TY 2011 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) DAVID H WHITE JR CHAIRMAN	1.0	X	X			0	0	0
(2) J AUBREY HOUGHTON TREASURER	1.0	X	X			0	0	0
(3) CAROL C THOMAS VICE CHAIRMAN	1.0	X	X			0	0	0
(4) HABIB BASSIL MD SECRETARY	1.0	X	X			59,600	0	0
(5) BENJAMIN FINCHER BOARD MEMBER	1.0	X				0	0	0
(6) SAID ISKANDAR MD BOARD MEMBER (BEGINNING 11/11)	1.0	X				53,201	0	0
(7) JAMES PRIEST DDS BOARD MEMBER	1.0	X				0	0	0
(8) JAMES WITKO MD BOARD MEMBER (THROUGH 11/11)	1.0	X				10,365	0	0
(9) CHRIS A LUMSDEN CHIEF EXECUTIVE OFFICER	26.0		X			373,098	43,819	39,911
(10) STEWART R NELSON CHIEF FINANCIAL OFFICER	26.0		X			244,770	29,380	27,595
(11) THOMAS S KLUGE CHIEF OPERATING OFFICER	26.0			X		206,040	24,242	42,802
(12) MING Y LIU HRH PHYSICIAN	40.0				X	336,790	0	48,725
(13) DAVID FITTS PHARMACY MANAGER	40.0				X	139,987	0	28,335
(14) GREGORY SHUFORD HRH PHYSICIAN	40.0				X	301,773	0	29,615
(15) HECTOR MARQUEZ HRH PHYSICIAN	40.0				X	265,868	0	33,026
(16) PATRICIA THOMAS DIRECTOR OF PATIENT CARE SVCS	40.0				X	140,441	0	17,195

(A) Name and business address	(B) Description of services	(C) Compensation
MCKESSON PO BOX 98347 CHICAGO,IL606938347	IT MAINTENANCE	1,434,532
PULMONARY ASSOCIATES 2210 WILBORN AVENUE SOUTH BOSTON,VA24592	HOSPITALIST SERVICES	938,324
SIEMENS DEPT AT 40065 ATLANTA,GA31192	RADIOLOGY MAINTEN.	562,510
SODEXHO SERVICES 806 TYVOLA ROAD CHARLOTTE,NC28290	FOOD SERVICE MGMT	520,444
FUNCTIONAL PATHWAYS PO BOX 102426 ATLANTA,GA302682426	PT/OT STAFFING	448,336
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 21

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 United States. See Part IV, line 21	5,580,000	5,580,000
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	45,139	45,139
3	Grants and other assistance to governments, organizations, and individuals outside the United States. 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 ....	985,947	0	985,947	0
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	27,588,292	25,554,459	1,978,877	54,956
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	1,846,441	1,651,306	191,583	3,552
9	Other employee benefits .......	4,414,894	3,948,320	458,084	8,490
10	Payroll taxes ...........	2,211,351	1,977,651	229,447	4,253
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	342,906	0	342,906	0
c	Accounting ...........	124,867	0	124,867	0
d	Lobbying ...........	6,000	0	6,000	0
e	Professional fundraising. See Part IV, line 17..	0
f	Investment management fees ......	24,753		24,753
g	Other ..........	7,313,053	6,807,285	504,902	866
12	Advertising and promotion ....	262,323	12,032	250,291	0
13	Office expenses .......	9,227,823	8,773,018	454,777	28
14	Information technology ......	2,596,407	2,596,407	0	0
15	Royalties ..	0
16	Occupancy ...........	821,843	821,843	0	0
17	Travel ............	222,561	178,797	42,629	1,135
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	0
20	Interest ...........	1,059,044	1,059,044	0	0
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	6,854,713	6,854,713
23	Insurance ..............	297,302		297,302
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24f. If line 24f amount exceeds 10% of line 25, column (A) amount, list line 24f expenses on Schedule O.)
a	BAD DEBT	9,370,478	9,370,478
b	MEDICAL SUPPLIES - PHARMA	5,180,965	5,180,965
c	EQUIPMENT RENTAL & MAINTENANCE	2,521,119	2,397,630	123,489
d	MEDICAL SUPPLIES - BLOOD	818,409	818,409
e
f	All other expenses	4,457,412	3,393,885	1,062,927	600
25	Total functional expenses. Add lines 1 through 24f	94,174,042	87,021,381	7,078,781	73,880
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	2,520,758	1	5,050,504
2	Savings and temporary cash investments .......	3,527,000	2	0
3	Pledges and grants receivable, net .........	0	3	0
4	Accounts receivable, net .........	13,190,536	4	12,012,882
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........	0	5	0
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 ..........	0	6	0
7	Notes and loans receivable, net .............	615,226	7	319,865
8	Inventories for sale or use ..............	2,387,445	8	2,414,351
9	Prepaid expenses and deferred charges ............	2,815,758	9	3,303,333
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	144,145,680
b	Less: accumulated depreciation. .....	10b	94,811,783	49,198,415	10c	49,333,897
11	Investments—publicly traded securities ..........	36,579,641	11	33,970,422
12	Investments—other securities. See Part IV, line 11 ......	708,404	12	1,622,051
13	Investments—program-related. See Part IV, line 11 ..	0	13	0
14	Intangible assets .........	0	14	0
15	Other assets. See Part IV, line 11 ...........	1,505,642	15	2,217,644
16	Total assets. Add lines 1 through 15 (must equal line 34)...	113,048,825	16	110,244,949
	17	Accounts payable and accrued expenses .	8,751,172	17	8,184,757
18	Grants payable ..........	0	18	0
19	Deferred revenue ..........	289,567	19	270,506
20	Tax-exempt bond liabilities ..........	25,917,361	20	24,230,086
21	Escrow or custodial account liability. Complete Part IV of Schedule D..	0	21	0
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ....	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.....	9,764,692	25	13,565,781
26	Total liabilities. Add lines 17 through 25.....	44,722,792	26	46,251,130
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	68,624,134	27	63,993,819
28	Temporarily restricted net assets .....	0	28	0
29	Permanently restricted net assets .....	0	29	0
	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 .....	68,326,033	33	63,993,819
34	Total liabilities and net assets/fund balances .....	113,048,825	34	110,244,949

- 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

2011

Open to Public
Inspection

Name of the organization

HALIFAX REGIONAL HOSPITAL INC

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) 2011

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) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(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) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(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—2011. 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—2010. 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—2011. 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—2010. 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) 2011

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) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(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) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(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 2011 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2010 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2010 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2011. 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—2010. 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) 2011

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) 2011

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

2011

Name of organization

HALIFAX REGIONAL HOSPITAL INC

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, total 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 total 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 on line H of its
Form 990-EZ or on Part I, 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) (2011)

Page 2

Name of organization HALIFAX REGIONAL HOSPITAL INC
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Part I	Contributors (see Instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total 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) Total 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) Total 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) Total 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) Total 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) Total 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) (2011)

Page 3

Name of organization HALIFAX REGIONAL HOSPITAL INC
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Part II	Noncash Property (see Instructions). Use duplicate copies of Part II if additional space is needed.
(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) (2011)

Page 4

Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Name of organization
HALIFAX REGIONAL HOSPITAL INC

Employer identification number

54-0648699

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total 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

$
Use duplicate copies of Part III if additional space is needed

(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) (2011)

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

2011

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.
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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, line 35c (Proxy Tax), then
Round Bullet

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

Name of the organization

HALIFAX REGIONAL HOSPITAL INC

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 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 function 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) 2011

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 (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
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) 2008	(b) 2009	(c) 2010	(d) 2011	(e) Total

2a	Lobbying non-taxable amount

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

c	Total lobbying expenditures

d	Grassroots nontaxable amount

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

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2011

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)).

For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(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? ..........................

Yes

14,787

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

14,787

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 carry over 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) and if either (a) BOTH Part III-A, lines 1 and 2 are answered “No” OR (b) Part III-A, line 3 is answered “Yes”.

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

Section 162(e) nondeductible 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, Part II-A; line 5; and Part ll-B, line 1.
Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
OTHER LOBBYING ACTIVITIES	SCHEDULE C, PART II-B, LINE I	IN FISCAL YEAR 2012, 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 2012, THIS AMOUNT WAS $8,787.

Schedule C (Form 990 or 990EZ) 2011

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, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

HALIFAX REGIONAL HOSPITAL INC

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 can 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 education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 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, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax 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 (ASC 958), 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 (ASC 958), 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 (ASC 958), 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) 2011

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	Net investment earnings, gains, and 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 (line 1g) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

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

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

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	699,209		699,209
b	Buildings ................	58,430,748	30,906,671	27,524,077
c	Leasehold improvements ............
d	Equipment ................	78,268,247	61,687,399	16,580,848
e	Other .................	6,747,476	2,217,713	4,529,763
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				49,333,897

Schedule D (Form 990) 2011

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) must 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) must 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) must 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) Book value
Federal Income Taxes		0
ACCRUED PENSION PLAN		7,471,359
CAPITALIZED LEASE OBLIGATIONS		1,292,281
INTEREST PAYABLE		585,196
DUE TO THIRD-PARTY PROGRAMS		1,750,232
OTHER LIABILITIES		2,417,938
DUE TO AFFILIATES		48,775



Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		13,565,781
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) 2011

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 through 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 must 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 must 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
UNCERTAIN TAX POSITIONS	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) 2011

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

2011

Open to Public Inspection

Name of the organization
HALIFAX REGIONAL HOSPITAL INC

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 its grants

and other 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 its grants and other
assistance 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	1,068,247
















3a	Sub-total .....	0	0		1,068,247
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)	0	0		1,068,247

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2011

Schedule F (Form 990) 2011

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) 2011

Schedule F (Form 990) 2011Page 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) 2011

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2011

Page 5

Part V

Supplemental Information
Complete this part to provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

Identifier	ReturnReference	Explanation

Schedule F (Form 990) 2011

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

2011

Open to Public Inspection

Name of the organization

HALIFAX REGIONAL HOSPITAL INC

Employer identification number

54-0648699

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a....

Yes

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

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

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

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

Yes

100% 150% 200% Other

Did the organization use FPG to determine eligibility for providing discounted care? If "Yes," indicate which of the

following was the family income limit for eligibility for discounted care: ............

Yes

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

If the organization did 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 used an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount?......

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

Did the organization prepare a community benefit report during the tax year?...........

Yes

If "Yes," did 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.

Financial Assistance 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 Financial Assistance at cost (from Worksheet 1) ..	1	2,600	1,605,075		1,605,075	1.890 %
b Medicaid (from Worksheet 3, column a) .....	1		8,537,261	6,579,771	1,957,491	2.310 %
c Costs of other means-tested government programs (from Worksheet 3, column b) .	1		143,755	106,011	37,745	0.040 %
dTotal Financial Assistance and Means-Tested Government Programs .....	3	2,600	10,286,091	6,685,782	3,600,311	4.240 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	204	34,580	320,179		320,179	0.380 %
f Health professions education (from Worksheet 5) ..	16	14	177,978	5,310	172,668	0.200 %
g Subsidized health services (from Worksheet 6) ..	2		5,196,827	307,565	4,889,262	5.770 %
h Research (from Worksheet 7)
i Cash and in-kind contributions for community benefit (from Worksheet 8) ....	174		150,229		150,229	0.180 %
jTotal Other Benefits ...	396	34,594	5,845,213	312,875	5,532,338	6.530 %
kTotal. Add lines 7d and 7j. ..	399	37,194	16,131,304	6,998,657	9,132,649	10.770 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2011

Schedule H (Form 990) 2011

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Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development	15	24,672	24,672	0.030 %
3	Community support	18	11,147	11,147	0.010 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	3	2,124	2,124
7	Community health improvement advocacy
8	Workforce development	15	10,784	10,784	0.010 %
9	Other
10	Total	51	48,727	48,727	0.050 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did 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........

9,370,478

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance 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).....

31,174,109

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

29,334,416

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

1,839,693

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

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures

(see instructions)

(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) 2011

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Part VFacility Information

Section A. Hospital Facilities (list in order of size 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) 2011

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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)

HALIFAX REGIONAL HOSPITAL INCORPORATED

Name of Hospital Facility:

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 2011)
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 the community health 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 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	Participation in the development of a community-wide community benefit plan
	d	Participation in the execution of a 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 Needs Assessment
	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 and 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	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8	Yes
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........		9	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 150.% If "No," explain in Part VI the criteria the hospital facility used.

Schedule H (Form 990) 2011

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Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care?.................		10	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 275.% If "No," explain in Part VI the criteria the hospital facility used.
11	Explained the basis for calculating amounts charged to patients?.................		11	Yes
	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	Yes
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted 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 (FAP) that explained actions the hospital facility may take upon non-payment?.......		14	Yes
15	Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
16	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........		16		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
17	Indicate which efforts the hospital facility made before initiating any of the actions checked in line 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 patients were eligible for financial assistance under the hospital facility’s financial assistance policy
	e	Other (describe in Part VI)

Schedule H (Form 990) 2011

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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	Yes
	If “No,” indicate why:
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility’s policy was not in writing
	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)
Individuals Eligible for Financial Assistance
19	Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
	a	The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
	b	The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
	c	The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
	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		No
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?...............................		21		No
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care 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) 2011

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Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the descriptions 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, 3, 4, 5c, 6i, 7, 9, 10, 11h, 13g, 15e, 16e, 17e, 18d, 19d, 20, and 21.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any 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 $4,856,686 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 $9,370,478.
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 2012 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. PUBLICIZE FINANCIAL ASSISTANCE POLICY - OTHER PART V, LINE 13 THE FINANCIAL ASSISTANCE POLICY IS INCLUDED ON THE VHHA WEBSITE AND BROCHURES IN ALL WAITING ROOMS.
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 INITIATIVE AND EXPANSION/ENHANCEMENTS TO MEET COMMUNITY NEEDS IN FISCAL YEAR 2012 ARE DESCRIBED BELOW: WITH THE INCIDENCE OF HEART DISEASE IN OUR SERVICE AREA EXCEEDING THE STATE AVERAGE AND ABOVE THE MEDIAN FOR OUR REGION, HRHS CONTINUES TO FOCUS ON THE PREVENTION AND TREATMENT OF CARDIOVASCULAR-RELATED ILLNESSES. THE CENTER FOR CARDIOVASCULAR SERVICES, WHICH OPENED NOVEMBER 2005, HOUSES A HOSPITAL-BASED, FIXED DIGITAL STATE-OF-THE-ART CARDIOVASCULAR LABORATORY. WITH THE ADDITION OF AN INTERVENTIONAL CARDIOLOGIST IN FISCAL YEAR 2011, THE CENTER'S SERVICES NOW INCLUDE DIAGNOSTIC CARDIAC CATHETERIZATION, TRANS ESOPHAGEAL ECHOCARDIOGRAMS (TEES), IVC FILTER REPLACEMENT AND REMOVAL, BALLOON ANGIOPLASTY, CORONARY STENTS (HEART), PERIPHERAL STENTS (LEGS AND RENAL), PACEMAKER IMPLANTS, ICD IMPLANTS, AND INTRA-AORTIC BALLOON PUMP INSERTION. NON-INVASIVE SERVICES OFFERED THROUGH THE CENTER INCLUDE CARDIOVASCULAR NUCLEAR MEDICINE, CARDIAC AND PULMONARY STRESS TESTING, TILT TABLE TESTING, ECHOCARDIOGRAPHY AND CARDIOPULMONARY REHABILITATION. IN ADDITION, A NUMBER OF INPATIENT AND OUTPATIENT NON-INVASIVE SERVICES ARE OFFERED FOR PATIENTS EXPERIENCING CARDIAC AND RESPIRATORY ILLNESSES. RADIOLOGY'S 64-SLICE CT SCANNER PROVIDES CORONARY ANGIOGRAPHY IMAGING CAPABILITIES. THIS YEAR, HRH CONTINUED ITS COMMITMENT TO COMMUNITY EDUCATION RELATED TO RAISING AWARENESS OF RISK FACTORS AND PREVENTION OF CARDIOVASCULAR DISEASES THROUGH HEALTH FAIRS, SPEAKING ENGAGEMENTS, FREE BLOOD CHOLESTEROL AND BLOOD PRESSURE SCREENINGS AND THROUGH THE HEALTH LIBRARY ON THE HRHS WEBSITE. THE CARDIOPULMONARY REHABILITATION CENTER AT HRH BENEFITS BOTH HEART AND LUNG PATIENTS IN THEIR RECOVERY AND HELPS THEM ACHIEVE A HEALTHIER LIFESTYLE. BOTH THE CARDIAC AND PULMONARY REHABILITATION PROGRAMS ARE NATIONALLY CERTIFIED BY THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION. THE PHASE II CARDIAC AND PULMONARY REHAB PROGRAM PROVIDES SERVICES FOR INDIVIDUALS WHO HAVE RECENTLY UNDERGONE HEART SURGERY, A HEART PROCEDURE, OR HAVE SIGNIFICANT LUNG DISEASE. THE MULTIDISCIPLINARY EDUCATION APPROACH TO RISK FACTOR MODIFICATION INCLUDES NUTRITIONAL COUNSELING, STRESS MANAGEMENT/BEHAVIORAL HEALTH COUNSELING, DIABETIC EDUCATION, AND SMOKING CESSATION FOR ALL PATIENTS. THE PHASE III MAINTENANCE PROGRAM OFFERS A PERSONALIZED, SUPERVISED EXERCISE PROGRAM AND IS OPEN TO PEOPLE WITH VARIOUS TYPES OF HEALTH PROBLEMS. THE CARDIOPULMONARY REHABILITATION PROGRAM SERVES APPROXIMATELY 400 INDIVIDUALS EACH YEAR. HRH CONTINUES TO PROVIDE SERVICES THROUGH THE SLEEP STUDY LAB. THE SLEEP LAB PERFORMS DIAGNOSTIC POLYSOMNOGRAPHY AND C-PAP/BI-PAP TITRATION FOR PATIENTS TO AID IN THE DIAGNOSIS AND TREATMENT OF SLEEP APNEA AND OTHER SLEEP DISORDERS. ALL SLEEP STUDY TECHNICIANS ARE CERTIFIED IN POLYSOMNOGRAPHY. HALIFAX REGIONAL HOME MEDICAL EQUIPMENT (HRHME) OFFERS C-PAP AND BI-PAP EQUIPMENT FOR INDIVIDUALS DIAGNOSED WITH SLEEP APNEA. HRHME, ACCREDITED BY THE JOINT COMMISSION, IS CONVENIENTLY LOCATED ADJACENT TO THE SLEEP LAB AT THE HOSPITAL. SPECIALLY-TRAINED STAFF HELP PATIENTS CHOOSE THE RIGHT MASK, MAKE SURE THE FIT IS CORRECT, AND INSURE THAT THE SET-UP AND OPERATION OF THE MACHINE IS FULLY UNDERSTOOD. PATIENTS ARE FOLLOWED CLOSELY TO MAKE SURE EQUIPMENT IS PROPERLY MAINTAINED AND HRHME STAFF IS AVAILABLE TO ANSWER QUESTIONS AND OFFER SUPPORT. HRHME ALSO ASSISTS PATIENTS WITH INSURANCE COVERAGE AND PROVIDES TIMELY REMINDERS ABOUT FOLLOW-UP APPOINTMENTS WITH THEIR PHYSICIAN. PATIENTS UTILIZING THE SERVICES OF HRHME AND WHO QUALIFY FOR PATIENT FINANCIAL ASSISTANCE UNDER THE HRHS FINANCIAL ASSISTANCE POLICY GUIDELINES MAY RECEIVE THEIR EQUIPMENT AT DISCOUNTED PRICES. THE CENTER FOR WOUND CARE SERVES RESIDENTS OF SOUTHERN VIRGINIA WHO SUFFER FROM CHRONIC, NON-HEALING WOUNDS. THE CENTER USES SPECIAL TREATMENT MODALITIES FOR WOUND HEALING INCLUDING SURGICAL DEBRIDEMENT, COMPRESSION THERAPY, SPECIALTY WOUND DRESSINGS, EDEMA MANAGEMENT, AND SKIN GRAFTS. WOUNDS TREATED IN THE CENTER TYPICALLY ARE CAUSED FROM COMPLICATION OF DIABETES, TRAUMATIC INJURIES, PRESSURE SORES, AND OTHER VASCULAR PROBLEMS. NON-HEALING WOUNDS ARE ESPECIALLY SIGNIFICANT AMONG PERSONS WITH DIABETES, CAUSING THEM TO BE AT AN INCREASED RISK FOR AMPUTATION. THE INCIDENCE OF DIABETES IN THE HRHS SERVICE AREA IS 37 PERCENT HIGHER THAN THE STATE AVERAGE. PATIENTS SERVED BY THE CENTER FOR WOUND CARE ALSO RECEIVE EDUCATIONAL INFORMATION THAT NOT ONLY HELPS THEM WITH THEIR WOUND HEALING BUT ALSO EMPOWERS THEM TO TAKE CONTROL OF THEIR UNDERLYING MEDICAL CONDITION. HRHS CONTINUES TO ADVANCE ITS USE OF INFORMATION TECHNOLOGY (IT). MANAGEMENT IS DEVELOPING AN IMPLEMENTATION PLAN AND GOVERNANCE STRUCTURE FOR CPOE. HRHS WILL ALSO BE ACTIVATING ADDITIONAL SOFTWARE APPLICATIONS COLLATERALLY WITH CPOE. IT IS MANAGEMENT'S GOAL TO BE IN COMPLIANCE WITH THE HEALTH INFORMATION TECHNOLOGY FOR ECONOMIC AND CLINICAL HEALTH ACT (HITECH) REQUIREMENTS IN ORDER TO RECEIVE STIMULUS FUNDING. OUTSIDE OF THE HOSPITAL, MANAGEMENT IS IMPLEMENTING AN EMR FOR OWNED AND NON-OWNED PHYSICIAN PRACTICES. (REFER TO INFORMATION TECHNOLOGY SECTION, PAGE 73, FOR ADDITIONAL INFORMATION.) RADIOLOGY'S 64-SLICE CT (COMPUTED TOMOGRAPHY) IMAGING TECHNOLOGY GIVES PHYSICIANS THE ABILITY TO SEE MORE ANATOMICAL DETAIL IN ONLY A FRACTION OF THE TIME. THE SPEED AND RESOLUTION OF 64-SLICE CT ANGIOGRAPHY (CTA) ALLOWS PHYSICIANS TO VIEW EVEN THE SMALLEST OF ARTERIES IN THE BRAIN, HEART, AND PERIPHERAL VASCULAR SYSTEM AND OFFERS A MORE EFFICIENT AND SAFER ALTERNATIVE TO TRADITIONAL ANGIOGRAPHY. WITH EXCEPTIONAL DETAIL, 64-SLICE CORONARY CTA ALLOWS PHYSICIANS TO VIEW CALCIFIED AND NON-CALCIFIED SOFT PLAQUE IN THE CORONARY ARTERIES. THE 64-SLICE CT CAPTURES IMAGES OF ANATOMY AS THIN AS A CREDIT CARD. THREE-DIMENSIONAL RECONSTRUCTED IMAGES ARE THEN FORMATTED, ALLOWING REFERRING PHYSICIANS AND THEIR PATIENTS TO EASILY REVIEW AND UNDERSTAND THE FINDINGS OF THE CT SCAN. RADIOLOGY'S PACS (PICTURE ARCHIVING AND COMMUNICATION SYSTEM) INTERFACES WITH HOSPITAL DEPARTMENTAL INFORMATION SYSTEMS AND MANAGES THE STORAGE AND DISTRIBUTION OF IMAGES TO RADIOLOGISTS, HOSPITAL PHYSICIANS, AND REMOTE REFERRING PHYSICIANS. PACS PROVIDES PHYSICIANS ADDITIONAL TOOLS TO ASSIST WITH DIAGNOSIS AS WELL AS PROVIDING PHYSICIANS THE OPPORTUNITY TO DISPLAY IMAGES BASED ON USER PREFERENCE. POWERSCRIBE, A VOICE RECOGNITION DICTATION SYSTEM WHICH WAS IMPLEMENTED IN JANUARY 2008, HAS DECREASED RADIOLOGY SIGNED WRITTEN REPORT TURNAROUND TIME FOR ALL DIAGNOSTIC STUDIES PERFORMED IN RADIOLOGY FROM AN AVERAGE OF 20 HOURS TO AN AVERAGE OF 6 HOURS, BASED ON 24-HOUR OPERATIONS. TURNAROUND FOR STUDIES PERFORMED DURING REGULAR BUSINESS HOURS ON WEEKDAYS IS LESS THAN AN HOUR. FOR THE PATIENT, THIS TRANSLATES TO FASTER DIAGNOSIS AND FASTER FOLLOW-UP, THEREBY ENHANCING PATIENT SAFETY AND PROMPTNESS OF TREATMENT. IN ADDITION, THE TURNAROUND TIME FOR FINAL REPORTS FOR AFTER-HOURS CT, ULTRASOUND AND NUCLEAR MEDICINE READINGS HAS BEEN REDUCED FROM 16 HOURS TO AN AVERAGE OF 25 MINUTES THROUGH AN AGREEMENT WITH VIRTUAL RA
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, 75,000 OUTPATIENTS, AND 29,000 ER PATIENTS. HRH PROVIDES CARE TO ALL REGARDLESS OF THEIR ABILITY TO PAY. IN 2012, 53% OF HRH PATIENTS WERE MEDICARE; 11% MEDICAID; 2,600 PATIENTS WERE SERVED THROUGH THE HRH PATIENT FINANCIAL ASSISTANCE PROGRAM.
PROMOTION OF COMMUNITY HEALTH	PART VI, LINE 5	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. 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 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 HEART" CLASSES HAVE CONTINUED THROUGHOUT FY12 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 ON MARCH 18, 2012. 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, THE ARC OF SOUTHERN VIRGINIA, 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 ("EXERCISE FOR THE MIND"), 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), BALANCE, GRIP STRENGTH AND ANXIETY AND DEPRESSION SCREENINGS. IN ADDITION TO SCREENINGS AND RESOURCES, HRHS BROUGHT IN THE AMERIHEART. A GIANT WALKTHROUGH HEART SHOWING ALL CHAMBERS OF THE HEART TO EDUCATE INDIVIDUALS ON WHAT STEPS THEY SHOULD TAKE TO TAKE CARE OF THEIR HEART. APPROXIMATELY 500 INDIVIDUALS ATTENDED THE EXPO AND 400 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 FY12 INCLUDED, CARDIOLOGISTS SPEAKING TO ANNIN, HALIFAX COUNTY MIDDLE SCHOOL AND SUNSHINE MILLS EMPLOYEES, DOLLAR GENERAL HEALTH FAIR, EBENEZER CME HEALTH FAIR, YMCA ACTIVE OLDER ADULTS DAY, NORTH HALIFAX MARATHON. A PROSTRATE SCREENING WAS ALSO HELD AT HALIFAX UROLOGY ASSOCIATES. IN FY12 HALIFAX REGIONAL PARTICIPATED IN EIGHT HEALTH FAIR SCREENING EVENTS WITH 585 INDIVIDUALS SCREENED. HEALTHY DIRECTIONS WELLNESS PROGRAM DURING FY12, 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. NEW INITIATIVES WERE PUT IN PLACE AND GAINED POPULARITY QUICKLY. A WALKING MILEAGE REIMBURSEMENT PROGRAM STARTED WHERE EMPLOYEES ARE REWARDED TWENTY-FIVE CENTS FOR EVERY MILE THEY WALK. A WELLNESS CHAMP PROGRAM ALSO STARTED WHICH ALLOWS EMPLOYEES WHO ARE WORKING TOWARD ACHIEVING THEIR WELLNESS GOALS CAN NOMINATE THEMSELVES EACH MONTH TO BE RECOGNIZED AS HRHS WELLNESS CHAMP. 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. (SPECIAL ARRANGEMENTS FOR WAIVER OF FEE ARE MADE ON AN INDIVIDUAL BASIS AND NO PARENTS-TO-BE ARE REFUSED.) OFFERED IN FY12 WERE: PREPARED CHILDBIRTH CLASSES - SEVEN CLASSES, 61 PARTICIPANTS BREASTFEEDING CLASS - FIVE CLASSES, 48 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 - SIX CLASSES, 78 PARTICIPANTS DIABETES EDUCATION CLASSES ONE HUNDRED ONE PEOPLE ATTENDED HALIFAX REGIONAL'S FREE DIABETES GROUP CLASSES IN FY12. THE DIABETES EDUCATION DEPARTMENT OFFERS MONTHLY CLASSES (NO DECEMBER CLASS) 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 FY12 THE DIABETES EDUCATOR ALSO PROVIDED 155 ONE-ON-ONE SESSIONS WITH INDIVIDUALS EITHER REFERRED BY PHYSICIAN OR SELF AT NO CHARGE AND DID 57 TELEPHONE EDUCATION SESSIONS. A DIABETES EDUCATOR IS ALSO AVAILABLE TO TEACH AND DEMONSTRATE HOW TO USE A BLOOD SUGAR MONITOR UPON REQUEST. IN MARCH 2012 THE DIABETES EDUCATION DEPARTMENT, PARTICIPATED IN THE 2012 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. 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. IN FY12, EIGHT EVENTS WERE OFFERED TO THE COMMUNITY IN WHICH A TOTAL OF 246 PEOPLE PARTICIPATED. 1. STEP UP TO A HEALTHIER LIFESTYLE - THIS HEALTH NITE OUT PROGRAM, LED BY A PHYSICAL THERAPIST OF COX REHABILITATION CENTER, FOCUSED ON PROPER WAYS TO EXERCISE AND HOW EXERCISE HELPS PEOPLE LIVE A HEALTHIER LIFE. TWENTY-NINE INDIVIDUALS ATTENDED. 2. PREVENTING SIDS - THIS HEALTH NITE OUT PROGRAM WAS PRESENTED BY A FAMILY NURSE PRACTITIONER. TOPICS INCLUDED HOW TO PREVENT SIDS AND TIPS ON TAKING CARE OF INFANTS. NINE INDIVIDUALS PARTICIPATED. 3. EAT IN? EAT OUT? WHICH COSTS LESS? - THIS FUN FILLED EDUCATIONAL SESSION, PRESENTED BY HRH'S NUTRITION AND FOOD SERVICES DEPARTMENT, SHOWED THE CHEF PREPARING A HEALTHY MEAL THAT COST MUCH LESS THAN EATING OUT WHICH PARTICIPANTS THEN SAMPLED. AN HRH REGISTERED DIETITIAN THEN TALKED ABOUT THE BENEFITS OF EATING IN VS. EATING OUT. FORTY-TWO INDIVIDUALS ATTENDED. 4. HOW TO KEEP YOUR TICKER TICKING - THIS HEALTH NITE OUT, PRESENTED BY ONE OF HALIFAX REGIONAL'S CARDIOLOGISTS AND MANAGER OF CARDIOPULMONARY REHAB, DISCUSSED THE RISK FACTORS OF HEART DISEASE AND HOW TO HELP PREVENT IT. TWENTY-NINE INDIVIDUALS PARTICIPATED. 5. THE FACES OF AIDS - THIS POWERFUL AND EMOTIONAL HEALTH NITE OUT, PRESENTED BY THE AIDS SERVICE ORGANIZATION BOARD, WAS A PANEL DISCUSSION WITH COMMUNITY MEMBERS AFFECTED BY AIDS. NINETEEN INDIVIDUALS ATTENDED. 6. ANXIETY 101 - THIS HEALTH NITE OUT, PRESENTED BY A LICENSED PROFESSIONAL COUNSELOR FROM CENTER FOR BEHAVIORAL HEALTH, DISCUSSED ANXIETY AND DEPRESSION AND HOW TO HELP COPE WITH ITS SYMPTOMS. FIFTY-EIGHT INDIVIDUALS PARTICIPATED. 7. CAREGIVER WORKSHOP - THIS EVENT WAS OFFERED TO INDIVIDUALS WHO PLAY THE CAREGIVER ROLE FOR LOVED ONES. HALIFAX REGIONAL HOME HEALTH AND HOSPICE TEAMED UP TO OFFER A FULL DAY SEMINAR ON HOW TO CARE FOR A LOV
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) 2011

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

2011

Open to Public
Inspection

Name of the organization
HALIFAX REGIONAL HOSPITAL INC

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)	140,000	FUNDING OF COMMUNITY PTNR
(2) DOMINION HEALTH MEDICAL ASSOCIATES LTD2204 WILBORN AVENUE SOUTH BOSTON,VA24592	54-1060357		4,805,000	SUPPORT
(3) HALIFAX REGIONAL PROPERTIES INC2204 WILBORN AVENUE SOUTH BOSTON,VA24592	54-1801463	501(C)(3)	635,000	CONSTRUCTION OF DENTAL CLINIC FACILITY

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ......................... . Bullet Image

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

Cat. No. 50055P

Schedule I (Form 990) 2011

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
(1) SUSAN G. KOMEN FDN FUNDS APPLIED TO PATIENT ACCTS	287	45,139

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
GRANT ELIGIBILITY RECORDS	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) 2011

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

2011

Open to Public Inspection

Name of the organization

HALIFAX REGIONAL HOSPITAL INC

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 or provision 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. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

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 Regulations 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) 2011

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and column (E) for that individual.

(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 as deferred in prior Form 990
(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)	(F) Compensation reported as deferred in prior Form 990
(1) CHRIS A LUMSDEN	(i) (ii)	300,243 43,819	30,000 0	42,855 0	24,478 7,322	6,244 1,867	403,820 53,008	0 0
(2) STEWART R NELSON	(i) (ii)	201,429 29,380	20,000 0	23,341 0	19,828 5,932	1,413 422	266,011 35,734	0 0
(3) MING Y LIU	(i) (ii)	336,790 0	0 0	0 0	30,532 0	18,193 0	385,515 0	0 0
(4) DAVID FITTS	(i) (ii)	138,487 0	1,500 0	0 0	10,043 0	18,292 0	168,322 0	0 0
(5) GREGORY SHUFORD	(i) (ii)	301,773 0	0 0	0 0	16,101 0	13,514 0	331,388 0	0 0
(6) HECTOR MARQUEZ	(i) (ii)	265,868 0	0 0	0 0	20,405 0	12,621 0	298,894 0	0 0
(7) PATRICIA THOMAS	(i) (ii)	140,441 0	0 0	0 0	10,400 0	6,795 0	157,636 0	0 0
(8) THOMAS S KLUGE	(i) (ii)	172,699 24,242	10,000 0	23,341 0	18,959 5,671	13,987 4,185	238,986 34,098	0 0

Schedule J (Form 990) 2011

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 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) 2011

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 Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization
HALIFAX REGIONAL HOSPITAL INC

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 REFUDNING 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 legally 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 escrows . . . . . . . . . . .	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) 2011

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 of bond-financed property? . . . . . . . . .	X		X
b If ‘Yes’ to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . .		X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . .		X		X
d If ‘Yes’ to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .
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%		0.00000%		%		%
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 . . . . . . .	0.00000%		0.00000%		%		%
6 Total of lines 4 and 5 . . .. . . . . . . . .	0.00000%		0.00000%		%		%
7 Does the bond issue meet the private security or payment test? . . .	X		X
8 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2?	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 qualified hedge with respect to the bond issue?		X		X
b Name of provider . . . . . . . .	0		0
c Term of hedge . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was a hedge terminated? . . . . .
4a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . .		X		X
b Name of provider . . . . . .	0		0
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
7 Has the organization established written procedures to monitor the requirements of section 148? . . .		X	X

Schedule K (Form 990) 2011

Page 3

Part V

Procedures To Undertake Corrective Action

Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? . . . . . . . . . . . . . . YesNo

Part VI

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) 2011

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

2011

Open to Public Inspection

Name of the organization

HALIFAX REGIONAL HOSPITAL INC

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) 2011

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-FMR BRD MBR	938,324	HOSPITALIST SERVICES		No
(2) HALIFAX HEART CENTER	HABIB BASSIL-BOARD MBR	370,067	PROF FEES & SUBSIDY		No
(3) HALIFAX HEART CENTER	SAID ISKANDAR-BOARD MEM	370,067	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 WAS 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. UNTIL NOVEMBER 2011.
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.
SAID ISKANDAR		SAID ISKANDAR, MD IS A GREATER THAN FIVE PERCENT PARTNER IN HALIFAX HEART CENTER, WHICH DOES BUSINESS WITH HALIFAX REGIONAL HOSPITAL, INC. DR. ISKANDAR IS ON THE BOARD OF DIRECTORS AT HALIFAX REGIONAL HOSPITAL, INC. AND HALIFAX REGIONAL HEALTH SYSTEM, INC.

Schedule L (Form 990 or 990-EZ) 2011

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

2011

Open to Public
Inspection

Name of the organization

HALIFAX REGIONAL HOSPITAL INC

Employer identification number

54-0648699

Identifier	Return Reference	Explanation
ORGANIZATION'S MISSION	FORM 990, 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	FORM 990, 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, 2012, CONTRIBUTIONS TO CHARITY CARE ALONE TOTALED $4,940,880 ($1,605,000 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 FY12, HALIFAX REGIONAL HOSPITAL SERVED 4,817 INPATIENTS, INCLUDING NEWBORNS, PROVIDED SERVICES TO 75,498 OUTPATIENTS AND HAD 29,463 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 FY12, THE HOSPITAL PROVIDED $14,361,988 IN UNCOMPENSATED CARE (CHARITY AND BAD DEBT) OR 6.3 PERCENT OF PATIENT REVENUE. IN FY12, CHARITY AND UNCOMPENSATED CARE INCREASED BY 17.0 PERCENT (FY11=$12,277,995; FY12=$14,361,988.) IN ADDITION, THE UN-REIMBURSED VALUE OF PROVIDING CARE TO PATIENTS INSURED BY THE MEDICARE AND MEDICAID PROGRAMS WAS $87,301,389 OR 45 PERCENT OF PATIENT REVENUE. COMMUNITY HEALTH IMPROVEMENT SERVICES & EDUCATION ------------------------------------------------- HALIFAX REGIONAL HOSPITAL ENCOURAGES ITS STAFF AND VOLUNTEERS TO CONTINUE THE CARING TRADITIONS OF THOSE CITIZENS WHO WORKED SO DILIGENTLY TO ESTABLISH THE HOSPITAL IN THE EARLY 1950S. TODAY, MANY EMPLOYEES, PHYSICIANS AND VOLUNTEERS HELP STRENGTHEN THE COMMUNITY BY ADDRESSING VARIOUS COMMUNITY HEALTH NEEDS. WHETHER SPONSORING A HEALTH FAIR, PARTICIPATING IN A CHAMBER OF COMMERCE PROJECT, SENDING A SPEAKER TO A SCHOOL CLASSROOM OR CIVIC CLUB, PARTNERING WITH OTHER HEALTHCARE PROVIDERS TO PROVIDE ADDITIONAL OUTREACH SERVICES OR DONATING TO ORGANIZATIONS WITH SIMILAR MISSIONS TO HELP IMPROVE THE QUALITY OF LIFE FOR RESIDENTS OF ALL AGES, HALIFAX REGIONAL IS PROUD TO BE A GOOD CORPORATE CITIZEN AND TO TAKE A LEADERSHIP ROLE IN THE WELL-BEING OF ALL CITIZENS IN THE REGION. SOME OF THESE ACTIVITIES, SERVICES, JOINT SPONSORSHIPS AND OTHER PROGRAMS ARE DESCRIBED BELOW.
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 LEARN ABOUT THE BEST TECHNIQUES TO ENSURE PROPER CLEANLINESS. FOOD AND NUTRITION SERVICES COMMUNITY SERVICES 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 HEART" CLASSES HAVE CONTINUED THROUGHOUT FY12 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 ON MARCH 18, 2012. 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, THE ARC OF SOUTHERN VIRGINIA, 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 ("EXERCISE FOR THE MIND"), 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), BALANCE, GRIP STRENGTH AND ANXIETY AND DEPRESSION SCREENINGS. IN ADDITION TO SCREENINGS AND RESOURCES, HRHS BROUGHT IN THE AMERIHEART. A GIANT WALKTHROUGH HEART SHOWING ALL CHAMBERS OF THE HEART TO EDUCATE INDIVIDUALS ON WHAT STEPS THEY SHOULD TAKE TO TAKE CARE OF THEIR HEART. APPROXIMATELY 500 INDIVIDUALS ATTENDED THE EXPO AND 400 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 FY12 INCLUDED, CARDIOLOGISTS SPEAKING TO ANNIN, HALIFAX COUNTY MIDDLE SCHOOL AND SUNSHINE MILLS EMPLOYEES, DOLLAR GENERAL HEALTH FAIR, EBENEZER CME HEALTH FAIR, YMCA ACTIVE OLDER ADULTS DAY, NORTH HALIFAX MARATHON. A PROSTRATE SCREENING WAS ALSO HELD AT HALIFAX UROLOGY ASSOCIATES. IN FY12 HALIFAX REGIONAL PARTICIPATED IN EIGHT HEALTH FAIR SCREENING EVENTS WITH 585 INDIVIDUALS SCREENED. HEALTHY DIRECTIONS WELLNESS PROGRAM DURING FY12, 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. NEW INITIATIVES WERE PUT IN PLACE AND GAINED POPULARITY QUICKLY. A WALKING MILEAGE REIMBURSEMENT PROGRAM STARTED WHERE EMPLOYEES ARE REWARDED TWENTY-FIVE CENTS FOR EVERY MILE THEY WALK. A WELLNESS CHAMP PROGRAM ALSO STARTED WHICH ALLOWS EMPLOYEES WHO ARE WORKING TOWARD ACHIEVING THEIR WELLNESS GOALS CAN NOMINATE THEMSELVES EACH MONTH TO BE RECOGNIZED AS HRHS WELLNESS CHAMP. 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. (SPECIAL ARRANGEMENTS FOR WAIVER OF FEE ARE MADE ON AN INDIVIDUAL BASIS AND NO PARENTS-TO-BE ARE REFUSED.) OFFERED IN FY12 WERE: PREPARED CHILDBIRTH CLASSES - SEVEN CLASSES, 61 PARTICIPANTS BREASTFEEDING CLASS - FIVE CLASSES, 48 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 - SIX CLASSES, 78 PARTICIPANTS. DIABETES EDUCATION CLASSES ONE HUNDRED ONE PEOPLE ATTENDED HALIFAX REGIONAL'S FREE DIABETES GROUP CLASSES IN FY12. THE DIABETES EDUCATION DEPARTMENT OFFERS MONTHLY CLASSES (NO DECEMBER CLASS) 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 FY12 THE DIABETES EDUCATOR ALSO PROVIDED 155 ONE-ON-ONE SESSIONS WITH INDIVIDUALS EITHER REFERRED BY PHYSICIAN OR SELF AT NO CHARGE AND DID 57 TELEPHONE EDUCATION SESSIONS. A DIABETES EDUCATOR IS ALSO AVAILABLE TO TEACH AND DEMONSTRATE HOW TO USE A BLOOD SUGAR MONITOR UPON REQUEST. IN MARCH 2012 THE DIABETES EDUCATION DEPARTMENT, PARTICIPATED IN THE 2012 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. 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. IN FY12, EIGHT EVENTS WERE OFFERED TO THE COMMUNITY IN WHICH A TOTAL OF 246 PEOPLE PARTICIPATED. 1. STEP UP TO A HEALTHIER LIFESTYLE - THIS HEALTH NITE OUT PROGRAM, LED BY A PHYSICAL THERAPIST OF COX REHABILITATION CENTER, FOCUSED ON PROPER WAYS TO EXERCISE AND HOW EXERCISE HELPS PEOPLE LIVE A HEALTHIER LIFE. TWENTY-NINE INDIVIDUALS ATTENDED. 2. PREVENTING SIDS - THIS HEALTH NITE OUT PROGRAM WAS PRESENTED BY A FAMILY NURSE PRACTITIONER. TOPICS INCLUDED HOW TO PREVENT SIDS AND TIPS ON TAKING CARE OF INFANTS. NINE INDIVIDUALS PARTICIPATED. 3. EAT IN? EAT OUT? WHICH COSTS LESS? - THIS FUN FILLED EDUCATIONAL SESSION, PRESENTED BY HRH'S NUTRITION AND FOOD SERVICES DEPARTMENT, SHOWED THE CHEF PREPARING A HEALTHY MEAL THAT COST MUCH LESS THAN EATING OUT WHICH PARTICIPANTS THEN SAMPLED. AN HRH REGISTERED DIETITIAN THEN TALKED ABOUT THE BENEFITS OF EATING IN VS. EATING OUT. FORTY-TWO INDIVIDUALS ATTENDED. 4. HOW TO KEEP YOUR TICKER TICKING - THIS HEALTH NITE OUT, PRESENTED BY ONE OF HALIFAX REGIONAL'S CARDIOLOGISTS AND MANAGER OF CARDIOPULMONARY REHAB, DISCUSSED THE RISK FACTORS OF HEART DISEASE AND HOW TO HELP PREVENT IT. TWENTY-NINE INDIVIDUALS PARTICIPATED. 5. THE FACES OF AIDS - THIS POWERFUL AND EMOTIONAL HEALTH NITE OUT, PRESENTED BY THE AIDS SERVICE ORGANIZATION BOARD, WAS A PANEL DISCUSSION WITH COMMUNITY MEMBERS AFFECTED BY AIDS. NINETEEN INDIVIDUALS ATTENDED. 6. ANXIETY 101 - THIS HEALTH NITE OUT, PRESENTED BY A LICENSED PROFESSIONAL COUNSELOR FROM CENTER FOR BEHAVIORAL HEALTH, DISCUSSED ANXIETY AND DEPRESSION AND HOW TO HELP COPE WITH ITS SYMPTOMS. FIFTY-EIGHT INDIVIDUALS PARTICIPATED. 7. CAREGIVER WORKSHOP - THIS EVENT WAS OFFERED TO INDIVIDUALS WHO PLAY THE CAREGIVER ROLE FOR LOVED ONES. HALIFAX REGIONAL HOME HEALTH AND HOSPICE TEAMED UP TO OFFER A FULL DAY SEMINAR ON HOW TO CARE FOR A LOVED ONE. THIS EVENT WAS SO SUCCESSFUL; IT RESULTED IN A CAREGIVER SUPPORT GROUP THAT NOW MEETS ONCE A MONTH AT HRH. FORTY-FIVE INDIVIDUALS ATTENDED. 8. ANXIETY 101 (CHASE CITY) - THIS HEALTH NITE OUT, PRESENTED BY A LICENSED PROFESSIONAL COUNSELOR FROM CENTER FOR BEHAVIORAL HEALTH, WAS THE SAME AS THE FIRST, BUT IN A DIFFERENT LOCATION AFTER A COMMUNITY REQUESTED WE OFFER IT TO THE CHASE CITY, VA COMMUNITY. FIFTEEN INDIVIDUALS ATTENDED.
PROGRAM SERVICES	FORM 990, PART III, LINE 4 (CONTINUED)	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 LOCAL CHILDREN) DURING FY12. 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 FY12 PRESENTATIONS WERE MADE TO TWENTY-EIGHT COMMUNITY ORGANIZATIONS, CIVIC CLUBS AND CHURCHES. APPROXIMATELY 1,514 INDIVIDUALS WERE REACHED THROUGH THESE PRESENTATIONS. SUPPORT GROUPS ON A BI-MONTHLY BASIS, HALIFAX REGIONAL HOSPITAL ADVERTISES MEETINGS FOR SUPPORT GROUPS AND INFORMATION CLASSES THAT 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 THAT 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. FIVE MEETINGS WERE HELD DURING FY12 WITH A TOTAL OF APPROXIMATELY 50 PARTICIPANTS. 2. THE ARC OF SOUTHERN VIRGINIA, MEETS MONTHLY AT HRH. THE GROUP GIVES PARENTS AND GRANDPARENTS AN OPPORTUNITY TO SHARE SUCCESSES WITH OTHERS WHO CARE FOR CHILDREN WITH SPECIAL NEEDS. APPROXIMATELY FIFTEEN TO TWENTY 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 2012, THE GROUP MET ELEVEN 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 11 TIMES DURING FY12 WITH A TOTAL OF 88 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 11 MEETINGS HELD DURING FY 2012 REACHED 165 PARTICIPANTS. 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 FY12, 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. 9. ALZHEIMER'S SUPPORT GROUP - MEETING MONTHLY, 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. 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 FIVE SPECIALTY PRACTICES. 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 OUTS 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. 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, ONLINE ADULT AND JUNIOR VOLUNTEER APPLICATION, 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. THE SITE RECEIVES APPROXIMATELY 10,000 VISITORS EACH MONTH. ALSO IN FY12, HALIFAX REGIONAL EXPANDED INTO SOCIAL MEDIA WITH THE CREATION OF A YOUTUBE CHANNEL AND BLOG. 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.
PROGRAM SERVICES	FORM 990, PART III, LINE 4 (CONTINUED)	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 FY12 $65,000 WAS AWARDED TO 52 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 FY12, THE BATES SCHOLARSHIP PROVIDED $7,792 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 FY12, HALIFAX REGIONAL CONTRIBUTED $35,165 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 FY12 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 $1000 AND 621 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. HALIFAX REGIONAL HOSPITAL DISTRIBUTES THEM AS WELL. WOMEN FROM LOCAL MISSIONARY UNIONS IN THE DAN RIVER BAPTIST ASSOCIATION SEW THE DOLLS AND PROVIDE THEM FOR LOCAL HOSPICE AND HOSPITAL PATIENTS. DURING FY12, APPROXIMATELY 105 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. DURING NATIONAL EMS WEEK, HALIFAX REGIONAL HOSPITAL EMPLOYEES TOOK BARBEQUE PLATTERS TO HONOR MEMBERS OF RESCUE SQUADS, EMERGENCY TRANSPORT PERSONNEL AND FIRE DEPARTMENTS THROUGHOUT OUR THREE-COUNTY SERVICE AREA. IN ADDITION TO THE LUNCH PLATTERS, EACH RESCUE SQUAD RECEIVED $250 THROUGH HALIFAX REGIONAL COMMUNITY PARTNERSHIP. 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 FY12 PROVIDERS COMPLETED APPROXIMATELY 350 PHYSICALS FOR MIDDLE AND HIGH SCHOOL STUDENTS IN BOTH THE PRIMARY AND EXTENDED SERVICE AREA FOR HRHS. FACILITY USE ------------ HALIFAX REGIONAL HOSPITAL AND THE LONG TERM CARE AFFILIATES PROVIDE FREE SPACE AND AVAILABLE EQUIPMENT FOR AREA WELLNESS PROGRAMS, COMMUNITY MEETINGS AND CLINICAL TRAINING PROGRAMS. EXAMPLES INCLUDE: ECONOMIC DEVELOPMENT COMMISSION, HALIFAX COUNTY PUBLIC SCHOOL FOUNDATION, WEIGHT WATCHERS, UNITED WAY BOARD MEETINGS, LOCAL MINISTER'S CONFERENCE, DIXIE SOFTBALL MEETING, CREDIT UNION, BLUE RIDGE AUTISM CENTER WORKSHOP ON AUTISM, SOUTHSIDE COMMUNITY COLLEGE NURSING PROGRAM, AMERICAN RED CROSS BLOODMOBILE, BELTONE HEARING CLINICS, AARP SAFE DRIVING CLASSES AND VARIOUS SUPPORT GROUP MEETINGS. HALIFAX REGIONAL HOSPITAL SERVED AS A CLINICAL SITE FOR: RN AND LPN STUDENTS, SOUTHSIDE VIRGINIA COMMUNITY COLLEGE PHYSICAL THERAPY STUDENTS FROM UNC-CHAPEL HILL 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. RADIOLOGY TECHNOLOGISTS PROGRAM, CVCC, LYNCHBURG, VA EMS STUDENTS FROM LOCAL EMS CLASSES COMPLETED THEIR TRAINING AT DIFFERENT LEVELS. OTHER STUDENTS FROM SOUTH HILL, FARMVILLE AND RICHMOND ALSO PERFORMED THEIR TRAINING AT HALIFAX REGIONAL HOSPITAL. PHARMACY STUDENTS, MEDICAL COLLEGE OF VIRGINIA PHARMACY TECHNICIAN STUDENTS, NATIONAL BUSINESS COLLEGE, MILLER MOTT TECHNICAL COLLEGE DOCTOR OF PHARMACY STUDENTS, MEDICAL COLLEGE OF VIRGINIA THIRD AND FOURTH YEAR STUDENTS FROM EDWARD VIA VIRGINIA COLLEGE OF OSTEOPATHIC MEDICINE (VCOM), BLACKSBURG, VA OCCUPATIONAL THERAPY STUDENTS FROM VCU *OCCUPATIONAL THERAPY ASSISTANTS STUDENTS FROM JEFFERSON COLLEGE OF HEALTH SCIENCES.
PROGRAM SERVICES	FORM 990, PART III, LINE 4 (CONTINUED)	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. DISASTER READINESS ACTIVITIES 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 $32,576 (NEGATIVE MARGIN SERVICE). 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 393 BABY BLANKETS, 91 STUFFED TEDDY BEARS, 37 STUFFED FISH, 13 WALKER BAGS, AND 14 CHRISTMAS STOCKINGS FOR NEWBORNS DURING THE HOLIDAY SEASON. IN FY12 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 24,000 HOURS OF SERVICE TO THE HOSPITAL AND COMMUNITY. 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 FY12, 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 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 FY12 THE HOSPITAL CHAPLAIN SPOKE TO VARIOUS COMMUNITY GROUPS ON ADVANCE DIRECTIVES, AND LED CLASSES FOR LOCAL CLERGY. 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 & 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 AND FAMILY RELATIONSHIP FORM 990, PART VI, LINE 2 DAVID WHITE AND CHRIS LUMSDEN HAVE A BUSINESS RELATIONSHIP. ORGANIZATION MEMBERS FORM 990, PART VI, LINES 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. FORM 990 REVIEW 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	FORM 990, PART VI, LINE 12C	ALL MEMBERS OF THE BOARD ARE ALSO MEMBERS OF THE BOARD OF DIRECTORS OF HALIFAX REGIONAL HEALTH SYSTEM. THE CONFLICT OF INTEREST QUESTIONNAIRE IS DISTRIBUTED TO EACH MEMBER OF THE HALIFAX REGIONAL HEALTH SYSTEM BOARD IN JANUARY EVERY YEAR. 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.
OFFICER COMPENSATION REVIEW	FORM 990, PART VI, LINE 15 A/B	HALIFAX REGIONAL HEALTH SYSTEM SEEKS TO PAY REASONABLE COMPENSATION UNDER SECTION 4958 TO ATTRACT AND RETAIN THE APPROPRIATE CALIBER OF EMPLOYEES DEDICATED TO CARRYING OUT THE EXEMPT MISSION. LIKEWISE, HALIFAX REGIONAL HOSPITAL, INC. SEEKS TO PAY REASONABLE COMPENSATION UNDER SECTION 4958 TO ATTRACT AND RETAIN THE APPROPRIATE CALIBER OF EMPLOYEES DEDICATED TO CARRYING OUT THE 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.
DOCUMENT REVIEW POLICY	FORM 990, 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 CHANGES IN NET ASSETS	FORM 990, PART XI, LINE 5	UNREALIZED GAINS ON TRADING SECURITIES 595,066 OTHER CHANGES IN PENSION LIABILITY (851,885) ----------- (256,819)
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 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:SAID ISKANDAR MD TITLE:BOARD MEMBER (BEGINNING 11/11) HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JAMES PRIEST DDS TITLE:BOARD MEMBER HOURS:5
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JAMES WITKO MD TITLE:BOARD MEMBER (THROUGH 11/11) HOURS:5
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:CHRIS A LUMSDEN TITLE:CHIEF EXECUTIVE OFFICER HOURS:11
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:STEWART R NELSON TITLE:CHIEF FINANCIAL OFFICER HOURS:11
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:THOMAS S KLUGE TITLE:CHIEF OPERATING OFFICER HOURS:11

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2011

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

2011

Open to Public Inspection

Name of the organization

HALIFAX REGIONAL HOSPITAL INC

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	428	261,534	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		No
(2) HALIFAX REGIONAL LONG TERM CARE 2204 WILBORN AVENUE SOUTH BOSTON,VA24592 54-6074529	SENIOR CARE	VA	501(C)(3)	11A TYPE I	HRHS	Yes
(3) HALIFAX REGIONAL DEVELOPMENT FOUNDATION 2204 WILBORN AVENUE SOUTH BOSTON,VA24592 54-1801459	HLTH/WELFARE	VA	501(C)(3)	11A TYPE I	HRHS	Yes
(4) CLARKSVILLE SENIOR CARE LLC 2204 WILBORN AVENUE SOUTH BOSTON,VA24592 54-1957066	SENIOR CARE	VA	501(C)(3)	11A TYPE I	HRHS	Yes
(5) HALIFAX REGIONAL PROPERTIES 2204 WILBORN AVENUE SOUTH BOSTON,VA24592 54-1801463	HLTH/WELFARE	VA	501(C)(3)	11A TYPE I	HRHS	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2011

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 SERVICES	VA	NA	C Corp
(2) DOMINION HEALTH MEDICAL ASSOCIATES LTD 2204 WILBORN AVENUE SOUTH BOSTON,VA24592 54-1060357	PHYS PRACTICE	VA	NA	C Corp	21,781,556	3,311,764	100.000 %

Schedule R (Form 990) 2011

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 related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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

Yes

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

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

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

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

h Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

Yes

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

Yes

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

m Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

n Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

o Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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

r Other transfer of cash or property from related 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	(d) Method of determining amount involved
(1) HALIFAX REGIONAL DEVELOPMENT FOUNDATION INC	b	140,000	COST
(2) HALIFAX REGIONAL PROPERTIES INC	j	106,298	COST
(3) HALIFAX REGIONAL PROPERTIES INC	k	160,564	COST
(4) HALIFAX REGIONAL LONG TERM CARE INC	n	559,926	COST
(5) CLARKSVILLE SENIOR CARE LLC	n	455,621	COST
(6) HALIFAX REGIONAL LONG TERM CARE INC	p	1,731,555	COST
(7) CLARKSVILLE SENIOR CARE LLC	p	1,333,051	COST
(8) HALIFAX REGIONAL PROPERTIES INC	p	127,633	COST
(9) HALIFAX REGIONAL PROPERTIES INC	b	635,000	COST
(10) DOMINION HEALTH MEDICAL ASSOCIATES	b	4,805,000	COST
(11) DOMINION HEALTH MEDICAL ASSOCIATES	p	481,174	COST
(12) DOMINION HEALTH MEDICAL ASSOCIATES	p	2,916,813	COST

Schedule R (Form 990) 2011

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)	(e) Are all partners section 501(c)(3) organizations?		(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 entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(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

Schedule R (Form 990) 2011

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	4
5	Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...	5	785
6	Total number of volunteers (estimate if necessary) ....	6	124
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	3,805,766
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) .........	148,762	128,450
9	Program service revenue (Part VIII, line 2g) .........	82,572,910	87,679,108
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	2,266,206	1,713,971
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	639,842	577,118
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	85,627,720	90,098,647
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	2,783,500	5,625,139
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)	34,474,575	37,046,925
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 73,880
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	45,824,880	51,501,978
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	83,082,955	94,174,042
19	Revenue less expenses. Subtract line 18 from line 12.......	2,544,765	-4,075,395
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	113,048,825	110,244,949
21	Total liabilities (Part X, line 26).............	44,722,792	46,251,130
22	Net assets or fund balances. Subtract line 21 from line 20.....	68,326,033	63,993,819

Sign Here

	Signature of officer	Date

	Type or print name and title.


4a	(Code: ) (Expenses $ 79,383,581 including grants of $ 5,580,000 ) (Revenue $ 81,827,270 )
	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 FY12, HALIFAX REGIONAL HOSPITAL SERVED 4,817 INPATIENTS, INCLUDING NEWBORNS, PROVIDED SERVICES TO 75,498 OUTPATIENTS AND HAD 29,463 EMERGENCY DEPARTMENT VISITS. SERVICES INCLUDE CARDIOVASCULAR CARE, EMERGENCY DEPARTMENT, FAMILY BIRTHING CENTER, UROLOGY CARE, ORTHOPEDICS, RADIOLOGY, SURGICAL SERVICES, WOUND CARE, ETC.

4b	(Code: ) (Expenses $ 5,104,088 including grants of $ ) (Revenue $ 2,153,803 )
	HALIFAX HOME HEALTH SERVICES ASSISTS 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.

4c	(Code: ) (Expenses $ 2,488,573 including grants of $ ) (Revenue $ 3,698,035 )
	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.

	(Code: ) (Expenses $ 45,139 including grants of $ 45,139 ) (Revenue $ )
	SUSAN G. KOMEN FDN FUNDS APPLIED TO PATIENT ACCTS

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 45,139 including grants of $ 45,139 ) (Revenue $ )
4e	Total program service expenses$ 87,021,381

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	2,131,933	97,441	267,204

				(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		31,105
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f		97,345
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			128,450
			Business Code
2a	NET PATIENT SERVICE REVENUE		541,900	87,679,108	83,879,694	3,799,414
b
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			87,679,108
3	Investment income (including dividends, interest
	and other similar amounts).....			1,513,288			1,513,288
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties............			0
		(i) Real	(ii) Personal
6a	Gross rents	39,987
b	Less: rental expenses
c	Rental income or (loss)	39,987
d	Net rental income or (loss).......			39,987			39,987
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	14,333,807	186,981
b	Less: cost or other basis and sales expenses	14,246,496	73,609
c	Gain or (loss)	87,311	113,372
d	Net gain or (loss)..........			200,683			200,683
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		107,723
b	Less: cost of goods sold ..b		57,046
c	Net income or (loss) from sales of inventory..			50,677			50,677
Miscellaneous Revenue			Business Code
11a	CAFE/VENDING		721,000	412,320		3,512	408,808
b	INCOME FROM AUXILIARY		453,220	34,483			34,483
c	MISCELLANEOUS		900,099	39,651		2,840	36,811
d	All other revenue ....
e	Total. Add lines 11a–11d ......			486,454
12	Total revenue. See Instructions....			90,098,647	83,879,694	3,805,766	2,284,737


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			2,520,758	1	5,050,504
2	Savings and temporary cash investments .......			3,527,000	2	0
3	Pledges and grants receivable, net .........			0	3	0
4	Accounts receivable, net .........			13,190,536	4	12,012,882
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........			0	5	0
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 ..........			0	6	0
7	Notes and loans receivable, net .............			615,226	7	319,865
8	Inventories for sale or use ..............			2,387,445	8	2,414,351
9	Prepaid expenses and deferred charges ............			2,815,758	9	3,303,333
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	144,145,680
b	Less: accumulated depreciation. .....	10b	94,811,783	49,198,415	10c	49,333,897
11	Investments—publicly traded securities ..........			36,579,641	11	33,970,422
12	Investments—other securities. See Part IV, line 11 ......			708,404	12	1,622,051
13	Investments—program-related. See Part IV, line 11 ..			0	13	0
14	Intangible assets .........			0	14	0
15	Other assets. See Part IV, line 11 ...........			1,505,642	15	2,217,644
16	Total assets. Add lines 1 through 15 (must equal line 34)...			113,048,825	16	110,244,949
17	Accounts payable and accrued expenses .			8,751,172	17	8,184,757
18	Grants payable ..........			0	18	0
19	Deferred revenue ..........			289,567	19	270,506
20	Tax-exempt bond liabilities ..........			25,917,361	20	24,230,086
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			0	21	0
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........			0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..			0	23	0
24	Unsecured notes and loans payable to unrelated third parties ....			0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.....			9,764,692	25	13,565,781
26	Total liabilities. Add lines 17 through 25.....			44,722,792	26	46,251,130
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			68,624,134	27	63,993,819
28	Temporarily restricted net assets .....			0	28	0
29	Permanently restricted net assets .....			0	29	0
	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 .....			68,326,033	33	63,993,819
34	Total liabilities and net assets/fund balances .....			113,048,825	34	110,244,949

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