HALIFAX REGIONAL HOSPITAL INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: HALIFAX REGIONAL HOSPITAL INC (EIN 54-0648699)
Tax period: 2011-09-01 to 2012-08-31
Filed: 2013-07-12
IRS object ID: 201321939349300217
Schema version: 2011v1.5
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-07-12T10:37:43-05:00	Timestamp
Tax Period End Date	2012-08-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1676 International Drive	AddressLine1
City	McLean	City
State	VA	State
ZIP Code	22102	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-09-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	540648699	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	HALIFAX REGIONAL HOSPITAL INC	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% STEWART R NELSON	InCareOfName
Name Control	HALI	NameControl
Phone	4345173183	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2204 Wilborn Avenue	AddressLine1
City	South Boston	City
State	VA	State
ZIP Code	24592	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	STEWART NELSON	Name
Title	CFO	Title
Date Signed	2013-07-11	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	7032868000	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	CHRIS A LUMSDEN	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	2204 WILBORN AVENUE	AddressLine1
City	SOUTH BOSTON	City
State	VA	State
ZIP Code	24592	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	104475798	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.HRHS.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1948	YearFormation
State Legal Domicile	VA	StateLegalDomicile
Activity Or Mission Description	THE PURPOSE OF HALIFAX REGIONAL HOSPITAL IS TO PROVIDE THE HIGHEST QUALITY CARE BASED ON THE HEALTHCARE NEEDS OF THE PEOPLE WE SERVE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	7	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	4	NbrIndependentVotingMembers
Total Nbr Employees	785	TotalNbrEmployees
Total Nbr Volunteers	124	TotalNbrVolunteers
Total Gross UBI	3805766	TotalGrossUBI
Contributions Grants Prior Year	148762	ContributionsGrantsPriorYear
Contributions Grants Current Year	128450	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	82572910	ProgramServiceRevenuePriorYear
Program Service Revenue CY	87679108	ProgramServiceRevenueCY
Investment Income Prior Year	2266206	InvestmentIncomePriorYear
Investment Income Current Year	1713971	InvestmentIncomeCurrentYear
Other Revenue Prior Year	639842	OtherRevenuePriorYear
Other Revenue Current Year	577118	OtherRevenueCurrentYear
Total Revenue Prior Year	85627720	TotalRevenuePriorYear
Total Revenue Current Year	90098647	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	2783500	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	5625139	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	34474575	SalariesEtcPriorYear
Salaries Etc Current Year	37046925	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	73880	TotalFundrsngExpCurrentYear
Other Expense Prior Year	45824880	OtherExpensePriorYear
Other Expenses Current Year	51501978	OtherExpensesCurrentYear
Total Expenses Prior Year	83082955	TotalExpensesPriorYear
Total Expenses Current Year	94174042	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	2544765	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-4075395	RevenuesLessExpensesCY
Total Assets BOY	113048825	TotalAssetsBOY
Total Assets EOY	110244949	TotalAssetsEOY
Total Liabilities BOY	44722792	TotalLiabilitiesBOY
Total Liabilities EOY	46251130	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	68326033	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	63993819	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	THE PURPOSE OF HALIFAX REGIONAL HEALTH SYSTEM IS TO PROVIDE THE HIGHEST QUALITY CARE BASED ON THE HEALTHCARE NEEDS OF THE PEOPLE WE SERVE. FOR MORE INFORMATION, SEE SCHEDULE O.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	79383581	Expense
Grants	5580000	Grants
Revenue	81827270	Revenue
Description	SINCE HALIFAX REGIONAL 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. DURING FY12, HALIFAX REGIONAL HOSPITAL SERVED 4,817 INPATIENTS, INCLUDING NEWBORNS, PROVIDED SERVICES TO 75,498 OUTPATIENTS AND HAD 29,463 EMERGENCY DEPARTMENT VISITS. SERVICES INCLUDE CARDIOVASCULAR CARE, EMERGENCY DEPARTMENT, FAMILY BIRTHING CENTER, UROLOGY CARE, ORTHOPEDICS, RADIOLOGY, SURGICAL SERVICES, WOUND CARE, ETC.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	5104088	Expense
Revenue	2153803	Revenue
Description	HALIFAX HOME HEALTH SERVICES ASSISTS PATIENTS WHO LEAVE THE HOSPITAL BUT NEED ADDITIONAL ASSISTANCE. SERVICES INCLUDE NURSING, HOME HEALTH AIDES, PHYSICAL THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY MEDICAL EQUIPMENT/SUPPLIES, PERSONAL CARE, ETC. HALIFAX REGIONAL HOSPICE AND PALLIATIVE CARE OFFERS CLINICAL, EMOTIONAL AND SPIRITUAL CARE TO THOSE LIVING WITH A TERMINAL ILLNESS AND SECURES THEY MAY LIVE THEIR FINAL DAYS WITH AS MUCH PERSONAL SATISFACTION AND COMFORT AS POSSIBLE. HOSPICE OFFERS MEDICAL CARE, NURSING CARE, SUPPORTIVE SERVICES, VOLUNTEER SERVICES, PASTORAL CARE AND BEREAVEMENT CARE.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	2488573	Expense
Revenue	3698035	Revenue
Description	THE SUBACUTE UNIT AT HALIFAX REGIONAL HOSPITAL IS A 19-BED SKILLED NURSING FACILITY, LICENSED BY THE COMMONWEALTH OF VIRGINIA. THIS SPECIAL UNIT IS DESIGNED TO MEET THE NEEDS OF PATIENTS WHO HAVE BEEN IN THE HOSPITAL FOR AT LEAST THREE DAYS (SOME INSURANCE POLICIES DO NOT REQUIRE THE THREE-DAY STAY) WHO WOULD BENEFIT FROM ADDITIONAL RESTORATIVE CARE, THERAPIES AND EDUCATIONAL PROGRAMS BEFORE BEING DISCHARGED. CARE ON THE SUBACUTE UNIT IS DELIVERED BY A MULTIDISCIPLINARY TEAM OF CLINICAL PROFESSIONALS WITH NURSING SERVICES OFFERED 24 HOURS A DAY, SEVEN DAYS A WEEK.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	45139	Expense
Grants	45139	Grants
Description	SUSAN G. KOMEN FDN FUNDS APPLIED TO PATIENT ACCTS	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	45139	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	45139	TotalOfOtherProgramServiceGrnt
Total Program Service Expense	87021381	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	true	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	203	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	785	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	true	ForeignFinancialAccount
Name Of Foreign Country	CJ	NameOfForeignCountry
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	7	NbrVotingGoverningBodyMembers
Number Independent Voting Members	4	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	false	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	VA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	STEWART R NELSON	NamePerson
Telephone Number	4345173183	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2204 WILBORN AVENUE	AddressLine1
City	SOUTH BOSTON	City
State	VA	State
ZIP Code	24592	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
DAVID H WHITE JR
CHAIRMAN	1.0	X	X	0	0	0
J AUBREY HOUGHTON
TREASURER	1.0	X	X	0	0	0
CAROL C THOMAS
VICE CHAIRMAN	1.0	X	X	0	0	0
HABIB BASSIL MD
SECRETARY	1.0	X	X	59600	0	0
BENJAMIN FINCHER
BOARD MEMBER	1.0	X		0	0	0
SAID ISKANDAR MD
BOARD MEMBER (BEGINNING 11/11)	1.0	X		53201	0	0
JAMES PRIEST DDS
BOARD MEMBER	1.0	X		0	0	0
JAMES WITKO MD
BOARD MEMBER (THROUGH 11/11)	1.0	X		10365	0	0
CHRIS A LUMSDEN
CHIEF EXECUTIVE OFFICER	26.0		X	373098	43819	39911
STEWART R NELSON
CHIEF FINANCIAL OFFICER	26.0		X	244770	29380	27595
THOMAS S KLUGE
CHIEF OPERATING OFFICER	26.0			206040	24242	42802	X
MING Y LIU
HRH PHYSICIAN	40.0			336790	0	48725		X
DAVID FITTS
PHARMACY MANAGER	40.0			139987	0	28335		X
GREGORY SHUFORD
HRH PHYSICIAN	40.0			301773	0	29615		X
HECTOR MARQUEZ
HRH PHYSICIAN	40.0			265868	0	33026		X
PATRICIA THOMAS
DIRECTOR OF PATIENT CARE SVCS	40.0			140441	0	17195		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2131933	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	97441	TotalReportableCompFrmRltdOrgs
Total Other Compensation	267204	TotalOtherCompensation
Number Individuals GT100 K	24	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
MCKESSON
PO BOX 98347	CHICAGO	IL	606938347	IT MAINTENANCE	1434532
PULMONARY ASSOCIATES
2210 WILBORN AVENUE	SOUTH BOSTON	VA	24592	HOSPITALIST SERVICES	938324
SIEMENS
DEPT AT 40065	ATLANTA	GA	31192	RADIOLOGY MAINTEN.	562510
SODEXHO SERVICES
806 TYVOLA ROAD	CHARLOTTE	NC	28290	FOOD SERVICE MGMT	520444
FUNCTIONAL PATHWAYS
PO BOX 102426	ATLANTA	GA	302682426	PT/OT STAFFING	448336

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	21	NumberOfContractorsGT100K
Related Organizations	31105	RelatedOrganizations
All Other Contributions	97345	AllOtherContributions
Total Contributions	128450	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	NET PATIENT SERVICE REVENUE	Description
Business Code	541900	BusinessCode
Total Revenue Column	87679108	TotalRevenueColumn
Related Or Exempt Function Income	83879694	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	3799414	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Program Service Revenue	87679108	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1513288	TotalRevenueColumn
Exclusion	$1,513,288	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	39987	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	39987	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	39987	TotalRevenueColumn
Exclusion	$39,987	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	14333807	Securities
Other	186981	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	14246496	Securities
Other	73609	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	87311	Securities
Other	113372	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	200683	TotalRevenueColumn
Exclusion	$200,683	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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

Net Income From Gaming NetIncomeFromGaming

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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	107723	GrossSalesOfInventory
Cost Of Goods Sold	57046	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	50677	TotalRevenueColumn
Exclusion	$50,677	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
CAFE/VENDING	721000	412320	3512	$408,808
INCOME FROM AUXILIARY	453220	34483		$34,483
MISCELLANEOUS	900099	39651	2840	$36,811

Field	Value	IRS element (for citing)
Total Other Revenue	486454	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	90098647	TotalRevenueColumn
Related Or Exempt Function Income	83879694	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	3805766	UnrelatedBusinessRevenue
Exclusion	$2,284,737	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	5580000	Total
Program Services	5580000	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	45139	Total
Program Services	45139	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	985947	Total
Program Services	0	ProgramServices
Management And General	985947	ManagementAndGeneral
Fundraising	0	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	27588292	Total
Program Services	25554459	ProgramServices
Management And General	1978877	ManagementAndGeneral
Fundraising	54956	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1846441	Total
Program Services	1651306	ProgramServices
Management And General	191583	ManagementAndGeneral
Fundraising	3552	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	4414894	Total
Program Services	3948320	ProgramServices
Management And General	458084	ManagementAndGeneral
Fundraising	8490	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	2211351	Total
Program Services	1977651	ProgramServices
Management And General	229447	ManagementAndGeneral
Fundraising	4253	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	342906	Total
Program Services	0	ProgramServices
Management And General	342906	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	124867	Total
Program Services	0	ProgramServices
Management And General	124867	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	6000	Total
Program Services	0	ProgramServices
Management And General	6000	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	24753	Total
Management And General	24753	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	7313053	Total
Program Services	6807285	ProgramServices
Management And General	504902	ManagementAndGeneral
Fundraising	866	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	262323	Total
Program Services	12032	ProgramServices
Management And General	250291	ManagementAndGeneral
Fundraising	0	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	9227823	Total
Program Services	8773018	ProgramServices
Management And General	454777	ManagementAndGeneral
Fundraising	28	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	2596407	Total
Program Services	2596407	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	821843	Total
Program Services	821843	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	222561	Total
Program Services	178797	ProgramServices
Management And General	42629	ManagementAndGeneral
Fundraising	1135	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	0	Total

Interest Interest

Field	Value	IRS element (for citing)
Total	1059044	Total
Program Services	1059044	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	6854713	Total
Program Services	6854713	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	297302	Total
Management And General	297302	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBT	9370478	9370478
MEDICAL SUPPLIES - PHARMA	5180965	5180965
EQUIPMENT RENTAL & MAINTENANCE	2521119	2397630	123489
MEDICAL SUPPLIES - BLOOD	818409	818409

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	4457412	Total
Program Services	3393885	ProgramServices
Management And General	1062927	ManagementAndGeneral
Fundraising	600	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	94174042	Total
Program Services	87021381	ProgramServices
Management And General	7078781	ManagementAndGeneral
Fundraising	73880	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	2520758	BOY
EOY	5050504	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	3527000	BOY
EOY	0	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	13190536	BOY
EOY	12012882	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	615226	BOY
EOY	319865	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	2387445	BOY
EOY	2414351	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2815758	BOY
EOY	3303333	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	144145680	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	94811783	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	49198415	BOY
EOY	49333897	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	36579641	BOY
EOY	33970422	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	708404	BOY
EOY	1622051	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	1505642	BOY
EOY	2217644	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	113048825	BOY
EOY	110244949	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	8751172	BOY
EOY	8184757	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	289567	BOY
EOY	270506	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	25917361	BOY
EOY	24230086	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	9764692	BOY
EOY	13565781	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	44722792	BOY
EOY	46251130	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	68624134	BOY
EOY	63993819	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	68326033	BOY
EOY	63993819	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	113048825	BOY
EOY	110244949	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-4075395	ReconcilationRevenueExpenses
Reconcilation Other Changes	-256819	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

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

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Form4720 Filed	false	Form4720Filed
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$14,787	OtherActivitiesAmount
Total Lobbying Expenditures IIB	14787	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	OTHER LOBBYING ACTIVITIES	Identifier
Return Reference	SCHEDULE C, PART II-B, LINE I	ReturnReference
Explanation	IN FISCAL YEAR 2012, OUTSIDE LOBBYISTS WERE PAID $6,000 AS A PART OF THE HOSPITAL GEOGRAPHIC FAIRNESS COALITION WHICH INCLUDED LOBBYING EFFORTS ON WAGE INDEX CLASSIFICATION AND FOR LEGISLATIVE AFFAIRS EXPERTISE TO PURSUE FEDERAL FUNDING SUPPORT FOR THE IMPLEMENTATION OF AN ELECTRONIC MEDICAL RECORD FOR PHYSICIAN PRACTICES IN SOUTHERN VIRGINIA AND DIRECT INTEGRATION WITH THE HOSPITAL'S PATIENT CLINICAL INFORMATION SYSTEMS. IN ADDITION, A PORTION OF DUES PAID TO THE VIRGINIA HEALTH CARE ASSOCIATION ARE APPORTIONED TO LOBBYING. IN FISCAL YEAR 2012, THIS AMOUNT WAS $8,787.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts
Current Year Minus3 Years		CurrentYearMinus3Years

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	699209	OtherCostOrOtherBasis
Book Value	699209	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	58430748	OtherCostOrOtherBasis
Depreciation	30906671	Depreciation
Book Value	27524077	BookValue

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovements

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	78268247	OtherCostOrOtherBasis
Depreciation	61687399	Depreciation
Book Value	16580848	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6747476	OtherCostOrOtherBasis
Depreciation	2217713	Depreciation
Book Value	4529763	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	49333897	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
ACCRUED PENSION PLAN	$7,471,359
CAPITALIZED LEASE OBLIGATIONS	$1,292,281
INTEREST PAYABLE	$585,196
DUE TO THIRD-PARTY PROGRAMS	$1,750,232
OTHER LIABILITIES	$2,417,938
DUE TO AFFILIATES	$48,775

Field	Value	IRS element (for citing)
Total Of Amounts	13565781	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	UNCERTAIN TAX POSITIONS	Identifier
Return Reference	SCHEDULE D, PART X	ReturnReference
Explanation	THE HOSPITAL IS GENERALLY EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. HRPS IS DISREGARDED FOR FEDERAL AND STATE INCOME TAX PURPOSES AS ITS ACTIVITIES ARE CONSIDERED PART OF THE HOSPITAL FOR INCOME TAX PURPOSES. DHMA IS A FOR-PROFIT, TAXABLE ORGANIZATION. THE HOSPITAL DOES NOT BELIEVE ITS CONSOLIDATED FINANCIAL STATEMENTS INCLUDE (OR REFLECT) ANY UNCERTAIN TAX POSITIONS.	Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	Region
Number Of Offices	0	NumberOfOffices
Number Of Employees	0	NumberOfEmployees
Type Of Activities Conducted	Investments	TypeOfActivitiesConducted
Total Expenditures	1068247	TotalExpenditures

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	0	SubtotalNumberOfOffices
Subtotal Number Of Employees	0	SubtotalNumberOfEmployees
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Subtotal Amount Spent	1068247	SubtotalAmountSpent
Total Amount Spent	1068247	TotalAmountSpent
Transfer To Foreign Corp	true	TransferToForeignCorp
Interest In Foreign Trust	false	InterestInForeignTrust
Own Foreign Corp	true	OwnForeignCorp
Passive Foreign Invest Co	true	PassiveForeignInvestCo
Foreign Partnership	false	ForeignPartnership
Boycott Countries	false	BoycottCountries

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Tailored To Ind Hospitals	X	PolicyTailoredToIndHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent150	X	Pcent150
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	275.	DiscountedOtherPercentage

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

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	2600	PersonsServed
Total Community Benefit Expense	1605075	TotalCommunityBenefitExpense
Net Community Benefit Expense	1605075	NetCommunityBenefitExpense
Percent Of Total Expense	0.01890	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	8537261	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6579771	DirectOffsettingRevenue
Net Community Benefit Expense	1957491	NetCommunityBenefitExpense
Percent Of Total Expense	0.02310	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	143755	TotalCommunityBenefitExpense
Direct Offsetting Revenue	106011	DirectOffsettingRevenue
Net Community Benefit Expense	37745	NetCommunityBenefitExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	2600	PersonsServed
Total Community Benefit Expense	10286091	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6685782	DirectOffsettingRevenue
Net Community Benefit Expense	3600311	NetCommunityBenefitExpense
Percent Of Total Expense	0.04240	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	204	NumberOfActivitiesOrPrograms
Persons Served	34580	PersonsServed
Total Community Benefit Expense	320179	TotalCommunityBenefitExpense
Net Community Benefit Expense	320179	NetCommunityBenefitExpense
Percent Of Total Expense	0.00380	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	16	NumberOfActivitiesOrPrograms
Persons Served	14	PersonsServed
Total Community Benefit Expense	177978	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5310	DirectOffsettingRevenue
Net Community Benefit Expense	172668	NetCommunityBenefitExpense
Percent Of Total Expense	0.00200	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	5196827	TotalCommunityBenefitExpense
Direct Offsetting Revenue	307565	DirectOffsettingRevenue
Net Community Benefit Expense	4889262	NetCommunityBenefitExpense
Percent Of Total Expense	0.05770	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	174	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	150229	TotalCommunityBenefitExpense
Net Community Benefit Expense	150229	NetCommunityBenefitExpense
Percent Of Total Expense	0.00180	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	396	NumberOfActivitiesOrPrograms
Persons Served	34594	PersonsServed
Total Community Benefit Expense	5845213	TotalCommunityBenefitExpense
Direct Offsetting Revenue	312875	DirectOffsettingRevenue
Net Community Benefit Expense	5532338	NetCommunityBenefitExpense
Percent Of Total Expense	0.06530	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	399	NumberOfActivitiesOrPrograms
Persons Served	37194	PersonsServed
Total Community Benefit Expense	16131304	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6998657	DirectOffsettingRevenue
Net Community Benefit Expense	9132649	NetCommunityBenefitExpense
Percent Of Total Expense	0.10770	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	15	NumberOfActivitiesOrPrograms
Total Community Building Expense	24672	TotalCommunityBuildingExpense
Net Community Building Expense	24672	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	18	NumberOfActivitiesOrPrograms
Total Community Building Expense	11147	TotalCommunityBuildingExpense
Net Community Building Expense	11147	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Total Community Building Expense	2124	TotalCommunityBuildingExpense
Net Community Building Expense	2124	NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	15	NumberOfActivitiesOrPrograms
Total Community Building Expense	10784	TotalCommunityBuildingExpense
Net Community Building Expense	10784	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	51	NumberOfActivitiesOrPrograms
Total Community Building Expense	48727	TotalCommunityBuildingExpense
Net Community Building Expense	48727	NetCommunityBuildingExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$9,370,478	BadDebtExpenseAmount
Amount Reimbursed By Medicare	31174109	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	29334416	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	1839693	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	HALIFAX REGIONAL HOSPITAL INCORPORATED	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	2204 WILBORN AVENUE	AddressLine1
City	SOUTH BOSTON	City
State	VA	State
ZIP Code	24592	ZIPCode

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

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	HALIFAX REGIONAL HOSPITAL INCORPORATED	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	150.	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	275.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Medical Indigency	X	MedicalIndigency
Uninsured Discount	X	UninsuredDiscount
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Attached To Invoices	X	AttachedToInvoices
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Average Negotiated Rates	X	AverageNegotiatedRates
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
PART I, LINE 3C	THE ORGANIZATION USES FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR PROVIDING FREE AND DISCOUNTED CARE TO LOW INCOME INDIVIDUALS.
PART I, LINE 7G	HALIFAX REGIONAL HOSPITAL INCLUDED $4,856,686 AS SUBSIDIZED HEALTH SERVICES ON SCHEDULE H FOR COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS.
PART I, LINE 7, COLUMN F	THE AMOUNT OF BAD DEBT EXPENSE THAT WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) BUT REMOVED FROM THE DENOMINATOR FOR CALCULATION OF THE PERCENTAGES IN COLUMN (F) WAS $9,370,478.
PART I, LINE 7	THE ORGANIZATION USED THE COST TO CHARGE RATIO FROM WORKSHEET 2 TO DETERMINE THE AMOUNTS REPORTED IN PART I, LINE 7. COST METHOD WAS USED FOR UNREIMBURSED MEDICAID (7B), FROM MEDICAID COST REPORT, AND SUBSIDIZED HEALTH SERVICES (7G).
PART III, LINE 4	THE ORGANIZATION USED COST TO CHARGE RATIO TO DETERMINE THE AMOUNTS REPORTED IN PART III, LINE 2. THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE REGARDING BAD DEBT EXPENSE. BAD DEBT EXPENSE IS REPORTED AS "PROVISION FOR BAD DEBTS" ON THE STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS OF THE AUDITED FINANCIAL STATEMENTS. THE HOSPITAL'S SCREENING PROCESS TO DETERMINE THOSE PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE IS VERY THOROUGH, AND THE HOSPITAL HAS AN EXTENSIVE PATIENT EDUCATION PROGRAM. THEREFORE, VERY FEW PATIENTS, IF ANY, WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE DO NOT RECEIVE ASSISTANCE.
PART III, LINE 8	MEDICARE ALLOWABLE COSTS OF CARE AND RELATED REIMBURSEMENT WERE OBTAINED FROM THE 2012 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. WE ALSO HAVE A "FINANCIAL POLICY" OUTLINING OUR 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 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 US TO SET UP THE REMAINING BALANCE ON A PAYMENT PLAN. PUBLICIZE FINANCIAL ASSISTANCE POLICY - OTHER PART V, LINE 13 THE FINANCIAL ASSISTANCE POLICY IS INCLUDED ON THE VHHA WEBSITE AND BROCHURES IN ALL WAITING ROOMS.
NEEDS ASSESSMENT	HRHS' PURPOSE IS "TO PROVIDE THE HIGHEST QUALITY CARE BASED ON THE HEALTHCARE NEEDS OF THE PEOPLE WE SERVE." IN FULFILLING THIS PURPOSE AND VISION, HRHS' LEADERSHIP 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, HRHS IS PROUD OF ITS ABILITY TO RESPOND TO CURRENT MEDICAL CHALLENGES AND PRUDENTLY PLAN HEALTH AND WELLNESS OPPORTUNITIES FOR FUTURE GENERATIONS. VARIOUS ASSESSMENT TOOLS AND SUGGESTIONS FROM CITIZENS IN THE REGION HELPED CREATE SERVICES AND PROGRAMS AIMED AT IMPROVING THE HEALTH OF THE COMMUNITY. HRHS USES 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 INCLUDE: HRHS 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 COMMUNITY HEALTH 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 AND DEVELOPMENT HEALTHY PEOPLE 2010 *PHYSICIAN SATISFACTION SURVEY 2010 INFORMATION FROM THE VARIOUS DATA SOURCES IS UTILIZED TO ASSESS OUR BUSINESS DEVELOPMENT PLANS AND TO COORDINATE OUTREACH ACTIVITIES WITH COMMUNITY ORGANIZATIONS. SERVICE INITIATIVE AND EXPANSION/ENHANCEMENTS TO MEET COMMUNITY NEEDS IN FISCAL YEAR 2012 ARE DESCRIBED BELOW: WITH THE INCIDENCE OF HEART DISEASE IN OUR SERVICE AREA EXCEEDING THE STATE AVERAGE AND ABOVE THE MEDIAN FOR OUR REGION, HRHS CONTINUES TO FOCUS ON THE PREVENTION AND TREATMENT OF CARDIOVASCULAR-RELATED ILLNESSES. THE CENTER FOR CARDIOVASCULAR SERVICES, WHICH OPENED NOVEMBER 2005, HOUSES A HOSPITAL-BASED, FIXED DIGITAL STATE-OF-THE-ART CARDIOVASCULAR LABORATORY. WITH THE ADDITION OF AN INTERVENTIONAL CARDIOLOGIST IN FISCAL YEAR 2011, THE CENTER'S SERVICES NOW INCLUDE DIAGNOSTIC CARDIAC CATHETERIZATION, TRANS ESOPHAGEAL ECHOCARDIOGRAMS (TEES), IVC FILTER REPLACEMENT AND REMOVAL, BALLOON ANGIOPLASTY, CORONARY STENTS (HEART), PERIPHERAL STENTS (LEGS AND RENAL), PACEMAKER IMPLANTS, ICD IMPLANTS, AND INTRA-AORTIC BALLOON PUMP INSERTION. NON-INVASIVE SERVICES OFFERED THROUGH THE CENTER INCLUDE CARDIOVASCULAR NUCLEAR MEDICINE, CARDIAC AND PULMONARY STRESS TESTING, TILT TABLE TESTING, ECHOCARDIOGRAPHY AND CARDIOPULMONARY REHABILITATION. IN ADDITION, A NUMBER OF INPATIENT AND OUTPATIENT NON-INVASIVE SERVICES ARE OFFERED FOR PATIENTS EXPERIENCING CARDIAC AND RESPIRATORY ILLNESSES. RADIOLOGY'S 64-SLICE CT SCANNER PROVIDES CORONARY ANGIOGRAPHY IMAGING CAPABILITIES. THIS YEAR, HRH CONTINUED ITS COMMITMENT TO COMMUNITY EDUCATION RELATED TO RAISING AWARENESS OF RISK FACTORS AND PREVENTION OF CARDIOVASCULAR DISEASES THROUGH HEALTH FAIRS, SPEAKING ENGAGEMENTS, FREE BLOOD CHOLESTEROL AND BLOOD PRESSURE SCREENINGS AND THROUGH THE HEALTH LIBRARY ON THE HRHS WEBSITE. THE CARDIOPULMONARY REHABILITATION CENTER AT HRH BENEFITS BOTH HEART AND LUNG PATIENTS IN THEIR RECOVERY AND HELPS THEM ACHIEVE A HEALTHIER LIFESTYLE. BOTH THE CARDIAC AND PULMONARY REHABILITATION PROGRAMS ARE NATIONALLY CERTIFIED BY THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION. THE PHASE II CARDIAC AND PULMONARY REHAB PROGRAM PROVIDES SERVICES FOR INDIVIDUALS WHO HAVE RECENTLY UNDERGONE HEART SURGERY, A HEART PROCEDURE, OR HAVE SIGNIFICANT LUNG DISEASE. THE MULTIDISCIPLINARY EDUCATION APPROACH TO RISK FACTOR MODIFICATION INCLUDES NUTRITIONAL COUNSELING, STRESS MANAGEMENT/BEHAVIORAL HEALTH COUNSELING, DIABETIC EDUCATION, AND SMOKING CESSATION FOR ALL PATIENTS. THE PHASE III MAINTENANCE PROGRAM OFFERS A PERSONALIZED, SUPERVISED EXERCISE PROGRAM AND IS OPEN TO PEOPLE WITH VARIOUS TYPES OF HEALTH PROBLEMS. THE CARDIOPULMONARY REHABILITATION PROGRAM SERVES APPROXIMATELY 400 INDIVIDUALS EACH YEAR. HRH CONTINUES TO PROVIDE SERVICES THROUGH THE SLEEP STUDY LAB. THE SLEEP LAB PERFORMS DIAGNOSTIC POLYSOMNOGRAPHY AND C-PAP/BI-PAP TITRATION FOR PATIENTS TO AID IN THE DIAGNOSIS AND TREATMENT OF SLEEP APNEA AND OTHER SLEEP DISORDERS. ALL SLEEP STUDY TECHNICIANS ARE CERTIFIED IN POLYSOMNOGRAPHY. HALIFAX REGIONAL HOME MEDICAL EQUIPMENT (HRHME) OFFERS C-PAP AND BI-PAP EQUIPMENT FOR INDIVIDUALS DIAGNOSED WITH SLEEP APNEA. HRHME, ACCREDITED BY THE JOINT COMMISSION, IS CONVENIENTLY LOCATED ADJACENT TO THE SLEEP LAB AT THE HOSPITAL. SPECIALLY-TRAINED STAFF HELP PATIENTS CHOOSE THE RIGHT MASK, MAKE SURE THE FIT IS CORRECT, AND INSURE THAT THE SET-UP AND OPERATION OF THE MACHINE IS FULLY UNDERSTOOD. PATIENTS ARE FOLLOWED CLOSELY TO MAKE SURE EQUIPMENT IS PROPERLY MAINTAINED AND HRHME STAFF IS AVAILABLE TO ANSWER QUESTIONS AND OFFER SUPPORT. HRHME ALSO ASSISTS PATIENTS WITH INSURANCE COVERAGE AND PROVIDES TIMELY REMINDERS ABOUT FOLLOW-UP APPOINTMENTS WITH THEIR PHYSICIAN. PATIENTS UTILIZING THE SERVICES OF HRHME AND WHO QUALIFY FOR PATIENT FINANCIAL ASSISTANCE UNDER THE HRHS FINANCIAL ASSISTANCE POLICY GUIDELINES MAY RECEIVE THEIR EQUIPMENT AT DISCOUNTED PRICES. THE CENTER FOR WOUND CARE SERVES RESIDENTS OF SOUTHERN VIRGINIA WHO SUFFER FROM CHRONIC, NON-HEALING WOUNDS. THE CENTER USES SPECIAL TREATMENT MODALITIES FOR WOUND HEALING INCLUDING SURGICAL DEBRIDEMENT, COMPRESSION THERAPY, SPECIALTY WOUND DRESSINGS, EDEMA MANAGEMENT, AND SKIN GRAFTS. WOUNDS TREATED IN THE CENTER TYPICALLY ARE CAUSED FROM COMPLICATION OF DIABETES, TRAUMATIC INJURIES, PRESSURE SORES, AND OTHER VASCULAR PROBLEMS. NON-HEALING WOUNDS ARE ESPECIALLY SIGNIFICANT AMONG PERSONS WITH DIABETES, CAUSING THEM TO BE AT AN INCREASED RISK FOR AMPUTATION. THE INCIDENCE OF DIABETES IN THE HRHS SERVICE AREA IS 37 PERCENT HIGHER THAN THE STATE AVERAGE. PATIENTS SERVED BY THE CENTER FOR WOUND CARE ALSO RECEIVE EDUCATIONAL INFORMATION THAT NOT ONLY HELPS THEM WITH THEIR WOUND HEALING BUT ALSO EMPOWERS THEM TO TAKE CONTROL OF THEIR UNDERLYING MEDICAL CONDITION. HRHS CONTINUES TO ADVANCE ITS USE OF INFORMATION TECHNOLOGY (IT). MANAGEMENT IS DEVELOPING AN IMPLEMENTATION PLAN AND GOVERNANCE STRUCTURE FOR CPOE. HRHS WILL ALSO BE ACTIVATING ADDITIONAL SOFTWARE APPLICATIONS COLLATERALLY WITH CPOE. IT IS MANAGEMENT'S GOAL TO BE IN COMPLIANCE WITH THE HEALTH INFORMATION TECHNOLOGY FOR ECONOMIC AND CLINICAL HEALTH ACT (HITECH) REQUIREMENTS IN ORDER TO RECEIVE STIMULUS FUNDING. OUTSIDE OF THE HOSPITAL, MANAGEMENT IS IMPLEMENTING AN EMR FOR OWNED AND NON-OWNED PHYSICIAN PRACTICES. (REFER TO INFORMATION TECHNOLOGY SECTION, PAGE 73, FOR ADDITIONAL INFORMATION.) RADIOLOGY'S 64-SLICE CT (COMPUTED TOMOGRAPHY) IMAGING TECHNOLOGY GIVES PHYSICIANS THE ABILITY TO SEE MORE ANATOMICAL DETAIL IN ONLY A FRACTION OF THE TIME. THE SPEED AND RESOLUTION OF 64-SLICE CT ANGIOGRAPHY (CTA) ALLOWS PHYSICIANS TO VIEW EVEN THE SMALLEST OF ARTERIES IN THE BRAIN, HEART, AND PERIPHERAL VASCULAR SYSTEM AND OFFERS A MORE EFFICIENT AND SAFER ALTERNATIVE TO TRADITIONAL ANGIOGRAPHY. WITH EXCEPTIONAL DETAIL, 64-SLICE CORONARY CTA ALLOWS PHYSICIANS TO VIEW CALCIFIED AND NON-CALCIFIED SOFT PLAQUE IN THE CORONARY ARTERIES. THE 64-SLICE CT CAPTURES IMAGES OF ANATOMY AS THIN AS A CREDIT CARD. THREE-DIMENSIONAL RECONSTRUCTED IMAGES ARE THEN FORMATTED, ALLOWING REFERRING PHYSICIANS AND THEIR PATIENTS TO EASILY REVIEW AND UNDERSTAND THE FINDINGS OF THE CT SCAN. RADIOLOGY'S PACS (PICTURE ARCHIVING AND COMMUNICATION SYSTEM) INTERFACES WITH HOSPITAL DEPARTMENTAL INFORMATION SYSTEMS AND MANAGES THE STORAGE AND DISTRIBUTION OF IMAGES TO RADIOLOGISTS, HOSPITAL PHYSICIANS, AND REMOTE REFERRING PHYSICIANS. PACS PROVIDES PHYSICIANS ADDITIONAL TOOLS TO ASSIST WITH DIAGNOSIS AS WELL AS PROVIDING PHYSICIANS THE OPPORTUNITY TO DISPLAY IMAGES BASED ON USER PREFERENCE. POWERSCRIBE, A VOICE RECOGNITION DICTATION SYSTEM WHICH WAS IMPLEMENTED IN JANUARY 2008, HAS DECREASED RADIOLOGY SIGNED WRITTEN REPORT TURNAROUND TIME FOR ALL DIAGNOSTIC STUDIES PERFORMED IN RADIOLOGY FROM AN AVERAGE OF 20 HOURS TO AN AVERAGE OF 6 HOURS, BASED ON 24-HOUR OPERATIONS. TURNAROUND FOR STUDIES PERFORMED DURING REGULAR BUSINESS HOURS ON WEEKDAYS IS LESS THAN AN HOUR. FOR THE PATIENT, THIS TRANSLATES TO FASTER DIAGNOSIS AND FASTER FOLLOW-UP, THEREBY ENHANCING PATIENT SAFETY AND PROMPTNESS OF TREATMENT. IN ADDITION, THE TURNAROUND TIME FOR FINAL REPORTS FOR AFTER-HOURS CT, ULTRASOUND AND NUCLEAR MEDICINE READINGS HAS BEEN REDUCED FROM 16 HOURS TO AN AVERAGE OF 25 MINUTES THROUGH AN AGREEMENT WITH VIRTUAL RA	PART VI, LINE 2
PATIENT EDUCATION AND ELIGIBILITY FOR ASSISTANCE	WHEN A PATIENT IS REGISTERED AT OUR FACILITY WE PROVIDE A NOTICE OF FINANCIAL ASSISTANCE WHICH INCLUDES INCOME GUIDELINES AND A CONTACT TELEPHONE NUMBER FOR CONVENIENCE. WE ALSO HAVE FRAMED COPIES OF THE NOTICE IN OUR REGISTRATION AREAS AND KEY PUBLIC AREAS OF THE FACILITY. HALIFAX REGIONAL HOSPITAL HAS FINANCIAL OPTIONS BROCHURES IN THOSE SAME AREAS WITH LITERATURE REGARDING FINANCIAL ASSISTANCE. OUR TELEPHONE SYSTEM OFFERS "ON HOLD" MESSAGING AND WE UTILIZE TO INFORM INCOMING CALLERS OF FINANCIAL ASSISTANCE INFORMATION EVERY OTHER MONTH. WE PLACE ARTICLES IN AREA NEWSPAPERS QUARTERLY AS A CUSTOMER SERVICE TOOL TO REMIND OUR PATIENTS. PERIODICALLY, WE PLACE INFORMATION IN OUR HEALTH AND LIFE NEWSLETTER. FINANCIAL ASSISTANCE INFORMATION TO INCLUDE THE APPLICATION IS ON OUR WEBSITE AS WELL AS BILLING INFORMATION. OUR STATEMENTS ASK CUSTOMERS TO CONTACT US REGARDING FINANCIAL ASSISTANCE. ALL SELF PAY CUSTOMERS RECEIVE A LETTER ENCLOSED WITH THEIR FIRST STATEMENT WITH DETAILED INFORMATION REGARDING FINANCIAL ASSISTANCE TO INCLUDE INCOME GUIDELINES. HRH HAS PARTNERED WITH FIRSTSOURCE TO AID OUR UNINSURED EMERGENCY DEPARTMENT PATIENTS, UNINSURED AND UNDERINSURED INPATIENTS, OUTPATIENT SURGERY, AND OBSERVATION PATIENTS IN APPLYING FOR MEDICAL ASSISTANCE THROUGH GOVERNMENT PROGRAMS. THEY ASSIST THE PATIENT THROUGHOUT THE ENTIRE APPLICATION PROCESS TO ENSURE ALL DOCUMENTATION IS COMPLETE. FIRSTSOURCE ALSO HELPS THE PATIENT/CUSTOMER COMPLETE FINANCIAL ASSISTANCE APPLICATIONS IF THEY MAY NOT QUALIFY FOR GOVERNMENT ASSISTANCE.	PART VI, LINE 3
COMMUNITY INFORMATION	HALIFAX REGIONAL HOSPITAL (HRH) IS A SOLE COMMUNITY HOSPITAL 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 = 36,241); THE SECONDARY SERVICE AREA INCLUDES CHARLOTTE COUNTY (POPULATION = 12,586) AND MECKLENBURG COUNTY (POPULATION = 32,727). 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-FOUR PERCENT LIVE AT OR BELOW THE 200% FEDERAL POVERTY LEVEL (FPL). THE MEDIAN HOUSEHOLD INCOME IN 2010 WAS $34,500 COMPARED TO THE STATE AVERAGE OF $61,210. EIGHTEEN PERCENT ARE UNINSURED, APPROXIMATELY ELEVEN PERCENT ARE UNEMPLOYED, AND THIRTY-FIVE PERCENT OVER THE AGE OF TWENTY-FIVE DO NOT HAVE A HIGH SCHOOL DIPLOMA. THIRTY-SIX PERCENT OF THE POPULATION IS AFRICAN AMERICAN; TWENTY PERCENT IS OVER THE AGE OF SIXTY-FIVE. FIFTY-EIGHT PERCENT OF CHILDREN ATTENDING THE THREE COUNTY PUBLIC SCHOOL DISTRICTS RECEIVE FREE OR REDUCED LUNCH (ELIGIBILITY IS AT OR BELOW 185% FPL). ANNUALLY, HRH PROVIDES CARE TO APPROXIMATELY 4,800 INPATIENTS, 75,000 OUTPATIENTS, AND 29,000 ER PATIENTS. HRH PROVIDES CARE TO ALL REGARDLESS OF THEIR ABILITY TO PAY. IN 2012, 53% OF HRH PATIENTS WERE MEDICARE; 11% MEDICAID; 2,600 PATIENTS WERE SERVED THROUGH THE HRH PATIENT FINANCIAL ASSISTANCE PROGRAM.	PART VI, LINE 4
PROMOTION OF COMMUNITY HEALTH	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. 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 HEALTH SYSTEM 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 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. "EATING FOR A HEALTHY WEIGHT AND HEART" CLASSES HAVE CONTINUED THROUGHOUT FY12 AS A PART OF THE CARDIOPULMONARY REHABILITATION EDUCATION CLASSES. "DISHIN' NUTRITION WITH YOUR KIDS," A FREE CLASS DESIGNED FOR PARENTS AND CHILDREN ADDRESSING NUTRITION AND OBESITY, CONTINUED AS WELL. THE DEPARTMENT ALSO OFFERED A HEALTHY COOKING CLASS FREE TO THE COMMUNITY AS PART OF HALIFAX REGIONAL'S HEALTH NITE OUT SERIES OF EDUCATIONAL EVENTS. HEALTHY LIVING EXPO HALIFAX REGIONAL HEALTH SYSTEM HOLDS ANNUAL COMMUNITY HEALTH FAIRS IN ITS SERVICE AREA. HALIFAX REGIONAL'S ANNUAL SIGNATURE EVENT, THE HEALTHY LIVING EXPO, WAS HELD AT HALIFAX COUNTY HIGH SCHOOL ON MARCH 18, 2012. 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 AMERICAN RED CROSS, THE ARC OF SOUTHERN VIRGINIA, THE LION'S CLUB (VISION AND AMBLYOPIA SCREENING), THE HALIFAX COUNTY CANCER ASSOCIATION, THE LOCAL ALZHEIMER'S ASSOCIATION; THE SOCIAL SECURITY ADMINISTRATION, HALIFAX COUNTY SHERIFF'S DEPARTMENT (PROJECT LIFESAVER), HEALTHY FAMILIES; THE YMCA; THE SOUTH BOSTON FIRE DEPARTMENT, THE SOUTH BOSTON LIBRARY ("EXERCISE FOR THE MIND"), AND THE SOUTH BOSTON POLICE DEPARTMENT AND MORE. ALL HEALTH SCREENINGS PROVIDED WERE FREE, INCLUDING BLOOD PRESSURE, BLOOD GLUCOSE AND CHOLESTEROL, VISION AND AMBLYOPIA, ORAL, BMI (BODY MASS INDEX), BALANCE, GRIP STRENGTH AND ANXIETY AND DEPRESSION SCREENINGS. IN ADDITION TO SCREENINGS AND RESOURCES, HRHS BROUGHT IN THE AMERIHEART. A GIANT WALKTHROUGH HEART SHOWING ALL CHAMBERS OF THE HEART TO EDUCATE INDIVIDUALS ON WHAT STEPS THEY SHOULD TAKE TO TAKE CARE OF THEIR HEART. APPROXIMATELY 500 INDIVIDUALS ATTENDED THE EXPO AND 400 FREE SCREENINGS WERE PROVIDED. COMMUNITY HEALTH FAIRS/SCREENINGS OTHER COMMUNITY HEALTH FAIRS IN WHICH HALIFAX REGIONAL PARTICIPATED AND PROVIDED SCREENINGS (INCLUDING BLOOD PRESSURE, BODY MASS INDEX, CHOLESTEROL AND BLOOD GLUCOSE) DURING FY12 INCLUDED, CARDIOLOGISTS SPEAKING TO ANNIN, HALIFAX COUNTY MIDDLE SCHOOL AND SUNSHINE MILLS EMPLOYEES, DOLLAR GENERAL HEALTH FAIR, EBENEZER CME HEALTH FAIR, YMCA ACTIVE OLDER ADULTS DAY, NORTH HALIFAX MARATHON. A PROSTRATE SCREENING WAS ALSO HELD AT HALIFAX UROLOGY ASSOCIATES. IN FY12 HALIFAX REGIONAL PARTICIPATED IN EIGHT HEALTH FAIR SCREENING EVENTS WITH 585 INDIVIDUALS SCREENED. HEALTHY DIRECTIONS WELLNESS PROGRAM DURING FY12, 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. NEW INITIATIVES WERE PUT IN PLACE AND GAINED POPULARITY QUICKLY. A WALKING MILEAGE REIMBURSEMENT PROGRAM STARTED WHERE EMPLOYEES ARE REWARDED TWENTY-FIVE CENTS FOR EVERY MILE THEY WALK. A WELLNESS CHAMP PROGRAM ALSO STARTED WHICH ALLOWS EMPLOYEES WHO ARE WORKING TOWARD ACHIEVING THEIR WELLNESS GOALS CAN NOMINATE THEMSELVES EACH MONTH TO BE RECOGNIZED AS HRHS WELLNESS CHAMP. BY LOOKING BETTER AND FEELING BETTER, EMPLOYEES "SHOW" THE COMMUNITY THAT GOOD HEALTH IS ACHIEVABLE AND SET A GOOD EXAMPLE FOR THE HEALTHCARE ROLE THE ORGANIZATION PLAYS IN THE COMMUNITY. CHILDBIRTH EDUCATION CLASSES THROUGH THE FAMILY BIRTHING CENTER, HALIFAX REGIONAL 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 FY12 WERE: PREPARED CHILDBIRTH CLASSES - SEVEN CLASSES, 61 PARTICIPANTS BREASTFEEDING CLASS - FIVE CLASSES, 48 PARTICIPANTS 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, 78 PARTICIPANTS DIABETES EDUCATION CLASSES ONE HUNDRED ONE PEOPLE ATTENDED HALIFAX REGIONAL'S FREE DIABETES GROUP CLASSES IN FY12. 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. IN FY12 THE DIABETES EDUCATOR ALSO PROVIDED 155 ONE-ON-ONE SESSIONS WITH INDIVIDUALS EITHER REFERRED BY PHYSICIAN OR SELF AT NO CHARGE AND DID 57 TELEPHONE EDUCATION SESSIONS. A DIABETES EDUCATOR IS ALSO AVAILABLE TO TEACH AND DEMONSTRATE HOW TO USE A BLOOD SUGAR MONITOR UPON REQUEST. IN MARCH 2012 THE DIABETES EDUCATION DEPARTMENT, PARTICIPATED IN THE 2012 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. IN FY12, EIGHT EVENTS WERE OFFERED TO THE COMMUNITY IN WHICH A TOTAL OF 246 PEOPLE PARTICIPATED. 1. STEP UP TO A HEALTHIER LIFESTYLE - THIS HEALTH NITE OUT PROGRAM, LED BY A PHYSICAL THERAPIST OF COX REHABILITATION CENTER, FOCUSED ON PROPER WAYS TO EXERCISE AND HOW EXERCISE HELPS PEOPLE LIVE A HEALTHIER LIFE. TWENTY-NINE INDIVIDUALS ATTENDED. 2. PREVENTING SIDS - THIS HEALTH NITE OUT PROGRAM WAS PRESENTED BY A FAMILY NURSE PRACTITIONER. TOPICS INCLUDED HOW TO PREVENT SIDS AND TIPS ON TAKING CARE OF INFANTS. NINE INDIVIDUALS PARTICIPATED. 3. EAT IN? EAT OUT? WHICH COSTS LESS? - THIS FUN FILLED EDUCATIONAL SESSION, PRESENTED BY HRH'S NUTRITION AND FOOD SERVICES DEPARTMENT, SHOWED THE CHEF PREPARING A HEALTHY MEAL THAT COST MUCH LESS THAN EATING OUT WHICH PARTICIPANTS THEN SAMPLED. AN HRH REGISTERED DIETITIAN THEN TALKED ABOUT THE BENEFITS OF EATING IN VS. EATING OUT. FORTY-TWO INDIVIDUALS ATTENDED. 4. HOW TO KEEP YOUR TICKER TICKING - THIS HEALTH NITE OUT, PRESENTED BY ONE OF HALIFAX REGIONAL'S CARDIOLOGISTS AND MANAGER OF CARDIOPULMONARY REHAB, DISCUSSED THE RISK FACTORS OF HEART DISEASE AND HOW TO HELP PREVENT IT. TWENTY-NINE INDIVIDUALS PARTICIPATED. 5. THE FACES OF AIDS - THIS POWERFUL AND EMOTIONAL HEALTH NITE OUT, PRESENTED BY THE AIDS SERVICE ORGANIZATION BOARD, WAS A PANEL DISCUSSION WITH COMMUNITY MEMBERS AFFECTED BY AIDS. NINETEEN INDIVIDUALS ATTENDED. 6. ANXIETY 101 - THIS HEALTH NITE OUT, PRESENTED BY A LICENSED PROFESSIONAL COUNSELOR FROM CENTER FOR BEHAVIORAL HEALTH, DISCUSSED ANXIETY AND DEPRESSION AND HOW TO HELP COPE WITH ITS SYMPTOMS. FIFTY-EIGHT INDIVIDUALS PARTICIPATED. 7. CAREGIVER WORKSHOP - THIS EVENT WAS OFFERED TO INDIVIDUALS WHO PLAY THE CAREGIVER ROLE FOR LOVED ONES. HALIFAX REGIONAL HOME HEALTH AND HOSPICE TEAMED UP TO OFFER A FULL DAY SEMINAR ON HOW TO CARE FOR A LOV	PART VI, LINE 5
AFFILIATED HEALTH CARE SYSTEM	HALIFAX REGIONAL HEALTH SYSTEM AND ALL OF ITS AFFILIATED ENTITIES, INCLUDING THE HALIFAX REGIONAL HOSPITAL (HRH), ARE GOVERNED BY A VOLUNTEER 35 MEMBER BOARD OF DIRECTORS (THE "SYSTEM BOARD") WHICH MEETS ON A MONTHLY BASIS. BOARD MEMBERS ARE ELECTED TO THREE YEAR TERMS AND OFFICERS ARE ELECTED FOR ONE YEAR TERMS. THE SYSTEM BOARD UTILIZES A COMMITTEE STRUCTURE FOR QUALITY, OPERATIONAL, FINANCIAL, AND PROJECT REVIEW AND HAS FULL AUTHORITY TO ACT ON BEHALF OF ALL ENTITIES IN ALL MATTERS PERTAINING TO OPERATIONS AND MANAGEMENT. LESS THAN 25% OF THE BOARD IS EITHER AN EMPLOYEE OR CONTACTOR OF THE HOSPITAL. BOARD MEMBERS INCLUDE COMMUNITY REPRESENTATION FROM A BROAD RANGE OF PERSPECTIVES INCLUDING PUBLIC SCHOOL SYSTEM EMPLOYEES, SMALL BUSINESS OWNERS, ACTIVE AND/OR RETIRED CPA'S, DENTISTS, ATTORNEYS, BANK EXECUTIVES, AND LOCAL GOVERNMENT LEADERS, ALL WHO RESIDE AND/OR WORK WITHIN THE THREE COUNTY SERVICE AREA. TEN ACTIVELY PRACTICING PHYSICIANS, INCLUDING THE PRESIDENT AND VICE PRESIDENT OF THE HRH'S MEDICAL STAFF, SERVE ON THE BOARD. HRH EXTENDS PRIVILEGES TO ALL PHYSICIAN APPLICANTS THAT MEET THE CREDENTIALING REQUIREMENTS. HRH IS COMMITTED TO ENSURING THAT QUALIFIED PHYSICIANS ARE AVAILABLE TO MEET THE HEALTHCARE NEEDS OF ITS DIVERSE SERVICE AREA POPULATION. SURPLUS FUNDS ARE USED TO SUPPORT PHYSICIAN ENTERPRISES INCLUDING RECRUITMENT AND RETENTION, CRITICAL IN THIS RURAL, MEDICALLY UNDERSERVED AREA (MUA). FUNDS ARE ALSO REINVESTED IN STATE OF THE ART TECHNOLOGY AND INFORMATION SYSTEMS TO ENSURE THE SAFEST AND HIGHEST QUALITY OF HEALTHCARE DELIVERED THROUGH AN INTEGRATED AND COMPREHENSIVE SYSTEM. EXAMPLES INCLUDE A DIGITAL MAMMOGRAPHY SYSTEM BE ADDED IN JULY 2011 AND AN ELECTRONIC MEDICAL RECORD SYSTEM NOW BEING USED BY ALL HOSPITAL DEPARTMENTS AND PRIMARY CARE SITES. SURPLUS FUNDS CONTINUE TO BE DIRECTED TO SUPPORT PROJECTS THAT HELP MITIGATE ACCESS BARRIERS TO COMPREHENSIVE HEALTHCARE AND WELLNESS THROUGHOUT THE SERVICE AREA. THIS IS DEMONSTRATED IN HRH'S CONTINUED FINANCIAL SUPPORT OF ITS FOUR PRIMARY CARE SITES AND ITS EFFORTS TO IMPROVE AND EXPAND SERVICES IN RESPONSE TO COMMUNITY NEEDS ASSESSMENTS. THROUGH A 2010 COMMUNITY NEEDS ASSESSMENT, FOR EXAMPLE, HRH IDENTIFIED A CRITICAL ACCESS BARRIER TO DENTAL SERVICES. IN ITS CONTINUED COMMITMENT TO IMPROVE THE HEALTH OF THE COMMUNITY, HRH COMPLETED A FEASIBILITY STUDY WHICH SUPPORTS THE ESTABLISHMENT OF A HOSPITAL-BASED OUTPATIENT DENTAL CLINIC IN RURAL HALIFAX CO.(SOUTH BOSTON) WITH A FOCUS ON CHILDREN'S DENTAL TO PROVIDE AFFORDABLE, QUALITY SERVICES TO RESIDENTS THAT DO NOT HAVE THE FINANCIAL MEANS TO ACCESS DENTAL SERVICES. THE EXISTING HALIFAX PRIMARY CARE SITE WILL BE EXPANDED TO ADD A SEVEN OPERATORY, 3,500 SQUARE FOOT DENTAL CLINIC AS WELL AS A 6,500 SQUARE FOOT SHELL FOR FUTURE MEDICAL/DENTAL EXPANSION, FORMING A COMMUNITY COMPREHENSIVE HEALTHCARE CAMPUS. HRH HAS COMMITTED $900,000 TOWARDS CONSTRUCTION COSTS AND WILL PROVIDE ON-GOING OPERATIONAL SUPPORT OF THE DENTAL CLINIC THROUGH IN-KIND AND MONETARY DONATIONS. STATE AND FOUNDATION GRANT FUNDING TO SUPPORT THE REMAINDER OF CONSTRUCTION AND EQUIPMENT COSTS IS PENDING (APPROXIMATELY $ 1.1 MILLION). SUBJECT TO THE ADDITIONAL GRANT FUNDING, THE DENTAL CLINIC IS SCHEDULED TO OPEN SPRING 2012. HRH IS COMMITTED TO HEALTHCARE EDUCATION TO HELP ENSURE THE AVAILABILITY OF HEALTHCARE PROFESSIONALS IN THE SERVICE AREA. SURPLUS FUNDS HAVE BEEN COMMITTED TO HELP ADDRESS THE CRITICAL NURSING SHORTAGE EXPERIENCED THROUGHOUT THE REGION. OVER THE PAST SEVERAL YEARS, HRH HAS WORKED DILIGENTLY WITH LEADERS OF SOUTHSIDE VIRGINIA COMMUNITY COLLEGE (SVCC) TO EXPAND AND MARKET THE REGISTERED NURSE PROGRAM AND TO INCREASE THE NUMBER OF NURSES GRADUATING FROM BOTH THE PRACTICAL NURSING PROGRAM AND THE REGISTERED NURSE PROGRAM. IN 2006, SVCC EXPANDED ITS REGISTERED NURSE PROGRAM TO THE SOUTHERN VIRGINIA HIGHER EDUCATION CENTER (SVHEC). DURING FISCAL YEAR 2008, HRHS PARTICIPATED AS A MAJOR STAKEHOLDER IN THE PLANNING AND DESIGN OF THE CENTER FOR NURSING EXCELLENCE LOCATED AT THE SVHEC. THE CENTER OPENED IN SEPTEMBER 2008 AND HOUSES TWO SIMULATION LABORATORIES FOR TRAINING OF SVHEC STUDENTS. THE LABORATORIES ARE ALSO AVAILABLE FOR CONTINUING EDUCATION AND TRAINING OF CURRENT HEALTHCARE PROVIDERS. HRH CONTINUES TO PROVIDE LEADERSHIP AND FINANCIAL SUPPORT FOR OPERATION OF THE SOUTHERN VIRGINIA HIGHER EDUCATION CENTER OF NURSING EXCELLENCE.	PART VI, LINE 6
STATE FILING OF COMMUNITY BENEFIT REPORT	A COMMUNITY BENEFIT REPORT IS FILED WITH THE VIRGINIA HOSPITAL AND HEALTHCARE ASSOCIATION.	PART VI, LINE 7

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
HALIFAX REGIONAL DEVELOPMENT FOUNDATION
2204 WILBORN AVENUE	SOUTH BOSTON	VA	24592	541801459	501(C)(3)	140000	FUNDING OF COMMUNITY PTNR
DOMINION HEALTH MEDICAL ASSOCIATES LTD
2204 WILBORN AVENUE	SOUTH BOSTON	VA	24592	541060357		4805000	SUPPORT
HALIFAX REGIONAL PROPERTIES INC
2204 WILBORN AVENUE	SOUTH BOSTON	VA	24592	541801463	501(C)(3)	635000	CONSTRUCTION OF DENTAL CLINIC FACILITY

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	2	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	SUSAN G. KOMEN FDN FUNDS APPLIED TO PATIENT ACCTS	TypeOfGrant
Number Of Recipients	287	NumberOfRecipients
Amount Of Cash Grant	45139	AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	GRANT ELIGIBILITY RECORDS	Identifier
Return Reference	SCHEDULE I, PART I, LINE 2	ReturnReference
Explanation	GRANTS FROM HALIFAX REGIONAL HOSPITAL ARE ONLY MADE TO AFFILIATES WHOSE FINANCIAL RECORDS ARE MAINTAINED BY HALIFAX REGIONAL HEALTH SYSTEM.	Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
CHRIS A LUMSDEN
300243	43819	30000	0	42855	0	24478	7322	6244	1867	403820	53008	0	0
STEWART R NELSON
201429	29380	20000	0	23341	0	19828	5932	1413	422	266011	35734	0	0
MING Y LIU
336790	0	0	0	0	0	30532	0	18193	0	385515	0	0	0
DAVID FITTS
138487	0	1500	0	0	0	10043	0	18292	0	168322	0	0	0
GREGORY SHUFORD
301773	0	0	0	0	0	16101	0	13514	0	331388	0	0	0
HECTOR MARQUEZ
265868	0	0	0	0	0	20405	0	12621	0	298894	0	0	0
PATRICIA THOMAS
140441	0	0	0	0	0	10400	0	6795	0	157636	0	0	0
THOMAS S KLUGE
172699	24242	10000	0	23341	0	18959	5671	13987	4185	238986	34098	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	SOCIAL CLUB DUES	Identifier
Return Reference	SCHEDULE J, PART I, LINE 1	ReturnReference
Explanation	MONTHLY COUNTRY CLUB DUES ARE PAID BY HALIFAX REGIONAL HOSPITAL, INC FOR THE CEO, AND THIS AMOUNT IS PROPERLY INCLUDED IN THE CEO'S TAXABLE INCOME. AMOUNT IS SUBSTANTIATED BY AN INVOICE FROM THE CLUB, AND DUES ARE PAID DIRECTLY TO THE CLUB.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
INDUSTRIAL DEVELOPMENT AUTHORITYHALIFAX COUNTY
541169928	40579NBD7	2004-08-11	14883460	SERIES 2004 REFUDNING REVENUE BOND	false	false	false
INDUSTRIAL DEVELOPMENT AUTHORITYCHARLOTTE COUNTY
541643556	160831AA1	2007-10-17	20089290	SERIES 2007 IDA HOSPITAL	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetired	Amount Bond DefeasedAmountBondDefeased	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Capitalized InterestCapitalizedInterest	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Working Capital ExpendituresWorkingCapitalExpenditures	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Amount UnspentAmountUnspent	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
0	0	14883460	0	0	12402353	294671	0	0	2186436	0	0	2004	true	false	true	true
0	0	20089290	1386500	0	0	391600	0	0	18311190	0	0	2008	false	false	true	true

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0
0.00000	false	false	true	false	false	0.00000	0.00000	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0
false	false	false	false	0	false	false
0
false	false	false	false	0	true	true

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
PULMONARY ASSOCIATES OF SOUTHSIDE V
JAMES WITKO-FMR BRD MBR	938324	HOSPITALIST SERVICES	false
HALIFAX HEART CENTER
HABIB BASSIL-BOARD MBR	370067	PROF FEES & SUBSIDY	false
HALIFAX HEART CENTER
SAID ISKANDAR-BOARD MEM	370067	PROF FEES & SUBSIDY	false

Form990 Schedule L Part V Form990ScheduleLPartV (3 entries)

IdentifierIdentifier	ExplanationExplanation
JAMES WITKO, MD	JAMES WITKO, MD IS A GREATER THAN FIVE PERCENT PARTNER IN PULMONARY ASSOCIATES OF SOUTHSIDE VA, WHICH DOES BUSINESS WITH HALIFAX REGIONAL HOSPITAL, INC. DR. WITKO WAS ON THE BOARD OF DIRECTORS AT HALIFAX REGIONAL HOSPITAL, INC., HALIFAX REGIONAL HEALTH SYSTEM, HALIFAX REGIONAL PROPERTIES, INC., HALIFAX REGIONAL DEVELOPMENT FOUNDATION, INC., HALIFAX REGIONAL LONG TERM CARE, INC., AND CLARKSVILLE SENIOR CARE, LLC. UNTIL NOVEMBER 2011.
HABIB BASSIL	HABIB BASSIL, MD IS A GREATER THAN FIVE PERCENT PARTNER IN HALIFAX HEART CENTER, WHICH DOES BUSINESS WITH HALIFAX REGIONAL HOSPITAL, INC. DR. BASSIL IS ON THE BOARD OF DIRECTORS AT HALIFAX REGIONAL HOSPITAL, INC., HALIFAX REGIONAL HEALTH SYSTEM, HALIFAX REGIONAL PROPERTIES, INC., HALIFAX REGIONAL DEVELOPMENT FOUNDATION, INC., HALIFAX REGIONAL LONG TERM CARE, INC., AND CLARKSVILLE SENIOR CARE, LLC.
SAID ISKANDAR	SAID ISKANDAR, MD IS A GREATER THAN FIVE PERCENT PARTNER IN HALIFAX HEART CENTER, WHICH DOES BUSINESS WITH HALIFAX REGIONAL HOSPITAL, INC. DR. ISKANDAR IS ON THE BOARD OF DIRECTORS AT HALIFAX REGIONAL HOSPITAL, INC. AND HALIFAX REGIONAL HEALTH SYSTEM, INC.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (21 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S MISSION	FORM 990, PART III, LINE 1	THE PURPOSE OF HALIFAX REGIONAL HEALTH SYSTEM IS TO PROVIDE THE HIGHEST QUALITY CARE BASED ON THE HEALTHCARE NEEDS OF THE PEOPLE WE SERVE. HALIFAX REGIONAL HOSPITAL, INC. IS ORGANIZED TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY AND TO PARTICIPATE, SO FAR AS CIRCUMSTANCES MAY WARRANT, IN ANY ACTIVITY DESIGNED AND CARRIED ON TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY.
PROGRAM SERVICES	FORM 990, PART III, LINE 4	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, ALL PART OF HALIFAX REGIONAL HEALTH SYSTEM (HRHS), 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 FISCAL YEAR ENDING AUGUST 31, 2012, CONTRIBUTIONS TO CHARITY CARE ALONE TOTALED $4,940,880 ($1,605,000 AT COST, APPROXIMATELY). 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, AS PART OF HALIFAX REGIONAL HEALTH SYSTEM, DONATED $251,933 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 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 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 APRIL 1997, HALIFAX REGIONAL HOSPITAL BECAME A SUBSIDIARY OF HALIFAX REGIONAL HEALTH SYSTEM AND REMAINS THE ONLY PROVIDER OF INPATIENT AND OUTPATIENT ACUTE CARE SERVICES IN A 30- TO 40-MILE RADIUS. 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 FY12, HALIFAX REGIONAL HOSPITAL SERVED 4,817 INPATIENTS, INCLUDING NEWBORNS, PROVIDED SERVICES TO 75,498 OUTPATIENTS AND HAD 29,463 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, 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 226% 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 FY12, THE HOSPITAL PROVIDED $14,361,988 IN UNCOMPENSATED CARE (CHARITY AND BAD DEBT) OR 6.3 PERCENT OF PATIENT REVENUE. IN FY12, CHARITY AND UNCOMPENSATED CARE INCREASED BY 17.0 PERCENT (FY11=$12,277,995; FY12=$14,361,988.) IN ADDITION, THE UN-REIMBURSED VALUE OF PROVIDING CARE TO PATIENTS INSURED BY THE MEDICARE AND MEDICAID PROGRAMS WAS $87,301,389 OR 45 PERCENT OF PATIENT REVENUE. 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, HALIFAX REGIONAL 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.
PROGRAM SERVICES	FORM 990, PART III, LINE 4 (CONTINUED)	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 HEALTH SYSTEM 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 LEARN ABOUT THE BEST TECHNIQUES TO ENSURE PROPER CLEANLINESS. FOOD AND NUTRITION SERVICES COMMUNITY SERVICES 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. "EATING FOR A HEALTHY WEIGHT AND HEART" CLASSES HAVE CONTINUED THROUGHOUT FY12 AS A PART OF THE CARDIOPULMONARY REHABILITATION EDUCATION CLASSES. "DISHIN' NUTRITION WITH YOUR KIDS," A FREE CLASS DESIGNED FOR PARENTS AND CHILDREN ADDRESSING NUTRITION AND OBESITY, CONTINUED AS WELL. THE DEPARTMENT ALSO OFFERED A HEALTHY COOKING CLASS FREE TO THE COMMUNITY AS PART OF HALIFAX REGIONAL'S HEALTH NITE OUT SERIES OF EDUCATIONAL EVENTS. HEALTHY LIVING EXPO HALIFAX REGIONAL HEALTH SYSTEM HOLDS ANNUAL COMMUNITY HEALTH FAIRS IN ITS SERVICE AREA. HALIFAX REGIONAL'S ANNUAL SIGNATURE EVENT, THE HEALTHY LIVING EXPO, WAS HELD AT HALIFAX COUNTY HIGH SCHOOL ON MARCH 18, 2012. 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 AMERICAN RED CROSS, THE ARC OF SOUTHERN VIRGINIA, THE LION'S CLUB (VISION AND AMBLYOPIA SCREENING), THE HALIFAX COUNTY CANCER ASSOCIATION, THE LOCAL ALZHEIMER'S ASSOCIATION; THE SOCIAL SECURITY ADMINISTRATION, HALIFAX COUNTY SHERIFF'S DEPARTMENT (PROJECT LIFESAVER), HEALTHY FAMILIES; THE YMCA; THE SOUTH BOSTON FIRE DEPARTMENT, THE SOUTH BOSTON LIBRARY ("EXERCISE FOR THE MIND"), AND THE SOUTH BOSTON POLICE DEPARTMENT AND MORE. ALL HEALTH SCREENINGS PROVIDED WERE FREE, INCLUDING BLOOD PRESSURE, BLOOD GLUCOSE AND CHOLESTEROL, VISION AND AMBLYOPIA, ORAL, BMI (BODY MASS INDEX), BALANCE, GRIP STRENGTH AND ANXIETY AND DEPRESSION SCREENINGS. IN ADDITION TO SCREENINGS AND RESOURCES, HRHS BROUGHT IN THE AMERIHEART. A GIANT WALKTHROUGH HEART SHOWING ALL CHAMBERS OF THE HEART TO EDUCATE INDIVIDUALS ON WHAT STEPS THEY SHOULD TAKE TO TAKE CARE OF THEIR HEART. APPROXIMATELY 500 INDIVIDUALS ATTENDED THE EXPO AND 400 FREE SCREENINGS WERE PROVIDED. COMMUNITY HEALTH FAIRS/SCREENINGS OTHER COMMUNITY HEALTH FAIRS IN WHICH HALIFAX REGIONAL PARTICIPATED AND PROVIDED SCREENINGS (INCLUDING BLOOD PRESSURE, BODY MASS INDEX, CHOLESTEROL AND BLOOD GLUCOSE) DURING FY12 INCLUDED, CARDIOLOGISTS SPEAKING TO ANNIN, HALIFAX COUNTY MIDDLE SCHOOL AND SUNSHINE MILLS EMPLOYEES, DOLLAR GENERAL HEALTH FAIR, EBENEZER CME HEALTH FAIR, YMCA ACTIVE OLDER ADULTS DAY, NORTH HALIFAX MARATHON. A PROSTRATE SCREENING WAS ALSO HELD AT HALIFAX UROLOGY ASSOCIATES. IN FY12 HALIFAX REGIONAL PARTICIPATED IN EIGHT HEALTH FAIR SCREENING EVENTS WITH 585 INDIVIDUALS SCREENED. HEALTHY DIRECTIONS WELLNESS PROGRAM DURING FY12, 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. NEW INITIATIVES WERE PUT IN PLACE AND GAINED POPULARITY QUICKLY. A WALKING MILEAGE REIMBURSEMENT PROGRAM STARTED WHERE EMPLOYEES ARE REWARDED TWENTY-FIVE CENTS FOR EVERY MILE THEY WALK. A WELLNESS CHAMP PROGRAM ALSO STARTED WHICH ALLOWS EMPLOYEES WHO ARE WORKING TOWARD ACHIEVING THEIR WELLNESS GOALS CAN NOMINATE THEMSELVES EACH MONTH TO BE RECOGNIZED AS HRHS WELLNESS CHAMP. BY LOOKING BETTER AND FEELING BETTER, EMPLOYEES "SHOW" THE COMMUNITY THAT GOOD HEALTH IS ACHIEVABLE AND SET A GOOD EXAMPLE FOR THE HEALTHCARE ROLE THE ORGANIZATION PLAYS IN THE COMMUNITY. CHILDBIRTH EDUCATION CLASSES THROUGH THE FAMILY BIRTHING CENTER, HALIFAX REGIONAL 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 FY12 WERE: PREPARED CHILDBIRTH CLASSES - SEVEN CLASSES, 61 PARTICIPANTS BREASTFEEDING CLASS - FIVE CLASSES, 48 PARTICIPANTS 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, 78 PARTICIPANTS. DIABETES EDUCATION CLASSES ONE HUNDRED ONE PEOPLE ATTENDED HALIFAX REGIONAL'S FREE DIABETES GROUP CLASSES IN FY12. 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. IN FY12 THE DIABETES EDUCATOR ALSO PROVIDED 155 ONE-ON-ONE SESSIONS WITH INDIVIDUALS EITHER REFERRED BY PHYSICIAN OR SELF AT NO CHARGE AND DID 57 TELEPHONE EDUCATION SESSIONS. A DIABETES EDUCATOR IS ALSO AVAILABLE TO TEACH AND DEMONSTRATE HOW TO USE A BLOOD SUGAR MONITOR UPON REQUEST. IN MARCH 2012 THE DIABETES EDUCATION DEPARTMENT, PARTICIPATED IN THE 2012 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. IN FY12, EIGHT EVENTS WERE OFFERED TO THE COMMUNITY IN WHICH A TOTAL OF 246 PEOPLE PARTICIPATED. 1. STEP UP TO A HEALTHIER LIFESTYLE - THIS HEALTH NITE OUT PROGRAM, LED BY A PHYSICAL THERAPIST OF COX REHABILITATION CENTER, FOCUSED ON PROPER WAYS TO EXERCISE AND HOW EXERCISE HELPS PEOPLE LIVE A HEALTHIER LIFE. TWENTY-NINE INDIVIDUALS ATTENDED. 2. PREVENTING SIDS - THIS HEALTH NITE OUT PROGRAM WAS PRESENTED BY A FAMILY NURSE PRACTITIONER. TOPICS INCLUDED HOW TO PREVENT SIDS AND TIPS ON TAKING CARE OF INFANTS. NINE INDIVIDUALS PARTICIPATED. 3. EAT IN? EAT OUT? WHICH COSTS LESS? - THIS FUN FILLED EDUCATIONAL SESSION, PRESENTED BY HRH'S NUTRITION AND FOOD SERVICES DEPARTMENT, SHOWED THE CHEF PREPARING A HEALTHY MEAL THAT COST MUCH LESS THAN EATING OUT WHICH PARTICIPANTS THEN SAMPLED. AN HRH REGISTERED DIETITIAN THEN TALKED ABOUT THE BENEFITS OF EATING IN VS. EATING OUT. FORTY-TWO INDIVIDUALS ATTENDED. 4. HOW TO KEEP YOUR TICKER TICKING - THIS HEALTH NITE OUT, PRESENTED BY ONE OF HALIFAX REGIONAL'S CARDIOLOGISTS AND MANAGER OF CARDIOPULMONARY REHAB, DISCUSSED THE RISK FACTORS OF HEART DISEASE AND HOW TO HELP PREVENT IT. TWENTY-NINE INDIVIDUALS PARTICIPATED. 5. THE FACES OF AIDS - THIS POWERFUL AND EMOTIONAL HEALTH NITE OUT, PRESENTED BY THE AIDS SERVICE ORGANIZATION BOARD, WAS A PANEL DISCUSSION WITH COMMUNITY MEMBERS AFFECTED BY AIDS. NINETEEN INDIVIDUALS ATTENDED. 6. ANXIETY 101 - THIS HEALTH NITE OUT, PRESENTED BY A LICENSED PROFESSIONAL COUNSELOR FROM CENTER FOR BEHAVIORAL HEALTH, DISCUSSED ANXIETY AND DEPRESSION AND HOW TO HELP COPE WITH ITS SYMPTOMS. FIFTY-EIGHT INDIVIDUALS PARTICIPATED. 7. CAREGIVER WORKSHOP - THIS EVENT WAS OFFERED TO INDIVIDUALS WHO PLAY THE CAREGIVER ROLE FOR LOVED ONES. HALIFAX REGIONAL HOME HEALTH AND HOSPICE TEAMED UP TO OFFER A FULL DAY SEMINAR ON HOW TO CARE FOR A LOVED ONE. THIS EVENT WAS SO SUCCESSFUL; IT RESULTED IN A CAREGIVER SUPPORT GROUP THAT NOW MEETS ONCE A MONTH AT HRH. FORTY-FIVE INDIVIDUALS ATTENDED. 8. ANXIETY 101 (CHASE CITY) - THIS HEALTH NITE OUT, PRESENTED BY A LICENSED PROFESSIONAL COUNSELOR FROM CENTER FOR BEHAVIORAL HEALTH, WAS THE SAME AS THE FIRST, BUT IN A DIFFERENT LOCATION AFTER A COMMUNITY REQUESTED WE OFFER IT TO THE CHASE CITY, VA COMMUNITY. FIFTEEN INDIVIDUALS ATTENDED.
PROGRAM SERVICES	FORM 990, PART III, LINE 4 (CONTINUED)	MENTOR ROLE MODEL PROGRAM HALIFAX REGIONAL PROVIDED SUPPORT AND OFFICE SPACE AT BELOW MARKET RATES FOR THE ROLE MENTOR MODEL PROGRAM (A COMMUNITY PROGRAM PROVIDING ADULT MENTORS TO LOCAL CHILDREN) DURING FY12. SPEAKERS BUREAU HALIFAX REGIONAL'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. IN FY12 PRESENTATIONS WERE MADE TO TWENTY-EIGHT COMMUNITY ORGANIZATIONS, CIVIC CLUBS AND CHURCHES. APPROXIMATELY 1,514 INDIVIDUALS WERE REACHED THROUGH THESE PRESENTATIONS. 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, HALIFAX REGIONAL WORKS TO ENSURE THAT NEW GROUPS ARE ADDED. HALIFAX REGIONAL 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 FY12 WITH A TOTAL OF APPROXIMATELY 50 PARTICIPANTS. 2. THE ARC OF SOUTHERN VIRGINIA, MEETS MONTHLY AT HRH. THE GROUP GIVES PARENTS AND GRANDPARENTS AN OPPORTUNITY TO SHARE SUCCESSES WITH OTHERS WHO CARE FOR CHILDREN WITH SPECIAL NEEDS. APPROXIMATELY FIFTEEN TO TWENTY INDIVIDUALS ATTEND THE MONTHLY MEETINGS ROUTINELY. HALIFAX REGIONAL 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. DURING FY 2012, THE GROUP MET ELEVEN TIMES WITH AN AVERAGE OF SIX MEMBERS AT EACH MEETING. EACH SESSION ALTERNATES BETWEEN GROUP DISCUSSIONS AND PROGRAMS PROVIDED BY HOSPITAL EMPLOYEES, PHYSICIANS, OR GUESTS FROM THE COMMUNITY. 4. STROKE/APHASIA SUPPORT GROUP MET 11 TIMES DURING FY12 WITH A TOTAL OF 88 PARTICIPANTS. 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. WEIGHT WATCHERS ALTHOUGH THIS IS A FRANCHISED PROGRAM, HALIFAX REGIONAL HOSPITAL PROVIDES SPACE AND ENCOURAGES PARTICIPATION. THE GROUP MEETS EVERY MONDAY WITH APPROXIMATELY 20 PARTICIPANTS, INCLUDING EMPLOYEES AND COMMUNITY MEMBERS. 6. R.I.S.E. (RESOURCE INFORMATION SESSIONS OF ENCOURAGEMENT) MEETS THE FOURTH TUESDAY OF EACH MONTH AND SERVES AS A BEREAVEMENT SUPPORT GROUP FOR THE COMMUNITY. SESSIONS ARE LED BY HALIFAX REGIONAL HOSPICE STAFF AND THE 11 MEETINGS HELD DURING FY 2012 REACHED 165 PARTICIPANTS. MEETINGS ARE 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. 7. NARCOTICS ANONYMOUS - THIS GROUP MEETS WEEKLY AT THE HOSPITAL. THE HOSPITAL PROVIDES FREE SPACE AND ADVERTISING. 8. CANCER SUPPORT GROUP (HOPE) - DURING FY12, HALIFAX REGIONAL 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. 9. 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'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 HALIFAX REGIONAL HOSPITAL, MEADOWVIEW TERRACE, SEASONS AT THE WOODVIEW AND THE WOODVIEW AND OUR FOUR FAMILY PRACTICE CLINICS AND FIVE SPECIALTY PRACTICES. 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 HEALTH SYSTEM'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'S COMMUNITY NEWSLETTER REFERENCES THE HRHS 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, ONLINE ADULT AND JUNIOR VOLUNTEER APPLICATION, AND VISITING THE SECURE ONLINE BABY NURSERY. 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 10,000 VISITORS EACH MONTH. ALSO IN FY12, HALIFAX REGIONAL EXPANDED INTO SOCIAL MEDIA WITH THE CREATION OF A YOUTUBE CHANNEL AND BLOG. 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 THE ADMISSIONS AREA AND THROUGH THE GUEST RELATIONS COORDINATOR AND CHAPLAIN'S OFFICE.
PROGRAM SERVICES	FORM 990, PART III, LINE 4 (CONTINUED)	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 FY12 $65,000 WAS AWARDED TO 52 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 FY12, THE BATES SCHOLARSHIP PROVIDED $7,792 IN SCHOLARSHIP FUNDS TO FIVE 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 ----------------------------------- CENTER FOR NURSING EXCELLENCE RECOGNIZING THE LOCAL, STATE AND NATIONAL NURSING SHORTAGE, HALIFAX REGIONAL HEALTH SYSTEM'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, HALIFAX REGIONAL 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 FY12, HALIFAX REGIONAL CONTRIBUTED $35,165 TO THE CENTER. IN ADDITION, ONE HRH EMPLOYEES SERVE ON THE ADVISORY BOARD AND ANOTHER WORKED WITH THE CENTER EXPLORING GRANT OPPORTUNITIES. FOOD DRIVES DURING FY12 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 $1000 AND 621 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. "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 FY12, APPROXIMATELY 105 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 HEALTH SYSTEM ALSO MAKES DONATIONS TO LOCAL FIRE DEPARTMENTS AND RESCUE SQUADS TO HELP THEM WITH THEIR RESPECTIVE FUNDRAISING ACTIVITIES. A HALIFAX REGIONAL EMERGENCY ROOM PHYSICIAN SERVES AS AN OPERATIONAL MEDICAL DIRECTOR FOR EMS AGENCIES. DURING NATIONAL EMS WEEK, HALIFAX REGIONAL HOSPITAL EMPLOYEES TOOK BARBEQUE PLATTERS TO HONOR MEMBERS OF RESCUE SQUADS, EMERGENCY TRANSPORT PERSONNEL AND FIRE DEPARTMENTS THROUGHOUT OUR THREE-COUNTY SERVICE AREA. IN ADDITION TO THE LUNCH PLATTERS, EACH RESCUE SQUAD RECEIVED $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, HALIFAX COUNTY HIGH SCHOOL, BLUESTONE MIDDLE SCHOOL AND BLUESTONE HIGH SCHOOL STUDENTS WHO PARTICIPATE IN FALL, WINTER, SPRING AND SUMMER SCHOOL SPORTS PROGRAMS. IN FY12 PROVIDERS COMPLETED APPROXIMATELY 350 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, BLUE RIDGE AUTISM CENTER WORKSHOP ON AUTISM, 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 UNC-CHAPEL HILL 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. 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 THIRD AND FOURTH YEAR STUDENTS FROM EDWARD VIA VIRGINIA COLLEGE OF OSTEOPATHIC MEDICINE (VCOM), BLACKSBURG, VA OCCUPATIONAL THERAPY STUDENTS FROM VCU *OCCUPATIONAL THERAPY ASSISTANTS STUDENTS FROM JEFFERSON COLLEGE OF HEALTH SCIENCES.
PROGRAM SERVICES	FORM 990, PART III, LINE 4 (CONTINUED)	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; TRI-COUNTY COMMUNITY ACTION AGENCY; 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 -------------------------- CENTER FOR BEHAVIORAL HEALTH THE CENTER FOR BEHAVIORAL HEALTH PROVIDES DAY TREATMENT SERVICES TO ADULTS AND CHILDREN BETWEEN THE AGES OF 6 AND 17 YEARS OF AGE WHO ARE FACING PSYCHIATRIC, BEHAVIORAL AND EMOTIONAL PROBLEMS. THIS IS AN OUTPATIENT TREATMENT PROGRAM. THIS IS A CLINICAL SERVICE THAT IS PROVIDED DESPITE A FINANCIAL LOSS OF $32,576 (NEGATIVE MARGIN SERVICE). OTHER ----- VOLUNTEER SERVICES PROGRAM THE VOLUNTEER AUXILIARY OF HALIFAX REGIONAL HEALTH SYSTEM 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 OUTREACH ACTIVITIES. THE TENDER LOVING CARE TEAM PROVIDED MANY HANDMADE ITEMS FOR THE PATIENTS INCLUDING 393 BABY BLANKETS, 91 STUFFED TEDDY BEARS, 37 STUFFED FISH, 13 WALKER BAGS, AND 14 CHRISTMAS STOCKINGS FOR NEWBORNS DURING THE HOLIDAY SEASON. IN FY12 THE GROUP CONTINUED MANAGING PLANETREE PROGRAMS SUCH AS THE COOKIE CUTTERS AND PET THERAPY PROGRAMS, THE BEDSIDE MUSIC PROGRAM AND THE CARE CART PROGRAM. ONE HUNDRED THIRTY-SIX VOLUNTEERS CONTRIBUTED MORE THAN 24,000 HOURS OF SERVICE TO THE HOSPITAL AND COMMUNITY. INCLUDED IN THIS PROGRAM IS THE PARTICIPATION OF JUNIOR VOLUNTEERS WHO BENEFIT FROM THIS OPPORTUNITY TO CONTRIBUTE TO THEIR COMMUNITY. IN ADDITION, FOR INDIVIDUALS CONTEMPLATING A FUTURE HEALTHCARE CAREER, THE PROGRAM OFFERS THEM A CHANCE TO EXPERIENCE HEALTHCARE FIRST-HAND. VOLUNTEERS IN HALIFAX REGIONAL HOSPICE VISIT HOSPICE PATIENTS WHERE THEY LIVE, PROVIDING LIFE-ENHANCING ASSISTANCE TO PATIENTS AND THEIR FAMILIES. DURING FY12, HOSPICE VOLUNTEERS PROVIDED COMPANIONSHIP AND RESPITE FOR TERMINALLY ILL PATIENTS AND THEIR CAREGIVERS, ASSISTED WITH PATIENTS' DAILY ACTIVITIES AND SERVED AS A COMPASSIONATE PRESENCE. THE VOLUNTEERS, WHO MUST COMPLETE SPECIFIC VOLUNTEER TRAINING CLASSES, ALSO READ TO PATIENTS, RUN ERRANDS, WRITE LETTERS AND FILL BIRD FEEDERS AT PATIENTS' HOMES. 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 AN HRHS EMPLOYEE. CHAPLAINCY PROGRAM THE CHAPLAIN PROGRAM (PASTORAL CARE SERVICES) LED BY MANAGER OF GUEST RELATIONS/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 FY12 THE HOSPITAL CHAPLAIN SPOKE TO VARIOUS COMMUNITY GROUPS ON ADVANCE DIRECTIVES, AND LED CLASSES 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 HEALTH SYSTEM'S LIFE & HEALTH NEWSLETTER, WHICH IS MAILED QUARTERLY TO MORE THAN 31,000 HOUSEHOLDS IN THE SYSTEM'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 HEALTH SYSTEM'S WEB SITE. BUSINESS AND FAMILY RELATIONSHIP FORM 990, PART VI, LINE 2 DAVID WHITE AND CHRIS LUMSDEN HAVE A BUSINESS RELATIONSHIP. ORGANIZATION MEMBERS FORM 990, PART VI, LINES 6,7A AND 7B PER THE ORGANIZATION'S BYLAWS, ARTICLE III, THE ORGANIZATION HAS A SOLE MEMBER, HALIFAX REGIONAL HEALTH SYSTEM, INC., A VIRGINIA NON-STOCK, NOT-FOR-PROFIT CORPORATION. ARTICLE IV, SECTION 4.4, NOTES THAT ANY MEMBER OF THE BOARD OF DIRECTORS MAY BE REMOVED BY THE CORPORATION'S SOLE MEMBER AND ARTICLE IV, SECTION 4.5, NOTES THAT BOARD OF DIRECTOR VACANCIES ARE FILLED BY THE CORPORATION'S SOLE MEMBER. PER THE BYLAWS, ARTICLE IX, THE ORGANIZATION'S SOLE MEMBER, HALIFAX REGIONAL HEALTH SYSTEM, INC., HAS THE POWER TO APPROVE THE FOLLOWING ACTIONS OF THE CORPORATION: (I) THE ADOPTION OR AMENDMENT OF THE ARTICLES OF INCORPORATION AND BYLAWS, (II) THE ELECTION OF THE CORPORATION'S BOARD OF DIRECTORS, (III) THE MERGER OF THE CORPORATION INTO ANOTHER ORGANIZATION OR THE ACQUISITION AND DISPOSAL OF ASSETS OF THE CORPORATION OTHER THAN IN THE ORDINARY COURSE OF BUSINESS, (IV) THE BORROWING OF FUNDS FROM THIRD PARTIES, (V) THE ADOPTION OF BUSINESS PLANS, BUDGETS AND DISTRIBUTION OF FUNDS, (VI) THE APPROVAL OF FINANCIAL STATEMENTS, (VII) THE APPOINTMENT OF THE CORPORATION'S CEO AND EXTERNAL AUDITORS, (VIII) THE RECEIPT AND APPROVAL OF AUDIT REPORTS, (IX) THE APPROVAL OF COMPENSATION PLANS, AND (X) THE CREATION OR ACQUISITION OF ANY SUBSIDIARIES. FORM 990 REVIEW FORM 990, PART VI, LINE 11B THE RETURN IS PREPARED BY ORGANIZATION' INDEPENDENT ACCOUNTING FIRM, BASED ON INFORMATION PROVIDED BY ORGANIZATION AND IN CONSULTATION WITH ORGANIZATION STAFF. THE DRAFT PREPARED BY THE ACCOUNTING FIRM 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 OF TRUSTEES PRIOR TO FILING WITH THE IRS.
CONFLICT OF INTEREST POLICY	FORM 990, PART VI, LINE 12C	ALL MEMBERS OF THE BOARD ARE ALSO MEMBERS OF THE BOARD OF DIRECTORS OF HALIFAX REGIONAL HEALTH SYSTEM. THE CONFLICT OF INTEREST QUESTIONNAIRE IS DISTRIBUTED TO EACH MEMBER OF THE HALIFAX REGIONAL HEALTH SYSTEM BOARD IN JANUARY EVERY YEAR. A REPORT OF THE DISCLOSED POTENTIAL CONFLICTS IS PRESENTED BY THE CHAIRMAN OF THE BOARD OF DIRECTORS TO THE BOARD IN EXECUTIVE SESSION ANNUALLY. IF IT IS DETERMINED BY THE 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 BOARD SECRETARY, BOARD PRESIDENT, AND MEDICAL STAFF PRESIDENT, THE MATTER WILL BE REVIEWED AND ADDRESSED BY THE 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 EXECUTIVE COMMITTEE, A RECOMMENDATION WILL BE MADE TO REMOVE THE AFFECTED BOARD MEMBER FROM THE BOARD OF DIRECTORS. IN SUCH CASE WHERE REMOVAL IS RECOMMENDED, PROVISIONS OF 4.6 OF THE CORPORATE BYLAWS WILL BE FOLLOWED. THE RESPONSES TO THE ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE ARE RETAINED BY THE SECRETARY TO THE BOARD OF DIRECTORS.
OFFICER COMPENSATION REVIEW	FORM 990, PART VI, LINE 15 A/B	HALIFAX REGIONAL HEALTH SYSTEM SEEKS TO PAY REASONABLE COMPENSATION UNDER SECTION 4958 TO ATTRACT AND RETAIN THE APPROPRIATE CALIBER OF EMPLOYEES DEDICATED TO CARRYING OUT THE EXEMPT MISSION. LIKEWISE, HALIFAX REGIONAL HOSPITAL, INC. SEEKS TO PAY REASONABLE COMPENSATION UNDER SECTION 4958 TO ATTRACT AND RETAIN THE APPROPRIATE CALIBER OF EMPLOYEES DEDICATED TO CARRYING OUT THE EXEMPT MISSION. THE ORGANIZATION PERIODICALLY CONDUCTS A REVIEW TO DETERMINE THE GOING FAIR MARKET COMPENSATION RANGES FOR COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. THE ORGANIZATION SETS COMPENSATION WITHIN THE RANGE OF THE GOING MARKET RATE. NO INDIVIDUAL HAVING A CONFLICT OF INTEREST UNDER ORGANIZATION' CONFLICT OF INTEREST POLICY IS PERMITTED TO PARTICIPATE IN THE REVIEW OR DECISION. THE ORGANIZATION MAINTAINS RECORDS REGARDING COMPENSATION. THE CHAIRMAN OF THE BOARD OF DIRECTORS ALSO SERVES AS CHAIRMAN OF THE EXECUTIVE (COMPENSATION) COMMITTEE, COORDINATING WITH THE CHIEF EXECUTIVE OFFICER TO REVIEW ANNUAL PERFORMANCE AND COMPARATIVE MARKET INFORMATION FOR THE POSITION OF CHIEF EXECUTIVE OFFICER (CEO), CHIEF OPERATING OFFICER (COO), AND CHIEF FINANCIAL OFFICER (CFO). A RECOMMENDATION IS PRESENTED TO THE EXECUTIVE COMMITTEE BY THE CHAIRMAN. THE EXECUTIVE COMMITTEE TAKES ACTION ON THE RECOMMENDATION. THE FULL BOARD OF DIRECTORS IS MADE AWARE THAT THE EXECUTIVE COMMITTEE HAS TAKEN ACTION OF COMPENSATION FOR THE CEO, COO, AND CFO WITH DETAILS AVAILABLE FOR THEIR REVIEW UPON REQUEST.
DOCUMENT REVIEW POLICY	FORM 990, PART VI, LINE 19	THE ORGANIZATION CURRENTLY MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
OTHER CHANGES IN NET ASSETS	FORM 990, PART XI, LINE 5	UNREALIZED GAINS ON TRADING SECURITIES 595,066 OTHER CHANGES IN PENSION LIABILITY (851,885) ----------- (256,819)
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DAVID H WHITE JR TITLE:CHAIRMAN HOURS:5
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:J AUBREY HOUGHTON TITLE:TREASURER HOURS:5
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:CAROL C THOMAS TITLE:VICE CHAIRMAN HOURS:5
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:HABIB BASSIL MD TITLE:SECRETARY HOURS:5
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:BENJAMIN FINCHER TITLE:BOARD MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:SAID ISKANDAR MD TITLE:BOARD MEMBER (BEGINNING 11/11) HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JAMES PRIEST DDS TITLE:BOARD MEMBER HOURS:5
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JAMES WITKO MD TITLE:BOARD MEMBER (THROUGH 11/11) HOURS:5
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:CHRIS A LUMSDEN TITLE:CHIEF EXECUTIVE OFFICER HOURS:11
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:STEWART R NELSON TITLE:CHIEF FINANCIAL OFFICER HOURS:11
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:THOMAS S KLUGE TITLE:CHIEF OPERATING OFFICER HOURS:11

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	HALIFAX REGIONAL PROFESSIONAL SERVICES	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2204 WILBORN AVENUE	AddressLine1
City	SOUTH BOSTON	City
State	VA	State
ZIP Code	24592	ZIPCode

Field	Value	IRS element (for citing)
EIN	208386107	EIN
Primary Activities	PHYSN SUBSIDY	PrimaryActivities
Legal Domicile State	VA	LegalDomicileState
Total Income	428	TotalIncome
EOY Assets	261534	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

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

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
HALIFAX REGIONAL HEALTH SYSTEM
2204 WILBORN AVENUE	SOUTH BOSTON	VA	24592	541801466	HEALTHCARE	VA	501(C)(3)	11B TYPE II	NA	false
HALIFAX REGIONAL LONG TERM CARE
2204 WILBORN AVENUE	SOUTH BOSTON	VA	24592	546074529	SENIOR CARE	VA	501(C)(3)	11A TYPE I	HRHS	true
HALIFAX REGIONAL DEVELOPMENT FOUNDATION
2204 WILBORN AVENUE	SOUTH BOSTON	VA	24592	541801459	HLTH/WELFARE	VA	501(C)(3)	11A TYPE I	HRHS	true
CLARKSVILLE SENIOR CARE LLC
2204 WILBORN AVENUE	SOUTH BOSTON	VA	24592	541957066	SENIOR CARE	VA	501(C)(3)	11A TYPE I	HRHS	true
HALIFAX REGIONAL PROPERTIES
2204 WILBORN AVENUE	SOUTH BOSTON	VA	24592	541801463	HLTH/WELFARE	VA	501(C)(3)	11A TYPE I	HRHS	true

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
SOUTHSIDE HEALTH SERVICES
2204 WILBORN AVENUE	SOUTH BOSTON	VA	24592	541417772	HEALTH SERVICES	VA	NA	C Corp
DOMINION HEALTH MEDICAL ASSOCIATES LTD
2204 WILBORN AVENUE	SOUTH BOSTON	VA	24592	541060357	PHYS PRACTICE	VA	NA	C Corp	21781556	3311764	1.00000

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

Transactions Related Orgs Table TransactionsRelatedOrgsTable (12 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
HALIFAX REGIONAL DEVELOPMENT FOUNDATION INC
b	140000	COST
HALIFAX REGIONAL PROPERTIES INC
j	106298	COST
HALIFAX REGIONAL PROPERTIES INC
k	160564	COST
HALIFAX REGIONAL LONG TERM CARE INC
n	559926	COST
CLARKSVILLE SENIOR CARE LLC
n	455621	COST
HALIFAX REGIONAL LONG TERM CARE INC
p	1731555	COST
CLARKSVILLE SENIOR CARE LLC
p	1333051	COST
HALIFAX REGIONAL PROPERTIES INC
p	127633	COST
HALIFAX REGIONAL PROPERTIES INC
b	635000	COST
DOMINION HEALTH MEDICAL ASSOCIATES
b	4805000	COST
DOMINION HEALTH MEDICAL ASSOCIATES
p	481174	COST
DOMINION HEALTH MEDICAL ASSOCIATES
p	2916813	COST