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        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 102426</AddressLine1>
            <City>ATLANTA</City>
            <State>GA</State>
            <ZIPCode>302682426</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>PT/OT STAFFING</DescriptionOfServices>
        <Compensation>446029</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>SIEMENS</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>DEPT AT 40065</AddressLine1>
            <City>ATLANTA</City>
            <State>GA</State>
            <ZIPCode>31192</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>RADIOLOGY MAINTEN.</DescriptionOfServices>
        <Compensation>363446</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>12</NumberOfContractorsGT100K>
      <RelatedOrganizations>30096</RelatedOrganizations>
      <AllOtherContributions>118666</AllOtherContributions>
      <TotalContributions>148762</TotalContributions>
      <ProgramServiceRevenue>
        <Description>NET PATIENT SERVICE REVENUE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>82572910</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>79388264</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>3184646</UnrelatedBusinessRevenue>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>82572910</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>1099790</TotalRevenueColumn>
        <ExclusionAmount>1099790</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <GrossRents>
        <Real>24184</Real>
      </GrossRents>
      <RentalIncomeOrLoss>
        <Real>24184</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>24184</TotalRevenueColumn>
        <ExclusionAmount>24184</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Securities>18759858</Securities>
        <Other>16500</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>17602309</Securities>
        <Other>7633</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>1157549</Securities>
        <Other>8867</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>1166416</TotalRevenueColumn>
        <ExclusionAmount>1166416</ExclusionAmount>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <GrossSalesOfInventory>94906</GrossSalesOfInventory>
      <CostOfGoodsSold>46202</CostOfGoodsSold>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>48704</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>48704</ExclusionAmount>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>CAFE/VENDING</Description>
        <BusinessCode>721000</BusinessCode>
        <TotalRevenueColumn>440684</TotalRevenueColumn>
        <ExclusionAmount>440684</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>INCOME FROM AUXILIARY</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>28332</TotalRevenueColumn>
        <ExclusionAmount>28332</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>MISCELLANEOUS</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>97938</TotalRevenueColumn>
        <ExclusionAmount>97938</ExclusionAmount>
      </OtherRevenueMisc>
      <TotalOtherRevenue>566954</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>85627720</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>79388264</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>3184646</UnrelatedBusinessRevenue>
        <ExclusionAmount>2906048</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>2783500</Total>
        <ProgramServices>2783500</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>945121</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>945121</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>26384935</Total>
        <ProgramServices>24569710</ProgramServices>
        <ManagementAndGeneral>1779156</ManagementAndGeneral>
        <Fundraising>36069</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>900939</Total>
        <ProgramServices>809844</ProgramServices>
        <ManagementAndGeneral>89905</ManagementAndGeneral>
        <Fundraising>1190</Fundraising>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>4194049</Total>
        <ProgramServices>3769982</ProgramServices>
        <ManagementAndGeneral>418526</ManagementAndGeneral>
        <Fundraising>5541</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>2049531</Total>
        <ProgramServices>1842299</ProgramServices>
        <ManagementAndGeneral>204524</ManagementAndGeneral>
        <Fundraising>2708</Fundraising>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>173901</Total>
        <ManagementAndGeneral>173901</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>134053</Total>
        <ManagementAndGeneral>134053</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>6000</Total>
        <ManagementAndGeneral>6000</ManagementAndGeneral>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>82994</Total>
        <ManagementAndGeneral>82994</ManagementAndGeneral>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>7675894</Total>
        <ProgramServices>7252566</ProgramServices>
        <ManagementAndGeneral>422462</ManagementAndGeneral>
        <Fundraising>866</Fundraising>
      </FeesForServicesOther>
      <Advertising>
        <Total>177508</Total>
        <ProgramServices>449</ProgramServices>
        <ManagementAndGeneral>177059</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>8055872</Total>
        <ProgramServices>7625905</ProgramServices>
        <ManagementAndGeneral>429939</ManagementAndGeneral>
        <Fundraising>28</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>2331074</Total>
        <ProgramServices>2331074</ProgramServices>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>821326</Total>
        <ProgramServices>821326</ProgramServices>
      </Occupancy>
      <Travel>
        <Total>189129</Total>
        <ProgramServices>152517</ProgramServices>
        <ManagementAndGeneral>36612</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>0</Total>
      </ConferencesMeetings>
      <Interest>
        <Total>1225251</Total>
        <ProgramServices>1225251</ProgramServices>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>6982911</Total>
        <ProgramServices>6982911</ProgramServices>
      </DepreciationDepletion>
      <Insurance>
        <Total>-818650</Total>
        <ManagementAndGeneral>-818650</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>BAD DEBT</Description>
        <Total>7407398</Total>
        <ProgramServices>7407398</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MEDICAL SUPPLIES - PHARMA</Description>
        <Total>3720113</Total>
        <ProgramServices>3720113</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>EQUIPMENT RENTAL &amp; MAINTENANCE</Description>
        <Total>2618318</Total>
        <ProgramServices>2482722</ProgramServices>
        <ManagementAndGeneral>135596</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MEDICAL SUPPLIES - BLOOD</Description>
        <Total>789563</Total>
        <ProgramServices>789563</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>RECRUITMENT</Description>
        <Total>1066462</Total>
        <ProgramServices>885003</ProgramServices>
        <ManagementAndGeneral>181459</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>3185763</Total>
        <ProgramServices>2466746</ProgramServices>
        <ManagementAndGeneral>718417</ManagementAndGeneral>
        <Fundraising>600</Fundraising>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>83082955</Total>
        <ProgramServices>77918879</ProgramServices>
        <ManagementAndGeneral>5117074</ManagementAndGeneral>
        <Fundraising>47002</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>5101578</BOY>
        <EOY>2520758</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>3520000</BOY>
        <EOY>3527000</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>11702715</BOY>
        <EOY>13190536</EOY>
      </AccountsReceivable>
      <OtherNotesLoansReceivableNet>
        <EOY>615226</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>2170240</BOY>
        <EOY>2387445</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>2498992</BOY>
        <EOY>2815758</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>138460783</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>89262368</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>50229407</BOY>
        <EOY>49198415</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>30392845</BOY>
        <EOY>36579641</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>566405</BOY>
        <EOY>708404</EOY>
      </InvestmentsOtherSecurities>
      <OtherAssetsTotal>
        <BOY>2291109</BOY>
        <EOY>1505642</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>108473291</BOY>
        <EOY>113048825</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>6544431</BOY>
        <EOY>8751172</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>282150</BOY>
        <EOY>289567</EOY>
      </DeferredRevenue>
      <TaxExemptBondLiabilities>
        <BOY>27518857</BOY>
        <EOY>25917361</EOY>
      </TaxExemptBondLiabilities>
      <OtherLiabilities>
        <BOY>10017721</BOY>
        <EOY>9764692</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>44363159</BOY>
        <EOY>44722792</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>64110132</BOY>
        <EOY>68624134</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>64110132</BOY>
        <EOY>68326033</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>108473291</BOY>
        <EOY>113048825</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>2544765</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>1671136</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbying />
      <TotalDirectLobbying />
      <TotalLobbyingExpenditures />
      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <Form4720Filed>false</Form4720Filed>
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>false</GrantsOtherOrganizations>
      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>true</OtherActivities>
      <OtherActivitiesAmount>14755</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>14755</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>OTHER ACTIVITIES</Identifier>
        <ReturnReference>Schedule C, Part II-B, Line I</ReturnReference>
        <Explanation>IN FISCAL YEAR 2011, 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 2011, THIS AMOUNT WAS $8,755.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <Land>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>699209</OtherCostOrOtherBasis>
        <BookValue>699209</BookValue>
      </Land>
      <Buildings>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>54738884</OtherCostOrOtherBasis>
        <Depreciation>27861974</Depreciation>
        <BookValue>26876910</BookValue>
      </Buildings>
      <LeaseholdImprovements />
      <Equipment>
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        <OtherCostOrOtherBasis>73544364</OtherCostOrOtherBasis>
        <Depreciation>58412447</Depreciation>
        <BookValue>15131917</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>9478326</OtherCostOrOtherBasis>
        <Depreciation>2987947</Depreciation>
        <BookValue>6490379</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>49198415</TotalOfBookValueLandBuildings>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>ACCRUED PENSION PLAN</Description>
        <Amount>6146435</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>CAPITALIZED LEASE OBLIGATIONS</Description>
        <Amount>1121699</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>INTEREST PAYABLE</Description>
        <Amount>627070</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO THIRD PARTIES</Description>
        <Amount>594161</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>OTHER LIABILITIES</Description>
        <Amount>1275327</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>9764692</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>TAX STATUS</Identifier>
        <ReturnReference>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>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="IRS990ScheduleF">
      <AcctsActvsOutUSTable>
        <Region>Central America and the Caribbean</Region>
        <NumberOfOffices>0</NumberOfOffices>
        <NumberOfEmployees>0</NumberOfEmployees>
        <TypeOfActivitiesConducted>Investments</TypeOfActivitiesConducted>
        <TotalExpenditures>676872</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <SubtotalNumberOfOffices>0</SubtotalNumberOfOffices>
      <SubtotalNumberOfEmployees>0</SubtotalNumberOfEmployees>
      <TotalNumberOfOffices>0</TotalNumberOfOffices>
      <TotalNumberOfEmployees>0</TotalNumberOfEmployees>
      <SubtotalAmountSpent>676872</SubtotalAmountSpent>
      <TotalAmountSpent>676872</TotalAmountSpent>
      <TransferToForeignCorp>true</TransferToForeignCorp>
      <InterestInForeignTrust>false</InterestInForeignTrust>
      <OwnForeignCorp>true</OwnForeignCorp>
      <PassiveForeignInvestCo>true</PassiveForeignInvestCo>
      <ForeignPartnership>false</ForeignPartnership>
      <BoycottCountries>false</BoycottCountries>
    </IRS990ScheduleF>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <PolicyAppliedToAllHospitals>X</PolicyAppliedToAllHospitals>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent150>X</Pcent150>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <DiscountedOther>
        <Other>X</Other>
        <DiscountedOtherPercentage>275.</DiscountedOtherPercentage>
      </DiscountedOther>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>false</ExpensesExceededBudget>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>false</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <TotalCommunityBenefitExpense>1654386</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>1654386</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02190</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <PersonsServed>10785</PersonsServed>
        <TotalCommunityBenefitExpense>7669256</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1615811</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>6053445</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.08000</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <UnreimbursedCosts>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <TotalCommunityBenefitExpense>158847</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>133515</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>25332</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00030</PercentOfTotalExpense>
      </UnreimbursedCosts>
      <TotalCharityCare>
        <NumberOfActivitiesOrPrograms>3</NumberOfActivitiesOrPrograms>
        <PersonsServed>10785</PersonsServed>
        <TotalCommunityBenefitExpense>9482489</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1749326</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>7733163</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.10220</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <NumberOfActivitiesOrPrograms>209</NumberOfActivitiesOrPrograms>
        <PersonsServed>33511</PersonsServed>
        <TotalCommunityBenefitExpense>199797</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>199797</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00260</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <NumberOfActivitiesOrPrograms>17</NumberOfActivitiesOrPrograms>
        <PersonsServed>11</PersonsServed>
        <TotalCommunityBenefitExpense>108540</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>840</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>107700</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00140</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <NumberOfActivitiesOrPrograms>2</NumberOfActivitiesOrPrograms>
        <TotalCommunityBenefitExpense>4641789</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>248941</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>4392848</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05810</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <CashAndInKindContributions>
        <NumberOfActivitiesOrPrograms>181</NumberOfActivitiesOrPrograms>
        <TotalCommunityBenefitExpense>103837</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>103837</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00140</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <NumberOfActivitiesOrPrograms>409</NumberOfActivitiesOrPrograms>
        <PersonsServed>33522</PersonsServed>
        <TotalCommunityBenefitExpense>5053963</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>249781</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>4804182</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.06350</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <NumberOfActivitiesOrPrograms>412</NumberOfActivitiesOrPrograms>
        <PersonsServed>44307</PersonsServed>
        <TotalCommunityBenefitExpense>14536452</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1999107</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>12537345</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.16570</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <EconomicDevelopment>
        <NumberOfActivitiesOrPrograms>17</NumberOfActivitiesOrPrograms>
        <TotalCommunityBuildingExpense>11782</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>11782</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
      </EconomicDevelopment>
      <CommunitySupport>
        <NumberOfActivitiesOrPrograms>11</NumberOfActivitiesOrPrograms>
        <TotalCommunityBuildingExpense>848</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>848</NetCommunityBuildingExpense>
      </CommunitySupport>
      <LeadershipDevelopment>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <PersonsServed>26</PersonsServed>
        <TotalCommunityBuildingExpense>466</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>466</NetCommunityBuildingExpense>
      </LeadershipDevelopment>
      <CoalitionBuilding>
        <NumberOfActivitiesOrPrograms>3</NumberOfActivitiesOrPrograms>
        <TotalCommunityBuildingExpense>521</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>521</NetCommunityBuildingExpense>
      </CoalitionBuilding>
      <WorkforceDevelopment>
        <NumberOfActivitiesOrPrograms>16</NumberOfActivitiesOrPrograms>
        <TotalCommunityBuildingExpense>23803</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>23803</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00030</PercentOfTotalExpense>
      </WorkforceDevelopment>
      <Total>
        <NumberOfActivitiesOrPrograms>48</NumberOfActivitiesOrPrograms>
        <PersonsServed>26</PersonsServed>
        <TotalCommunityBuildingExpense>37420</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>37420</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00050</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>2516056</BadDebtExpenseAmount>
      <AmountReimbursedByMedicare>31548526</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>26390944</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>5157582</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>HALIFAX REGIONAL HOSPITAL INCORPORATED</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>2204 WILBORN AVENUE</AddressLine1>
          <City>SOUTH BOSTON</City>
          <State>VA</State>
          <ZIPCode>24592</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
        <Other>HOME HEALTH HOSPICE</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>HALIFAX REGIONAL HOSPITAL INCORPORATED</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <Identifier>PART I, LINE 3C:</Identifier>
        <Explanation>THE ORGANIZATION USES FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR PROVIDING FREE AND DISCOUNTED CARE TO LOW INCOME INDIVIDUALS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART I, LINE 7G:</Identifier>
        <Explanation>HALIFAX REGIONAL HOSPITAL INCLUDED $4,392,848 AS SUBSIDIZED HEALTH SERVICES ON SCHEDULE H FOR COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART I, LINE 7, COLUMN F:</Identifier>
        <Explanation>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 $7,407,398.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART I, LINE 7:</Identifier>
        <Explanation>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).</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART III, LINE 4:</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART III, LINE 8:</Identifier>
        <Explanation>MEDICARE ALLOWABLE COSTS OF CARE AND RELATED REIMBURSEMENT WERE OBTAINED FROM THE 2011 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART III, LINE 9B:</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>NEEDS ASSESSMENT</Identifier>
        <ReturnReference>PART VI, LINE 2</ReturnReference>
        <Explanation>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 INITIATIVES AND EXPANSION/ENHANCEMENTS TO MEET COMMUNITY NEEDS ARE CONTINUOUSLY DEVELOPED AND IMPLEMENTED AND FUNDED THROUGH HRH AND/OR FEDERAL, STATE, AND/OR FOUNDATION GRANTS. IN 2007, HRHS ACQUIRED A PRIMARY CARE PRACTICE WITH 3 LOCATIONS. A FOURTH SITE, HALIFAX PRIMARY CARE, OPENED IN 2008, AND A FIFTH SITE, SOUTHERN VIRGINIA ORTHOPEDICS, WAS OPENED IN 2010. THROUGH THE INTEGRATION OF PRIMARY CARE INTO THE HEALTH SYSTEM, THE OVER 12,000 UNINSURED AND 35,000 LIVING BELOW 200% OF THE FEDERAL POVERTY LEVEL, NOW ALSO HAVE ACCESS TO QUALITY PRIMARY HEALTH CARE OFFERED THROUGH A DISCOUNTED FEE SCHEDULE AS WELL AS THROUGH MEDICARE AND MEDICAID. ADDITIONALLY, THE PRIMARY CARE SITES PROVIDE AN OPPORTUNITY TO CONDUCT OUTREACH AND EDUCATION PROGRAMS TARGETING THE VULNERABLE POPULATION OF THE SERVICE AREA.FOR EXAMPLE, IN 2008, HRH ESTABLISHED MEDASSIST OF HALIFAX, A PRESCRIPTION SUPPORT SYSTEM THAT PROVIDES ASSISTANCE TO LOW INCOME, UNINSURED, AND UNDERINSURED RESIDENTS. IN 2011, HRH RECEIVED A SUSAN G. KOMEN GRANT TO SUPPORT NO COST MAMMOGRAMS AND TRANSPORTATION ASSISTANCE TO UNINSURED/UNDERINSURED WOMEN.PROVIDERS AT EACH OF THE CLINICS WILL PROVIDE OVER 300 FREE CLINICAL BREAST EXAMS TO SUPPORT THIS CRITICAL WOMAN'S HEALTH PROGRAM.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PATIENT EDUCATION AND ELIGIBILITY FOR ASSISTANCE</Identifier>
        <ReturnReference>PART VI, LINE 3</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COMMUNITY INFORMATION</Identifier>
        <ReturnReference>PART VI, LINE 4</ReturnReference>
        <Explanation>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, 64,000 OUTPATIENTS, AND 28,000 ER PATIENTS. HRH PROVIDES CARE TO ALL REGARDLESS OF THEIR ABILITY TO PAY. IN 2011, 58% OF HRH PATIENTS WERE MEDICARE; 10% MEDICAID; 2,600 PATIENTS WERE SERVED THROUGH THE HRH PATIENT FINANCIAL ASSISTANCE PROGRAM.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PROMOTION OF COMMUNITY HEALTH</Identifier>
        <ReturnReference>PART VI, LINE 5</ReturnReference>
        <Explanation>MANY FACTORS CAN HAVE AN IMPACT ON THE OVERALL HEALTH OF THE COMMUNITY. IN ADDITION TO ITS HIGH QUALITY HEALTH SERVICES, HRH PROVIDES NUMEROUS OPPORTUNITIES FOR HEALTH EDUCATION, SCREENINGS, AND COMMUNITY OUTREACH BEYOND THE WALLS OF THE HOSPITAL.HRH WORKS IN COLLABORATION WITH OTHER COMMUNITY AGENCIES AND ORGANIZATIONS TO RESPOND TO IDENTIFIED COMMUNITY NEEDS AND TO IMPROVE HEALTH AND THE OVERALL QUALITY OF LIFE IN THE HRH SERVICE AREA. THE FOLLOWING IS REPRESENTATIVE OF HRH OUTREACH ACTIVITIES AND COMMUNITY PROJECTS. DIABETES SELF-MANAGEMENT EDUCATION PROGRAM - WITH THE INCIDENCE OF DIABETES IN THE HRHS SERVICE AREA WELL ABOVE THE REGIONAL AND STATE MEDIAN, THE DIABETES SELF-MANAGEMENT EDUCATION PROGRAM CONTINUES TO BE AN IMPORTANT INITIATIVE TO PROMOTE DIABETES TREATMENT. INITIATED BECAUSE OF THE GROWING NUMBER OF PATIENTS DIAGNOSED WITH DIABETES, THE PROGRAM OFFERS INDIVIDUAL AND GROUP CLASSES ON A MONTHLY BASIS AND ACTS AS A LEARNING AND RESOURCE CENTER FOR ADULTS AND CHILDREN WITH DIABETES WHO NEED ONE-ON-ONE INSTRUCTION. FAMILY MEMBERS ARE ALSO ENCOURAGED TO ATTEND EDUCATION SESSIONS AND REQUEST INFORMATION. A REGISTERED DIETICIAN IS AVAILABLE TO MEET WITH OUTPATIENTS REGARDING MEAL PLANNING AND TO RESPOND TO QUESTIONS RELATING TO THEIR DIET AND THE IN-PATIENT EDUCATION PROGRAM, PROVIDING ONE-TO-ONE PATIENT COUNSELING BY THE DIABETES EDUCATOR CONTINUES.ALL OF THESE SERVICES ARE PROVIDED FREE TO THE PUBLIC. COMMUNITY NUTRITION EDUCATION CLASSES - "DISHIN' NUTRITION WITH YOUR KIDS" (FOR PARENTS AND CHILDREN), "EATING FOR A HEALTHY WEIGHT", AND "EATING FOR A HEALTHY HEART" CONTINUE TO BE OFFERED MONTHLY. TAUGHT BY HRH'S CLINICAL NUTRITION MANAGER AND DIET TECHNICIAN, NUTRITION CLASSES ARE OFFERED FREE TO THE PUBLIC WITH REFERRAL BY A PHYSICIAN. THE HEART AND WEIGHT CLASSES ARE ALSO INCLUDED IN THE CARDIO-PULMONARY REHABILITATION EDUCATION PROGRAM. THE CLASSES FOCUS ON DEVELOPING AND MAINTAINING HEALTHY EATING HABITS INCLUDING TIPS FOR DINING OUT, READING FOOD LABELS, MAKING INFORMED LIFESTYLE CHOICES AND THE IMPORTANCE OF EXERCISE. DURING THIS YEAR, APPROXIMATELY ONE HUNDRED FORTY-SIX INDIVIDUALS PARTICIPATED IN THE CLASSES. CHILDBIRTH CLASSES - THE FAMILY BIRTHING CENTER PROVIDES THREE CLASSES FOR NEW MOMS AND DADS. THE BABY BASICS AND BEYOND CLASS INCLUDES INSTRUCTION IN DIAPERING, INFANT ILLNESSES, FEEDING AND BATHING A NEWBORN, CORD AND CIRCUMCISION CARE, AND CAR SEAT SAFETY. THE BREASTFEEDING CLASS PREPARES MOMS-TO-BE FOR SUCCESSFUL BREASTFEEDING EXPERIENCES. CLASS DISCUSSION INCLUDES BREASTFEEDING POSITIONS, NUTRITIONAL NEEDS AND EMOTIONAL NEEDS OF BREASTFEEDING MOTHERS AS WELL AS BREASTFEEDING DO'S, DON'TS, AND NEWBORN FEEDING NEEDS. THIS CLASS IS ALSO FREE. EXPECTING MOMS AND THEIR BIRTHING PARTNERS LEARN HOW TO WORK TOGETHER TO HAVE A POSITIVE BIRTHING EXPERIENCE IN THE PREPARED CHILDBIRTH CLASS.THE CLASS INCLUDES DISCUSSION OF RELAXATION TECHNIQUES, ANESTHESIA AND POSTPARTUM ADJUSTMENTS. THERE IS A SMALL FEE FOR THIS CLASS BUT FOR THOSE WHO CANNOT AFFORD THE COST, THE PROGRAM IS PROVIDED FOR FREE OR AT A REDUCED RATE. RESOURCE INFORMATION SESSIONS OF ENCOURAGEMENT (R.I.S.E)- SUCCESSFULLY LAUNCHED IN 2007, THE R.I.S.E. PROGRAM, FREE TO THE PUBLIC, PROVIDES SUPPORT, ENCOURAGEMENT AND PRACTICAL INFORMATION TO INDIVIDUALS WHO HAVE EXPERIENCED THE LOSS OF A LOVED ONE, RELATIONSHIP, OR JOB, OR WHO ARE CARING FOR SOMEONE WITH A CHRONIC ILLNESS. R.I.S.E. IS MORE THAN A SUPPORT GROUP, AS IT HELPS PARTICIPANTS WITH PRACTICAL EVERY DAY ISSUES THEY MAY BE FACING, AS WELL AS HELPING THEM UNDERSTAND THAT THE GRIEVING PROCESS IS DIFFERENT FOR EVERYONE.APPROXIMATELY 15-20 INDIVIDUALS ATTEND MONTHLY SESSIONS COORDINATED BY THE HOSPICE SOCIAL WORKER/BEREAVEMENT COORDINATOR. RISE ALSO HAS AN EVENING SESSION PROVIDING FURTHER OPPORTUNITIES FOR COMMUNITY PARTICIPATION. DR. JESSE J. BATES SCHOLARSHIP - THE DR. JESSE J. BATES SCHOLARSHIP FUND PROVIDED A TOTAL OF $7,000 TO FIVE GRADUATING SENIORS FROM THE HRHS SERVICE AREAS THAT ARE FURTHERING THEIR EDUCATION IN A MEDICAL FIELD. THE SCHOLARSHIP, NAMED TO HONOR DR. JESSE J. BATES, A FOUNDING PHYSICIAN AT HRH, IS DESIGNED TO ENCOURAGE HIGH SCHOOL STUDENTS TO SEEK EDUCATION TO FILL CRITICAL HEALTHCARE VACANCIES AND TO ACQUIRE THE NECESSARY SKILLS TO USE TECHNOLOGICALLY ADVANCED EQUIPMENT AND TREATMENT THERAPIES. PHYSICIAN EMERGENCY MEDICAL SERVICES - HRH WORKS WITH AREA EMS AND FIRE AGENCIES IN THE PRIMARY AND SECONDARY SERVICE AREA TO PROVIDE EDUCATIONAL EXPERIENCES, TO SERVE AS A RESOURCE FOR AGENCY OPERATIONS, AND TO BUILD AND ENHANCE COMMUNICATIONS AND INTERRELATIONSHIPS BETWEEN AND AMONG EMS AGENCIES AND THE HOSPITAL.HRH ALSO OFFERS SUPPORT TO THESE ORGANIZATIONS IN THEIR FUND-RAISING EFFORTS. THE AUXILIARY OF HALIFAX REGIONAL HEALTH SYSTEM - HALIFAX REGIONAL'S AUXILIARY REMAINS AN INTEGRAL PART OF THE ORGANIZATION. THIS YEAR THE AUXILIARY COMPLETED ITS $100,000 COMMITMENT TO THE NEW HEALING GARDEN ON THE HRH CAMPUS. FINANCIAL CONTRIBUTIONS WERE ALSO MADE TO SUPPORT PROJECT PRIME; THE CONTINUING MEDICAL EDUCATION PROGRAM, AND RESIDENT ACTIVITIES AT THE WOODVIEW AND MEADOWVIEW TERRACE.ONE HUNDRED-SIXTY-FOUR STRONG, THE AUXILIARY, INCLUDING ADULT AND JUNIOR VOLUNTEERS, HAS DONATED NEARLY 24,000 HOURS TO HRH THIS YEAR.THIS GROUP OF DEDICATED INDIVIDUALS EMBRACES THE ORGANIZATION'S PLANETREE PHILOSOPHY THROUGH A NUMBER OF PATIENT-CENTERED PROGRAMS, INCLUDING WEEKLY COOKIE BAKING FOR PATIENTS AND STAFF; A PET THERAPY PROGRAM FOR PATIENTS; CHRISTMAS GIFTS FOR PATIENTS; CHRISTMAS STOCKINGS FOR NEWBORNS (BABIES LEAVE THE HOSPITAL IN THEIR STOCKING); BLANKETS FOR ALL NEWBORNS THROUGHOUT THE YEAR; BALLOON DELIVERIES TO ALL NEW PATIENTS; NEWSPAPER, MAIL AND CHEER CARD (E-CARD) DELIVERIES; BEDSIDE MUSIC PROGRAM; THE CARE CART, CARE OF PLANTS IN THE BELLWOOD CAF AND THE ICU FAMILY ROOM; COLORING BOOKS FOR CHILDREN IN WAITING ROOMS AND EMERGENCY DEPARTMENT; PROVISION OF WALKER BAGS AND TELEMETRY BAGS; AND PROVISION OF TEDDY BEARS AND STUFFED FISH FOR PEDIATRIC PATIENTS.THE VOLUNTEERS ALSO HELP WITH VARIOUS HRH EVENTS SUCH AS THE HEALTHY LIVING EXPO, BLOOD DRIVES, OPEN HOUSES AND OTHER SPECIAL EVENTS.THE AUXILIARY MAINTAINS THE "TREE OF LOVE" WHICH RAISES FUNDS TO BE UTILIZED FOR THEIR PHILANTHROPIC ACTIVITIES.THE AUXILIARY ALSO MANAGES THE VENDING MACHINES THROUGHOUT THE ENTIRE HEALTH SYSTEM. EDUCATIONAL PROGRAMS AND SCREENINGS - REALIZING THE LEADERSHIP ROLE THAT OUR HEALTH SYSTEM PLAYS IN PROMOTING HEALTH AND WELLNESS IN OUR COMMUNITY, HRH PROVIDED NUMEROUS HEALTH AND WELLNESS OUTREACH ACTIVITIES THROUGHOUT THE YEAR.THESE INITIATIVES INCLUDE SUCH ACTIVITIES AS PROVIDING SPEAKERS TO CIVIC GROUPS, CLUBS, AND SCHOOLS, HEALTH NITE OUT EDUCATION AND WELLNESS PROGRAMS, FREE HEALTH TEST SCREENINGS, AND SPONSORSHIP AND FACILITATION OF SUPPORT GROUPS.HRH CONTINUES TO SUBMIT ARTICLES ON MEDICAL/WELLNESS ISSUES TO REGIONAL NEWSPAPERS; TO PROVIDE PUBLIC SERVICE ANNOUNCEMENTS ON HEALTH ISSUES; AND TO SEND AN EIGHT-PAGE NEWSLETTER, LIFE AND HEALTH, TO MORE THAN 31,000 HOUSEHOLDS IN OUR THREE-COUNTY SERVICE AREA FOUR TIMES A YEAR. HRH SPONSORED THE EIGHTH ANNUAL HEALTH FAIR, HEALTHY LIVING EXPO, OFFERING FREE SCREENINGS AND HEALTH INFORMATION TO THE COMMUNITY. CHOLESTEROL, BLOOD SUGAR, BLOOD PRESSURE, BODY MASS INDEX, ORAL HEALTH, AND VISION TESTING WERE OFFERED.INFORMATION ON SLEEP DISORDERS, PROPER HAND WASHING, DEPRESSION, AND OSTEOPOROSIS WERE AMONG THE MANY HEALTHCARE TOPICS COVERED. THE FAIR INCLUDED ACTIVITIES FOR YOUNGER VISITORS. COMMUNITY GROUPS SHARING OUR VISION ALSO PARTICIPATED INCLUDING THE AMERICAN RED CROSS, THE LIONS CLUB, HEALTHY FAMILIES HALIFAX, YMCA, MENTOR ROLE MODEL PROGRAM, HALIFAX COUNTY CANCER ASSOCIATION, THE LOCAL CHAPTER OF THE ALZHEIMER'S ASSOCIATION, LOCAL LAW ENFORCEMENT, THE HALIFAX COUNTY HEALTH DEPARTMENT, THE SOCIAL SECURITY ADMINISTRATION, THE SOUTH BOSTON FIRE DEPARTMENT, THE SOUTH BOSTON LIBRARY (EXERCISE FOR THE MIND), AND CAREGIVERS OF AUTISTIC CHILDREN. IN ADDITION TO THE EXPO, HRH PARTICIPATED IN OTHER SCREENINGS/EDUCATIONAL EVENTS THROUGHOUT THE SERVICE AREA. THE HRH SPEAKER'S BUREAU REMAINS ACTIVE. THIS YEAR 566 INDIVIDUALS WERE REACHED THROUGH THIRTY COMMUNITY GROUP PRESENTATIONS. PARTNERING WITH THE COMMUNITY - HRH HAS PARTNERED WITH A NUMBER OF COMMUNITY HEALTH PROVIDERS AS WELL AS PUBLIC AND PRIVATE ENTITIES TO IMPROVE THE HEALTH AND WELLNESS IN THE COMMUNITY. HRH'S PHILOSOPHY OF BEING A GOOD CORPORATE CITIZEN IS SUPPORTED BY OUR PRACTICE OF PARTNERING WITH COMMUNITY ORGANIZATIONS AND PROGRAMS TO PROVIDE THE FOLLOWING DIRECT AND INDIRECT BENEFITS: *OVERALL BETTERMENT OF THE COMMUNITY, *PROMOTION OF HEALTH-RELATED AND WELLNESS-RELATED INITIATIVES, *IMPROVEMENT OF THE CORPORATE IMAGE OF HRHS, *HEIGHTENED MORALE AND SENSE OF PRIDE FOR HRHS EMPLOYEES, AND *ASSISTANCE TO LEADERS IN THE COMMUNITY TO ACCOMPLISH KEY OBJECTIVES. HRH EMPLOYEES VOLUNTEER WITH VARIOUS ORGANIZATIONS AND HRHS SUPPORTS MANY OF THESE THROUGH MONETARY, HUMAN RESOURCE, AND MATERIAL DONATIONS. SOME</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>AFFILIATED HEALTH CARE SYSTEM</Identifier>
        <ReturnReference>PART VI, LINE 6</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>STATE FILING OF COMMUNITY BENEFIT REPORT</Identifier>
        <ReturnReference>PART VI, LINE 7</ReturnReference>
        <Explanation>A COMMUNITY BENEFIT REPORT IS FILED WITH THE VIRGINIA HOSPITAL AND HEALTHCARE ASSOCIATION.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
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      <RecordsMaintained>true</RecordsMaintained>
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        <RecipientNameBusiness>
          <BusinessNameLine1>HALIFAX REGIONAL DEVELOPMENT FOUNDATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2204 WILBORN AVENUE</AddressLine1>
          <City>SOUTH BOSTON</City>
          <State>VA</State>
          <ZIPCode>24592</ZIPCode>
        </AddressUS>
        <EINOfRecipient>541801459</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>103500</AmountOfCashGrant>
        <PurposeOfGrant>FUNDING OF COMMUNITY PARTNERSHIP</PurposeOfGrant>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>HALIFAX REGIONAL PROPERTIES INC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>2204 WILBORN AVENUE</AddressLine1>
          <City>SOUTH BOSTON</City>
          <State>VA</State>
          <ZIPCode>24592</ZIPCode>
        </AddressUS>
        <EINOfRecipient>541801463</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>640000</AmountOfCashGrant>
        <PurposeOfGrant>FUNDING OF</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>DOMINION HEALTH MEDICAL ASSOCIATES LTD</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2204 WILBORN AVENUE</AddressLine1>
          <City>SOUTH BOSTON</City>
          <State>VA</State>
          <ZIPCode>24592</ZIPCode>
        </AddressUS>
        <EINOfRecipient>541060357</EINOfRecipient>
        <AmountOfCashGrant>2040000</AmountOfCashGrant>
        <PurposeOfGrant>SUPPORT</PurposeOfGrant>
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        <Identifier>DOCUMENTATION OF GRANTS</Identifier>
        <ReturnReference>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>
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        <BaseCompensationFilingOrg>125821</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
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        <NamePerson>PATRICIA THOMAS</NamePerson>
        <BaseCompensationFilingOrg>135111</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>8032</BonusFilingOrg>
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        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>THOMAS S KLUGE</NamePerson>
        <BaseCompensationFilingOrg>170281</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>22839</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
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        <TotalCompensationRelatedOrgs>31101</TotalCompensationRelatedOrgs>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>SOCIAL CLUB DUES</Identifier>
        <ReturnReference>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>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
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      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>INDUSTRIAL DEVELOPMENT AUTHORITYHALIFAX COUNTY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>541169928</IssuerEIN>
        <CUSIPNumber>40579NBD7</CUSIPNumber>
        <DateIssued>2004-08-11</DateIssued>
        <IssuePrice>14883460</IssuePrice>
        <DescriptionOfPurpose>SERIES 2004 REFUNDING REVENUE BOND</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>INDUSTRIAL DEVELOPMENT AUTHORITYCHARLOTTE COUNTY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>541643556</IssuerEIN>
        <CUSIPNumber>160831AA1</CUSIPNumber>
        <DateIssued>2007-10-17</DateIssued>
        <IssuePrice>20089290</IssuePrice>
        <DescriptionOfPurpose>SERIES 2007 IDA HOSPITAL</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>14883460</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>12402353</RefundingEscrow>
        <IssuanceCostsFromProceeds>294671</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>2186436</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2004</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
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        <TotalProceeds>20089290</TotalProceeds>
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        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>391600</IssuanceCostsFromProceeds>
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        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>18311190</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2008</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
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        <GrossProceedsInvested>true</GrossProceedsInvested>
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      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>PULMONARY ASSOCIATES OF SOUTHSIDE V</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>JAMES WITKO - BOARD MBR</Relationship>
        <AmountOfTransaction>819795</AmountOfTransaction>
        <DescriptionOfTransaction>HOSPITALIST SERVICES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>HALIFAX HEART CENTER</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>HABIB BASSIL - BOARD MBR</Relationship>
        <AmountOfTransaction>417606</AmountOfTransaction>
        <DescriptionOfTransaction>PROF FEES &amp; SUBSIDY</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Identifier>JAMES WITKO, MD</Identifier>
        <Explanation>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 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.</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>HABIB BASSIL</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S MISSION</Identifier>
        <ReturnReference>PART III, LINE 1</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROGRAM SERVICES</Identifier>
        <ReturnReference>PART III, LINE 4</ReturnReference>
        <Explanation>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, 2011, CONTRIBUTIONS TO CHARITY CARE ALONE TOTALED $4,870,598 ($1,646,000 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 FY11, HALIFAX REGIONAL HOSPITAL SERVED 4,784 INPATIENTS, INCLUDING NEWBORNS, PROVIDED SERVICES TO 64,092 OUTPATIENTS AND HAD 27,920 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 FY11, THE HOSPITAL PROVIDED $12,277,996 IN UNCOMPENSATED CARE (CHARITY AND BAD DEBT) OR 6.1 PERCENT OF PATIENT REVENUE.IN ADDITION, THE UN-REIMBURSED VALUE OF PROVIDING CARE TO PATIENTS INSURED BY THE MEDICARE AND MEDICAID PROGRAMS WAS $94,746,988 OR 47 PERCENT OF PATIENT REVENUE. COMMUNITY HEALTH IMPROVEMENT SERVICES &amp; 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROGRAM SERVICES</Identifier>
        <ReturnReference>FORM 990, PART III - LINE 4 (CONTINUED)</ReturnReference>
        <Explanation>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 WASH THEIR HANDS AND LEARN ABOUT THE BEST TECHNIQUES TO ENSURE PROPER CLEANLINESS. FOOD AND NUTRITION SERVICES COMMUNITY SERVICE - IN ADDITION TO PARTICIPATING IN HALIFAX REGIONAL HOSPITAL'S HEALTH FAIRS, FOOD AND NUTRITION EMPLOYEES PROVIDED DIET AND NUTRITION INFORMATION TO THE PUBLIC (ADULTS AND CHILDREN) IN A VARIETY OF OTHER VENUES INCLUDING CHURCHES, LOCAL BUSINESSES, SUPPORT GROUPS, SCHOOLS AND SPECIAL EVENTS. "EATING FOR A HEALTHY WEIGHT" AND "EATING FOR A HEALTHY HEART" CLASSES HAVE CONTINUED THROUGHOUT FY11 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 IN MARCH 2011. 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, CAREGIVERS OF AUTISTIC CHILDREN, 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, 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), OSTEOPOROSIS, BALANCE, GRIP STRENGTH AND ANXIETY AND DEPRESSION SCREENINGS.301 INDIVIDUALS ATTENDED THE EXPO AND MORE THAN 600 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 FY11 INCLUDED NORTH HALIFAX FIRE DEPARTMENT MARATHON, HALIFAX COUNTY CANCER ASSOCIATION WALK FOR HOPE, AMERICAN NATIONAL BANK GRAND OPENING, TRICK OR TREAT, CHARLOTTE COUNTY BUSINESS EXPO, HALIFAX COUNTY CHAMBER EXPO, NATIONAL NIGHT OUT IN MECKLENBURG AND HALIFAX COUNTIES, RELAY FOR LIFE AND ST.PAUL CHURCH HEALTH FAIR.A PROSTRATE SCREENING WAS ALSO HELD AT HALIFAX PRIMARY CARE. IN FY11, HALIFAX REGIONAL PARTICIPATED IN TEN HEALTH FAIR SCREENING EVENTS WITH 1,417 INDIVIDUALS SCREENED. ANNUAL NATIONAL DEPRESSION AND ANXIETY SCREENING DAY - IN MAY, HALIFAX REGIONAL'S CENTER FOR BEHAVIORAL HEALTH HELD A FREE DEPRESSION AND ANXIETY SCREENING DAY. THE CENTER STAFF PROVIDED A QUESTIONNAIRE AND MENTAL HEALTH PROFESSIONALS WERE ON HAND TO DISCUSS THE RESULTS WITH PARTICIPANTS.ADDITIONALLY, THE CENTER STAFF PROVIDED FREE SCREENINGS AT OTHER HALIFAX REGIONAL SPONSORED EVENTS THROUGHOUT THE YEAR INCLUDING THE HALIFAX COUNTY CHAMBER OF COMMERCE BUSINESS EXPO IN FEBRUARY AND HALIFAX REGIONAL HEALTH SYSTEM'S HEALTHY LIVING EXPO IN MARCH. ADVANCED DIRECTIVES DAY - IN APRIL 2011, HALIFAX REGIONAL HOSPITAL JOINED HOSPITALS AND HEALTH SYSTEMS AROUND THE COMMONWEALTH OF VIRGINIA IN A DAY DESIGNED TO CREATE PUBLIC AWARENESS OF THE NEED TO PLAN AHEAD FOR HEALTH CARE DECISIONS RELATED TO END OF LIFE CARE AND MEDICAL DECISION MAKING FOR PATIENTS UNABLE TO SPEAK FOR THEMSELVES. THE EVENT ALSO ENCOURAGED THE USE OF ADVANCE DIRECTIVES TO COMMUNICATE THESE IMPORTANT HEALTH CARE DECISIONS. HRH AND HALIFAX REGIONAL HOSPICE PARTICIPATED BY GOING TO MULTIPLE AREAS IN THE COMMUNITY TO TALK ABOUT THE BENEFITS OF ADVANCED DIRECTIVES. LOOK GOOD . . . FEEL BETTER WORKSHOPS - THIS AMERICAN CANCER SOCIETY (ACS) PROGRAM IS DESIGNED FOR WOMEN UNDERGOING ACTIVE CANCER TREATMENT.THE FREE WORKSHOP IS HOSTED ON AN AS NEEDED BASIS, AT THE REQUEST OF INDIVIDUALS IN THE COMMUNITY. PARTICIPANTS LEARN ABOUT SKIN PROBLEMS THAT CAN RESULT FROM CHEMOTHERAPY AND/OR RADIATION THERAPY; LEARN TO ADD COLOR TO THEIR FACES WITH A FREE SKIN-CARE KIT VALUED AT $250 (COMPLIMENTS OF ACS); AND ARE INSTRUCTED ON HOW TO USE WIGS, HATS AND SCARVES TO ENHANCE THEIR LOOKS AND SELF-ESTEEM. IN FY2011, TWO WORKSHOPS WERE HELD.HRH SUPPLIED THE SPACE FOR THE WORKSHOPS AND A PORTION OF THE SUPPLIES SUCH AS MIRRORS, WASHCLOTHS, FOR THOSE WHO WANTED TO KNOW MORE ABOUT ACHIEVING A BRIGHTER OUTLOOK ON LIFE. THE HOSPITAL PROMOTES THESE WORKSHOPS IN BI-MONTHLY ADS AND IN THE QUARTERLY LIFE &amp; HEALTH NEWSLETTER.DURING FY2011, HRH TURNED OVER CONTROL OF THESE WORKSHOPS - SETTING UP AND CARRYING OUT THE EVENTS - TO THE LOCAL HALIFAX COUNTY CANCER ASSOCIATION.HRH CONTINUES TO ADVERTISE FOR THE EVENTS. HEALTHY DIRECTIONS WELLNESS PROGRAM - DURING FY11, 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. A TOTAL OF 806 EMPLOYEES AND SPOUSES TOOK ADVANTAGE OF THE FREE WELLNESS SCREENINGS GIVEN AT HALIFAX REGIONAL HOSPITAL, MEADOWVIEW TERRACE AND THE WOODVIEW IN FY11.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.OFFERED IN FY11 WERE: *PREPARED CHILDBIRTH CLASSES - SEVEN CLASSES, 56 PARTICIPANTS *BREASTFEEDING CLASS - EIGHT CLASSES, 60 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 - SEVEN CLASSES, 63 PARTICIPANTS DIABETES EDUCATION CLASSES - NINETY-NINE PEOPLE ATTENDED HALIFAX REGIONAL'S FREE DIABETES GROUP CLASSES IN FY11. THE DIABETES EDUCATION DEPARTMENT OFFERS MONTHLY CLASSES 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 FY11 THE DIABETES EDUCATOR ALSO PROVIDED 30 ONE-TO-ONE SESSIONS WITH INDIVIDUALS EITHER REFERRED BY PHYSICIAN OR SELF AT NO CHARGE AND DID 37 TELEPHONE EDUCATION SESSIONS.A DIABETES EDUCATOR IS ALSO AVAILABLE TO TEACH AND DEMONSTRATE HOW TO USE A BLOOD SUGAR MONITOR UPON REQUEST. IN MARCH 2011 THE DIABETES EDUCATION DEPARTMENT, PARTICIPATED IN THE 2011 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. ALZHEIMER'S CAREGIVER TRAINING - ONE OF HALIFAX REGIONAL'S EMPLOYEE'S SERVES ON THE LEADERSHIP COUNCIL OF THE SOUTHEASTERN VIRGINIA CHAPTER OF THE ALZHEIMER'S ASSOCIATION, AND, DURING FY11, PRESENTED EDUCATIONAL SESSIONS ON ALZHEIMER'S DISEASE TO LOCAL CHURCH GROUPS, CIVIC CLUBS, COMMUNITY COLLEGE CLASSES, HIGH SCHOOL NURSING CLASSES, AREA CLERGY AND PROFESSIONAL AND FAMILY CAREGIVERS. THIS PERSON ALSO SERVES WITH AN EMPLOYEE OF SEASONS AT THE WOODVIEW AS CO-FACILITATOR OF THE LOCAL ALZHEIMER'S SUPPORT GROUP.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROGRAM SERVICES</Identifier>
        <ReturnReference>FORM 990, PART III - LINE 4 (CONTINUED)</ReturnReference>
        <Explanation>OTHER HEALTH-RELATED PROGRAMS, SEMINARS FOR THE PUBLIC - IN ADDITION TO SPEAKERS BUREAU PRESENTATIONS, HALIFAX REGIONAL HOSPITAL HOSTS A NUMBER OF SPECIAL SEMINARS, CALLED HEALTH NITE OUT, FREE OF CHARGE TO THE GENERAL PUBLIC.HRH STAFF PLAN, PROMOTE, IMPLEMENT AND PROVIDE REFRESHMENTS FOR THESE PROGRAMS. 1. WELLNESS &amp; WEIGHT: FINDING WHAT WORKS - THIS HIGHLY INFORMATIVE PROGRAM WAS PRESENTED BY KATIE CONSCHAFTER, MS, RD, CDE, A SENIOR CLINICAL MANAGER FOR ANIMAS CORPORATION, A JOHNSON &amp; JOHNSON COMPANY. AMONG HER LICENSES AND TRAINING, CONSCHAFTER IS BOTH A REGISTERED DIETICIAN AND A CERTIFIED DIABETES EDUCATOR, AND SHE HAS MORE THAN 30 YEARS OF KNOWLEDGE AND EXPERIENCE. SHE HAS TAUGHT BOTH NUTRITION AND WEIGHT LOSS CLASSES AND SHE HAS TREATED PATIENTS OF ALL AGES. THE PRESENTATION PROVIDED A DEEPER LOOK INTO THE SCOPE OF OBESITY IN AMERICA AND THE FACTORS BEHIND IT, AS WELL AS WEIGHT LOSS OPTIONS AND LIFESTYLE CHANGES. A TOTAL OF 97 PEOPLE ATTENDED. 2. COOKING WITH KIDS - THIS PROGRAM OFFERED A FUN-FILLED NIGHT FOR ADULTS AND THEIR CHILD(REN) (OR GRANDCHILD) TO SPEND QUALITY TIME TOGETHER WHILE INSTILLING HEALTHY EATING HABITS! TAUGHT BY LISA CAUDLE, CLINICAL NUTRITION MANAGER AT HALIFAX REGIONAL HOSPITAL, AND JANET CONNER, SENIOR DIETARY ADVISOR, YOU AND YOUR CHILD ARE SURE TO GAIN THE CULINARY AND BONDING EXPERIENCE OF A LIFETIME. A TOTAL OF 28 PEOPLE ATTENDED THIS PROGRAM. 3. HEART HEALTH FOR ALL AGES - YOUR HEART IS ON DUTY TWENTY-FOUR HOURS A DAY SEVEN DAYS A WEEK. PARTICIPANTS AT THIS PROGRAM LEARNED HOW TO TAKE CARE OF THEIR HEART AND REDUCE THEIR RISK FOR HEART-RELATED HEALTH PROBLEMS. CARDIOLOGIST GARETH TITUS, MD PRESENTED THIS PROGRAM AND REPRESENTATIVES FROM HRH'S CENTER FOR CARDIOVASCULAR SERVICES AND CARDIOPULMONARY REHAB DEPARTMENTS WERE ON-HAND TO OFFER BLOOD PRESSURE CHECKS. TWENTY PEOPLE WERE IN ATTENDANCE. 4. KONNECTING PARENTS &amp; KIDS - THIS HEALTH NITE OUT, PRESENTED BY BETH GILLIS, MS, NCC, LPC OF HALIFAX REGIONAL'S CENTER FOR BEHAVIORAL HEALTH, CONCENTRATED ON DEVELOPING POSITIVE COMMUNICATION SKILLS AND CONCEPTS BETWEEN PARENTS AND CHILDREN. WHILE PARENTS ENJOYED BETH'S PRESENTATION, THEIR CHILDREN WERE INVITED TO PARTICIPATE IN FUN LEARNING ACTIVITIES AND READING TIME IN ANOTHER ROOM. A TOTAL OF 16 PEOPLE ATTENDED THIS WORKSHOP. 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 130 LOCAL CHILDREN) DURING FY11. 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 FY11 PRESENTATIONS WERE MADE TO 27 COMMUNITY ORGANIZATIONS, CIVIC CLUBS AND CHURCHES. APPROXIMATELY 876 INDIVIDUALS WERE REACHED THROUGH THESE PRESENTATIONS. SUPPORT GROUPS - ON A BI-MONTHLY BASIS, HALIFAX REGIONAL HOSPITAL ADVERTISES MEETINGS FOR SUPPORT GROUPS AND INFORMATION CLASSES 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 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. SIX MEETINGS WERE HELD DURING FY11 WITH A TOTAL OF APPROXIMATELY 50 PARTICIPANTS. 2. CAREGIVERS OF AUTISTIC CHILDREN MEETS MONTHLY AT A LOCAL CHURCH. THE GROUP GIVES PARENTS AND GRANDPARENTS AN OPPORTUNITY TO SHARE SUCCESSES WITH OTHERS WHO CARE FOR CHILDREN WITH AUTISTIC TENDENCIES. APPROXIMATELY EIGHT TO TEN 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 2011, THE GROUP MET TEN 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 10 TIMES DURING FY11 WITH A TOTAL OF 80 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 19 MEETINGS HELD DURING FY 2011 REACHED 158 PARTICIPANTS. DURING FY 2011 A SECOND MEETING TIME WAS ADDED TO THE GROUP'S SCHEDULE. 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 FY2011, 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 WITH APPROXIMATELY 15-20 PARTICIPANTS. 9. ALZHEIMER'S SUPPORT GROUP - MEETING MONTHLY AT THE WOODVIEW, 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 INCLUDING THE GAZETTE VIRGINIAN, NEWS&amp;RECORD, MECKLENBURG SUN AND THE NEWS PROGRESS. 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 ORTHOPEDIC OFFICE. 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'S OUT 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROGRAM SERVICES</Identifier>
        <ReturnReference>FORM 990, PART III - LINE 4 (CONTINUED)</ReturnReference>
        <Explanation>WEB SITE - VISITORS TO WWW.HRHS.ORG CAN FIND A PHYSICIAN, LEARN ABOUT AND REGISTER FOR CLASSES AND EVENTS, SEARCH FOR A JOB, SEARCH THE HEALTH LIBRARY, ENGAGE IN INTERACTIVE HEALTH SCREENINGS, TAKE A VIRTUAL TOUR AND LEARN ABOUT SERVICES. ONLINE FEATURES INCLUDE BILL PAYMENT, JOB APPLICATIONS, CHARITABLE DONATIONS, EVENT REGISTRATION, PHYSICIAN CV SUBMISSION, CHEER CARDS AND MESSAGES, REGISTRATION FOR OUTPATIENT PROCEDURES, AND VISITING THE SECURE ONLINE BABY NURSERY. 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. IN FY2011, HRHS.ORG AVERAGED JUST OVER 6,000 VISITS PER MONTH AND A TOTAL OF MORE THAN 73,000 VISITS FOR THE FISCAL YEAR. AFTER HAVING EXPANDED INTO SOCIAL MEDIA IN FY10, HALIFAX REGIONAL FOUND CONTINUED SUCCESS WITH THEIR FACEBOOK PAGE AND ITS ABILITY TO REACH OUT TO THE COMMUNITY DURING FY2011. 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. ENROLLMENT ASSISTANCE SERVICES - A FULL-TIME ELIGIBILITY WORKER WHO IS A HRH EMPLOYEE ASSISTS PATIENTS IN IDENTIFYING AND ENROLLING IN PUBLIC PROGRAMS TO IMPROVE THEIR ACCESSIBILITY TO HEALTHCARE SERVICES. 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 FY11 $67,000 WAS AWARDED TO 72 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 FY11, THE BATES SCHOLARSHIP PROVIDED $7000 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 FY11, HALIFAX REGIONAL CONTRIBUTED $163,411.79 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 FY11 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 $879.50 AND 338 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. WOMEN FROM LOCAL MISSIONARY UNIONS IN THE DAN RIVER BAPTIST ASSOCIATION SEW THE DOLLS AND PROVIDE THEM FOR LOCAL HOSPICE AND HOSPITAL PATIENTS. DURING FY11, APPROXIMATELY 350 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. 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 FY11 PROVIDERS COMPLETED APPROXIMATELY 87 PHYSICALS FOR MIDDLE SCHOOL STUDENTS AND APPROXIMATELY 200 FOR HIGH SCHOOL STUDENTS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROGRAM SERVICES</Identifier>
        <ReturnReference>FORM 990, PART III - LINE 4 (CONTINUED)</ReturnReference>
        <Explanation>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, LONGWOOD UNIVERSITY *PHYSICAL THERAPY STUDENTS FROM REGIS UNIVERSITY, DENVER, COLORADO, LYNCHBURG COLLEGE, SHENANDOAH UNIVERSITY *PHYSICAL THERAPY ASSISTANT STUDENTS, JEFFERSON COLLEGE HEALTH SCIENCES *SPEECH LANGUAGE PATHOLOGY STUDENTS FROM LONGWOOD COLLEGE *AGREEMENTS ARE ALSO HELD TO SERVE AS A TRAINING SITE FOR STUDENTS FROM EAST CAROLINA UNIVERSITY, UNIVERSITY OF NORTH CAROLINA-CHAPEL HILL, SHENANDOAH, JAMES MADISON UNIVERSITY, APPALACHIAN STATE UNIVERSITY, MEDICAL UNIVERSITY OF SOUTH CAROLINA, WINSTON SALEM STATE UNIVERSITY, ELON, LYNCHBURG COLLEGE AND RADFORD UNIVERSITY. *RESPIRATORY THERAPY STUDENTS FROM J. SERGEANT REYNOLDS COMMUNITY COLLEGE *RADIOLOGY TECHNOLOGISTS PROGRAM, CVCC, LYNCHBURG, VA *EMS STUDENTS FROM LOCAL EMS CLASSES COMPLETED THEIR TRAINING AT DIFFERENT LEVELS. OTHER STUDENTS FROM SOUTH HILL, FARMVILLE AND RICHMOND ALSO PERFORMED THEIR TRAINING AT HALIFAX REGIONAL HOSPITAL. *PHARMACY TECHNICIAN STUDENTS, NATIONAL BUSINESS COLLEGE, MILLER MOTT TECHNICAL COLLEGE *DOCTOR OF PHARMACY STUDENTS, MEDICAL COLLEGE OF VIRGINIA *PHLEBOTOMY STUDENTS IN OUR OUTPATIENT LAB FROM PIEDMONT COMMUNITY COLLEGE *PHYSICIAN ASSISTANT STUDENTS FROM JAMES MADISON UNIVERSITY *CNA STUDENTS FROM DANVILLE COMMUNITY COLLEGE DO CLINICAL AT WOODVIEW *HALIFAX COUNTY HIGH SCHOOL STUDENTS FROM THE STEM CENTER DO AN INTERNSHIP AT THE HOSPITAL IN NURSING, REHAB, PHARMACY AND DIETARY (CLINICAL DIETITIAN) *THIRD AND FOURTH YEAR STUDENTS FROM EDWARD VIA VIRGINIA COLLEGE OF OSTEOPATHIC MEDICINE (VCOM) 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. ADOPT-A-SCHOOL PROGRAM - HALIFAX REGIONAL CONTINUED TO "ADOPT" SOUTH BOSTON ELEMENTARY SCHOOL. OVER THE YEARS, HALIFAX REGIONAL HAS DONATED MONEY FOR THE PURCHASE OF COMPUTERS AND SOFTWARE AND FURNITURE FOR THEIR OUTDOOR LEARNING CENTERS, SPONSORED FAMILY SKATE NIGHT, FATHER-DAUGHTER DANCES, AND PROVIDED REFRESHMENTS AND BOTTLED WATER FOR FIELD DAY ACTIVITIES. THIS FISCAL YEAR, HALIFAX REGIONAL CONTINUED TO SUPPORT PROGRAMS IN THE SCHOOL SUCH AS THE INTERGENERATIONAL "ADOPT A GRANDPARENT" PROGRAM. DISASTER READINESS ACTIVITIES - IN COLLABORATION WITH THE CENTRAL VIRGINIA HOSPITAL DISASTER PLANNING COMMITTEE, HALIFAX REGIONAL HOSPITAL PARTICIPATES IN EMERGENCY MANAGEMENT ACTIVITIES IN THE CENTRAL VIRGINIA REGION. FUNDING FOR THE EMERGENCY MANAGEMENT COORDINATOR (EMC) POSITION AT THE HOSPITAL WAS PROVIDED IN FY11 BY HRH. 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 $74,042 (NEGATIVE MARGIN SERVICE). FAMILY BIRTHING CENTER - THE FAMILY BIRTHING CENTER PROVIDES OBSTETRICAL CARE TO FEMALES. THIS IS A CLINICAL SERVICE THAT IS PROVIDED DESPITE AN FY11 FINANCIAL LOSS OF $208,385 (OBSTETRICS CONTRIBUTION MARGIN.)</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROGRAM SERVICES</Identifier>
        <ReturnReference>FORM 990, PART III - LINE 4 (CONTINUED)</ReturnReference>
        <Explanation>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 287 BABY BLANKETS, 57 STUFFED TEDDY BEARS, 182 STUFFED FISH, 17 WALKER BAGS, 16 TELEMETRY BAGS AND 15 CHRISTMAS STOCKINGS FOR NEWBORNS DURING THE HOLIDAY SEASON. IN FY11 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 27,000 HOURS OF SERVICE TO THE HOSPITAL AND COMMUNITY. THIS YEAR SAW A RECORD NUMBER OF 100-HOUR PINS PRESENTED TO VOLUNTEERS AND THE AWARDING OF 10,000-HOUR PIN TO ONE WELL-KNOWN, LONG TIME VOLUNTEER. THIS WAS ONLY THE FOURTH TIME SAW AN ACCOMPLISHMENT HAS BEEN SEEN IN THE 58 YEAR HISTORY OF THE ORGANIZATION. 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 FY11, 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 FY11 AN ASSOCIATE CHAPLAIN SPECIFIC FOR SUB-ACUTE AND ICU JOINED THE GROUP. 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 FY11 THE HOSPITAL CHAPLAIN SPOKE TO VARIOUS COMMUNITY GROUPS ON ADVANCE DIRECTIVES, AND LED A SERIES OF CLASSES FOR LOCAL CLERGY ON "PASTORAL PRESENCE DURING TIME OF ILLNESS, DEATH AND HEALTH CRISIS. 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 AND 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/FAMILY RELATIONSHIP PART VI, LINE 2 DAVID WHITE AND CHRIS LUMSDEN HAVE A BUSINESS RELATIONSHIP. ORGANIZATION MEMBERS PART VI, LINE 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S FORM 990 REVIEW PROCESS</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 11B</ReturnReference>
        <Explanation>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 PART VI, LINE 12 THE CONFLICT OF INTEREST QUESTIONNAIRE IS DISTRIBUTED TO EACH MEMBER OF THE BOARD OF DIRECTORS IN JANUARY EVERY YEAR. THE QUESTIONNAIRE MUST BE COMPLETED BY ALL MEMBERS. 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DOCUMENT RETENTION &amp; DESTRUCTION</Identifier>
        <ReturnReference>PART VI, LINE 14</ReturnReference>
        <Explanation>A DOCUMENT RETENTION &amp; DESTRUCTION POLICY HAS BEEN IN PLACE AND FUNCTIONAL SINCE OCTOBER 21,1999. THE BOARD OF DIRECTORS FORMALLY APPROVED THE POLICY IN MAY 2012.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION</Identifier>
        <ReturnReference>PART VI, LINE 15</ReturnReference>
        <Explanation>THE ORGANIZATION SEEKS TO PAY REASONABLE COMPENSATION UNDER SECTION 4958 TO ATTRACT AND RETAIN THE APPROPRIATE CALIBER OF EMPLOYEES DEDICATED TO CARRYING OUT ITS TAX-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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING DOCUMENTS</Identifier>
        <ReturnReference>PART VI, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION CURRENTLY MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER CHANGE IN NET ASSETS</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5</ReturnReference>
        <Explanation>$ 712,761 CUMULATIVE CHANGE IN PENSION LIABILITY $ 958,375 UNREALIZED GAIN ON INVESTMENTS ---------- $1,671,136</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:JAMES WITKO MD TITLE:BOARD MEMBER HOURS:5</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:DAVID H WHITE JR TITLE:CHAIRMAN HOURS:5</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:J AUBREY HOUGHTON TITLE:TREASURER HOURS:5</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:CAROL C THOMAS TITLE:VICE CHAIRMAN HOURS:5</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:HABIB BASSIL MD TITLE:SECRETARY (BEGINNING 11/10) HOURS:5</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:BENJAMIN FINCHER TITLE:BOARD MEMBER HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:WILLIAM E COLEMAN TITLE:BOARD MEMBER (THROUGH 11/10) HOURS:5</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:CHRIS A LUMSDEN TITLE:CHIEF EXECUTIVE OFFICER HOURS:5</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:STEWART R NELSON TITLE:INFORMATION SYSTEMS MANAGER HOURS:5</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:THOMAS S KLUGE TITLE:CHIEF OPERATING OFFICER HOURS:5</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HALIFAX REGIONAL PROFESSIONAL SERVICES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2204 WILBORN AVENUE</AddressLine1>
          <City>SOUTH BOSTON</City>
          <State>VA</State>
          <ZIPCode>24592</ZIPCode>
        </AddressUS>
        <EIN>208386107</EIN>
        <PrimaryActivities>PHYSN SUBSIDY</PrimaryActivities>
        <LegalDomicileState>VA</LegalDomicileState>
        <TotalIncome>0</TotalIncome>
        <EOYAssets>76000</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HALIFAX REGIONAL HEALTH SYSTEM</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2204 WILBORN AVENUE</AddressLine1>
          <City>SOUTH BOSTON</City>
          <State>VA</State>
          <ZIPCode>24592</ZIPCode>
        </AddressUS>
        <EIN>541801466</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>VA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11B TYPE II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
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          <BusinessNameLine1>HALIFAX REGIONAL LONG TERM CARE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2204 WILBORN AVENUE</AddressLine1>
          <City>SOUTH BOSTON</City>
          <State>VA</State>
          <ZIPCode>24592</ZIPCode>
        </AddressUS>
        <EIN>546074529</EIN>
        <PrimaryActivities>SENIOR CARE</PrimaryActivities>
        <LegalDomicileState>VA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11A TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>HRHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HALIFAX REGIONAL DEVELOPMENT FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2204 WILBORN AVENUE</AddressLine1>
          <City>SOUTH BOSTON</City>
          <State>VA</State>
          <ZIPCode>24592</ZIPCode>
        </AddressUS>
        <EIN>541801459</EIN>
        <PrimaryActivities>HLTH/WELFARE</PrimaryActivities>
        <LegalDomicileState>VA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11A TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>HRHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CLARKSVILLE SENIOR CARE LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2204 WILBORN AVENUE</AddressLine1>
          <City>SOUTH BOSTON</City>
          <State>VA</State>
          <ZIPCode>24592</ZIPCode>
        </AddressUS>
        <EIN>541957066</EIN>
        <PrimaryActivities>SENIOR CARE</PrimaryActivities>
        <LegalDomicileState>VA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11A TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>HRHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HALIFAX REGIONAL PROPERTIES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2204 WILBORN AVENUE</AddressLine1>
          <City>SOUTH BOSTON</City>
          <State>VA</State>
          <ZIPCode>24592</ZIPCode>
        </AddressUS>
        <EIN>541801463</EIN>
        <PrimaryActivities>HLTH/WELFARE</PrimaryActivities>
        <LegalDomicileState>VA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11A TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>HRHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SOUTHSIDE HEALTH SERVICES</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2204 WILBORN AVENUE</AddressLine1>
          <City>SOUTH BOSTON</City>
          <State>VA</State>
          <ZIPCode>24592</ZIPCode>
        </AddressUS>
        <EIN>541417772</EIN>
        <PrimaryActivity>HEALTH SERVIC</PrimaryActivity>
        <LegalDomicileState>VA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>DOMINION HEALTH MEDICAL ASSOCIATES LTD</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2204 WILBORN AVENUE</AddressLine1>
          <City>SOUTH BOSTON</City>
          <State>VA</State>
          <ZIPCode>24592</ZIPCode>
        </AddressUS>
        <EIN>541060357</EIN>
        <PrimaryActivity>PHYS PRACTICE</PrimaryActivity>
        <LegalDomicileState>VA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
        <ShareOfTotalIncome>11400382</ShareOfTotalIncome>
        <ShareOfEOYAssets>1924991</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>true</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HALIFAX REGIONAL DEVELOPMENT FOUNDATION INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>b</TransactionType>
        <AmountInvolved>103500</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HALIFAX REGIONAL PROPERTIES INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>j</TransactionType>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>HALIFAX REGIONAL PROPERTIES INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HALIFAX REGIONAL LONG TERM CARE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>n</TransactionType>
        <AmountInvolved>634327</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>CLARKSVILLE SENIOR CARE LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>n</TransactionType>
        <AmountInvolved>379740</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HALIFAX REGIONAL LONG TERM CARE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>1776523</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CLARKSVILLE SENIOR CARE LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>1144458</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HALIFAX REGIONAL PROPERTIES INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>136918</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HALIFAX REGIONAL PROPERTIES INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>b</TransactionType>
        <AmountInvolved>640000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>DOMINION HEALTH MEDICAL ASSOCIATES LTD</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>2040000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>