PUBLICIZE THE PROGRAM. ALTHOUGH THE CHARITY CARE AND UNCOMPENSATED CARE PROVIDED BY HRH INCREASES ANNUALLY, HRH CONSISTENTLY RANKS BY VIRGINIA HEALTH INFORMATION AS ONE OF THE LOWEST CHARGE HOSPITALS IN THE COMMONWEALTH. IN 2014, THE HOSPITAL PROVIDED $16,154,880 IN UNCOMPENSATED CARE (CHARITY AND BAD DEBT). IN ADDITION, THE UN-REIMBURSED VALUE OF PROVIDING CARE TO PATIENTS INSURED BY THE MEDICARE AND MEDICAID PROGRAMS WAS $132,347,002 OR 51 PERCENT OF PATIENT REVENUE. FORM 990, PART III, LINE 4A COMMUNITY HEALTH IMPROVEMENT SERVICES & EDUCATION HALIFAX REGIONAL HOSPITAL ENCOURAGES ITS STAFF AND VOLUNTEERS TO CONTINUE THE CARING TRADITIONS OF THOSE CITIZENS WHO WORKED SO DILIGENTLY TO ESTABLISH THE HOSPITAL IN THE EARLY 1950S. TODAY, MANY EMPLOYEES, PHYSICIANS AND VOLUNTEERS HELP STRENGTHEN THE COMMUNITY BY ADDRESSING VARIOUS COMMUNITY HEALTH NEEDS. WHETHER SPONSORING A HEALTH FAIR, PARTICIPATING IN A CHAMBER OF COMMERCE PROJECT, SENDING A SPEAKER TO A SCHOOL CLASSROOM OR CIVIC CLUB, PARTNERING WITH OTHER HEALTHCARE PROVIDERS TO PROVIDE ADDITIONAL OUTREACH SERVICES OR DONATING TO ORGANIZATIONS WITH SIMILAR MISSIONS TO HELP IMPROVE THE QUALITY OF LIFE FOR RESIDENTS OF ALL AGES, HRH IS PROUD TO BE A GOOD CORPORATE CITIZEN AND TO TAKE A LEADERSHIP ROLE IN THE WELL-BEING OF ALL CITIZENS IN THE REGION. SOME OF THESE ACTIVITIES, SERVICES, JOINT SPONSORSHIPS AND OTHER PROGRAMS ARE DESCRIBED BELOW. AVOID THE FLU CAMPAIGN THIS COMMUNITY AWARENESS CAMPAIGN IS CONTINUED EACH YEAR TO EDUCATE THE PUBLIC BEFORE AND DURING FLU SEASON. THIS YEAR THE INFECTION CONTROL DEPARTMENT UTILIZED SEVERAL VENUES FOR DISSEMINATING INFORMATION TO THE PUBLIC. POSTERS AND FLYERS WERE PLACED THROUGHOUT THE HOSPITAL WITH THE "PROTECT YOUR PATIENTS" AND "IT'S OK TO ASK" MESSAGE AND REMINDERS TO WASH YOUR HANDS AND RECONSIDER VISITING PATIENTS WHEN YOU ARE SICK WERE PLACED ON THE TELEVISION IN THE HOSPITAL LOBBY, ON THE HOSPITAL'S WEB SITE AND IN ARTICLES IN LOCAL NEWSPAPERS. FINALLY, A BOOTH ABOUT PROPER HAND WASHING IS A CONSISTENT PRESENCE AT THE HEALTHY LIVING EXPO EACH YEAR AND VISITORS ACTUALLY HAVE THE OPPORTUNITY TO WASH THEIR HANDS AND LEARN ABOUT THE BEST TECHNIQUES TO ENSURE PROPER CLEANLINESS. FOOD AND NUTRITION SERVICES COMMUNITY SERVICE IN ADDITION TO PARTICIPATING IN HALIFAX REGIONAL HOSPITAL'S HEALTH FAIRS, FOOD AND NUTRITION EMPLOYEES PROVIDED DIET AND NUTRITION INFORMATION TO THE PUBLIC (ADULTS AND CHILDREN) IN A VARIETY OF OTHER VENUES INCLUDING CHURCHES, LOCAL BUSINESSES, SUPPORT GROUPS, SCHOOLS AND SPECIAL EVENTS. FOOD AND NUTRITION SERVICES ALSO PARTICIPATED IN THE ANNUAL HEALTHY LIVING EXPO, OFFERING A NUTRITIONAL SNACK - COMPLETE WITH RECIPE - TO VISITORS AT THE EVENT. HEALTHY LIVING EXPO HALIFAX REGIONAL HOSPITAL HOLDS ANNUAL COMMUNITY HEALTH FAIRS IN ITS SERVICE AREA. HRH'S ANNUAL SIGNATURE EVENT, THE HEALTHY LIVING EXPO, WAS HELD AT HALIFAX COUNTY HIGH SCHOOL ON MARCH 16, 2014. IN ADDITION TO THE MYRIAD OF SCREENINGS AND HEALTH AND WELLNESS EDUCATIONAL ACTIVITIES AND INFORMATION PROVIDED BY HRH AT THIS EVENT, HRH INVITES OTHER HEALTH-RELATED ORGANIZATIONS TO PARTICIPATE IN THE EVENT IN ORDER TO EXPAND THE OFFERINGS TO THE PARTICIPANTS. GUEST PARTICIPANTS INCLUDED THE LION'S CLUB (VISION AND AMBLYOPIA SCREENING) AND THE YMCA (EXERCISE DEMONSTRATIONS). ALL HEALTH SCREENINGS PROVIDED WERE FREE, INCLUDING BLOOD PRESSURE, BLOOD GLUCOSE AND CHOLESTEROL (140 SCREENINGS PROVIDED), VISION AND AMBLYOPIA, ORAL, BMI (BODY MASS INDEX), BALANCE, GRIP STRENGTH AND ANXIETY AND DEPRESSION SCREENINGS. APPROXIMATELY 300 INDIVIDUALS ATTENDED THE EXPO. COMMUNITY HEALTH FAIRS/SCREENINGS OTHER COMMUNITY HEALTH FAIRS IN WHICH HALIFAX REGIONAL HOSPITAL PARTICIPATED AND PROVIDED SCREENINGS (INCLUDING BLOOD PRESSURE, BODY MASS INDEX, CHOLESTEROL AND BLOOD GLUCOSE) DURING 2014 INCLUDED, DOLLAR GENERAL HEALTH FAIR, YMCA ACTIVE OLDER ADULTS DAY, HRH PHYSICIANS AND PROVIDERS SPEAKING TO SENIOR ENGAGEMENT GROUP OF SOUTH BOSTON EACH MONTH. A PROSTRATE SCREENING WAS ALSO HELD AT HALIFAX UROLOGY ASSOCIATES. HEALTHY DIRECTIONS WELLNESS PROGRAM DURING 2014, A VARIETY OF WELLNESS PROGRAMS, CLASSES AND CONTESTS CONTINUED TO BE HELD REGULARLY TO HELP EMPLOYEES AND THEIR FAMILY MEMBERS WITH WEIGHT LOSS, EXERCISE, AND NUTRITION TO LOWER BMI, CHOLESTEROL, GLUCOSE, BLOOD PRESSURE AND RISKS FOR HEART ATTACK, STROKE AND OTHER COMPLICATIONS OF CARDIOVASCULAR DISEASE. CHILDBIRTH EDUCATION CLASSES THROUGH THE FAMILY BIRTHING CENTER, HALIFAX REGIONAL HOSPITAL OFFERS A WIDE RANGE OF CHILDBIRTH EDUCATION CLASSES FOR PARENTS-TO-BE. ALL CLASSES EXCEPT PREPARED CHILDBIRTH CLASSES ARE PROVIDED FREE. (SPECIAL ARRANGEMENTS FOR WAIVER OF FEE ARE MADE ON AN INDIVIDUAL BASIS AND NO PARENTS-TO-BE ARE REFUSED.) OFFERED IN 2014 WERE: -PREPARED CHILDBIRTH CLASSES - SIX CLASSES -BREASTFEEDING CLASS - SIX CLASSES -BEREAVEMENT COUNSELING FOR LOSS OF INFANT/CHILD - GIVEN TO ALL MOTHERS AND BIRTHING PARTNERS IN CASES OF CHILDBIRTH LOSS (MISCARRIAGES AND STILLBIRTHS) -BABY BASICS AND BEYOND CLASSES - SIX CLASSES DIABETES EDUCATION CLASSES ELEVEN CLASSES WERE OFFERED BY THE DIABETES GROUP CLASS IN 2014. THE DIABETES EDUCATION DEPARTMENT OFFERS MONTHLY CLASSES (NO DECEMBER CLASS) FOR THOSE INTERESTED IN LEARNING ABOUT MONITORING BLOOD GLUCOSE, NUTRITION, STRESS MANAGEMENT AND THE PREVENTION OF COMPLICATIONS RELATED TO DIABETES. DIABETES GROUP CLASSES ARE OFFERED AT VARIOUS TIMES OF DAY AND EVENING AND SEVERAL ALL-DAY SATURDAY CLASSES ARE SCHEDULED EACH YEAR TO PROVIDE ADDITIONAL OPPORTUNITIES FOR PERSONS WHO WORK DURING THE WEEK OR PREFER NOT TO COME AT NIGHT. A DIABETES EDUCATOR IS ALSO AVAILABLE TO TEACH AND DEMONSTRATE HOW TO USE A BLOOD SUGAR MONITOR UPON REQUEST. IN MARCH 2014 THE DIABETES EDUCATION DEPARTMENT PARTICIPATED IN THE 2014 HEALTHY LIVING EXPO PROVIDING FREE DIETARY COUNSELING AND LITERATURE TO INTERESTED INDIVIDUALS AND TO THOSE HAVING ELEVATED BLOOD SUGARS FOLLOWING FREE EXPO BLOOD GLUCOSE SCREENINGS. OTHER HEALTH-RELATED PROGRAMS, SEMINARS FOR THE PUBLIC IN ADDITION TO SPEAKERS BUREAU PRESENTATIONS, HALIFAX REGIONAL HOSPITAL HOSTS A NUMBER OF SPECIAL SEMINARS, CALLED HEALTH NITE OUT, FREE OF CHARGE TO THE GENERAL PUBLIC. HRH STAFF PLAN, PROMOTE, IMPLEMENT AND PROVIDE REFRESHMENTS FOR THESE PROGRAMS. 1. UNDERSTANDING THE VARIETY OF SERVICES YOUR COMMUNITY GENERAL SURGEON HAS TO OFFER - HELD IN CHASE CITY, VA AND PRESENTED BY DR. MICHAEL TOZZI IN MARCH 2014. 2. NAVIGATING MENOPAUSE - HELD IN SOUTH BOSTON, VA AND PRESENTED BY FNP/WHNP ASHLEY WESTERN IN APRIL 2014. 3. ALL STRESSED UP AND NOWHERE TO GO - HELD IN SOUTH BOSTON, VA AND PRESENTED BY MICHELLE WEDDLE, LPC FROM BEHAVIORAL HEALTH SERVICES. OFFERED IN MAY 2014. 4. CHRONIC SINUSITIS - HELD IN SOUTH BOSTON, VA AND PRESENTED BY DR. FERNANDO GOMEZ-RIVERA IN JUNE 2014. 5. LITTLE TEETH, BIG SMILES - PRESENTED BY BRIDGET BROWN, D.D.S. OF HALIFAX REGIONAL DENTAL CLINIC IN JULY 2014. OFFERED IN SOUTH BOSTON, VA. 6. GREAT BEGINNINGS: HEALTHY MOM, HEALTHY BABY - PRESENTED IN SOUTH BOSTON, VA IN AUGUST 2014 BY SENECCA KIRKHART, CPNP, IBCLC. 7. I'VE GUT A BAD FEELING - PRESENTED BY DR. BAKUL PATEL IN SOUTH BOSTON, VA IN SEPTEMBER 2014. 8. HEALTH MORNING OUT: BONES 101 - PRESENTED BY DR. MESFIN SHIBESHI AND DR. JAMES TREADWELL IN OCTOBER 2014 IN SOUTH BOSTON, VA. THIS PROGRAM WAS OFFERED IN A NEW FORMAT - SATURDAY MORNING. FORM 990, PART III, LINE 4A SPEAKERS BUREAU HALIFAX REGIONAL HOSPITAL'S SPEAKERS BUREAU PROVIDES FREE INFORMATIONAL PROGRAMS TO SCHOOLS, COMMUNITY GROUPS, BUSINESSES AND OTHER ORGANIZATIONS IN HALIFAX, MECKLENBURG AND CHARLOTTE COUNTIES. TOPICS RANGE FROM DIET AND NUTRITION TO RISKS FOR HEART DISEASE, DRUG INTERACTIONS, STRESS MANAGEMENT, WELLNESS, DISASTER PREPAREDNESS, AND ALZHEIMER'S DISEASE, TO NAME A FEW. SPEAKERS INCLUDE STAFF MEMBERS AND PHYSICIANS. SUPPORT GROUPS ON A BI-MONTHLY BASIS, HALIFAX REGIONAL HOSPITAL ADVERTISES MEETINGS FOR SUPPORT GROUPS AND INFORMATION CLASSES THAT THE COMMUNITY IS INVITED TO ATTEND. MANY OF THESE SUPPORT GROUPS HAVE LONG-STANDING MEMBERSHIPS AND AS NEW NEEDS ARE IDENTIFIED, HRH WORKS TO ENSURE THAT NEW GROUPS ARE ADDED. THE HOSPITAL WORKS WITH GROUPS TO SERVE AS FACILITATORS OR IDENTIFY FACILITATORS IN THE COMMUNITY, OBTAINS SPEAKERS FOR MEETINGS AND PROVIDES FREE MEETING SPACE FOR SUPPORT GROUPS. 1. BOSOM BUDDIES CANCER SUPPORT GROUP, OFFERS WOMEN WHO HAVE OR WHO HAVE EXPERIENCED BREAST CANCER, AN OPPORTUNITY TO SHARE THEIR FEELINGS AND EXCHANGE COPING STRATEGIES. FIVE MEETINGS WERE HELD DURING 2014. 2. THE ARC OF SOUTHERN VIRGINIA, MET MONTHLY DURING 2014, EXCEPT FOR THE SUMMER MONTHS OF JUNE, JULY AND AUGUST. THE GROUP GIVES PARENTS AND GRANDPARENTS AN OPPORTUNITY TO SHARE SUCCESSES WITH OTHERS WHO CARE FOR CHILDREN WITH AUTISTIC TENDENCIES. HALIFAX REGIONAL HOSPITAL ADVERTISES THEIR MONTHLY MEETINGS IN NEWSPAPERS AND ON THE WEB SITE. 3. BETTER BREATHERS SUPPORT GROUP MEETS THE FOURTH THURSDAY OF THE MONTH AT THE HOSPITAL, EXCEPT FOR THE MONTHS OF DECEMBER, JANUARY AND FEBRUARY. EACH SESSION ALTERNATES BETWEEN GROUP DISCUSSIONS AND PROGRAMS PROVIDED BY HOSPITAL EMPLOYEES, PHYSICIANS, OR GUESTS FROM THE COMMUNITY. 4. STROKE/APHASIA SUPPORT GROUP MET FOUR TIMES DURING 2014. THE MEETINGS ARE HELD AT HALIFAX REGIONAL HOSPITAL AND ARE OPEN TO STROKE SURVIVORS, STROKE CAREGIVERS AND FRIENDS, AND ANYONE WISHING TO KNOW MORE ABOUT STROKE AND APHASIA. 5. R.I.S.E. (RESOURCE INFORMATION SESSIONS OF ENCOURAGEMENT) MET 8 TIMES DURING 2014 AND SERVED AS A BEREAVEMENT SUPPORT GROUP FOR THE COMMUNITY. SESSIONS WERE LED BY HALIFAX REGIONAL HOSPITAL HOSPICE STAFF AND MEETINGS WERE HELD AT THE HOSPITAL. EACH SESSION HAS A DIFFERENT TOPIC, FOCUSING ON THE DIFFERENT NEEDS OF THOSE WHO HAVE RECENTLY SUFFERED A LOSS. TOPICS ARE PRESENTED BY VOLUNTEER LEADERS FROM THE COMMUNITY AND INCLUDE SUBJECTS LIKE UNDERSTANDING GRIEF, IDENTIFYING THE POSITIVES, JOURNALING GRIEF EXPERIENCES AND EXPLORING RESOURCES AVAILABLE FOR PEOPLE WHO ARE NEWLY LIVING ALONE. 6. NARCOTICS ANONYMOUS - THIS GROUP MEETS WEEKLY AT THE HOSPITAL. THE HOSPITAL PROVIDES FREE SPACE AND ADVERTISING. 7. CANCER SUPPORT GROUP (HOPE) - DURING 2014, HALIFAX REGIONAL HOSPITAL CONTINUED TO ADVERTISE THIS GROUP'S WEEKLY MEETINGS IN ITS BI-MONTHLY FOR YOUR GOOD HEALTH ADVERTISEMENT. THE GROUP'S WEEKLY MEETINGS TAKE PLACE AT A LOCAL CHURCH. 8. ALZHEIMER'S SUPPORT GROUP - MEETING MONTHLY, THIS GROUP IS FACILITATED BY A HOSPITAL EMPLOYEE. HRH ADVERTISES ITS MEETINGS. SESSIONS ARE DESIGNED TO PROVIDE EDUCATION AND SUPPORT TO INDIVIDUALS CARING FOR SOMEONE WITH ALZHEIMER'S DISEASE OR RELATED DEMENTIAS. FOR YOUR GOOD HEALTH CALENDAR AD HALIFAX REGIONAL HOSPITAL OFFERS A BI-MONTHLY CALENDAR AD, "FOR YOUR GOOD HEALTH," WHICH ADVERTISES FREE EVENTS IN FOUR LOCAL NEWSPAPERS IN ITS SERVICE AREA. THE AD IS PRINTED IN EACH NEWSPAPER'S FIRST EDITION OF THE WEEK AND PROVIDES INFORMATION AND DATES FOR CHILDBIRTH AND DIABETES GROUP CLASSES, SUPPORT GROUP MEETINGS AND OTHER COMMUNITY/HEALTH SYSTEM-SPONSORED WELLNESS PROGRAMS. CONTACT PERSONS AND PHONE NUMBERS ARE LISTED FOR ACCESS TO REGISTRATION AND/OR MORE INFORMATION. COMMUNITY HEALTH NEWS MAGAZINE HALIFAX REGIONAL HOSPITAL'S LIFE AND HEALTH MAGAZINE IS MAILED TO MORE THAN 31,000 HOUSEHOLDS IN OUR SERVICE AREA FOUR TIMES A YEAR. THE 8-PAGE MAGAZINE CONTAINS HEALTH AND WELLNESS INFORMATION AS WELL AS ARTICLES AND PHOTOS OF EVENTS AND ACTIVITIES AT THE HOSPITAL, MEADOWVIEW TERRACE, SEASONS AT THE WOODVIEW, AND OUR FOUR FAMILY PRACTICE CLINICS AND SIX SPECIALTY OFFICES. THE FULL-COLOR PUBLICATION FEATURES INFORMATION ON NEW SERVICES AND TECHNOLOGIES, SPECIAL AWARDS, ACCREDITATIONS, AND LISTS CLASSES AND EVENTS. HEALTH LITERATURE A WIDE RANGE OF FREE HEALTH LITERATURE IS AVAILABLE THROUGH HALIFAX REGIONAL HOSPITAL'S MARKETING AND EDUCATION DEPARTMENTS. INFORMATION IS PLACED IN WAITING ROOMS, ON HOSPITAL NURSING UNITS OR MAY BE REQUESTED THROUGH THE MAIL. LITERATURE IS ALSO DISTRIBUTED BY SPEAKERS BUREAU PARTICIPANTS, AT SUPPORT GROUP MEETINGS, HEALTH NITE OUTS AND AT SCREENING EVENTS. HALIFAX REGIONAL IS OFTEN ASKED TO SUPPLY EDUCATIONAL MATERIALS TO CHURCHES, SCHOOLS AND COMMUNITY GROUPS THAT HOLD HEALTH FAIRS IN THEIR RESPECTIVE FACILITIES. THIS LITERATURE COVERS RISK FACTORS FOR HEART ATTACK AND STROKE; WAYS TO IDENTIFY HYPERTENSION, HIGH CHOLESTEROL, DIABETES AND MENTAL HEALTH PROBLEMS AS WELL AS GOOD NUTRITION AND EXERCISE. HALIFAX REGIONAL HOSPITAL'S COMMUNITY NEWSLETTER REFERENCES THE HALIFAX REGIONAL HOSPITAL WEBSITE'S MEDICAL LIBRARY FREQUENTLY, OFFERING READERS ALTERNATE WAYS TO LEARN MORE ABOUT DISEASES AND TREATMENTS CURRENTLY AVAILABLE. WEB SITE VISITORS TO WWW.HRHS.ORG CAN FIND A PHYSICIAN, LEARN ABOUT AND REGISTER FOR CLASSES AND EVENTS, SEARCH FOR A JOB, SEARCH THE HEALTH LIBRARY, ENGAGE IN INTERACTIVE HEALTH SCREENINGS, TAKE A VIRTUAL TOUR AND LEARN ABOUT SERVICES. ONLINE FEATURES INCLUDE BILL PAYMENT, JOB APPLICATIONS, CHARITABLE DONATIONS, EVENT REGISTRATION, PHYSICIAN CV SUBMISSION, CHEER CARDS AND MESSAGES, REGISTRATION FOR OUTPATIENT PROCEDURES, AND VISITING THE SECURE ONLINE BABY NURSERY. VISITORS MAY ALSO ACCESS ONLINE VOLUNTEER APPLICATIONS FOR BOTH ADULTS AND JUNIORS. THE USE OF THESE ONLINE FEATURES CONTINUES TO RISE WITH A SIGNIFICANT INCREASE NOTED FOR ONLINE BILL PAYMENT, EVENT REGISTRATION AND CHEER CARDS. VISITORS TO THE SITE CAN SUBSCRIBE TO THREE ONLINE NEWSLETTERS: THE HEALTH E-NEWSLETTER, PREGNANCY E-NEWSLETTER, AND THE NEW-PARENT E-NEWSLETTER, A MONTHLY ELECTRONIC PUBLICATION FOR PARENTS WITH NEWBORNS AND TODDLERS. THE SITE RECEIVES APPROXIMATELY 8500 UNIQUE VISITS EACH MONTH. ALSO ON THE HRHS WEBSITE, VISITORS CAN ACCESS THE SYSTEM'S FACEBOOK PAGE, YOUTUBE CHANNEL AND BLOG TITLED JUST FOR THE HEALTH OF IT. YOUR RIGHT TO DECIDE; A GUIDE TO COMMUNICATING YOUR HEALTHCARE CHOICES THIS BOOKLET ENCOURAGES READERS TO CONSIDER END-OF-LIFE DECISIONS WHILE THEY ARE WELL ENOUGH TO MAKE THESE CHOICES. STAFF AND CHAPLAINS HAVE USED THE BOOKLET, ALONG WITH COPIES OF ADVANCE DIRECTIVES, TO PRESENT PROGRAMS TO THEIR OWN CONGREGATIONS AND COMMUNITY GROUPS TO MAKE PEOPLE AWARE OF HAVING A LIVING WILL AND DESIGNATING SOMEONE TO MAKE HEALTHCARE DECISIONS FOR THEM WHEN THEY MAY BE UNABLE TO SPEAK FOR THEMSELVES. THESE FREE BOOKLETS AND COPIES OF THE VIRGINIA ADVANCE DIRECTIVE FORM ARE AVAILABLE AT HEALTHY LIVING EXPOS, ON OUR WEBSITE, IN OUR PATIENT BOOKLET, IN THE ADMISSIONS AREA AND THROUGH THE GUEST RELATIONS COORDINATOR AND CHAPLAIN'S OFFICE. FORM 990, PART III, LINE 4A YOUR HOSPITAL STAY PATIENT BOOKLET "YOUR HOSPITAL STAY", A PUBLICATION OFFERED BY HRH, DESIGNED TO EDUCATE PATIENTS BOTH DURING AND AFTER THEIR HOSPITAL STAY WHILE PROVIDING THEM A CENTRAL LOCATION FOR PAPERWORK, QUESTIONS AND NOTES, WAS STARTED IN 2013 AND CONTINUED IN 2014. THE PUBLICATION WAS SHAPED OUT OF AN IDEA FROM HALIFAX REGIONAL HOSPITAL'S PATIENT PARTNERSHIP COUNCIL, A FORUM WHICH INCLUDES FORMER PATIENTS AND PATIENT FAMILY MEMBERS. SIMILAR TO THE SERVICE DIRECTORY PROVIDED IN EVERY ROOM OF NICE HOTELS AND RESORTS, "YOUR HOSPITAL STAY" PROVIDES VALUABLE INFORMATION SUCH AS HOW TO ORDER FOOD, CAFETERIA HOURS, INSTRUCTIONS ON TELEPHONE USE IN PATIENT ROOMS, A LIST OF TELEVISION STATIONS, AND INFORMATION ON SPECIAL PROGRAMS FOR PATIENTS SUCH AS PET THERAPY, THE CARE PARTNER PROGRAM, FINANCIAL ASSISTANCE AND MUCH MORE. "YOUR HOSPITAL STAY" IS DISSEMINATED MONDAY THROUGH FRIDAY BY A SPECIALLY CHOSEN TEAM OF VOLUNTEERS. ADMISSIONS DURING THE WEEKEND ARE DONE BY THE VOLUNTEER SCHEDULED FOR MONDAY MORNING. VOLUNTEERS OFTEN TAILOR THEIR BRIEF DISCUSSIONS ABOUT THE BOOK BASED ON WHAT THEY FEEL MAY BE MOST APPLICABLE TO THE PATIENT OR IN ANSWER TO PATIENT QUESTIONS. HEALTH PROFESSIONS EDUCATION THE PROJECT PRIME SCHOLARSHIP ENDOWMENT FUND (PROJECT PRIME), WHICH PROVIDES FINANCIAL ASSISTANCE TO THOSE IN THE REGION WHO WANT TO PURSUE A CAREER IN HEALTHCARE OR A HEALTHCARE-RELATED FIELD IS ADMINISTERED AND PROMOTED BY HALIFAX REGIONAL HOSPITAL. IN 2014, $97,000 WAS AWARDED TO 65 INDIVIDUALS. THE DR. JESSE J. BATES SCHOLARSHIP PROGRAM WAS STARTED IN 2002 IN HONOR OF DR. JESSE J. BATES, ONE OF TWELVE PHYSICIANS ON HALIFAX REGIONAL HOSPITAL'S MEDICAL STAFF WHEN THE HOSPITAL OPENED IN 1953. IN 2014, THE BATES SCHOLARSHIP PROVIDED $6,000 IN SCHOLARSHIP FUNDS TO SIX GRADUATING HIGH SCHOOL SENIORS FROM THE HALIFAX REGIONAL HEALTH SYSTEM SERVICE AREA. THE PURPOSE OF THE SCHOLARSHIP IS TO ENCOURAGE HIGH SCHOOL SENIORS TO SEEK EDUCATION TO FILL CRITICAL HEALTHCARE VACANCIES AND ACQUIRE SKILLS FOR USE WITH TECHNOLOGICALLY ADVANCED EQUIPMENT AND TREATMENT THERAPIES. THE SCHOLARSHIP ENDOWMENT FUND RECEIVES DONATIONS FROM THE COMMUNITY AND THE LATE DR. BATES' FAMILY. THIS SCHOLARSHIP IS ADMINISTERED AND PROMOTED BY HALIFAX REGIONAL HOSPITAL. CONTINUING MEDICAL EDUCATION (CME) PROGRAM HRH IS ACCREDITED BY THE MEDICAL SOCIETY OF VIRGINIA TO SPONSOR CONTINUING MEDICAL EDUCATION (CME) FOR PHYSICIANS. THE CME PROGRAM IS OPEN TO ALL PHYSICIANS AND PHYSICIANS EXTENDERS IN OUR SERVICE AREA, AS WELL AS TO OUR MEDICAL STUDENTS. THE MISSION OF THE CME PROGRAM IS TO PROVIDE PHYSICIANS WITH THE LATEST EVIDENCE-BASED MEDICAL KNOWLEDGE AND TECHNICAL SKILLS. EDUCATIONAL PROGRAMS ARE PLANNED BASED ON IDENTIFIED EDUCATIONAL NEEDS THAT UNDERLIE THE PROFESSIONAL PRACTICE GAPS OF OUR LEARNERS. FINANCIAL AND IN-KIND CONTRIBUTIONS HALIFAX REGIONAL COMMUNITY PARTNERSHIP PROGRAM AS A CORNERSTONE ORGANIZATION IN OUR REGION, HALIFAX REGIONAL HOSPITAL TAKES SERIOUSLY ITS RESPONSIBILITY TO BE AN ACTIVE CORPORATE CITIZEN. HRH CONTRIBUTES TO VARIOUS ORGANIZATIONS THAT SHARE ITS MISSION TO PROMOTE GOOD HEALTH AND WELLNESS AND TO HELP IMPROVE THE QUALITY OF LIFE OF ALL AGES. AS PART OF THE HALIFAX REGIONAL HOSPITAL'S CONTINUED ACTIVE COMMUNITY INVOLVEMENT, THE HALIFAX REGIONAL COMMUNITY PARTNERSHIP PROGRAM WAS ESTABLISHED IN FY05 TO ENABLE HRH TO MAXIMIZE ITS RESOURCES TO PROVIDE THE GREATEST BENEFIT TO CITIZENS IN SOUTHSIDE VIRGINIA. GUIDELINES FOR REQUESTS HELP ANSWER IMPORTANT QUESTIONS THAT ENABLE THE PROGRAM TO DISPERSE RESOURCES IN THE MOST EFFECTIVE MANNER. IN 2014, $63,466 WAS DONATED TO SUPPORT COMMUNITY PROGRAMS IN OUR SERVICE AREA. ADDITIONALLY, HUNDREDS OF HEALTH EDUCATION BROCHURES AND GIVEAWAYS WERE PROVIDED TO COMMUNITY ORGANIZATIONS TO HELP SUPPORT THEIR EVENTS AND PROGRAMS. MEDICATION ASSISTANCE PROGRAM WITH FUNDING SUPPORT FROM THE VIRGINIA HEALTH CARE FOUNDATION, THE CHASTAIN HOME AND THE HALIFAX REGIONAL DEVELOPMENT FOUNDATION, MEDASSIST OF HALIFAX PROVIDES MEDICATION ASSISTANCE TO LOW INCOME, UNINSURED AND UNDERINSURED RESIDENTS IN HALIFAX AND MECKLENBURG COUNTIES. MEDASSIST OF HALIFAX COLLABORATES WITH OTHER HEALTHCARE PROVIDERS AND AGENCIES IN THE AREA TO IDENTIFY INDIVIDUALS WHO CAN BENEFIT FROM THIS SERVICE. THIS PROGRAM PROVIDES PARTICIPANTS A STABLE PROCESS FOR RECEIVING LIFE SUSTAINING AND/OR PREVENTIVE MEDICATIONS. HALIFAX COUNTY HAS A HIGHER INCIDENCE THAN THE STATE MEDIAN FOR HEALTH CONDITIONS FOR WHICH HOSPITALIZATIONS CAN BE PREVENTED WITH CONSISTENT, AVAILABLE AMBULATORY CARE AND GOOD PATIENT COMPLIANCE WITH TREATMENT/SELF PROTOCOLS, INCLUDING HYPERTENSION, ASTHMA AND DIABETES. COMPLIANCE WITH PRESCRIBED COURSES OF MEDICATION IMPROVES THE QUALITY OF LIFE FOR PATIENTS, WHILE DECREASING THE NUMBER OF HOSPITAL VISITS OF PATIENTS WHO RETURN DUE TO INABILITY TO COMPLY. EMERGENCY DEPARTMENT VISITS PRECIPITATED BY CONDITIONS WHICH COULD HAVE BEEN MANAGED WITH COMPLIANCE WITH THE PRESCRIBED MEDICATION REGIMEN ARE EXPECTED TO ALSO BE REDUCED. THIS PROGRAM IS ADMINISTERED THROUGH THE HALIFAX REGIONAL DEVELOPMENT FOUNDATION, INC. DURING 2014, 1,325 PATIENTS RECEIVED MEDICATIONS VALUED AT $5,496,170. CENTER FOR NURSING EXCELLENCE RECOGNIZING THE LOCAL, STATE AND NATIONAL NURSING SHORTAGE, HALIFAX REGIONAL HOSPITAL'S CEO ENVISIONED A NURSING EDUCATION CENTER THAT WOULD ELIMINATE THE TRADITIONAL BARRIERS FOR NURSING STUDENTS SUCH AS COMMUTING, SCHEDULING, WAITING LISTS AND INADEQUATE CAREER PREPARATION. DIRECTING THE EFFORT TO ESTABLISH SUCH A SITE, HRH'S LEADERSHIP WORKED TO SECURE COOPERATION AND ADDITIONAL FUNDING FROM LIKE-MINDED ENTITIES. THE COLLABORATIVE EFFORT RESULTED IN THE SEPTEMBER 2008 OPENING OF THE CENTER OF NURSING EXCELLENCE AT THE SOUTHERN VIRGINIA HIGHER EDUCATION CENTER - A STATE-OF-THE-ART NURSING EDUCATION CENTER WHERE STUDENTS ACQUIRE CLINICAL AND CRITICAL THINKING SKILLS IN A SAFE ENVIRONMENT UTILIZING ADVANCED SIMULATION TECHNOLOGY. THE CENTER NOW OFFERS EDUCATION FROM NURSE AIDE THROUGH THE DOCTORATE OF NURSING PRACTICE UTILIZING SIX HIGH-TECH LABORATORIES OFFERING INSTRUCTIONAL TECHNOLOGIES AND HIGH FIDELITY SIMULATIONS WHICH GIVE STUDENTS HANDS-ON EXPERIENCE, BOOST CONFIDENCE AND PREPARE THEM TO ENTER THE WORKFORCE FULLY PREPARED FOR THE RIGORS OF PROFESSIONAL NURSING PRACTICE. IN 2014, HALIFAX REGIONAL HOSPITAL CONTRIBUTED $16,361 TO THE CENTER. IN ADDITION, ONE HRH EMPLOYEE SERVED ON THE ADVISORY BOARD AND ANOTHER WORKED WITH THE CENTER EXPLORING GRANT OPPORTUNITIES. FOOD DRIVES DURING 2014 EMPLOYEES, PHYSICIANS AND VOLUNTEERS AT HALIFAX REGIONAL HOSPITAL AGAIN PARTICIPATED IN SODEXO SERVICES' "SERVATHON," A NATIONWIDE FOOD DRIVE CONDUCTED EACH APRIL TO HELP PUT FOOD ON THE TABLES OF THOSE HAVING DIFFICULTY PROVIDING FOR THEIR FAMILIES. STAFF MEMBERS AND OTHERS COLLECTED OVER $950 AND NEARLY 250 POUNDS OF CANNED GOODS, PASTAS, RICE, SUGAR, FLOUR, COFFEE, AND OTHER NON-PERISHABLE FOODS. A CHECK AND THE FOOD WERE DONATED TO THE UNITED MISSIONARY SOUP KITCHEN IN SOUTH BOSTON, A LOCAL ORGANIZATION THAT HELPS IN THE COLLECTION AND DISTRIBUTION OF FOOD TO NEEDY INDIVIDUALS AND FAMILIES IN HALIFAX COUNTY. FORM 990, PART III, LINE 4A "SAMANTHA DOLL" PROJECT "SAMANTHA" DOLLS ARE PART OF A NATIONWIDE EFFORT TO DISTRIBUTE HUGGABLE, THERAPEUTIC DOLLS TO TERMINALLY ILL PATIENTS OF ALL AGES. HALIFAX REGIONAL HOSPICE JOINS MORE THAN 2,500 HOSPICE PROVIDERS THROUGHOUT THE UNITED STATES IN DISTRIBUTING THESE FREE DOLLS TO THEIR PATIENTS. HALIFAX REGIONAL HOSPITAL DISTRIBUTES THEM AS WELL. WOMEN FROM LOCAL MISSIONARY UNIONS IN THE DAN RIVER BAPTIST ASSOCIATION SEW THE DOLLS AND PROVIDE THEM FOR LOCAL HOSPICE AND HOSPITAL PATIENTS. DURING 2014, APPROXIMATELY 102 DOLLS WERE DISTRIBUTED TO PATIENTS IN HOMES, THE HOSPITAL AND NURSING FACILITIES. RESCUE SQUAD AND FIRE DEPARTMENT TRAINING HALIFAX REGIONAL HOSPITAL PROVIDES SUPPLIES AND OTHER ASSISTANCE TO HELP LOCAL RESCUE SQUAD MEMBERS MEET LOCAL, STATE AND FEDERAL PATIENT SAFETY GUIDELINES. THE HOSPITAL ALSO MAKES DONATIONS TO LOCAL FIRE DEPARTMENTS AND RESCUE SQUADS TO HELP THEM WITH THEIR RESPECTIVE FUNDRAISING ACTIVITIES. AN HRH EMERGENCY ROOM PHYSICIAN SERVES AS AN OPERATIONAL MEDICAL DIRECTOR FOR EMS AGENCIES. DURING NATIONAL EMS WEEK, HRH AWARDED EACH RESCUE SQUAD $250 THROUGH HALIFAX REGIONAL COMMUNITY PARTNERSHIP. SPORTS PHYSICALS MEMBERS OF HALIFAX REGIONAL HOSPITAL'S MEDICAL STAFF, INCLUDING PHYSICIANS, NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS, PROVIDE FREE SPORTS PHYSICALS FOR HALIFAX COUNTY MIDDLE SCHOOL, BLUESTONE MIDDLE SCHOOL AND BLUESTONE HIGH SCHOOL STUDENTS WHO PARTICIPATE IN FALL, WINTER, SPRING AND SUMMER SCHOOL SPORTS PROGRAMS. IN 2014 PROVIDERS COMPLETED APPROXIMATELY 160 PHYSICALS FOR MIDDLE AND HIGH SCHOOL STUDENTS IN BOTH THE PRIMARY AND EXTENDED SERVICE AREA FOR HRHS. FACILITY USE HALIFAX REGIONAL HOSPITAL AND THE LONG TERM CARE AFFILIATES PROVIDE FREE SPACE AND AVAILABLE EQUIPMENT FOR AREA WELLNESS PROGRAMS, COMMUNITY MEETINGS AND CLINICAL TRAINING PROGRAMS. EXAMPLES INCLUDE: ECONOMIC DEVELOPMENT COMMISSION, HALIFAX COUNTY PUBLIC SCHOOL FOUNDATION, WEIGHT WATCHERS, UNITED WAY BOARD MEETINGS, LOCAL MINISTER'S CONFERENCE, DIXIE SOFTBALL MEETING, CREDIT UNION, ARC OF SOUTHERN VIRGINIA, SOUTHSIDE COMMUNITY COLLEGE NURSING PROGRAM, AMERICAN RED CROSS BLOODMOBILE, BELTONE HEARING CLINICS, AARP SAFE DRIVING CLASSES AND VARIOUS SUPPORT GROUP MEETINGS. HALIFAX REGIONAL HOSPITAL SERVED AS A CLINICAL SITE FOR: -RN AND LPN STUDENTS, SOUTHSIDE VIRGINIA COMMUNITY COLLEGE -PHYSICAL THERAPY STUDENTS FROM REGIS UNIVERSITY, DENVER, COLORADO -PHYSICAL THERAPY ASSISTANT STUDENTS, JEFFERSON COLLEGE HEALTH SCIENCES -SPEECH LANGUAGE PATHOLOGY STUDENTS FROM LONGWOOD COLLEGE -AGREEMENTS ARE ALSO HELD TO SERVE AS A TRAINING SITE FOR STUDENTS FROM EAST CAROLINA UNIVERSITY, UNIVERSITY OF NORTH CAROLINA-CHAPEL HILL, SHENANDOAH, JAMES MADISON UNIVERSITY, APPALACHIAN STATE UNIVERSITY, MEDICAL UNIVERSITY OF SOUTH CAROLINA, WINSTON SALEM STATE UNIVERSITY, ELON, LYNCHBURG COLLEGE AND RADFORD UNIVERSITY. -RESPIRATORY THERAPY STUDENTS FROM J. SERGEANT REYNOLDS COMMUNITY COLLEGE -RADIOLOGY TECHNOLOGISTS PROGRAM, CVCC, LYNCHBURG, VA -EMS STUDENTS FROM LOCAL EMS CLASSES COMPLETED THEIR TRAINING AT DIFFERENT LEVELS. OTHER STUDENTS FROM SOUTH HILL, FARMVILLE AND RICHMOND ALSO PERFORMED THEIR TRAINING AT HALIFAX REGIONAL HOSPITAL. -PHARMACY STUDENTS, MEDICAL COLLEGE OF VIRGINIA -PHARMACY TECHNICIAN STUDENTS, NATIONAL BUSINESS COLLEGE, MILLER MOTT TECHNICAL COLLEGE -DOCTOR OF PHARMACY STUDENTS, MEDICAL COLLEGE OF VIRGINIA COMMUNITY BUILDING EMPLOYEES DONATE HUNDREDS OF HOURS AND SHARE THEIR TALENTS AND EXPERTISE AS MEMBERS OF VARIOUS CIVIC AND RELIGIOUS ORGANIZATIONS IN THEIR COMMUNITIES, AS WELL AS SERVING ON RESCUE SQUADS AND FIRE DEPARTMENTS. THE HOSPITAL ALLOWS AND ENCOURAGES EMPLOYEES TO PROVIDE SERVICE TO THE COMMUNITY DURING WORKING HOURS ALSO. EMPLOYEES SERVE IN VARIOUS CAPACITIES INCLUDING ON BOARDS AND ADVISORY COMMITTEES OF A NUMBER OF COMMUNITY GROUPS AND STATE ORGANIZATIONS ADVANCING COMMUNITY HEALTH AND WELLNESS AND WORKFORCE DEVELOPMENT INCLUDING THE FOLLOWING: HALIFAX COUNTY CHAMBER OF COMMERCE; CHARLOTTE COUNTY CHAMBER OF COMMERCE; CLARKSVILLE CHAMBER OF COMMERCE; MECKLENBURG COUNTY BUSINESS EDUCATION PARTNERSHIP; HALIFAX ADVOCATES FOR SUBSTANCE ABUSE PREVENTION; SOUTHSIDE HEALTH COALITION, HALIFAX VOCATIONAL EDUCATION FOUNDATION; SOUTHSIDE VIRGINIA COMMUNITY COLLEGE SCHOOL OF NURSING ADVISORY COUNCIL; COMMITTEE FOR THE CENTER FOR NURSING EXCELLENCE; SOUTHERN VIRGINIA HIGHER EDUCATION CENTER; VIRGINIA COMMUNITY COLLEGE SYSTEM; VIRGINIA FOUNDATION FOR COMMUNITY COLLEGES; HALIFAX EDUCATION FOUNDATION; HALIFAX COUNTY PUBLIC SCHOOLS EDUCATION FOUNDATION; VIRGINIA ADVANCED STUDY ON STRATEGIES BOARD; ECONOMIC DEVELOPMENT COMMITTEE; WORKFORCE INVESTMENT BOARD; HALIFAX COUNTY UNITED WAY: MENTOR ROLE MODEL PROGRAM AND THE MECKLENBURG COUNTY YMCA. DISASTER READINESS ACTIVITIES HALIFAX REGIONAL HOSPITAL CONTINUES TO PARTICIPATE IN REGIONAL AND LOCAL EXERCISES TO TEST THE EMERGENCY OPERATIONS PLAN AND TO CONDUCT INTERNAL EXERCISES. THESE INITIATIVES HELP HALIFAX REGIONAL HOSPITAL PREPARE FOR AND COORDINATE CRISIS RESPONSE AND RECOVERY OPERATIONS WITH STATE, LOCAL AND FEDERAL AGENCIES IN THE EVENT OF A BIOTERRORIST EVENT/DISASTER. OUTSIDE THE REALM OF THE GRANT FUNDING, HALIFAX REGIONAL HOSPITAL SUPPLIED THE EMPLOYEE TIME INVOLVED IN TRAINING FOR COMMUNITY EMERGENCY PREPAREDNESS AS WELL AS FOR COMMUNITY DISASTER TRAINING DRILLS. OUR FOCUS CONTINUES TO BE ON PREPARING THE HOSPITAL STAFF AND THE COMMUNITY FOR "ALL HAZARDS." SUBSIDIZED HEALTH SERVICES SUB-ACUTE CARE UNIT SUB-ACUTE CARE IS COMPREHENSIVE INPATIENT CARE DESIGNED FOR SOMEONE WHO HAS HAD AN ACUTE ILLNESS, INJURY, OR EXACERBATION OF A DISEASE PROCESS. ITS PURPOSE IS TO PROVIDE GOAL-ORIENTED TREATMENT TO PROMOTE HEALTH RECOVERY AFTER AN ACUTE EPISODE REQUIRING HOSPITALIZATION. IN 2014, THE SUB-ACUTE UNIT PROVIDED FULL SERVICE DESPITE A FINANCIAL LOSS OF $557,441 (NEGATIVE MARGIN SERVICE). FORM 990, PART III, LINE 4A OTHER VOLUNTEER SERVICES PROGRAM THE VOLUNTEER AUXILIARY OF HALIFAX REGIONAL HOSPITAL IS A DEDICATED GROUP OF INDIVIDUALS WHOSE HELPING HANDS EXTEND EVEN FURTHER THAN THE WALLS OF THE HOSPITAL. IN ADDITION TO THE MANY SERVICES THEY PROVIDE TO THE HOSPITAL TO SUPPORT ITS PROGRAMS AND SERVICES, THEY GENEROUSLY DONATE PROCEEDS FROM THEIR FUNDRAISING EVENTS AND SALES FROM THE HOSPITAL'S GIFT SHOP AND VENDING MACHINES TO SUPPORT A NUMBER OF INTERNAL AND OUTWARD ACTIVITIES. THE TENDER LOVING CARE TEAM PROVIDED MANY HANDMADE ITEMS FOR THE PATIENTS INCLUDING BABY BLANKETS, BEARS, FISH, WALKER BAGS AND CHRISTMAS STOCKINGS FOR NEWBORNS DURING THE HOLIDAY SEASON. IN 2014, THE GROUP CONTINUED MANAGING PROGRAMS SUCH AS THE COOKIE CUTTERS AND PET THERAPY, AND THE CARE CART PROGRAM AS WELL MANY OTHER AREAS THROUGHOUT THE HOSPITAL. VOLUNTEERS IN HALIFAX REGIONAL HOSPICE VISIT HOSPICE PATIENTS WHERE THEY LIVE, PROVIDING LIFE-ENHANCING ASSISTANCE TO PATIENTS AND THEIR FAMILIES. DURING 2014, HOSPICE VOLUNTEERS PROVIDED COMPANIONSHIP AND RESPITE FOR TERMINALLY ILL PATIENTS AND THEIR CAREGIVERS, ASSISTED WITH PATIENTS' DAILY ACTIVITIES AND SERVED AS A COMPASSIONATE PRESENCE. VOLUNTEERS ALSO KNIT PRAYER SHAWLS FOR HOSPICE PATIENTS, AND RED, WHITE AND BLUE "LAPGHANS" WHICH ARE GIVEN TO VETERANS. THESE VOLUNTEERS ARE AN IMPORTANT PART OF THE HOSPICE TEAM AND TRAININGS SESSIONS FOR NEW VOLUNTEERS ARE HELD AS NEEDED. VOLUNTEER SERVICES ARE COORDINATED AND OVERSIGHT IS PROVIDED BY A HALIFAX REGIONAL HOSPITAL EMPLOYEE. CHAPLAINCY PROGRAM THE CHAPLAIN PROGRAM (PASTORAL CARE SERVICES) LED BY THE MANAGER OF GUEST SERVICES/PASTORAL CARE SERVICES INCORPORATES MORE THAN 20 VOLUNTEER ASSOCIATE CHAPLAINS TO PROVIDE SPIRITUAL CARE TO PATIENTS, THEIR FAMILY MEMBERS IN THE HOSPITAL SETTING AS WELL AS TO RESIDENTS IN OUR LONG-TERM CARE FACILITIES, HOSPICE PATIENTS, AND THE COMMUNITY. IN ADDITION TO SPIRITUAL CARE, CHAPLAINS LEND THEIR LISTENING PRESENCE TO EMPLOYEES AND VOLUNTEERS. WEEKLY CHAPEL SERVICES ARE AVAILABLE IN THE SUB-ACUTE AREA OF OUR HOSPITAL AS WELL AS IN HALIFAX REGIONAL'S LONG-TERM CARE FACILITIES. THE CHAPLAIN MAINTAINS A LISTENING/EDUCATIONAL PRESENCE FOR LOCAL CLERGY AS WELL AS THE COMMUNITY ON ISSUES RELATED TO SPIRITUALITY AND HEALTH CARE. IN 2014, THE HOSPITAL CHAPLAIN SPOKE TO VARIOUS COMMUNITY GROUPS ON ADVANCE DIRECTIVES, AND LED EDUCATIONAL OPPORTUNITIES FOR LOCAL CLERGY. ACCESS TO INFORMATION THE MARKETING AND COMMUNICATION DEPARTMENT'S PHONE NUMBER IS LISTED ON "HEALTH NITE OUT" AND OTHER WELLNESS PROGRAM ADS PROMOTING HEALTH EDUCATION PROGRAMS. THIS NUMBER IS ALSO LISTED IN HALIFAX REGIONAL HOSPITAL'S LIFE AND HEALTH NEWSLETTER, WHICH IS MAILED QUARTERLY TO MORE THAN 31,000 HOUSEHOLDS IN THE HOSPITAL'S THREE-COUNTY SERVICE AREA. THE PUBLIC CAN REQUEST FREE BROCHURES, A PHYSICIAN DIRECTORY AND BE DIRECTED TO MANY SITES ON THE WEB SITE, INCLUDING AN EXTENSIVE ON-LINE HEALTH INFORMATION LIBRARY. CONTACT INFORMATION IS ALSO GIVEN ON THE HOSPITAL'S ON-HOLD MESSAGING SYSTEM. WHEN SPECIFIC INFORMATION IS PROVIDED AND INDIVIDUALS MIGHT LIKE MORE INFORMATION THROUGH A PAMPHLET OR BROCHURE, THE PHONE NUMBER IS LISTED AND CALLERS CAN HAVE MORE INFORMATION MAILED TO THEM. THE MARKETING AND COMMUNICATIONS OFFICE IS OFTEN REFERENCED WHEN CALLERS REACHING THE MAIN HOSPITAL NUMBER ARE NOT SURE WHO THEY NEED TO TALK TO ABOUT THEIR QUESTION. THE DEPARTMENT CAN ALSO BE SENT EMAIL FROM THE HOSPITAL'S WEB SITE. FORM 990, PART VI, SECTION A, LINE 2 DAVID H. WHITE, JR. AND CHRIS A. LUMSDEN HAVE A BUSINESS RELATIONSHIP. THE ORGANIZATION'S OFFICERS AND DIRECTORS SERVED TOGETHER ON THE BOARDS OF OTHER ORGANIZATIONS WITHIN THE SENTARA HEALTHCARE SYSTEM ("THE SYSTEM"), AS WELL AS JOINT VENTURES IN WHICH THE SYSTEM HAD AN OWNERSHIP INTEREST. SEE SCHEDULE R FOR A LISTING OF SUCH ENTITIES. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S SOLE MEMBER WAS SENTARA HEALTHCARE, A VIRGINIA NONSTOCK CORPORATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS, WHICH SERVED AS THE ORGANIZATION'S GOVERNING BODY, WAS ELECTED AS FOLLOWS: SENTARA HEALTHCARE, THE 501(C)(3) SOLE MEMBER OF THE ORGANIZATION, APPOINTED THE CLASS B DIRECTORS AND RATIFIED THE CLASS A DIRECTORS. CLASS A DIRECTORS WERE NOMINATED BY THE ORGANIZATION'S NOMINATING COMMITTEE. FORM 990, PART VI, SECTION A, LINE 7B THE ORGANIZATION MAY NOT TAKE OR ALLOW ANY OF THE FOLLOWING GOVERNANCE ACTIONS WITHOUT THE CONSENT OF ITS 501(C)(3) SOLE MEMBER, SENTARA HEALTHCARE: APPROVAL OR ADOPTION OF ANY PLAN OF MERGER OR CONSOLIDATION, ANY SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, THE PROPERTY AND ASSETS OF THE ORGANIZATION, THE VOLUNTARY DISSOLUTION OR LIQUIDATION OF THE ORGANIZATION, REVOCATION OF ANY SUCH VOLUNTARY DISSOLUTION PROCEEDINGS, OR ANY DECISION TO FILE A PETITON REQUESTING OR CONSENTING TO AN ORDER FOR RELIEF UNDER THE FEDERAL BANKRUPTCY LAWS OR SIMILAR STATE LAWS FOR THE ORGANIZATION; ELECTION OF NEW BOARD MEMBERS; ANY ALTERATION, AMENDMENT, RESTATEMENT OR REPEAL OF ANY GOVERNING DOCUMENTS; THE ADOPTION OF ANY NEW GOVERNING DOCUMENTS; OR ANY ACTION TO BE TAKEN AS THE MEMBER UNDER THE GOVERNING DOCUMENTS. THE APPROVAL OF THE SOLE MEMBER IS ALSO REQUIRED FOR CERTAIN OPERATIONAL ACTIONS, AS OUTLINED IN THE ORGANIZATION'S BYLAWS. SUCH ACTIONS INCLUDE, BUT ARE NOT LIMITED TO, APPROVAL OF STRATEGIC OR LONG-RANGE BUSINESS PLANS AND ANNUAL OPERATING AND CAPITAL BUDGETS; CREATION OR ACQUISITION OF SUBSIDIARIES OR INTERESTS IN WHICH THE ORGANIZATION WILL BE A MEMBER; ENTRANCE INTO JOINT VENTURE OR OTHER SIMILAR ARRANGEMENTS; EMPLOYMENT MATTERS CONCERNING THE ORGANIZATION'S PRESIDENT, CHIEF OPERATING OFFICER OR CHIEF FINANCIAL OFFICER; TRANSACTIONS WITH INTERESTED PARTIES; INDEBTEDNESS NOT INCLUDED IN AN OPERATING OR CAPITAL BUDGET APPROVED BY THE MEMBER; THE COMMENCEMENT OR SETTLEMENT OF CERTAIN LITIGATION; AND ENTERING INTO, TERMINATING OR CHANGING ANY THIRD-PARTY PAYOR CONTRACT. SENTARA, AS SOLE MEMBER, HAS EXCLUSIVE AUTHORITY TO DIRECT AND MANAGE THE OPERATIONS AND AFFAIRS OF THE ORGANIZATION, AND TO MAKE ALL DECISIONS REGARDING THE BUSINESS OF THE ORGANIZATION, SUBJECT TO BOARD OVERSIGHT TO THE EXTENT AND IN THE MANNER SET FORTH IN THE ORGANIZATION'S BYLAWS. FORM 990, PART VI, SECTION B, LINE 11 THE RETURN IS PREPARED BY SENTARA CORPORATE TAX DEPARTMENT, BASED ON INFORMATION PROVIDED BY ORGANIZATION AND IN CONSULTATION WITH ORGANIZATION STAFF. THE DRAFT PREPARED BY CORPORATE IS THEN CAREFULLY REVIEWED BY ORGANIZATION MANAGEMENT AND STAFF. CHANGES ARE MADE AS APPROPRIATE. THE FINAL VERSION IS MADE AVAILABLE TO ALL MEMBERS OF THE BOARD PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST QUESTIONNAIRE IS DISTRIBUTED TO EACH BOARD MEMBER IN JANUARY EVERY YEAR. THE QUESTIONNAIRE MUST BE COMPLETED BY ALL MEMBERS. A REPORT OF THE DISCLOSED POTENTIAL CONFLICTS IS PRESENTED BY THE SOLE MEMBER'S BOARD CHAIRMAN TO ITS BOARD IN EXECUTIVE SESSION ANNUALLY. IF IT IS DETERMINED BY THE SOLE MEMBER'S BOARD SECRETARY, BOARD PRESIDENT, AND MEDICAL STAFF PRESIDENT THAT AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST EXISTS, THE CIRCUMSTANCES OF THE CONFLICT OF INTEREST SHALL BE SET FORTH IN DETAIL BY THE AFFECTED PARTY. SUBSEQUENTLY, WHEN A RESOLUTION CANNOT BE FOUND TO THE SATISFACTION OF THE SOLE MEMBER'S BOARD SECRETARY, BOARD PRESIDENT, AND MEDICAL STAFF PRESIDENT, THE MATTER WILL BE REVIEWED AND ADDRESSED BY THE SOLE MEMBER'S EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. A RECOMMENDATION WILL BE MADE TO THE AFFECTED PARTY ON HOW TO REMOVE THE CONFLICT. IF THE CONFLICT CANNOT BE RESOLVED TO THE SATISFACTION OF THE SOLE MEMBER'S EXECUTIVE COMMITTEE, A RECOMMENDATION WILL BE MADE TO REMOVE THE AFFECTED BOARD MEMBER FROM THE BOARD. IN SUCH CASE WHERE REMOVAL IS RECOMMENDED, SUCH REMOVAL PROCEDURES OUTLINED IN THE CORPORATE BYLAWS WILL BE FOLLOWED. THE RESPONSES TO THE ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE ARE RETAINED BY THE SOLE MEMBER'S BOARD SECRETARY. FORM 990, PART VI, SECTION B, LINE 15 AS PART OF THE SENTARA HEALTHCARE SYSTEM ("THE SYSTEM"), THE ORGANIZATION FOLLOWED PROCESSES AND PROCEDURES SET FORTH IN ITS GOVERNING DOCUMENTS TO ENSURE COMPLIANCE WITH ITS OBLIGATIONS AS A 501(C)(3) HEALTHCARE ORGANIZATION TO PAY DISQUALIFIED PERSONS REASONABLE COMPENSATION. SUCH PROCESSES AND PROCEDURES ARE INTENDED TO ESTABLISH THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERNAL REVENUE CODE SECTION 4958 REGULATIONS. THE COMPENSATION PHILOSOPHY OF THE SYSTEM AS A WHOLE IS TO BASE OVERALL COMPENSATION AND BENEFITS FOR EXECUTIVES ON NOT-FOR-PROFIT MARKET COMPARABLES, ADJUSTED AS APPLIED TO EACH EXECUTIVE, TAKING INTO CONSIDERATION THE INDIVIDUAL SKILLS, EXPERIENCE, TENURE AND PERFORMANCE OF THE EXECUTIVE BEING COMPENSATED AND OVERALL PERFORMANCE OF THE ORGANIZATION. IN LINE WITH THIS PHILOSOPHY, THE SYSTEM PERFORMED SUBSTANTIAL DUE DILIGENCE AS TO MARKET COMPARABLES. THE SYSTEM'S COMPENSATION COMMITTEE, WHICH CONSISTS OF SYSTEM BOARD MEMBERS WITHOUT CONFLICTS OF INTERESTS, ENGAGED AN OUTSIDE CONSULTANT, WHO REPORTS TO THE COMPENSATION COMMITTEE, TO CONDUCT A STUDY ASSESSING THE COMPETITIVENESS OF TOTAL COMPENSATION (INCLUDING CASH COMPENSATION, BENEFITS AND PERQUISITES) OF ITS SENIOR EXECUTIVES PRIOR TO MAKING DECISIONS REGARDING ANNUAL BASE SALARY ADJUSTMENTS, APPROVING INCENTIVE AWARDS, OR CONSIDERING PROGRAMMATIC CHANGES. THE STUDY COMPARED THE COMPENSATION OF THE SYSTEM'S SENIOR EXECUTIVES TO COMPENSATION DATA FROM MULTIPLE PUBLISHED SURVEY SOURCES BASED ON THE SENIOR EXECUTIVE'S FUNCTIONAL RESPONSIBILITY. IN CONDUCTING THE STUDY, THE CONSULTANT TARGETED OTHER NOT-FOR-PROFIT HEALTH SYSTEMS OF SIMILAR SIZE BASED ON NET REVENUE AND COMPLEXITY. FOR HEALTH PLAN POSITIONS, HEALTH PLANS WITH SIMILAR PREMIUMS, OR MEMBERS, WERE TARGETED. THE CONSULTANT ALSO CONDUCTS A REVIEW OF THE ORGANIZATION'S PERFORMANCE RELATIVE TO A GROUP OF NOT-FOR-PROFIT HEALTH SYSTEMS OF COMPARABLE SIZE AND SCOPE OF OPERATIONS EVERY YEAR. THE MOST RECENT STUDY COMPARED SENTARA'S PERFORMANCE TO 30 NOT-FOR-PROFIT HEALTHCARE SYSTEMS BASED ON NET REVENUE GROWTH, OPERATING MARGIN, BOND RATING, AND QUALITATIVE PERFORMANCE MEASURES BASED ON RANKINGS FROM SDI'S NATIONAL TOP INTEGRATED HEALTH NETWORKS. OVERALL, THE CONSULTANT DETERMINED THAT SENTARA'S PAY WAS ALIGNED WITH ITS RELATIVE PERFORMANCE. THE COMPENSATION STUDY WAS PRESENTED TO THE SYSTEM'S COMPENSATION COMMITTEE, WHICH MADE ITS COMPENSATION DECISIONS BASED ON A) ITS REVIEW AND ANALYSIS OF THE PERFORMANCE OF BOTH THE ORGANIZATION AND ITS SENIOR EXECUTIVES AND, B) A REASONABLENESS OF COMPENSATION ANALYSIS AND OPINION FROM AN EXTERNAL EXPERT IN THE COMPENSATION OF EXECUTIVES IN THE TAX-EXEMPT HEALTH CARE FIELD. THE COMMITTEE'S BASES FOR ITS DECISIONS WERE DOCUMENTED IN COMMITTEE MINUTES TAKEN DURING THE MEETING AND THEN CIRCULATED FOR REVIEW AND APPROVAL. ALL DECISIONS REGARDING COMPENSATION WERE MADE BY THE COMMITTEE, WHICH CONSISTS OF SYSTEM BOARD MEMBERS WITHOUT CONFLICT OF INTERESTS. THIS PROCESS WAS USED TO ESTABLISH COMPENSATION FOR THE ORGANIZATION'S VICE CHAIRMAN, WHO ALSO SERVE AS CORPORATE VICE PRESIDENT OF THE SYSTEM. THE PROCESS WAS LAST UNDERTAKEN DURING 2014. THE OUTSIDE MARKET STUDY DESCRIBED ABOVE WAS ALSO USED TO ESTABLISH COMPENSATION FOR THE ORGANIZATION'S PRESIDENT, WHO IS CONSIDERED THE TOP MANAGEMENT OFFICIAL OF THE ORGANIZATION, AND THE ORGANIZATION'S CFO. RESULTS WERE PRESENTED TO SENIOR EXECUTIVES OF THE SYSTEM FOR REVIEW AND APPROVAL RATHER THAN THE SYSTEM'S COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE CONSOLIDATED FINANCIAL STATEMENTS FOR SENTARA HEALTHCARE AND SUBSIDIARIES WERE MADE PUBLICLY AVAILABLE THROUGH THE USE OF DAC BOND (DISCLOSURE DISSEMINATION AGENT) AND CAN BE FOUND ON THE INTERNET AT WWW.DACBOND.COM. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY ARE GENERALLY NOT MADE AVAILABLE TO THE PUBLIC. CORE PART VI LINES 1A AND 1B, BOARD MEMBER INDEPENDENCE SENTARA HEALTHCARE, THE ORGANIZATION'S 501(C)(3) SOLE MEMBER, APPOINTS THE ORGANIZATION'S CLASS B DIRECTORS AND RATIFIES ITS CLASS A DIRECTORS THAT ARE APPOINTED BY THE ORGANIZATION'S NOMINATION COMMITTEE. THE GOVERNING BOARD OF SENTARA HEALTHCARE IS A COMMUNITY-BASED BOARD COMPRISED OF 18 VOTING MEMBERS, 16 OF WHICH ARE CONSIDERED INDEPENDENT, AS DEFINED IN THE FORM 990 INSTRUCTIONS. FORM 990, PART XI, LINE 9: CHANGE IN PENSION LIABILITY -2,970,336. BOOK RECLASS OF INTERCO ACCOUNT BALANCES TO EQUITY 1,890,705. NET ASSET TRANSFER FROM SUBSIDIARIES 4,029,213. 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