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        <BusinessNameLine1>Clarksville Senior Care LLC</BusinessNameLine1>
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      <Name>STEWART NELSON</Name>
      <Title>CHIEF FINANCIAL OFFICER</Title>
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      <ActivityOrMissionDescription>THE PURPOSE OF CLARKSVILLE SENIOR CARE, LLC IS TO PROVIDE THE HIGHEST QUALITY OF CARE TO THOSE INDIVIDUALS REQUIRING LONG TERM CARE SERVICES, RESULTING IN THE HIGHEST ACHIEVABLE QUALITY OF LIFE.</ActivityOrMissionDescription>
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      <MissionDescription>THE PURPOSE OF HALIFAX REGIONAL HEALTH SYSTEM IS TO PROVIDE THE HIGHEST QUALITY CARE BASED ON THE HEALTHCARE NEEDS OF THE PEOPLE WE SERVE. CLARKSVILLE SENIOR CARE, LLC IS ORGANIZED AND OPERATED EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE PURPOSES OF HALIFAX REGIONAL HOSPITAL, INC. THE FUNCTIONS TO BE PERFORMED ARE TO PROVIDE EXTENDED CARE, OUTPATIENT CARE, HOME CARE, ASSISTED LIVING CARE, SENIOR LIVING COMMUNITY OR HOME FOR THE AGED, AND RELATED MEDICAL SERVICES FOR HALIFAX REGIONAL LONG TERM CARE, INC. IN SUPPORT OF HALIFAX REGIONAL HOSPITAL, INC., AND TO CARRY OUT OTHER EXCLUSIVELY CHARITABLE, EDUCATIONAL, OR SCIENTIFIC PURPOSES OF HALIFAX REGIONAL HOSPITAL, INC.</MissionDescription>
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      <Description>CLARKSVILLE SENIOR CARE, LLC, DOING BUSINESS AS MEADOWVIEW TERRACE OPERATES A 120-BED, DUALLY CERTIFIED (MEDICAID AND MEDICARE) NURSING FACILITY, WHICH INCLUDES A 24-BED ALZHEIMER'S SPECIAL CARE NEIGHBORHOOD. MEADOWVIEW TERRACE IS LOCATED IN MECKLENBURG COUNTY IN CLARKSVILLE, VIRGINIA. THE NURSING FACILITY PROVIDES PERSONAL CARE, HEALTH CARE SERVICES AND REHABILITATION SERVICES FOR PERSONS NEEDING LONG TERM CARE AND WHOSE SPECIAL NEEDS CANNOT BE MET IN INDEPENDENT LIVING ENVIRONMENTS. IN FY10 58.4 PERCENT OF THE FACILITY'S REVENUES WERE REIMBURSABLE UNDER THE MEDICAID PROGRAM AND 21.0 PERCENT WERE REIMBURSABLE UNDER MEDICARE. MEADOWVIEW TERRACE UTILIZES EXCESS REVENUE OVER EXPENSES TO UPGRADE FACILITIES, TO PURCHASE NEW EQUIPMENT AND TO UPGRADE CLINICAL AND INFORMATION TECHNOLOGY IN ORDER TO IMPROVE QUALITY AND RESIDENT SAFETY. MEADOWVIEW TERRACE WORKS IN CONJUNCTION WITH HALIFAX REGIONAL HOSPITAL TO PROVIDE HEALTH INFORMATION TO THE COMMUNITY. WITH THE HIGH PREVALENCE OF ALZHEIMER'S DISEASE (5.3 MILLION AMERICANS) AND WITH SIXTY-NINE PERCENT OF NURSING HOME RESIDENTS HAVING ALZHEIMER'S DISEASE OR A RELATED DEMENTIA, MEADOWVIEW TERRACE DEVOTES RESOURCES TO ACTIVITIES THAT WILL HELP RAISE AWARENESS OF ALZHEIMER'S DISEASE AND THAT WILL HELP THOSE AFFECTED BY THE DISEASE TO LEARN AND UNDERSTAND MORE ABOUT IT. IN ADDITION, MEADOWVIEW TERRACE HELPS TO SUPPORT COMMUNITY ACTIVITIES BY PROVIDING STAFF EXPERTISE AND RESOURCES FOR A NUMBER OF ORGANIZATIONS. COMMUNITY HEALTH IMPROVEMENT SERVICES &amp; EDUCATION ADVANCE DIRECTIVE DAY IN APRIL 2010, MEADOWVIEW TERRACE PARTICIPATED IN THE VIRGINIA ADVANCE DIRECTIVE DAY BY PROVIDING INFORMATION ON ADVANCE DIRECTIVES IN THE FACILITY'S LOBBY WITH STAFF AVAILABLE TO ANSWER QUESTIONS AND ALSO OFFERED A PROGRAM ON ADVANCED DIRECTIVES AND END OF LIFE DECISIONS FREE OF CHARGE TO THE COMMUNITY. HEALTHY LIVING EXPO AGAIN THIS YEAR, MEADOWVIEW TERRACE PARTICIPATED IN HALIFAX REGIONAL HEALTH SYSTEM'S HEALTHY LIVING EXPO, AN ANNUAL COMMUNITY HEALTH FAIR THAT PROVIDES A MYRIAD OF FREE HEALTH SCREENINGS AND HEALTH AND WELLNESS EDUCATIONAL ACTIVITIES AND INFORMATION TO THE PUBLIC. IN ADDITION TO ASSISTING WITH PLANNING FOR THIS EVENT, MEADOWVIEW TERRACE PROVIDED LONG TERM CARE INFORMATION, NUTRITION COUNSELING AND ASSISTED WITH BLOOD PRESSURE SCREENINGS. MORE THAN 400 INDIVIDUALS WERE REACHED THROUGH THIS COMMUNITY HEALTH EVENT. TOWN MEETINGS, NATIONAL CELEBRATIONS/OBSERVANCES FOR PUBLIC MEADOWVIEW TERRACE PERIODICALLY HOSTS FREE FAMILY NIGHT PROGRAMS WHICH ARE OPEN TO AND PROMOTED TO THE PUBLIC. THESE MEETINGS ARE PROGRAMS OF INTEREST TO THE GENERAL PUBLIC AND FEATURE AN INVITED SPEAKER. TOPICS IN FY10 INCLUDED ADVANCED DIRECTIVES, MDS 3.0 AND ALZHEIMER'S DISEASE. DIABETES EDUCATION THE REGISTERED DIETITIAN AT MEADOWVIEW TERRACE WORKED IN CONJUNCTION WITH HALIFAX REGIONAL HOSPITAL STAFF TO TEACH DIABETES EDUCATION CLASSES THROUGHOUT THE YEAR. THESE CLASSES ARE FREE OF CHARGE AND OFFERED MONTHLY. WEIGHT WATCHERS SUPPORT GROUP WEIGHT WATCHERS MEETS WEEKLY AT MEADOWVIEW TERRACE TO WEIGH IN AND FOR EDUCATIONAL MEETINGS COVERING NUTRITION, FOOD BUYING AND PREPARATIONS, ETC. ALTHOUGH THIS IS A FRANCHISED PROGRAM, MEADOWVIEW TERRACE PROVIDED MEETING SPACE AT A REDUCED RATE. ALZHEIMER'S SUPPORT GROUP FROM SEPTEMBER 2009 THROUGH JUNE 2010 MEADOWVIEW TERRACE PROVIDED FREE SPACE AND REFRESHMENTS FOR MONTHLY MEETINGS OF THE CLARKSVILLE ALZHEIMER'S SUPPORT GROUP. THE FACILITY ORGANIZED THESE MEETINGS AND TWO STAFF MEMBERS SERVED AS CO-FACILITATORS. FINANCIAL AND IN-KIND CONTRIBUTIONS FOOD DRIVES IN FY10 MEADOWVIEW TERRACE COORDINATED A FOOD DRIVE AND COLLECTED 300 POUNDS OF CANS AND BOXES OF NON-PERISHABLE FOOD WHICH WERE DONATED TO THE CLARKSVILLE FOOD PANTRY DURING THEIR ANNUAL FOOD DRIVE TO HELP PUT FOOD ON THE TABLES OF THOSE HAVING DIFFICULTY PROVIDING FOR THEIR FAMILIES. CLARKSVILLE LAKE FESTIVAL (LAKEFEST) MEADOWVIEW TERRACE STAFF MANNED A BOOTH DURING CLARKSVILLE'S LAKE FESTIVAL EVENT. THE TEAM PROVIDED FREE CHILLED BOTTLES OF WATER, ADVANCE DIRECTIVE INFORMATION AND INFORMATION ABOUT LONG-TERM CARE TO THOUSANDS OF VISITORS ON THIS HOT SUMMER'S DAY. ON THURSDAY NIGHT, PRIOR TO THE FESTIVAL'S OPENING ON FRIDAY EVENING, STAFF MEMBERS OPERATED A CONCESSION STAND AND PROVIDED SUPPER FOR THE HOT-AIR BALLOONISTS WHO DEMONSTRATE THE ART OF BALLOONING TO THE FESTIVAL-GOERS AND TO SPECTATORS. ALL PROCEEDS FROM THIS SUPPER WENT TO THE SOUTHEASTERN VIRGINIA CHAPTER OF THE ALZHEIMER'S ASSOCIATION. ALZHEIMER'S MEMORY WALK THE MEADOWVIEW TERRACE STAFF AND VOLUNTEERS ORGANIZE, COORDINATE, ADVERTISE AND HOST AN ANNUAL ALZHEIMER'S MEMORY WALK. A NUMBER OF FUNDRAISING EVENTS ARE HELD THROUGHOUT THE YEAR BY MEADOWVIEW TERRACE LEADING UP TO THE BIG EVENT- THE ALZHEIMER'S MEMORY WALK, WITH APPROXIMATELY 125 WALKERS PARTICIPATING IN FY10. ALL MONEY RAISED IN THESE EVENTS IS DONATED TO THE SOUTHEASTERN VIRGINIA CHAPTER OF THE ALZHEIMER'S ASSOCIATION. THE MONEY IS USED LOCALLY TO SUPPORT ALZHEIMER'S RELATED PROGRAMS INCLUDING FAMILY ORIENTATIONS, THE 24-HOUR HELPLINE, EDUCATIONAL SEMINARS AND TRAINING SESSIONS FOR BOTH FAMILY AND PROFESSIONAL CAREGIVERS, THE SAFE RETURN PROGRAM, LOCAL SUPPORT GROUPS AND THE SPEAKER'S BUREAU, ALL OF WHICH ASSIST INDIVIDUALS AND FAMILIES AFFECTED BY THE DISEASE. OVER FOURTEEN THOUSAND DOLLARS ($14,000) WAS COLLECTED FROM THE FUND-RAISING EFFORTS THROUGHOUT THE YEAR INCLUDING BAKE SALES AND FOOD SALES AT A LOCAL EVENTS AND THE MEMORY WALK ITSELF. IN ADDITION, MEADOWVIEW TERRACE PROVIDED SPACE AND LUNCH FOR THE AREA ALZHEIMER'S WALK TEAM COMMITTEE CAPTAIN MEETINGS. OTHER IN-KIND CONTRIBUTIONS MEADOWVIEW TERRACE HELD BAKE SALES TO RAISE MONEY FOR THE MECKLENBURG COUNTY DEPARTMENT OF SOCIAL SERVICES CHRISTMAS PROGRAM, (GIFTS FOR NEEDY CHILDREN). IN ADDITION, OVER 200 POUNDS OF DOG AND CAT FOOD WAS COLLECTED AND DONATED TO THE CLARKSVILLE SPCA. THE FACILITY ALSO COLLECTED NEWSPAPERS TO DONATE TO THE SPCA. THE ACTIVITY DEPARTMENT "ADOPTED" 6 CHILDREN AND THE MEADOWVIEW MANAGERS ALSO EACH ADOPTED A CHILD THROUGH MECKLENBURG COUNTY SOCIAL SERVICES PROVIDING CASH AND GIFTS DURING THE HOLIDAY SEASON. AT THANKSGIVING, THE FACILITY DONATED SEVEN TURKEYS TO SOCIAL SERVICES. IN FY10 MEADOWVIEW TERRACE ONCE AGAIN SPONSORED A KINDERGARTEN CLASS AT CLARKSVILLE ELEMENTARY SCHOOL, PROVIDING THE TWENTY STUDENTS WITH SCHOOL SUPPLIES. SPONSORSHIP CONTINUES THROUGHOUT THE YEAR WITH PARTIES AND GIFTS FOR THE STUDENTS. FACILITY USE MEADOWVIEW TERRACE PROVIDES FREE SPACE AND AVAILABLE EQUIPMENT FOR AREA WELLNESS PROGRAMS, COMMUNITY MEETINGS, SUPPORT GROUPS AND CLINICAL TRAINING PROGRAMS. FREE SPACE IS PROVIDED FOR VARIOUS COMMUNITY GROUPS TO MEET INCLUDING THE GIDEONS WHO HOLD THEIR ANNUAL BANQUET AT MEADOWVIEW TERRACE, AND SPACE IS PROVIDED AT NO CHARGE FOR BELTONE HEARING CLINICS WHICH ARE OPEN TO THE PUBLIC, AND FOR AARP SAFE DRIVING CLASSES. MEADOWVIEW TERRACE SERVES AS A CLINICAL SITE FOR: " BLUESTONE HIGH SCHOOL, NURSING ASSISTANT STUDENTS (APPROXIMATELY 20 STUDENTS PER SEMESTER) " BLUESTONE HIGH SCHOOL SPECIAL EDUCATION STUDENTS (FIVE EACH SEMESTER) " SOUTHSIDE VIRGINIA COMMUNITY COLLEGE, SVCC, (NURSING ASSISTANT STUDENTS AT ESTES CENTER, APPROXIMATELY 60 STUDENTS) " SVCC, ESTES CENTER, (APPROXIMATELY 20 LPN STUDENTS). COMMUNITY BUILDING MEADOWVIEW TERRACE TAKES PRIDE IN BEING A CONTRIBUTING MEMBER OF THE CLARKSVILLE AND MECKLENBURG COUNTY COMMUNITY AND AS SUCH REACHES OUT INTO THE COMMUNITY IN A VARIETY OF WAYS. INTERGENERATIONAL PROGRAMS EACH YEAR, MEADOWVIEW TERRACE PLANS, COORDINATES AND HOSTS A COMMUNITY "SAFE TRICK OR TREAT" AT THE FACILITY ON HALLOWEEN. THIS EVENT PROVIDES A SAFE HAVEN FOR CHILDREN TO TRICK OR TREAT, GOING FROM NEIGHBORHOOD TO NEIGHBORHOOD IN THE FACILITY AND INCLUDES REFRESHMENTS FOR ALL PARTICIPANTS. THE FACILITY ALSO PLANS, COORDINATES AND HOSTS A BREAKFAST WITH SANTA AND AN EASTER EGG HUNT EACH YEAR FOR THE CHILDREN OF STAFF, AND RESIDENTS' GRANDCHILDREN, COMPLETE WITH REFRESHMENTS AND PRIZES FOR ALL. THE BOY SCOUT, GIRL SCOUT AND CUB SCOUT TROOPS CONTINUE TO VISIT AND INTERACT WITH RESIDENTS AS PART OF THEIR BADGE PROGRAM. 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      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JILL ALLEN</NamePerson>
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      <FormersListed>false</FormersListed>
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      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
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        <AddressOfContractor>
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            <State>TN</State>
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        </AddressOfContractor>
        <DescriptionOfServices>PATIENT CARE SERVICE</DescriptionOfServices>
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      <NumberOfContractorsGT100K>1</NumberOfContractorsGT100K>
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      <OtherRevenueMisc>
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      <TotalRevenue>
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        <ExclusionAmount>12229</ExclusionAmount>
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      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
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      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
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        <ManagementAndGeneral>14321</ManagementAndGeneral>
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      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>3458736</Total>
        <ProgramServices>2980157</ProgramServices>
        <ManagementAndGeneral>478579</ManagementAndGeneral>
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      <PensionPlanContributions>
        <Total>0</Total>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>1029711</Total>
        <ProgramServices>883573</ProgramServices>
        <ManagementAndGeneral>146138</ManagementAndGeneral>
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      <PayrollTaxes>
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        <ProgramServices>212810</ProgramServices>
        <ManagementAndGeneral>35198</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
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        <ManagementAndGeneral>7004</ManagementAndGeneral>
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      <FeesForServicesAccounting>
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        <ManagementAndGeneral>17557</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
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      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
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      </FeesForServicesInvstMgmntFees>
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        <ProgramServices>703162</ProgramServices>
        <ManagementAndGeneral>60273</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>0</Total>
      </Advertising>
      <OfficeExpenses>
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        <ProgramServices>481068</ProgramServices>
        <ManagementAndGeneral>73038</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>183096</Total>
        <ProgramServices>183096</ProgramServices>
      </Occupancy>
      <Travel>
        <Total>5712</Total>
        <ProgramServices>824</ProgramServices>
        <ManagementAndGeneral>4888</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>0</Total>
      </ConferencesMeetings>
      <Interest>
        <Total>137230</Total>
        <ProgramServices>137230</ProgramServices>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>475999</Total>
        <ProgramServices>475999</ProgramServices>
      </DepreciationDepletion>
      <Insurance>
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        <ManagementAndGeneral>136029</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>FOOD STOCK</Description>
        <Total>215324</Total>
        <ProgramServices>215324</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BAD DEBT</Description>
        <Total>49498</Total>
        <ProgramServices>49498</ProgramServices>
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      <OtherExpenses>
        <Description>EDUCATION</Description>
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        <ProgramServices>16273</ProgramServices>
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      <OtherExpenses>
        <Description>MEMBERSHIPS</Description>
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        <ManagementAndGeneral>9124</ManagementAndGeneral>
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      <OtherExpenses>
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      <AllOtherExpenses>
        <Total>171614</Total>
        <ProgramServices>12194</ProgramServices>
        <ManagementAndGeneral>159420</ManagementAndGeneral>
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      <TotalFunctionalExpenses>
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      <SavingsAndTempCashInvestments>
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      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementBoth>X</FinancialStatementBoth>
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        <ListedInGoverningDoc>true</ListedInGoverningDoc>
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      <TotalDirectLobbying />
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      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
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      <OtherActivities>true</OtherActivities>
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      <TotalLobbyingExpendituresIIB>739</TotalLobbyingExpendituresIIB>
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        <Identifier>OTHER LOBBYING ACTIVITIES</Identifier>
        <ReturnReference>SCHEDULE C, PART II-B, LINE 1(I)</ReturnReference>
        <Explanation>PORTION OF DUES PAID TO THE VIRGINIA HEALTH CARE ASSOCIATION THAT IS ATTRIBUTABLE TO LOBBYING EXPENSES.</Explanation>
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      <OtherLiabilities>
        <Description>OTHER LIABILITIES</Description>
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      <TotalExpensesPerForm990>7498459</TotalExpensesPerForm990>
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        <Identifier>FIN 48 FINANCIAL STATEMENT FOOTNOTE</Identifier>
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        <Explanation>THE COMPANY IS GENERALLY EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AS AMENDED. THE COMPANY DOES NOT BELIEVE ITS FINANCIAL STATEMENTS INCLUDE (OR REFLECT) ANY UNCERTAIN TAX POSITIONS.</Explanation>
      </Form990ScheduleDPartXIV>
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        <Identifier>RECONCILIATION</Identifier>
        <ReturnReference>SCHEDULE D, PART XI, LINE 8 AND PART XIII, LINE 2D</ReturnReference>
        <Explanation>OTHER CHANGES IN PENSION LIABILITY..................$ 40,261 ======== TOTAL...............................................$ 40,261</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
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      <InitialContractException>false</InitialContractException>
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        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
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        <DeferredCompFilingOrg>767</DeferredCompFilingOrg>
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        <TotalCompensationFilingOrg>9864</TotalCompensationFilingOrg>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
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        <TotalCompensationFilingOrg>6336</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>244353</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>INDUSTRIAL DEVELOPMENT AUTHORITY CLARKSVILLE</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>546001219</IssuerEIN>
        <DateIssued>2010-04-01</DateIssued>
        <IssuePrice>4000000</IssuePrice>
        <DescriptionOfPurpose>SERIES 2000 REFUNDING REVENUE BOND</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
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        <AmountDefeased>4000000</AmountDefeased>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>false</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>false</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIV>
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        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>BUSINESS/FAMILY RELATIONSHIP</Identifier>
        <ReturnReference>PART VI, LINE 2</ReturnReference>
        <Explanation>DAVID WHITE AND CHRIS LUMSDEN HAVE A BUSINESS RELATIONSHIP.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S FORM 990 REVIEW PROCESS</Identifier>
        <ReturnReference>PART VI, LINE 11</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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CONFLICT OF INTEREST POLICY</Identifier>
        <ReturnReference>PART VI, LINE 12C</ReturnReference>
        <Explanation>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>PROCESS FOR DETERMINING COMPENSATION</Identifier>
        <ReturnReference>PART VI, LINE 15</ReturnReference>
        <Explanation>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. ORGANIZATION PERIODICALLY CONDUCTS A REVIEW TO DETERMINE THE GOING FAIR MARKET COMPENSATION RANGES FOR COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. 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. 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 DOES CURRENTLY MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>SINGLE AUDIT ACT AND OMB CIRCULAR A-133</Identifier>
        <ReturnReference>PART XI, LINE 3B</ReturnReference>
        <Explanation>A-133 AUDIT SCHEDULED TO BE COMPLETED BEFORE AUGUST 31, 2011.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HALIFAX REGIONAL HOSPITAL INCORPORATED</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2204 WILBORN AVENUE</AddressLine1>
          <City>SOUTH BOSTON</City>
          <State>VA</State>
          <ZIPCode>24592</ZIPCode>
        </AddressUS>
        <EIN>540648699</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>VA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</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>HALIFAX REGIONAL LONG TERM CARE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>103 ROSE HILL DRIVE</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 PROPERTIES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2204 WILBORN AVENUE</AddressLine1>
          <City>SOUTH BOSTON</City>
          <State>VA</State>
          <ZIPCode>24558</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>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HALIFAX REGIONAL HEALTH SYSTEM INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2204 WILBORN AVENUE</AddressLine1>
          <City>SOUTH BOSTON</City>
          <State>VA</State>
          <ZIPCode>24558</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>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SOUTHSIDE HEALTH SERVICES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2204 WILBORN AVENUE</AddressLine1>
          <City>SOUTH BOSTON</City>
          <State>VA</State>
          <ZIPCode>24592</ZIPCode>
        </AddressUS>
        <EIN>541417772</EIN>
        <PrimaryActivity>HEALTH SERVICES</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>PHYSICIAN PRACTIC</PrimaryActivity>
        <LegalDomicileState>VA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HALIFAX REGIONAL HOSPITAL INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>n</TransactionType>
        <AmountInvolved>340742</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HALIFAX REGIONAL HOSPITAL INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>o</TransactionType>
        <AmountInvolved>1197434</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>