TY 2012 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(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)
(1) DAVID H WHITE JR........................................................................ CHAIRMAN	1.00 .......................5.00	X	X	0	0	0
(2) J AUBREY HOUGHTON........................................................................ TREASURER (THRU 6/13)	1.00 .......................5.00	X	X	0	0	0
(3) CAROL C THOMAS........................................................................ VICE CHAIR(THRU 6/13)/BOARD MEMBER	1.00 .......................5.00	X	X	0	0	0
(4) HABIB BASSIL MD........................................................................ SECRETARY	1.00 .......................5.00	X	X	78,750	0	0
(5) BENJAMIN FINCHER........................................................................ BOARD MEMBER (THRU 6/13)	1.00 .......................1.00	X		0	0	0
(6) JAMES PRIEST DDS........................................................................ BOARD MEMBER (EX OFFICIO - VOTING)	1.00 .......................5.00	X		0	0	0
(7) MARSHALL CREWS........................................................................ BOARD MEMBER (EFF 7/13)	1.00 .......................	X		0	0	0
(8) BLAINE G LENHART........................................................................ BOARD MEMBER (EFF 7/13)	1.00 .......................	X		0	0	0
(9) VALDIVIA T MARSHALL........................................................................ BOARD MEMBER (EFF 7/13)	1.00 .......................1.00	X		0	0	0
(10) J KENNETH MORGAN........................................................................ BOARD MEMBER(EFF 7/13)	1.00 .......................1.00	X		0	0	0
(11) TERRANCE J TRUITT MD........................................................................ BOARD MEMBER (EFF 7/13)	1.00 .......................	X		39,096	0	0
(12) WILLIAM E COLEMAN........................................................................ BOARD MEMBER (EFF 7/13)	1.00 .......................	X		0	0	0
(13) W JOSEPH FERGUSON MD........................................................................ BOARD MEMBER (EFF 7/13)	1.00 .......................1.00	X		0	75,525	17,948
(14) DABNEY TP GILLIAM JR........................................................................ BOARD MEMBER (EFF 7/13)	1.00 .......................	X		0	0	0
(15) KATHRYN ROBERTS........................................................................ BOARD MEMBER (EFF 7/13)	1.00 .......................	X		0	0	0
(16) GARY D WALKER........................................................................ BOARD MEMBER (EFF 7/13)	1.00 .......................	X		0	0	0
(17) RICHARD O HARRELL III........................................................................ BOARD MEMBER (EFF 7/13)	1.00 .......................	X		0	0	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(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
(18) MICHAEL R LYON........................................................................ BOARD MEMBER (EFF 7/13)	1.00 .......................	X				0	0	0
(19) LARRY P SNEED........................................................................ BOARD MEMBER/TREAS (EFF 7/13)	1.00 .......................1.00	X				0	0	0
(20) MICHAEL V GENTRY........................................................................ BOARD MEMBER (EFF 7/13)	1.00 .......................46.00	X				0	0	0
(21) KENNETH M KRAKAUR........................................................................ BOARD MEMBER (EFF 7/13)	1.00 .......................49.00	X				0	0	0
(22) ROBERT A BROERMANN........................................................................ BOARD MEMBER (EFF 7/13)	1.00 .......................54.00	X				0	0	0
(23) SAID B ISKANDAR........................................................................ BOARD MEMBER	1.00 .......................5.00	X				0	0	0
(24) CHRIS A LUMSDEN........................................................................ CEO (THRU 6/13)/PRES (EFF 7/13)	35.00 .......................5.00		X			352,693	40,962	21,110
(25) STEWART R NELSON........................................................................ CHIEF FINANCIAL OFFICER	35.00 .......................5.00		X			231,815	27,588	4,655
(26) THOMAS S KLUGE........................................................................ CHIEF OPERATING OFFICER	35.00 .......................5.00			X		199,455	24,315	14,338
(27) MING Y LIU........................................................................ HRH PHYSICIAN	40.00 .......................0.00				X	336,790	0	28,501
(28) GREGORY SHUFORD........................................................................ HRH PHYSICIAN	40.00 .......................0.00				X	301,773	0	23,875
(29) HECTOR MARQUEZ........................................................................ HRH PHYSICIAN	40.00 .......................0.00				X	265,868	0	22,929
(30) DAVID FITTS........................................................................ PHARMACY MANAGER	40.00 .......................0.00				X	141,487	0	-3,073
(31) PATRICIA THOMAS........................................................................ DIR. OF PATIENT CARE SVCS	40.00 .......................0.00				X	140,441	0	84

(A) Name and business address	(B) Description of services	(C) Compensation
MCKESSON TECHNOLOGIES INCPO BOX 98347CHICAGOIL60693	MEDICAL SYS SUPPORT	1,397,631
PULMONARY ASSOCIATES OF SOUTHSIDE VIRGIN2210 WILBORN AVENUESOUTH BOSTONVA24592	MEDICAL PROFESSIONAL SVCS	906,470
SODEXO INC & AFFILIATESPO BOX 536922ATLANTAGA30353	FOOD & FACILITY MGMT	531,662
SIEMENS MEDICAL SOLUTIONS USA INCPO BOX 120001 DEPT 0733DALLASTX75312	MEDICAL SYS SUPPORT	471,116
FUNCTIONAL PATHWAYS LLC614 MABRY HOOD ROAD STE 301KNOXVILLETN37932	CONTRACT LABOR	444,780
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	7,370,725	7,370,725
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	31,392	31,392
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	951,508		951,508
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	28,903,058	26,218,223	2,631,225	53,610
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	1,961,498	1,780,948	178,734	1,816
9	Other employee benefits .......	4,019,811	3,645,490	365,856	8,465
10	Payroll taxes ...........	2,298,510	2,085,147	209,262	4,101
11	Fees for services (non-employees):
a	Management ......	144,171		144,171
b	Legal .........	734,044		734,044
c	Accounting ...........	140,192		140,192
d	Lobbying ...........	8,500		8,500
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	11,634,801	11,388,312	246,489
12	Advertising and promotion ....	248,517	225,851	22,666
13	Office expenses .......	6,357,306	5,777,471	579,819	16
14	Information technology ......	2,614,595	2,376,130	238,465
15	Royalties ..
16	Occupancy ...........	1,432,224	1,301,597	130,627
17	Travel ............	199,971	181,608	18,226	137
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....
20	Interest ...........	1,059,603	1,054,210	5,393
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	7,113,896	7,113,896
23	Insurance ..............	332,331	302,021	30,310
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	BAD DEBT	11,797,875	11,797,875
b	MEDICAL SUPPLIES	11,765,903	11,765,903
c	MISCELLANEOUS	2,146,014	1,948,922	195,591	1,501
d	DUES & SUBSCRIPTIONS	193,691	175,757	17,639	295
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	103,460,136	96,541,478	6,848,717	69,941
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 Check if Schedule O contains a response to any question in this Part X ...............
	1	Cashnon-interest-bearing .............	5,050,504	1	5,882,119
2	Savings and temporary cash investments .........		2
3	Pledges and grants receivable, net ...........		3
4	Accounts receivable, net .............	12,012,882	4	11,452,400
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
			5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
			6
7	Notes and loans receivable, net .............	319,865	7	788,732
8	Inventories for sale or use ..............	2,414,351	8	2,581,365
9	Prepaid expenses and deferred charges ..........	3,303,333	9	3,687,761
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	54,178,289
b	Less: accumulated depreciation .....	10b	1,843,544	49,333,897	10c	52,334,745
11	Investments—publicly traded securities ..........	33,970,422	11	46,623,293
12	Investments—other securities. See Part IV, line 11 .....	1,622,051	12	2,450,499
13	Investments—program-related. See Part IV, line 11 .....		13
14	Intangible assets ...............		14
15	Other assets. See Part IV, line 11 ...........	2,217,644	15	1,040,791
16	Total assets. Add lines 1 through 15 (must equal line 34)......	110,244,949	16	126,841,705
	17	Accounts payable and accrued expenses .........	8,184,757	17	10,766,289
18	Grants payable .................		18
19	Deferred revenue ................	270,506	19	223,930
20	Tax-exempt bond liabilities .............	24,230,086	20	23,149,925
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	13,565,781	25	10,713,286
26	Total liabilities. Add lines 17 through 25.........	46,251,130	26	44,853,430
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	63,993,819	27	81,988,275
28	Temporarily restricted net assets ...........		28
29	Permanently restricted net assets ...........		29
	Organizations that do not follow SFAS 117 (ASC 958), 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 ...........	63,993,819	33	81,988,275
34	Total liabilities and net assets/fund balances ........	110,244,949	34	126,841,705

- 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

2012

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 described in 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. See section 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 - Non-functionally integrated

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 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 monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2012

Page 2

Part II

Support Schedule for Organizations Described in Sections 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) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(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) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
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 2012 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2011 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2012. 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—2011. If the organization did not check a 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—2012. 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—2011. 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) 2012

Page 3

Part III

Support Schedule for Organizations Described in Section 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) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(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) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(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.)..

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 2012 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2011 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2011 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2012. 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—2011. 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) 2012

Page 4

Part IV

Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2012

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

2012

Name of the 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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 2

Name of organization HALIFAX REGIONAL HOSPITAL INC

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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 3

Name of organization HALIFAX REGIONAL HOSPITAL INC

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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 4

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) (2012)

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

2012

Open to Public
Inspection

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

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

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

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

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

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 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 Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2012

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 SchCMd Bullet

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 SchCMd Bullet

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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) Total

2a	Lobbying nontaxable 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) 2012

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

8,647

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

8,647

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, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
EXPLANATION OF LOBBYING ACTIVITIES:	PART II-B, LINE 1:	IN FISCAL YEAR 2013, OUTSIDE LOBBYISTS WERE PAID $8,500 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 2013, THIS AMOUNT WAS $147.

Schedule C (Form 990 or 990EZ) 2012

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

2012

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 section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, 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 XIII, 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 Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2012

Page 2

Part III

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

Using the organization’s acquisition, 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 XIII.

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 XIII 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 XIII. Check here if the explanation has been provided in Part XIII ........

Part V

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

		(a)Current year	(b)Prior year	b (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 current year end balance (line 1g, column (a)) 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 XIII 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 .................	2,576,000		2,576,000
b	Buildings ................	26,998,944	1,421,938	25,577,006
c	Leasehold improvements ............
d	Equipment ................	17,530,312	421,606	17,108,706
e	Other .................	7,073,033		7,073,033
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				52,334,745

Schedule D (Form 990) 2012

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
ACCRUED PENSION PLAN		5,964,382
CAPITALIZED LEASE OBLIGATIONS		814,085
DUE TO THIRD-PARTY PROGRAMS		1,440,000
OTHER LONG TERM LIABILITIES		2,415,035
DUE TO AFFILIATES		46,010
OTHER CURRENT LIABILITIES		33,774



Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		10,713,286
2. Fin 48 (ASC 740) Footnote. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................

Schedule D (Form 990) 2012

Page 4

Part XI 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 XIII.) ............	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 XIII.) ...........	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 XII 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 XIII.) ............	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 XIII.) ............	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 XIII

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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X, LINE 2:	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 STATEMENT INCLUDE (OR REFLECT) ANY UNCERTAIN TAX POSITIONS.

Schedule D (Form 990) 2012

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

2012

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 the grants or

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

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

Yes

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

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in region
	CENTRAL AMERICA/CARIBBEAN	0	0	INVESTMENTS	1,088,637
















3a	Sub-total .....	0	0		1,088,637
b	Total from continuation sheets to Part I ...	0	0		0
c	Totals (add lines 3a and 3b)	0	0		1,088,637

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2012

Schedule F (Form 990) 2012

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. Part II can be duplicated 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) 2012

Schedule F (Form 990) 2012Page 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.

Part III can be duplicated 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) 2012

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2012

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) 2012

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

2012

Open to Public Inspection

Name of the organization

HALIFAX REGIONAL HOSPITAL INC

Employer identification number

54-0648699

Part I

Financial Assistance 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) as a factor in determining 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 as a factor in determining 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 27500.0000000000 %

If the organization used factors other than FPG in determining 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, as a factor in determining 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

Financial Assistance and Means-Tested Government Programs		(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) ..	1,600,682		1,600,682	1.750 %
b	Medicaid (from Worksheet 3, column a) ....	9,008,075	6,500,029	2,508,046	2.740 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .	124,089	80,331	43,758	0.050 %
d	Total Financial Assistance and Means-Tested Government Programs .	10,732,846	6,580,360	4,152,486	4.540 %
Other Benefits		328,364		328,364	0.360 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	328,364		328,364	0.360 %
f	Health professions education (from Worksheet 5) ..	164,469	6,904	157,565	0.170 %
g	Subsidized health services (from Worksheet 6) ..	5,604,560		5,604,560	6.110 %
h	Research (from Worksheet 7)
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	303,864		303,864	0.330 %
j	Total. Other Benefits ..	6,401,257	6,904	6,394,353	6.970 %
k	Total. Add lines 7d and 7j .	17,134,103	6,587,264	10,546,839	11.510 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012

Schedule H (Form 990) 2012

Page

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.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development	17,443	17,443	0.020 %
3	Community support	10,536	10,536	0.010 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	2,826	2,826	0 %
7	Community health improvement advocacy
8	Workforce development	10,362	10,362	0.010 %
9	Other
10	Total	41,167	41,167	0.040 %

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. Explain in Part VI the methodology used by the organization to estimate this amount. ......

11,797,871

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

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

38,530,839

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

34,997,737

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

3,533,102

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(owned 10% or more by officers, directors, trustees, key employees, and physicians—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) 2012

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, and primary website address					Other (Describe)
1	HALIFAX REGIONAL HOSPITAL INC 2204 WILBORN AVENUE SOUTH BOSTON,VA24592	X	X	X	HOME HEALTH HOSPICE

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

	HALIFAX REGIONAL HOSPITAL INCORPORATED
Name of hospital facility or facility reporting group

For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If “Yes,” indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? 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 ....................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If “Yes,” indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 150.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 275.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	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)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	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 website
b	The policy was attached to 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 on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	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?.......	15	Yes
16	Check all of the following 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)
17	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?..........	17		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)

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the patients regarding the patients’ bills

Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Part VI)

Policy Relating to Emergency Medical Care

Yes

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?..........

Yes

If “No,” indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

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.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

During the tax year, did the hospital facility charge any FAP-eligible individuals 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? ............................

If “Yes,” explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? .........................

If “Yes,” explain in Part VI.

Schedule H (Form 990) 2012

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) 2012

Page

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; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
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.
8	Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.

Identifier	ReturnReference	Explanation
		PART I, LINE 7: EXCEPT FOR SUBSIDIZED HEALTH SERVICES, THE ORGANIZATION USED A COST-TO-CHARGES RATIO FROM WORKSHEET 2 TO DETERMINE THE AMOUNTS REPORTED IN PART I, LINE 7. COST METHOD WAS USED FOR SUBSIDIZED HEALTH SERVICES (7G).
		PART I, LINE 7G: $5,604,560 OF THE AMOUNT REPORTED WAS ATTRIBUTABLE TO PHYSICIAN CLINICS.
		PART I, L7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN, IS $11,797,871.
		PART II: 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 ORGANIZATION ALLOWS AND ENCOURAGES EMPLOYEES TO PROVIDE SERVICE TO THE COMMUNITY DURING WORKING HOURS ALSO. EMPLOYEES SERVE IN VARIOUS CAPACITIES INCLUDING ON BOARDS AND ADVISORY COMMITTEES OF A NUMBER OF COMMUNITY GROUPS AND STATE ORGANIZATIONS ADVANCING COMMUNITY HEALTH AND WELLNESS AND WORKFORCE DEVELOPMENT INCLUDING THE FOLLOWING: HALIFAX COUNTY CHAMBER OF COMMERCE; CHARLOTTE COUNTY CHAMBER OF COMMERCE; CLARKSVILLE CHAMBER OF COMMERCE; MECKLENBURG COUNTY BUSINESS EDUCATION PARTNERSHIP; HALIFAX ADVOCATES FOR SUBSTANCE ABUSE PREVENTION; SOUTHSIDE HEALTH COALITION, HALIFAX VOCATIONAL EDUCATION FOUNDATION; SOUTHSIDE VIRGINIA COMMUNITY COLLEGE SCHOOL OF NURSING ADVISORY 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. THE ORGANIZATION CONTINUES TO PARTICIPATE IN REGIONAL AND LOCAL DISASTER READINESS EXERCISES TO TEST THE EMERGENCY OPERATIONS PLAN AND TO CONDUCT INTERNAL EXERCISES. THESE INITIATIVES HELP THE ORGANIZATION 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, THE ORGANIZATION SUPPLIED THE EMPLOYEE TIME INVOLVED IN TRAINING FOR COMMUNITY EMERGENCY PREPAREDNESS AS WELL AS FOR COMMUNITY DISASTER TRAINING DRILLS. ITS FOCUS CONTINUES TO BE ON PREPARING THE HOSPITAL STAFF AND THE COMMUNITY FOR ALL HAZARDS.
		PART III, LINE 4: SEE AUDITED FINANCIAL STATEMENT FOR HALIFAX REGIONAL HOSPITAL, INC. AND SUBSIDIARIES, PAGES 14-15, NOTES TO CONSOLIDATED FINANCIAL STATEMENTS SECTION (2).
		PART III, LINE 8: MEDICARE ALLOWABLE COSTS OF CARE AND RELATED REIMBURSEMENT WERE OBTAINED FROM THE 2013 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. THE HOSPITAL FACILITY ALSO HAS A "FINANCIAL POLICY" OUTLINING ITS 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 TO CHARITY 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 THE HOSPITAL FACILITY TO SET UP THE REMAINING BALANCE ON A PAYMENT PLAN.THE HOSPITAL FACILITY DID NOT IMPOSE COLLECTION ACTIONS FOR ANY PATIENT WITHOUT FIRST MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THE PATIENT WAS ELIGIBLE FOR FINANCIAL ASSISTANCE.
	PART III SECTION A LINE 2	BAD DEBT EXPENSE IS REPORTED AT ESTABLISHED RATES IN ACCORDANCE WITH THE ORGANIZATION'S BOOKS AND RECORDS.
HALIFAX REGIONAL HOSPITAL, INCORPORATED		PART V, SECTION B, LINE 3: THE HOSPITAL FACILITY CONDUCTED A DELPHI PROCESS TO DELINEATE COMMUNITY NEEDS, WITH PARTICIPANTS ANSWERING TWO ROUNDS OF QUESTIONS. THE ANSWERS WERE THEN COLLECTED AND INTEGRATED INTO THE CHNA, ALONG WITH THE RESULTS OF INTERVIEWS OF HOSPITAL LEADERSHIP MEMBERS WHO ARE HEAVILY INVOLVED IN ALL ASPECTS OF COMMUNITY DEVELOPMENT AND THE HARD DATA RESULTING FROM SEARCHES OF PUBLISHED INFORMATION. THOSE CONSULTED INCLUDED REPRESENTATIVES FROM THE DEPT. OF SOCIAL SERVICES, THE SOUTHSIDE COMMUNITY SERVICES BOARD, THE SOUTH BOSTON POLICE DEPT., THE VIRGINIA COMMONWEALTH ATTORNEY'S OFFICE, HALIFAX CO. HEALTH DEPT., THE HALIFAX CO. SHERIFF'S OFFICE, THE LAKE COUNTRY AREA AGENCY ON AGING, THE TRI-COUNTY COMMUNITY ACTION AGENCY, HALIFAX CO. PUBLIC SCHOOLS, HALIFAX COUNTY BOARD OF SUPERVISORS, SOUTH BOSTON PARKS AND REC, SVHEC, ABB, PRESTO PRODUCTS, HALIFAX COUNTY RESCUE SQUAD, HALIFAX COUNTY CHAMBER OF COMMERCE, SOUTH BOSTON ROTARY CLUB, SOUTH BOSTON LIONS CLUB, WINNS CREEK BAPTIST CHURCH, THE AMERICAN RED CROSS, HALIFAX UNITED WAY, SOUTH BOSTON COUNCIL/VA TOBACCO COMMISSION, THE HRHS BOARD OF DIRECTORS, THE YMCA, HALIFAX PHARMACY, THE CENTER FOR NURSING EXCELLENCE, IDA, SOUTH BOSTON JUNIOR WOMEN'S CLUB, HEAD START, DOLLAR GENERAL, THE VA FARM BUREAU, THE VA COOPERATIVE EXTENSION, CME CHURCHES, CHILD PROTECTIVE SERVICES, THE HALIFAX CO. CANCER ASSOCIATION, AND VARIOUS OTHER ACTIVE AND RETIRED PROFESSIONALS SERVING IN AN INDIVIDUAL CAPACITY.
HALIFAX REGIONAL HOSPITAL, INCORPORATED		PART V, SECTION B, LINE 5C: A PRINTED COPY OF THE ORGANIZATION'S CHNA WAS PLACED IN ITS ADMINISTRATION OFFICE SO THAT INDIVIDUALS ASKING TO REVIEW IT WOULD HAVE IT READILY AVAILABLE TO THEM ON SITE.
HALIFAX REGIONAL HOSPITAL, INCORPORATED		PART V, SECTION B, LINE 7: AMONG THE TOP 13 COMMUNITY HEALTH NEEDS ADDRESSED BY THE ORGANIZATION'S CHNA, NUMBERS 4 (MATERNAL AND INFANT MEASURES) AND 5 (PRIORITY POPULATIONS) WERE DETERMINED TO BE TWO AREAS WHERE THE ORGANIZATION WOULD NOT CREATE AND EXECUTE AN IMPLEMENTATION PLAN TO ADDRESS THE NEED. REASONING FOR THOSE DETERMINATIONS FOLLOWS.MATERNAL AND INFANT MEASURES:THE ORGANIZATION DOES NOT INTEND TO DEVELOP AN IMPLEMENTATION PLAN FOR THIS NEED FOR THE FOLLOWING REASONS: - LACK OF EXPERTISE: THIS IS A COMPLEX ISSUE THAT IS A LONGSTANDING AND INTRACTABLE CHALLENGE IN THE ORGANIZATION'S COMMUNITY. - A LACK OF IDENTIFIED EFFECTIVE INTERVENTIONS TO ADDRESS THIS NEED: THE COMMONWEALTH OF VIRGINIA IS STILL DEBATING THE MERITS OF VARIOUS APPROACHES TO IMPROVING THE CONDITIONS OF YOUNG FAMILIES AND WOMEN IN THEIR CHILDBEARING YEARS. - THIS NEED IS BEING ADDRESSED BY OTHER ORGANIZATIONS.PRIORITY POPULATIONS:THE ORGANIZATION DOES NOT INTEND TO DEVELOP AN IMPLEMENTATION PLAN FOR THIS NEED FOR THE FOLLOWING REASONS: - THE NEED IS ADDRESSED BY OTHER ORGANIZATIONS. - THE NEED IS ADDRESSED IN EXISTING ORGANIZATIONAL PROGRAMMING ALTHOUGH NOT AS A CONSOLIDATED WHOLE.- THERE EXISTS A LACK OF IDENTIFIED EFFECTIVE INTERVENTIONS TO ADDRESS THE NEED. - THIS NEED GROUPING INCORPORATES A BROAD SPECTRUM OF SOCIAL AND ECONOMIC CHALLENGES WHICH CREATE AN OVERALL ENVIRONMENT THAT CAUSES POPULATION MEMBERS TO STRUGGLE TO MAINTAIN A FUNCTIONAL LIFESTYLE ON MANY FRONTS. THE ORGANIZATION BELIEVES THAT EFFORTS TO ADDRESS THESE CHALLENGES MUST INCORPORATE ECONOMIC, EDUCATIONAL, AND SOCIAL EFFORTS AS WELL AS HEALTHCARE INTERVENTIONS. THE ORGANIZATION WILL MONITOR THE LOCAL ATTEMPTS TO ADDRESS THESE ISSUES TO DETERMINE HOW IT CAN BEST ASSIST.
HALIFAX REGIONAL HOSPITAL, INCORPORATED		PART V, SECTION B, LINE 14G: A NOTICE REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE, INCLUDING CONTACT INFORMATION, WAS PRINTED ON ALL BILLING INVOICES. A SEPARATE NOTICE, WHICH INCLUDED A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND INCOME GUIDELINES, WAS SENT OUT TO ALL UNINSURED PATIENTS. A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY WAS POSTED IN THE HOSPITAL FACILITY'S EMERGENCY ROOM, WAITING ROOMS, AND ADMISSIONS OFFICE. A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY WITH INCOME GUIDELINES WAS PROVIDED TO PATIENTS UPON ADMISSION. SEE ALSO PART VI LINE 3 FOR ADDITIONAL INFORMATION.
HALIFAX REGIONAL HOSPITAL, INCORPORATED		PART V, SECTION B, LINE 18E: A SUMMARY OP THE FINANCIAL ASSISTANCE POLICY WAS POSTED IN THE HOSPITAL FACILITY'S EMERGENCY ROOM, WAITING ROOMS, AND ADMISSIONS OFFICE AND INCLUDED A PHONE NUMBER TO CALL FOR ADDITIONAL INFORMATION. FINANCIAL OPTIONS BROCHURES WERE ALSO AVAILABLE IN THOSE AREAS. IN ADDITION, QUARTERLY ARTICLES WERE PLACED IN LOCAL NEWSPAPERS TO INFORM THE PUBLIC ABOUT THE FINANCIAL ASSISTANCE POLICY.
	PART V SECTION B LINE 5A	THE CHNA AND RELATED IMPLEMENTATION STRATEGY FOR HALIFAX REGIONAL HOSPITAL, INC. WAS AVAILABLE ON ITS WEBSITE AT HTTP://WWW.HRHS.ORG/PDFS/CHNA2013.PDF.
		PART VI, LINE 2: THE ORGANIZATION STRIVES TO PROVIDE THE HIGHEST QUALITY CARE BASED ON THE HEALTHCARE NEEDS OF THE PEOPLE IT SERVES AND 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, THE ORGANIZATION IS PROUD OF ITS ABILITY TO RESPOND TO CURRENT MEDICAL CHALLENGES AND PRUDENTLY PLAN HEALTH AND WELLNESS OPPORTUNITIES FOR FUTURE GENERATIONS. IN CONJUNCTION WITH THE CONDUCT OF ITS CHNA, THE ORGANIZATION USED 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 INCLUDED:PATIENT SATISFACTION DATA, TELEPHONE INTERVIEWS, SURVEYS, LETTERS,ETC.HOSPITAL ADMISSION AND DISCHARGE DATAFEEDBACK FROM CIVIC ENTITIES, GOVERNMENTAL AGENCIES, AND RESCUE SQUADSCENTRAL VIRGINIA HEALTH PLANNING AGENCY SOCIO-DEMOGRAPHIC INFORMATIONCENTRAL VIRGINIA HEALTH PLANNING AGENCY NEEDS ASSESSMENTVIRGINIA CENTER FOR HEALTHY COMMUNITIES - VIRGINIA ATLAS OF COMMUNITYHEALTHCOMMUNITY PERCEPTION SURVEY 2010PHYSICIAN MANPOWER ANALYSISBOARD, MEDICAL STAFF, AND EMPLOYEE FEEDBACKPATIENT AND FAMILY FOCUS GROUP FEEDBACKVHHA "INDICATORS OF HEALTHY COMMUNITIES 2003"DIRECTION FROM LICENSURE, ACCREDITATION, AND REGULATORY BODIESLITERATURE REVIEW AND INTERNET RESEARCHSTATE MEDICAL FACILITIES PLANVISION 2020, A COMMUNITY-WIDE ACTION PLAN FOR FUTURE GROWTH ANDDEVELOPMENTPHYSICIAN SATISFACTION SURVEY 2010INFORMATION FROM THE VARIOUS DATA SOURCES WAS UTILIZED TO ASSESS THE ORGANIZATION'S BUSINESS DEVELOPMENT PLANS AND TO COORDINATE OUTREACH ACTIVITIES WITH COMMUNITY ORGANIZATIONS.
		PART VI, LINE 3: WHEN A PATIENT IS REGISTERED AT THE ORGANIZATION'S HOSPITAL FACILITY, S/HE IS PROVIDED A NOTICE OF FINANCIAL ASSISTANCE WHICH INCLUDES INCOME GUIDELINES AND CONTACT INFORMATION FOR ADDITIONAL INFORMATION. FRAMED COPIES OF THE NOTICE ARE LOCATED IN REGISTRATION AREAS AND KEY PUBLIC AREAS OF THE FACILITY. THE FACILITY ALSO HAS FINANCIAL OPTIONS BROCHURES IN THOSE SAME AREAS WITH LITERATURE REGARDING FINANCIAL ASSISTANCE. THE FACILITY'S TELEPHONE SYSTEM OFFERS "ON HOLD" MESSAGING THAT IS UTILIZED TO INFORM INCOMING CALLERS OF FINANCIAL ASSISTANCE INFORMATION EVERY OTHER MONTH. QUARTERLY ARTICLES ARE PLACED IN AREA NEWSPAPERS AS A CUSTOMER SERVICE TOOL TO REMIND PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE. FINANCIAL ASSISTANCE INFORMATION, ALONG WITH AN APPLICATION FOR FINANCIAL ASSISTANCE, IS LOCATED ON THE FACILITY'S WEBSITE. A NOTICE REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE IS PRINTED ON PATIENT BILLS AND INCLUDES CONTACT INFORMATION FOR ADDITIONAL INFORMATION. ALL SELF PAY INDIVIDUALS RECEIVE A NOTICE ENCLOSED WITH THE FIRST BILLING STATEMENT WHICH INCLUDES DETAILED INFORMATION REGARDING FINANCIAL ASSISTANCE, INCLUDING INCOME GUIDELINES.THE ORGANIZATION HAS PARTNERED WITH FIRSTSOURCE TO AID UNINSURED EMERGENCY DEPARTMENT PATIENTS, UNINSURED AND UNDERINSURED INPATIENTS, OUTPATIENT SURGERY, AND OBSERVATION PATIENTS IN APPLYING FOR MEDICAL ASSISTANCE THROUGH GOVERNMENT PROGRAMS. FIRSTSOURCE ASSISTS PATIENTS THROUGHOUT THE ENTIRE APPLICATION PROCESS TO ENSURE ALL DOCUMENTATION IS COMPLETE.FIRSTSOURCE ALSO HELPS PATIENTS COMPLETE FINANCIAL ASSISTANCEAPPLICATIONS IF THEY MAY NOT QUALIFY FOR GOVERNMENT ASSISTANCE.
		PART VI, LINE 4: THE ORGANIZATION OPERATED AS A SOLE COMMUNITY HOSPITAL UNTIL JULY 1, 2013, WHEN IT BECAME AFFILIATED WITH SENTARA HEALTHCARE. IT IS 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 = 31,849); THE SECONDARY SERVICES AREA INCLUDES BOTH CHARLOTTE COUNTY (POPULATION = 12,404) AND MECKLENBURG COUNTY (POPULATION = 31,749). 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-SIX PERCENT LIVE AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL (FPL). THE MEDIAN HOUSEHOLD INCOME IN 2012 WAS $35,503, JUST 57% OF THE MEDIAN INCOME FOR THE STATE AS A WHOLE, AT $61,782. NINETEEN PERCENT ARE UNINSURED, A TREND THAT IS RISING, WHILE 14% OF RESIDENTS OF VIRGINIA AS A WHOLE ARE UNINSURED, A TREND THAT IS SLOWLY DECLINING. APPROXIMATELY ELEVEN PERCENT ARE UNEMPLOYED, AND 24% OF THE POPULATION OVER 25 YEARS OF AGE HAVE NOT ATTAINED A HIGH SCHOOL DIPLOMA (VERSUS 13% FOR VIRGINIA AS A WHOLE) AND ONLY 15% HAVE ACHIEVED AT LEAST A BACHELOR'S DEGREE (VERSUS 35% FOR VIRGINIA AS A WHOLE). ANNUALLY, THE ORGANIZATION PROVIDES CARE TO APPROXIMATELY 4,100 INPATIENTS, 95,000 OUTPATIENTS AND 30,000 ER PATIENTS. THE ORGANIZATION PROVIDES CARE TO ALL REGARDLESS OF THEIR ABILITY TO PAY. IN 2013, 52% OF THE ORGANIZATION'S PATIENTS WERE MEDICARE, 12% MEDICAID; AND 2,900 PATIENTS WERE SERVED THROUGH THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE PROGRAM.
		PART VI, LINE 5: THE ORGANIZATION'S GOVERNING BODY IS A COMMUNITY-BASED BOARD COMPRISED OF A MAJORITY OF MEMBERS WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION OR ITS AFFILIATES, NOR FAMILY MEMBERS THEREOF. GENERALLY, MEDICAL STAFF MEMBERSHIP IS OPEN TO ALL CARE PROVIDERS WHO MEET CREDENTIALING REQUIREMENTS. THE ORGANIZATION'S SURPLUS FUNDS ARE USED FOR IMPROVEMENTS IN PATIENT CARE, PROVISION OF SERVICES TO THE UNINSURED AND UNDERINSURED, MEDICAL EDUCATION, AND COMMUNITY PROGRAMS.
		PART VI, LINE 6: PRIOR TO JULY 1, 2013, THE ORGANIZATION WAS PART OF A MULTIDIVISIONAL REGIONAL SYSTEM PROVIDING ACUTE AND LONG-TERM CARE, DEMENTIA CARE, HOME HEALTH, HOSPICE, BEHAVIORAL HEALTH SERVICES AND A MULTITUDE OF OUTPATIENT SERVICES TO APPROXIMATELY 80,000 RESIDENTS IN SOUTHERN VIRGINIA. AFFILIATES INCLUDED THREE LONG TERM CARE COMMUNITIES, FOUR FAMILY PRACTICE OFFICES, FIVE SPECIALTY PHYSICIAN PRACTICES AND A DENTAL CLINIC.EFFECTIVE JULY 1, 2013, THE ORGANIZATION AND ITS AFFILIATES BECAME PART OF THE SENTARA HEALTHCARE SYSTEM ("SENTARA"), A NOT FOR PROFIT HEALTH SYSTEM WITH MORE THAN 100 SITES OF CARE SERVING RESIDENTS ACROSS VIRGINIA AND NORTHEASTERN NORTH CAROLINA. SINCE ITS AFFILIATION WITH THE ORGANIZATION, THE SYSTEM IS COMPRISED OF 11 ACUTE CARE HOSPITALS, INCLUDING SEVEN IN HAMPTON ROADS, ONE IN NORTHERN VIRGINIA, TWO IN THE BLUE RIDGE REGION, AND ONE IN SOUTHERN VIRGINIA; ADVANCED IMAGING CENTERS; NURSING AND ASSISTED-LIVING CENTERS; OUTPATIENT CAMPUSES; PHYSICAL THERAPY AND REHABILITATION SERVICES; HOME HEALTH AND HOSPICE AGENCY; A 3,800-PROVIDER MEDICAL STAFF; AND FOUR MEDICAL GROUPS. THE ORGANIZATION, ALONG WITH ITS HALIFAX AFFILIATES, JOINED SENTARA IN ORDER TO ENHANCE ITS ABILITY TO ACHIEVE BEST PRACTICES IN HEALTHCARE DELIVERY; ACQUIRE CUTTING EDGE TECHNOLOGY AND INTEGRATED INFORMATION SYSTEMS; AND PROVIDE A HIGHER LEVEL OF MEDICAL CARE TO VIRGINIA'S SOUTHERN REGION COMMUNITY. THESE ATTRIBUTES BETTER POSITION THE ORGANIZATION TO ADDRESS HEALTH CARE REFORM AND OTHER PROFOUND CHANGES AFFECTING THE HEALTHCARE ENVIRONMENT.

Schedule H (Form 990) 2012

Additional Data

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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

2012

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. Part II can be duplicated if additional space is needed.

(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 FOUNDATION 2204 WILBORN AVENUE SOUTH BOSTON,VA24592	54-1801459	501(C)(3)	94,525	FUNDING OF COMMUNITY PARTNERSHIP
(2) DOMINION HEALTH MEDICAL ASSOCIATES LTD 2204 WILBORN AVENUE SOUTH BOSTON,VA24592	54-1060357		5,740,000	SUPPORT
(3) HALIFAX REGIONAL PROPERTIES INC 2204 WILBORN AVENUE SOUTH BOSTON,VA24592	54-1801463	501(C)(3)	1,530,000	CONSTRUCTION OF DENTAL 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 Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2012

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.
Part III can be duplicated 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	149	18,792
(2) ELISE THOMSON CLARK MEMORIAL FUNDS APPLIED TO INDIVIDUAL PATIENT ACCOUNTS	22	7,000
(3) EVERY WOMAN'S LIFE FUNDS APPLIED TO INDIVIDUAL PATIENT ACCOUNTS	34	5,600

Part IV

Supplemental Information.

Complete this part to provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Identifier	Return Reference	Explanation
PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	PART I, LINE 2:	SCHEDULE I, PART I, LINE 2: GRANTS FROM HALIFAX REGIONAL HOSPITAL, INC. ARE ONLY MADE TO AFFILIATES WHOSE FINANCIAL RECORDS ARE MAINTAINED BY THE HOSPITAL.

Schedule I (Form 990) 2012

Additional Data

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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

2012

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 of 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 filing organization used 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 Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2012

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 (E) amounts for that individual.

(A) Name and Title		(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 and Title		(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 LUMSDENCEO (THRU 6/13)/PRES (EFF 7/13)	(i) (ii)	279,838 40,962	30,000 0	42,855 0	737 1,764	5,480 13,129	358,910 55,855	0 0
(2)STEWART R NELSONCHIEF FINANCIAL OFFICER	(i) (ii)	188,474 27,588	20,000 0	23,341 0	826 1,978	545 1,306	233,186 30,872	0 0
(3)THOMAS S KLUGECHIEF OPERATING OFFICER	(i) (ii)	166,114 24,315	10,000 0	23,341 0	-1,189 -2,848	5,411 12,964	203,677 34,431	0 0
(4)MING Y LIUHRH PHYSICIAN	(i) (ii)	336,790 0	0 0	0 0	10,308 0	18,193 0	365,291 0	0 0
(5)GREGORY SHUFORDHRH PHYSICIAN	(i) (ii)	301,773 0	0 0	0 0	10,361 0	13,514 0	325,648 0	0 0
(6)HECTOR MARQUEZHRH PHYSICIAN	(i) (ii)	265,868 0	0 0	0 0	10,308 0	12,621 0	288,797 0	0 0

Schedule J (Form 990) 2012

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Identifier	Return Reference	Explanation
	PART I, LINE 1A	MONTHLY COUNTRY CLUB DUES ARE PAID BY THE ORGANIZATION FOR THE CEO/PRESIDENT AND ARE INCLUDED IN HIS TAXABLE INCOME. AMOUNT IS SUBSTANTIATED BY AN INVOICE FROM THE CLUB, AND DUES ARE PAID DIRECTLY TO THE CLUB.

Schedule J (Form 990) 2012

Additional Data

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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

2012

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	IDA OF HALIFAX COUNTY VA	54-1169928	40579NBD7	08-11-2004	14,883,460	REFUNDED SERIES 1998 BONDS		X		X		X
B	IDA OF CHARLOTTE COUNTY VA	54-1643556	160831AA1	10-17-2007	20,089,290	FINANCING FOR HOSPITAL PROJECTS		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	11,100,000		400,000
2 Amount of bonds legally defeased . . . . . . . . . . .
3 Total proceeds of issue . . . . . . . . . . . . . .	16,849,081		20,454,615
4 Gross proceeds in reserve funds . . . . . . . . . . . .	864,982		1,385,881
5 Capitalized interest from proceeds . . . . . . . . . . .
6 Proceeds in refunding escrows . . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . . .	294,672		391,741
8 Credit enhancement from proceeds . . . . . . . . . . .
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .	2,186,436		18,644,632
11 Other spent proceeds . . . . . . . . . . . . . .	13,502,991		32,361
12 Other unspent proceeds . . . . . . . . . . . . . .
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
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X

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

Cat. No. 50193E

Schedule K (Form 990) 2012

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
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
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		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 . .	%		%		%		%
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 . . . . . . .	%		%		%		%
6 Total of lines 4 and 5 . . . . . . . . . . . . . . .	%		%		%		%
7 Does the bond issue meet the private security or payment test? . . . . .		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.	%		%		%		%
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .
9 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

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .		X		X
b Exception to rebate? . . . . . . . .		X		X
c No rebate due? . . . . . . . . . .	X		X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X
b Name of provider . . . . . . . . .
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . . . .
e Was a hedge terminated? . . . . . . .

Schedule K (Form 990) 2012

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X
b Name of provider . . . . . . . . .
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X	X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 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?		X		X

Part VI

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

Identifier	Return Reference	Explanation
		ISSUER A: SERIES 2004 (HALIFAX REGIONAL HOSPITAL, INC.) HOSPITAL FACILITIES & DEBT NOW ACQUIRED AND OWNED BY SENTARA HEALTHCARE. PART II, 2 - AS PART OF ACQUISITION, SENTARA HEALTHCARE DEFEASED THE SERIES 2004 BONDS ON 11/1/2013. EQUITY, ALONG WITH THE SERIES 2004 DEBT SERVICE RESERVE FUND PROCEEDS WERE DEPOSITED INTO A YIELD RESTRICTED ESCROW FUND. THE 2004 BONDS MATURING 9/1/2014 - 9/1/2017 WILL BE CALLED FOR REDEMPTION ON 9/1/2014. PART II, 3 - AMOUNT OF TOTAL PROCEEDS INCLUDES ISSUE PRICE, SERIES 1998 DEBT SERVICE RESERVE FUND MONIES (SERIES 2004 TRANSFERRED PROCEEDS), PLUS INVESTMENT EARNINGS (MAINLY FROM THE DEBT SERVICE RESERVE FUND). PART II, 11 - INCLUDES CURRENT REFUNDING PROCEEDS, AND INTEREST EARNINGS FROM THE DEBT SERVICE RESERVE FUND WHICH WERE TRANSFERRED ON A REGULAR BASIS TO BE USED FOR DEBT SERVICE PURPOSES ON THE SERIES 2004 BONDS. PART IV, 2C - ARBITRAGE COMPLIANCE REPORTS ARE SUBMITTED TO HALIFAX (AND SENTARA) ANNUALLY. REPORT WAS COMPLETED 8/31/13 (SECOND INSTALLMENT EVALUATION DATE) REFLECTING NO REBATE DUE. THE FIRST INSTALLMENT PERIOD ENDED ON 8/31/2008; AN ARBITRAGE REBATE CALCULATION WAS PROVIDED, WHICH REFLECTED THAT NO REBATE PAYMENT WAS DUE TO THE IRS. ISSUER B: SERIES 2007 (HALIFAX REGIONAL HOSPITAL, INC.) HOSPITAL FACILITIES & DEBT NOW ACQUIRED AND OWNED BY SENTARA HEALTHCARE. PART II, 3 - AMOUNT OF TOTAL PROCEEDS OF ISSUE INCLUDES ISSUE PRICE, PLUS INVESTMENT EARNINGS (MAINLY FROM THE PROJECT FUND AND DEBT SERVICE RESERVE FUND). PART II, 11 - INCLUDES INTEREST EARNINGS FROM THE DEBT SERVICE RESERVE FUND WHICH WERE TRANSFERRED ON A REGULAR BASIS TO BE USED FOR DEBT SERVICE PURPOSES ON THE SERIES 2007 BONDS. PART IV, 2C - ARBITRAGE COMPLIANCE REPORTS ARE SUBMITTED TO HALIFAX (AND SENTARA) ANNUALLY. REPORT WAS COMPLETED 8/31/12 (FIRST INSTALLMENT EVALUATION DATE) REFLECTING NO REBATE DUE. PART IV, 6 - PROJECT FUND WAS INVESTED PAST THE THREE-YEAR TEMPORARY PERIOD. HOWEVER, A YIELD REDUCTION PAYMENT WAS NOT DUE TO THE IRS. ALL PROJECT FUND PROCEEDS WERE FULLY EXPENDED AS OF 12/23/2010. ISSUER A & B: PART III, 9, PART IV 7, AND PART V: HALIFAX REGIONAL HOSPITAL, INC. DID NOT HAVE WRITTEN POLICIES AND/OR PROCEDURES TO ADDRESS PRIVATE USE, ARBITRAGE COMPLIANCE, AND/OR POST ISSUANCE COMPLIANCE. HOWEVER, THE HOSPITAL HAD ENGAGED AN OUTSIDE COMPANY TO MONITOR ITS OUTSTANDING TAX-EXEMPT BONDS FOR ARBITRAGE COMPLIANCE PURPOSES WITH REPORTS COMPLETED ANNUALLY. SUBSEQUENT TO THE JULY 2013 ACQUISITION BY SENTARA, THE SERIES 2004 AND SERIES 2007 BONDS FELL UNDER THE WRITTEN POLICIES AND PROCEDURES ESTABLISHED SEPARATELY FOR SENTARA.

Schedule K (Form 990) 2012

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, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

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

Enter the amount of tax incurred by 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-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)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 assistance	(d) Type of assistance	(e) Purpose of assistance

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

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2012

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) HALIFAX HEART CENTER	SEE BELOW	240,449	BELOW		No
(2) HALIFAX HEART CENTER	SEE BELOW	240,449	BELOW		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
SCH L, PART IV	BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS	(A) NAME OF PERSON: HALIFAX HEART CENTER(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: HABIB BASSIL, MD- SECRETARY/BOARD MEMBER(D) DESCRIPTION OF TRANSACTION: HABIB BASSIL, MD IS A GREATER THAN FIVE PERCENT PARTNER IN HALIFAX HEART CENTER, WHICH RECEIVES PROFESSIONAL FEES/SUBSIDIES FROM HALIFAX REGIONAL HOSPITAL, INC.(A) NAME OF PERSON: HALIFAX HEART CENTER(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SAID ISKANDAR, MD- BOARD MEMBER(D) DESCRIPTION OF TRANSACTION: SAID ISKANDAR, MD IS A GREATER THAN FIVE PERCENT PARTNER IN HALIFAX HEART CENTER, WHICH RECEIVES PROFESSIONAL FEES/SUBSIDIES FROM HALIFAX REGIONAL HOSPITAL, INC.DIRECTORS/TRUSTEES/OFFICERS/KEY EMPLOYEES OF THE ORGANIZATION MAY ALSO SERVE AS DIRECTORS/TRUSTEES/OFFICERS OF RELATED TAXABLE ENTITIES WITHIN THE SENTARA HEALTHCARE SYSTEM. SEE SCHEDULE R FOR A LISTING OF TRANSACTIONS THE ORGANIZATION HAD WITH THESE RELATED TAXABLE ENTITIES.

Schedule L (Form 990 or 990-EZ) 2012

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

2012

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	HALIFAX REGIONAL HOSPITAL, INC. IS ORGANIZED TO BUILD, ESTABLISH, MAINTAIN AND OPERATE HOSPITALS AND OTHER HEALTH CARE FACILITIES AND CLINICS; PROVIDE ANCILLARY AND RELATED MEDICAL AND OTHER HEALTHCARE SERVICES; PROVIDE MANAGEMENT, ADVISORY, SERVICE ASSISTANCE AND OTHER SUPPORT TO HEALTH CARE ORGANIZATIONS HAVING THE SAME PURPOSES AS ITS OWN; ENGAGE IN OTHER RELATED, EXCLUSIVELY CHARITABLE, SCIENTIFIC, EDUCATIONAL AND MEDICAL RESEARCH ACTIVITIES AS MAY BE AUTHORIZED FROM TIME TO TIME BY ITS GOVERNING BODY; AND FOR SUCH PURPOSES, SOLICIT AND RECEIVE FUNDS AND OTHER PROPERTY BY GIFT, TRANSFER, DEVISE, OR BEQUEST, AND INVEST, REINVEST, HOLD, MANAGE, ADMINISTER, EXPEND, AND APPLY SUCH FUNDS AND PROPERTY SUBJECT TO APPLICABLE CONDITIONS AND LIMITATIONS. ALL SUCH ACTIVITIES SUPPORT ITS MISSION TO PROVIDE THE HIGHEST QUALITY CARE BASED ON THE HEALTHCARE NEEDS OF THE PEOPLE SERVED.
PROGRAM SERVICES ACCOMPLISHMENTS	FORM 990, PART III, LINE 4	AS A NON-PROFIT ENTITY, HALIFAX REGIONAL HOSPITAL, INC. ("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 ITS AFFILIATED LONG-TERM CARE FACILITIES 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. SINCE HRH 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. HRH SERVES THE COUNTIES OF HALIFAX, WESTERN MECKLENBURG, AND CHARLOTTE, PLUS MANY COMMUNITIES THAT BORDER THESE COUNTIES. IT REMAINS THE ONLY PROVIDER OF INPATIENT AND OUTPATIENT ACUTE CARE SERVICES IN A 30- TO 40-MILE RADIUS. 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 FY13, HRH SERVED 4,528 INPATIENTS, INCLUDING NEWBORNS, PROVIDED SERVICES TO 86,321 OUTPATIENTS AND HAD 30,203 EMERGENCY DEPARTMENT VISITS. HRH 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. HRH ALSO PROVIDES HOME HEALTH SERVICES THROUGH ITS HOME HEALTH DIVISION. 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 THAT 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. HRH ALSO OPERATES A SKILLED NURSING FACILITY. THE SUBACUTE UNIT AT HRH 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 IN THE SUBACUTE UNIT IS DELIVERED BY A MULTIDISCIPLINARY TEAM OF CLINICAL PROFESSIONALS WITH NURSING SERVICES OFFERED 24 HOURS A DAY, SEVEN DAYS A WEEK. 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. AS A COMMUNITY-OWNED, NOT-FOR-PROFIT ORGANIZATION, HRH TAKES PRIDE IN ITS MISSION TO PROVIDE CARE TO ALL CITIZENS REGARDLESS OF THEIR ABILITY TO PAY. IN THE FISCAL YEAR ENDING AUGUST 31, 2013, THE COST OF CHARITY CARE PROVIDED BY HRH WAS OVER $1.6M. 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. AND THOUGH 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. 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. HRH'S PATIENT FINANCIAL ASSISTANCE POLICY SERVED 2,925 PATIENTS IN FY13. HRH 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. DONATIONS THROUGH ITS COMMUNITY PARTNERSHIP PROGRAM 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 FUNDRAISING 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 HRH 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. COMMUNITY HEALTH IMPROVEMENT SERVICES & EDUCATION HRH 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, HRH IS PROUD TO BE A GOOD CORPORATE CITIZEN AND TO TAKE A LEADERSHIP ROLE IN THE WELL-BEING OF ALL CITIZENS IN THE REGION. SOME OF THESE ACTIVITIES, SERVICES, JOINT SPONSORSHIPS AND OTHER PROGRAMS ARE DESCRIBED BELOW.
		AVOID THE FLU CAMPAIGN THIS COMMUNITY AWARENESS CAMPAIGN IS CONTINUED EACH YEAR TO EDUCATE THE PUBLIC BEFORE AND DURING FLU SEASON. THIS YEAR THE INFECTION CONTROL DEPARTMENT UTILIZED SEVERAL VENUES FOR DISSEMINATING INFORMATION TO THE PUBLIC. POSTERS AND FLYERS WERE PLACED THROUGHOUT THE HOSPITAL WITH THE "PROTECT YOUR PATIENTS" AND "IT'S OK TO ASK" MESSAGE AND REMINDERS TO WASH YOUR HANDS AND RECONSIDER VISITING PATIENTS WHEN YOU ARE SICK WERE PLACED ON THE TELEVISION IN THE HOSPITAL LOBBY, ON THE HEALTH SYSTEM WEB SITE AND IN ARTICLES IN LOCAL NEWSPAPERS. FINALLY, A BOOTH ABOUT PROPER HAND WASHING IS A CONSISTENT PRESENCE AT THE HEALTHY LIVING EXPO EACH YEAR AND VISITORS ACTUALLY HAVE THE OPPORTUNITY TO WASH THEIR HANDS AND LEARN ABOUT THE BEST TECHNIQUES TO ENSURE PROPER CLEANLINESS. FOOD AND NUTRITION SERVICES COMMUNITY SERVICE IN ADDITION TO PARTICIPATING IN HRH'S HEALTH FAIRS, FOOD AND NUTRITION EMPLOYEES PROVIDED DIET AND NUTRITION INFORMATION TO THE PUBLIC (ADULTS AND CHILDREN) IN A VARIETY OF OTHER VENUES INCLUDING CHURCHES, LOCAL BUSINESSES, SUPPORT GROUPS, SCHOOLS AND SPECIAL EVENTS. "EATING FOR A HEALTHY WEIGHT" AND "EATING FOR A HEALTHY HEART" CLASSES, OFFERED THREE TIMES PER MONTH, HAVE CONTINUED THROUGHOUT FY13 AS A PART OF THE CARDIOPULMONARY REHABILITATION EDUCATION CLASSES. "DISHIN' NUTRITION WITH YOUR KIDS," A FREE CLASS, OFFERED ONCE A QUARTER, IS DESIGNED FOR PARENTS AND CHILDREN ADDRESSING NUTRITION AND OBESITY, CONTINUED AS WELL. THE DEPARTMENT ALSO OFFERED A "FOOD LABEL LITERACY" CLASS FREE TO THE COMMUNITY AS PART OF HALIFAX REGIONAL'S HEALTH NITE OUT SERIES OF EDUCATIONAL EVENTS. HEALTHY LIVING EXPO HRH'S ANNUAL SIGNATURE EVENT, THE HEALTHY LIVING EXPO, WAS HELD AT HALIFAX COUNTY HIGH SCHOOL ON MARCH 10, 2013. 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 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 (140 SCREENINGS PROVIDED), VISION AND AMBLYOPIA, ORAL, BMI (BODY MASS INDEX), BALANCE, GRIP STRENGTH AND ANXIETY AND DEPRESSION SCREENINGS. APPROXIMATELY 325 INDIVIDUALS ATTENDED THE EXPO. COMMUNITY HEALTH FAIRS/SCREENINGS OTHER COMMUNITY HEALTH FAIRS IN WHICH HRH PARTICIPATED AND PROVIDED SCREENINGS (INCLUDING BLOOD PRESSURE, BODY MASS INDEX, CHOLESTEROL AND BLOOD GLUCOSE) DURING FY13 INCLUDED DRAKES BRANCH FALL FESTIVAL, DOLLAR GENERAL HEALTH FAIR, YMCA ACTIVE OLDER ADULTS DAY, NORTH HALIFAX MARATHON, HRH PHYSICIANS AND PROVIDERS SPEAKING TO SENIOR ENGAGEMENT GROUP OF SOUTH BOSTON EACH MONTH. A PROSTATE SCREENING WAS ALSO HELD AT HALIFAX UROLOGY ASSOCIATES. IN FY13, HRH PARTICIPATED IN EIGHT HEALTH FAIR SCREENING EVENTS WITH APPROXIMATELY 1,200 INDIVIDUALS IN ATTENDANCE. HEALTHY DIRECTIONS WELLNESS PROGRAM DURING FY13, 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. INITIATIVES STARTED IN FY12 AND CONTINUED IN FY13. A WALKING MILEAGE REIMBURSEMENT PROGRAM CONTINUED WHERE EMPLOYEES ARE REWARDED TWENTY-FIVE CENTS FOR EVERY MILE THEY WALK. IN FY13, AT TOTAL OF $5,512.53 WAS REIMBURSED TO PARTICIPANTS. A WELLNESS CHAMP PROGRAM ALSO CONTINUED WHICH ALLOWS EMPLOYEES WHO ARE WORKING TOWARD ACHIEVING THEIR WELLNESS GOALS CAN NOMINATE THEMSELVES EACH MONTH TO BE RECOGNIZED AS 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, HRH 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 FY13 WERE: -PREPARED CHILDBIRTH CLASSES NINE CLASSES, 57 PARTICIPANTS -BREASTFEEDING CLASS SEVEN CLASSES, 67 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, 80 PARTICIPANTS DIABETES EDUCATION CLASSES EIGHTY-FIVE PEOPLE ATTENDED HRH'S FREE DIABETES GROUP CLASSES IN FY13. 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 FY13, THE DIABETES EDUCATOR ALSO PROVIDED FORTY-SIX EITHER ONE-TO-ONE SESSIONS WITH INDIVIDUALS EITHER REFERRED BY PHYSICIAN OR SELF AT NO CHARGE OR TELEPHONE EDUCATION SESSIONS. A DIABETES EDUCATOR IS ALSO AVAILABLE TO TEACH AND DEMONSTRATE HOW TO USE A BLOOD SUGAR MONITOR UPON REQUEST. IN MARCH 2013, THE DIABETES EDUCATION DEPARTMENT PARTICIPATED IN THE 2013 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, HRH HOSTS A NUMBER OF SPECIAL SEMINARS CALLED HEALTH NITE OUT, FREE OF CHARGE TO THE GENERAL PUBLIC. HRH STAFF PLAN, PROMOTE, IMPLEMENT AND PROVIDE REFRESHMENTS FOR THESE PROGRAMS. 1. HOLIDAY FAVORITES LIGHTENED UP THIS HEALTH NITE OUT PROGRAM, LED BY A HRH'S NUTRITION AND FOOD SERVICES DEPARTMENT, SHOWED THE CHEF PREPARING A HEALTHY HOLIDAY MEAL WHICH PARTICIPANTS THEN SAMPLED. AN HRH REGISTERED DIETITIAN THEN TALKED ABOUT THE BENEFITS OF EATING HEALTHY DURING THE HOLIDAYS. TWENTY-NINE INDIVIDUALS ATTENDED. 2. HOW WELL DO YOU KNOW YOUR CHILD? THIS HEALTH NITE OUT PROGRAM WAS PRESENTED BY A LICENSED PROFESSIONAL COUNSELOR FROM HRH'S CENTER FOR BEHAVIORAL HEALTH. TOPICS INCLUDED LEARNING THE SIGNS AND SYMPTOMS OF: DEPRESSION, ANXIETY AND BULLYING. TEN INDIVIDUALS PARTICIPATED. 3. SUPER TOOTH TO THE RESCUE THIS HEALTH NITE OUT, PRESENTED BY ONE OF HRH DENTAL CLINIC'S DENTISTS, DISCUSSED THE IMPORTANCE OF DENTAL CARE FOR CHILDREN. TWELVE INDIVIDUALS ATTENDED. 4. ARE YOU AT RISK FOR A HEART ATTACK OR STROKE? THIS HEALTH NITE OUT, PRESENTED BY ONE OF HRH'S CARDIOLOGISTS, DISCUSSED THE RISK FACTORS OF HEART DISEASE AND STROKE AND HOW TO HELP PREVENT THEM. TEN INDIVIDUALS PARTICIPATED. 5. GIRLS NITE OUT: HEART DISEASE THIS HEALTH NITE OUT, PRESENTED BY HRH'S INTERVENTIONAL CARDIOLOGIST, DISCUSSED WOMEN AND HEART DISEASE WITH WINE AND CHEESE AS REFRESHMENTS. 68 INDIVIDUALS ATTENDED. 6. HEAD AND NECK CANCER: EARLY DETECTION IS THE KEY THIS HEALTH NITE OUT, PRESENTED BY SOUTHERN VIRGINIA EAR, NOSE & THROAT'S OTOLARYNGOLOGIST, DISCUSSED SIGNS AND SYMPTOMS OF HEAD AND NECK CANCER AND PROVIDED 25 FREE ORAL SCREENINGS. THIRTY-THREE INDIVIDUALS ATTENDED. 7. THE IMPACT OF MENTAL ILLNESS ON THE FAMILY THIS HEALTH NITE OUT, PRESENTED BY A LICENSED PROFESSIONAL COUNSELOR FROM CENTER FOR BEHAVIORAL HEALTH, DISCUSSED MENTAL ILLNESS AND HOW TO HELP FAMILY MEMBERS COPE WITH ITS SYMPTOMS. SEVEN INDIVIDUALS PARTICIPATED. 8. FOOD LABEL LITERACY -- THIS HEALTH NITE OUT PROGRAM, LED BY ONE OF HRH'S DIETITIANS, FOCUSED ON UNDERSTANDING HOW TO READ FOOD LABELS AND GAVE HELPFUL TIPS FOR GROCERY SHOPPING. TWENTY-FOUR INDIVIDUALS ATTENDED. 9. LOVE YOUR LIMBS -- THIS HEALTH NITE OUT, PRESENTED BY HRH'S INTERVENTIONAL CARDIOLOGIST, DISCUSSED THE SIGNS AND SYMPTOMS OF PERIPHERAL ARTERIAL DISEASE (PAD). SIXTY-FIVE FREE PAD SCREENINGS WERE PROVIDED TO WILLING PARTICIPANTS. EIGHTY INDIVIDUALS ATTENDED.
		MENTOR ROLE MODEL PROGRAM HRH 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 FY13. SPEAKERS BUREAU HRH'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 FY13, PRESENTATIONS WERE MADE TO 28 COMMUNITY ORGANIZATIONS, CIVIC CLUBS AND CHURCHES. APPROXIMATELY 1,400 INDIVIDUALS WERE REACHED THROUGH THESE PRESENTATIONS. SUPPORT GROUPS ON A BI-MONTHLY BASIS, HRH 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, HRH WORKS TO ENSURE THAT NEW GROUPS ARE ADDED. HRH 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 FY13 WITH A TOTAL OF APPROXIMATELY 35 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 AUTISTIC TENDENCIES. APPROXIMATELY FIFTEEN TO TWENTY INDIVIDUALS ATTEND THE MONTHLY MEETINGS ROUTINELY. HRH 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 2013, 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 FY13 WITH A TOTAL OF 44 PARTICIPANTS. THE MEETINGS ARE HELD AT HRH 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, HRH PROVIDES SPACE AND ENCOURAGES PARTICIPATION. THE GROUP MEETS EVERY MONDAY WITH APPROXIMATELY 5 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 HRH HOSPICE STAFF AND THE 11 MEETINGS HELD DURING FY13 REACHED 148 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 FY2013, HRH 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 HRH 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 HRH'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 HRH, MEADOWVIEW TERRACE, SEASONS AT THE WOODVIEW AND THE WOODVIEW AND OUR FOUR FAMILY PRACTICE CLINICS AND SIX SPECIALTY OFFICES. 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 HRH'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. HRH 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. HRH'S COMMUNITY NEWSLETTER REFERENCES THE HRH 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, AND VISITING THE SECURE ONLINE BABY NURSERY. VISITORS MAY ALSO ACCESS ONLINE VOLUNTEER APPLICATIONS FOR BOTH ADULTS AND JUNIORS. 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 8,500 UNIQUE VISITS EACH MONTH. ALSO ON THE HRH WEBSITE, VISITORS CAN ACCESS THE SYSTEM'S FACEBOOK PAGE, YOUTUBE CHANNEL AND BLOG TITLED JUST FOR THE HEALTH OF IT. 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 OUR PATIENT BOOKLET, IN THE ADMISSIONS AREA AND THROUGH THE GUEST RELATIONS COORDINATOR AND CHAPLAIN'S OFFICE.
		YOUR HOSPITAL STAY PATIENT BOOKLET A NEW PROGRAM WAS IMPLEMENTED TOWARD THE END OF FY13. "YOUR HOSPITAL STAY" IS A PUBLICATION OFFERED BY HRH, DESIGNED TO EDUCATE PATIENTS BOTH DURING AND AFTER THEIR HOSPITAL STAY WHILE PROVIDING THEM A CENTRAL LOCATION FOR PAPERWORK, QUESTIONS AND NOTES. THE PUBLICATION WAS SHAPED OUT OF AN IDEA FROM HRH'S PATIENT PARTNERSHIP COUNCIL, A FORUM WHICH INCLUDES FORMER PATIENTS AND PATIENT FAMILY MEMBERS. SIMILAR TO THE SERVICE DIRECTORY PROVIDED IN EVERY ROOM OF NICE HOTELS AND RESORTS, "YOUR HOSPITAL STAY" PROVIDES VALUABLE INFORMATION SUCH AS HOW TO ORDER FOOD, CAFETERIA HOURS, INSTRUCTIONS FOR TELEPHONE USAGE IN PATIENT ROOMS, A LIST OF TELEVISION STATIONS, AND INFORMATION ON SPECIAL PROGRAMS FOR PATIENTS SUCH AS PET THERAPY, THE CARE PARTNER PROGRAM, FINANCIAL ASSISTANCE AND MUCH MORE. "YOUR HOSPITAL STAY" IS DISSEMINATED MONDAY THROUGH FRIDAY BY A SPECIALLY CHOSEN TEAM OF VOLUNTEERS. ADMISSIONS DURING THE WEEKEND ARE DONE BY THE VOLUNTEER SCHEDULED FOR MONDAY MORNING. VOLUNTEERS OFTEN TAILOR THEIR BRIEF DISCUSSIONS ABOUT THE BOOK BASED ON WHAT THEY FEEL MAY BE MOST APPLICABLE TO THE PATIENT OR IN ANSWER TO PATIENT QUESTIONS. IN FY13, 964 BOOKLETS WERE GIVEN TO PATIENTS. 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 HRH. IN FY13, $77,000 WAS AWARDED TO 53 INDIVIDUALS. THE DR. JESSE J. BATES SCHOLARSHIP PROGRAM WAS STARTED IN 2002 IN HONOR OF DR. JESSE J. BATES, ONE OF TWELVE PHYSICIANS ON HRH'S MEDICAL STAFF WHEN THE HOSPITAL OPENED IN 1953. IN FY13, THE BATES SCHOLARSHIP PROVIDED $5,000 IN SCHOLARSHIP FUNDS TO SIX GRADUATING HIGH SCHOOL SENIORS FROM THE HRH 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 HRH. 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 HRH COMMUNITY PARTNERSHIP PROGRAM AS A CORNERSTONE ORGANIZATION IN OUR REGION, HRH TAKES SERIOUSLY ITS RESPONSIBILITY TO BE AN ACTIVE CORPORATE CITIZEN. HRH AND ITS SUBSIDIARIES CONTRIBUTE TO VARIOUS ORGANIZATIONS THAT SHARE ITS MISSION TO PROMOTE GOOD HEALTH AND WELLNESS AND TO HELP IMPROVE THE QUALITY OF LIFE OF ALL AGES. AS PART OF THEIR CONTINUED ACTIVE COMMUNITY INVOLVEMENT, THE HRH COMMUNITY PARTNERSHIP PROGRAM WAS ESTABLISHED IN FY05 TO ENABLE HRH AND ITS SUBSIDIARIES TO MAXIMIZE ITS RESOURCES TO PROVIDE THE GREATEST BENEFIT TO CITIZENS IN SOUTHSIDE VIRGINIA. GUIDELINES FOR REQUESTS HELP ANSWER IMPORTANT QUESTIONS THAT ENABLE THE PROGRAM TO DISPERSE RESOURCES IN THE MOST EFFECTIVE MANNER. ADDITIONALLY, HUNDREDS OF HEALTH EDUCATION BROCHURES AND GIVEAWAYS WERE PROVIDED TO COMMUNITY ORGANIZATIONS TO HELP SUPPORT THEIR EVENTS AND PROGRAMS. MEDICATION ASSISTANCE PROGRAM WITH FUNDING SUPPORT FROM THE VIRGINIA HEALTH CARE FOUNDATION, THE CHASTAIN HOME AND THE HALIFAX REGIONAL DEVELOPMENT FOUNDATION, MEDASSIST OF HALIFAX PROVIDES MEDICATION ASSISTANCE TO LOW INCOME, UNINSURED AND UNDERINSURED RESIDENTS IN HALIFAX AND MECKLENBURG COUNTIES. MEDASSIST OF HALIFAX COLLABORATES WITH OTHER HEALTHCARE PROVIDERS AND AGENCIES IN THE AREA TO IDENTIFY INDIVIDUALS WHO CAN BENEFIT FROM THIS SERVICE. THIS PROGRAM PROVIDES PARTICIPANTS A STABLE PROCESS FOR RECEIVING LIFE SUSTAINING AND/OR PREVENTIVE MEDICATIONS. HALIFAX COUNTY HAS A HIGHER INCIDENCE THAN THE STATE MEDIAN FOR HEALTH CONDITIONS FOR WHICH HOSPITALIZATIONS CAN BE PREVENTED WITH CONSISTENT, AVAILABLE AMBULATORY CARE AND GOOD PATIENT COMPLIANCE WITH TREATMENT/SELF PROTOCOLS, INCLUDING HYPERTENSION, ASTHMA AND DIABETES. COMPLIANCE WITH PRESCRIBED COURSES OF MEDICATION IMPROVES THE QUALITY OF LIFE FOR PATIENTS, WHILE DECREASING THE NUMBER OF HOSPITAL VISITS OF PATIENTS WHO RETURN DUE TO INABILITY TO COMPLY. EMERGENCY DEPARTMENT VISITS PRECIPITATED BY CONDITIONS WHICH COULD HAVE BEEN MANAGED WITH COMPLIANCE WITH THE PRESCRIBED MEDICATION REGIMEN ARE EXPECTED TO ALSO BE REDUCED. THIS PROGRAM IS ADMINISTERED THROUGH THE HALIFAX REGIONAL DEVELOPMENT FOUNDATION, INC. DURING FY13, 1,223 PATIENTS RECEIVED MEDICATIONS VALUED AT $5,611,020. CENTER FOR NURSING EXCELLENCE RECOGNIZING THE LOCAL, STATE AND NATIONAL NURSING SHORTAGE, HRH'S CEO/PRESIDENT 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, HRH 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 FY13, HRH, THROUGH ONE OF ITS SUBSIDIARIES, CONTRIBUTED $60,298 TO THE CENTER. IN ADDITION, ONE HRH EMPLOYEE SERVED ON THE ADVISORY BOARD AND ANOTHER WORKED WITH THE CENTER EXPLORING GRANT OPPORTUNITIES. FOOD DRIVES DURING FY13 EMPLOYEES, PHYSICIANS AND VOLUNTEERS AT HRH AGAIN PARTICIPATED IN SODEXO SERVICES' "SERVATHON," A NATIONWIDE FOOD DRIVE CONDUCTED EACH APRIL TO HELP PUT FOOD ON THE TABLES OF THOSE HAVING DIFFICULTY PROVIDING FOR THEIR FAMILIES. STAFF MEMBERS AND OTHERS COLLECTED OVER $950 AND NEARLY 250 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. HRH HOSPICE JOINS MORE THAN 2,500 HOSPICE PROVIDERS THROUGHOUT THE UNITED STATES IN DISTRIBUTING THESE FREE DOLLS TO THEIR PATIENTS. HRH 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 FY13, APPROXIMATELY 102 DOLLS WERE DISTRIBUTED TO PATIENTS IN HOMES, THE HOSPITAL AND NURSING FACILITIES. RESCUE SQUAD AND FIRE DEPARTMENT TRAINING HRH PROVIDES SUPPLIES AND OTHER ASSISTANCE TO HELP LOCAL RESCUE SQUAD MEMBERS MEET LOCAL, STATE AND FEDERAL PATIENT SAFETY GUIDELINES. HRH AND ITS SUBSIDIARIES ALSO MAKES DONATIONS TO LOCAL FIRE DEPARTMENTS AND RESCUE SQUADS TO HELP THEM WITH THEIR RESPECTIVE FUNDRAISING ACTIVITIES. A HRH EMERGENCY ROOM PHYSICIAN SERVES AS AN OPERATIONAL MEDICAL DIRECTOR FOR EMS AGENCIES. DURING NATIONAL EMS WEEK, EACH RESCUE SQUAD WAS AWARDED $250 THROUGH HRH COMMUNITY PARTNERSHIP.
		SPORTS PHYSICALS MEMBERS OF HRH'S MEDICAL STAFF, INCLUDING PHYSICIANS, NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS, PROVIDE FREE SPORTS PHYSICALS FOR HALIFAX COUNTY MIDDLE SCHOOL, BLUESTONE MIDDLE SCHOOL AND BLUESTONE HIGH SCHOOL STUDENTS WHO PARTICIPATE IN FALL, WINTER, SPRING AND SUMMER SCHOOL SPORTS PROGRAMS. IN FY13, PROVIDERS COMPLETED APPROXIMATELY 160 PHYSICALS FOR MIDDLE AND HIGH SCHOOL STUDENTS IN BOTH HRH'S PRIMARY AND EXTENDED SERVICE AREA. FACILITY USE HRH AND ITS LONG TERM CARE SUBSIDIARIES 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, ARC OF SOUTHERN VIRGINIA, SOUTHSIDE COMMUNITY COLLEGE NURSING PROGRAM, AMERICAN RED CROSS BLOODMOBILE, BELTONE HEARING CLINICS, AARP SAFE DRIVING CLASSES AND VARIOUS SUPPORT GROUP MEETINGS. HRH SERVED AS A CLINICAL SITE FOR: --RN AND LPN STUDENTS, SOUTHSIDE VIRGINIA COMMUNITY COLLEGE --PHYSICAL THERAPY STUDENTS FROM REGIS UNIVERSITY, DENVER, COLORADO --PHYSICAL THERAPY ASSISTANT STUDENTS, JEFFERSON COLLEGE HEALTH SCIENCES --SPEECH LANGUAGE PATHOLOGY STUDENTS FROM LONGWOOD COLLEGE --AGREEMENTS ARE ALSO HELD TO SERVE AS A TRAINING SITE FOR STUDENTS FROM EAST CAROLINA UNIVERSITY, UNIVERSITY OF NORTH CAROLINA-CHAPEL HILL, SHENANDOAH, JAMES MADISON UNIVERSITY, APPALACHIAN STATE UNIVERSITY, MEDICAL UNIVERSITY OF SOUTH CAROLINA, WINSTON SALEM STATE UNIVERSITY, ELON, LYNCHBURG COLLEGE AND RADFORD UNIVERSITY. --RESPIRATORY THERAPY STUDENTS FROM J. SERGEANT REYNOLDS COMMUNITY COLLEGE --RADIOLOGY TECHNOLOGISTS PROGRAM, CVCC, LYNCHBURG, VA --EMS STUDENTS FROM LOCAL EMS CLASSES COMPLETED THEIR TRAINING AT DIFFERENT LEVELS. OTHER STUDENTS FROM SOUTH HILL, FARMVILLE AND RICHMOND ALSO PERFORMED THEIR TRAINING AT HRH 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 COMMUNITY BUILDING EMPLOYEES DONATE HUNDREDS OF HOURS AND SHARE THEIR TALENTS AND EXPERTISE AS MEMBERS OF VARIOUS CIVIC AND RELIGIOUS ORGANIZATIONS IN THEIR COMMUNITIES, AS WELL AS SERVING ON RESCUE SQUADS AND FIRE DEPARTMENTS. THE HOSPITAL ALLOWS AND ENCOURAGES EMPLOYEES TO PROVIDE SERVICE TO THE COMMUNITY DURING WORKING HOURS ALSO. EMPLOYEES SERVE IN VARIOUS CAPACITIES INCLUDING ON BOARDS AND ADVISORY COMMITTEES OF A NUMBER OF COMMUNITY GROUPS AND STATE ORGANIZATIONS ADVANCING COMMUNITY HEALTH AND WELLNESS AND WORKFORCE DEVELOPMENT INCLUDING THE FOLLOWING: HALIFAX COUNTY CHAMBER OF COMMERCE; CHARLOTTE COUNTY CHAMBER OF COMMERCE; CLARKSVILLE CHAMBER OF COMMERCE; MECKLENBURG COUNTY BUSINESS EDUCATION PARTNERSHIP; HALIFAX ADVOCATES FOR SUBSTANCE ABUSE PREVENTION; SOUTHSIDE HEALTH COALITION: HALIFAX VOCATIONAL EDUCATION FOUNDATION; SOUTHSIDE VIRGINIA COMMUNITY COLLEGE SCHOOL OF NURSING ADVISORY 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 HRH CONTINUES TO PARTICIPATE IN REGIONAL AND LOCAL EXERCISES TO TEST THE EMERGENCY OPERATIONS PLAN AND TO CONDUCT INTERNAL EXERCISES. THESE INITIATIVES HELP HRH 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, HRH 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." OTHER VOLUNTEER SERVICES PROGRAM THE VOLUNTEER AUXILIARY OF HRH 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 INTERNAL AND OUTWARD ACTIVITIES. THE TENDER LOVING CARE TEAM PROVIDED MANY HANDMADE ITEMS FOR THE PATIENTS INCLUDING 431 BABY BLANKETS, 194 BEARS, 74 FISH, 26 WALKER BAGS AND 12 CHRISTMAS STOCKINGS FOR NEWBORNS DURING THE HOLIDAY SEASON. IN FY13, THE GROUP CONTINUED MANAGING PLANETREE PROGRAMS SUCH AS THE COOKIE CUTTERS AND PET THERAPY, AND THE CARE CART PROGRAM AS WELL MANY OTHER AREAS THROUGHOUT THE HOSPITAL. ONE HUNDRED THIRTY-SEVEN VOLUNTEERS CONTRIBUTED MORE THAN 26,000 HOURS OF SERVICE TO THE HOSPITAL AND COMMUNITY. TWENTY-ONE JUNIOR VOLUNTEERS CONTRIBUTED OVER 600 HOURS TO HRH AND THE COMMUNITY. VOLUNTEERS IN HRH HOSPICE VISIT HOSPICE PATIENTS WHERE THEY LIVE, PROVIDING LIFE-ENHANCING ASSISTANCE TO PATIENTS AND THEIR FAMILIES. DURING FY13, HOSPICE VOLUNTEERS PROVIDED COMPANIONSHIP AND RESPITE FOR TERMINALLY ILL PATIENTS AND THEIR CAREGIVERS, ASSISTED WITH PATIENTS' DAILY ACTIVITIES AND SERVED AS A COMPASSIONATE PRESENCE. 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 EMPLOYEE. CHAPLAINCY PROGRAM THE CHAPLAIN PROGRAM (PASTORAL CARE SERVICES) LED BY MANAGER OF GUEST SERVICES/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 HRH'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 FY13, 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 HRH'S LIFE AND HEALTH NEWSLETTER, WHICH IS MAILED QUARTERLY TO MORE THAN 31,000 HOUSEHOLDS IN THE SYSTEM'S THREE-COUNTY SERVICE AREA. THE PUBLIC CAN REQUEST FREE BROCHURES, A PHYSICIAN DIRECTORY AND BE DIRECTED TO MANY SITES ON THE WEB SITE, INCLUDING AN EXTENSIVE ON-LINE HEALTH INFORMATION LIBRARY. CONTACT INFORMATION IS ALSO GIVEN ON THE HOSPITAL'S ON-HOLD MESSAGING SYSTEM. WHEN SPECIFIC INFORMATION IS PROVIDED AND INDIVIDUALS MIGHT LIKE MORE INFORMATION THROUGH A PAMPHLET OR BROCHURE, THE PHONE NUMBER IS LISTED AND CALLERS CAN HAVE MORE INFORMATION MAILED TO THEM. THE MARKETING AND COMMUNICATIONS OFFICE IS OFTEN REFERENCED WHEN CALLERS REACHING THE MAIN HOSPITAL NUMBER ARE NOT SURE WHO THEY NEED TO TALK TO ABOUT THEIR QUESTION. THE DEPARTMENT CAN ALSO BE SENT EMAIL FROM THE HEALTH SYSTEM'S WEB SITE.
	FORM 990, PART VI, SECTION A, LINE 2	DAVID H. WHITE, JR. AND CHRIS A. LUMSDEN HAVE A BUSINESS RELATIONSHIP. THE ORGANIZATION'S OFFICERS AND DIRECTORS SERVED TOGETHER ON THE BOARDS OF OTHER TAXABLE ORGANIZATIONS WITHIN THE SENTARA HEALTHCARE SYSTEM ("THE SYSTEM"), AS WELL AS JOINT VENTURES IN WHICH THE SYSTEM HAD AN OWNERSHIP INTEREST. SEE SCHEDULE R FOR A LISTING OF SUCH ENTITIES.
	FORM 990, PART VI, SECTION A, LINE 4	ON APRIL 23, 2013, THE ORGANIZATION ENTERED INTO AN AFFILIATION AGREEMENT WITH SENTARA HEALTHCARE, A 501(C)(3) ORGANIZATION ("SENTARA"), WHEREBY SENTARA REPLACED HALIFAX REGIONAL HEALTH SYSTEM, INC. ("HRHS") AS SOLE MEMBER OF THE ORGANIZATION EFFECTIVE JULY 1, 2013. AS A RESULT OF THE AFFILIATION, THE ORGANIZING AND GOVERNING DOCUMENTS WERE CHANGED IN THE FOLLOWING MANNER: -HRHS WAS REPLACED BY SENTARA AS SOLE MEMBER OF THE ORGANIZATION. -THE ORGANIZATION'S PURPOSE CLAUSE WAS PARTICULARIZED TO INCLUDE THE BUILDING, ESTABLISHMENT, MAINTENANCE AND OPERATION OF HOSPITALS AND OTHER HEALTH CARE FACILITIES AND CLINICS; THE PROVISION OF ANCILLARY AND RELATED MEDICAL AND OTHER HEALTHCARE SERVICES; THE PROVISION OF MANAGEMENT, ADVISORY, SERVICE ASSISTANCE AND OTHER SUPPORT TO HEALTH CARE ORGANIZATIONS HAVING THE SAME PURPOSES AS ITS OWN; THE ENGAGEMENT IN OTHER RELATED, EXCLUSIVELY CHARITABLE, SCIENTIFIC, EDUCATIONAL AND MEDICAL RESEARCH ACTIVITIES AS MAY BE AUTHORIZED FROM TIME TO TIME BY ITS BOARD OF DIRECTORS; AND FOR SUCH PURPOSES, THE SOLICITATION AND RECEIPT OF FUNDS AND OTHER PROPERTY BY GIFT, TRANSFER, DEVISE, OR BEQUEST, AND THE INVESTMENT, REINVESTMENT, HOLDING, MANAGING, ADMINISTERING, EXPENDING, AND APPLYING SUCH FUNDS AND PROPERTY SUBJECT TO APPLICABLE CONDITIONS AND LIMITATIONS. -THE SEVEN-MEMBER BOARD OF DIRECTORS, WHICH WAS PREVIOUSLY SELECTED BY HRHS, WAS REPLACED WITH A BOARD OF DIRECTORS COMPRISED OF TWO CLASSES: THE "CLASS A DIRECTORS" AND THE "CLASS B DIRECTORS." UPON EXPIRATION OF THE TERMS OF THE INITIAL CLASS A DIRECTORS, SUCCESSORS WILL BE APPOINTED BY THE NOMINATIONS COMMITTEE WITH THE RATIFICATION OF SENTARA'S BOARD OF DIRECTORS. THE NUMBER OF CLASS A DIRECTORS SHALL BE REDUCED TO NO MORE THAN FIFTEEN (15) ON OR BEFORE JULY 1, 2014. THE CLASS B DIRECTORS ARE APPOINTED BY SENTARA AND SHALL BE THREE AT ALL TIMES. -SENTARA, AS SOLE MEMBER, HAS EXCLUSIVE AUTHORITY TO DIRECT AND MANAGE THE OPERATIONS AND AFFAIRS OF THE ORGANIZATION, AND TO MAKE ALL DECISIONS REGARDING THE BUSINESS OF THE ORGANIZATION, SUBJECT TO BOARD OVERSIGHT TO THE EXTENT AND IN THE MANNER SET FORTH IN THE ORGANIZATION'S BYLAWS. THE BOARD WILL MAINTAIN THE CONTINUITY OF INSTITUTIONAL KNOWLEDGE AND LOCAL INPUT REGARDING FUTURE HOSPITAL OPERATIONS AND WILL PROVIDE RECOMMENDATIONS TO SENTARA REGARDING THE ESTABLISHMENT OF ORGANIZATION POLICIES, THE MAINTENANCE OF QUALITY PATIENT CARE, AND THE PROVISION OF INSTITUTIONAL PLANNING IN A MANNER RESPONSIVE TO LOCAL COMMUNITY NEEDS. -OFFICERS OF THE ORGANIZATION INCLUDE CHAIR, VICE CHAIR, PRESIDENT, SECRETARY, TREASURER, AND, AT THE BOARD'S DISCRETION, ONE OR MORE VICE PRESIDENTS. EXCEPT FOR THE CHAIR AND VICE CHAIR, OFFICERS ARE ELECTED AT THE ANNUAL BOARD MEETING. CHAIR AND VICE CHAIR ROTATE BETWEEN CLASS A AND CLASS B DIRECTORS. A CLASS A CHAIR OR VICE CHAIR IS SELECTED BY CLASS A DIRECTORS, WITH A CLASS A CHAIR SUBJECT TO SENTARA'S APPROVAL. A CLASS B CHAIR OR VICE CHAIR IS SELECTED BY SENTARA. -DURING THE COVENANT PERIOD, AS DEFINED IN THE AFFILIATION AGREEMENT, ANY ALTERATION, AMENDMENT, RESTATEMENT OR REPEAL OF ANY GOVERNING DOCUMENTS; THE ADOPTION OF ANY NEW GOVERNING DOCUMENTS; OR ANY ACTION TO BE TAKEN AS THE MEMBER UNDER THE GOVERNING DOCUMENTS REQUIRE THE APPROVAL OF A MAJORITY OF CLASS A DIRECTORS, VOTING AS A SEPARATE CLASS, AND OF SENTARA. -UPON ANY LIQUIDATION OR DISSOLUTION OF THE ORGANIZATION, ITS REMAINING ASSETS SHALL BE DISTRIBUTED TO SENTARA.
	FORM 990, PART VI, SECTION A, LINE 6	THE ORGANIZATION HAD ONE CLASS OF MEMBER. EFFECTIVE JULY 1, 2013, THE SOLE MEMBER WAS SENTARA HEALTHCARE, A VIRGINIA NONSTOCK CORPORATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION'S SOLE MEMBER PRIOR TO JULY 1, 2013 WAS HALIFAX REGIONAL HEALTH SYSTEM, INC., A VIRGINIA NONSTOCK CORPORATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE.
	FORM 990, PART VI, SECTION A, LINE 7A	PRIOR TO THE ORGANIZATION'S AFFILIATION WITH SENTARA HEALTHCARE, BOARD MEMBERS WERE ELECTED BY HALIFAX REGIONAL HEALTH SYSTEM, INC., THE FORMER SOLE MEMBER OF THE ORGANIZATION. EFFECTIVE JULY 1, 2013, THE DATE OF AFFILIATION WITH SENTARA HEALTHCARE, CLASS B DIRECTORS OF THE ORGANIZATION ARE NOW APPOINTED BY SENTARA HEALTHCARE, THE 501(C)(3) SOLE MEMBER OF THE ORGANIZATION. THE SOLE MEMBER ALSO RATIFIES CLASS A DIRECTORS OF THE ORGANIZATION ONCE APPOINTED BY THE ORGANIZATION'S NOMINATIONS COMMITTEE.
	FORM 990, PART VI, SECTION A, LINE 7B	THE ORGANIZATION MAY NOT TAKE OR ALLOW ANY OF THE FOLLOWING GOVERNANCE ACTIONS WITHOUT THE CONSENT OF ITS 501(C)(3) SOLE MEMBER, SENTARA HEALTHCARE: APPROVAL OR ADOPTION OF ANY PLAN OF MERGER OR CONSOLIDATION, ANY SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, THE PROPERTY AND ASSETS OF THE ORGANIZATION, THE VOLUNTARY DISSOLUTION OR LIQUIDATION OF THE ORGANIZATION, REVOCATION OF AN SUCH VOLUNTARY DISSOLUTION PROCEEDINGS, OR ANY DECISION TO FILE A PETITION REQUESTING OR CONSENTING TO AN ORDER FOR RELIEF UNDER THE FEDERAL BANKRUPTCY LAWS OR SIMILAR STATE LAWS FOR THE ORGANIZATION; ELECTION OF NEW BOARD MEMBERS; ANY ALTERATION, AMENDMENT, RESTATEMENT OR REPEAL OF ANY GOVERNING DOCUMENTS; THE ADOPTION OF ANY NEW GOVERNING DOCUMENTS; OR ANY ACTION TO BE TAKEN AS THE MEMBER UNDER THE GOVERNING DOCUMENTS. THE APPROVAL OF THE SOLE MEMBER IS ALSO REQUIRED FOR CERTAIN OPERATIONAL ACTIONS, AS OUTLINED IN THE ORGANIZATION'S BYLAWS. SUCH ACTIONS INCLUDE, BUT ARE NOT LIMITED TO, APPROVAL OF STRATEGIC OR LONG-RANGE BUSINESS PLANS AND ANNUAL OPERATING AND CAPITAL BUDGETS; CREATION OR ACQUISITION OF SUBSIDIARIES OR INTERESTS IN WHICH THE ORGANIZATION WILL BE A MEMBER; ENTRANCE INTO JOINT VENTURE OR OTHER SIMILAR ARRANGEMENTS; EMPLOYMENT MATTERS CONCERNING THE ORGANIZATION'S PRESIDENT, CHIEF OPERATING OFFICER OR CHIEF FINANCIAL OFFICER; TRANSACTIONS WITH INTERESTED PARTIES; INDEBTEDNESS NOT INCLUDED IN AN OPERATING OR CAPITAL BUDGET APPROVED BY THE MEMBER; THE COMMENCEMENT OR SETTLEMENT CERTAIN LITIGATION; AND ENTERING INTO, TERMINATING OR CHANGING ANY THIRD-PARTY PAYOR CONTRACT. SENTARA, AS SOLE MEMBER, HAS EXCLUSIVE AUTHORITY TO DIRECT AND MANAGE THE OPERATIONS AND AFFAIRS OF THE ORGANIZATION, AND TO MAKE ALL DECISIONS REGARDING THE BUSINESS OF THE ORGANIZATION, SUBJECT TO BOARD OVERSIGHT TO THE EXTENT AND IN THE MANNER SET FORTH IN THE ORGANIZATION'S BYLAWS.
	FORM 990, PART VI, SECTION B, LINE 11	THE RETURN IS PREPARED BY ORGANIZATION'S CORPORATE TAX DEPARTMENT, BASED ON INFORMATION PROVIDED BY ORGANIZATION AND IN CONSULTATION WITH ORGANIZATION STAFF. THE DRAFT PREPARED BY CORPORATE 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.
	FORM 990, PART VI, SECTION B, LINE 12C	THE CONFLICT OF INTEREST QUESTIONNAIRE IS DISTRIBUTED TO EACH MEMBER OF THE BOARD OF DIRECTORS IN JANUARY EVERY YEAR. THE QUESTIONNAIRE MUST BE COMPLETED BY ALL MEMBERS. A REPORT OF THE DISCLOSED POTENTIAL CONFLICTS IS PRESENTED BY THE CHAIRMAN OF THE BOARD OF DIRECTORS TO THE BOARD IN EXECUTIVE SESSION ANNUALLY. IF IT IS DETERMINED BY THE BOARD SECRETARY, BOARD PRESIDENT, AND MEDICAL STAFF PRESIDENT THAT AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST EXISTS, THE CIRCUMSTANCES OF THE CONFLICT OF INTEREST SHALL BE SET FORTH IN DETAIL BY THE AFFECTED PARTY. SUBSEQUENTLY, WHEN A RESOLUTION CANNOT BE FOUND TO THE SATISFACTION OF THE BOARD SECRETARY, BOARD PRESIDENT, AND MEDICAL STAFF PRESIDENT, THE MATTER WILL BE REVIEWED AND ADDRESSED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. A RECOMMENDATION WILL BE MADE TO THE AFFECTED PARTY ON HOW TO REMOVE THE CONFLICT. IF THE CONFLICT CANNOT BE RESOLVED TO THE SATISFACTION OF THE EXECUTIVE COMMITTEE, A RECOMMENDATION WILL BE MADE TO REMOVE THE AFFECTED BOARD MEMBER FROM THE BOARD OF DIRECTORS. IN SUCH CASE WHERE REMOVAL IS RECOMMENDED, PROVISIONS OF 4.6 OF THE CORPORATE BYLAWS WILL BE FOLLOWED. THE RESPONSES TO THE ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE ARE RETAINED BY THE SECRETARY TO THE BOARD OF DIRECTORS.
	FORM 990, PART VI, SECTION B, LINE 15	THE ORGANIZATION SEEKS TO PAY REASONABLE COMPENSATION UNDER SECTION 4958 TO ATTRACT AND RETAIN THE APPROPRIATE CALIBER OF EMPLOYEES DEDICATED TO CARRYING OUT ITS TAX-EXEMPT MISSION. THE ORGANIZATION PERIODICALLY CONDUCTS A REVIEW TO DETERMINE THE GOING FAIR MARKET COMPENSATION RANGES FOR COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. THE ORGANIZATION SETS COMPENSATION WITHIN THE RANGE OF THE GOING MARKET RATE. NO INDIVIDUAL HAVING A CONFLICT OF INTEREST UNDER ORGANIZATION'S 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. THIS PROCESS WAS LAST UNDERTAKEN DURING THE TAX YEAR.
	FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION CURRENTLY MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND CONSOLIDATED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
	FORM 990, PART VII, SECTION A	THE EFFECTIVE DATE OF THE ORGANIZATION'S AFFILIATION WITH SENTARA HEALTHCARE, ITS NEW 501(C)(3) SOLE MEMBER, WAS JULY 1, 2013. SINCE THE COMPENSATION REQUIRED TO BE REPORTED IN PART VII SECTION A IS FROM THE 2012 CALENDAR YEAR, AND SENTARA HEALTHCARE WAS NOT RELATED TO THE ORGANIZATION AT ANY TIME DURING 2012, NO RELATED COMPENSATION HAS BEEN REPORTED IN PART VII SECTION FOR VICE CHAIRMAN KENNETH KRAKAUR AND BOARD MEMBERS ROBERT BROERMANN AND MICHAEL GENTRY, WHO ARE EMPLOYED OFFICERS OF SENTARA HEALTHCARE.
OTHER FEES	FORM 990, PART IX, LINE 11G	NON-EMPLOYEE HEALTHCARE PROFESSIONALS: PROGRAM SERVICE EXPENSES 8,932,228. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,932,228. OTHER NON-EMPLOYEE PROFESSIONALS: PROGRAM SERVICE EXPENSES 2,456,084. MANAGEMENT AND GENERAL EXPENSES 246,489. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,702,573.
CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 9:	SUBPART F INCOME NOT ON BOOKS -64,752. CHANGE IN PENSION LIABILITY 1,486,637. ASU 2010-07 FMV ADJUSTMENTS 5,249,442. CAPITAL CONTRIBUTION FROM SENTARA HEALTHCARE 20,000,000.
CHANGE IN AFS OVERSIGHT PROCESS	FORM 990, PART XII, LINE 2C	DURING THE YEAR, THE ORGANIZATION AFFILIATED WITH SENTARA HEALTHCARE, WHO ASSUMED RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTED THE INDEPENDENT ACCOUNTANT.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2012

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

2012

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" to Form 990, Part IV, line 33.)

(a) Name, address, and EIN (if applicable) 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 LLC 2204 WILBORN AVENUE SOUTH BOSTON,VA24592 20-8386107	PHYSN SUBSIDY	VA	0	115,561	HALIFAX REGIONAL HOSPITAL INC

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to 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 entity?
(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 DEVELOPMENT FOUNDATION 2204 WILBORN AVENUE SOUTH BOSTON,VA24592 54-1801459	HLTH/WELFARE	VA	501(C)(3)	11A TYPE I	HALIFAX REGIONAL HOSPITAL	Yes
(2) HALIFAX REGIONAL LONG TERM CARE INC 103 ROSE HILL DRIVE SOUTH BOSTON,VA24592 54-6074529	SENIOR CARE	VA	501(C)(3)	11A TYPE I	HALIFAX REGIONAL HOSPITAL	Yes
(3) HALIFAX REGIONAL PROPERTIES INC 2204 WILBORN AVENUE SOUTH BOSTON,VA24592 54-1801463	HLTH/WELFARE	VA	501(C)(3)	11A TYPE I	HALIFAX REGIONAL HOSPITAL	Yes
(4) HALIFAX REGIONAL HEALTH SYSTEM INC 2204 WILBORN AVENUE SOUTH BOSTON,VA24592 54-1801466	HEALTHCARE	VA	501(C)(3)	11B TYPE II	N/A		No
(5) CLARKSVILLE SENIOR CARE LLC 2204 WILBORN AVENUE SOUTH BOSTON,VA24592 54-1957066	SENIOR CARE	VA	501(C)(3)	11A TYPE I	HALIFAX REGIONAL HOSPITAL	Yes
(6) SENTARA HEALTHCARE 6015 POPLAR HALL DRIVE NORFOLK,VA23502 52-1271901	HEALTH CARE	VA	501(C)(3)	LN7_NORMALGOVTSUPPOR	N/A		No
(7) SENTARA PRINCESS ANNE HOSPITAL 6015 POPLAR HALL DRIVE NORFOLK,VA23502 52-1277419	HEALTH CARE	VA	501(C)(3)	LN3_HOSPITALCOOPINSE	SENTARA HOSPITALS	Yes
(8) SENTARA HOSPITALS 6015 POPLAR HALL DRIVE NORFOLK,VA23502 54-1547408	HEALTH CARE	VA	501(C)(3)	LN3_HOSPITALCOOPINSE	SENTARA HEALTHCARE	Yes
(9) SENTARA MEDICAL GROUP 6015 POPLAR HALL DRIVE NORFOLK,VA23502 54-1217184	HEALTH CARE	VA	501(C)(3)	LN9_MORETHAN30PCTCON	SENTARA HEALTHCARE	Yes
(10) SENTARA ENTERPRISES 6015 POPLAR HALL DRIVE NORFOLK,VA23502 54-1917649	HEALTH CARE	VA	501(C)(3)	LN9_MORETHAN30PCTCON	SENTARA HEALTHCARE	Yes
(11) SENTARA LIFE CARE CORP 6015 POPLAR HALL DRIVE NORFOLK,VA23502 54-1217183	HEALTH CARE	VA	501(C)(3)	LN9_MORETHAN30PCTCON	SENTARA HEALTHCARE	Yes
(12) MPB INC 6015 POPLAR HALL DRIVE NORFOLK,VA23502 54-1346393	TITLE HOLDING COMPANY	VA	501(C)(2)		SENTARA ENTERPRISES	Yes
(13) OPTIMA HEALTH PLAN 6015 POPLAR HALL DRIVE NORFOLK,VA23502 54-1283337	HMO	VA	501(C)(3)	11A - I	SENTARA HEALTHCARE	Yes
(14) POTOMAC HOSPITAL CORP OF PRINCE WILLIAM 6015 POPLAR HALL DRIVE NORFOLK,VA23502 54-0853898	HEALTH CARE	VA	501(C)(3)	LN3_HOSPITALCOOPINSE	SENTARA HEALTHCARE	Yes
(15) ROCKINGHAM MEMORIAL HOSPITAL 2010 HEALTH CAMPUS DRIVE HARRISONBURG,VA22801 54-0506331	HEALTH CARE	VA	501(C)(3)	LN3_HOSPITALCOOPINSE	SENTARA HEALTHCARE	Yes
(16) VALLEY WELLNESS CENTER 501 STONE SPRING ROAD HARRISONBURG,VA22801 52-1309257	PREVENTATIVE HEALTH/REHAB	VA	501(C)(3)	LN9_MORETHAN30PCTCON	ROCKINGHAM MEMORIAL HOSPITAL	Yes
(17) MJH FOUNDATION 500 MARTHA JEFFERSON DRIVE CHARLOTTESVILLE,VA22911 54-1401357	INVEST/MGT SVCS FOR MARTHA JEFFERSON HOSPITAL	VA	501(C)(3)	11A - I	MARTHA JEFFERSON HOSPITAL	Yes
(18) MARTHA JEFFERSON HOSPITAL FOUNDATION 500 MARTHA JEFFERSON DRIVE CHARLOTTESVILLE,VA22911 30-0041113	FUNDRAISING	VA	501(C)(3)	11A - I	MARTHA JEFFERSON HOSPITAL	Yes
(19) MARTHA JEFFERSON HOSPITAL 500 MARTHA JEFFERSON DRIVE CHARLOTTESVILLE,VA22911 54-0261840	HEALTH CARE	VA	501(C)(3)	LN3_HOSPITALCOOPINSE	SENTARA HEALTHCARE	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2012

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to 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
(1) MANAGEMENT SERVICES LLC 814 GREENBRIER CIRCLE CHESAPEAKE,VA23320 54-1365012	HLTH MGT SV	VA	N/A
(2) OBICI REAL ESTATE HOLDINGS LLC 6015 POPLAR HALL DRIVE NORFOLK,VA23502 26-1749881	RE RENTAL	VA	N/A
(3) PRINCESS ANNE AMB SURG MGT LLC 1975 GLENN MITCHELL STE 300 VA BEACH,VA23456 20-4920880	HEALTH CARE	VA	N/A
(4) VA BEACH AMBULATORY SURGERY CENTER 1700 WILL O WISP DRIVE VA BEACH,VA23454 54-1448218	HEALTH CARE	VA	N/A
(5) AMER HEALTH EVAL CTR-WMSBG LLC 739 THIMBLE SHOALS STE 105 NEWPORT NEWS,VA23606 26-3761741	HEALTH CARE	VA	N/A
(6) CANCER CENTERS OF VA LLC 5900 LAKE WRIGHT DRIVE NORFOLK,VA23502 20-1338518	HEALTH CARE	VA	N/A
(7) HAMPTON ROADS LITHOTRIPSY LLC 225 CLEARFIELD AVE VIRGINIA BEACH,VA23462 20-0942600	HEALTH CARE	VA	N/A
(8) HEALTHCARE PERFORMANCE IMPROVEMENT LLC 5041 CORPORATE WOODS DR STE 180 VIRGINIA BEACH,VA23462 20-4024074	CONSULTING	VA	N/A
(9) RADIOLOGY SERVICES OF HAMPTON ROADS LC 814 GREENBRIER CIRCLE STE L CHESAPEAKE,VA23320 54-1774472	HEALTH CARE	VA	N/A
(10) SENTARA OBICI AMBULATORY SURGERY LLC 2750 GODWIN BLVD SUFFOLK,VA23434 26-0144898	HEALTH CARE	VA	N/A
(11) ST LUKES PROPERTIES LLC 6015 POPLAR HALL DRIVE NORFOLK,VA23502 27-2774684	MOB RENTAL	VA	N/A
(12) POTOMAC INOVA HEALTHCARE ALLIANCE LLC 8110 GATEHOUSE RD STE 400W FALLS CHURCH,VA22042 54-1802733	HEALTHCARE	VA	N/A
(13) CAREPLEX WEST LLC 18000 W SARAH LANE STE 250 BROOKFIELD,WI53045 20-2738977	RENTAL RE	WI	N/A
(14) PORT WARWICK II LLC 18000 WEST SARAH LANE STE 250 BROOKFIELD,WI53045 20-2739075	RENTAL RE	WI	N/A
(15) ORTHOPAEDIC HOSPITAL MANAGEMENT LLC 3000 COLISEUM DRIVE HAMPTON,VA23666 27-4185117	MGT SVCS	VA	N/A
(16) CAREPLEX ORTHOPAEDIC ASC LLC 3000 COLISEUM DRIVE HAMPTON,VA23666 27-1867311	HEALTH CARE	VA	N/A
(17) PORT WARWICK III LLC 18000 WEST SARAH LANE STE 250 BROOKFIELD,WI53045 61-1499371	RENTAL RE	WI	N/A
(18) MARTHA JEFFERSON OSC LLC 595 MARTHA JEFFERSON DR CHARLOTTESVILLE,VA22911 11-3656095	HEALTH CARE	VA	N/A
(19) VALIANCE HEALTH LLC 3190 PEOPLES DRIVE HARRISONBURG,VA22801 54-1866081	HEALTH CARE	VA	N/A
(20) PHYSICAL THERAPY ACACLLC 501 ALBEMARLE SQUARE CHARLOTTESVILLE,VA22901 26-0080717	HEALTH CARE	VA	N/A
(21) NORTHERN VIRGINIA HOME CARE LLC 601 SOUTH CARLIN SPRINGS RD ARLINGTON,VA22204 45-3940053	HOME CARE	VA	N/A
(22) MNS SUPPLY CHAIN NETWORK LLC 2085 FRONTIS PLAZA BLVD WINSTON SALEM,NC27103 45-4235238	GPO	DE	N/A
(23) LAKE RIDGE AMBULATORY SURGERY CENTER LLC 12825 MINNIEVILLE RD STE 204 WOODBRIDGE,VA22192 45-5347932	HEALTH CARE	VA	N/A

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to 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	(i) Section 512(b)(13) controlled entity?
(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		Yes	No
(1) SOUTHSIDE HEALTH SERVICES INC 2204 WILBORN AVENUE SOUTH BOSTON,VA24592 54-1417772	HEALTH SERVICES	VA	HALIFAX REGIONAL HOSPITAL INC	C	1,690,241	430,382	100.000 %	Yes
(2) DOMINION HEALTH MEDICAL ASSOCIATES LTD 2204 WILBORN AVENUE SOUTH BOSTON,VA24592 54-1060357	PHYS PRACTICE	VA	HALIFAX REGIONAL PROFESSIONAL SERVICES LLC	C	27,487,600	4,459,633	100.000 %	Yes
(3) SENTARA HOLDINGS INC 6015 POPLAR HALL DRIVE NORFOLK,VA23502 54-1555638	HOLDING COMPANY	VA	N/A	C				Yes
(4) SENTARA HEALTH PLANS INC 6015 POPLAR HALL DRIVE NORFOLK,VA23502 52-2368125	TPA	VA	N/A	C				Yes
(5) OPTIMA HEALTH GROUP 6015 POPLAR HALL DRIVE NORFOLK,VA23502 54-1473382	HMO	VA	N/A	C				Yes
(6) OPTIMA HEALTH INSURANCE COMPANY 6015 POPLAR HALL DRIVE NORFOLK,VA23502 54-1642752	HEALTH INSURANCE	VA	N/A	C				Yes
(7) OPTIMA BEHAVIORAL HEALTH SERVICES 6015 POPLAR HALL DRIVE NORFOLK,VA23502 62-1382666	MENTAL HEALTH SVCS	VA	N/A	C				Yes
(8) SENTARA VENTURES INC 6015 POPLAR HALL DRIVE NORFOLK,VA23502 54-1688615	HOLDING COMPANY	VA	N/A	C				Yes
(9) SMG INNOVATIONS INC 6015 POPLAR HALL DRIVE NORFOLK,VA23502 20-3730331	HEALTH CARE	VA	N/A	C				Yes
(10) SENTARA OBICI PROFESSIONAL CENTER 6015 POPLAR HALL DRIVE NORFOLK,VA23502 54-1445865	RE RENTAL	VA	N/A	C				Yes
(11) SENTARA STRATEGIC SOLUTIONS INC 6015 POPLAR HALL DRIVE NORFOLK,VA23502 54-1020941	HEALTH CARE	VA	N/A	C				Yes
(12) POTOMAC VENTURES CORP 2300 OPITZ BLVD WOODBRIDGE,VA22191 54-1441420	PHARMACY	VA	N/A	C				Yes
(13) ROCKINGHAM HEALTH SERVICES INC 2010 HEALTH CAMPUS DRIVE HARRISONBURG,VA22801 54-1721387	CONTRACTING SVCS	VA	N/A	C				Yes
(14) MARTHA JEFFERSON MEDICAL ENTERPRISES INC 500 MARTHA JEFFERSON DRIVE CHARLOTTESVILLE,VA22911 54-1841528	MEDICAL BILLING SVCS	VA	N/A	C				Yes
(15) BAY PRIMEX INSURANCE COMPANY LTD PO BOX 1051 GRAND CAYMAN KY1-1102 CJ 98-0704114	INSURANCE	CJ	N/A	C				Yes

Schedule R (Form 990) 2012

Page 3

Part V

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

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

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 or (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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

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

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

Yes

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

Yes

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

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

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

Yes

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

Yes

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

Yes

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

s 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-s)	(c) Amount involved	(d) Method of determining amount involved
(1) HALIFAX REGIONAL DEVELOPMENT FOUNDATION INC	B	94,525	CORP BOOKS/REC
(2) HALIFAX REGIONAL PROPERTIES INC	B	1,530,000	CORP BOOKS/REC
(3) DOMINION HEALTH MEDICAL ASSOCIATES LTD	B	5,740,000	CORP BOOKS/REC
(4) HALIFAX REGIONAL PROPERTIES INC	K	258,463	CORP BOOKS/REC
(5) HALIFAX REGIONAL PROPERTIES INC	L	110,958	CORP BOOKS/REC
(6) HALIFAX REGIONAL PROPERTIES INC	Q	147,505	CORP BOOKS/REC
(7) HALIFAX REGIONAL LONG TERM CARE INC	O	610,668	CORP BOOKS/REC
(8) HALIFAX REGIONAL LONG TERM CARE INC	Q	2,207,552	CORP BOOKS/REC
(9) CLARKSVILLE SENIOR CARE LLC	O	473,080	CORP BOOKS/REC
(10) CLARKSVILLE SENIOR CARE LLC	Q	1,561,813	CORP BOOKS/REC
(11) SOUTHSIDE HEALTH SERVICES INC	Q	210,260	CORP BOOKS/REC
(12) DOMINION HEALTH MEDICAL ASSOCIATES LTD	O	2,457,810	CORP BOOKS/REC
(13) DOMINION HEALTH MEDICAL ASSOCIATES LTD	Q	1,622,666	CORP BOOKS/REC

Schedule R (Form 990) 2012

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to 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) 2012

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: 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	21
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	14
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	159
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	4,697,902
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	128,450	2,127,068
9	Program service revenue (Part VIII, line 2g) .........	87,679,108	90,095,398
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	1,713,971	1,996,161
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	577,118	651,868
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	90,098,647	94,870,495
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	5,625,139	7,402,117
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)	37,046,925	38,134,385
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 69,941
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	51,501,978	57,923,634
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	94,174,042	103,460,136
19	Revenue less expenses. Subtract line 18 from line 12.......	-4,075,395	-8,589,641
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	110,244,949	126,841,705
21	Total liabilities (Part X, line 26).............	46,251,130	44,853,430
22	Net assets or fund balances. Subtract line 21 from line 20.....	63,993,819	81,988,275

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 96,541,478 including grants of $ 7,402,117 ) (Revenue $ 85,400,296 )
	SEE SCHEDULE O.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses96,541,478

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	2,088,168	168,390	130,367

				(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		56,000
e	Government grants (contributions)1e		1,986,337

f	All other contributions, gifts, grants, and similar amounts not included above1f		84,731

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			2,127,068
			Business Code
2a	NET PATIENT SERVICE REVENUE		541900	85,400,296	85,400,296
b	OUTSIDE LAB SERVICES		541900	4,695,102		4,695,102
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			90,095,398
3	Investment income (including dividends, interest, and other similar amounts).......			1,159,283			1,159,283
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents	39,987
b	Less: rental expenses	0
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	15,144,155	17,664
b	Less: cost or other basis and sales expenses	14,297,776	27,165
c	Gain or (loss)	846,379	-9,501
d	Net gain or (loss)..........			836,878			836,878
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..
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...
10a	Gross sales of inventory, less returns and allowances .
	a		135,633
b	Less: cost of goods sold ..b		75,237
c	Net income or (loss) from sales of inventory..			60,396			60,396
Miscellaneous Revenue			Business Code
11a	CAFE/VENDING		721000	437,443			437,443
b	SUBPART F INCOME		900099	64,752			64,752
c	MISCELLANEOUS		900099	49,290		2,800	46,490
d	All other revenue ....
e	Total. Add lines 11a–11d ......			551,485
12	Total revenue. See Instructions......			94,870,495	85,400,296	4,697,902	2,645,229


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing .............			5,050,504	1	5,882,119
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ...........				3
4	Accounts receivable, net .............			12,012,882	4	11,452,400
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net .............			319,865	7	788,732
8	Inventories for sale or use ..............			2,414,351	8	2,581,365
9	Prepaid expenses and deferred charges ..........			3,303,333	9	3,687,761
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	54,178,289
b	Less: accumulated depreciation .....	10b	1,843,544	49,333,897	10c	52,334,745
11	Investments—publicly traded securities ..........			33,970,422	11	46,623,293
12	Investments—other securities. See Part IV, line 11 .....			1,622,051	12	2,450,499
13	Investments—program-related. See Part IV, line 11 .....				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			2,217,644	15	1,040,791
16	Total assets. Add lines 1 through 15 (must equal line 34)......			110,244,949	16	126,841,705
17	Accounts payable and accrued expenses .........			8,184,757	17	10,766,289
18	Grants payable .................				18
19	Deferred revenue ................			270,506	19	223,930
20	Tax-exempt bond liabilities .............			24,230,086	20	23,149,925
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..				23
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			13,565,781	25	10,713,286
26	Total liabilities. Add lines 17 through 25.........			46,251,130	26	44,853,430
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			63,993,819	27	81,988,275
28	Temporarily restricted net assets ...........				28
29	Permanently restricted net assets ...........				29
	Organizations that do not follow SFAS 117 (ASC 958), 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 ...........			63,993,819	33	81,988,275
34	Total liabilities and net assets/fund balances ........			110,244,949	34	126,841,705

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, Return by a U.S. Transferor of Property to a Foreign Corporation (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 organizationmay be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (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