2011-07-11T12:21:26-05:00 2010-08-31 KPMG LLP 1676 International Drive McLean VA 22102 990 2009-09-01 540648699 HALIFAX REGIONAL HOSPITAL INCORPORATED HALI 4345173183 2204 Wilborn Avenue South Boston VA 24592 STEWART NELSON 2011-07-06 7032868000 2009 2016-02-24 21:20:13Z CHRIS A LUMSDEN 2204 WILBORN AVENUE SOUTH BOSTON VA 24592 106067293 false X WWW.HRHS.ORG X 1948 VA THE PURPOSE OF HALIFAX REGIONAL HOSPITAL IS TO PROVIDE THE HIGHEST QUALITY CARE BASED ON THE HEALTHCARE NEEDS OF THE PEOPLE WE SERVE. 7 5 772 137 3086799 -128220 106418 69721 73413363 81010435 -2634480 -469467 1025313 718625 71910614 81329314 300000 100000 0 0 29195852 33749611 0 0 0 41623782 46660941 71119634 80510552 790980 818762 108231887 108473291 42547914 44363159 65683973 64110132 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. false false 71746839 100000 81010435 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, 2010, CONTRIBUTIONS TO CHARITY CARE ALONE TOTALED $5,082,743. 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 $102,643 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 FY10, HALIFAX REGIONAL HOSPITAL SERVED 4864 INPATIENTS, INCLUDING NEWBORNS, PROVIDED SERVICES TO 62,808 OUTPATIENTS AND HAD 26,840 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 25 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 FY10, THE HOSPITAL PROVIDED $12,360,980 IN UNCOMPENSATED CARE (CHARITY AND BAD DEBT) OR 6.4 PERCENT OF PATIENT REVENUE. IN FY10, CHARITY AND UNCOMPENSATED CARE INCREASED BY 5.7 PERCENT (FY09=$11,697,777; FY10=$12,360,980.) IN ADDITION, THE UN-REIMBURSED VALUE OF PROVIDING CARE TO PATIENTS INSURED BY THE MEDICARE AND MEDICAID PROGRAMS WAS $87,301,389 OR 45 PERCENT OF PATIENT REVENUE. COMMUNITY HEALTH IMPROVEMENT SERVICES & EDUCATION HALIFAX REGIONAL HOSPITAL ENCOURAGES ITS STAFF AND VOLUNTEERS TO CONTINUE THE CARING TRADITIONS OF THOSE CITIZENS WHO WORKED SO DILIGENTLY TO ESTABLISH THE HOSPITAL IN THE EARLY 1950S. TODAY, MANY EMPLOYEES, PHYSICIANS AND VOLUNTEERS HELP STRENGTHEN THE COMMUNITY BY ADDRESSING VARIOUS COMMUNITY HEALTH NEEDS. WHETHER SPONSORING A HEALTH FAIR, PARTICIPATING IN A CHAMBER OF COMMERCE PROJECT, SENDING A SPEAKER TO A SCHOOL CLASSROOM OR CIVIC CLUB, PARTNERING WITH OTHER HEALTHCARE PROVIDERS TO PROVIDE ADDITIONAL OUTREACH SERVICES OR DONATING TO ORGANIZATIONS WITH SIMILAR MISSIONS TO HELP IMPROVE THE QUALITY OF LIFE FOR RESIDENTS OF ALL AGES, HALIFAX REGIONAL IS PROUD TO BE A GOOD CORPORATE CITIZEN AND TO TAKE A LEADERSHIP ROLE IN THE WELL-BEING OF ALL CITIZENS IN THE REGION. SOME OF THESE ACTIVITIES, SERVICES, JOINT SPONSORSHIPS AND OTHER PROGRAMS ARE DESCRIBED BELOW. 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 FY10 AS A PART OF THE CARDIOPULMONARY REHABILITATION EDUCATION CLASSES. "DISHIN' NUTRITION WITH YOUR KIDS," A FREE CLASS DESIGNED FOR PARENTS AND CHILDREN ADDRESSING NUTRI 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 FY10 $65,100 WAS AWARDED TO 86 INDIVIDUALS. THE DR. JESSE J. BATES SCHOLARSHIP PROGRAM WHICH PROVIDES SCHOLARSHIPS 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 IS ADMINISTERED BY AND PROMOTED BY HALIFAX REGIONAL HOSPITAL. IN FY10, SEVEN STUDENTS RECEIVED $1000 EACH FROM THIS FUND. CONTINUING MEDICAL EDUCATION (CME) PROGRAM HRH IS ACCREDITED BY THE MEDICAL SOCIETY OF VIRGINIA TO SPONSOR CME PROGRAMS FOR PHYSICIANS. THE CONTINUING MEDICAL EDUCATION PROGRAM IS OPEN TO ALL PHYSICIANS IN THE COMMUNITY AND SERVICE AREA. THE MISSION OF THE CME PROGRAM IS TO INSURE THE CONTINUING IMPROVEMENT OF QUALITY PATIENT CARE BY OFFERING EDUCATION COURSES TO HELP ASSURE THAT THE HIGHEST LEVEL OF SCIENTIFIC MEDICAL KNOWLEDGE AND TECHNICAL SKILLS WILL BE MAINTAINED FOR OUR ACTIVE STAFF AND FOR PHYSICIANS IN OUR SERVICE AREA. EDUCATIONAL PROGRAMS ARE PLANNED BASED ON NEEDS IDENTIFIED BY PHYSICIANS AND THROUGH QUALITY PERFORMANCE MEASURES. FINANCIAL AND IN-KIND CONTRIBUTIONS HALIFAX REGIONAL COMMUNITY PARTNERSHIP PROGRAM AS A CORNERSTONE ORGANIZATION IN OUR REGION, HALIFAX REGIONAL TAKES SERIOUSLY ITS RESPONSIBILITY TO BE AN ACTIVE CORPORATE CITIZEN. THE HEALTH SYSTEM CONTRIBUTES TO VARIOUS ORGANIZATIONS THAT SHARE ITS MISSION TO PROMOTE GOOD HEALTH AND WELLNESS AND TO HELP IMPROVE THE QUALITY OF LIFE OF ALL AGES. AS PART OF THE HEALTH SYSTEM'S CONTINUED ACTIVE COMMUNITY INVOLVEMENT, THE HALIFAX REGIONAL COMMUNITY PARTNERSHIP PROGRAM WAS ESTABLISHED IN FY05 TO ENABLE HALIFAX REGIONAL HEALTH SYSTEM TO MAXIMIZE ITS RESOURCES TO PROVIDE THE GREATEST BENEFIT TO CITIZENS IN SOUTHSIDE VIRGINIA. GUIDELINES FOR REQUESTS HELP ANSWER IMPORTANT QUESTIONS THAT ENABLE THE PROGRAM TO DISPERSE RESOURCES IN THE MOST EFFECTIVE MANNER. IN FY10 $102,643 WAS DONATED TO SUPPORT COMMUNITY PROGRAMS IN OUR SERVICE AREA. ADDITIONALLY, HUNDREDS OF HEALTH EDUCATION BROCHURES AND GIVEAWAYS WERE PROVIDED TO COMMUNITY ORGANIZATIONS TO HELP SUPPORT THEIR EVENTS AND PROGRAMS. MEDICATION ASSISTANCE PROGRAM WITH FUNDING SUPPORT FROM THE VIRGINIA HEALTH CARE FOUNDATION, THE CHASTAIN HOME AND THE HALIFAX REGIONAL DEVELOPMENT FOUNDATION, MEDASSIST OF HALIFAX PROVIDES MEDICATION ASSISTANCE TO LOW INCOME, UNINSURED AND UNDERINSURED RESIDENTS IN HALIFAX AND MECKLENBURG COUNTIES. MEDASSIST OF HALIFAX COLLABORATES WITH OTHER HEALTHCARE PROVIDERS AND AGENCIES IN THE AREA TO IDENTIFY INDIVIDUALS WHO CAN BENEFIT FROM THIS SERVICE. THIS PROGRAM PROVIDES PARTICIPANTS A STABLE PROCESS FOR RECEIVING LIFE SUSTAINING AND/OR PREVENTIVE MEDICATIONS. HALIFAX COUNTY HAS A HIGHER INCIDENCE THAN THE STATE MEDIAN FOR HEALTH CONDITIONS FOR WHICH HOSPITALIZATIONS CAN BE PREVENTED WITH CONSISTENT, AVAILABLE AMBULATORY CARE AND GOOD PATIENT COMPLIANCE WITH TREATMENT/SELF PROTOCOLS, INCLUDING HYPERTENSION, ASTHMA AND DIABETES. COMPLIANCE WITH PRESCRIBED COURSES OF MEDICATION IMPROVES THE QUALITY OF LIFE FOR PATIENTS, WHILE DECREASING THE NUMBER OF HOSPITAL VISITS OF PATIENTS WHO RETURN DUE TO INABILITY TO COMPLY. EMERGENCY DEPARTMENT VISITS PRECIPITATED BY CONDITIONS WHICH COULD HAVE BEEN MANAGED WITH COMPLIANCE WITH THE PRESCRIBED MEDICATION REGIMEN ARE EXPECTED TO ALSO BE REDUCED. THIS PROGRAM IS ADMINISTERED THROUGH THE HALIFAX REGIONAL DEVELOPMENT FOUNDATION, INC. DURING FY10, 1403 PATIENTS RECEIVED MEDICATIONS VALUED AT $1,891,440.50. 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 FY10, HALIFAX REGIONAL CONTRIBUTED $25,000 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 FY10 EMPLOYEES, PHYSICIANS AND VOLUNTEERS AT HALIFAX REGIONAL HOSPITAL AGAIN PARTICIPATED IN SODEXO SERVICES' "SERVATHON," A NATIONWIDE FOOD DRIVE CONDUCTED EACH APRIL TO HELP PUT FOOD ON THE TABLES OF THOSE HAVING DIFFICULTY PROVIDING FOR THEIR FAMILIES. STAFF MEMBERS AND OTHERS COLLECTED OVER $1500 AND NEARLY 600 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. IN FY10 THE HOSPITAL BEGAN DISTRIBUTING THEM AS WELL. WOMEN FROM LOCAL MISSIONARY UNIONS IN THE DAN RIVER BAPTIST ASSOCIATION SEW THE DOLLS AND PROVIDE THEM FOR LOCAL HOSPICE AND HOSPITAL PATIENTS. DURING FY10, APPROXIMATELY 80 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. ON MAY 23, 2010, HALIFAX REGIONAL HOSPITAL HOSTED A PICNIC TO HONOR MEMBERS OF RESCUE SQUADS, EMERGENCY TRANSPORT PERSONNEL AND FIRE DEPARTMENTS THROUGHOUT OUR THREE-COUNTY SERVICE AREA. THE PICNIC, HELD AT THE ABB FAMILY PICNIC AREA DURING NATIONAL EMS WEEK, WAS FOR MEMBERS AND THEIR FAMILIES. IN ADDITION TO A PICNIC DINNER, DRAWINGS WERE HELD FOR SEVEN $100 EDUCATIONAL SCHOLARSHIPS FOR RESPECTIVE SQUADS. 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 AND HALIFAX COUNTY HIGH SCHOOL STUDENTS WHO PARTICIPATE IN FALL, WINTER, SPRING AND SUMMER SCHOOL SPORTS PROGRAMS. IN FY10 PROVIDERS COMPLETED APPROXIMATELY 250 PHYSICALS FOR MIDDLE SCHOOL STUDENTS AND APPROXIMATELY 325 FOR HIGH SCHOOL STUDENTS. FACILITY USE HALIFAX REGIONAL HOSPITAL AND THE LONG TERM CARE AFFILIATES PROVIDE FREE SPACE AND AVAILABLE EQUIPMENT FOR AREA WELLNESS PROGRAMS, COMMUNITY MEETINGS AND CLINICAL TRAINING PROGRAMS. EXAMPLES INCLUDE: ECONOMIC DEVELOPMENT COMMISSION, HALIFAX COUNTY PUBLIC SCHOOL FOUNDATION, WEIGHT WATCHERS, UNITED WAY BOARD MEETINGS, LOCAL MINISTER'S CONFERENCE, DIXIE SOFTBALL MEETING, CREDIT UNION, BLUE RIDGE AUTISM CENTER WORKSHOP ON AUTISM, SOUTHSIDE COMMUNITY COLLEGE NURSING PROGRAM, AMERICAN RED CROSS BLOODMOBILE, BELTONE HEARING CLINICS, AARP SAFE DRIVING CLASSES AND VARIOUS SUPPORT GROUP MEETINGS. HALIFAX REGIONAL HOSPITAL SERVED AS A CLINICAL SITE FOR: " RN AND LPN STUDENTS, SOUTHSIDE VIRGINIA COMMUNITY COLLEGE " PHYSICAL THERAPY STUDENTS FROM REGIS UNIVERSITY, DENVER, COLORADO " PHYSICAL THERAPY ASSISTANT STUDENTS, JEFFERSON COLLEGE HEALTH SCIENCES " SPEECH LANGUAGE PATHOLOGY STUDENTS FROM LONGWOOD COLLEGE " AGREEMENTS ARE ALSO HELD TO SERVE AS A TRAINING SITE FOR STUDENTS FROM EAST CAROLINA UNIVERSITY, UNIVERSITY OF NORTH CAROLINA-CHAPEL HILL, SHENANDOAH, JAMES MADISON UNIVERSITY, APPALACHIAN STATE UNIVERSITY, MEDICAL UNIVERSITY OF SOUTH CAROLINA, WINSTON SALEM STATE UNIVERSITY, ELON, LYNCHBURG COLLEGE AND RADFORD UNIVERSITY. " RESPIRATORY THERAPY STUDENTS FROM J. SERGEANT REYNOLDS COMMUNITY COLLEGE " RADIOLOGY TECHNOLOGISTS PROGRAM, CVCC, LYNCHBURG, VA " EMS STUDENTS FROM LOCAL EMS CLASSES COMPLETED THEIR TRAINING AT DIFFERENT LEVELS. OTHER STUDENTS FROM SOUTH HILL, FARMVILLE AND RICHMOND ALSO PERFORMED THEIR TRAINING AT HALIFAX REGIONAL HOSPITAL. " PHARMACY STUDENTS, MEDICAL COLLEGE OF VIRGINIA " PHARMACY TECHNICIAN STUDENTS, NATIONAL BUSINESS COLLEGE, MILLER MOTT TECHNICAL COLLEGE " DOCTOR OF PHARMACY STUDENTS, MEDICAL COLLEGE OF VIRGINIA 4D PROGRAM SERVICE _____________________________ COMMUNITY BUILDING EMPLOYEES DONATE HUNDREDS OF HOURS AND SHARE THEIR TALENTS AND EXPERTISE AS MEMBERS OF VARIOUS CIVIC AND RELIGIOUS ORGANIZATIONS IN THEIR COMMUNITIES, AS WELL AS SERVING ON RESCUE SQUADS AND FIRE DEPARTMENTS. THE HOSPITAL ALLOWS AND ENCOURAGES EMPLOYEES TO PROVIDE SERVICE TO THE COMMUNITY DURING WORKING HOURS ALSO. EMPLOYEES SERVE IN VARIOUS CAPACITIES INCLUDING ON BOARDS AND ADVISORY COMMITTEES OF A NUMBER OF COMMUNITY GROUPS AND STATE ORGANIZATIONS ADVANCING COMMUNITY HEALTH AND WELLNESS AND WORKFORCE DEVELOPMENT INCLUDING THE FOLLOWING: HALIFAX COUNTY CHAMBER OF COMMERCE; CHARLOTTE COUNTY CHAMBER OF COMMERCE; CLARKSVILLE CHAMBER OF COMMERCE; MECKLENBURG COUNTY BUSINESS EDUCATION PARTNERSHIP; HALIFAX ADVOCATES FOR SUBSTANCE ABUSE PREVENTION; SOUTHSIDE HEALTH COALITION, HALIFAX VOCATIONAL EDUCATION FOUNDATION; SOUTHSIDE VIRGINIA COMMUNITY COLLEGE SCHOOL OF NURSING ADVISORY COUN 71746839 true true false true false false false false false true false true false false true false false false false false true true false true true false false false false false false false false false true false false false false true true true false false true 95 0 true 772 true true true true CJ false false false false false false false 7 5 true false false false false false false true true false false true true true true true true true true false VA X STEWART R NELSON 4345173183 2204 WILBORN AVENUE SOUTH BOSTON VA 24592 JAMES WITKO MD 1.0 X 0 0 0 WILLIAM E COLEMAN 1.0 X X 0 0 0 DAVID H WHITE JR 1.0 X X 0 0 0 J AUBREY HOUGHTON 1.0 X X 0 0 0 CAROL C THOMAS 1.0 X X 0 0 0 BENJAMIN FINCHER 1.0 X 0 0 0 JOAN DEVINE MD 1.0 X 12800 0 0 CHRIS A LUMSDEN 35.0 X 316848 39218 40774 STEWART R NELSON 35.0 X 214692 27389 19183 THOMAS S KLUGE 35.0 X 191341 24047 35301 WILLIAM ZIRKLE 40.0 X 139721 0 19962 DAVID FITTS 40.0 X 133274 0 24200 EVERETT MOUNTS 40.0 X 125725 0 50366 MARSHA YOUNG 40.0 X 125202 0 25930 PATRICIA THOMAS 40.0 X 134306 0 34255 1393909 90654 249971 16 false true false MCKESSON PO BOX 98347 CHICAGO IL 606938347 IT MAINTENANCE 1286530 PULMONARY ASSOCIATES 2210 WILBORN AVENUE SOUTH BOSTON VA 24592 HOSPITALIST SERVICES 736871 SODEXHO SERVICES INC 806 TYVOLA ROAD CHARLOTTE NC 28290 DIETARY/ENVIRON MGT 491457 FUNCTIONAL PATHWAYS PO BOX 102426 ATLANTA GA 302682426 PT/OT STAFFING 454821 SIEMENS DEPT AT 40065 ATLANTA GA 31192 RADIOLOGY MAINTEN. 437435 21 23589 46132 69721 NET PATIENT SERVICE REVENUE 541900 81010435 77923636 3086799 81010435 181234 181234 0 0 23850 23850 23850 23850 24000089 87189 24654391 83588 -654302 3601 -650701 -650701 0 0 0 CAFE/VENDING 721000 456623 456623 GIFT SHOP 453220 103631 103631 INCOME FROM AUXILIARY 900099 26878 26878 107643 107643 694775 81329314 77923636 3086799 249158 100000 100000 0 0 0 737450 0 737450 0 0 25673525 23170760 2502765 650154 570390 79764 4717084 4138371 578713 1971398 1729538 241860 0 171853 171853 84986 84986 18637 18637 0 0 8109779 7597624 512155 175974 1388 174586 12663068 10304649 2358419 0 0 781222 781222 198060 177381 20679 0 0 1328743 1328743 0 7490303 7490303 359471 359471 BAD DEBT 7278238 7278238 DRUGS 3179381 3179381 RECRUITMENT 1006422 822939 183483 BLOOD 772078 772078 GIFT SHOP EXPENSES 80561 80561 2962165 2223273 738892 80510552 71746839 8763713 0 38933 5101578 5940000 3520000 11394701 11702715 2220003 2170240 2352719 2498992 133077174 82847767 54516454 50229407 24815672 30392845 4176862 566405 2776543 2291109 108231887 108473291 6184518 6544431 29068923 27518857 7294473 10299871 42547914 44363159 X 65683973 64110132 65683973 64110132 108231887 108473291 X false true true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false true 18637 18637 false OTHER ACTIVITIES SCHEDULE C, PART 11-B, LINE I IN FISCAL YEAR 2010, OUTSIDE LOBBYISTS WERE PAID $18,637 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. 699209 699209 59515782 26188024 33327758 69166704 54667766 14498938 3695479 1991977 1703502 50229407 0 ACCRUED PENSION PLAN 6258256 CAPITALIZED LEASE OBLIGATIONS 928164 INTEREST PAYABLE 666825 DUE TO THIRD PARTIES 600000 OTHER LIABILITIES 1846626 10299871 TAX STATUS SCHEDULE D, PART X 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. Central America and the Caribbean 0 0 Investments 0 0 true true true X true X 275. true true false true false 1 1643713 1643713 0.02060 1 10512 6267405 5994434 272971 0.00340 1 356 122590 105307 17283 0.00020 3 10868 8033708 6099741 1933967 0.02420 160 33268 197002 811 197002 0.00250 13 13 115561 621 114940 0.00140 2 3267009 232668 3034341 0.03810 219 50 12018 12018 0.00020 394 33331 3591590 234100 3358301 0.04220 397 44199 11625298 6333841 5292268 0.06640 40 14122 14122 0.00020 6 423 423 21 120 5033 5033 0.00010 6 56214 56214 0.00070 73 120 75792 75792 0.00100 true 2407513 0 29822985 26649425 3173560 X true true HALIFAX REGIONAL HOSPITAL INCORPORATED

2204 WILBORN AVENUE SOUTH BOSTON VA 24592

X X X HOME HEALTH HOSPICE THE ORGANIZATION USES FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR PROVIDING FREE AND DISCOUNTED CARE TO LOW INCOME INDIVIDUALS. THE ORGANIZATION USED THE COST TO CHARGE RATIO FROM WORKSHEET 2 TO DETERMINE THE AMOUNTS REPORTED IN PART I, LINE 7. HALIFAX REGIONAL HOSPITAL INCLUDED $2,925,237 AS SUBSIDIZED HEALTH SERVICES ON SCHEDULE H FOR COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS. 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 $7,444,588. 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. MEDICARE ALLOWABLE COSTS OF CARE AND RELATED REIMBURSEMENT WERE OBTAINED FROM THE 2010 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. 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 25% 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. THE ORGANIZATION'S PURPOSE IS "TO PROVIDE THE HIGHEST QUALITY CARE BASED ON THE HEALTHCARE NEEDS OF THE PEOPLE WE SERVE." IN FULFILLING THIS PURPOSE AND VISION, HRH 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: " HRH 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. 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. 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 = 37,350); THE SECONDARY SERVICE AREA INCLUDES CHARLOTTE COUNTY (POPULATION = 12,471) AND MECKLENBURG COUNTY (POPULATION = 32,380). ALL THREE COUNTIES ARE DESIGNATED RURAL, MEDICALLY UNDERSERVED AREAS (MUA), AND HEALTHCARE PROVIDER SHORTAGE AREAS FOR PRIMARY CARE (HPSA). 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. FIFTEEN 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-ONE TO FIFTY-FIVE 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, 52,000 OUTPATIENTS, AND 25,000 ER PATIENTS. HRH PROVIDES CARE TO ALL REGARDLESS OF THEIR ABILITY TO PAY. IN 2010, 58% OF HRH PATIENTS WERE MEDICARE; 10% MEDICAID; 2,600 PATIENTS WERE SERVED THROUGH THE HRH PATIENT FINANCIAL ASSISTANCE PROGRAM. 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'S OUTREACH ACTIVITIES AND COMMUNITY PROJECTS. " DIABETES SELF-MANAGEMENT EDUCATION PROGRAM: WITH THE INCIDENCE OF DIABETES IN THE HRH 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. THE PROGRAM OFFERS INDIVIDUAL AND GROUP CLASSES MONTHLY AND ACTS AS A LEARNING AND RESOURCE CENTER FOR ADULTS AND CHILDREN WITH DIABETES WHO NEED ONE-ON-ONE INSTRUCTION. 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. " 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. THESE CLASSES ARE OFFERED FREE TO THE PUBLIC. " 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. " PASTORAL CARE SERVICES OUTREACH: IN 2010, THE HOSPITAL PASTORAL CARE SERVICES DEPARTMENT OFFERED A PERSONAL MENTORING PROGRAM TO LOCAL CLERGY ENCOMPASSING LISTENING AND PRAYER RESPONSE, PASTORAL CARE EDUCATIONAL INFORMATION AND SPIRITUAL GUIDANCE. NINE CLERGY PARTICIPATED. THE PROGRAM WAS OFFERED AT NO COST. " DR. JESSE J. BATES SCHOLARSHIP: THE DR. JESSE J. BATES SCHOLARSHIP FUND PROVIDES ANNUAL SUPPORT TO SELECTED GRADUATING SENIORS FROM THE HRH SERVICE AREAS THAT ARE FURTHERING THEIR EDUCATION IN A MEDICAL FIELD. IN 2010, $12,000 WAS AWARDED TO SIX RECIPIENTS. " PHYSICIAN EMERGENCY MEDICAL SERVICES: HRH WORKS WITH AREA EMS AND FIRE AGENCIES IN THE 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. HRHS ALSO OFFERS SUPPORT TO THESE ORGANIZATIONS IN THEIR FUND-RAISING EFFORTS. " THE AUXILIARY OF HALIFAX REGIONAL: HALIFAX REGIONAL'S AUXILIARY REMAINS AN INTEGRAL PART OF THE ORGANIZATION. THE AUXILIARY HAS DONATED MORE THAN HALF OF A $100,000 COMMITMENT TO THE NEW HEALING GARDEN ON THE HRH CAMPUS. FINANCIAL CONTRIBUTIONS WERE ALSO MADE TO SUPPORT PROJECT PRIME; TO THE CONTINUING MEDICAL EDUCATION PROGRAM; TO THE MCV HOSPITALITY HOUSE; TO THE MUSCULAR DYSTROPHY ASSOCIATION; AND TO GUEST RELATIONS TO ASSIST INDIGENT PATIENTS IN OBTAINING MEDICATIONS AND/OR TRANSPORTATION. ONE HUNDRED THIRTY-SIX STRONG, THE AUXILIARY HAS DONATED NEARLY 30,000 HOURS TO HRH WITH 18 JUNIOR VOLUNTEERS DONATING 500 HOURS THIS SUMMER. " 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 SUPPORT GROUP SPONSORSHIPS AND FACILITATION. 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. HRHS SPONSORS AN ANNUAL HEALTH FAIR, THE HEALTHY LIVING EXPO, OFFERING FREE SCREENINGS AND HEALTH INFORMATION TO THE COMMUNITY. IN ADDITION TO THE EXPO, HRHS GENERALLY PARTICIPATES IN AT LEAST TWO ADDITIONAL SCREENINGS/EDUCATIONAL EVENTS. A TOTAL OF 893 FREE SCREENINGS WERE COMPLETED IN 2010. THE HRHS SPEAKER'S BUREAU REMAINS ACTIVE. APPROXIMATELY A THOUSAND INDIVIDUALS WERE REACHED THROUGH TWENTY-SIX COMMUNITY GROUP PRESENTATIONS IN 2010. " THE HALIFAX REGIONAL COMMUNITY PARTNERSHIP: THE PARTNERSHIP IS A CHARITABLE PROGRAM ESTABLISHED AS PART OF HRH TO PROMOTE AREAS OF HEALTH AND WELLNESS IN THE COMMUNITIES WE SERVE. THESE GOALS ARE ACHIEVED THROUGH FINANCIAL CONTRIBUTIONS, DONATION OF RESOURCES, AND THE VOLUNTEER EFFORTS OF OUR PHYSICIANS AND STAFF. HRH EMPLOYEES VOLUNTEER WITH VARIOUS ORGANIZATIONS AND HRH SUPPORTS MANY OF THESE THROUGH MONETARY, HUMAN RESOURCE, AND MATERIAL DONATIONS. SOME OF THE ORGANIZATIONS THAT HAVE BENEFITED FROM THESE CONTRIBUTIONS THIS YEAR INCLUDE HEALTHY FAMILIES HALIFAX, THE ALZHEIMER'S ASSOCIATION, THE RED CROSS, THE MECKLENBURG COUNTY COMMUNITY SERVICES CORPORATION, YMCAS, FIRE DEPARTMENTS, RESCUE SQUADS, THE BOYDTON COMMUNITY HEALTH CENTER, THE NATIONAL CHILD SAFETY COUNCIL, THE MUSEUM OF FINE ARTS, LOCAL CHARITIES AND FUNDRAISERS, MUNICIPAL GROUPS, RECREATIONAL SPORTS PROGRAMS FOR CHILDREN, CHAMBERS OF COMMERCE, COMMUNITY EVENTS, THE SOUTHERN VIRGINIA HIGHER EDUCATION CENTER'S CENTER FOR NURSING EXCELLENCE AND OTHER EDUCATIONAL INITIATIVES. HRH CONTINUES ITS PARTICIPATION IN THE ADOPT-A-SCHOOL PROGRAM WHERE HRH EMPLOYEE VOLUNTEERS SERVE AS TUTORS/MENTORS. HRH SUPPORTS THE MECKLENBURG COUNTY BUSINESS EDUCATION PARTNERSHIP THROUGH REPRESENTATION ON THE BOARD AND THROUGH VARIOUS CONTRIBUTIONS TO PROMOTE EDUCATION IN MECKLENBURG COUNTY SCHOOLS, INCLUDING SPONSORSHIPS OF NEW TEACHERS AND PARTICIPATION IN THE HIGH SCHOOL'S SCHOLAR-DOLLAR PROGRAM. HRH ENCOURAGES AND SUPPORTS ITS TALENTED TEAM OF HEALTHCARE PROFESSIONALS TO PARTICIPATE IN AND PROVIDE LEADERSHIP ON COMMUNITY BOARDS AND ADVISORY COUNCILS. HRH ALSO PROVIDES SPONSORSHIP AND IN-KIND CONTRIBUTIONS AND SUPPORTS VARIOUS SCHOOL PROJECTS AND PROGRAMS, COMMUNITY FESTIVALS AND ANNUAL EVENTS, SPECIAL HEALTH-RELATED COMMUNITY PROGRAMS, FUNDRAISING PROJECTS, AND VARIOUS CHAMBER OF COMMERCE ACTIVITIES IN OUR THREE COUNTY SERVICE AREA. HRH CONTINUES TO PROVIDE SPACE, SPEAKERS, GROUP FACILITATION AND/OR ASSISTANCE TO A VARIETY OF SUPPORT GROUPS INCLUDING AREA ALZHEIMER'S SUPPORT GROUPS CAREGIVERS OF AUTISTIC CHILDREN, BETTER BREATHERS, FOR INDIVIDUALS WHO HAVE OR HAVE HAD PULMONARY ILLNESSES, BOSOM BUDDIES, FOR WOMEN WHO HAVE HAD BREAST CANCER OR ARE CURRENTLY UNDERGOING TREATMENT, LOOK GOODFEEL BETTER, A WORKSHOP FOR WOMEN IN ACTIVE CANCER TREATMENT, PUMP CLUB, FOR ANYONE USING AN INSULIN PUMP, IS THINKING OF USING ONE OR WHO WANTS TO LEARN MORE, HALIFAX COUNTY STROKE/APHASIA SUPPORT GROUP, OVEREATERS ANONYMOUS, AND NARCOTICS ANONYMOUS. HRH ADVERTISES THESE SUPPORT GROUPS ON A ROUTINE BASIS IN LOCAL NEWSPAPERS AND ON THE HRH WEBSITE. SPEARHEADED BY THE NUTRITION AND ENVIRONMENTAL SERVICE DEPARTMENTS, HRH HOLDS THE ANNUAL SODEXO SERVATHON FOOD DRIVE WHICH IN 2010, NETTED 1,045 POUNDS OF NON-PERISHABLE FOOD ITEMS AND $590 IN CASH, ALL DONATED TO THE UNITED MISSIONARY SOUP KITCHEN. IN APRIL OF 2010, HRH JOINED HOSPITALS AND HEALTHCARE FACILITIES NATIONWIDE TO CALL ATTENTION TO THE IMPORTANCE OF COMPLETING ADVANCE DIRECTIVES. KNOWLEDGEABLE HRHS EMPLOYEES PRESENTED INFORMATIONAL PROGRAMS AT FIVE AREA CHURCHES TO SPREAD THE WORD. THE PROGRAMS WERE PUBLICIZED IN AREA PAPERS, ON LOCAL RADIO STATIONS, ON HRH'S ON-HOLD MESSAGING SYSTEM, THROUGH MAILINGS TO 200 LOCAL CHURCHES AND ON THE WEB SITE. 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 TO 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. THE PURPOSE OF HRH AND ITS AFFILIATES IS "TO PROVIDE THE HIGHEST QUALITY CARE BASED ON THE HEALTHCARE NEEDS OF THE PEOPLE WE SERVE." IN FULFILLING THIS PURPOSE AND VISION, HRH'S 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, HRH 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 HELP CREATE SERVICES AND PROGRAMS AIMED AT IMPROVING THE HEALTH OF THE COMMUNITY. A VARIETY OF INTERNAL AND EXTERNAL HEALTH DATA RESOURCES ARE USED 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, INCLUDING FORMAL QUESTIONNAIRES, TELEPHONE INTERVIEWS, SURVEYS, LETTERS, ETC. " HOSPITAL ADMISSION AND DISCHARGE DATA " FEEDBACK FROM COMMUNITY AND CIVIC ENTITIES, GOVERNMENTAL AGENCIES AND RESCUE SQUADS " CENTRAL VIRGINIA HEALTH PLANNING AGENCY SOCIO-DEMOGRAPHIC INFORMATION " CENTRAL VIRGINIA HEALTH PLANNING AGENCY HEALTH & HUMAN SERVICES NEEDS ASSESSMENT " VIRGINIA CENTER FOR HEALTHY COMMUNITIES - VIRGINIA ATLAS OF COMMUNITY HEALTH " POPULATION CHARACTERISTIC DATA ANALYSIS " PHYSICIAN MANPOWER ANALYSIS " BOARD, MEDICAL STAFF, AND EMPLOYEE FEEDBACK " PATIENT AND FAMILY FOCUS GROUP FEEDBACK " VIRGINIA HOSPITAL AND HEALTHCARE ASSOCIATION "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 INITIATIVE TO DEFINE THE COUNTY'S ACTION PLAN FOR FUTURE GROWTH AND DEVELOPMENT " HEALTHY PEOPLE 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. 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. PROJECTS UNDER DEVELOPMENT INCLUDE A COMPREHENSIVE DIABETES MANAGEMENT PROGRAM, A PATIENT NAVIGATOR PROGRAM, AND A CASE MANAGEMENT SYSTEM TO IMPROVE CHILDHOOD IMMUNIZATION RATES. COMMUNITY BENEFIT REPORT A COMMUNITY BENEFIT REPORT IS FILED WITH THE VIRGINIA HOSPITAL AND HEALTHCARE ASSOCIATION. VA true HALIFAX REGIONAL DEVELOPMENT FOUNDATION 2204 WILBORN AVENUE SOUTH BOSTON VA 24592 541801459 501(C)(3) 100000 FUNDING OF COMMUNITY PARTNERSHIP 1 0 DOCUMENTATION OF GRANTS SCHEDULE I, PART I, LINE 2 GRANTS FROM HALIFAX REGIONAL HOSPITAL ARE ONLY MADE TO AFFILIATES WHOSE FINANCIAL RECORDS ARE MAINTAINED BY HALIFAX REGIONAL HEALTH SYSTEM. X true true X X X false false false false false false false false CHRIS A LUMSDEN 273993 39218 0 0 42855 0 17844 5634 14029 3267 348721 48119 0 0 STEWART R NELSON 191351 27389 0 0 23341 0 12945 4317 1558 363 229195 32069 0 0 WILLIAM ZIRKLE 135854 0 3867 0 0 0 13189 0 6773 0 159683 0 0 0 DAVID FITTS 130274 0 3000 0 0 0 7161 0 17039 0 157474 0 0 0 EVERETT MOUNTS 125725 0 0 0 0 0 37371 0 12995 0 176091 0 0 0 MARSHA YOUNG 120287 0 4915 0 0 0 12935 0 12995 0 151132 0 0 0 THOMAS S KLUGE 168000 24047 0 0 23341 0 12572 5847 13693 3189 217606 33083 0 0 PATRICIA THOMAS 134306 0 0 0 0 0 26256 0 7999 0 168561 0 0 0 SOCIAL CLUB DUES SCHEDULE J, PART I, LINE 1 MONTHLY COUNTRY CLUB DUES ARE PAID FOR THE CEO. AMOUNT IS SUBSTANTIATED BY AN INVOICE FROM AND PAID DIRECTLY TO THE CLUB. INDUSTRIAL DEVELOPMENT AUTHORITY HALIFAX COUNTY 541169928 40579NBD7 2004-08-11 14883460 SERIES 2004 REFUNDING REVENUE BOND false false INDUSTRIAL DEVELOPMENT AUTHORITY CHARLOTTE COUNTY 541643556 160831AA1 2007-10-17 20089290 SERIES 2007 REVENUE BOND false false 14883460 12402353 294671 2186436 2004 true true true true 20089290 1386500 391600 18311190 2008 false false true true false false false false false 0.00000 0.00000 0.00000 true false false false false false 0.00000 0.00000 0.00000 true false false false false false false false false false false false false JAMES WITKO MD-PULMONARY ASSOCIA BOARD MEMBER-HRH & HRHS 776573 HOSPITALIST SERVICES false BUSINESS/FAMILY RELATIONSHIP PART VI, LINE 2 DAVID WHITE AND CHRIS LUMSDEN HAVE A BUSINESS RELATIONSHIP. ORGANIZATION'S FORM 990 REVIEW PROCESS PART VI, LINE 11 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. COMPENSATION PART VI, LINE 15 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. GOVERNING DOCUMENTS PART VI, LINE 19 THE ORGANIZATION DOES CURRENTLY MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. A-133 AUDIT PART XI, LINE 3B A-133 AUDIT IS SCHEDULED TO BE COMPLETED PRIOR TO AUGUST 31, 2011. 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