TY 2010 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) JAMES WITKO MD BOARD MEMBER	1.0	X				3,600	0	0
(2) DAVID H WHITE JR CHAIRMAN	1.0	X	X			0	0	0
(3) J AUBREY HOUGHTON TREASURER	1.0	X	X			0	0	0
(4) CAROL C THOMAS VICE CHAIRMAN	1.0	X	X			0	0	0
(5) HABIB BASSIL MD SECRETARY (BEGINNING 11/10)	1.0	X	X			60,375	0	0
(6) BENJAMIN FINCHER BOARD MEMBER	1.0	X				0	0	0
(7) WILLIAM E COLEMAN BOARD MEMBER (THROUGH 11/10)	1.0	X				0	0	0
(8) JAMES H PRIEST DDS BOARD MEMBER	1.0	X				6,000	0	0
(9) CHRIS A LUMSDEN CHIEF EXECUTIVE OFFICER	35.0		X			323,359	37,623	45,122
(10) STEWART R NELSON INFORMATION SYSTEMS MANAGER	35.0		X			213,556	25,513	26,963
(11) THOMAS S KLUGE CHIEF OPERATING OFFICER	35.0			X		193,622	22,839	35,203
(12) WILLIAM ZIRKLE CHIEF INFORMATION OFFICER	40.0				X	135,379	0	32,873
(13) DAVID FITTS PHARMACY MANAGER	40.0				X	128,579	0	26,435
(14) EVERETT MOUNTS STAFF PHARMACIST	40.0				X	130,196	0	40,522
(15) KENNETH CONNER STAFF PHARMACIST	40.0				X	125,821	0	24,330
(16) PATRICIA THOMAS DIRECTOR OF PATIENT CARE SVCS	40.0				X	143,143	0	38,676

(A) Name and business address	(B) Description of services	(C) Compensation
MCKESSON PO BOX 98347 CHICAGO,IL606938347	IT MAINTENANCE	1,363,071
PULMONARY ASSOCIATES 2210 WILBORN AVENUE SOUTH BOSTON,VA24592	HOSPITALIST SERVICES	819,795
SOUTHSIDE PATHOLOGY 1215 WADDELL LANE SOUTH BOSTON,VA24592	PATHOLOGY SERVICES	420,000
FUNCTIONAL PATHWAYS PO BOX 102426 ATLANTA,GA302682426	PT/OT STAFFING	446,029
SIEMENS DEPT AT 40065 ATLANTA,GA31192	RADIOLOGY MAINTEN.	363,446
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization 12

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21	2,783,500	2,783,500
2	Grants and other assistance to individuals in the U.S. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	945,121	0	945,121
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	26,384,935	24,569,710	1,779,156	36,069
8	Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....	900,939	809,844	89,905	1,190
9	Other employee benefits .......	4,194,049	3,769,982	418,526	5,541
10	Payroll taxes ...........	2,049,531	1,842,299	204,524	2,708
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	173,901		173,901
c	Accounting ...........	134,053		134,053
d	Lobbying ...........	6,000		6,000
e	Professional fundraising. See Part IV, line 17..	0
f	Investment management fees ......	82,994		82,994
g	Other ..........	7,675,894	7,252,566	422,462	866
12	Advertising and promotion ....	177,508	449	177,059
13	Office expenses .......	8,055,872	7,625,905	429,939	28
14	Information technology ......	2,331,074	2,331,074
15	Royalties ..	0
16	Occupancy ...........	821,326	821,326
17	Travel ............	189,129	152,517	36,612
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	0
20	Interest ...........	1,225,251	1,225,251
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	6,982,911	6,982,911
23	Insurance ..............	-818,650		-818,650
24	Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a	BAD DEBT	7,407,398	7,407,398
b	MEDICAL SUPPLIES - PHARMA	3,720,113	3,720,113
c	EQUIPMENT RENTAL & MAINTENANCE	2,618,318	2,482,722	135,596
d	MEDICAL SUPPLIES - BLOOD	789,563	789,563
e	RECRUITMENT	1,066,462	885,003	181,459
f	All other expenses	3,185,763	2,466,746	718,417	600
25	Total functional expenses. Add lines 1 through 24f	83,082,955	77,918,879	5,117,074	47,002
26	Joint costs. Check here if following SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	5,101,578	1	2,520,758
2	Savings and temporary cash investments .......	3,520,000	2	3,527,000
3	Pledges and grants receivable, net .........		3
4	Accounts receivable, net .........	11,702,715	4	13,190,536
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........		5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........		6
7	Notes and loans receivable, net .............		7	615,226
8	Inventories for sale or use ..............	2,170,240	8	2,387,445
9	Prepaid expenses and deferred charges ............	2,498,992	9	2,815,758
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	138,460,783
b	Less: accumulated depreciation. .....	10b	89,262,368	50,229,407	10c	49,198,415
11	Investments—publicly traded securities ..........	30,392,845	11	36,579,641
12	Investments—other securities. See Part IV, line 11 ......	566,405	12	708,404
13	Investments—program-related. See Part IV, line 11 ..		13
14	Intangible assets .........		14
15	Other assets. See Part IV, line 11 ...........	2,291,109	15	1,505,642
16	Total assets. Add lines 1 through 15 (must equal line 34)...	108,473,291	16	113,048,825
	17	Accounts payable and accrued expenses .	6,544,431	17	8,751,172
18	Grants payable ..........		18
19	Deferred revenue ..........	282,150	19	289,567
20	Tax-exempt bond liabilities ..........	27,518,857	20	25,917,361
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities. Complete Part X of Schedule D.....	10,017,721	25	9,764,692
26	Total liabilities. Add lines 17 through 25.....	44,363,159	26	44,722,792
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	64,110,132	27	68,624,134
28	Temporarily restricted net assets .....		28
29	Permanently restricted net assets .....		29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	64,110,132	33	68,326,033
34	Total liabilities and net assets/fund balances .....	108,473,291	34	113,048,825

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

HALIFAX REGIONAL HOSPITAL INCORPORATED

Employer identification number

54-0648699

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2010

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2010. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2009. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2009. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2009 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2009 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2010. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2010

Name of organization

HALIFAX REGIONAL HOSPITAL INCORPORATED

Employer identification number

54-0648699

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ, that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, aggregate contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not aggregate to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization HALIFAX REGIONAL HOSPITAL INCORPORATED
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part I
Part I	Contributors (see Instructions)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization HALIFAX REGIONAL HOSPITAL INCORPORATED
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part II
Part II	Noncash Property (see Instructions)
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Page 1 of 1 of Part III

Name of organization
HALIFAX REGIONAL HOSPITAL INCORPORATED

Employer identification number

54-0648699

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below.
SchCMd Bullet

Attach to Form 990 or Form 990-EZ. SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

HALIFAX REGIONAL HOSPITAL INCORPORATED

Employer identification number

54-0648699

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c) except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities .................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2010

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check if the filing organization belongs to an affiliated group.
B Check if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated Group Totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) Total

2a	Lobbying non-taxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots non-taxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2010

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? If "Yes," describe in Part IV ..........................

Yes

14,755

Total. lines 1c through 1i ...................................

14,755

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.

Dues, assessments and similar amounts from members .....................

Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ...........................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
OTHER ACTIVITIES	Schedule C, Part II-B, Line I	IN FISCAL YEAR 2011, OUTSIDE LOBBYISTS WERE PAID $6,000 AS A PART OF THE HOSPITAL GEOGRAPHIC FAIRNESS COALITION WHICH INCLUDED LOBBYING EFFORTS ON WAGE INDEX CLASSIFICATION AND FOR LEGISLATIVE AFFAIRS EXPERTISE TO PURSUE FEDERAL FUNDING SUPPORT FOR THE IMPLEMENTATION OF AN ELECTRONIC MEDICAL RECORD FOR PHYSICIAN PRACTICES IN SOUTHERN VIRGINIA AND DIRECT INTEGRATION WITH THE HOSPITAL'S PATIENT CLINICAL INFORMATION SYSTEMS. IN ADDITION, A PORTION OF DUES PAID TO THE VIRGINIA HEALTH CARE ASSOCIATION ARE APPORTIONED TO LOBBYING. IN FISCAL YEAR 2011, THIS AMOUNT WAS $8,755.

Schedule C (Form 990 or 990EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

HALIFAX REGIONAL HOSPITAL INCORPORATED

Employer identification number

54-0648699

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or pleasure) Preservation of an historically importantly land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06 ........	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2010

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back	(d)Three Years Back	(e)Four Years Back
1a	Beginning of year balance ....
b	Contributions ........
c	Investment earnings or losses ...
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the year end balance held as:

Board designated or quasi-endowment: SchDMd Bullet

Permanent endowment: SchDMd Bullet

Term endowment: SchDMd Bullet

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

InvestmentsLand, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of investment		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	0	699,209		699,209
b	Buildings ................	0	54,738,884	27,861,974	26,876,910
c	Leasehold improvements ............
d	Equipment ................	0	73,544,364	58,412,447	15,131,917
e	Other .................	0	9,478,326	2,987,947	6,490,379
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........					49,198,415

Schedule D (Form 990) 2010

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Amount
Federal Income Taxes		0
ACCRUED PENSION PLAN		6,146,435
CAPITALIZED LEASE OBLIGATIONS		1,121,699
INTEREST PAYABLE		627,070
DUE TO THIRD PARTIES		594,161
OTHER LIABILITIES		1,275,327




Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)		9,764,692
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2010

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3
4	Net unrealized gains (losses) on investments ..........................	4
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV) .................................	8
9	Total adjustments (net). Add lines 4 - 8 .............................	9
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIV): ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ......		5

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIV): ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ......		5

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
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.

Schedule D (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F
(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,
Part IV, line 14b, 15, or 16.
Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization
HALIFAX REGIONAL HOSPITAL INCORPORATED

Employer identification number

54-0648699

Part I

General Information on Activities Outside the United States. Complete if the organization answered
“Yes” to Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of the grants or

assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award

the grants or assistance? ...................................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside the
United States.

Activites per Region. (Use Part V if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees or agents in region or independent contractors	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for region/investments in region
	Central America and the Caribbean	0	0	Investments	676,872
















3a	Sub-total .....	0	0		676,872
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)	0	0		676,872

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2010

Schedule F (Form 990) 2010

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,

Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 ........ MediumBullet

Use Part V if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter ..... MediumBullet

Enter total number of other organizations or entities ........................ MediumBullet

Schedule F (Form 990) 2010

Schedule F (Form 990) 2010Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Use Part V if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2010

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2010

Page 5

Part V

Supplemental Information
Complete this part to provide the information (see instructions) required in Part I, line 2, and any additional information.

Identifier	ReturnReference	Explanation

Schedule F (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

HALIFAX REGIONAL HOSPITAL INCORPORATED

Employer identification number

54-0648699

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Does the organization have a charity care policy? If "No," skip to question 6a...........

Yes

If "Yes," is it a written policy? .......................

Yes

If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.

Applied uniformly to all hospitals Applied uniformly to most hospitals Generally tailored to individual hospitals

Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.

Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low

income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If

"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....

Yes

200% 250% 300% 350% 400% Other 275 %

If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Does the organization's policy provide free or discounted care to the "medically indigent"? ......

Yes

Does the organization budget amounts for free or discounted care provided under its charity care policy? ...

Yes

If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............

Does the organization prepare an annual community benefit report?.............

Yes

If "Yes," does the organization make it available to the public? ..............

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Charity Care and Certain Other Community Benefits at Cost

	(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Charity care at cost (from Worksheets 1 and 2) ..	1		1,654,386		1,654,386	2.190 %
b Unreimbursed Medicaid (from Worksheet 3, column a) .	1	10,785	7,669,256	1,615,811	6,053,445	8.000 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....	1		158,847	133,515	25,332	0.030 %
dTotal Charity Care and Means-Tested Government Programs .....	3	10,785	9,482,489	1,749,326	7,733,163	10.220 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	209	33,511	199,797		199,797	0.260 %
f Health professions education (from Worksheet 5) ..	17	11	108,540	840	107,700	0.140 %
g Subsidized health services (from Worksheet 6) ..	2		4,641,789	248,941	4,392,848	5.810 %
h Research (from Worksheet 7)
i Cash and in-kind contributions to community groups (from Worksheet 8) ..	181		103,837		103,837	0.140 %
jTotal Other Benefits ...	409	33,522	5,053,963	249,781	4,804,182	6.350 %
kTotal. Add lines 7d and 7j. ..	412	44,307	14,536,452	1,999,107	12,537,345	16.570 %

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010

Schedule H (Form 990) 2010

Page 2

Part II

Community Building Activities Complete this table if the organization conducted any community building activities.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development	17		11,782	11,782	0.020 %
3	Community support	11		848	848
4	Environmental improvements
5	Leadership development and training for community members	1	26	466	466
6	Coalition building	3		521	521
7	Community health improvement advocacy
8	Workforce development	16		23,803	23,803	0.030 %
9	Other
10	Total	48	26	37,420	37,420	0.050 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense (at cost).....

2,516,056

Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

31,548,526

Enter Medicare allowable costs of care relating to payments on line 5.....

26,390,944

Subtract line 6 from line 5. This is the surplus or (shortfall)........

5,157,582

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Does the organization have a written debt collection policy? ...............

Yes

If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......

Yes

Part IV

Management Companies and Joint Ventures

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership%	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2010

Page 3

Part VFacility Information

Section A. Hospital Facilities (list in order of size, measured by total revenue per facility, from largest to smallest) How many hospital facilities did the organization operate during the tax year?1 Name and address		Other (Describe)
1	HALIFAX REGIONAL HOSPITAL INCORPORATED 2204 WILBORN AVENUE SOUTH BOSTON,VA24592	X	X	X	HOME HEALTH HOSPICE

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:HALIFAX REGIONAL HOSPITAL INCORPORATED

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 7

Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, measured by total revenue per facility, from largest to smallest) How many non-hospital facilities did the organization operate during the tax year?
Name and address		Type of Facility (Describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2010

Page 8

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2	Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Identifier	ReturnReference	Explanation
PART I, LINE 3C:		THE ORGANIZATION USES FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR PROVIDING FREE AND DISCOUNTED CARE TO LOW INCOME INDIVIDUALS.
PART I, LINE 7G:		HALIFAX REGIONAL HOSPITAL INCLUDED $4,392,848 AS SUBSIDIZED HEALTH SERVICES ON SCHEDULE H FOR COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS.
PART I, LINE 7, COLUMN F:		THE AMOUNT OF BAD DEBT EXPENSE THAT WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) BUT REMOVED FROM THE DENOMINATOR FOR CALCULATION OF THE PERCENTAGES IN COLUMN (F) WAS $7,407,398.
PART I, LINE 7:		THE ORGANIZATION USED THE COST TO CHARGE RATIO FROM WORKSHEET 2 TO DETERMINE THE AMOUNTS REPORTED IN PART I, LINE 7. COST METHOD WAS USED FOR UNREIMBURSED MEDICAID (7B), FROM MEDICAID COST REPORT, AND SUBSIDIZED HEALTH SERVICES (7G).
PART III, LINE 4:		THE ORGANIZATION USED COST TO CHARGE RATIO TO DETERMINE THE AMOUNTS REPORTED IN PART III, LINE 2. THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE REGARDING BAD DEBT EXPENSE. BAD DEBT EXPENSE IS REPORTED AS "PROVISION FOR BAD DEBTS" ON THE STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS OF THE AUDITED FINANCIAL STATEMENTS. THE HOSPITAL'S SCREENING PROCESS TO DETERMINE THOSE PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE IS VERY THOROUGH, AND THE HOSPITAL HAS AN EXTENSIVE PATIENT EDUCATION PROGRAM. THEREFORE, VERY FEW PATIENTS, IF ANY, WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE DO NOT RECEIVE ASSISTANCE.
PART III, LINE 8:		MEDICARE ALLOWABLE COSTS OF CARE AND RELATED REIMBURSEMENT WERE OBTAINED FROM THE 2011 MEDICARE COST REPORT INCLUDING DSH AND BAD DEBT REIMBURSEMENT. THE MEDICARE ALLOWABLE COST AS REPORTED ON THE MEDICARE COST REPORT REFLECTED IN THE AMOUNT REPORTED IN PART III, LINE 6 IS IN COMPLIANCE WITH FEDERAL MEDICARE REGULATIONS REGARDING THE CALCULATION OF MEDICARE ALLOWABLE COST.
PART III, LINE 9B:		HALIFAX REGIONAL HOSPITAL HAS AN "ACCOUNT FOLLOW UP" POLICY OUTLINING STATEMENT INTERVALS AND LEGAL ACTIVITY.THE POLICY APPLIES TO ALL PATIENTS. WE ALSO HAVE A "FINANCIAL POLICY" OUTLINING OUR STATEMENT SERIES. IF ANY TYPE OF PATIENT HAS NO INSURANCE UPON REGISTRATION, THEY ARE REQUESTED TO SIGN A "STATEMENT OF NO INSURANCE" DOCUMENT WHICH ENTITLES THEM TO AUTOMATICALLY RECEIVE A 32% DISCOUNT OF TOTAL CHARGES.IF THE PATIENT QUALIFIES FOR FREE CARE BASED ON FEDERAL POVERTY GUIDELINES, THE ENTIRE BALANCE IS WRITTEN OFF AND NO COLLECTION EFFORTS ARE MADE. A NOTICE IS SENT TO THE PATIENT ADVISING THAT CHARITY QUALIFICATIONS HAVE BEEN MET. IF THE PATIENT QUALIFIES FOR DISCOUNTED CARE, THE APPROPRIATE DISCOUNT IS APPLIED TO THE BALANCE. A NOTICE IS SENT TO THE PATIENT ADVISING THAT CHARITY QUALIFICATIONS HAVE BEEN MET AND THE PATIENT IS REQUESTED TO CONTACT US TO SET UP THE REMAINING BALANCE ON A PAYMENT PLAN.
NEEDS ASSESSMENT	PART VI, LINE 2	HRHS' PURPOSE IS "TO PROVIDE THE HIGHEST QUALITY CARE BASED ON THE HEALTHCARE NEEDS OF THE PEOPLE WE SERVE." IN FULFILLING THIS PURPOSE AND VISION, HRHS' LEADERSHIP EMPLOYS A VARIETY OF METHODS TO IDENTIFY AND PRIORITIZE SERVICES THAT WILL BEST MEET THE HEALTHCARE NEEDS OF THOSE IN THE REGION. IN TODAY'S EVER-CHANGING HEALTHCARE ENVIRONMENT AND WITH THE INCEPTION OF HEALTHCARE REFORM, HRHS IS PROUD OF ITS ABILITY TO RESPOND TO CURRENT MEDICAL CHALLENGES AND PRUDENTLY PLAN HEALTH AND WELLNESS OPPORTUNITIES FOR FUTURE GENERATIONS. VARIOUS ASSESSMENT TOOLS AND SUGGESTIONS FROM CITIZENS IN THE REGION HELPED CREATE SERVICES AND PROGRAMS AIMED AT IMPROVING THE HEALTH OF THE COMMUNITY. HRHS USES A VARIETY OF INTERNAL AND EXTERNAL HEALTH DATA RESOURCES TO ASSESS THE COMMUNITY'S HEALTH CARE NEEDS, INCLUDING COLLABORATIVE ASSESSMENT EFFORTS WITH OTHER ORGANIZATIONS WITH SIMILAR INTERESTS.ASSESSMENT TOOLS INCLUDE: HRHS PATIENT SATISFACTION DATA, TELEPHONE INTERVIEWS, SURVEYS, LETTERS, ETC. HOSPITAL ADMISSION AND DISCHARGE DATA FEEDBACK FROM CIVIC ENTITIES, GOVERNMENTAL AGENCIES, AND RESCUE SQUADS CENTRAL VIRGINIA HEALTH PLANNING AGENCY SOCIO-DEMOGRAPHIC INFORMATION CENTRAL VIRGINIA HEALTH PLANNING AGENCY NEEDS ASSESSMENT VIRGINIA CENTER FOR HEALTHY COMMUNITIES - VIRGINIA ATLAS OF COMMUNITY HEALTH COMMUNITY PERCEPTION SURVEY 2010 PHYSICIAN MANPOWER ANALYSIS BOARD, MEDICAL STAFF, AND EMPLOYEE FEEDBACK PATIENT AND FAMILY FOCUS GROUP FEEDBACK VHHA "INDICATORS OF HEALTHY COMMUNITIES 2003" DIRECTION FROM LICENSURE, ACCREDITATION, AND REGULATORY BODIES LITERATURE REVIEW AND INTERNET RESEARCH STATE MEDICAL FACILITIES PLAN VISION 2020, A COMMUNITY-WIDE ACTION PLAN FOR FUTURE GROWTH AND DEVELOPMENT HEALTHY PEOPLE 2010 *PHYSICIAN SATISFACTION SURVEY 2010 INFORMATION FROM THE VARIOUS DATA SOURCES IS UTILIZED TO ASSESS OUR BUSINESS DEVELOPMENT PLANS AND TO COORDINATE OUTREACH ACTIVITIES WITH COMMUNITY ORGANIZATIONS.SERVICE INITIATIVES AND EXPANSION/ENHANCEMENTS TO MEET COMMUNITY NEEDS ARE CONTINUOUSLY DEVELOPED AND IMPLEMENTED AND FUNDED THROUGH HRH AND/OR FEDERAL, STATE, AND/OR FOUNDATION GRANTS. IN 2007, HRHS ACQUIRED A PRIMARY CARE PRACTICE WITH 3 LOCATIONS. A FOURTH SITE, HALIFAX PRIMARY CARE, OPENED IN 2008, AND A FIFTH SITE, SOUTHERN VIRGINIA ORTHOPEDICS, WAS OPENED IN 2010. THROUGH THE INTEGRATION OF PRIMARY CARE INTO THE HEALTH SYSTEM, THE OVER 12,000 UNINSURED AND 35,000 LIVING BELOW 200% OF THE FEDERAL POVERTY LEVEL, NOW ALSO HAVE ACCESS TO QUALITY PRIMARY HEALTH CARE OFFERED THROUGH A DISCOUNTED FEE SCHEDULE AS WELL AS THROUGH MEDICARE AND MEDICAID. ADDITIONALLY, THE PRIMARY CARE SITES PROVIDE AN OPPORTUNITY TO CONDUCT OUTREACH AND EDUCATION PROGRAMS TARGETING THE VULNERABLE POPULATION OF THE SERVICE AREA.FOR EXAMPLE, IN 2008, HRH ESTABLISHED MEDASSIST OF HALIFAX, A PRESCRIPTION SUPPORT SYSTEM THAT PROVIDES ASSISTANCE TO LOW INCOME, UNINSURED, AND UNDERINSURED RESIDENTS. IN 2011, HRH RECEIVED A SUSAN G. KOMEN GRANT TO SUPPORT NO COST MAMMOGRAMS AND TRANSPORTATION ASSISTANCE TO UNINSURED/UNDERINSURED WOMEN.PROVIDERS AT EACH OF THE CLINICS WILL PROVIDE OVER 300 FREE CLINICAL BREAST EXAMS TO SUPPORT THIS CRITICAL WOMAN'S HEALTH PROGRAM.
PATIENT EDUCATION AND ELIGIBILITY FOR ASSISTANCE	PART VI, LINE 3	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.
COMMUNITY INFORMATION	PART VI, LINE 4	HALIFAX REGIONAL HOSPITAL (HRH) IS A SOLE COMMUNITY HOSPITAL LOCATED IN SOUTH BOSTON, HALIFAX COUNTY, VIRGINIA AND IS THE ONLY HOSPITAL WITHIN A THIRTY-FIVE MILE RADIUS. THE PRIMARY SERVICES AREA IS HALIFAX COUNTY (POPULATION = 36,241); THE SECONDARY SERVICE AREA INCLUDES CHARLOTTE COUNTY (POPULATION = 12,586) AND MECKLENBURG COUNTY (POPULATION = 32,727). ALL THREE COUNTIES ARE DESIGNATED RURAL, MEDICALLY UNDERSERVED AREAS (MUA), AND HEALTHCARE PROVIDER SHORTAGE AREAS (HPSA) FOR PRIMARY CARE DENTAL CARE AND MENTAL HEALTH SERVICES. OF THE APPROXIMATELY 80,000 RESIDENTS LIVING IN THE SERVICE AREA, FORTY-FOUR PERCENT LIVE AT OR BELOW THE 200% FEDERAL POVERTY LEVEL (FPL). THE MEDIAN HOUSEHOLD INCOME IN 2010 WAS $34,500 COMPARED TO THE STATE AVERAGE OF $61,210. EIGHTEEN PERCENT ARE UNINSURED, APPROXIMATELY ELEVEN PERCENT ARE UNEMPLOYED, AND THIRTY-FIVE PERCENT OVER THE AGE OF TWENTY-FIVE DO NOT HAVE A HIGH SCHOOL DIPLOMA. THIRTY-SIX PERCENT OF THE POPULATION IS AFRICAN AMERICAN; TWENTY PERCENT IS OVER THE AGE OF SIXTY-FIVE. FIFTY-EIGHT PERCENT OF CHILDREN ATTENDING THE THREE COUNTY PUBLIC SCHOOL DISTRICTS RECEIVE FREE OR REDUCED LUNCH (ELIGIBILITY IS AT OR BELOW 185% FPL). ANNUALLY, HRH PROVIDES CARE TO APPROXIMATELY 4,800 INPATIENTS, 64,000 OUTPATIENTS, AND 28,000 ER PATIENTS. HRH PROVIDES CARE TO ALL REGARDLESS OF THEIR ABILITY TO PAY. IN 2011, 58% OF HRH PATIENTS WERE MEDICARE; 10% MEDICAID; 2,600 PATIENTS WERE SERVED THROUGH THE HRH PATIENT FINANCIAL ASSISTANCE PROGRAM.
PROMOTION OF COMMUNITY HEALTH	PART VI, LINE 5	MANY FACTORS CAN HAVE AN IMPACT ON THE OVERALL HEALTH OF THE COMMUNITY. IN ADDITION TO ITS HIGH QUALITY HEALTH SERVICES, HRH PROVIDES NUMEROUS OPPORTUNITIES FOR HEALTH EDUCATION, SCREENINGS, AND COMMUNITY OUTREACH BEYOND THE WALLS OF THE HOSPITAL.HRH WORKS IN COLLABORATION WITH OTHER COMMUNITY AGENCIES AND ORGANIZATIONS TO RESPOND TO IDENTIFIED COMMUNITY NEEDS AND TO IMPROVE HEALTH AND THE OVERALL QUALITY OF LIFE IN THE HRH SERVICE AREA. THE FOLLOWING IS REPRESENTATIVE OF HRH OUTREACH ACTIVITIES AND COMMUNITY PROJECTS. DIABETES SELF-MANAGEMENT EDUCATION PROGRAM - WITH THE INCIDENCE OF DIABETES IN THE HRHS SERVICE AREA WELL ABOVE THE REGIONAL AND STATE MEDIAN, THE DIABETES SELF-MANAGEMENT EDUCATION PROGRAM CONTINUES TO BE AN IMPORTANT INITIATIVE TO PROMOTE DIABETES TREATMENT. INITIATED BECAUSE OF THE GROWING NUMBER OF PATIENTS DIAGNOSED WITH DIABETES, THE PROGRAM OFFERS INDIVIDUAL AND GROUP CLASSES ON A MONTHLY BASIS AND ACTS AS A LEARNING AND RESOURCE CENTER FOR ADULTS AND CHILDREN WITH DIABETES WHO NEED ONE-ON-ONE INSTRUCTION. FAMILY MEMBERS ARE ALSO ENCOURAGED TO ATTEND EDUCATION SESSIONS AND REQUEST INFORMATION. A REGISTERED DIETICIAN IS AVAILABLE TO MEET WITH OUTPATIENTS REGARDING MEAL PLANNING AND TO RESPOND TO QUESTIONS RELATING TO THEIR DIET AND THE IN-PATIENT EDUCATION PROGRAM, PROVIDING ONE-TO-ONE PATIENT COUNSELING BY THE DIABETES EDUCATOR CONTINUES.ALL OF THESE SERVICES ARE PROVIDED FREE TO THE PUBLIC. COMMUNITY NUTRITION EDUCATION CLASSES - "DISHIN' NUTRITION WITH YOUR KIDS" (FOR PARENTS AND CHILDREN), "EATING FOR A HEALTHY WEIGHT", AND "EATING FOR A HEALTHY HEART" CONTINUE TO BE OFFERED MONTHLY. TAUGHT BY HRH'S CLINICAL NUTRITION MANAGER AND DIET TECHNICIAN, NUTRITION CLASSES ARE OFFERED FREE TO THE PUBLIC WITH REFERRAL BY A PHYSICIAN. THE HEART AND WEIGHT CLASSES ARE ALSO INCLUDED IN THE CARDIO-PULMONARY REHABILITATION EDUCATION PROGRAM. THE CLASSES FOCUS ON DEVELOPING AND MAINTAINING HEALTHY EATING HABITS INCLUDING TIPS FOR DINING OUT, READING FOOD LABELS, MAKING INFORMED LIFESTYLE CHOICES AND THE IMPORTANCE OF EXERCISE. DURING THIS YEAR, APPROXIMATELY ONE HUNDRED FORTY-SIX INDIVIDUALS PARTICIPATED IN THE CLASSES. CHILDBIRTH CLASSES - THE FAMILY BIRTHING CENTER PROVIDES THREE CLASSES FOR NEW MOMS AND DADS. THE BABY BASICS AND BEYOND CLASS INCLUDES INSTRUCTION IN DIAPERING, INFANT ILLNESSES, FEEDING AND BATHING A NEWBORN, CORD AND CIRCUMCISION CARE, AND CAR SEAT SAFETY. THE BREASTFEEDING CLASS PREPARES MOMS-TO-BE FOR SUCCESSFUL BREASTFEEDING EXPERIENCES. CLASS DISCUSSION INCLUDES BREASTFEEDING POSITIONS, NUTRITIONAL NEEDS AND EMOTIONAL NEEDS OF BREASTFEEDING MOTHERS AS WELL AS BREASTFEEDING DO'S, DON'TS, AND NEWBORN FEEDING NEEDS. THIS CLASS IS ALSO FREE. EXPECTING MOMS AND THEIR BIRTHING PARTNERS LEARN HOW TO WORK TOGETHER TO HAVE A POSITIVE BIRTHING EXPERIENCE IN THE PREPARED CHILDBIRTH CLASS.THE CLASS INCLUDES DISCUSSION OF RELAXATION TECHNIQUES, ANESTHESIA AND POSTPARTUM ADJUSTMENTS. THERE IS A SMALL FEE FOR THIS CLASS BUT FOR THOSE WHO CANNOT AFFORD THE COST, THE PROGRAM IS PROVIDED FOR FREE OR AT A REDUCED RATE. RESOURCE INFORMATION SESSIONS OF ENCOURAGEMENT (R.I.S.E)- SUCCESSFULLY LAUNCHED IN 2007, THE R.I.S.E. PROGRAM, FREE TO THE PUBLIC, PROVIDES SUPPORT, ENCOURAGEMENT AND PRACTICAL INFORMATION TO INDIVIDUALS WHO HAVE EXPERIENCED THE LOSS OF A LOVED ONE, RELATIONSHIP, OR JOB, OR WHO ARE CARING FOR SOMEONE WITH A CHRONIC ILLNESS. R.I.S.E. IS MORE THAN A SUPPORT GROUP, AS IT HELPS PARTICIPANTS WITH PRACTICAL EVERY DAY ISSUES THEY MAY BE FACING, AS WELL AS HELPING THEM UNDERSTAND THAT THE GRIEVING PROCESS IS DIFFERENT FOR EVERYONE.APPROXIMATELY 15-20 INDIVIDUALS ATTEND MONTHLY SESSIONS COORDINATED BY THE HOSPICE SOCIAL WORKER/BEREAVEMENT COORDINATOR. RISE ALSO HAS AN EVENING SESSION PROVIDING FURTHER OPPORTUNITIES FOR COMMUNITY PARTICIPATION. DR. JESSE J. BATES SCHOLARSHIP - THE DR. JESSE J. BATES SCHOLARSHIP FUND PROVIDED A TOTAL OF $7,000 TO FIVE GRADUATING SENIORS FROM THE HRHS SERVICE AREAS THAT ARE FURTHERING THEIR EDUCATION IN A MEDICAL FIELD. THE SCHOLARSHIP, NAMED TO HONOR DR. JESSE J. BATES, A FOUNDING PHYSICIAN AT HRH, IS DESIGNED TO ENCOURAGE HIGH SCHOOL STUDENTS TO SEEK EDUCATION TO FILL CRITICAL HEALTHCARE VACANCIES AND TO ACQUIRE THE NECESSARY SKILLS TO USE TECHNOLOGICALLY ADVANCED EQUIPMENT AND TREATMENT THERAPIES. PHYSICIAN EMERGENCY MEDICAL SERVICES - HRH WORKS WITH AREA EMS AND FIRE AGENCIES IN THE PRIMARY AND SECONDARY SERVICE AREA TO PROVIDE EDUCATIONAL EXPERIENCES, TO SERVE AS A RESOURCE FOR AGENCY OPERATIONS, AND TO BUILD AND ENHANCE COMMUNICATIONS AND INTERRELATIONSHIPS BETWEEN AND AMONG EMS AGENCIES AND THE HOSPITAL.HRH ALSO OFFERS SUPPORT TO THESE ORGANIZATIONS IN THEIR FUND-RAISING EFFORTS. THE AUXILIARY OF HALIFAX REGIONAL HEALTH SYSTEM - HALIFAX REGIONAL'S AUXILIARY REMAINS AN INTEGRAL PART OF THE ORGANIZATION. THIS YEAR THE AUXILIARY COMPLETED ITS $100,000 COMMITMENT TO THE NEW HEALING GARDEN ON THE HRH CAMPUS. FINANCIAL CONTRIBUTIONS WERE ALSO MADE TO SUPPORT PROJECT PRIME; THE CONTINUING MEDICAL EDUCATION PROGRAM, AND RESIDENT ACTIVITIES AT THE WOODVIEW AND MEADOWVIEW TERRACE.ONE HUNDRED-SIXTY-FOUR STRONG, THE AUXILIARY, INCLUDING ADULT AND JUNIOR VOLUNTEERS, HAS DONATED NEARLY 24,000 HOURS TO HRH THIS YEAR.THIS GROUP OF DEDICATED INDIVIDUALS EMBRACES THE ORGANIZATION'S PLANETREE PHILOSOPHY THROUGH A NUMBER OF PATIENT-CENTERED PROGRAMS, INCLUDING WEEKLY COOKIE BAKING FOR PATIENTS AND STAFF; A PET THERAPY PROGRAM FOR PATIENTS; CHRISTMAS GIFTS FOR PATIENTS; CHRISTMAS STOCKINGS FOR NEWBORNS (BABIES LEAVE THE HOSPITAL IN THEIR STOCKING); BLANKETS FOR ALL NEWBORNS THROUGHOUT THE YEAR; BALLOON DELIVERIES TO ALL NEW PATIENTS; NEWSPAPER, MAIL AND CHEER CARD (E-CARD) DELIVERIES; BEDSIDE MUSIC PROGRAM; THE CARE CART, CARE OF PLANTS IN THE BELLWOOD CAF AND THE ICU FAMILY ROOM; COLORING BOOKS FOR CHILDREN IN WAITING ROOMS AND EMERGENCY DEPARTMENT; PROVISION OF WALKER BAGS AND TELEMETRY BAGS; AND PROVISION OF TEDDY BEARS AND STUFFED FISH FOR PEDIATRIC PATIENTS.THE VOLUNTEERS ALSO HELP WITH VARIOUS HRH EVENTS SUCH AS THE HEALTHY LIVING EXPO, BLOOD DRIVES, OPEN HOUSES AND OTHER SPECIAL EVENTS.THE AUXILIARY MAINTAINS THE "TREE OF LOVE" WHICH RAISES FUNDS TO BE UTILIZED FOR THEIR PHILANTHROPIC ACTIVITIES.THE AUXILIARY ALSO MANAGES THE VENDING MACHINES THROUGHOUT THE ENTIRE HEALTH SYSTEM. EDUCATIONAL PROGRAMS AND SCREENINGS - REALIZING THE LEADERSHIP ROLE THAT OUR HEALTH SYSTEM PLAYS IN PROMOTING HEALTH AND WELLNESS IN OUR COMMUNITY, HRH PROVIDED NUMEROUS HEALTH AND WELLNESS OUTREACH ACTIVITIES THROUGHOUT THE YEAR.THESE INITIATIVES INCLUDE SUCH ACTIVITIES AS PROVIDING SPEAKERS TO CIVIC GROUPS, CLUBS, AND SCHOOLS, HEALTH NITE OUT EDUCATION AND WELLNESS PROGRAMS, FREE HEALTH TEST SCREENINGS, AND SPONSORSHIP AND FACILITATION OF SUPPORT GROUPS.HRH CONTINUES TO SUBMIT ARTICLES ON MEDICAL/WELLNESS ISSUES TO REGIONAL NEWSPAPERS; TO PROVIDE PUBLIC SERVICE ANNOUNCEMENTS ON HEALTH ISSUES; AND TO SEND AN EIGHT-PAGE NEWSLETTER, LIFE AND HEALTH, TO MORE THAN 31,000 HOUSEHOLDS IN OUR THREE-COUNTY SERVICE AREA FOUR TIMES A YEAR. HRH SPONSORED THE EIGHTH ANNUAL HEALTH FAIR, HEALTHY LIVING EXPO, OFFERING FREE SCREENINGS AND HEALTH INFORMATION TO THE COMMUNITY. CHOLESTEROL, BLOOD SUGAR, BLOOD PRESSURE, BODY MASS INDEX, ORAL HEALTH, AND VISION TESTING WERE OFFERED.INFORMATION ON SLEEP DISORDERS, PROPER HAND WASHING, DEPRESSION, AND OSTEOPOROSIS WERE AMONG THE MANY HEALTHCARE TOPICS COVERED. THE FAIR INCLUDED ACTIVITIES FOR YOUNGER VISITORS. COMMUNITY GROUPS SHARING OUR VISION ALSO PARTICIPATED INCLUDING THE AMERICAN RED CROSS, THE LIONS CLUB, HEALTHY FAMILIES HALIFAX, YMCA, MENTOR ROLE MODEL PROGRAM, HALIFAX COUNTY CANCER ASSOCIATION, THE LOCAL CHAPTER OF THE ALZHEIMER'S ASSOCIATION, LOCAL LAW ENFORCEMENT, THE HALIFAX COUNTY HEALTH DEPARTMENT, THE SOCIAL SECURITY ADMINISTRATION, THE SOUTH BOSTON FIRE DEPARTMENT, THE SOUTH BOSTON LIBRARY (EXERCISE FOR THE MIND), AND CAREGIVERS OF AUTISTIC CHILDREN. IN ADDITION TO THE EXPO, HRH PARTICIPATED IN OTHER SCREENINGS/EDUCATIONAL EVENTS THROUGHOUT THE SERVICE AREA. THE HRH SPEAKER'S BUREAU REMAINS ACTIVE. THIS YEAR 566 INDIVIDUALS WERE REACHED THROUGH THIRTY COMMUNITY GROUP PRESENTATIONS. PARTNERING WITH THE COMMUNITY - HRH HAS PARTNERED WITH A NUMBER OF COMMUNITY HEALTH PROVIDERS AS WELL AS PUBLIC AND PRIVATE ENTITIES TO IMPROVE THE HEALTH AND WELLNESS IN THE COMMUNITY. HRH'S PHILOSOPHY OF BEING A GOOD CORPORATE CITIZEN IS SUPPORTED BY OUR PRACTICE OF PARTNERING WITH COMMUNITY ORGANIZATIONS AND PROGRAMS TO PROVIDE THE FOLLOWING DIRECT AND INDIRECT BENEFITS: OVERALL BETTERMENT OF THE COMMUNITY, PROMOTION OF HEALTH-RELATED AND WELLNESS-RELATED INITIATIVES, IMPROVEMENT OF THE CORPORATE IMAGE OF HRHS, HEIGHTENED MORALE AND SENSE OF PRIDE FOR HRHS EMPLOYEES, AND *ASSISTANCE TO LEADERS IN THE COMMUNITY TO ACCOMPLISH KEY OBJECTIVES. HRH EMPLOYEES VOLUNTEER WITH VARIOUS ORGANIZATIONS AND HRHS SUPPORTS MANY OF THESE THROUGH MONETARY, HUMAN RESOURCE, AND MATERIAL DONATIONS. SOME
AFFILIATED HEALTH CARE SYSTEM	PART VI, LINE 6	HALIFAX REGIONAL HEALTH SYSTEM AND ALL OF ITS AFFILIATED ENTITIES, INCLUDING THE HALIFAX REGIONAL HOSPITAL (HRH), ARE GOVERNED BY A VOLUNTEER 35 MEMBER BOARD OF DIRECTORS (THE "SYSTEM BOARD") WHICH MEETS ON A MONTHLY BASIS. BOARD MEMBERS ARE ELECTED TO THREE YEAR TERMS AND OFFICERS ARE ELECTED FOR ONE YEAR TERMS.THE SYSTEM BOARD UTILIZES A COMMITTEE STRUCTURE FOR QUALITY, OPERATIONAL, FINANCIAL, AND PROJECT REVIEW AND HAS FULL AUTHORITY TO ACT ON BEHALF OF ALL ENTITIES IN ALL MATTERS PERTAINING TO OPERATIONS AND MANAGEMENT. LESS THAN 25% OF THE BOARD IS EITHER AN EMPLOYEE OR CONTACTOR OF THE HOSPITAL.BOARD MEMBERS INCLUDE COMMUNITY REPRESENTATION FROM A BROAD RANGE OF PERSPECTIVES INCLUDING PUBLIC SCHOOL SYSTEM EMPLOYEES, SMALL BUSINESS OWNERS, ACTIVE AND/OR RETIRED CPA'S, DENTISTS, ATTORNEYS, BANK EXECUTIVES, AND LOCAL GOVERNMENT LEADERS, ALL WHO RESIDE AND/OR WORK WITHIN THE THREE COUNTY SERVICE AREA.TEN ACTIVELY PRACTICING PHYSICIANS, INCLUDING THE PRESIDENT AND VICE PRESIDENT OF THE HRH'S MEDICAL STAFF, SERVE ON THE BOARD. HRH EXTENDS PRIVILEGES TO ALL PHYSICIAN APPLICANTS THAT MEET THE CREDENTIALING REQUIREMENTS. HRH IS COMMITTED TO ENSURING THAT QUALIFIED PHYSICIANS ARE AVAILABLE TO MEET THE HEALTHCARE NEEDS OF ITS DIVERSE SERVICE AREA POPULATION. SURPLUS FUNDS ARE USED TO SUPPORT PHYSICIAN ENTERPRISES INCLUDING RECRUITMENT AND RETENTION, CRITICAL IN THIS RURAL, MEDICALLY UNDERSERVED AREA (MUA). FUNDS ARE ALSO REINVESTED IN STATE OF THE ART TECHNOLOGY AND INFORMATION SYSTEMS TO ENSURE THE SAFEST AND HIGHEST QUALITY OF HEALTHCARE DELIVERED THROUGH AN INTEGRATED AND COMPREHENSIVE SYSTEM. EXAMPLES INCLUDE A DIGITAL MAMMOGRAPHY SYSTEM BE ADDED IN JULY 2011 AND AN ELECTRONIC MEDICAL RECORD SYSTEM NOW BEING USED BY ALL HOSPITAL DEPARTMENTS AND PRIMARY CARE SITES. SURPLUS FUNDS CONTINUE TO BE DIRECTED TO SUPPORT PROJECTS THAT HELP MITIGATE ACCESS BARRIERS TO COMPREHENSIVE HEALTHCARE AND WELLNESS THROUGHOUT THE SERVICE AREA. THIS IS DEMONSTRATED IN HRH'S CONTINUED FINANCIAL SUPPORT OF ITS FOUR PRIMARY CARE SITES AND ITS EFFORTS TO IMPROVE AND EXPAND SERVICES IN RESPONSE TO COMMUNITY NEEDS ASSESSMENTS. THROUGH A 2010 COMMUNITY NEEDS ASSESSMENT, FOR EXAMPLE, HRH IDENTIFIED A CRITICAL ACCESS BARRIER TO DENTAL SERVICES. IN ITS CONTINUED COMMITMENT TO IMPROVE THE HEALTH OF THE COMMUNITY, HRH COMPLETED A FEASIBILITY STUDY WHICH SUPPORTS THE ESTABLISHMENT OF A HOSPITAL-BASED OUTPATIENT DENTAL CLINIC IN RURAL HALIFAX CO.(SOUTH BOSTON) WITH A FOCUS ON CHILDREN'S DENTAL TO PROVIDE AFFORDABLE, QUALITY SERVICES TO RESIDENTS THAT DO NOT HAVE THE FINANCIAL MEANS TO ACCESS DENTAL SERVICES. THE EXISTING HALIFAX PRIMARY CARE SITE WILL BE EXPANDED TO ADD A SEVEN OPERATORY, 3,500 SQUARE FOOT DENTAL CLINIC AS WELL AS A 6,500 SQUARE FOOT SHELL FOR FUTURE MEDICAL/DENTAL EXPANSION, FORMING A COMMUNITY COMPREHENSIVE HEALTHCARE CAMPUS. HRH HAS COMMITTED $900,000 TOWARDS CONSTRUCTION COSTS AND WILL PROVIDE ON-GOING OPERATIONAL SUPPORT OF THE DENTAL CLINIC THROUGH IN-KIND AND MONETARY DONATIONS. STATE AND FOUNDATION GRANT FUNDING TO SUPPORT THE REMAINDER OF CONSTRUCTION AND EQUIPMENT COSTS IS PENDING (APPROXIMATELY $ 1.1 MILLION). SUBJECT TO THE ADDITIONAL GRANT FUNDING, THE DENTAL CLINIC IS SCHEDULED TO OPEN SPRING 2012. HRH IS COMMITTED TO HEALTHCARE EDUCATION TO HELP ENSURE THE AVAILABILITY OF HEALTHCARE PROFESSIONALS IN THE SERVICE AREA.SURPLUS FUNDS HAVE BEEN COMMITTED TO HELP ADDRESS THE CRITICAL NURSING SHORTAGE EXPERIENCED THROUGHOUT THE REGION. OVER THE PAST SEVERAL YEARS, HRH HAS WORKED DILIGENTLY WITH LEADERS OF SOUTHSIDE VIRGINIA COMMUNITY COLLEGE (SVCC) TO EXPAND AND MARKET THE REGISTERED NURSE PROGRAM AND TO INCREASE THE NUMBER OF NURSES GRADUATING FROM BOTH THE PRACTICAL NURSING PROGRAM AND THE REGISTERED NURSE PROGRAM. IN 2006, SVCC EXPANDED ITS REGISTERED NURSE PROGRAM TO THE SOUTHERN VIRGINIA HIGHER EDUCATION CENTER (SVHEC). DURING FISCAL YEAR 2008, HRHS PARTICIPATED AS A MAJOR STAKEHOLDER IN THE PLANNING AND DESIGN OF THE CENTER FOR NURSING EXCELLENCE LOCATED AT THE SVHEC. THE CENTER OPENED IN SEPTEMBER 2008 AND HOUSES TWO SIMULATION LABORATORIES FOR TRAINING OF SVHEC STUDENTS. THE LABORATORIES ARE ALSO AVAILABLE FOR CONTINUING EDUCATION AND TRAINING OF CURRENT HEALTHCARE PROVIDERS. HRH CONTINUES TO PROVIDE LEADERSHIP AND FINANCIAL SUPPORT FOR OPERATION OF THE SOUTHERN VIRGINIA HIGHER EDUCATION CENTER OF NURSING EXCELLENCE.
STATE FILING OF COMMUNITY BENEFIT REPORT	PART VI, LINE 7	A COMMUNITY BENEFIT REPORT IS FILED WITH THE VIRGINIA HOSPITAL AND HEALTHCARE ASSOCIATION.

Schedule H (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
HALIFAX REGIONAL HOSPITAL INCORPORATED

Employer identification number
54-0648699

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) HALIFAX REGIONAL DEVELOPMENT FOUNDATION2204 WILBORN AVENUE SOUTH BOSTON,VA24592	54-1801459	501(C)(3)	103,500	FUNDING OF COMMUNITY PARTNERSHIP
(2) HALIFAX REGIONAL PROPERTIES INC2204 WILBORN AVENUE SOUTH BOSTON,VA24592	54-1801463	501(C)(3)	640,000	FUNDING OF
(3) DOMINION HEALTH MEDICAL ASSOCIATES LTD2204 WILBORN AVENUE SOUTH BOSTON,VA24592	54-1060357		2,040,000	SUPPORT

Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image

Enter total number of other organizations ................................ . Bullet Image

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2010

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance

Part IV

Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.

Identifier	Return Reference	Explanation
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.

Schedule I (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

HALIFAX REGIONAL HOSPITAL INCORPORATED

Employer identification number

54-0648699

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Yes

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2010

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported in prior Form 990 or Form 990-EZ
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
(1) CHRIS A LUMSDEN	(i) (ii)	280,504 37,623	0 0	42,855 0	24,336 7,464	10,195 3,127	357,890 48,214	0 0
(2) STEWART R NELSON	(i) (ii)	190,215 25,513	0 0	23,341 0	19,297 5,917	1,338 411	234,191 31,841	0 0
(3) WILLIAM ZIRKLE	(i) (ii)	135,379 0	0 0	0 0	26,208 0	6,665 0	168,252 0	0 0
(4) DAVID FITTS	(i) (ii)	128,579 0	0 0	0 0	9,508 0	16,927 0	155,014 0	0 0
(5) EVERETT MOUNTS	(i) (ii)	124,063 0	6,133 0	0 0	27,639 0	12,883 0	170,718 0	0 0
(6) KENNETH CONNER	(i) (ii)	125,821 0	0 0	0 0	18,001 0	6,329 0	150,151 0	0 0
(7) PATRICIA THOMAS	(i) (ii)	135,111 0	8,032 0	0 0	32,346 0	6,330 0	181,819 0	0 0
(8) THOMAS S KLUGE	(i) (ii)	170,281 22,839	0 0	23,341 0	18,309 5,615	8,632 2,647	220,563 31,101	0 0

Schedule J (Form 990) 2010

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

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

Schedule J (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
HALIFAX REGIONAL HOSPITAL INCORPORATED

Employer identification number
54-0648699

Part I

Bond Issues

(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	(g) Defeased		(h) On Behalf of Issuer		(i) Pool financing
(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	Yes	No	Yes	No	Yes	No
A	INDUSTRIAL DEVELOPMENT AUTHORITYHALIFAX COUNTY	54-1169928	40579NBD7	08-11-2004	14,883,460	SERIES 2004 REFUNDING REVENUE BOND		X		X		X
B	INDUSTRIAL DEVELOPMENT AUTHORITYCHARLOTTE COUNTY	54-1643556	160831AA1	10-17-2007	20,089,290	SERIES 2007 IDA HOSPITAL		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired. . . . .	0		0
2 Amount of bonds defeased . . . .	0		0
3 Total proceeds of issue . . . .	14,883,460		20,089,290
4 Gross proceeds in reserve funds . .	0		1,386,500
5 Capitalized interest from proceeds.	0		0
6 Proceeds in refunding escrow. . . . .	12,402,353		0
7 Issuance costs from proceeds . . .	294,671		391,600
8 Credit enhancement from proceeds.	0		0
9 Working capital expenditures from proceeds . .	0		0
10 Capital expenditures from proceeds . .	2,186,436		18,311,190
11 Other spent proceeds . .	0		0
12 Other unspent proceeds. . .	0		0
13 Year of substantial completion . . .	2004		2008
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue?	X			X
15 Were the bonds issued as part of an advance refunding issue?		X		X
16 Has the final allocation of proceeds been made? . .	X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .	X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .		X		X

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2010

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use?	X		X
b Are there any research agreements that may result in private business use of bond-financed property? . .		X		X
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? .		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . .	0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .	0 %		0 %
6 Total of lines 4 and 5 . . .. . . . . .	0 %		0 %
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities?	X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .		X		X
2 Is the bond issue a variable rate issue?		X		X
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?		X		X
b Name of provider .
c Term of hedge . .
d Was the hedge superintegrated? .
e Was a hedge terminated? .
4a Were gross proceeds invested in a GIC? .		X		X
b Name of provider .
c Term of GIC . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .
5 Were any gross proceeds invested beyond an available temporary period? .		X	X
6 Did the bond issue qualify for an exception to rebate? . . .		X	X

Schedule K (Form 990) 2010

Page 3

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation

Schedule K (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

HALIFAX REGIONAL HOSPITAL INCORPORATED

Employer identification number

54-0648699

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(b) Description of transaction	(c) Corrected?
1(a) Name of disqualified person	(b) Description of transaction	Yes	No

Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.

(a) Name of interested person and purpose	(b) Loan to or from the organization?		(c)Original principal amount	(d)Balance due	(e) In default?		(f) Approved by board or committee?		(g)Written agreement?
(a) Name of interested person and purpose	To	From	(c)Original principal amount	(d)Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b)Relationship between interested person and the organization	(c)Amount of grant or type of assistance

For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2010

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) PULMONARY ASSOCIATES OF SOUTHSIDE V	JAMES WITKO - BOARD MBR	819,795	HOSPITALIST SERVICES		No
(2) HALIFAX HEART CENTER	HABIB BASSIL - BOARD MBR	417,606	PROF FEES & SUBSIDY		No

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule L (see instructions).

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

Schedule L (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

HALIFAX REGIONAL HOSPITAL INCORPORATED

Employer identification number

54-0648699

Identifier	Return Reference	Explanation
ORGANIZATION'S MISSION	PART III, LINE 1	THE PURPOSE OF HALIFAX REGIONAL HEALTH SYSTEM IS TO PROVIDE THE HIGHEST QUALITY CARE BASED ON THE HEALTHCARE NEEDS OF THE PEOPLE WE SERVE. HALIFAX REGIONAL HOSPITAL, INC. IS ORGANIZED TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY AND TO PARTICIPATE, SO FAR AS CIRCUMSTANCES MAY WARRANT, IN ANY ACTIVITY DESIGNED AND CARRIED ON TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY.
PROGRAM SERVICES	PART III, LINE 4	AS A NON-PROFIT ENTITY, HALIFAX REGIONAL HOSPITAL (HRH) PROVIDES A VARIETY OF COMMUNITY BENEFIT SERVICES, RESPONDING TO IDENTIFIED COMMUNITY NEEDS AND SUPPORTING THE GENERAL HEALTH AND WELFARE OF APPROXIMATELY 80,000 PEOPLE IN THE REGION. THE HOSPITAL AND LONG-TERM CARE FACILITIES, ALL PART OF HALIFAX REGIONAL HEALTH SYSTEM (HRHS), UTILIZE EXCESS REVENUE OVER EXPENSES TO UPGRADE FACILITIES, TO PURCHASE NEW EQUIPMENT AND TO UPGRADE CLINICAL AND INFORMATION TECHNOLOGY IN ORDER TO IMPROVE QUALITY AND PATIENT SAFETY, AND TO PROMOTE AND SUPPORT HEALTH AND WELLNESS IN THE COMMUNITY. IN THE FISCAL YEAR ENDING AUGUST 31, 2011, CONTRIBUTIONS TO CHARITY CARE ALONE TOTALED $4,870,598 ($1,646,000 AT COST, APPROXIMATELY). EMPLOYEES SPEND HUNDREDS OF HOURS VOLUNTEERING THEIR TIME AND TALENTS IN SCHOOLS AND COMMUNITY ORGANIZATIONS, SPEAKING TO CIVIC GROUPS, PROVIDING FREE HEALTH SCREENINGS, AND SERVING ON COMMUNITY AND STATE ORGANIZATIONS. HALIFAX REGIONAL HOSPITAL, AS PART OF HALIFAX REGIONAL HEALTH SYSTEM, DONATED $251,933 THROUGH ITS COMMUNITY PARTNERSHIP PROGRAM TO ASSIST COMMUNITY GROUPS AND AGENCIES IN ORDER TO HELP PROMOTE ALL AREAS OF HEALTH AND WELLNESS IN THE COMMUNITY, INCLUDING PHYSICAL, MENTAL, VOCATIONAL, EMOTIONAL, INTELLECTUAL AND SPIRITUAL WELL-BEING. HRH ALSO ASSISTS WITH FUND RAISING ACTIVITIES FOR GROUPS SUCH AS EMERGENCY MEDICAL SERVICES GROUPS AND CO-SPONSORS PUBLIC EVENTS PLANNED BY VARIOUS CLUBS, SCHOOLS AND BUSINESSES. HRH PROVIDES A NUMBER OF COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION SERVICES AND COMMUNITY BUILDING ACTIVITIES. IF HALIFAX REGIONAL DID NOT PERFORM THESE ESSENTIAL ROLES-PROVIDING CHARITY CARE, MONETARY CONTRIBUTIONS AND WELLNESS EDUCATION, THESE OBLIGATIONS WOULD MOST LIKELY HAVE TO BE ASSUMED BY GOVERNMENT AND SUPPORTED BY TAXPAYERS. SINCE HALIFAX REGIONAL OPENED ITS DOORS JULY 1, 1953, THE ACUTE CARE DIVISION'S MISSION HAS BEEN TO PROVIDE THE HIGHEST QUALITY CARE BASED ON THE HEALTHCARE NEEDS OF CITIZENS IN THE REGION. HALIFAX REGIONAL HOSPITAL SERVES THE COUNTIES OF HALIFAX, WESTERN MECKLENBURG, AND CHARLOTTE, PLUS MANY COMMUNITIES THAT BORDER THESE COUNTIES. IN APRIL 1997, HALIFAX REGIONAL HOSPITAL BECAME A SUBSIDIARY OF HALIFAX REGIONAL HEALTH SYSTEM AND REMAINS THE ONLY PROVIDER OF INPATIENT AND OUTPATIENT ACUTE CARE SERVICES IN A 30- TO 40-MILE RADIUS. HEALTHCARE TAKES MANY FORMS AT HALIFAX REGIONAL HOSPITAL.IN ADDITION TO MEDICAL SERVICES FOR INPATIENTS AND OUTPATIENTS, ACUTE-CARE AND SKILLED-CARE SERVICES, AND REHABILITATION PROGRAMS, WELLNESS IS PROMOTED THROUGH VARIOUS INITIATIVES, SUCH AS HEALTH SCREENINGS, SEMINARS AND CLASSES, CO-SPONSORED PROGRAMS AND CHARITABLE CONTRIBUTIONS OFFERED BY A COMMUNITY-HEALTH ORIENTED ADMINISTRATION, BOARD OF DIRECTORS AND VOLUNTEERS.FOR THE MOST PART, EDUCATIONAL PROGRAMS AND SCREENINGS ARE FREE. OTHERS ARE OFFERED AT REDUCED RATES. THE HOSPITAL IS LICENSED TO OPERATE 192 BEDS, INCLUDING 122 MEDICAL/SURGICAL BEDS, 10 INTENSIVE/ CARDIAC CARE BEDS, 21 OBSTETRIC BEDS, 20 BASSINETS AND SPECIAL-CARE NURSERY BEDS, AND 19 LICENSED SKILLED NURSING FACILITY BEDS (SUBACUTE).IT OFFERS THE REGION ADVANCED DIAGNOSTIC AND TREATMENT CAPABILITIES INCLUDING CAP ACCREDITED CLINICAL LABORATORY SERVICES, AN ON-SITE BLOOD BANK AND DIRECT ACCESS TESTING; DIAGNOSTIC RADIOLOGY, INCLUDING NUCLEAR MEDICINE, COMPUTERIZED AXIAL TOMOGRAPHY (CAT); IN-HOUSE MRI AND MOBILE PET/CT COMBINATION SCANNING; COMPUTER-AIDED DETECTION (CAD) MAMMOGRAPHY, INCLUDING STEREOTACTIC AND SENTINEL-NODE BIOPSY; NON-INVASIVE AND NUCLEAR CARDIOLOGY; STRESS TESTING; INTERVENTIONAL CARDIOLOGY SERVICES AND INPATIENT DIALYSIS. THE HOSPITAL OFFERS EMERGENCY MEDICINE AND INPATIENT AND OUTPATIENT SURGERY, INCLUDING GENERAL, OPHTHALMOLOGIC, GYNECOLOGICAL, ORAL/MAXILLOFACIAL, ORTHOPEDIC AND VASCULAR SURGERY; AND UPPER AND LOWER GI ENDOSCOPIES AND TOTAL-JOINT REPLACEMENT.TREATMENTS FOR PROBLEM WOUNDS SUCH AS THOSE CAUSED BY DIABETIC COMPLICATIONS, RADIATION TISSUE DAMAGE, CRUSH INJURIES AND INFECTIONS CAN BE ADDRESSED AT THE OUTPATIENT CENTER FOR WOUND CARE. CARDIOPULMONARY/RESPIRATORY THERAPY, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY, HOME HEALTH, HOSPICE AND BEREAVEMENT SERVICES ARE ALSO OFFERED FOR INPATIENTS, OUTPATIENTS AND FOR THE HOMEBOUND.THE CENTER FOR BEHAVIORAL HEALTH OFFERS MENTAL HEALTH SERVICES ON AN OUTPATIENT BASIS FOR ADULTS, INCLUDING GERIATRICS, AND CHILDREN, AGES SIX AND ABOVE. DURING FY11, HALIFAX REGIONAL HOSPITAL SERVED 4,784 INPATIENTS, INCLUDING NEWBORNS, PROVIDED SERVICES TO 64,092 OUTPATIENTS AND HAD 27,920 EMERGENCY DEPARTMENT VISITS. HALIFAX REGIONAL PARTICIPATES IN BOTH MEDICARE AND MEDICAID AND, BASED UPON ITS MISSION TO THE COMMUNITY, PROVIDES SERVICES TO ALL INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. AS A COMMUNITY-OWNED, NOT-FOR-PROFIT ORGANIZATION, HALIFAX REGIONAL HOSPITAL TAKES PRIDE IN ITS MISSION TO PROVIDE CARE TO ALL CITIZENS REGARDLESS OF THEIR ABILITY TO PAY.HALIFAX COUNTY UNINSURED AND UNEMPLOYED STATISTICS, AS WELL AS THOSE IN THE SURROUNDING COUNTIES, ARE SIGNIFICANTLY HIGHER THAN THE PERCENTAGES FOR THE STATE OF VIRGINIA. ALTHOUGH THE PROVISION OF HEALTHCARE SERVICES TO A GROWING UNINSURED AND UNDERINSURED POPULATION WHILE MAINTAINING FISCAL RESPONSIBILITY IS ONE OF THE GREATEST CHALLENGES THAT HOSPITALS FACE, WE BELIEVE THAT A LACK OF FINANCIAL RESOURCES SHOULD NEVER GET IN THE WAY OF A PATIENT RECEIVING ESSENTIAL HEALTH SERVICES. HRH'S PATIENT FINANCIAL ASSISTANCE POLICY IS DESIGNED TO OFFER LOW-INCOME, UNINSURED AND UNDERINSURED PATIENTS DISCOUNTED CHARGES AT INCREASED PERCENTAGES OF THE FEDERAL POVERTY GUIDELINES (FPG). THE HOSPITAL PROVIDES A 32 PERCENT DISCOUNT FROM CHARGES FOR PATIENTS WITHOUT INSURANCE REGARDLESS OF INCOME. A MEDICALLY INDIGENT DISCOUNT IS PROVIDED FOR INDIVIDUALS AT THE 226% TO 275% FPG BASED UPON TOTAL MEDICAL RELATED BILLS. IN ADDITION TO THE ONGOING COMMUNICATIONS OF THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM THROUGH BROCHURES, POSTINGS THROUGHOUT THE HOSPITAL AND INFORMATION PROVIDED DIRECTLY TO PATIENTS, THE HOSPITAL PLACES AN AD IN LOCAL NEWSPAPERS QUARTERLY TO PUBLICIZE THE PROGRAM. ALTHOUGH THE CHARITY CARE AND UNCOMPENSATED CARE PROVIDED BY HRH INCREASES ANNUALLY, HRH CONSISTENTLY RANKS BY VIRGINIA HEALTH INFORMATION AS ONE OF THE LOWEST CHARGE HOSPITALS IN THE COMMONWEALTH. IN FY11, THE HOSPITAL PROVIDED $12,277,996 IN UNCOMPENSATED CARE (CHARITY AND BAD DEBT) OR 6.1 PERCENT OF PATIENT REVENUE.IN ADDITION, THE UN-REIMBURSED VALUE OF PROVIDING CARE TO PATIENTS INSURED BY THE MEDICARE AND MEDICAID PROGRAMS WAS $94,746,988 OR 47 PERCENT OF PATIENT REVENUE. COMMUNITY HEALTH IMPROVEMENT SERVICES & EDUCATION ------------------------------------------------- HALIFAX REGIONAL HOSPITAL ENCOURAGES ITS STAFF AND VOLUNTEERS TO CONTINUE THE CARING TRADITIONS OF THOSE CITIZENS WHO WORKED SO DILIGENTLY TO ESTABLISH THE HOSPITAL IN THE EARLY 1950S.TODAY, MANY EMPLOYEES, PHYSICIANS AND VOLUNTEERS HELP STRENGTHEN THE COMMUNITY BY ADDRESSING VARIOUS COMMUNITY HEALTH NEEDS.WHETHER SPONSORING A HEALTH FAIR, PARTICIPATING IN A CHAMBER OF COMMERCE PROJECT, SENDING A SPEAKER TO A SCHOOL CLASSROOM OR CIVIC CLUB, PARTNERING WITH OTHER HEALTHCARE PROVIDERS TO PROVIDE ADDITIONAL OUTREACH SERVICES OR DONATING TO ORGANIZATIONS WITH SIMILAR MISSIONS TO HELP IMPROVE THE QUALITY OF LIFE FOR RESIDENTS OF ALL AGES, HALIFAX REGIONAL IS PROUD TO BE A GOOD CORPORATE CITIZEN AND TO TAKE A LEADERSHIP ROLE IN THE WELL-BEING OF ALL CITIZENS IN THE REGION.SOME OF THESE ACTIVITIES, SERVICES, JOINT SPONSORSHIPS AND OTHER PROGRAMS ARE DESCRIBED BELOW.
PROGRAM SERVICES	FORM 990, PART III - LINE 4 (CONTINUED)	AVOID THE FLU CAMPAIGN - THIS COMMUNITY AWARENESS CAMPAIGN IS CONTINUED EACH YEAR TO EDUCATE THE PUBLIC BEFORE AND DURING FLU SEASON. THIS YEAR THE INFECTION CONTROL DEPARTMENT UTILIZED SEVERAL VENUES FOR DISSEMINATING INFORMATION TO THE PUBLIC. POSTERS AND FLYERS WERE PLACED THROUGHOUT THE HOSPITAL WITH THE 'PROTECT YOUR PATIENTS" AND "IT'S OK TO ASK" MESSAGE AND REMINDERS TO WASH YOUR HANDS AND RECONSIDER VISITING PATIENTS WHEN YOU ARE SICK WERE PLACED ON THE TELEVISION IN THE HOSPITAL LOBBY, ON THE HEALTH SYSTEM WEB SITE AND IN ARTICLES IN LOCAL NEWSPAPERS. FINALLY, A BOOTH ABOUT PROPER HAND WASHING IS A CONSISTENT PRESENCE AT THE HEALTHY LIVING EXPO EACH YEAR AND VISITORS ACTUALLY HAVE THE OPPORTUNITY TO WASH THEIR HANDS AND LEARN ABOUT THE BEST TECHNIQUES TO ENSURE PROPER CLEANLINESS. FOOD AND NUTRITION SERVICES COMMUNITY SERVICE - IN ADDITION TO PARTICIPATING IN HALIFAX REGIONAL HOSPITAL'S HEALTH FAIRS, FOOD AND NUTRITION EMPLOYEES PROVIDED DIET AND NUTRITION INFORMATION TO THE PUBLIC (ADULTS AND CHILDREN) IN A VARIETY OF OTHER VENUES INCLUDING CHURCHES, LOCAL BUSINESSES, SUPPORT GROUPS, SCHOOLS AND SPECIAL EVENTS. "EATING FOR A HEALTHY WEIGHT" AND "EATING FOR A HEALTHY HEART" CLASSES HAVE CONTINUED THROUGHOUT FY11 AS A PART OF THE CARDIOPULMONARY REHABILITATION EDUCATION CLASSES. "DISHIN' NUTRITION WITH YOUR KIDS," A FREE CLASS DESIGNED FOR PARENTS AND CHILDREN ADDRESSING NUTRITION AND OBESITY, CONTINUED AS WELL.THE DEPARTMENT ALSO OFFERED A HEALTHY COOKING CLASS FREE TO THE COMMUNITY AS PART OF HALIFAX REGIONAL'S HEALTH NITE OUT SERIES OF EDUCATIONAL EVENTS. HEALTHY LIVING EXPO - HALIFAX REGIONAL HEALTH SYSTEM HOLDS ANNUAL COMMUNITY HEALTH FAIRS IN ITS SERVICE AREA. HALIFAX REGIONAL'S ANNUAL SIGNATURE EVENT, THE HEALTHY LIVING EXPO, WAS HELD AT HALIFAX COUNTY HIGH SCHOOL IN MARCH 2011. IN ADDITION TO THE MYRIAD OF SCREENINGS AND HEALTH AND WELLNESS EDUCATIONAL ACTIVITIES AND INFORMATION PROVIDED BY HRH AT THIS EVENT, HRH INVITES OTHER HEALTH-RELATED ORGANIZATIONS TO PARTICIPATE IN THE EVENT IN ORDER TO EXPAND THE OFFERINGS TO THE PARTICIPANTS. GUEST PARTICIPANTS INCLUDED THE AMERICAN RED CROSS, CAREGIVERS OF AUTISTIC CHILDREN, THE LION'S CLUB (VISION AND AMBLYOPIA SCREENING), THE HALIFAX COUNTY CANCER ASSOCIATION, THE LOCAL ALZHEIMER'S ASSOCIATION; THE SOCIAL SECURITY ADMINISTRATION, HALIFAX COUNTY SHERIFF'S DEPARTMENT (PROJECT LIFESAVER), HEALTHY FAMILIES; THE YMCA; THE SOUTH BOSTON FIRE DEPARTMENT, THE SOUTH BOSTON LIBRARY, AND THE SOUTH BOSTON POLICE DEPARTMENT AND MORE.ALL HEALTH SCREENINGS PROVIDED WERE FREE, INCLUDING BLOOD PRESSURE, BLOOD GLUCOSE AND CHOLESTEROL, VISION AND AMBLYOPIA, ORAL, BMI (BODY MASS INDEX), OSTEOPOROSIS, BALANCE, GRIP STRENGTH AND ANXIETY AND DEPRESSION SCREENINGS.301 INDIVIDUALS ATTENDED THE EXPO AND MORE THAN 600 FREE SCREENINGS WERE PROVIDED. COMMUNITY HEALTH FAIRS/SCREENINGS - OTHER COMMUNITY HEALTH FAIRS IN WHICH HALIFAX REGIONAL PARTICIPATED AND PROVIDED SCREENINGS (INCLUDING BLOOD PRESSURE, BODY MASS INDEX, CHOLESTEROL AND BLOOD GLUCOSE) DURING FY11 INCLUDED NORTH HALIFAX FIRE DEPARTMENT MARATHON, HALIFAX COUNTY CANCER ASSOCIATION WALK FOR HOPE, AMERICAN NATIONAL BANK GRAND OPENING, TRICK OR TREAT, CHARLOTTE COUNTY BUSINESS EXPO, HALIFAX COUNTY CHAMBER EXPO, NATIONAL NIGHT OUT IN MECKLENBURG AND HALIFAX COUNTIES, RELAY FOR LIFE AND ST.PAUL CHURCH HEALTH FAIR.A PROSTRATE SCREENING WAS ALSO HELD AT HALIFAX PRIMARY CARE. IN FY11, HALIFAX REGIONAL PARTICIPATED IN TEN HEALTH FAIR SCREENING EVENTS WITH 1,417 INDIVIDUALS SCREENED. ANNUAL NATIONAL DEPRESSION AND ANXIETY SCREENING DAY - IN MAY, HALIFAX REGIONAL'S CENTER FOR BEHAVIORAL HEALTH HELD A FREE DEPRESSION AND ANXIETY SCREENING DAY. THE CENTER STAFF PROVIDED A QUESTIONNAIRE AND MENTAL HEALTH PROFESSIONALS WERE ON HAND TO DISCUSS THE RESULTS WITH PARTICIPANTS.ADDITIONALLY, THE CENTER STAFF PROVIDED FREE SCREENINGS AT OTHER HALIFAX REGIONAL SPONSORED EVENTS THROUGHOUT THE YEAR INCLUDING THE HALIFAX COUNTY CHAMBER OF COMMERCE BUSINESS EXPO IN FEBRUARY AND HALIFAX REGIONAL HEALTH SYSTEM'S HEALTHY LIVING EXPO IN MARCH. ADVANCED DIRECTIVES DAY - IN APRIL 2011, HALIFAX REGIONAL HOSPITAL JOINED HOSPITALS AND HEALTH SYSTEMS AROUND THE COMMONWEALTH OF VIRGINIA IN A DAY DESIGNED TO CREATE PUBLIC AWARENESS OF THE NEED TO PLAN AHEAD FOR HEALTH CARE DECISIONS RELATED TO END OF LIFE CARE AND MEDICAL DECISION MAKING FOR PATIENTS UNABLE TO SPEAK FOR THEMSELVES. THE EVENT ALSO ENCOURAGED THE USE OF ADVANCE DIRECTIVES TO COMMUNICATE THESE IMPORTANT HEALTH CARE DECISIONS. HRH AND HALIFAX REGIONAL HOSPICE PARTICIPATED BY GOING TO MULTIPLE AREAS IN THE COMMUNITY TO TALK ABOUT THE BENEFITS OF ADVANCED DIRECTIVES. LOOK GOOD . . . FEEL BETTER WORKSHOPS - THIS AMERICAN CANCER SOCIETY (ACS) PROGRAM IS DESIGNED FOR WOMEN UNDERGOING ACTIVE CANCER TREATMENT.THE FREE WORKSHOP IS HOSTED ON AN AS NEEDED BASIS, AT THE REQUEST OF INDIVIDUALS IN THE COMMUNITY. PARTICIPANTS LEARN ABOUT SKIN PROBLEMS THAT CAN RESULT FROM CHEMOTHERAPY AND/OR RADIATION THERAPY; LEARN TO ADD COLOR TO THEIR FACES WITH A FREE SKIN-CARE KIT VALUED AT $250 (COMPLIMENTS OF ACS); AND ARE INSTRUCTED ON HOW TO USE WIGS, HATS AND SCARVES TO ENHANCE THEIR LOOKS AND SELF-ESTEEM. IN FY2011, TWO WORKSHOPS WERE HELD.HRH SUPPLIED THE SPACE FOR THE WORKSHOPS AND A PORTION OF THE SUPPLIES SUCH AS MIRRORS, WASHCLOTHS, FOR THOSE WHO WANTED TO KNOW MORE ABOUT ACHIEVING A BRIGHTER OUTLOOK ON LIFE. THE HOSPITAL PROMOTES THESE WORKSHOPS IN BI-MONTHLY ADS AND IN THE QUARTERLY LIFE & HEALTH NEWSLETTER.DURING FY2011, HRH TURNED OVER CONTROL OF THESE WORKSHOPS - SETTING UP AND CARRYING OUT THE EVENTS - TO THE LOCAL HALIFAX COUNTY CANCER ASSOCIATION.HRH CONTINUES TO ADVERTISE FOR THE EVENTS. HEALTHY DIRECTIONS WELLNESS PROGRAM - DURING FY11, A VARIETY OF WELLNESS PROGRAMS, CLASSES AND CONTESTS CONTINUED TO BE HELD REGULARLY TO HELP EMPLOYEES AND THEIR FAMILY MEMBERS WITH WEIGHT LOSS, EXERCISE, AND NUTRITION TO LOWER BMI, CHOLESTEROL, GLUCOSE, BLOOD PRESSURE AND RISKS FOR HEART ATTACK, STROKE AND OTHER COMPLICATIONS OF CARDIOVASCULAR DISEASE. A TOTAL OF 806 EMPLOYEES AND SPOUSES TOOK ADVANTAGE OF THE FREE WELLNESS SCREENINGS GIVEN AT HALIFAX REGIONAL HOSPITAL, MEADOWVIEW TERRACE AND THE WOODVIEW IN FY11.BY LOOKING BETTER AND FEELING BETTER, EMPLOYEES "SHOW" THE COMMUNITY THAT GOOD HEALTH IS ACHIEVABLE AND SET A GOOD EXAMPLE FOR THE HEALTHCARE ROLE THE ORGANIZATION PLAYS IN THE COMMUNITY. CHILDBIRTH EDUCATION CLASSES - THROUGH THE FAMILY BIRTHING CENTER, HALIFAX REGIONAL OFFERS A WIDE RANGE OF CHILDBIRTH EDUCATION CLASSES FOR PARENTS-TO-BE. ALL CLASSES EXCEPT PREPARED CHILDBIRTH CLASSES ARE PROVIDED FREE.OFFERED IN FY11 WERE: PREPARED CHILDBIRTH CLASSES - SEVEN CLASSES, 56 PARTICIPANTS BREASTFEEDING CLASS - EIGHT CLASSES, 60 PARTICIPANTS BEREAVEMENT COUNSELING FOR LOSS OF INFANT/CHILD - GIVEN TO ALL MOTHERS AND BIRTHING PARTNERS IN CASES OF CHILDBIRTH LOSS (MISCARRIAGES AND STILLBIRTHS) BABY BASICS AND BEYOND CLASSES - SEVEN CLASSES, 63 PARTICIPANTS DIABETES EDUCATION CLASSES - NINETY-NINE PEOPLE ATTENDED HALIFAX REGIONAL'S FREE DIABETES GROUP CLASSES IN FY11. THE DIABETES EDUCATION DEPARTMENT OFFERS MONTHLY CLASSES FOR THOSE INTERESTED IN LEARNING ABOUT MONITORING BLOOD GLUCOSE, NUTRITION, STRESS MANAGEMENT AND THE PREVENTION OF COMPLICATIONS RELATED TO DIABETES. DIABETES GROUP CLASSES ARE OFFERED AT VARIOUS TIMES OF DAY AND EVENING AND SEVERAL ALL-DAY SATURDAY CLASSES ARE SCHEDULED EACH YEAR TO PROVIDE ADDITIONAL OPPORTUNITIES FOR PERSONS WHO WORK DURING THE WEEK OR PREFER NOT TO COME AT NIGHT. IN FY11 THE DIABETES EDUCATOR ALSO PROVIDED 30 ONE-TO-ONE SESSIONS WITH INDIVIDUALS EITHER REFERRED BY PHYSICIAN OR SELF AT NO CHARGE AND DID 37 TELEPHONE EDUCATION SESSIONS.A DIABETES EDUCATOR IS ALSO AVAILABLE TO TEACH AND DEMONSTRATE HOW TO USE A BLOOD SUGAR MONITOR UPON REQUEST. IN MARCH 2011 THE DIABETES EDUCATION DEPARTMENT, PARTICIPATED IN THE 2011 HEALTHY LIVING EXPO, PROVIDING FREE DIETARY COUNSELING AND LITERATURE TO INTERESTED INDIVIDUALS AND TO THOSE HAVING ELEVATED BLOOD SUGARS FOLLOWING FREE EXPO BLOOD GLUCOSE SCREENINGS. ALZHEIMER'S CAREGIVER TRAINING - ONE OF HALIFAX REGIONAL'S EMPLOYEE'S SERVES ON THE LEADERSHIP COUNCIL OF THE SOUTHEASTERN VIRGINIA CHAPTER OF THE ALZHEIMER'S ASSOCIATION, AND, DURING FY11, PRESENTED EDUCATIONAL SESSIONS ON ALZHEIMER'S DISEASE TO LOCAL CHURCH GROUPS, CIVIC CLUBS, COMMUNITY COLLEGE CLASSES, HIGH SCHOOL NURSING CLASSES, AREA CLERGY AND PROFESSIONAL AND FAMILY CAREGIVERS. THIS PERSON ALSO SERVES WITH AN EMPLOYEE OF SEASONS AT THE WOODVIEW AS CO-FACILITATOR OF THE LOCAL ALZHEIMER'S SUPPORT GROUP.
PROGRAM SERVICES	FORM 990, PART III - LINE 4 (CONTINUED)	OTHER HEALTH-RELATED PROGRAMS, SEMINARS FOR THE PUBLIC - IN ADDITION TO SPEAKERS BUREAU PRESENTATIONS, HALIFAX REGIONAL HOSPITAL HOSTS A NUMBER OF SPECIAL SEMINARS, CALLED HEALTH NITE OUT, FREE OF CHARGE TO THE GENERAL PUBLIC.HRH STAFF PLAN, PROMOTE, IMPLEMENT AND PROVIDE REFRESHMENTS FOR THESE PROGRAMS. 1. WELLNESS & WEIGHT: FINDING WHAT WORKS - THIS HIGHLY INFORMATIVE PROGRAM WAS PRESENTED BY KATIE CONSCHAFTER, MS, RD, CDE, A SENIOR CLINICAL MANAGER FOR ANIMAS CORPORATION, A JOHNSON & JOHNSON COMPANY. AMONG HER LICENSES AND TRAINING, CONSCHAFTER IS BOTH A REGISTERED DIETICIAN AND A CERTIFIED DIABETES EDUCATOR, AND SHE HAS MORE THAN 30 YEARS OF KNOWLEDGE AND EXPERIENCE. SHE HAS TAUGHT BOTH NUTRITION AND WEIGHT LOSS CLASSES AND SHE HAS TREATED PATIENTS OF ALL AGES. THE PRESENTATION PROVIDED A DEEPER LOOK INTO THE SCOPE OF OBESITY IN AMERICA AND THE FACTORS BEHIND IT, AS WELL AS WEIGHT LOSS OPTIONS AND LIFESTYLE CHANGES. A TOTAL OF 97 PEOPLE ATTENDED. 2. COOKING WITH KIDS - THIS PROGRAM OFFERED A FUN-FILLED NIGHT FOR ADULTS AND THEIR CHILD(REN) (OR GRANDCHILD) TO SPEND QUALITY TIME TOGETHER WHILE INSTILLING HEALTHY EATING HABITS! TAUGHT BY LISA CAUDLE, CLINICAL NUTRITION MANAGER AT HALIFAX REGIONAL HOSPITAL, AND JANET CONNER, SENIOR DIETARY ADVISOR, YOU AND YOUR CHILD ARE SURE TO GAIN THE CULINARY AND BONDING EXPERIENCE OF A LIFETIME. A TOTAL OF 28 PEOPLE ATTENDED THIS PROGRAM. 3. HEART HEALTH FOR ALL AGES - YOUR HEART IS ON DUTY TWENTY-FOUR HOURS A DAY SEVEN DAYS A WEEK. PARTICIPANTS AT THIS PROGRAM LEARNED HOW TO TAKE CARE OF THEIR HEART AND REDUCE THEIR RISK FOR HEART-RELATED HEALTH PROBLEMS. CARDIOLOGIST GARETH TITUS, MD PRESENTED THIS PROGRAM AND REPRESENTATIVES FROM HRH'S CENTER FOR CARDIOVASCULAR SERVICES AND CARDIOPULMONARY REHAB DEPARTMENTS WERE ON-HAND TO OFFER BLOOD PRESSURE CHECKS. TWENTY PEOPLE WERE IN ATTENDANCE. 4. KONNECTING PARENTS & KIDS - THIS HEALTH NITE OUT, PRESENTED BY BETH GILLIS, MS, NCC, LPC OF HALIFAX REGIONAL'S CENTER FOR BEHAVIORAL HEALTH, CONCENTRATED ON DEVELOPING POSITIVE COMMUNICATION SKILLS AND CONCEPTS BETWEEN PARENTS AND CHILDREN. WHILE PARENTS ENJOYED BETH'S PRESENTATION, THEIR CHILDREN WERE INVITED TO PARTICIPATE IN FUN LEARNING ACTIVITIES AND READING TIME IN ANOTHER ROOM. A TOTAL OF 16 PEOPLE ATTENDED THIS WORKSHOP. MENTOR ROLE MODEL PROGRAM - HALIFAX REGIONAL PROVIDED SUPPORT AND OFFICE SPACE AT BELOW MARKET RATES FOR THE ROLE MENTOR MODEL PROGRAM (A COMMUNITY PROGRAM PROVIDING ADULT MENTORS TO 130 LOCAL CHILDREN) DURING FY11. SPEAKERS BUREAU - HALIFAX REGIONAL'S SPEAKERS BUREAU PROVIDES FREE INFORMATIONAL PROGRAMS TO SCHOOLS, COMMUNITY GROUPS, BUSINESSES AND OTHER ORGANIZATIONS IN HALIFAX, MECKLENBURG AND CHARLOTTE COUNTIES. TOPICS RANGE FROM DIET AND NUTRITION TO RISKS FOR HEART DISEASE, DRUG INTERACTIONS, STRESS MANAGEMENT, WELLNESS, DISASTER PREPAREDNESS, AND ALZHEIMER'S DISEASE, TO NAME A FEW. SPEAKERS INCLUDE STAFF MEMBERS AND PHYSICIANS. IN FY11 PRESENTATIONS WERE MADE TO 27 COMMUNITY ORGANIZATIONS, CIVIC CLUBS AND CHURCHES. APPROXIMATELY 876 INDIVIDUALS WERE REACHED THROUGH THESE PRESENTATIONS. SUPPORT GROUPS - ON A BI-MONTHLY BASIS, HALIFAX REGIONAL HOSPITAL ADVERTISES MEETINGS FOR SUPPORT GROUPS AND INFORMATION CLASSES THE COMMUNITY IS INVITED TO ATTEND. MANY OF THESE SUPPORT GROUPS HAVE LONG-STANDING MEMBERSHIPS AND AS NEW NEEDS ARE IDENTIFIED, HALIFAX REGIONAL WORKS TO ENSURE NEW GROUPS ARE ADDED. HALIFAX REGIONAL WORKS WITH GROUPS TO SERVE AS FACILITATORS OR IDENTIFY FACILITATORS IN THE COMMUNITY, OBTAINS SPEAKERS FOR MEETINGS AND PROVIDES FREE MEETING SPACE FOR SUPPORT GROUPS. 1. BOSOM BUDDIES CANCER SUPPORT GROUP, OFFERS WOMEN WHO HAVE OR WHO HAVE EXPERIENCED BREAST CANCER, AN OPPORTUNITY TO SHARE THEIR FEELINGS AND EXCHANGE COPING STRATEGIES. SIX MEETINGS WERE HELD DURING FY11 WITH A TOTAL OF APPROXIMATELY 50 PARTICIPANTS. 2. CAREGIVERS OF AUTISTIC CHILDREN MEETS MONTHLY AT A LOCAL CHURCH. THE GROUP GIVES PARENTS AND GRANDPARENTS AN OPPORTUNITY TO SHARE SUCCESSES WITH OTHERS WHO CARE FOR CHILDREN WITH AUTISTIC TENDENCIES. APPROXIMATELY EIGHT TO TEN INDIVIDUALS ATTEND THE MONTHLY MEETINGS ROUTINELY. HALIFAX REGIONAL ADVERTISES THEIR MONTHLY MEETINGS IN NEWSPAPERS AND ON THE WEB SITE. 3. BETTER BREATHERS SUPPORT GROUP MEETS THE FOURTH THURSDAY OF THE MONTH AT THE HOSPITAL. DURING FY 2011, THE GROUP MET TEN TIMES WITH AN AVERAGE OF SIX MEMBERS AT EACH MEETING. EACH SESSION ALTERNATES BETWEEN GROUP DISCUSSIONS AND PROGRAMS PROVIDED BY HOSPITAL EMPLOYEES, PHYSICIANS, OR GUESTS FROM THE COMMUNITY. 4. STROKE/APHASIA SUPPORT GROUP MET 10 TIMES DURING FY11 WITH A TOTAL OF 80 PARTICIPANTS. THE MEETINGS ARE HELD AT HALIFAX REGIONAL HOSPITAL AND ARE OPEN TO STROKE SURVIVORS, STROKE CAREGIVERS AND FRIENDS, AND ANYONE WISHING TO KNOW MORE ABOUT STROKE AND APHASIA. 5. WEIGHT WATCHERS ALTHOUGH THIS IS A FRANCHISED PROGRAM, HALIFAX REGIONAL HOSPITAL PROVIDES SPACE AND ENCOURAGES PARTICIPATION. THE GROUP MEETS EVERY MONDAY WITH APPROXIMATELY 20 PARTICIPANTS, INCLUDING EMPLOYEES AND COMMUNITY MEMBERS. 6. R.I.S.E. (RESOURCE INFORMATION SESSIONS OF ENCOURAGEMENT) MEETS THE FOURTH TUESDAY OF EACH MONTH AND SERVES AS A BEREAVEMENT SUPPORT GROUP FOR THE COMMUNITY. SESSIONS ARE LED BY HALIFAX REGIONAL HOSPICE STAFF AND THE 19 MEETINGS HELD DURING FY 2011 REACHED 158 PARTICIPANTS. DURING FY 2011 A SECOND MEETING TIME WAS ADDED TO THE GROUP'S SCHEDULE. MEETINGS ARE HELD AT THE HOSPITAL. EACH SESSION HAS A DIFFERENT TOPIC, FOCUSING ON THE DIFFERENT NEEDS OF THOSE WHO HAVE RECENTLY SUFFERED A LOSS. TOPICS ARE PRESENTED BY VOLUNTEER LEADERS FROM THE COMMUNITY AND INCLUDE SUBJECTS LIKE UNDERSTANDING GRIEF, IDENTIFYING THE POSITIVES, JOURNALING GRIEF EXPERIENCES AND EXPLORING RESOURCES AVAILABLE FOR PEOPLE WHO ARE NEWLY LIVING ALONE. 7. NARCOTICS ANONYMOUS - THIS GROUP MEETS WEEKLY AT THE HOSPITAL. THE HOSPITAL PROVIDES FREE SPACE AND ADVERTISING. 8. CANCER SUPPORT GROUP (HOPE) - DURING FY2011, HALIFAX REGIONAL CONTINUED TO ADVERTISE THIS GROUP'S WEEKLY MEETINGS IN ITS BI-MONTHLY FOR YOUR GOOD HEALTH ADVERTISEMENT. THE GROUP'S WEEKLY MEETINGS TAKE PLACE AT A LOCAL CHURCH WITH APPROXIMATELY 15-20 PARTICIPANTS. 9. ALZHEIMER'S SUPPORT GROUP - MEETING MONTHLY AT THE WOODVIEW, THIS GROUP IS FACILITATED BY A HOSPITAL EMPLOYEE. HRH ADVERTISES ITS MEETINGS. SESSIONS ARE DESIGNED TO PROVIDE EDUCATION AND SUPPORT TO INDIVIDUALS CARING FOR SOMEONE WITH ALZHEIMER'S DISEASE OR RELATED DEMENTIAS. FOR YOUR GOOD HEALTH CALENDAR AD - HALIFAX REGIONAL HOSPITAL OFFERS A BI-MONTHLY CALENDAR AD, "FOR YOUR GOOD HEALTH," WHICH ADVERTISES FREE EVENTS IN FOUR LOCAL NEWSPAPERS IN ITS SERVICE AREA INCLUDING THE GAZETTE VIRGINIAN, NEWS&RECORD, MECKLENBURG SUN AND THE NEWS PROGRESS. THE AD IS PRINTED IN EACH NEWSPAPER'S FIRST EDITION OF THE WEEK AND PROVIDES INFORMATION AND DATES FOR CHILDBIRTH AND DIABETES GROUP CLASSES, SUPPORT GROUP MEETINGS AND OTHER COMMUNITY/HEALTH SYSTEM-SPONSORED WELLNESS PROGRAMS. CONTACT PERSONS AND PHONE NUMBERS ARE LISTED FOR ACCESS TO REGISTRATION AND/OR MORE INFORMATION. COMMUNITY HEALTH NEWS MAGAZINE - HALIFAX REGIONAL'S LIFE AND HEALTH MAGAZINE IS MAILED TO MORE THAN 31,000 HOUSEHOLDS IN OUR SERVICE AREA FOUR TIMES A YEAR. THE 8-PAGE MAGAZINE CONTAINS HEALTH AND WELLNESS INFORMATION AS WELL AS ARTICLES AND PHOTOS OF EVENTS AND ACTIVITIES AT HALIFAX REGIONAL HOSPITAL, MEADOWVIEW TERRACE, SEASONS AT THE WOODVIEW AND THE WOODVIEW AND OUR FOUR FAMILY PRACTICE CLINICS AND ORTHOPEDIC OFFICE. THE FULL-COLOR PUBLICATION FEATURES INFORMATION ON NEW SERVICES AND TECHNOLOGIES, SPECIAL AWARDS, ACCREDITATIONS, AND LISTS CLASSES AND EVENTS. HEALTH LITERATURE - A WIDE RANGE OF FREE HEALTH LITERATURE IS AVAILABLE THROUGH HALIFAX REGIONAL HEALTH SYSTEM'S MARKETING AND EDUCATION DEPARTMENTS. INFORMATION IS PLACED IN WAITING ROOMS, ON HOSPITAL NURSING UNITS OR MAY BE REQUESTED THROUGH THE MAIL. LITERATURE IS ALSO DISTRIBUTED BY SPEAKERS BUREAU PARTICIPANTS, AT SUPPORT GROUP MEETINGS, HEALTH NITE'S OUT AND AT SCREENING EVENTS. HALIFAX REGIONAL IS OFTEN ASKED TO SUPPLY EDUCATIONAL MATERIALS TO CHURCHES, SCHOOLS AND COMMUNITY GROUPS THAT HOLD HEALTH FAIRS IN THEIR RESPECTIVE FACILITIES. THIS LITERATURE COVERS RISK FACTORS FOR HEART ATTACK AND STROKE; WAYS TO IDENTIFY HYPERTENSION, HIGH CHOLESTEROL, DIABETES AND MENTAL HEALTH PROBLEMS AS WELL AS GOOD NUTRITION AND EXERCISE. HALIFAX REGIONAL'S COMMUNITY NEWSLETTER REFERENCES THE HRHS WEBSITE'S MEDICAL LIBRARY FREQUENTLY, OFFERING READERS ALTERNATE WAYS TO LEARN MORE ABOUT DISEASES AND TREATMENTS CURRENTLY AVAILABLE.
PROGRAM SERVICES	FORM 990, PART III - LINE 4 (CONTINUED)	WEB SITE - VISITORS TO WWW.HRHS.ORG CAN FIND A PHYSICIAN, LEARN ABOUT AND REGISTER FOR CLASSES AND EVENTS, SEARCH FOR A JOB, SEARCH THE HEALTH LIBRARY, ENGAGE IN INTERACTIVE HEALTH SCREENINGS, TAKE A VIRTUAL TOUR AND LEARN ABOUT SERVICES. ONLINE FEATURES INCLUDE BILL PAYMENT, JOB APPLICATIONS, CHARITABLE DONATIONS, EVENT REGISTRATION, PHYSICIAN CV SUBMISSION, CHEER CARDS AND MESSAGES, REGISTRATION FOR OUTPATIENT PROCEDURES, AND VISITING THE SECURE ONLINE BABY NURSERY. THE USE OF THESE ONLINE FEATURES CONTINUES TO RISE WITH A SIGNIFICANT INCREASE NOTED FOR ONLINE BILL PAYMENT, EVENT REGISTRATION AND CHEER CARDS. VISITORS TO THE SITE CAN SUBSCRIBE TO THREE ONLINE NEWSLETTERS: THE HEALTH E-NEWSLETTER, PREGNANCY E-NEWSLETTER, AND THE NEW-PARENT E-NEWSLETTER, A MONTHLY ELECTRONIC PUBLICATION FOR PARENTS WITH NEWBORNS AND TODDLERS. IN FY2011, HRHS.ORG AVERAGED JUST OVER 6,000 VISITS PER MONTH AND A TOTAL OF MORE THAN 73,000 VISITS FOR THE FISCAL YEAR. AFTER HAVING EXPANDED INTO SOCIAL MEDIA IN FY10, HALIFAX REGIONAL FOUND CONTINUED SUCCESS WITH THEIR FACEBOOK PAGE AND ITS ABILITY TO REACH OUT TO THE COMMUNITY DURING FY2011. YOUR RIGHT TO DECIDE; A GUIDE TO COMMUNICATING YOUR HEALTHCARE CHOICES - THIS BOOKLET ENCOURAGES READERS TO CONSIDER END-OF-LIFE DECISIONS WHILE THEY ARE WELL ENOUGH TO MAKE THESE CHOICES. STAFF AND CHAPLAINS HAVE USED THE BOOKLET, ALONG WITH COPIES OF ADVANCE DIRECTIVES, TO PRESENT PROGRAMS TO THEIR OWN CONGREGATIONS AND COMMUNITY GROUPS TO MAKE PEOPLE AWARE OF HAVING A LIVING WILL AND DESIGNATING SOMEONE TO MAKE HEALTHCARE DECISIONS FOR THEM WHEN THEY MAY BE UNABLE TO SPEAK FOR THEMSELVES. THESE FREE BOOKLETS AND COPIES OF THE VIRGINIA ADVANCE DIRECTIVE FORM ARE AVAILABLE AT HEALTHY LIVING EXPOS, ON OUR WEBSITE, IN THE ADMISSIONS AREA AND THROUGH THE GUEST RELATIONS COORDINATOR AND CHAPLAIN'S OFFICE. ENROLLMENT ASSISTANCE SERVICES - A FULL-TIME ELIGIBILITY WORKER WHO IS A HRH EMPLOYEE ASSISTS PATIENTS IN IDENTIFYING AND ENROLLING IN PUBLIC PROGRAMS TO IMPROVE THEIR ACCESSIBILITY TO HEALTHCARE SERVICES. HEALTH PROFESSIONS EDUCATION ------------------------------ THE PROJECT PRIME SCHOLARSHIP ENDOWMENT FUND (PROJECT PRIME), WHICH PROVIDES FINANCIAL ASSISTANCE TO THOSE IN THE REGION WHO WANT TO PURSUE A CAREER IN HEALTHCARE OR A HEALTHCARE-RELATED FIELD IS ADMINISTERED AND PROMOTED BY HALIFAX REGIONAL HOSPITAL. IN FY11 $67,000 WAS AWARDED TO 72 INDIVIDUALS. THE DR. JESSE J. BATES SCHOLARSHIP PROGRAM WAS STARTED IN 2002 IN HONOR OF DR. JESSE J. BATES, ONE OF TWELVE PHYSICIANS ON HALIFAX REGIONAL HOSPITAL'S MEDICAL STAFF WHEN THE HOSPITAL OPENED IN 1953. IN FY11, THE BATES SCHOLARSHIP PROVIDED $7000 IN SCHOLARSHIP FUNDS TO FIVE GRADUATING HIGH SCHOOL SENIORS FROM THE HALIFAX REGIONAL HEALTH SYSTEM SERVICE AREA. THE PURPOSE OF THE SCHOLARSHIP IS TO ENCOURAGE HIGH SCHOOL SENIORS TO SEEK EDUCATION TO FILL CRITICAL HEALTHCARE VACANCIES AND ACQUIRE SKILLS FOR USE WITH TECHNOLOGICALLY ADVANCED EQUIPMENT AND TREATMENT THERAPIES. THE SCHOLARSHIP ENDOWMENT FUND RECEIVES DONATIONS FROM THE COMMUNITY AND THE LATE DR. BATES' FAMILY. THIS SCHOLARSHIP IS ADMINISTERED AND PROMOTED BY HALIFAX REGIONAL HOSPITAL. CONTINUING MEDICAL EDUCATION (CME) PROGRAM - HRH IS ACCREDITED BY THE MEDICAL SOCIETY OF VIRGINIA TO SPONSOR CONTINUING MEDICAL EDUCATION (CME) FOR PHYSICIANS. THE CME PROGRAM IS OPEN TO ALL PHYSICIANS AND PHYSICIANS EXTENDERS IN OUR SERVICE AREA, AS WELL AS TO OUR MEDICAL STUDENTS. THE MISSION OF THE CME PROGRAM IS TO PROVIDE PHYSICIANS WITH THE LATEST EVIDENCE-BASED MEDICAL KNOWLEDGE AND TECHNICAL SKILLS. EDUCATIONAL PROGRAMS ARE PLANNED BASED ON IDENTIFIED EDUCATIONAL NEEDS THAT UNDERLIE THE PROFESSIONAL PRACTICE GAPS OF OUR LEARNERS. FINANCIAL AND IN-KIND CONTRIBUTIONS ----------------------------------- CENTER FOR NURSING EXCELLENCE- RECOGNIZING THE LOCAL, STATE AND NATIONAL NURSING SHORTAGE, HALIFAX REGIONAL HEALTH SYSTEM'S CEO ENVISIONED A NURSING EDUCATION CENTER THAT WOULD ELIMINATE THE TRADITIONAL BARRIERS FOR NURSING STUDENTS SUCH AS COMMUTING, SCHEDULING, WAITING LISTS AND INADEQUATE CAREER PREPARATION. DIRECTING THE EFFORT TO ESTABLISH SUCH A SITE, HALIFAX REGIONAL LEADERSHIP WORKED TO SECURE COOPERATION AND ADDITIONAL FUNDING FROM LIKE-MINDED ENTITIES. THE COLLABORATIVE EFFORT RESULTED IN THE SEPTEMBER 2008 OPENING OF THE CENTER OF NURSING EXCELLENCE AT THE SOUTHERN VIRGINIA HIGHER EDUCATION CENTER - A STATE-OF-THE-ART NURSING EDUCATION CENTER WHERE STUDENTS ACQUIRE CLINICAL AND CRITICAL THINKING SKILLS IN A SAFE ENVIRONMENT UTILIZING ADVANCED SIMULATION TECHNOLOGY. THE CENTER NOW OFFERS EDUCATION FROM NURSE AIDE THROUGH THE DOCTORATE OF NURSING PRACTICE UTILIZING SIX HIGH-TECH LABORATORIES OFFERING INSTRUCTIONAL TECHNOLOGIES AND HIGH FIDELITY SIMULATIONS WHICH GIVE STUDENTS HANDS-ON EXPERIENCE, BOOST CONFIDENCE AND PREPARE THEM TO ENTER THE WORKFORCE FULLY PREPARED FOR THE RIGORS OF PROFESSIONAL NURSING PRACTICE. IN FY11, HALIFAX REGIONAL CONTRIBUTED $163,411.79 TO THE CENTER. IN ADDITION, ONE HRH EMPLOYEES SERVE ON THE ADVISORY BOARD AND ANOTHER WORKED WITH THE CENTER EXPLORING GRANT OPPORTUNITIES. FOOD DRIVES- DURING FY11 EMPLOYEES, PHYSICIANS AND VOLUNTEERS AT HALIFAX REGIONAL HOSPITAL AGAIN PARTICIPATED IN SODEXO SERVICES' "SERVATHON," A NATIONWIDE FOOD DRIVE CONDUCTED EACH APRIL TO HELP PUT FOOD ON THE TABLES OF THOSE HAVING DIFFICULTY PROVIDING FOR THEIR FAMILIES. STAFF MEMBERS AND OTHERS COLLECTED $879.50 AND 338 POUNDS OF CANNED GOODS, PASTAS, RICE, SUGAR, FLOUR, COFFEE, AND OTHER NON-PERISHABLE FOODS. A CHECK AND THE FOOD WERE DONATED TO THE UNITED MISSIONARY SOUP KITCHEN IN SOUTH BOSTON, A LOCAL ORGANIZATION THAT HELPS IN THE COLLECTION AND DISTRIBUTION OF FOOD TO NEEDY INDIVIDUALS AND FAMILIES IN HALIFAX COUNTY. "SAMANTHA DOLL" PROJECT - "SAMANTHA" DOLLS ARE PART OF A NATIONWIDE EFFORT TO DISTRIBUTE HUGGABLE, THERAPEUTIC DOLLS TO TERMINALLY ILL PATIENTS OF ALL AGES. HALIFAX REGIONAL HOSPICE JOINS MORE THAN 2,500 HOSPICE PROVIDERS THROUGHOUT THE UNITED STATES IN DISTRIBUTING THESE FREE DOLLS TO THEIR PATIENTS. WOMEN FROM LOCAL MISSIONARY UNIONS IN THE DAN RIVER BAPTIST ASSOCIATION SEW THE DOLLS AND PROVIDE THEM FOR LOCAL HOSPICE AND HOSPITAL PATIENTS. DURING FY11, APPROXIMATELY 350 DOLLS WERE DISTRIBUTED TO PATIENTS IN HOMES, THE HOSPITAL AND NURSING FACILITIES. RESCUE SQUAD AND FIRE DEPARTMENT TRAINING - HALIFAX REGIONAL HOSPITAL PROVIDES SUPPLIES AND OTHER ASSISTANCE TO HELP LOCAL RESCUE SQUAD MEMBERS MEET LOCAL, STATE AND FEDERAL PATIENT SAFETY GUIDELINES. THE HEALTH SYSTEM ALSO MAKES DONATIONS TO LOCAL FIRE DEPARTMENTS AND RESCUE SQUADS TO HELP THEM WITH THEIR RESPECTIVE FUNDRAISING ACTIVITIES. A HALIFAX REGIONAL EMERGENCY ROOM PHYSICIAN SERVES AS AN OPERATIONAL MEDICAL DIRECTOR FOR EMS AGENCIES. SPORTS PHYSICALS - MEMBERS OF HALIFAX REGIONAL HOSPITAL'S MEDICAL STAFF, INCLUDING PHYSICIANS, NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS, PROVIDE FREE SPORTS PHYSICALS FOR HALIFAX COUNTY MIDDLE SCHOOL, HALIFAX COUNTY HIGH SCHOOL, BLUESTONE MIDDLE SCHOOL AND BLUESTONE HIGH SCHOOL STUDENTS WHO PARTICIPATE IN FALL, WINTER, SPRING AND SUMMER SCHOOL SPORTS PROGRAMS. IN FY11 PROVIDERS COMPLETED APPROXIMATELY 87 PHYSICALS FOR MIDDLE SCHOOL STUDENTS AND APPROXIMATELY 200 FOR HIGH SCHOOL STUDENTS.
PROGRAM SERVICES	FORM 990, PART III - LINE 4 (CONTINUED)	FACILITY USE - HALIFAX REGIONAL HOSPITAL AND THE LONG TERM CARE AFFILIATES PROVIDE FREE SPACE AND AVAILABLE EQUIPMENT FOR AREA WELLNESS PROGRAMS, COMMUNITY MEETINGS AND CLINICAL TRAINING PROGRAMS. EXAMPLES INCLUDE: ECONOMIC DEVELOPMENT COMMISSION, HALIFAX COUNTY PUBLIC SCHOOL FOUNDATION, WEIGHT WATCHERS, UNITED WAY BOARD MEETINGS, LOCAL MINISTER'S CONFERENCE, DIXIE SOFTBALL MEETING, CREDIT UNION, BLUE RIDGE AUTISM CENTER WORKSHOP ON AUTISM, SOUTHSIDE COMMUNITY COLLEGE NURSING PROGRAM, AMERICAN RED CROSS BLOODMOBILE, BELTONE HEARING CLINICS, AARP SAFE DRIVING CLASSES AND VARIOUS SUPPORT GROUP MEETINGS. HALIFAX REGIONAL HOSPITAL SERVED AS A CLINICAL SITE FOR: RN AND LPN STUDENTS, SOUTHSIDE VIRGINIA COMMUNITY COLLEGE, LONGWOOD UNIVERSITY PHYSICAL THERAPY STUDENTS FROM REGIS UNIVERSITY, DENVER, COLORADO, LYNCHBURG COLLEGE, SHENANDOAH UNIVERSITY PHYSICAL THERAPY ASSISTANT STUDENTS, JEFFERSON COLLEGE HEALTH SCIENCES SPEECH LANGUAGE PATHOLOGY STUDENTS FROM LONGWOOD COLLEGE AGREEMENTS ARE ALSO HELD TO SERVE AS A TRAINING SITE FOR STUDENTS FROM EAST CAROLINA UNIVERSITY, UNIVERSITY OF NORTH CAROLINA-CHAPEL HILL, SHENANDOAH, JAMES MADISON UNIVERSITY, APPALACHIAN STATE UNIVERSITY, MEDICAL UNIVERSITY OF SOUTH CAROLINA, WINSTON SALEM STATE UNIVERSITY, ELON, LYNCHBURG COLLEGE AND RADFORD UNIVERSITY. RESPIRATORY THERAPY STUDENTS FROM J. SERGEANT REYNOLDS COMMUNITY COLLEGE RADIOLOGY TECHNOLOGISTS PROGRAM, CVCC, LYNCHBURG, VA EMS STUDENTS FROM LOCAL EMS CLASSES COMPLETED THEIR TRAINING AT DIFFERENT LEVELS. OTHER STUDENTS FROM SOUTH HILL, FARMVILLE AND RICHMOND ALSO PERFORMED THEIR TRAINING AT HALIFAX REGIONAL HOSPITAL. PHARMACY TECHNICIAN STUDENTS, NATIONAL BUSINESS COLLEGE, MILLER MOTT TECHNICAL COLLEGE DOCTOR OF PHARMACY STUDENTS, MEDICAL COLLEGE OF VIRGINIA PHLEBOTOMY STUDENTS IN OUR OUTPATIENT LAB FROM PIEDMONT COMMUNITY COLLEGE PHYSICIAN ASSISTANT STUDENTS FROM JAMES MADISON UNIVERSITY CNA STUDENTS FROM DANVILLE COMMUNITY COLLEGE DO CLINICAL AT WOODVIEW HALIFAX COUNTY HIGH SCHOOL STUDENTS FROM THE STEM CENTER DO AN INTERNSHIP AT THE HOSPITAL IN NURSING, REHAB, PHARMACY AND DIETARY (CLINICAL DIETITIAN) *THIRD AND FOURTH YEAR STUDENTS FROM EDWARD VIA VIRGINIA COLLEGE OF OSTEOPATHIC MEDICINE (VCOM) COMMUNITY BUILDING ------------------ EMPLOYEES DONATE HUNDREDS OF HOURS AND SHARE THEIR TALENTS AND EXPERTISE AS MEMBERS OF VARIOUS CIVIC AND RELIGIOUS ORGANIZATIONS IN THEIR COMMUNITIES, AS WELL AS SERVING ON RESCUE SQUADS AND FIRE DEPARTMENTS. THE HOSPITAL ALLOWS AND ENCOURAGES EMPLOYEES TO PROVIDE SERVICE TO THE COMMUNITY DURING WORKING HOURS ALSO. EMPLOYEES SERVE IN VARIOUS CAPACITIES INCLUDING ON BOARDS AND ADVISORY COMMITTEES OF A NUMBER OF COMMUNITY GROUPS AND STATE ORGANIZATIONS ADVANCING COMMUNITY HEALTH AND WELLNESS AND WORKFORCE DEVELOPMENT INCLUDING THE FOLLOWING: HALIFAX COUNTY CHAMBER OF COMMERCE; CHARLOTTE COUNTY CHAMBER OF COMMERCE; CLARKSVILLE CHAMBER OF COMMERCE; MECKLENBURG COUNTY BUSINESS EDUCATION PARTNERSHIP; TRI-COUNTY COMMUNITY ACTION AGENCY; HALIFAX ADVOCATES FOR SUBSTANCE ABUSE PREVENTION; SOUTHSIDE HEALTH COALITION, HALIFAX VOCATIONAL EDUCATION FOUNDATION; SOUTHSIDE VIRGINIA COMMUNITY COLLEGE SCHOOL OF NURSING ADVISORY COUNCIL; COMMITTEE FOR THE CENTER FOR NURSING EXCELLENCE; SOUTHERN VIRGINIA HIGHER EDUCATION CENTER; VIRGINIA COMMUNITY COLLEGE SYSTEM; VIRGINIA FOUNDATION FOR COMMUNITY COLLEGES; HALIFAX EDUCATION FOUNDATION; HALIFAX COUNTY PUBLIC SCHOOLS EDUCATION FOUNDATION; VIRGINIA ADVANCED STUDY ON STRATEGIES BOARD; ECONOMIC DEVELOPMENT COMMITTEE; WORKFORCE INVESTMENT BOARD; HALIFAX COUNTY UNITED WAY: MENTOR ROLE MODEL PROGRAM AND THE MECKLENBURG COUNTY YMCA. ADOPT-A-SCHOOL PROGRAM - HALIFAX REGIONAL CONTINUED TO "ADOPT" SOUTH BOSTON ELEMENTARY SCHOOL. OVER THE YEARS, HALIFAX REGIONAL HAS DONATED MONEY FOR THE PURCHASE OF COMPUTERS AND SOFTWARE AND FURNITURE FOR THEIR OUTDOOR LEARNING CENTERS, SPONSORED FAMILY SKATE NIGHT, FATHER-DAUGHTER DANCES, AND PROVIDED REFRESHMENTS AND BOTTLED WATER FOR FIELD DAY ACTIVITIES. THIS FISCAL YEAR, HALIFAX REGIONAL CONTINUED TO SUPPORT PROGRAMS IN THE SCHOOL SUCH AS THE INTERGENERATIONAL "ADOPT A GRANDPARENT" PROGRAM. DISASTER READINESS ACTIVITIES - IN COLLABORATION WITH THE CENTRAL VIRGINIA HOSPITAL DISASTER PLANNING COMMITTEE, HALIFAX REGIONAL HOSPITAL PARTICIPATES IN EMERGENCY MANAGEMENT ACTIVITIES IN THE CENTRAL VIRGINIA REGION. FUNDING FOR THE EMERGENCY MANAGEMENT COORDINATOR (EMC) POSITION AT THE HOSPITAL WAS PROVIDED IN FY11 BY HRH. HALIFAX REGIONAL HOSPITAL CONTINUES TO PARTICIPATE IN REGIONAL AND LOCAL EXERCISES TO TEST THE EMERGENCY OPERATIONS PLAN AND TO CONDUCT INTERNAL EXERCISES. THESE INITIATIVES HELP HALIFAX REGIONAL HOSPITAL PREPARE FOR AND COORDINATE CRISIS RESPONSE AND RECOVERY OPERATIONS WITH STATE, LOCAL AND FEDERAL AGENCIES IN THE EVENT OF A BIOTERRORIST EVENT/DISASTER. OUTSIDE THE REALM OF THE GRANT FUNDING, HALIFAX REGIONAL HOSPITAL SUPPLIED THE EMPLOYEE TIME INVOLVED IN TRAINING FOR COMMUNITY EMERGENCY PREPAREDNESS AS WELL AS FOR COMMUNITY DISASTER TRAINING DRILLS. OUR FOCUS CONTINUES TO BE ON PREPARING THE HOSPITAL STAFF AND THE COMMUNITY FOR "ALL HAZARDS." SUBSIDIZED HEALTH SERVICES -------------------------- CENTER FOR BEHAVIORAL HEALTH - THE CENTER FOR BEHAVIORAL HEALTH PROVIDES DAY TREATMENT SERVICES TO ADULTS AND CHILDREN BETWEEN THE AGES OF 6 AND 17 YEARS OF AGE WHO ARE FACING PSYCHIATRIC, BEHAVIORAL AND EMOTIONAL PROBLEMS. THIS IS AN OUTPATIENT TREATMENT PROGRAM. THIS IS A CLINICAL SERVICE THAT IS PROVIDED DESPITE A FINANCIAL LOSS OF $74,042 (NEGATIVE MARGIN SERVICE). FAMILY BIRTHING CENTER - THE FAMILY BIRTHING CENTER PROVIDES OBSTETRICAL CARE TO FEMALES. THIS IS A CLINICAL SERVICE THAT IS PROVIDED DESPITE AN FY11 FINANCIAL LOSS OF $208,385 (OBSTETRICS CONTRIBUTION MARGIN.)
PROGRAM SERVICES	FORM 990, PART III - LINE 4 (CONTINUED)	OTHER ----- VOLUNTEER SERVICES PROGRAM - THE VOLUNTEER AUXILIARY OF HALIFAX REGIONAL HEALTH SYSTEM IS A DEDICATED GROUP OF INDIVIDUALS WHOSE HELPING HANDS EXTEND EVEN FURTHER THAN THE WALLS OF THE HOSPITAL. IN ADDITION TO THE MANY SERVICES THEY PROVIDE TO THE HOSPITAL TO SUPPORT ITS PROGRAMS AND SERVICES, THEY GENEROUSLY DONATE PROCEEDS FROM THEIR FUNDRAISING EVENTS AND SALES FROM THE HOSPITAL'S GIFT SHOP AND VENDING MACHINES TO SUPPORT A NUMBER OF OUTREACH ACTIVITIES. THE TENDER LOVING CARE TEAM PROVIDED MANY HANDMADE ITEMS FOR THE PATIENTS INCLUDING 287 BABY BLANKETS, 57 STUFFED TEDDY BEARS, 182 STUFFED FISH, 17 WALKER BAGS, 16 TELEMETRY BAGS AND 15 CHRISTMAS STOCKINGS FOR NEWBORNS DURING THE HOLIDAY SEASON. IN FY11 THE GROUP CONTINUED MANAGING PLANETREE PROGRAMS SUCH AS THE COOKIE CUTTERS AND PET THERAPY PROGRAMS, THE BEDSIDE MUSIC PROGRAM AND THE CARE CART PROGRAM. ONE HUNDRED THIRTY-SIX VOLUNTEERS CONTRIBUTED MORE THAN 27,000 HOURS OF SERVICE TO THE HOSPITAL AND COMMUNITY. THIS YEAR SAW A RECORD NUMBER OF 100-HOUR PINS PRESENTED TO VOLUNTEERS AND THE AWARDING OF 10,000-HOUR PIN TO ONE WELL-KNOWN, LONG TIME VOLUNTEER. THIS WAS ONLY THE FOURTH TIME SAW AN ACCOMPLISHMENT HAS BEEN SEEN IN THE 58 YEAR HISTORY OF THE ORGANIZATION. INCLUDED IN THIS PROGRAM IS THE PARTICIPATION OF JUNIOR VOLUNTEERS WHO BENEFIT FROM THIS OPPORTUNITY TO CONTRIBUTE TO THEIR COMMUNITY. IN ADDITION, FOR INDIVIDUALS CONTEMPLATING A FUTURE HEALTHCARE CAREER, THE PROGRAM OFFERS THEM A CHANCE TO EXPERIENCE HEALTHCARE FIRST-HAND. VOLUNTEERS IN HALIFAX REGIONAL HOSPICE VISIT HOSPICE PATIENTS WHERE THEY LIVE, PROVIDING LIFE-ENHANCING ASSISTANCE TO PATIENTS AND THEIR FAMILIES. DURING FY11, HOSPICE VOLUNTEERS PROVIDED COMPANIONSHIP AND RESPITE FOR TERMINALLY ILL PATIENTS AND THEIR CAREGIVERS, ASSISTED WITH PATIENTS' DAILY ACTIVITIES AND SERVED AS A COMPASSIONATE PRESENCE. THE VOLUNTEERS, WHO MUST COMPLETE SPECIFIC VOLUNTEER TRAINING CLASSES, ALSO READ TO PATIENTS, RUN ERRANDS, WRITE LETTERS AND FILL BIRD FEEDERS AT PATIENTS' HOMES. VOLUNTEERS ALSO KNIT PRAYER SHAWLS FOR HOSPICE PATIENTS, AND RED, WHITE AND BLUE "LAPGHANS" WHICH ARE GIVEN TO VETERANS. THESE VOLUNTEERS ARE AN IMPORTANT PART OF THE HOSPICE TEAM AND TRAININGS SESSIONS FOR NEW VOLUNTEERS ARE HELD AS NEEDED. VOLUNTEER SERVICES ARE COORDINATED AND OVERSIGHT IS PROVIDED BY AN HRHS EMPLOYEE. CHAPLAINCY PROGRAM - THE CHAPLAIN PROGRAM (PASTORAL CARE SERVICES) LED BY MANAGER OF GUEST RELATIONS/PASTORAL CARE SERVICES INCORPORATES MORE THAN 20 VOLUNTEER ASSOCIATE CHAPLAINS TO PROVIDE SPIRITUAL CARE TO PATIENTS, THEIR FAMILY MEMBERS IN THE HOSPITAL SETTING AS WELL AS TO RESIDENTS IN OUR LONG-TERM CARE FACILITIES, HOSPICE PATIENTS, AND THE COMMUNITY. IN FY11 AN ASSOCIATE CHAPLAIN SPECIFIC FOR SUB-ACUTE AND ICU JOINED THE GROUP. IN ADDITION TO SPIRITUAL CARE, CHAPLAINS LEND THEIR LISTENING PRESENCE TO EMPLOYEES AND VOLUNTEERS. WEEKLY CHAPEL SERVICES ARE AVAILABLE IN THE SUB-ACUTE AREA OF OUR HOSPITAL AS WELL AS IN HALIFAX REGIONAL'S LONG-TERM CARE FACILITIES. THE CHAPLAIN MAINTAINS A LISTENING/EDUCATIONAL PRESENCE FOR LOCAL CLERGY AS WELL AS THE COMMUNITY ON ISSUES RELATED TO SPIRITUALITY AND HEALTH CARE. IN FY11 THE HOSPITAL CHAPLAIN SPOKE TO VARIOUS COMMUNITY GROUPS ON ADVANCE DIRECTIVES, AND LED A SERIES OF CLASSES FOR LOCAL CLERGY ON "PASTORAL PRESENCE DURING TIME OF ILLNESS, DEATH AND HEALTH CRISIS. ACCESS TO INFORMATION - THE MARKETING AND COMMUNICATION DEPARTMENT'S PHONE NUMBER IS LISTED ON "HEALTH NITE OUT" AND OTHER WELLNESS PROGRAM ADS PROMOTING HEALTH EDUCATION PROGRAMS. THIS NUMBER IS ALSO LISTED IN HALIFAX REGIONAL HEALTH SYSTEM'S LIFE AND HEALTH NEWSLETTER, WHICH IS MAILED QUARTERLY TO MORE THAN 31,000 HOUSEHOLDS IN THE SYSTEM'S THREE-COUNTY SERVICE AREA. THE PUBLIC CAN REQUEST FREE BROCHURES, A PHYSICIAN DIRECTORY AND BE DIRECTED TO MANY SITES ON THE WEB SITE, INCLUDING AN EXTENSIVE ON-LINE HEALTH INFORMATION LIBRARY. CONTACT INFORMATION IS ALSO GIVEN ON THE HOSPITAL'S ON-HOLD MESSAGING SYSTEM. WHEN SPECIFIC INFORMATION IS PROVIDED AND INDIVIDUALS MIGHT LIKE MORE INFORMATION THROUGH A PAMPHLET OR BROCHURE, THE PHONE NUMBER IS LISTED AND CALLERS CAN HAVE MORE INFORMATION MAILED TO THEM. THE MARKETING AND COMMUNICATIONS OFFICE IS OFTEN REFERENCED WHEN CALLERS REACHING THE MAIN HOSPITAL NUMBER ARE NOT SURE WHO THEY NEED TO TALK TO ABOUT THEIR QUESTION. THE DEPARTMENT CAN ALSO BE SENT EMAIL FROM THE HEALTH SYSTEM'S WEB SITE. BUSINESS/FAMILY RELATIONSHIP PART VI, LINE 2 DAVID WHITE AND CHRIS LUMSDEN HAVE A BUSINESS RELATIONSHIP. ORGANIZATION MEMBERS PART VI, LINE 6, 7A AND 7B PER THE ORGANIZATION'S BYLAWS, ARTICLE III, THE ORGANIZATION HAS A SOLE MEMBER, HALIFAX REGIONAL HEALTH SYSTEM, INC., A VIRGINIA NON-STOCK, NOT-FOR-PROFIT CORPORATION. ARTICLE IV, SECTION 4.4, NOTES THAT ANY MEMBER OF THE BOARD OF DIRECTORS MAY BE REMOVED BY THE CORPORATION'S SOLE MEMBER AND ARTICLE IV, SECTION 4.5, NOTES THAT BOARD OF DIRECTOR VACANCIES ARE FILLED BY THE CORPORATION'S SOLE MEMBER. PER THE BYLAWS, ARTICLE IX, THE ORGANIZATION'S SOLE MEMBER, HALIFAX REGIONAL HEALTH SYSTEM, INC., HAS THE POWER TO APPROVE THE FOLLOWING ACTIONS OF THE CORPORATION: (I) THE ADOPTION OR AMENDMENT OF THE ARTICLES OF INCORPORATION AND BYLAWS, (II) THE ELECTION OF THE CORPORATION'S BOARD OF DIRECTORS, (III) THE MERGER OF THE CORPORATION INTO ANOTHER ORGANIZATION OR THE ACQUISITION AND DISPOSAL OF ASSETS OF THE CORPORATION OTHER THAN IN THE ORDINARY COURSE OF BUSINESS, (IV) THE BORROWING OF FUNDS FROM THIRD PARTIES, (V) THE ADOPTION OF BUSINESS PLANS, BUDGETS AND DISTRIBUTION OF FUNDS, (VI) THE APPROVAL OF FINANCIAL STATEMENTS, (VII) THE APPOINTMENT OF THE CORPORATION'S CEO AND EXTERNAL AUDITORS, (VIII) THE RECEIPT AND APPROVAL OF AUDIT REPORTS, (IX) THE APPROVAL OF COMPENSATION PLANS, AND (X) THE CREATION OR ACQUISITION OF ANY SUBSIDIARIES.
ORGANIZATION'S FORM 990 REVIEW PROCESS	FORM 990, PART VI, LINE 11B	THE RETURN IS PREPARED BY ORGANIZATION' INDEPENDENT ACCOUNTING FIRM, BASED ON INFORMATION PROVIDED BY ORGANIZATION AND IN CONSULTATION WITH ORGANIZATION STAFF. THE DRAFT PREPARED BY THE ACCOUNTING FIRM IS THEN CAREFULLY REVIEWED BY ORGANIZATION MANAGEMENT AND STAFF. CHANGES ARE MADE AS APPROPRIATE. THE FINAL VERSION IS MADE AVAILABLE TO ALL MEMBERS OF THE BOARD OF TRUSTEES PRIOR TO FILING WITH THE IRS. CONFLICT OF INTEREST POLICY 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.
DOCUMENT RETENTION & DESTRUCTION	PART VI, LINE 14	A DOCUMENT RETENTION & DESTRUCTION POLICY HAS BEEN IN PLACE AND FUNCTIONAL SINCE OCTOBER 21,1999. THE BOARD OF DIRECTORS FORMALLY APPROVED THE POLICY IN MAY 2012.
COMPENSATION	PART VI, LINE 15	THE ORGANIZATION SEEKS TO PAY REASONABLE COMPENSATION UNDER SECTION 4958 TO ATTRACT AND RETAIN THE APPROPRIATE CALIBER OF EMPLOYEES DEDICATED TO CARRYING OUT ITS TAX-EXEMPT MISSION. THE ORGANIZATION PERIODICALLY CONDUCTS A REVIEW TO DETERMINE THE GOING FAIR MARKET COMPENSATION RANGES FOR COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. THE ORGANIZATION SETS COMPENSATION WITHIN THE RANGE OF THE GOING MARKET RATE. NO INDIVIDUAL HAVING A CONFLICT OF INTEREST UNDER ORGANIZATION' CONFLICT OF INTEREST POLICY IS PERMITTED TO PARTICIPATE IN THE REVIEW OR DECISION. THE ORGANIZATION MAINTAINS RECORDS REGARDING COMPENSATION. THE CHAIRMAN OF THE BOARD OF DIRECTORS ALSO SERVES AS CHAIRMAN OF THE EXECUTIVE (COMPENSATION) COMMITTEE, COORDINATING WITH THE CHIEF EXECUTIVE OFFICER TO REVIEW ANNUAL PERFORMANCE AND COMPARATIVE MARKET INFORMATION FOR THE POSITION OF CHIEF EXECUTIVE OFFICER (CEO), CHIEF OPERATING OFFICER (COO), AND CHIEF FINANCIAL OFFICER (CFO). A RECOMMENDATION IS PRESENTED TO THE EXECUTIVE COMMITTEE BY THE CHAIRMAN. THE EXECUTIVE COMMITTEE TAKES ACTION ON THE RECOMMENDATION. THE FULL BOARD OF DIRECTORS IS MADE AWARE THAT THE EXECUTIVE COMMITTEE HAS TAKEN ACTION OF COMPENSATION FOR THE CEO, COO,AND CFO WITH DETAILS AVAILABLE FOR THEIR REVIEW UPON REQUEST.
GOVERNING DOCUMENTS	PART VI, LINE 19	THE ORGANIZATION CURRENTLY MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
OTHER CHANGE IN NET ASSETS	FORM 990, PART XI, LINE 5	$ 712,761 CUMULATIVE CHANGE IN PENSION LIABILITY $ 958,375 UNREALIZED GAIN ON INVESTMENTS ---------- $1,671,136
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JAMES WITKO MD TITLE:BOARD MEMBER HOURS:5
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DAVID H WHITE JR TITLE:CHAIRMAN HOURS:5
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:J AUBREY HOUGHTON TITLE:TREASURER HOURS:5
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:CAROL C THOMAS TITLE:VICE CHAIRMAN HOURS:5
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:HABIB BASSIL MD TITLE:SECRETARY (BEGINNING 11/10) HOURS:5
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:BENJAMIN FINCHER TITLE:BOARD MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:WILLIAM E COLEMAN TITLE:BOARD MEMBER (THROUGH 11/10) HOURS:5
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:CHRIS A LUMSDEN TITLE:CHIEF EXECUTIVE OFFICER HOURS:5
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:STEWART R NELSON TITLE:INFORMATION SYSTEMS MANAGER HOURS:5
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:THOMAS S KLUGE TITLE:CHIEF OPERATING OFFICER HOURS:5

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

HALIFAX REGIONAL HOSPITAL INCORPORATED

Employer identification number

54-0648699

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) HALIFAX REGIONAL PROFESSIONAL SERVICES 2204 WILBORN AVENUE SOUTH BOSTON,VA24592 20-8386107	PHYSN SUBSIDY	VA	0	76,000	NA

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) HALIFAX REGIONAL HEALTH SYSTEM 2204 WILBORN AVENUE SOUTH BOSTON,VA24592 54-1801466	HEALTHCARE	VA	501(C)(3)	11B TYPE II	NA
(2) HALIFAX REGIONAL LONG TERM CARE 2204 WILBORN AVENUE SOUTH BOSTON,VA24592 54-6074529	SENIOR CARE	VA	501(C)(3)	11A TYPE I	HRHS
(3) HALIFAX REGIONAL DEVELOPMENT FOUNDATION 2204 WILBORN AVENUE SOUTH BOSTON,VA24592 54-1801459	HLTH/WELFARE	VA	501(C)(3)	11A TYPE I	HRHS
(4) CLARKSVILLE SENIOR CARE LLC 2204 WILBORN AVENUE SOUTH BOSTON,VA24592 54-1957066	SENIOR CARE	VA	501(C)(3)	11A TYPE I	HRHS
(5) HALIFAX REGIONAL PROPERTIES 2204 WILBORN AVENUE SOUTH BOSTON,VA24592 54-1801463	HLTH/WELFARE	VA	501(C)(3)	11A TYPE I	HRHS

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2010

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership
(1) SOUTHSIDE HEALTH SERVICES 2204 WILBORN AVENUE SOUTH BOSTON,VA24592 54-1417772	HEALTH SERVIC	VA	NA	C Corp
(2) DOMINION HEALTH MEDICAL ASSOCIATES LTD 2204 WILBORN AVENUE SOUTH BOSTON,VA24592 54-1060357	PHYS PRACTICE	VA	NA	C Corp	11,400,382	1,924,991	100.000 %

Schedule R (Form 990) 2010

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .

m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved
(1) HALIFAX REGIONAL DEVELOPMENT FOUNDATION INC	b	103,500
(2) HALIFAX REGIONAL PROPERTIES INC	j	115,961
(3) HALIFAX REGIONAL PROPERTIES INC	k	148,604
(4) HALIFAX REGIONAL LONG TERM CARE INC	n	634,327
(5) CLARKSVILLE SENIOR CARE LLC	n	379,740
(6) HALIFAX REGIONAL LONG TERM CARE INC	p	1,776,523
(7) CLARKSVILLE SENIOR CARE LLC	p	1,144,458
(8) HALIFAX REGIONAL PROPERTIES INC	p	136,918
(9) HALIFAX REGIONAL PROPERTIES INC	b	640,000
(10) DOMINION HEALTH MEDICAL ASSOCIATES LTD	B	2,040,000

Schedule R (Form 990) 2010

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Are all partners section 501(c)(3) organizations?		(e) Share of end-of-year assets	(f) Disproprtionate allocations?		(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(h) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(e) Share of end-of-year assets	Yes	No	(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2010

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: THE PURPOSE OF HALIFAX REGIONAL HOSPITAL IS TO PROVIDE THE HIGHEST QUALITY CARE BASED ON THE HEALTHCARE NEEDS OF THE PEOPLE WE SERVE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ....	3	7
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	5
5	Total number of individuals employed in calendar year 2010 (Part V, line 2a) ...	5	777
6	Total number of volunteers (estimate if necessary) ....	6	137
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	3,184,646
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	69,721	148,762
9	Program service revenue (Part VIII, line 2g) .........	81,010,435	82,572,910
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	-469,467	2,266,206
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	718,625	639,842
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	81,329,314	85,627,720
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	100,000	2,783,500
14	Benefits paid to or for members (Part IX, column (A), line 4) ....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	33,749,611	34,474,575
16a	Professional fundraising fees (Part IX, column (A), line 11e)....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 47,002
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	46,660,941	45,824,880
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	80,510,552	83,082,955
19	Revenue less expenses. Subtract line 18 from line 12......	818,762	2,544,765
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16)............	108,473,291	113,048,825
21	Total liabilities (Part X, line 26)............	44,363,159	44,722,792
22	Net assets or fund balances. Subtract line 21 from line 20 .....	64,110,132	68,326,033

Sign Here

	Signature of officer	Date

	Type or print name and title.

Paid Preparer's Use Only	Preparer's signature	Date	Check if self- employed	Preparer’s taxpayer identification number (see instructions)
	Firm’s name (or yours if self-employed), address, and ZIP + 4			EIN
				Phone no.


4a	(Code: ) (Expenses $ 71,590,920 including grants of $ 2,783,500 ) (Revenue $ 79,378,204 )
	ACUTE PATIENT CARE - SINCE HALIFAX REGIONAL OPENED ITS DOORS JULY 1, 1953 THE ACUTE CARE DIVISION'S MISSION HAS BEEN TO PROVIDE THE HIGHEST QUALITY CARE BASED ON THE HEALTHCARE NEEDS OF CITIZENS IN THE REGION. HALIFAX REGIONAL HOSPITAL SERVES THE COUNTIES OF HALIFAX, WESTERN MECKLENBURG, AND CHARLOTTE, PLUS MANY COMMUNITIES THAT BORDER THESE COUNTIES. DURING FY11, HALIFAX REGIONAL HOSPITAL SERVED 4,784 INPATIENTS, INCLUDING NEWBORNS, PROVIDED SERVICES TO 64,092 OUTPATIENTS AND HAD 27,920 EMERGENCY DEPARTMENT VISITS. SERVICES INCLUDE CARDIOVASCULAR CARE, EMERGENCY DEPARTMENT, FAMILY BIRTHING CENTER, UROLOGY CARE, ORTHOPEDICS, RADIOLOGY, SURGICAL SERVICES, WOUND CARE, ETC. FOR MORE INFORMATION, SEE SCHEDULE O.

4b	(Code: ) (Expenses $ 4,660,736 including grants of $ ) (Revenue $ 2,469,818 )
	SUB-ACUTE PATIENT CARE - THE SUBACUTE UNIT AT HALIFAX REGIONAL HOSPITAL IS A 19-BED SKILLED NURSING FACILITY, LICENSED BY THE COMMONWEALTH OF VIRGINIA. THIS SPECIAL UNIT IS DESIGNED TO MEET THE NEEDS OF PATIENTS WHO HAVE BEEN IN THE HOSPITAL FOR AT LEAST THREE DAYS (SOME INSURANCE POLICIES DO NOT REQUIRE THE THREE-DAY STAY) WHO WOULD BENEFIT FROM ADDITIONAL RESTORATIVE CARE, THERAPIES AND EDUCATIONAL PROGRAMS BEFORE BEING DISCHARGED. CARE ON THE SUBACUTE UNIT IS DELIVERED BY A MULTIDISCIPLINARY TEAM OF CLINICAL PROFESSIONALS WITH NURSING SERVICES OFFERED 24 HOURS A DAY, SEVEN DAYS A WEEK. FOR MORE INFORMATION, SEE SCHEDULE O.

4c	(Code: ) (Expenses $ 1,511,253 including grants of $ ) (Revenue $ 724,888 )
	HOME HEALTH AND HOSPICE - HALIFAX HOME HEALTH SERVICES ASSIST PATIENTS WHO LEAVE THE HOSPITAL BUT NEED ADDITIONAL ASSISTANCE. SERVICES INCLUDE NURSING, HOME HEALTH AIDES, PHYSICAL THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY MEDICAL EQUIPMENT/SUPPLIES, PERSONAL CARE, ETC. HALIFAX REGIONAL HOSPICE AND PALLIATIVE CARE OFFERS CLINICAL, EMOTIONAL AND SPIRITUAL CARE TO THOSE LIVING WITH A TERMINAL ILLNESS AND SECURES THEY MAY LIVE THEIR FINAL DAYS WITH AS MUCH PERSONAL SATISFACTION AND COMFORT AS POSSIBLE. HOSPICE OFFERS MEDICAL CARE, NURSING CARE, SUPPORTIVE SERVICES, VOLUNTEER SERVICES, PASTORAL CARE AND BEREAVEMENT CARE.

4d	Other program services. (Describe in Schedule O.)
	(Expenses $ 155,970 including grants of $ ) (Revenue $ )
4e	Total program service expenses$ 77,918,879

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	1,463,630	85,975	270,124

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		30,096
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f		118,666
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			148,762
			Business Code
2a	NET PATIENT SERVICE REVENUE		900,099	82,572,910	79,388,264	3,184,646
b
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			82,572,910
3	Investment income (including dividends, interest
	and other similar amounts).....			1,099,790			1,099,790
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties............			0
		(i) Real	(ii) Personal
6a	Gross Rents	24,184
b	Less: rental expenses
c	Rental income or (loss)	24,184
d	Net rental income or (loss).......			24,184			24,184
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	18,759,858	16,500
b	Less: cost or other basis and sales expenses	17,602,309	7,633
c	Gain or (loss)	1,157,549	8,867
d	Net gain or (loss)..........			1,166,416			1,166,416
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a		94,906
b	Less: cost of goods sold ..b		46,202
c	Net income or (loss) from sales of inventory..			48,704		0	48,704
Miscellaneous Revenue			Business Code
11a	CAFE/VENDING		721,000	440,684			440,684
b	INCOME FROM AUXILIARY		900,099	28,332			28,332
c	MISCELLANEOUS		900,099	97,938			97,938
d	All other revenue ....
e	Total. Add lines 11a–11d ......			566,954
12	Total revenue. See Instructions....			85,627,720	79,388,264	3,184,646	2,906,048


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			5,101,578	1	2,520,758
2	Savings and temporary cash investments .......			3,520,000	2	3,527,000
3	Pledges and grants receivable, net .........				3
4	Accounts receivable, net .........			11,702,715	4	13,190,536
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........				5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........				6
7	Notes and loans receivable, net .............				7	615,226
8	Inventories for sale or use ..............			2,170,240	8	2,387,445
9	Prepaid expenses and deferred charges ............			2,498,992	9	2,815,758
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	138,460,783
b	Less: accumulated depreciation. .....	10b	89,262,368	50,229,407	10c	49,198,415
11	Investments—publicly traded securities ..........			30,392,845	11	36,579,641
12	Investments—other securities. See Part IV, line 11 ......			566,405	12	708,404
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets .........				14
15	Other assets. See Part IV, line 11 ...........			2,291,109	15	1,505,642
16	Total assets. Add lines 1 through 15 (must equal line 34)...			108,473,291	16	113,048,825
17	Accounts payable and accrued expenses .			6,544,431	17	8,751,172
18	Grants payable ..........				18
19	Deferred revenue ..........			282,150	19	289,567
20	Tax-exempt bond liabilities ..........			27,518,857	20	25,917,361
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..				23
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities. Complete Part X of Schedule D.....			10,017,721	25	9,764,692
26	Total liabilities. Add lines 17 through 25.....			44,363,159	26	44,722,792
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			64,110,132	27	68,624,134
28	Temporarily restricted net assets .....				28
29	Permanently restricted net assets .....				29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			64,110,132	33	68,326,033
34	Total liabilities and net assets/fund balances .....			108,473,291	34	113,048,825

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926 (see instructions for Form 926).................	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If " Yes," the organization may be required to file Form 3520 and/or Form 3520-A. (see instructions for Forms 3520 and 3520-A)..........	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with respect to Certain Foreign Corporations. (see instructions for Form 5471)..............................	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see instructions for Form 8621)	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with respect to Certain Foreign Partnerships. (see instructions for Form 8865)....................................	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see instructions for Form 5713)................................................	Yes	No