STRATEGY STUDIO / PUBLIC DATA EXPLORER

HALIFAX REGIONAL LONG-TERM CARE INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
HALIFAX REGIONAL LONG-TERM CARE INC (EIN 54-6074529)
Tax period
2009-09-01 to 2010-08-31
Filed
2011-07-11
IRS object ID
201121929349300232
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-07-11T13:00:34-04:00Timestamp
Tax Period End Date2010-08-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11676 International DriveAddressLine1
CityMcLeanCity
StateVAState
ZIP Code22102ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-09-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN546074529EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Halifax Regional Long Term Care IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHALINameControl
Phone4345173183Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1103 Rose Hill DriveAddressLine1
CitySouth BostonCity
StateVAState
ZIP Code24592ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSTEWART NELSONName
TitleCHIEF FINANCIAL OFFICERTitle
Date Signed2011-07-06DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone7032868000Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1THE WOODVIEWBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonCHRIS A LUMSDENNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12204 WILBORN AVENUEAddressLine1
CitySOUTH BOSTONCity
StateVAState
ZIP Code24592ZIPCode
FieldValueIRS element (for citing)
Gross Receipts11976234GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.HRHS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1979YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission DescriptionTHE MISSION OF HALIFAX REGIONAL LONG TERM CARE, INC. IS TO PROVIDE THE HIGHEST QUALITY OF CARE TO THE INDIVIDUALS REQUIRING LONG TERM CARE SERVICES, RESULTING IN THE HIGHEST ACHIEVABLE QUALITY OF LIFE.ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees200TotalNbrEmployees
Total Nbr Volunteers90TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year225ContributionsGrantsPriorYear
Contributions Grants Current Year1649ContributionsGrantsCurrentYear
Program Service Revenue Prior Year10728720ProgramServiceRevenuePriorYear
Program Service Revenue CY10676851ProgramServiceRevenueCY
Investment Income Prior Year-154696InvestmentIncomePriorYear
Investment Income Current Year-153549InvestmentIncomeCurrentYear
Other Revenue Prior Year61088OtherRevenuePriorYear
Other Revenue Current Year55085OtherRevenueCurrentYear
Total Revenue Prior Year10635337TotalRevenuePriorYear
Total Revenue Current Year10580036TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY690100GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5794087SalariesEtcPriorYear
Salaries Etc Current Year6375040SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3702889OtherExpensePriorYear
Other Expenses Current Year3773492OtherExpensesCurrentYear
Total Expenses Prior Year9496976TotalExpensesPriorYear
Total Expenses Current Year10838632TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1138361RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-258596RevenuesLessExpensesCY
Total Assets BOY10628909TotalAssetsBOY
Total Assets EOY10839558TotalAssetsEOY
Total Liabilities BOY3036280TotalLiabilitiesBOY
Total Liabilities EOY3268035TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7592629NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7571523NetAssetsOrFundBalancesEOY
Mission DescriptionTHE 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 LONG TERM CARE, INC. IS ORGANIZED AND OPERATED EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR CARRYOUT 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 HOSPITAL, INC. OR ANY OTHER SERVICES REQUESTED BY HALIFAX REGIONAL HOSPITAL, INC. AND TO CARRYOUT OTHER EXCLUSIVELY CHARITABLE, EDUCATIONAL, OR SCIENTIFIC PURPOSES OF HALIFAX REGIONAL HOSPITAL, INC.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense9371981Expense
Grants690100Grants
Revenue10676851Revenue
DescriptionHALIFAX REGIONAL LONG TERM CARE, INC., DOING BUSINESS AS THE WOODVIEW AND SEASONS AT THE WOODVIEW IS COMPOSED OF A 180-BED DUALLY CERTIFIED (MEDICAID AND MEDICARE) NURSING FACILITY, (THE WOODVIEW), PROVIDING PERSONAL SERVICES, HEALTH CARE SERVICES AND REHABILITATION SERVICES; AND AN 18-BED LICENSED ASSISTED LIVING NEIGHBORHOOD (SEASONS AT THE WOODVIEW), FOR INDIVIDUALS WITH ALZHEIMER'S DISEASE OR A RELATED DEMENTIA. 57.5 PERCENT OF THE FACILITY'S REVENUES WERE REIMBURSABLE UNDER THE MEDICAID PROGRAM IN FY10 AND 21.1 PERCENT WAS REIMBURSABLE UNDER MEDICARE. THE WOODVIEW 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. THE WOODVIEW 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 RELATED DEMENTIAS, THE WOODVIEW 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, THE WOODVIEW HELPS SUPPORT COMMUNITY ACTIVITIES BY PROVIDING STAFF EXPERTISE AND RESOURCES FOR A NUMBER OF ORGANIZATIONS. COMMUNITY HEALTH IMPROVEMENT SERVICES & EDUCATION EDUCATIONAL FAMILY NIGHT THE WOODVIEW WELCOMES THE RESIDENTS' FAMILIES AND THE COMMUNITY INTO THE FACILITY FOR PROGRAMS OF INTEREST TO THE GENERAL PUBLIC. FY10 FEATURED AN EDUCATIONAL PROGRAM ON ADVANCED DIRECTIVES AND END OF LIFE DECISIONS. WOODVIEW AND SEASONS AT THE WOODVIEW NEWSLETTERS IN-HOUSE PREPARED NEWSLETTERS FROM THE WOODVIEW AND SEASONS AT THE WOODVIEW ARE DISTRIBUTED TO NEARLY 450 FAMILIES, BUSINESSES AND INDIVIDUALS EACH MONTH. THE WOODVIEW WHISTLE INCLUDES A SPECIAL FEATURE FOCUSING ON AN EMPLOYEE AND ONE OR MORE RESIDENTS AND FEATURES OTHER ITEMS OF INTEREST RELATED TO ACTIVITIES AT THE WOODVIEW. MAKING THE WOODVIEW WHISTLE ESPECIALLY INTERESTING, ARE DRAWINGS BY RESIDENTS THAT DEPICT LIFE AND TIMES AND/OR ACTIVITIES THEY FONDLY REMEMBER. OFTEN THE ARTIST WILL INCLUDE A HANDWRITTEN EXPLANATION WITH THE ARTWORK. ALSO INCLUDED ARE PHOTOS THAT DEPICT RESIDENTS INVOLVED IN THE LIFE OF THE FACILITY. THE SEASONS AT THE WOODVIEW NEWSLETTER FEATURES EDUCATIONAL INFORMATION RELATED TO ALZHEIMER'S DISEASE AND GENERAL INFORMATION ABOUT THE RESIDENTS AND FACILITY EVENTS. HEALTHY LIVING EXPO AGAIN THIS YEAR, THE WOODVIEW 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, THE WOODVIEW AND SEASONS AT THE WOODVIEW PROVIDED LONG TERM CARE AND ALZHEIMER'S DISEASE INFORMATION. MORE THAN 400 PEOPLE WERE REACHED THROUGH THIS EVENT. ADOPT A SCHOOL PROGRAM IN FY10 THE WOODVIEW "ADOPTED" THE KINDERGARTEN CLASS AT SINAI ELEMENTARY SCHOOL - APPROXIMATELY 50 STUDENTS. DURING THE SCHOOL YEAR STAFF VISITED THE STUDENTS MONTHLY, FOR A TOTAL OF SEVEN SESSIONS, FOR FUN, INTERACTIVE AND EDUCATIONAL ACTIVITIES FOCUSED ON HEALTH-RELATED TOPICS INCLUDING THE IMPORTANCE OF PHYSICAL ACTIVITY, TALKING TO STRANGERS, A TOOTH-FAIRY DENTAL VISIT, TOOTH CARE, FLU PREVENTION, HAND WASHING, ACTIVITIES WITH THE ELDERLY, NUTRITION AND AN END-OF-YEAR CELEBRATORY PARTY WITH SNACKS PROVIDED BY THE WOODVIEW DIETARY DEPARTMENT. THE STAFF EDUCATOR, FOOD SERVICE MANAGER, COOK, UNIT SECRETARY AND ACTIVITY MANAGER SERVED AS FACILITATORS FOR THESE LEARNING EVENTS. ADVANCE DIRECTIVES DAY THE WOODVIEW PARTICIPATED WITH HALIFAX REGIONAL HOSPITAL IN INCREASING 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 WOODVIEW ASSISTED WITH PROVIDING ADVANCE DIRECTIVE INFORMATION TO RESIDENTS, STAFF MEMBERS, VISITORS AND FAMILY MEMBERS AND HOSTED A PROGRAM ON ADVANCED DIRECTIVES FOR THE COMMUNITY. ALZHEIMER'S SUPPORT GROUP THE WOODVIEW PROVIDES FREE SPACE FOR ALZHEIMER'S SUPPORT GROUP MEETINGS ON THE FOURTH WEDNESDAY OF EACH MONTH. THE MEETINGS ARE CO-FACILITATED BY THE SEASONS AT THE WOODVIEW CLINICAL COORDINATOR AND A MEMBER OF THE HALIFAX REGIONAL HOSPITAL STAFF. MEETINGS ARE DESIGNED TO PROVIDE EDUCATION AND SUPPORT FOR FAMILY MEMBERS AND CAREGIVERS OF THOSE EXPERIENCING ALZHEIMER'S DISEASE OR OTHER FORMS OF DEMENTIA. WIGS FOR KIDS IN FY10 THE WOODVIEW AND SEASONS AT THE WOODVIEW PARTICIPATED IN THE PAMPERING FOR LIFE PROGRAM. LOCAL HAIR STYLISTS CAME INTO THE FACILITY AND CUT THE HAIR OF VOLUNTEER STAFF MEMBERS WHICH WAS THEN DONATED TO MAKE WIGS FOR CHILDREN UNDERGOING CANCER TREATMENT. OTHER IN FY10 THE STAFF DEVELOPMENT COORDINATOR PRESENTED A PROGRAM FOR LOCAL GRADUATING SENIORS ON INTERVIEW SKILLS. DURING HEART MONTH (FEBRUARY) THE WOODVIEW PROVIDED BLOOD PRESSURE SCREENINGS AND AN EDUCATIONAL DISPLAY ON CARDIOVASCULAR HEALTH FOR THE STAFF AND THE PUBLIC. FINANCIAL AND IN-KIND CONTRIBUTIONS ALZHEIMER'S MEMORY WALK THE WOODVIEW AND SEASONS AT THE WOODVIEW STAFF AND VOLUNTEERS PLAN, COORDINATE AND HOST AN ANNUAL ALZHEIMER'S MEMORY WALK. A NUMBER OF FUNDRAISING EVENTS ARE HELD THROUGHOUT THE YEAR BY THE WOODVIEW AND SEASONS LEADING UP TO THE BIG EVENT- THE ALZHEIMER'S MEMORY WALK, WITH 80 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 SEVEN THOUSAND DOLLARS ($7,000) WAS COLLECTED FROM THE FUND-RAISING EFFORTS THROUGHOUT THE YEAR INCLUDING BAKE SALES, ICE CREAM SUNDAE SALES, THE SALE OF GREETING CARDS WHICH WERE CREATED BY THE RESIDENTS LIVING AT THE WOODVIEW AND THE ALZHEIMER'S MEMORY WALK ITSELF. IN ADDITION, THE WOODVIEW PROVIDED SPACE AND LUNCH FOR THE AREA ALZHEIMER'S WALK TEAM COMMITTEE CAPTAIN KICK-OFF MEETING. OTHER IN-KIND CONTRIBUTIONS LONG-TERM CARE RESIDENTS ARE ENCOURAGED TO BECOME INVOLVED IN THE LIFE OF THE FACILITY AS WELL AS THE LIFE OF THE COMMUNITY, ADDING TO THEIR QUALITY OF LIFE ALONG WITH ASSISTING THOSE TO WHOM THEIR EFFORTS ARE CONCENTRATED. WITH LEADERSHIP AND COORDINATION FROM THE STAFF, IN FY10, THE WOODVIEW FAMILY - RESIDENTS, VOLUNTEERS AND STAFF ALIKE - CO-HOSTED A FALL FEST DONATING CRAFT ITEMS TO BE SOLD. FUNDS RAISED WERE USED TO PURCHASE TWO BICYCLES FOR CHILDREN IN NEED "ADOPTED" THROUGH THE DEPARTMENT OF SOCIAL SERVICES. A THANKSGIVING TURKEY DINNER WAS ALSO PROVIDED TO THE FAMILY THROUGH THIS PROGRAM. STAFF AND RESIDENTS ALSO HELD A CANNED FOOD DRIVE FOR THE UNITED MISSIONARY SOUP KITCHEN. A CRAFT AND BAKE SALE WAS HELD IN SUPPORT OF THE JUVENILE DIABETES RESEARCH FOUNDATION WITH $150 RAISED FOR THE CAUSE. WOODVIEW RESIDENTS PREPARED HAND-MADE DOLLS AND STUFFED ANIMALS FOR THE "TOYS FOR TOTS" PROGRAM, MADE AND DONATED COOKIES TO THE UNITED MISSIONARY SOUP KITCHEN FOR THANKSGIVING. THE RESIDENTS ALSO MADE BRACELETS AND DONATED THEM TO RAISE MONEY FOR "WEAR PINK DAY." THE PROCEEDS WERE DONATED TO THE CANCER ASSOCIATION. FACILITY USE THE WOODVIEW AND SEASONS AT THE WOODVIEW PROVIDE FREE SPACE AND AVAILABLE EQUIPMENT FOR CLINICAL TRAINING PROGRAMS. THE WOODVIEW SERVES AS A CLINICAL SITE FOR: " HALIFAX COUNTY HIGH SCHOOL, HEALTH OCCUPATIONS (HOSA) CLASS; 20 STUDENTS PER SEMESTER " SOUTHSIDE VIRGINIA COMMUNITY COLLEGE, SVCC; 50 NURSING ASSISTANT STUDENTS PER YEAR " SVCC; 20 LPN STUDENTS PER YEAR " SOUTHERN VIRGINIA HIGHER EDUCATION CENTER - SHADOWING PROGRAM " VANCE-GRANVILLE IN NORTH CAROLINA - LPN STUDENTS THE WOODVIEW ALSO SERVES AS A TESTING SITE FOR BELTONE HEARING AIDS. COMMUNITY BUILDING THE WOODVIEW AND SEASONS AT THE WOODVIEW TAKE PRIDE IN BEING A CONTRIBUTING MEMBER OF THE SOUTH BOSTON AND HALIFAX COUNTY COMMUNITY AND AS SUCH, REACH OUT INTO THE COMMUNITY IN A VARIETY OF WAYS. IN FY10 AN OPEN HOUSE WAS HELD FOR THE COMMUNITY TO SHOWCASE THE FACILITY'S NEW ARTWORK AND TO LEARN ABOUT SERVICES PROVIDED. INTERGENERATIONAL PROGRAMS THE WOODVIEW VISITS THE DAN RIVER WEE SCHOOL ON A REGULAR BASIS TO PROVIDE LEARNING EXPERIENCES FOR BOTH THE YOUNG CHILDREN AND THE RESIDENTS. THE CHILDREN AND RESIDENTS VISIT TOGETHER, WORK ON CRAFTS AND ENJOY VARIOUS HOLIDAY PRESENTATIONS AND PROJECTS. PEOPLE OF ALL AGES FROM APPROXIMATELY 30 COMMUNITY GROUPS-CHURCHES, DANCE GROUPS, BANDS AND VARIOUS CLUBS-SHARE THEIR TALENTS WITH RESIDENTS, STAFF MEMBERS, AND FAMILIES AT BOTH THE WOODVIEW AND SEASONS AT THE WOODVIEW. WOODVIEW RESIDENTS OFTEN JOIN OTHER COMMUNITY GROUPS TO HDescription
Total Program Service Expense9371981TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10966NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees200NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSTEWART R NELSONNamePerson
Telephone Number4345173183TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12204 WILBORN AVENUEAddressLine1
CitySOUTH BOSTONCity
StateVAState
ZIP Code24592ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployee
WILLIAM E COLEMAN
CHAIRMAN1.0XX000
CAROL C THOMAS
SECRETARY1.0XX000
DAVID H WHITE JR
VICE CHAIRMAN1.0XX000
J AUBREY HOUGHTON
TREASURER1.0XX000
JAMES WITKO
MEMBER1.0X000
CHRIS A LUMSDEN
CHIEF EXECUTIVE OFFICER2.0X1161734447940773
STEWART R NELSON
CHIEF FINANCIAL OFFICER2.0X811323396819183
THOMAS S KLUGE
CHIEF OPERATING OFFICER2.0712320826535301X
FieldValueIRS element (for citing)
Total Reportable Comp From Org26853TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs786712TotalReportableCompFrmRltdOrgs
Total Other Compensation95257TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
FUNCTIONAL PATHWAYS
317 EBENEZER ROAD SUITE 7KNOXVILLETN37923REHABILITATION SVCS422693
VIRGINIA HOSPITAL LAUNDRY
1601 NORTH 17TH STREETRICHMONDVA23219LAUNDRY SERVICES136358
SODEXHO SERVICES INC
806 TYVOLA ROADCHARLOTTENC28290DIETARY MANAGEMENT135412
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
All Other Contributions1649AllOtherContributions
Total Contributions1649TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column10676851TotalRevenueColumn
Related Or Exempt Function Income10676851RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue10676851TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column80411TotalRevenueColumn
Exclusion$80,411ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1159778Securities
Other2460Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1396198Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-236420Securities
Other2460Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-233960TotalRevenueColumn
Exclusion-$233,960ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CAFE & VENDING90009952859$52,859
MISCELLANEOUS9000992226$2,226
FieldValueIRS element (for citing)
Total Other Revenue55085TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column10580036TotalRevenueColumn
Related Or Exempt Function Income10676851RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$98,464ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total690100Total
Program Services690100ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total26030Total
Program Services0ProgramServices
Management And General26030ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4969835Total
Program Services4345340ProgramServices
Management And General624495ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total46766Total
Program Services40676ProgramServices
Management And General6090ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total984792Total
Program Services856560ProgramServices
Management And General128232ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total347617Total
Program Services302353ProgramServices
Management And General45264ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total36929Total
Management And General36929ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total24199Total
Management And General24199ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total998557Total
Program Services893026ProgramServices
Management And General105531ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total752705Total
Program Services672381ProgramServices
Management And General80324ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total220973Total
Program Services218210ProgramServices
Management And General2763ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1564Total
Program Services366ProgramServices
Management And General1198ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total58359Total
Program Services58359ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total398694Total
Program Services398694ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total201830Total
Management And General201830ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FOOD STOCK4944754923562119
DRUGS253096253096
BAD DEBT7170371703
PHYSICIAN FEES3409034090
EDUCATION24392179766416

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total201926Total
Program Services26695ProgramServices
Management And General175231ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total10838632Total
Program Services9371981ProgramServices
Management And General1466651ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2893028BOY
EOY1293155EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY1397750EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1013452BOY
EOY933820EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY41553BOY
EOY37261EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY138375BOY
EOY32906EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis11197123LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7731981LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3223695BOY
EOY3465142EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY3289109BOY
EOY3560762EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY29697BOY
EOY118762EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY10628909BOY
EOY10839558EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1288966BOY
EOY1829303EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY1095000BOY
EOY750000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY652314BOY
EOY688732EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3036280BOY
EOY3268035EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7592629BOY
EOY7571523EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7592629BOY
EOY7571523EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10628909BOY
EOY10839558EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1HALIFAX REGIONAL HOSPITAL INCORPORATEDBusinessNameLine1
FieldValueIRS element (for citing)
EIN540648699EIN
Type Of Organization03TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Organized In UStrueOrganizedInUS
Amount$10,838,632Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts10838632SumOfAmounts

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$1,097OtherActivitiesAmount
Total Lobbying Expenditures IIB1097TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierOTHER LOBBYING ACTIVITIESIdentifier
Return ReferenceSCHEDULE C, PART II-B, LINE 1(I)ReturnReference
ExplanationPortion of dues paid to the Virginia Health Care Association that is attributable to lobbying expenses.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis199253OtherCostOrOtherBasis
Book Value199253BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7163631OtherCostOrOtherBasis
Depreciation5115760Depreciation
Book Value2047871BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3540854OtherCostOrOtherBasis
Depreciation2507688Depreciation
Book Value1033166BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis293385OtherCostOrOtherBasis
Depreciation108533Depreciation
Book Value184852BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3465142TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
THIRD PARTY PROGRAMS$261,594
DUE TO AFFILIATE$114,044
PATIENT SECURITY DEPOSITS$137,310
OTHER LIABILITIES$175,784
FieldValueIRS element (for citing)
Total Of Amounts688732TotalOfAmounts
Total Revenue10580036TotalRevenue
Total Expenses10838632TotalExpenses
Excess Or Deficit For Year-258596ExcessOrDeficitForYear
Net Unrealized GL On Investments396481NetUnrealizedGLOnInvestments
Other-$158,991OtherAmount
Total Adjustments237490TotalAdjustments
Excess Or Deficit Per FS-21106ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt10817526TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments396481NetUnrealizedGainsInvestments
Other Revenues-158991OtherRevenues
Revenue Not Rptd F990237490RevenueNotRptdF990
Revenue Subtotal10580036RevenueSubtotal
Total Revenue Per Form99010580036TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt10838632TotExpensesEtcAuditedFinclStmt
Expenses Subtotal10838632ExpensesSubtotal
Total Expenses Per Form99010838632TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
TAX STATUSSCHEDULE D, PART XTHE 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.
RECONCILIATION OF REVENUE AND CHANGE IN NET ASSETSSCHEDULE D, PART XI, LINE 8 AND PART XII, LINE 2DOTHER CHANGES IN PENSION LIABILITIES $ (158,991)

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1HALIFAX REGIONAL PROPERTIES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12204 WILBORN AVENUEAddressLine1
CitySOUTH BOSTONCity
StateVAState
ZIP Code24592ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient541801463EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant690000AmountOfCashGrant
Purpose Of GrantDEBT RETIREMENT AND OPERATIONSPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierMONITORING THE USE OF GRANT FUNDSIdentifier
Return ReferenceSCHEDULE I, PART I, LINE 2ReturnReference
ExplanationGRANTS FROM HALIFAX REGIONAL LONG TERM CARE ARE ONLY MADE TO AFFILIATES WHOSE FINANCIAL RECORDS ARE MAINTAINED BY HALIFAX REGIONAL HEALTH SYSTEM.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
CHRIS A LUMSDEN
11617301594000428851546219321215160801437838249100
STEWART R NELSON
8113210627000233411121161411351786936925189500
THOMAS S KLUGE
712318492400023341108917330118615696939824129100

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FAMILY/BUSINESS RELATIONSHIPSPART VI, LINE 2DAVID WHITE AND CHRIS LUMSDEN HAVE A BUSINESS RELATIONSHIP.
ORGANIZATION'S FORM 990 REVIEW PROCESSPART VI, LINE 11THE RETURN IS PREPARED BY ORGANIZATION'S INDEPENDENT ACCOUNTING FIRM, BASED ON INFORMATION PROVIDED BY THE 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 POLICYPART VI, LINE 12CTHE 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.
PROCESS FOR DETERMINING COMPENSATIONPART VI, LINE 15ORGANIZATION 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 THE ORGANIZATIONS' 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.
GOVERNING DOCUMENTSPART VI, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND CONSOLIDATED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
HALIFAX REGIONAL HOSPITAL INCORPORATED
2204 WILBORN AVENUESOUTH BOSTONVA24592540648699HEALTHCAREVA501(C)(3)3HRHS
HALIFAX REGIONAL DEVELOPMENT FOUNDATION
2204 WILBORN AVENUESOUTH BOSTONVA24592541801459HLTH/WELFAREVA501(C)(3)11A TYPE IHRHS
HALIFAX REGIONAL PROPERTIES INC
2204 WOBPRAM AVEMIESOUTH BOSTONVA24592541801463HLTH/WELFAREVA501(C)(3)11A TYPE IHRHS
HALIFAX REGIONAL HEALTH SYSTEM INC
2204 WILBORN AVENUESOUTH BOSTONVA24592541801466HEALTHCAREVA501(C)(3)11B TYPE IINA
CLARKSVILLE SENIOR CARE LLC
2204 WILBORN AVENUESOUTH BOSTONVA24592541957066SENIOR CAREVA501(C)(3)11A TYPE IHRHS

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
SOUTHSIDE HEALTH SERVICES INC
2204 WILBORN AVENUESOUTH BOSTONVA24592541417772HEALTH SERVICESVANAC Corp
DOMINION HEALTH MEDICAL ASSOCIATES LTD
2204 WILBORN AVENUESOUTH BOSTONVA24592541060357PHYSICIAN PRACTICVANAC CORP
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
HALIFAX REGIONAL HOSPITAL INC
O1555361
HALIFAX REGIONAL PROPERTIES INC
B690000
HALIFAX REGIONAL HOSPITAL INC
N421857