TY 2014 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........................................................................ CHAIR(THRU 5/14)	1.00 .......................5.00	X		0	0	0
(2) CAROL C THOMAS........................................................................ CHAIR(EFF. 5/14)	1.00 .......................5.00	X		0	0	0
(3) HABIB BASSIL MD........................................................................ SECRETARY	1.00 .......................0.00	X		75,736	0	0
(4) SAID B ISKANDAR MD........................................................................ BOARD MEMBER	1.00 .......................5.00	X		0	0	0
(5) VALDIVIA T MARSHALL........................................................................ BOARD MEMBER	1.00 .......................0.00	X		0	0	0
(6) J KENNETH MORGAN........................................................................ BOARD MEMBER	1.00 .......................0.00	X		0	0	0
(7) TERRANCE J TRUITT MD........................................................................ BOARD MEMBER	1.00 .......................0.00	X		21,750	0	0
(8) WILLIAM E COLEMAN........................................................................ BOARD MEMBER	1.00 .......................0.00	X		0	0	0
(9) W JOSEPH FERGUSON MD........................................................................ BOARD MEMBER	1.00 .......................0.00	X		0	59,027	11,084
(10) DABNEY TP GILLIAM JR........................................................................ BOARD MEMBER	1.00 .......................0.00	X		0	0	0
(11) KATHRYN F ROBERTS........................................................................ BOARD MEMBER	1.00 .......................0.00	X		0	0	0
(12) GARY D WALKER........................................................................ BOARD MEMBER	1.00 .......................0.00	X		0	0	0
(13) RICHARD O HARRELL III........................................................................ BOARD MEMBER	1.00 .......................2.00	X		0	0	0
(14) MICHAEL R LYON........................................................................ BOARD MEMBER	1.00 .......................0.00	X		0	0	0
(15) LARRY P SNEED........................................................................ TREASURER	1.00 .......................0.00	X	X	0	0	0
(16) ROBERT A BROERMANN........................................................................ BOARD MEMBER	1.80 .......................51.00	X		0	1,506,536	238,926
(17) MICHAEL V GENTRY........................................................................ VICE CHAIRMAN	1.80 .......................42.00	X	X	0	945,093	137,601

(A) Name and business address	(B) Description of services	(C) Compensation
MCKESSON TECHNOLOGIES INC PO BOX 98347 CHICAGO,IL60693	MEDICAL SYS SUPPORT	2,686,194
SIEMENS MEDICAL SOLUTIONS USA INC PO BOX 120001 DEPT 0733 DALLAS,TX75312	MEDICAL SYS SUPPORT	1,912,321
PULMONARY ASSOCIATES OF SOUTHSIDE VIRGIN 2210 WILBORN AVENUE SOUTH BOSTON,VA24592	MEDICAL PROFESSIONAL SVCS	930,925
HEALTHGRAM INC PO BOX 11088 CHARLOTTE,NC28220	ONLINE SERVICES	649,664
SODEXO INC & AFFILIATES PO BOX 536922 ATLANTA,GA30353	MANAGEMENT FEES & CONTRACT LABOR	605,714
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 23

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 domestic organizations and domestic governments. See Part IV, line 21 ....	6,738,826	6,738,826
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ....	30,780	30,780
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............
4	Benefits paid to or for members ....
5	Compensation of current officers, directors, trustees, and key employees ....	1,048,521		1,048,521
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 ....	28,552,216	26,461,640	2,031,966	58,610
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	922,283	824,395	96,061	1,827
9	Other employee benefits .......	5,039,269	4,591,639	437,450	10,180
10	Payroll taxes ...........	2,252,108	2,013,079	234,568	4,461
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	141,502		141,502
c	Accounting ...........	-644		-644
d	Lobbying ...........
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) ....	5,671,145	5,364,865	306,280
12	Advertising and promotion ....	252,619		252,619
13	Office expenses .......	6,096,908	5,613,162	483,457	289
14	Information technology ......	2,643,061	2,643,061
15	Royalties ..
16	Occupancy ...........	1,331,434	1,331,434
17	Travel ............	175,895	166,832	8,527	536
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	79,902	48,265	31,637
20	Interest ...........	923,797	923,797
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	5,410,105	5,410,105
23	Insurance ..............	-20,416		-20,416
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	MEDICAL SUPPLIES	12,729,605	12,729,605
b	BAD DEBT	6,006,449	6,006,449
c	PURCHASED SERVICES	4,106,785	3,549,581	557,204
d	UBIT	180,000	180,000
e	All other expenses	1,080,340	936,742	143,303	295
25	Total functional expenses. Add lines 1 through 24e	91,392,490	85,564,257	5,752,035	76,198
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 or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	5,393,033	1	5,002,754
2	Savings and temporary cash investments .........		2
3	Pledges and grants receivable, net ...........		3
4	Accounts receivable, net .............	10,512,155	4	10,682,360
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 .............	647,440	7	395,754
8	Inventories for sale or use ..............	2,804,458	8	2,709,152
9	Prepaid expenses and deferred charges ..........	3,956,933	9	3,626,164
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	61,322,903
b	Less: accumulated depreciation .....	10b	8,924,385	53,200,633	10c	52,398,518
11	Investments—publicly traded securities ..........	46,590,193	11	53,887,895
12	Investments—other securities. See Part IV, line 11 .....	2,479,623	12	2,968,000
13	Investments—program-related. See Part IV, line 11 .....		13
14	Intangible assets ...............		14
15	Other assets. See Part IV, line 11 ...........	785,388	15	1,138,521
16	Total assets. Add lines 1 through 15 (must equal line 34)......	126,369,856	16	132,809,118
	17	Accounts payable and accrued expenses .........	11,411,607	17	11,350,884
18	Grants payable .................		18
19	Deferred revenue ................	208,404	19	161,828
20	Tax-exempt bond liabilities .............	19,581,736	20	18,949,621
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....................	10,985,172	25	14,548,579
26	Total liabilities. Add lines 17 through 25.........	42,186,919	26	45,010,912
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	84,182,937	27	87,798,206
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 ...........	84,182,937	33	87,798,206
34	Total liabilities and net assets/fund balances ........	126,369,856	34	132,809,118

- 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.
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Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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 in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations .............................

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

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2014

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) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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 VI.)..
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 section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2013 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2014. 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—2013. 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—2014. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2013. 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 VI 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) 2014

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) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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 VI.) ..
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 section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2013 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2014 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2013 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2014. 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—2013. 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) 2014

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Schedule A (Form 990 or 990-EZ) 2014

Page 5

Part IV

Supporting Organizations (continued)

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2014

Page 6

Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1. Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6
7	Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2014

Page 7

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2014 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2014	(iii) Distributable Amount for 2014
1 Distributable amount for 2014 from Section C, line 6
2 Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2014 distributable amount
i Carryover from 2009 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2014 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2014 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2015. Add lines 3j and 4c.
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......
e From 2014.......

Schedule A (Form 990 or 990-EZ) (2014)

Schedule A (Form 990 or 990-EZ) 2014

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2014

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.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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, contributions totaling $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) 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), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled 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 totaling $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 its Form 990PF, Part I, line 2, 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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

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	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 4

Name of organization
HALIFAX REGIONAL HOSPITAL INC

Employer identification number

54-0648699

Part III

Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. 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) (2014)

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.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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 value of contributions to (during year)
3	Aggregate value of 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)

Revenue 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:

Revenue 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) 2014

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, for escrow or custodial account liability?

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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. 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 ................	27,476,144	3,107,412	24,368,732
c	Leasehold improvements ............
d	Equipment ................	27,829,730	5,474,650	22,355,080
e	Other .................	3,441,029	342,323	3,098,706
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				52,398,518

Schedule D (Form 990) 2014

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. 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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment		(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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. 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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes
ACCRUED PENSION PLAN		3,832,067
CAPITALIZED LEASE OBLIGATIONS		9,704
DUE TO THIRD-PARTY PROGRAMS		3,230,000
OTHER LONG TERM LIABILITIES		2,235,386
DUE TO AFFILIATES		5,241,422




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		14,548,579
2. Liability for uncertain tax positions. 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) 2014

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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 (losses) 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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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

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.

Return Reference	Explanation

Schedule D (Form 990) 2014

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

Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization
HALIFAX REGIONAL HOSPITAL INC

Employer identification number

54-0648699

Part I

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

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

and other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria

used to award the grants or assistance? ...........................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (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)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in region	(f) Total expenditures for and investments in region
	CENTRAL AMERICA/CARIBBEAN	0	0	PROGRAM SERVICES	JOINT VENTURE AGREEMENT WITH VIRGINIA SOLUTIONS SPC, LTD - INSURANCE CAPTIVE
















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

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2014

Schedule F (Form 990) 2014

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)	(a)(c) Region	(b)(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount 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) 2014

Schedule F (Form 990) 2014Page 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) 2014

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2014

Page 5

Part V

Supplemental Information
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).

ReturnReference	Explanation
SCHEDULE F, PART I, LINE 3: EQUITY	PART I, LINE 3, COLUMN (E): REGION: CENTRAL AMERICA AND THE CARIBBEAN SPECIFIC TYPES OF SERVICES IN REGION: JOINT VENTURE AGREEMENT WITH VIRGINIA SOLUTIONS SPC, LTD - INSURANCE CAPTIVE THAT UNDERWRITES HOSPITAL AND PHYSICIAN LIABILITY AND WORKERS COMPENSATION POLICIES FOR ITS MEMBER HOSPITALS. THE ORGANIZATION HAS A 0% OWNERSHIP INTEREST IN THE CAPTIVE AT YEAR END.

Schedule F (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

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

Information about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization
HALIFAX REGIONAL HOSPITAL INC

Employer identification number

54-0648699

Part I

Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17. Form 990-EZ

filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

Yes

If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










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

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

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

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2014

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 UNIFORM SALES (event type)	(b) Event #2 BOOK SALES (event type)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . .	49,597	25,045	74,642
2	Less: Contributions . .
3	Gross income (line 1 minus line 2) . . .	49,597	25,045	74,642
4	Cash prizes . . .
5	Noncash prizes . .
6	Rent/facility costs . .
7	Food and beverages .
8	Entertainment . . .
9	Other direct expenses .	41,041	10,819	51,860
10	Direct expense summary. Add lines 4 through 9 in column (d) ...........			51,860
11	Net income summary. Subtract line 10 from line 3, column (d)...........			22,782

Part III

Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

(a) Bingo

(b) Pull tabs/Instant
bingo/progressive bingo

(c) Other gaming

(d) Total gaming (add col.(a) through col.(c))

Gross revenue . . . .

Cash prizes . . . .

Non-cash prizes . . .

Rent/facility costs . . .

Other direct expenses . .

Volunteer labor . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d) ......... right arrow

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? ............

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2014

Page 3

Does the organization conduct gaming activities with nonmembers? .................

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? ..........................

YesNo

Indicate the percentage of gaming activities conducted in:

The organization's facility ......................

13a

An outside facility ........................

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? ......................................

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? ............................

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information (see instructions).

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the TreasuryInternal Revenue Service

Hospitals

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

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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 criteria used 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? ..............

Yes

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) ..	2,629,296		2,629,296	3.080 %
b	Medicaid (from Worksheet 3, column a) ....	8,309,073	7,361,404	947,669	1.110 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .	99,233	72,882	26,351	0.030 %
d	Total Financial Assistance and Means-Tested Government Programs .	11,037,602	7,434,286	3,603,316	4.220 %
Other Benefits		302,925		302,925	0.350 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	302,925		302,925	0.350 %
f	Health professions education (from Worksheet 5) ..	106,318	3,795	102,523	0.120 %
g	Subsidized health services (from Worksheet 6) ..	8,554,000		8,554,000	10.020 %
h	Research (from Worksheet 7)
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	180,199		180,199	0.210 %
j	Total. Other Benefits ..	9,143,442	3,795	9,139,647	10.700 %
k	Total. Add lines 7d and 7j .	20,181,044	7,438,081	12,742,963	14.920 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014

Schedule H (Form 990) 2014

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
3	Community support	8,660	8,660	0.010 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	88	88	0 %
7	Community health improvement advocacy	76	76	0 %
8	Workforce development	1,850,821	1,850,821	2.170 %
9	Other
10	Total	1,859,645	1,859,645	2.180 %

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. ......

6,006,449

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).....

33,999,208

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

31,030,832

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

2,968,376

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) 2014

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, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)					Other (describe)
1	HALIFAX REGIONAL HOSPITAL INC 2204 WILBORN AVENUE SOUTH BOSTON,VA24592 WWW.SENTARA.COM H1853	X	X	X	HOME HEALTH HOSPICE

Schedule H (Form 990) 2014

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 INC
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C..........

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 12....................

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 significant 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 Section C)

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 persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C 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 Section C................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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 (list url): HTTP://WWW.HRHS.ORG/PDFS/CHNA2013.PDF

Other website (list url): SEE SECTION C BELOW.

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 12

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Yes

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

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)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, 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) 2014

Page

Part VFacility Information (continued)

	HALIFAX REGIONAL HOSPITAL INC
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 150.000000000000%
and FPG family income limit for eligibility for discounted care of 275.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

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 all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

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 individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	HALIFAX REGIONAL HOSPITAL INC
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.........

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (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 individuals regarding the individuals’ bills

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

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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 Section C)

Other (describe in Section C)

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 Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual 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 Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
HALIFAX REGIONAL HOSPITAL, INC.	PART V, SECTION B, LINE 5: 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, INC.	PART V, SECTION B, LINE 7D: A LINK TO THE HOSPITAL FACILITY'S COMMUNITY HEALTH NEEDS ASSESSMENT WAS ALSO ON THE SENTARA HEALTHCARE WEBSITE:HTTP://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/CHNA2013.PDF
HALIFAX REGIONAL HOSPITAL, INC.	PART V, SECTION B, LINE 11: 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, INC.	PART V, SECTION B, LINE 16I: 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, INC.	PART V, SECTION B, LINE 20E: 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.

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section D. 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) 2014

Page

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.

Form and Line Reference	Explanation
PART I, LINE 6A:	THE ORGANIZATION'S COMMUNITY BENEFIT REPORT WAS CONTAINED IN A SYSTEM-WIDE REPORT PREPARED BY SENTARA HEALTHCARE, EIN 52-1271901, THE ORGANIZATION'S 501(C)(3) SOLE MEMBER.
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:	$8,554,000 OF THE AMOUNT REPORTED WAS ATTRIBUTABLE TO PHYSICIAN CLINICS.
PART I, LINE 7, COLUMN (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 $ 6,006,449.
PART II, COMMUNITY BUILDING ACTIVITIES:	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. HALIFAX REGIONAL HOSPITAL CONTINUES TO PARTICIPATE IN REGIONAL AND LOCAL EXERCISES TO TEST THE EMERGENCY OPERATIONS PLAN AND TO CONDUCT INTERNAL EXERCISES. THESE INITIATIVES HELP HALIFAX REGIONAL HOSPITAL PREPARE FOR AND COORDINATE CRISIS RESPONSE AND RECOVERY OPERATIONS WITH STATE, LOCAL AND FEDERAL AGENCIES IN THE EVENT OF A BIOTERRORIST EVENT/DISASTER. OUTSIDE THE REALM OF THE GRANT FUNDING, HALIFAX REGIONAL HOSPITAL SUPPLIED THE EMPLOYEE TIME INVOLVED IN TRAINING FOR COMMUNITY EMERGENCY PREPAREDNESS AS WELL AS FOR COMMUNITY DISASTER TRAINING DRILLS. OUR FOCUS CONTINUES TO BE ON PREPARING THE HOSPITAL STAFF AND THE COMMUNITY FOR "ALL HAZARDS."
PART III, LINE 4:	SEE PAGE 17 OF THE ATTACHED FINANCIAL STATEMENTS FOR THE FOOTNOTE WHICH DISCUSSES BAD DEBT.
PART III, LINE 8:	MEDICARE ALLOWABLE COSTS OF CARE AND RELATED REIMBURSEMENT WERE OBTAINED FROM THE 2014 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 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:	HALIFAX REGIONAL HOSPITAL (HRH) OPERATED AS A SOLE COMMUNITY HOSPITAL UNTIL JULY 31, 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 = 35,200); THE SECONDARY SERVICES AREA INCLUDES BOTH CHARLOTTE COUNTY (POPULATION = 12,225) AND MECKLENBURG COUNTY (POPULATION = 31,192). 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-SEVEN PERCENT LIVE AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL (FPL). THE MEDIAN HOUSEHOLD INCOME IN 2013 WAS $35,046, A DECLINE OF MORE THAN ONE PERCENT FROM THE PREVIOUS YEAR AND JUST 55% OF THE MEDIAN INCOME FOR THE STATE AS A WHOLE, AT $63,907. SIXTEEN PERCENT ARE UNINSURED, A TREND THAT HAD BEEN RISING, ALTHOUGH THE EFFECTS OF THE ACA ON INSURANCE LEVELS HAVE NOT YET BEEN MADE PUBLIC, WHILE 14% OF RESIDENTS OF VIRGINIA AS A WHOLE ARE UNINSURED, A TREND THAT IS SLOWLY DECLINING. APPROXIMATELY NINE PERCENT ARE UNEMPLOYED VERSUS 4.7% IN VIRGINIA AS A WHOLE, AND 23% 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, HRH PROVIDES CARE WITH APPROXIMATELY 4,300 INPATIENT ADMISSIONS, 86,600 OUTPATIENT VISITS AND 27,500 ER PATIENTS. HRH PROVIDES CARE TO ALL REGARDLESS OF THEIR ABILITY TO PAY. IN 2014, 52% OF HRH PATIENTS WERE MEDICARE; 12% MEDICAID; 1002 PATIENTS WERE SERVED THROUGH THE HRH PATIENT FINANCIAL ASSISTANCE PROGRAM. IN 2014 UNCOMPENSATED CARE WAS VALUED AT $16,155,000 OR 6.2% OF PATIENT REVENUE. IN ADDITION, $131,358,000 OR 50.4% OF PATIENT REVENUE WAS UNCOMPENSATED CARE FOR PATIENTS COVERED BY MEDICARE OR MEDICAID.
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:	THE ORGANIZATION IS AFFILIATED WITH THE SENTARA HEALTHCARE SYSTEM ("SENTARA"). SENTARA, A NOT FOR PROFIT HEALTH SYSTEM, OPERATES MORE THAN 100 SITES OF CARE SERVING RESIDENTS ACROSS VIRGINIA AND NORTHEASTERN NORTH CAROLINA. THE SYSTEM IS COMPRISED OF 12 ACUTE CARE HOSPITALS, INCLUDING SEVEN IN HAMPTON ROADS, ONE IN NORTHERN VIRGINIA, TWO IN THE BLUE RIDGE REGIONS, ONE IN SOUTH CENTRAL VIRGINIA AND ONE IN NORTHEASTERN NORTH CAROLINA, ADVANCED IMAGINING CENTERS, NURSING AND ASSISTED-LIVING CENTERS, OUT PATIENT CAMPUSES, TWO HOME HEALTH AND HOSPICE AGENCIES, A 3,800-PROVIDER MEDICAL STAFF, AND FIVE MEDICAL GROUPS WITH OVER 600 PROVIDERS. ITS AFFILIATION WITH SENTARA ENHANCES THE ORGANIZATION'S 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 BLUE RIDGE 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) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

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

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

Attach to Form 990.
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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 Domestic Organizations and Domestic Governments. 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 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)	57,472	FUNDING OF COMMUNITY PARTNERSHIP
(2) DOMINION HEALTH MEDICAL ASSOCIATES LTD 2204 WILBORN AVENUE SOUTH BOSTON,VA24592	54-1060357		6,675,000	SUPPORT
(3) DOMINION HEALTH MEDICAL ASSOCIATES LTD 2204 WILBORN AVENUE SOUTH BOSTON,VA24592	54-1060357		5,854	FUNDING FOR MOBILE DENTAL EQUIPMENT

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) 2014

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. 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) ELISE THOMSON CLARK MEMORIAL FUNDS APPLIED TO INDIVIDUAL PATIENT ACCOUNTS	36	15,813
(2) EVERY WOMAN'S LIFE FUNDS APPLIED TO INDIVIDUAL PATIENT ACCOUNTS	50	14,967

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference	Explanation
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, PART III	INDIVIDUAL GRANTS ARE FOR THE PROVISION OF HEALTH CARE TO THE UNINSURED.

Schedule I (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

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

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

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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
directors, trustees, officers, including 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? .........

Yes

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), 501(c)(4), and 501(c)(29) organizations 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) 2014

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 in column(B) 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)
1ROBERT A BROERMANNBOARD MEMBER	(i) (ii)	0 ............................... 750,106	0 ............................... 537,843	0 ............................... 218,587	0 ............................... 221,150	0 ............................... 17,776	0 ............................... 1,745,462	0 ............................... 98,673
2MICHAEL V GENTRYVICE CHAIRMAN	(i) (ii)	0 ............................... 534,422	0 ............................... 307,694	0 ............................... 102,977	0 ............................... 123,532	0 ............................... 14,069	0 ............................... 1,082,694	0 ............................... 52,785
3MEGAN PERRYBOARD MEMBER	(i) (ii)	0 ............................... 462,786	0 ............................... 232,336	0 ............................... 41,879	0 ............................... 253,584	0 ............................... 14,236	0 ............................... 1,004,821	0 ............................... 32,630
4CHRIS A LUMSDENPRESIDENT	(i) (ii)	321,755 ............................... 43,360	0 ............................... 0	43,318 ............................... 0	22,172 ............................... 6,077	10,159 ............................... 2,784	397,404 ............................... 52,221	0 ............................... 0
5STEWART R NELSONCHIEF FINANCIAL OFFICER	(i) (ii)	215,534 ............................... 29,045	2,000 ............................... 0	23,655 ............................... 0	21,265 ............................... 5,829	820 ............................... 225	263,274 ............................... 35,099	0 ............................... 0
6THOMAS S KLUGECHIEF OPERATING OFFICER	(i) (ii)	184,652 ............................... 24,884	2,000 ............................... 0	23,341 ............................... 0	33,146 ............................... 9,085	10,011 ............................... 2,744	253,150 ............................... 36,713	0 ............................... 0
7MING Y LIU MDPHYSICIAN	(i) (ii)	356,576 ............................... 0	0 ............................... 0	0 ............................... 0	10,400 ............................... 0	16,733 ............................... 0	383,709 ............................... 0	0 ............................... 0
8GREGORY SHUFORD MDPHYSICIAN	(i) (ii)	355,918 ............................... 0	0 ............................... 0	0 ............................... 0	10,400 ............................... 0	1,523 ............................... 0	367,841 ............................... 0	0 ............................... 0
9HECTOR MARQUEZ MDPHYSICIAN	(i) (ii)	379,557 ............................... 0	0 ............................... 0	0 ............................... 0	10,400 ............................... 0	15,701 ............................... 0	405,658 ............................... 0	0 ............................... 0
10CAROLINE WIGAN MDPHYSICIAN	(i) (ii)	355,862 ............................... 0	0 ............................... 0	0 ............................... 0	10,400 ............................... 0	16,835 ............................... 0	383,097 ............................... 0	0 ............................... 0
11PABLO SOUZA MDPHYSICIAN	(i) (ii)	348,477 ............................... 0	0 ............................... 0	0 ............................... 0	10,400 ............................... 0	16,600 ............................... 0	375,477 ............................... 0	0 ............................... 0

Schedule J (Form 990) 2014

Page 3

Part III

Supplemental Information

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.

Return Reference	Explanation
PART I, LINE 1A	MONTHLY COUNTRY CLUB DUES ARE PAID BY THE ORGANIZATION FOR ITS 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.
PART I, LINE 3	THE ORGANIZATION RELIED ON A RELATED ORGANIZATION THAT USED ONE OR MORE METHODS LISTED ON LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION.
PART I, LINE 4B	ROBERT BROERMANN, MICHAEL GENTRY AND MEGAN PERRY PARTICIPATED IN THE SENTARA CAPITAL ACCUMULATION ACCOUNT PLAN. PARTICIPATION IS LIMITED TO A SELECT GROUP OF CORPORATE EXECUTIVES AS APPROVED BY SENTARA HEALTHCARE'S BOARD OF DIRECTOR'S COMPENSATION COMMITTEE. TERMS OF THE PLAN CHANGED EFFECTIVE JANUARY 1, 2009, WHEREBY VESTING OF CONTRIBUTIONS MADE ON OR AFTER THAT DATE NOW OCCURS ON THE EARLIER OF FIVE YEARS FOR EACH YEARS' CONTRIBUTIONS OR AGE 55 WITH 10 YEARS OF SERVICE. UNDER THE OLD TERMS, VESTING OF CONTRIBUTIONS MADE PRIOR TO JANUARY 1, 2009 OCCURS ON THE EARLIEST OF ASSIGNED DISTRIBUTION DATE, DEATH, INVOLUNTARY TERMINATION WITHOUT CAUSE OR COMPLETION OF TWO-YEAR NON-COMPETE AFTER VOLUNTARY TERMINATION (REGARDLESS OF ORIGINAL ASSIGNED DISTRIBUTION DATE). DURING 2014, THE FOLLOWING CORPORATE EXECUTIVES RECEIVED VESTED DISTRIBUTIONS UNDER THE PLAN: ROBERT BROERMANN ($210,317); MICHAEL GENTRY ($88,045); AND MEGAN PERRY ($38,153.) THESE AMOUNTS HAVE BEEN REPORTED IN COLUMN (B)(III) OF SCHEDULE J, PART II.

Schedule J (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

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

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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 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 . . . . . . . . . . . . . .	1,255,000
2 Amount of bonds legally defeased . . . . . . . . . . .
3 Total proceeds of issue . . . . . . . . . . . . . .	20,454,800
4 Gross proceeds in reserve funds . . . . . . . . . . . .	1,386,087
5 Capitalized interest from proceeds . . . . . . . . . . .
6 Proceeds in refunding escrows . . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . . .	391,741
8 Credit enhancement from proceeds . . . . . . . . . . .
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .	18,644,632
11 Other spent proceeds . . . . . . . . . . . . . .	32,339
12 Other unspent proceeds . . . . . . . . . . . . . .
13 Year of substantial completion . . . . . . . . . . . .	2008
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .		X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	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) 2014

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, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .		X
b Exception to rebate? . . . . . . . .		X
c No rebate due? . . . . . . . .	X
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed . . . . . .
3 Is the bond issue a variable rate issue? . . . .		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X
b Name of provider . . . . . . . . .
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2014

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
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
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
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

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference

Explanation

SCH K, PART II-IV

ISSUER A: 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 (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.

Schedule K (Form 990) 2014

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

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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), section 501(c)(4), and 501(c)(29) 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 Benefiting 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) 2014

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	1,210,000	SEE BELOW		No
(2) HALIFAX RADIOLOGICAL ASSOC	SEE BELOW	550,000	SEE BELOW		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference

Explanation

SCH L, PART IV

A) NAME OF PERSON: HALIFAX HEART CENTER(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BOARD MEMBER SAID ISKANDAR, MD AND BOARD MEMBER/OFFICER HABIB BASSIL, MD ARE GREATER THAN 35% PARTNERS IN HALIFAX HEART CENTER.D) DESCRIPTION OF TRANSACTION: PROFESSIONAL FEES/SUBSIDIES A) NAME OF PERSON: HALIFAX RADIOLOGICAL ASSOCIATESB) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BOARD MEMBER ARASH CHEHRAZI, MD IS A GREATER THAN 35% PARTNER IN RADIOLOGICAL ASSOCIATES.(D) DESCRIPTION OF TRANSACTION: PROFESSIONAL FEES/MEDICAL DIRECTOR FEES

Schedule L (Form 990 or 990-EZ) 2014

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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

HALIFAX REGIONAL HOSPITAL INC

Employer identification number

54-0648699

Return Reference	Explanation
FORM 990, PART III, LINE 1, ORGANIZATION'S MISSION	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.
FORM 990, PART III, LINE 4, PROGRAM SERVICE ACCOMPLISHMENTS	STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS: AS A NON-PROFIT ENTITY, HALIFAX REGIONAL HOSPITAL (HRH) PROVIDES A VARIETY OF COMMUNITY BENEFIT SERVICES, RESPONDING TO IDENTIFIED COMMUNITY NEEDS AND SUPPORTING THE GENERAL HEALTH AND WELFARE OF APPROXIMATELY 80,000 PEOPLE IN THE REGION. THE HOSPITAL AND LONG-TERM CARE FACILITIES UTILIZE EXCESS REVENUE OVER EXPENSES TO UPGRADE FACILITIES, TO PURCHASE NEW EQUIPMENT AND TO UPGRADE CLINICAL AND INFORMATION TECHNOLOGY IN ORDER TO IMPROVE QUALITY AND PATIENT SAFETY, AND TO PROMOTE AND SUPPORT HEALTH AND WELLNESS IN THE COMMUNITY. IN THE YEAR ENDING DECEMBER 31, 2014, CONTRIBUTIONS TO CHARITY CARE PROVIDED BY HRH WAS MORE THAN $1.6 MILLION. EMPLOYEES SPEND HUNDREDS OF HOURS VOLUNTEERING THEIR TIME AND TALENTS IN SCHOOLS AND COMMUNITY ORGANIZATIONS, SPEAKING TO CIVIC GROUPS, PROVIDING FREE HEALTH SCREENINGS, AND SERVING ON COMMUNITY AND STATE ORGANIZATIONS. HALIFAX REGIONAL HOSPITAL DONATED $112,550 THROUGH ITS COMMUNITY PARTNERSHIP PROGRAM TO ASSIST COMMUNITY GROUPS AND AGENCIES IN ORDER TO HELP PROMOTE ALL AREAS OF HEALTH AND WELLNESS IN THE COMMUNITY, INCLUDING PHYSICAL, MENTAL, VOCATIONAL, EMOTIONAL, INTELLECTUAL AND SPIRITUAL WELL-BEING. HRH ALSO ASSISTS WITH FUND RAISING ACTIVITIES FOR GROUPS SUCH AS EMERGENCY MEDICAL SERVICES GROUPS AND CO-SPONSORS PUBLIC EVENTS PLANNED BY VARIOUS CLUBS, SCHOOLS AND BUSINESSES. HRH PROVIDES A NUMBER OF COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION SERVICES AND COMMUNITY BUILDING ACTIVITIES. IF HALIFAX REGIONAL HOSPITAL DID NOT PERFORM THESE ESSENTIAL ROLES-PROVIDING CHARITY CARE, MONETARY CONTRIBUTIONS AND WELLNESS EDUCATION, THESE OBLIGATIONS WOULD MOST LIKELY HAVE TO BE ASSUMED BY GOVERNMENT AND SUPPORTED BY TAXPAYERS. SINCE HALIFAX REGIONAL HOSPITAL OPENED ITS DOORS JULY 1, 1953 THE ACUTE CARE DIVISION'S MISSION HAS BEEN TO PROVIDE THE HIGHEST QUALITY CARE BASED ON THE HEALTHCARE NEEDS OF CITIZENS IN THE REGION. HALIFAX REGIONAL HOSPITAL SERVES THE COUNTIES OF HALIFAX, WESTERN MECKLENBURG, AND CHARLOTTE, PLUS MANY COMMUNITIES THAT BORDER THESE COUNTIES. IN JULY OF 2013, HALIFAX REGIONAL HOSPITAL AND ITS OWNED ENTITIES BECAME AFFILIATED WITH SENTARA HEALTHCARE, A LARGE NON-PROFIT HEALTHCARE SYSTEM BASED IN NORFOLK, VA. THE MISSIONS AND COMMITMENTS OF THE TWO ORGANIZATIONS - TO PROVIDE EXCELLENT CARE WHILE MAINTAINING THE COMMUNITY-FOCUSED SERVICE MODEL OF A NON-PROFIT SYSTEM - FIT WELL TOGETHER AND THE AFFILIATION IS EXPECTED TO BRING RESOURCES, EXPERTISE AND OPPORTUNITY TO OUR SERVICE AREA IN THE PURSUIT OF HEALTH AND WELLNESS. HEALTHCARE TAKES MANY FORMS AT HALIFAX REGIONAL HOSPITAL. IN ADDITION TO MEDICAL SERVICES FOR INPATIENTS AND OUTPATIENTS, ACUTE-CARE AND SKILLED-CARE SERVICES, AND REHABILITATION PROGRAMS, WELLNESS IS PROMOTED THROUGH VARIOUS INITIATIVES, SUCH AS HEALTH SCREENINGS, SEMINARS AND CLASSES, CO-SPONSORED PROGRAMS AND CHARITABLE CONTRIBUTIONS OFFERED BY A COMMUNITY-HEALTH ORIENTED ADMINISTRATION, BOARD OF DIRECTORS AND VOLUNTEERS. FOR THE MOST PART, EDUCATIONAL PROGRAMS AND SCREENINGS ARE FREE. OTHERS ARE OFFERED AT REDUCED RATES. THE HOSPITAL IS LICENSED TO OPERATE 192 BEDS, INCLUDING 122 MEDICAL/SURGICAL BEDS, 10 INTENSIVE/ CARDIAC CARE BEDS, 21 OBSTETRIC BEDS, 20 BASSINETS AND SPECIAL-CARE NURSERY BEDS, AND 19 LICENSED SKILLED NURSING FACILITY BEDS (SUBACUTE). IT OFFERS THE REGION ADVANCED DIAGNOSTIC AND TREATMENT CAPABILITIES INCLUDING CAP ACCREDITED CLINICAL LABORATORY SERVICES, AN ON-SITE BLOOD BANK AND DIRECT ACCESS TESTING; DIAGNOSTIC RADIOLOGY, INCLUDING NUCLEAR MEDICINE, COMPUTERIZED AXIAL TOMOGRAPHY (CAT); IN-HOUSE MRI AND MOBILE PET/CT COMBINATION SCANNING; COMPUTER-AIDED DETECTION (CAD) MAMMOGRAPHY, INCLUDING STEREOTACTIC AND SENTINEL-NODE BIOPSY; NON-INVASIVE AND NUCLEAR CARDIOLOGY; STRESS TESTING; INTERVENTIONAL CARDIOLOGY SERVICES AND INPATIENT DIALYSIS. THE HOSPITAL OFFERS EMERGENCY MEDICINE AND INPATIENT AND OUTPATIENT SURGERY, INCLUDING GENERAL, OPHTHALMOLOGIC, GYNECOLOGICAL, ORAL/MAXILLOFACIAL, ORTHOPEDIC AND VASCULAR SURGERY; AND UPPER AND LOWER GI ENDOSCOPIES AND TOTAL-JOINT REPLACEMENT. TREATMENTS FOR PROBLEM WOUNDS SUCH AS THOSE CAUSED BY DIABETIC COMPLICATIONS, RADIATION TISSUE DAMAGE, CRUSH INJURIES AND INFECTIONS CAN BE ADDRESSED AT THE OUTPATIENT CENTER FOR WOUND CARE. CARDIOPULMONARY/RESPIRATORY THERAPY, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY, HOME HEALTH, HOSPICE AND BEREAVEMENT SERVICES ARE ALSO OFFERED FOR INPATIENTS, OUTPATIENTS AND FOR THE HOMEBOUND. THE CENTER FOR BEHAVIORAL HEALTH OFFERS MENTAL HEALTH SERVICES ON AN OUTPATIENT BASIS FOR ADULTS, INCLUDING GERIATRICS, AND CHILDREN, AGES SIX AND ABOVE. DURING 2014, HALIFAX REGIONAL HOSPITAL SERVED 4,582 INPATIENTS, INCLUDING NEWBORNS, PROVIDED SERVICES TO 86,321 OUTPATIENTS AND HAD 30,203 EMERGENCY DEPARTMENT VISITS. HALIFAX REGIONAL PARTICIPATES IN BOTH MEDICARE AND MEDICAID AND, BASED UPON ITS MISSION TO THE COMMUNITY, PROVIDES SERVICES TO ALL INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. AS A COMMUNITY-OWNED, NOT-FOR-PROFIT ORGANIZATION, HALIFAX REGIONAL HOSPITAL TAKES PRIDE IN ITS MISSION TO PROVIDE CARE TO ALL CITIZENS REGARDLESS OF THEIR ABILITY TO PAY. HALIFAX COUNTY UNINSURED AND UNEMPLOYED STATISTICS AND POVERTY RATES, AS WELL AS THOSE IN THE SURROUNDING COUNTIES, ARE SIGNIFICANTLY HIGHER THAN THE PERCENTAGES FOR THE STATE OF VIRGINIA. ALTHOUGH THE PROVISION OF HEALTHCARE SERVICES TO A GROWING UNINSURED AND UNDERINSURED POPULATION WHILE MAINTAINING FISCAL RESPONSIBILITY IS ONE OF THE GREATEST CHALLENGES THAT HOSPITALS FACE, WE BELIEVE THAT A LACK OF FINANCIAL RESOURCES SHOULD NEVER GET IN THE WAY OF A PATIENT RECEIVING ESSENTIAL HEALTH SERVICES. HRH'S PATIENT FINANCIAL ASSISTANCE POLICY IS DESIGNED TO OFFER LOW-INCOME, UNINSURED AND UNDERINSURED PATIENTS DISCOUNTED CHARGES AT INCREASED PERCENTAGES OF THE FEDERAL POVERTY GUIDELINES (FPG). THE HOSPITAL PROVIDES A 32 PERCENT DISCOUNT FROM CHARGES FOR PATIENTS WITHOUT INSURANCE REGARDLESS OF INCOME. A MEDICALLY INDIGENT DISCOUNT IS PROVIDED FOR INDIVIDUALS AT THE 150% TO 275% FPG BASED UPON TOTAL MEDICAL RELATED BILLS. IN ADDITION TO THE ONGOING COMMUNICATIONS OF THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM THROUGH BROCHURES, POSTINGS THROUGHOUT THE HOSPITAL AND INFORMATION PROVIDED DIRECTLY TO PATIENTS, THE HOSPITAL PLACES AN AD IN LOCAL NEWSPAPERS QUARTERLY TO PUBLICIZE THE PROGRAM. ALTHOUGH THE CHARITY CARE AND UNCOMPENSATED CARE PROVIDED BY HRH INCREASES ANNUALLY, HRH CONSISTENTLY RANKS BY VIRGINIA HEALTH INFORMATION AS ONE OF THE LOWEST CHARGE HOSPITALS IN THE COMMONWEALTH. IN 2014, THE HOSPITAL PROVIDED $16,154,880 IN UNCOMPENSATED CARE (CHARITY AND BAD DEBT). IN ADDITION, THE UN-REIMBURSED VALUE OF PROVIDING CARE TO PATIENTS INSURED BY THE MEDICARE AND MEDICAID PROGRAMS WAS $132,347,002 OR 51 PERCENT OF PATIENT REVENUE.
FORM 990, PART III, LINE 4A	COMMUNITY HEALTH IMPROVEMENT SERVICES & EDUCATION HALIFAX REGIONAL HOSPITAL ENCOURAGES ITS STAFF AND VOLUNTEERS TO CONTINUE THE CARING TRADITIONS OF THOSE CITIZENS WHO WORKED SO DILIGENTLY TO ESTABLISH THE HOSPITAL IN THE EARLY 1950S. TODAY, MANY EMPLOYEES, PHYSICIANS AND VOLUNTEERS HELP STRENGTHEN THE COMMUNITY BY ADDRESSING VARIOUS COMMUNITY HEALTH NEEDS. WHETHER SPONSORING A HEALTH FAIR, PARTICIPATING IN A CHAMBER OF COMMERCE PROJECT, SENDING A SPEAKER TO A SCHOOL CLASSROOM OR CIVIC CLUB, PARTNERING WITH OTHER HEALTHCARE PROVIDERS TO PROVIDE ADDITIONAL OUTREACH SERVICES OR DONATING TO ORGANIZATIONS WITH SIMILAR MISSIONS TO HELP IMPROVE THE QUALITY OF LIFE FOR RESIDENTS OF ALL AGES, 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 HOSPITAL'S WEB SITE AND IN ARTICLES IN LOCAL NEWSPAPERS. FINALLY, A BOOTH ABOUT PROPER HAND WASHING IS A CONSISTENT PRESENCE AT THE HEALTHY LIVING EXPO EACH YEAR AND VISITORS ACTUALLY HAVE THE OPPORTUNITY TO WASH THEIR HANDS AND LEARN ABOUT THE BEST TECHNIQUES TO ENSURE PROPER CLEANLINESS. FOOD AND NUTRITION SERVICES COMMUNITY SERVICE IN ADDITION TO PARTICIPATING IN HALIFAX REGIONAL HOSPITAL'S HEALTH FAIRS, FOOD AND NUTRITION EMPLOYEES PROVIDED DIET AND NUTRITION INFORMATION TO THE PUBLIC (ADULTS AND CHILDREN) IN A VARIETY OF OTHER VENUES INCLUDING CHURCHES, LOCAL BUSINESSES, SUPPORT GROUPS, SCHOOLS AND SPECIAL EVENTS. FOOD AND NUTRITION SERVICES ALSO PARTICIPATED IN THE ANNUAL HEALTHY LIVING EXPO, OFFERING A NUTRITIONAL SNACK - COMPLETE WITH RECIPE - TO VISITORS AT THE EVENT. HEALTHY LIVING EXPO HALIFAX REGIONAL HOSPITAL HOLDS ANNUAL COMMUNITY HEALTH FAIRS IN ITS SERVICE AREA. HRH'S ANNUAL SIGNATURE EVENT, THE HEALTHY LIVING EXPO, WAS HELD AT HALIFAX COUNTY HIGH SCHOOL ON MARCH 16, 2014. 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 LION'S CLUB (VISION AND AMBLYOPIA SCREENING) AND THE YMCA (EXERCISE DEMONSTRATIONS). 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 300 INDIVIDUALS ATTENDED THE EXPO. COMMUNITY HEALTH FAIRS/SCREENINGS OTHER COMMUNITY HEALTH FAIRS IN WHICH HALIFAX REGIONAL HOSPITAL PARTICIPATED AND PROVIDED SCREENINGS (INCLUDING BLOOD PRESSURE, BODY MASS INDEX, CHOLESTEROL AND BLOOD GLUCOSE) DURING 2014 INCLUDED, DOLLAR GENERAL HEALTH FAIR, YMCA ACTIVE OLDER ADULTS DAY, HRH PHYSICIANS AND PROVIDERS SPEAKING TO SENIOR ENGAGEMENT GROUP OF SOUTH BOSTON EACH MONTH. A PROSTRATE SCREENING WAS ALSO HELD AT HALIFAX UROLOGY ASSOCIATES. HEALTHY DIRECTIONS WELLNESS PROGRAM DURING 2014, 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. CHILDBIRTH EDUCATION CLASSES THROUGH THE FAMILY BIRTHING CENTER, HALIFAX REGIONAL HOSPITAL 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 2014 WERE: -PREPARED CHILDBIRTH CLASSES - SIX CLASSES -BREASTFEEDING CLASS - SIX CLASSES -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 DIABETES EDUCATION CLASSES ELEVEN CLASSES WERE OFFERED BY THE DIABETES GROUP CLASS IN 2014. 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. A DIABETES EDUCATOR IS ALSO AVAILABLE TO TEACH AND DEMONSTRATE HOW TO USE A BLOOD SUGAR MONITOR UPON REQUEST. IN MARCH 2014 THE DIABETES EDUCATION DEPARTMENT PARTICIPATED IN THE 2014 HEALTHY LIVING EXPO PROVIDING FREE DIETARY COUNSELING AND LITERATURE TO INTERESTED INDIVIDUALS AND TO THOSE HAVING ELEVATED BLOOD SUGARS FOLLOWING FREE EXPO BLOOD GLUCOSE SCREENINGS. OTHER HEALTH-RELATED PROGRAMS, SEMINARS FOR THE PUBLIC IN ADDITION TO SPEAKERS BUREAU PRESENTATIONS, HALIFAX REGIONAL HOSPITAL HOSTS A NUMBER OF SPECIAL SEMINARS, CALLED HEALTH NITE OUT, FREE OF CHARGE TO THE GENERAL PUBLIC. HRH STAFF PLAN, PROMOTE, IMPLEMENT AND PROVIDE REFRESHMENTS FOR THESE PROGRAMS. 1. UNDERSTANDING THE VARIETY OF SERVICES YOUR COMMUNITY GENERAL SURGEON HAS TO OFFER - HELD IN CHASE CITY, VA AND PRESENTED BY DR. MICHAEL TOZZI IN MARCH 2014. 2. NAVIGATING MENOPAUSE - HELD IN SOUTH BOSTON, VA AND PRESENTED BY FNP/WHNP ASHLEY WESTERN IN APRIL 2014. 3. ALL STRESSED UP AND NOWHERE TO GO - HELD IN SOUTH BOSTON, VA AND PRESENTED BY MICHELLE WEDDLE, LPC FROM BEHAVIORAL HEALTH SERVICES. OFFERED IN MAY 2014. 4. CHRONIC SINUSITIS - HELD IN SOUTH BOSTON, VA AND PRESENTED BY DR. FERNANDO GOMEZ-RIVERA IN JUNE 2014. 5. LITTLE TEETH, BIG SMILES - PRESENTED BY BRIDGET BROWN, D.D.S. OF HALIFAX REGIONAL DENTAL CLINIC IN JULY 2014. OFFERED IN SOUTH BOSTON, VA. 6. GREAT BEGINNINGS: HEALTHY MOM, HEALTHY BABY - PRESENTED IN SOUTH BOSTON, VA IN AUGUST 2014 BY SENECCA KIRKHART, CPNP, IBCLC. 7. I'VE GUT A BAD FEELING - PRESENTED BY DR. BAKUL PATEL IN SOUTH BOSTON, VA IN SEPTEMBER 2014. 8. HEALTH MORNING OUT: BONES 101 - PRESENTED BY DR. MESFIN SHIBESHI AND DR. JAMES TREADWELL IN OCTOBER 2014 IN SOUTH BOSTON, VA. THIS PROGRAM WAS OFFERED IN A NEW FORMAT - SATURDAY MORNING.
FORM 990, PART III, LINE 4A	SPEAKERS BUREAU HALIFAX REGIONAL HOSPITAL'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. SUPPORT GROUPS ON A BI-MONTHLY BASIS, HALIFAX REGIONAL HOSPITAL ADVERTISES MEETINGS FOR SUPPORT GROUPS AND INFORMATION CLASSES THAT THE COMMUNITY IS INVITED TO ATTEND. MANY OF THESE SUPPORT GROUPS HAVE LONG-STANDING MEMBERSHIPS AND AS NEW NEEDS ARE IDENTIFIED, HRH WORKS TO ENSURE THAT NEW GROUPS ARE ADDED. THE HOSPITAL 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 2014. 2. THE ARC OF SOUTHERN VIRGINIA, MET MONTHLY DURING 2014, EXCEPT FOR THE SUMMER MONTHS OF JUNE, JULY AND AUGUST. THE GROUP GIVES PARENTS AND GRANDPARENTS AN OPPORTUNITY TO SHARE SUCCESSES WITH OTHERS WHO CARE FOR CHILDREN WITH AUTISTIC TENDENCIES. HALIFAX REGIONAL HOSPITAL 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, EXCEPT FOR THE MONTHS OF DECEMBER, JANUARY AND FEBRUARY. EACH SESSION ALTERNATES BETWEEN GROUP DISCUSSIONS AND PROGRAMS PROVIDED BY HOSPITAL EMPLOYEES, PHYSICIANS, OR GUESTS FROM THE COMMUNITY. 4. STROKE/APHASIA SUPPORT GROUP MET FOUR TIMES DURING 2014. THE MEETINGS ARE HELD AT HALIFAX REGIONAL HOSPITAL AND ARE OPEN TO STROKE SURVIVORS, STROKE CAREGIVERS AND FRIENDS, AND ANYONE WISHING TO KNOW MORE ABOUT STROKE AND APHASIA. 5. R.I.S.E. (RESOURCE INFORMATION SESSIONS OF ENCOURAGEMENT) MET 8 TIMES DURING 2014 AND SERVED AS A BEREAVEMENT SUPPORT GROUP FOR THE COMMUNITY. SESSIONS WERE LED BY HALIFAX REGIONAL HOSPITAL HOSPICE STAFF AND MEETINGS WERE 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. 6. NARCOTICS ANONYMOUS - THIS GROUP MEETS WEEKLY AT THE HOSPITAL. THE HOSPITAL PROVIDES FREE SPACE AND ADVERTISING. 7. CANCER SUPPORT GROUP (HOPE) - DURING 2014, HALIFAX REGIONAL HOSPITAL 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. 8. ALZHEIMER'S SUPPORT GROUP - MEETING MONTHLY, THIS GROUP IS FACILITATED BY A HOSPITAL EMPLOYEE. HRH ADVERTISES ITS MEETINGS. SESSIONS ARE DESIGNED TO PROVIDE EDUCATION AND SUPPORT TO INDIVIDUALS CARING FOR SOMEONE WITH ALZHEIMER'S DISEASE OR RELATED DEMENTIAS. FOR YOUR GOOD HEALTH CALENDAR AD HALIFAX REGIONAL HOSPITAL OFFERS A BI-MONTHLY CALENDAR AD, "FOR YOUR GOOD HEALTH," WHICH ADVERTISES FREE EVENTS IN FOUR LOCAL NEWSPAPERS IN ITS SERVICE AREA. THE AD IS PRINTED IN EACH NEWSPAPER'S FIRST EDITION OF THE WEEK AND PROVIDES INFORMATION AND DATES FOR CHILDBIRTH AND DIABETES GROUP CLASSES, SUPPORT GROUP MEETINGS AND OTHER COMMUNITY/HEALTH SYSTEM-SPONSORED WELLNESS PROGRAMS. CONTACT PERSONS AND PHONE NUMBERS ARE LISTED FOR ACCESS TO REGISTRATION AND/OR MORE INFORMATION. COMMUNITY HEALTH NEWS MAGAZINE HALIFAX REGIONAL HOSPITAL'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 THE HOSPITAL, MEADOWVIEW TERRACE, SEASONS AT 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 HALIFAX REGIONAL HOSPITAL'S MARKETING AND EDUCATION DEPARTMENTS. INFORMATION IS PLACED IN WAITING ROOMS, ON HOSPITAL NURSING UNITS OR MAY BE REQUESTED THROUGH THE MAIL. LITERATURE IS ALSO DISTRIBUTED BY SPEAKERS BUREAU PARTICIPANTS, AT SUPPORT GROUP MEETINGS, HEALTH NITE OUTS AND AT SCREENING EVENTS. HALIFAX REGIONAL IS OFTEN ASKED TO SUPPLY EDUCATIONAL MATERIALS TO CHURCHES, SCHOOLS AND COMMUNITY GROUPS THAT HOLD HEALTH FAIRS IN THEIR RESPECTIVE FACILITIES. THIS LITERATURE COVERS RISK FACTORS FOR HEART ATTACK AND STROKE; WAYS TO IDENTIFY HYPERTENSION, HIGH CHOLESTEROL, DIABETES AND MENTAL HEALTH PROBLEMS AS WELL AS GOOD NUTRITION AND EXERCISE. HALIFAX REGIONAL HOSPITAL'S COMMUNITY NEWSLETTER REFERENCES THE HALIFAX REGIONAL HOSPITAL 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 8500 UNIQUE VISITS EACH MONTH. ALSO ON THE HRHS 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.
FORM 990, PART III, LINE 4A	YOUR HOSPITAL STAY PATIENT BOOKLET "YOUR HOSPITAL STAY", 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, WAS STARTED IN 2013 AND CONTINUED IN 2014. THE PUBLICATION WAS SHAPED OUT OF AN IDEA FROM HALIFAX REGIONAL HOSPITAL'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 ON TELEPHONE USE 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. HEALTH PROFESSIONS EDUCATION THE PROJECT PRIME SCHOLARSHIP ENDOWMENT FUND (PROJECT PRIME), WHICH PROVIDES FINANCIAL ASSISTANCE TO THOSE IN THE REGION WHO WANT TO PURSUE A CAREER IN HEALTHCARE OR A HEALTHCARE-RELATED FIELD IS ADMINISTERED AND PROMOTED BY HALIFAX REGIONAL HOSPITAL. IN 2014, $97,000 WAS AWARDED TO 65 INDIVIDUALS. THE DR. JESSE J. BATES SCHOLARSHIP PROGRAM WAS STARTED IN 2002 IN HONOR OF DR. JESSE J. BATES, ONE OF TWELVE PHYSICIANS ON HALIFAX REGIONAL HOSPITAL'S MEDICAL STAFF WHEN THE HOSPITAL OPENED IN 1953. IN 2014, THE BATES SCHOLARSHIP PROVIDED $6,000 IN SCHOLARSHIP FUNDS TO SIX GRADUATING HIGH SCHOOL SENIORS FROM THE HALIFAX REGIONAL HEALTH SYSTEM SERVICE AREA. THE PURPOSE OF THE SCHOLARSHIP IS TO ENCOURAGE HIGH SCHOOL SENIORS TO SEEK EDUCATION TO FILL CRITICAL HEALTHCARE VACANCIES AND ACQUIRE SKILLS FOR USE WITH TECHNOLOGICALLY ADVANCED EQUIPMENT AND TREATMENT THERAPIES. THE SCHOLARSHIP ENDOWMENT FUND RECEIVES DONATIONS FROM THE COMMUNITY AND THE LATE DR. BATES' FAMILY. THIS SCHOLARSHIP IS ADMINISTERED AND PROMOTED BY HALIFAX REGIONAL HOSPITAL. CONTINUING MEDICAL EDUCATION (CME) PROGRAM HRH IS ACCREDITED BY THE MEDICAL SOCIETY OF VIRGINIA TO SPONSOR CONTINUING MEDICAL EDUCATION (CME) FOR PHYSICIANS. THE CME PROGRAM IS OPEN TO ALL PHYSICIANS AND PHYSICIANS EXTENDERS IN OUR SERVICE AREA, AS WELL AS TO OUR MEDICAL STUDENTS. THE MISSION OF THE CME PROGRAM IS TO PROVIDE PHYSICIANS WITH THE LATEST EVIDENCE-BASED MEDICAL KNOWLEDGE AND TECHNICAL SKILLS. EDUCATIONAL PROGRAMS ARE PLANNED BASED ON IDENTIFIED EDUCATIONAL NEEDS THAT UNDERLIE THE PROFESSIONAL PRACTICE GAPS OF OUR LEARNERS. FINANCIAL AND IN-KIND CONTRIBUTIONS HALIFAX REGIONAL COMMUNITY PARTNERSHIP PROGRAM AS A CORNERSTONE ORGANIZATION IN OUR REGION, HALIFAX REGIONAL HOSPITAL TAKES SERIOUSLY ITS RESPONSIBILITY TO BE AN ACTIVE CORPORATE CITIZEN. HRH CONTRIBUTES TO VARIOUS ORGANIZATIONS THAT SHARE ITS MISSION TO PROMOTE GOOD HEALTH AND WELLNESS AND TO HELP IMPROVE THE QUALITY OF LIFE OF ALL AGES. AS PART OF THE HALIFAX REGIONAL HOSPITAL'S CONTINUED ACTIVE COMMUNITY INVOLVEMENT, THE HALIFAX REGIONAL COMMUNITY PARTNERSHIP PROGRAM WAS ESTABLISHED IN FY05 TO ENABLE HRH TO MAXIMIZE ITS RESOURCES TO PROVIDE THE GREATEST BENEFIT TO CITIZENS IN SOUTHSIDE VIRGINIA. GUIDELINES FOR REQUESTS HELP ANSWER IMPORTANT QUESTIONS THAT ENABLE THE PROGRAM TO DISPERSE RESOURCES IN THE MOST EFFECTIVE MANNER. IN 2014, $63,466 WAS DONATED TO SUPPORT COMMUNITY PROGRAMS IN OUR SERVICE AREA. ADDITIONALLY, HUNDREDS OF HEALTH EDUCATION BROCHURES AND GIVEAWAYS WERE PROVIDED TO COMMUNITY ORGANIZATIONS TO HELP SUPPORT THEIR EVENTS AND PROGRAMS. MEDICATION ASSISTANCE PROGRAM WITH FUNDING SUPPORT FROM THE VIRGINIA HEALTH CARE FOUNDATION, THE CHASTAIN HOME AND THE HALIFAX REGIONAL DEVELOPMENT FOUNDATION, MEDASSIST OF HALIFAX PROVIDES MEDICATION ASSISTANCE TO LOW INCOME, UNINSURED AND UNDERINSURED RESIDENTS IN HALIFAX AND MECKLENBURG COUNTIES. MEDASSIST OF HALIFAX COLLABORATES WITH OTHER HEALTHCARE PROVIDERS AND AGENCIES IN THE AREA TO IDENTIFY INDIVIDUALS WHO CAN BENEFIT FROM THIS SERVICE. THIS PROGRAM PROVIDES PARTICIPANTS A STABLE PROCESS FOR RECEIVING LIFE SUSTAINING AND/OR PREVENTIVE MEDICATIONS. HALIFAX COUNTY HAS A HIGHER INCIDENCE THAN THE STATE MEDIAN FOR HEALTH CONDITIONS FOR WHICH HOSPITALIZATIONS CAN BE PREVENTED WITH CONSISTENT, AVAILABLE AMBULATORY CARE AND GOOD PATIENT COMPLIANCE WITH TREATMENT/SELF PROTOCOLS, INCLUDING HYPERTENSION, ASTHMA AND DIABETES. COMPLIANCE WITH PRESCRIBED COURSES OF MEDICATION IMPROVES THE QUALITY OF LIFE FOR PATIENTS, WHILE DECREASING THE NUMBER OF HOSPITAL VISITS OF PATIENTS WHO RETURN DUE TO INABILITY TO COMPLY. EMERGENCY DEPARTMENT VISITS PRECIPITATED BY CONDITIONS WHICH COULD HAVE BEEN MANAGED WITH COMPLIANCE WITH THE PRESCRIBED MEDICATION REGIMEN ARE EXPECTED TO ALSO BE REDUCED. THIS PROGRAM IS ADMINISTERED THROUGH THE HALIFAX REGIONAL DEVELOPMENT FOUNDATION, INC. DURING 2014, 1,325 PATIENTS RECEIVED MEDICATIONS VALUED AT $5,496,170. CENTER FOR NURSING EXCELLENCE RECOGNIZING THE LOCAL, STATE AND NATIONAL NURSING SHORTAGE, HALIFAX REGIONAL HOSPITAL'S CEO ENVISIONED A NURSING EDUCATION CENTER THAT WOULD ELIMINATE THE TRADITIONAL BARRIERS FOR NURSING STUDENTS SUCH AS COMMUTING, SCHEDULING, WAITING LISTS AND INADEQUATE CAREER PREPARATION. DIRECTING THE EFFORT TO ESTABLISH SUCH A SITE, HRH'S 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 2014, HALIFAX REGIONAL HOSPITAL CONTRIBUTED $16,361 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 2014 EMPLOYEES, PHYSICIANS AND VOLUNTEERS AT HALIFAX REGIONAL HOSPITAL AGAIN PARTICIPATED IN SODEXO SERVICES' "SERVATHON," A NATIONWIDE FOOD DRIVE CONDUCTED EACH APRIL TO HELP PUT FOOD ON THE TABLES OF THOSE HAVING DIFFICULTY PROVIDING FOR THEIR FAMILIES. STAFF MEMBERS AND OTHERS COLLECTED OVER $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.
FORM 990, PART III, LINE 4A	"SAMANTHA DOLL" PROJECT "SAMANTHA" DOLLS ARE PART OF A NATIONWIDE EFFORT TO DISTRIBUTE HUGGABLE, THERAPEUTIC DOLLS TO TERMINALLY ILL PATIENTS OF ALL AGES. HALIFAX REGIONAL HOSPICE JOINS MORE THAN 2,500 HOSPICE PROVIDERS THROUGHOUT THE UNITED STATES IN DISTRIBUTING THESE FREE DOLLS TO THEIR PATIENTS. HALIFAX REGIONAL HOSPITAL DISTRIBUTES THEM AS WELL. WOMEN FROM LOCAL MISSIONARY UNIONS IN THE DAN RIVER BAPTIST ASSOCIATION SEW THE DOLLS AND PROVIDE THEM FOR LOCAL HOSPICE AND HOSPITAL PATIENTS. DURING 2014, APPROXIMATELY 102 DOLLS WERE DISTRIBUTED TO PATIENTS IN HOMES, THE HOSPITAL AND NURSING FACILITIES. RESCUE SQUAD AND FIRE DEPARTMENT TRAINING HALIFAX REGIONAL HOSPITAL PROVIDES SUPPLIES AND OTHER ASSISTANCE TO HELP LOCAL RESCUE SQUAD MEMBERS MEET LOCAL, STATE AND FEDERAL PATIENT SAFETY GUIDELINES. THE HOSPITAL ALSO MAKES DONATIONS TO LOCAL FIRE DEPARTMENTS AND RESCUE SQUADS TO HELP THEM WITH THEIR RESPECTIVE FUNDRAISING ACTIVITIES. AN HRH EMERGENCY ROOM PHYSICIAN SERVES AS AN OPERATIONAL MEDICAL DIRECTOR FOR EMS AGENCIES. DURING NATIONAL EMS WEEK, HRH AWARDED EACH RESCUE SQUAD $250 THROUGH HALIFAX REGIONAL COMMUNITY PARTNERSHIP. SPORTS PHYSICALS MEMBERS OF HALIFAX REGIONAL HOSPITAL'S MEDICAL STAFF, INCLUDING PHYSICIANS, NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS, PROVIDE FREE SPORTS PHYSICALS FOR HALIFAX COUNTY MIDDLE SCHOOL, BLUESTONE MIDDLE SCHOOL AND BLUESTONE HIGH SCHOOL STUDENTS WHO PARTICIPATE IN FALL, WINTER, SPRING AND SUMMER SCHOOL SPORTS PROGRAMS. IN 2014 PROVIDERS COMPLETED APPROXIMATELY 160 PHYSICALS FOR MIDDLE AND HIGH SCHOOL STUDENTS IN BOTH THE PRIMARY AND EXTENDED SERVICE AREA FOR HRHS. FACILITY USE HALIFAX REGIONAL HOSPITAL AND THE LONG TERM CARE AFFILIATES PROVIDE FREE SPACE AND AVAILABLE EQUIPMENT FOR AREA WELLNESS PROGRAMS, COMMUNITY MEETINGS AND CLINICAL TRAINING PROGRAMS. EXAMPLES INCLUDE: ECONOMIC DEVELOPMENT COMMISSION, HALIFAX COUNTY PUBLIC SCHOOL FOUNDATION, WEIGHT WATCHERS, UNITED WAY BOARD MEETINGS, LOCAL MINISTER'S CONFERENCE, DIXIE SOFTBALL MEETING, CREDIT UNION, 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. HALIFAX REGIONAL HOSPITAL SERVED AS A CLINICAL SITE FOR: -RN AND LPN STUDENTS, SOUTHSIDE VIRGINIA COMMUNITY COLLEGE -PHYSICAL THERAPY STUDENTS FROM REGIS UNIVERSITY, DENVER, COLORADO -PHYSICAL THERAPY ASSISTANT STUDENTS, JEFFERSON COLLEGE HEALTH SCIENCES -SPEECH LANGUAGE PATHOLOGY STUDENTS FROM LONGWOOD COLLEGE -AGREEMENTS ARE ALSO HELD TO SERVE AS A TRAINING SITE FOR STUDENTS FROM EAST CAROLINA UNIVERSITY, UNIVERSITY OF NORTH CAROLINA-CHAPEL HILL, SHENANDOAH, JAMES MADISON UNIVERSITY, APPALACHIAN STATE UNIVERSITY, MEDICAL UNIVERSITY OF SOUTH CAROLINA, WINSTON SALEM STATE UNIVERSITY, ELON, LYNCHBURG COLLEGE AND RADFORD UNIVERSITY. -RESPIRATORY THERAPY STUDENTS FROM J. SERGEANT REYNOLDS COMMUNITY COLLEGE -RADIOLOGY TECHNOLOGISTS PROGRAM, CVCC, LYNCHBURG, VA -EMS STUDENTS FROM LOCAL EMS CLASSES COMPLETED THEIR TRAINING AT DIFFERENT LEVELS. OTHER STUDENTS FROM SOUTH HILL, FARMVILLE AND RICHMOND ALSO PERFORMED THEIR TRAINING AT HALIFAX REGIONAL HOSPITAL. -PHARMACY STUDENTS, MEDICAL COLLEGE OF VIRGINIA -PHARMACY TECHNICIAN STUDENTS, NATIONAL BUSINESS COLLEGE, MILLER MOTT TECHNICAL COLLEGE -DOCTOR OF PHARMACY STUDENTS, MEDICAL COLLEGE OF VIRGINIA 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 HALIFAX REGIONAL HOSPITAL CONTINUES TO PARTICIPATE IN REGIONAL AND LOCAL EXERCISES TO TEST THE EMERGENCY OPERATIONS PLAN AND TO CONDUCT INTERNAL EXERCISES. THESE INITIATIVES HELP HALIFAX REGIONAL HOSPITAL PREPARE FOR AND COORDINATE CRISIS RESPONSE AND RECOVERY OPERATIONS WITH STATE, LOCAL AND FEDERAL AGENCIES IN THE EVENT OF A BIOTERRORIST EVENT/DISASTER. OUTSIDE THE REALM OF THE GRANT FUNDING, HALIFAX REGIONAL HOSPITAL SUPPLIED THE EMPLOYEE TIME INVOLVED IN TRAINING FOR COMMUNITY EMERGENCY PREPAREDNESS AS WELL AS FOR COMMUNITY DISASTER TRAINING DRILLS. OUR FOCUS CONTINUES TO BE ON PREPARING THE HOSPITAL STAFF AND THE COMMUNITY FOR "ALL HAZARDS." SUBSIDIZED HEALTH SERVICES SUB-ACUTE CARE UNIT SUB-ACUTE CARE IS COMPREHENSIVE INPATIENT CARE DESIGNED FOR SOMEONE WHO HAS HAD AN ACUTE ILLNESS, INJURY, OR EXACERBATION OF A DISEASE PROCESS. ITS PURPOSE IS TO PROVIDE GOAL-ORIENTED TREATMENT TO PROMOTE HEALTH RECOVERY AFTER AN ACUTE EPISODE REQUIRING HOSPITALIZATION. IN 2014, THE SUB-ACUTE UNIT PROVIDED FULL SERVICE DESPITE A FINANCIAL LOSS OF $557,441 (NEGATIVE MARGIN SERVICE).
FORM 990, PART III, LINE 4A	OTHER VOLUNTEER SERVICES PROGRAM THE VOLUNTEER AUXILIARY OF HALIFAX REGIONAL HOSPITAL 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 BABY BLANKETS, BEARS, FISH, WALKER BAGS AND CHRISTMAS STOCKINGS FOR NEWBORNS DURING THE HOLIDAY SEASON. IN 2014, THE GROUP CONTINUED MANAGING PROGRAMS SUCH AS THE COOKIE CUTTERS AND PET THERAPY, AND THE CARE CART PROGRAM AS WELL MANY OTHER AREAS THROUGHOUT THE HOSPITAL. VOLUNTEERS IN HALIFAX REGIONAL HOSPICE VISIT HOSPICE PATIENTS WHERE THEY LIVE, PROVIDING LIFE-ENHANCING ASSISTANCE TO PATIENTS AND THEIR FAMILIES. DURING 2014, 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 A HALIFAX REGIONAL HOSPITAL EMPLOYEE. CHAPLAINCY PROGRAM THE CHAPLAIN PROGRAM (PASTORAL CARE SERVICES) LED BY THE 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 HALIFAX REGIONAL'S LONG-TERM CARE FACILITIES. THE CHAPLAIN MAINTAINS A LISTENING/EDUCATIONAL PRESENCE FOR LOCAL CLERGY AS WELL AS THE COMMUNITY ON ISSUES RELATED TO SPIRITUALITY AND HEALTH CARE. IN 2014, THE HOSPITAL CHAPLAIN SPOKE TO VARIOUS COMMUNITY GROUPS ON ADVANCE DIRECTIVES, AND LED EDUCATIONAL OPPORTUNITIES FOR LOCAL CLERGY. ACCESS TO INFORMATION THE MARKETING AND COMMUNICATION DEPARTMENT'S PHONE NUMBER IS LISTED ON "HEALTH NITE OUT" AND OTHER WELLNESS PROGRAM ADS PROMOTING HEALTH EDUCATION PROGRAMS. THIS NUMBER IS ALSO LISTED IN HALIFAX REGIONAL HOSPITAL'S LIFE AND HEALTH NEWSLETTER, WHICH IS MAILED QUARTERLY TO MORE THAN 31,000 HOUSEHOLDS IN THE HOSPITAL'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 HOSPITAL'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 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 6	THE ORGANIZATION'S SOLE MEMBER WAS SENTARA HEALTHCARE, A VIRGINIA NONSTOCK CORPORATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE.
FORM 990, PART VI, SECTION A, LINE 7A	THE BOARD OF DIRECTORS, WHICH SERVED AS THE ORGANIZATION'S GOVERNING BODY, WAS ELECTED AS FOLLOWS: SENTARA HEALTHCARE, THE 501(C)(3) SOLE MEMBER OF THE ORGANIZATION, APPOINTED THE CLASS B DIRECTORS AND RATIFIED THE CLASS A DIRECTORS. CLASS A DIRECTORS WERE NOMINATED BY THE ORGANIZATION'S NOMINATING 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 ANY SUCH VOLUNTARY DISSOLUTION PROCEEDINGS, OR ANY DECISION TO FILE A PETITON 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 OF 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 SENTARA 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 PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	THE CONFLICT OF INTEREST QUESTIONNAIRE IS DISTRIBUTED TO EACH BOARD MEMBER IN JANUARY EVERY YEAR. THE QUESTIONNAIRE MUST BE COMPLETED BY ALL MEMBERS. A REPORT OF THE DISCLOSED POTENTIAL CONFLICTS IS PRESENTED BY THE SOLE MEMBER'S BOARD CHAIRMAN TO ITS BOARD IN EXECUTIVE SESSION ANNUALLY. IF IT IS DETERMINED BY THE SOLE MEMBER'S 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 SOLE MEMBER'S BOARD SECRETARY, BOARD PRESIDENT, AND MEDICAL STAFF PRESIDENT, THE MATTER WILL BE REVIEWED AND ADDRESSED BY THE SOLE MEMBER'S 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 SOLE MEMBER'S EXECUTIVE COMMITTEE, A RECOMMENDATION WILL BE MADE TO REMOVE THE AFFECTED BOARD MEMBER FROM THE BOARD. IN SUCH CASE WHERE REMOVAL IS RECOMMENDED, SUCH REMOVAL PROCEDURES OUTLINED IN THE CORPORATE BYLAWS WILL BE FOLLOWED. THE RESPONSES TO THE ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE ARE RETAINED BY THE SOLE MEMBER'S BOARD SECRETARY.
FORM 990, PART VI, SECTION B, LINE 15	AS PART OF THE SENTARA HEALTHCARE SYSTEM ("THE SYSTEM"), THE ORGANIZATION FOLLOWED PROCESSES AND PROCEDURES SET FORTH IN ITS GOVERNING DOCUMENTS TO ENSURE COMPLIANCE WITH ITS OBLIGATIONS AS A 501(C)(3) HEALTHCARE ORGANIZATION TO PAY DISQUALIFIED PERSONS REASONABLE COMPENSATION. SUCH PROCESSES AND PROCEDURES ARE INTENDED TO ESTABLISH THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERNAL REVENUE CODE SECTION 4958 REGULATIONS. THE COMPENSATION PHILOSOPHY OF THE SYSTEM AS A WHOLE IS TO BASE OVERALL COMPENSATION AND BENEFITS FOR EXECUTIVES ON NOT-FOR-PROFIT MARKET COMPARABLES, ADJUSTED AS APPLIED TO EACH EXECUTIVE, TAKING INTO CONSIDERATION THE INDIVIDUAL SKILLS, EXPERIENCE, TENURE AND PERFORMANCE OF THE EXECUTIVE BEING COMPENSATED AND OVERALL PERFORMANCE OF THE ORGANIZATION. IN LINE WITH THIS PHILOSOPHY, THE SYSTEM PERFORMED SUBSTANTIAL DUE DILIGENCE AS TO MARKET COMPARABLES. THE SYSTEM'S COMPENSATION COMMITTEE, WHICH CONSISTS OF SYSTEM BOARD MEMBERS WITHOUT CONFLICTS OF INTERESTS, ENGAGED AN OUTSIDE CONSULTANT, WHO REPORTS TO THE COMPENSATION COMMITTEE, TO CONDUCT A STUDY ASSESSING THE COMPETITIVENESS OF TOTAL COMPENSATION (INCLUDING CASH COMPENSATION, BENEFITS AND PERQUISITES) OF ITS SENIOR EXECUTIVES PRIOR TO MAKING DECISIONS REGARDING ANNUAL BASE SALARY ADJUSTMENTS, APPROVING INCENTIVE AWARDS, OR CONSIDERING PROGRAMMATIC CHANGES. THE STUDY COMPARED THE COMPENSATION OF THE SYSTEM'S SENIOR EXECUTIVES TO COMPENSATION DATA FROM MULTIPLE PUBLISHED SURVEY SOURCES BASED ON THE SENIOR EXECUTIVE'S FUNCTIONAL RESPONSIBILITY. IN CONDUCTING THE STUDY, THE CONSULTANT TARGETED OTHER NOT-FOR-PROFIT HEALTH SYSTEMS OF SIMILAR SIZE BASED ON NET REVENUE AND COMPLEXITY. FOR HEALTH PLAN POSITIONS, HEALTH PLANS WITH SIMILAR PREMIUMS, OR MEMBERS, WERE TARGETED. THE CONSULTANT ALSO CONDUCTS A REVIEW OF THE ORGANIZATION'S PERFORMANCE RELATIVE TO A GROUP OF NOT-FOR-PROFIT HEALTH SYSTEMS OF COMPARABLE SIZE AND SCOPE OF OPERATIONS EVERY YEAR. THE MOST RECENT STUDY COMPARED SENTARA'S PERFORMANCE TO 30 NOT-FOR-PROFIT HEALTHCARE SYSTEMS BASED ON NET REVENUE GROWTH, OPERATING MARGIN, BOND RATING, AND QUALITATIVE PERFORMANCE MEASURES BASED ON RANKINGS FROM SDI'S NATIONAL TOP INTEGRATED HEALTH NETWORKS. OVERALL, THE CONSULTANT DETERMINED THAT SENTARA'S PAY WAS ALIGNED WITH ITS RELATIVE PERFORMANCE. THE COMPENSATION STUDY WAS PRESENTED TO THE SYSTEM'S COMPENSATION COMMITTEE, WHICH MADE ITS COMPENSATION DECISIONS BASED ON A) ITS REVIEW AND ANALYSIS OF THE PERFORMANCE OF BOTH THE ORGANIZATION AND ITS SENIOR EXECUTIVES AND, B) A REASONABLENESS OF COMPENSATION ANALYSIS AND OPINION FROM AN EXTERNAL EXPERT IN THE COMPENSATION OF EXECUTIVES IN THE TAX-EXEMPT HEALTH CARE FIELD. THE COMMITTEE'S BASES FOR ITS DECISIONS WERE DOCUMENTED IN COMMITTEE MINUTES TAKEN DURING THE MEETING AND THEN CIRCULATED FOR REVIEW AND APPROVAL. ALL DECISIONS REGARDING COMPENSATION WERE MADE BY THE COMMITTEE, WHICH CONSISTS OF SYSTEM BOARD MEMBERS WITHOUT CONFLICT OF INTERESTS. THIS PROCESS WAS USED TO ESTABLISH COMPENSATION FOR THE ORGANIZATION'S VICE CHAIRMAN, WHO ALSO SERVE AS CORPORATE VICE PRESIDENT OF THE SYSTEM. THE PROCESS WAS LAST UNDERTAKEN DURING 2014. THE OUTSIDE MARKET STUDY DESCRIBED ABOVE WAS ALSO USED TO ESTABLISH COMPENSATION FOR THE ORGANIZATION'S PRESIDENT, WHO IS CONSIDERED THE TOP MANAGEMENT OFFICIAL OF THE ORGANIZATION, AND THE ORGANIZATION'S CFO. RESULTS WERE PRESENTED TO SENIOR EXECUTIVES OF THE SYSTEM FOR REVIEW AND APPROVAL RATHER THAN THE SYSTEM'S COMPENSATION COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 19	THE CONSOLIDATED FINANCIAL STATEMENTS FOR SENTARA HEALTHCARE AND SUBSIDIARIES WERE MADE PUBLICLY AVAILABLE THROUGH THE USE OF DAC BOND (DISCLOSURE DISSEMINATION AGENT) AND CAN BE FOUND ON THE INTERNET AT WWW.DACBOND.COM. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY ARE GENERALLY NOT MADE AVAILABLE TO THE PUBLIC.
CORE PART VI LINES 1A AND 1B, BOARD MEMBER INDEPENDENCE	SENTARA HEALTHCARE, THE ORGANIZATION'S 501(C)(3) SOLE MEMBER, APPOINTS THE ORGANIZATION'S CLASS B DIRECTORS AND RATIFIES ITS CLASS A DIRECTORS THAT ARE APPOINTED BY THE ORGANIZATION'S NOMINATION COMMITTEE. THE GOVERNING BOARD OF SENTARA HEALTHCARE IS A COMMUNITY-BASED BOARD COMPRISED OF 18 VOTING MEMBERS, 16 OF WHICH ARE CONSIDERED INDEPENDENT, AS DEFINED IN THE FORM 990 INSTRUCTIONS.
FORM 990, PART XI, LINE 9:	CHANGE IN PENSION LIABILITY -2,970,336. BOOK RECLASS OF INTERCO ACCOUNT BALANCES TO EQUITY 1,890,705. NET ASSET TRANSFER FROM SUBSIDIARIES 4,029,213.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2014

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" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

HALIFAX REGIONAL HOSPITAL INC

Employer identification number

54-0648699

Part I

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

(a) Name, address, and EIN (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	100,561	HALIFAX REGIONAL HOSPITAL INC

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled 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 HEALTH SYSTEM INC 2204 WILBORN AVENUE SOUTH BOSTON,VA24592 54-1801466	HEALTH CARE	VA	501(C)(3)	11B TYPE II	N/A		No
(2) SENTARA HEALTHCARE 6015 POPLAR HALL DRIVE NORFOLK,VA23502 52-1271901	HEALTH CARE	VA	501(C)(3)	LN7_NORMALGOVTSUPPOR	N/A		No
(3) 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
(4) HALIFAX REGIONAL DEV FOUNDATION INC 2204 WILBORN AVENUE SOUTH BOSTON,VA24592 54-1801459	HLTH/WELFARE	VA	501(C)(3)	11A TYPE I	HALIFAX REGIONAL HOSPITAL	Yes
(5) 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
(6) SENTARA 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
(7) TIDEWATER HEALTH CARE INC 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) SENTARA RMH MEDICAL CENTER 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	SENTARA RMH MEDICAL CENTER	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) 2014

Page 2

Part III

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI 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 V-UBI 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) ORTHOPAEDIC HOSPITAL MANAGEMENT LLC 3000 COLISEUM DRIVE HAMPTON,VA23666 27-4185117	MGT SVCS	VA	N/A
(14) CAREPLEX ORTHOPAEDIC ASC LLC 3000 COLISEUM DRIVE HAMPTON,VA23666 27-1867311	HEALTH CARE	VA	N/A
(15) PHYSICAL THERAPY ACACLLC 501 ALBEMARLE SQUARE CHARLOTTESVILLE,VA22901 26-0080717	HEALTH CARE	VA	N/A
(16) MNS SUPPLY CHAIN NETWORK LLC 2085 FRONTIS PLAZA BLVD WINSTON SALEM,NC27103 45-4235238	GPO	DE	N/A
(17) LAKE RIDGE AMBULATORY SURGERY CENTER LLC 12825 MINNIEVILLE RD STE 204 WOODBRIDGE,VA22192 45-5347932	HEALTH CARE	VA	N/A
(18) ALETA HEALTH LLC 2300 OPITZ BLVD WOODBRIDGE,VA22191 46-5661314	MSO	DE	N/A

Part IV

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(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) SENTARA SOUTHSIDE HEALTH SERVICES INC 2204 WILBORN AVENUE SOUTH BOSTON,VA24592 54-1417772	HEALTH SERVICES	VA	HALIFAX REGIONAL HOSPITAL INC	C	1,651,742	346,514	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	29,849,286	4,605,715	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
(16) ALBEMARLE PHYSICIAN SERVICES-SENTARA INC 1144 NORTH ROAD STREET ELIZABETH CITY,NC27909 26-4592192	PHYS PRACTICE	NC	N/A	C				Yes
(17) SENTARA HEALTH PLANS OF OHIO INC 4417 CORPORATION LANE VIRGINIA BEACH,VA23462 47-1509408	TPA	OH	N/A	C				Yes
(18) SENTARA HEALTH INSURANCE CO OF NC 4417 CORPORATION LANE VIRGINIA BEACH,VA23462 47-1888140	HEALTH INSURANCE	NC	N/A	C				Yes
(19) SENTARA HEALTH PLANS OF NC INC 4417 CORPORATION LANE VIRGINIA BEACH,VA23462 46-5510421	TPA	NC	N/A	C				Yes

Schedule R (Form 990) 2014

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on 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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) HALIFAX REGIONAL DEVELOPMENT FOUNDATION INC	C	96,000	CORP BOOKS/REC
(2) HALIFAX REGIONAL DEVELOPMENT FOUNDATION INC	B	57,472	CORP BOOKS/REC
(3) SENTARA HALIFAX REGIONAL PROPERTIES INC	K	87,660	CORP BOOKS/REC
(4) SENTARA HALIFAX REGIONAL PROPERTIES INC	L	131,427	CORP BOOKS/REC
(5) SENTARA HALIFAX REGIONAL PROPERTIES INC	Q	77,964	CORP BOOKS/REC
(6) HALIFAX REGIONAL LONG TERM CARE INC	O	628,463	CORP BOOKS/REC
(7) HALIFAX REGIONAL LONG TERM CARE INC	Q	2,191,920	CORP BOOKS/REC
(8) HALIFAX REGIONAL LONG TERM CARE INC	S	3,639,151	CORP BOOKS/REC
(9) CLARKSVILLE SENIOR CARE LLC	O	490,169	CORP BOOKS/REC
(10) CLARKSVILLE SENIOR CARE LLC	Q	1,072,559	CORP BOOKS/REC
(11) CLARKSVILLE SENIOR CARE LLC	S	390,622	CORP BOOKS/REC
(12) SENTARA SOUTHSIDE HEALTH SERVICES INC	Q	223,925	CORP BOOKS/REC
(13) DOMINION HEALTH MEDICAL ASSOCIATES LTD	B	6,675,000	CORP BOOKS/REC
(14) DOMINION HEALTH MEDICAL ASSOCIATES LTD	O	2,333,559	CORP BOOKS/REC
(15) DOMINION HEALTH MEDICAL ASSOCIATES LTD	Q	1,914,923	CORP BOOKS/REC
(16) OPTIMA HEALTH PLAN	L	5,089,896	CORP BOOKS/REC

Schedule R (Form 990) 2014

Page 4

Part VI

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

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

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

Schedule R (Form 990) 2014

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2014

Additional Data

Software ID:
Software Version:

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	530,699	1,671,904
9	Program service revenue (Part VIII, line 2g) .........	27,824,253	86,312,827
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	733,935	7,357,950
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	179,650	689,796
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	29,268,537	96,032,477
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	2,187,531	6,769,606
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)	12,978,951	37,814,397
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 76,198
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	15,675,914	46,808,487
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	30,842,396	91,392,490
19	Revenue less expenses. Subtract line 18 from line 12.......	-1,573,859	4,639,987
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	126,369,856	132,809,118
21	Total liabilities (Part X, line 26).............	42,186,919	45,010,912
22	Net assets or fund balances. Subtract line 21 from line 20.....	84,182,937	87,798,206

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 85,564,257 including grants of $ 6,769,606 ) (Revenue $ 82,375,526 )
	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 expenses85,564,257

(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)				(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) MEGAN PERRY........................................................................ BOARD MEMBER	1.00 .......................40.00	X				0	737,001	267,820
(19) ARASH CHEHRAZI MD........................................................................ BOARD MEMBER	1.00 .......................5.00	X				10,463	0	0
(20) CHRIS A LUMSDEN........................................................................ PRESIDENT	35.00 .......................5.00		X			365,073	43,360	41,192
(21) STEWART R NELSON........................................................................ CHIEF FINANCIAL OFFICER	35.00 .......................5.00		X			241,189	29,045	28,139
(22) THOMAS S KLUGE........................................................................ CHIEF OPERATING OFFICER	35.00 .......................5.00			X		209,993	24,884	54,986
(23) MING Y LIU MD........................................................................ PHYSICIAN	40.00 .......................0.00				X	356,576	0	27,133
(24) GREGORY SHUFORD MD........................................................................ PHYSICIAN	40.00 .......................0.00				X	355,918	0	11,923
(25) HECTOR MARQUEZ MD........................................................................ PHYSICIAN	40.00 .......................0.00				X	379,557	0	26,101
(26) CAROLINE WIGAN MD........................................................................ PHYSICIAN	40.00 .......................0.00				X	355,862	0	27,235
(27) PABLO SOUZA MD........................................................................ PHYSICIAN	40.00 .......................0.00				X	348,477	0	27,000

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	2,720,594	3,344,946	899,140

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	18
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	10
5	Total number of individuals employed in calendar year 2014 (Part V, line 2a) ......	5	790
6	Total number of volunteers (estimate if necessary) .............	6	177
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	3,941,273
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		96,000
e	Government grants (contributions)1e		1,486,934

f	All other contributions, gifts, grants, and similar amounts not included above1f		88,970

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			1,671,904
			Business Code
2a	NET PATIENT SERVICE REVENUE		541900	82,375,526	82,375,526
b	OUTSIDE LAB SERVICES		541900	3,937,301		3,937,301
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			86,312,827
3	Investment income (including dividends, interest, and other similar amounts).......			1,594,313			1,594,313
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents	40,707
b	Less: rental expenses	0
c	Rental income or (loss)	40,707
d	Net rental income or (loss).......			40,707			40,707
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	53,176,779	63,376
b	Less: cost or other basis and sales expenses	47,348,688	127,830
c	Gain or (loss)	5,828,091	-64,454
d	Net gain or (loss)..........			5,763,637			5,763,637
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a		74,642
b	Less: direct expenses ...b		51,860
c	Net income or (loss) from fundraising events..			22,782			22,782
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		146,704
b	Less: cost of goods sold ..b		75,232
c	Net income or (loss) from sales of inventory..			71,472			71,472
Miscellaneous Revenue			Business Code
11a	CAFE/VENDING		721000	484,909			484,909
b	MISCELLANEOUS		900099	69,926		3,972	65,954
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			554,835
12	Total revenue. See Instructions......			96,032,477	82,375,526	3,941,273	8,043,774


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			5,393,033	1	5,002,754
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ...........				3
4	Accounts receivable, net .............			10,512,155	4	10,682,360
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 .............			647,440	7	395,754
8	Inventories for sale or use ..............			2,804,458	8	2,709,152
9	Prepaid expenses and deferred charges ..........			3,956,933	9	3,626,164
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	61,322,903
b	Less: accumulated depreciation .....	10b	8,924,385	53,200,633	10c	52,398,518
11	Investments—publicly traded securities ..........			46,590,193	11	53,887,895
12	Investments—other securities. See Part IV, line 11 .....			2,479,623	12	2,968,000
13	Investments—program-related. See Part IV, line 11 .....				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			785,388	15	1,138,521
16	Total assets. Add lines 1 through 15 (must equal line 34)......			126,369,856	16	132,809,118
17	Accounts payable and accrued expenses .........			11,411,607	17	11,350,884
18	Grants payable .................				18
19	Deferred revenue ................			208,404	19	161,828
20	Tax-exempt bond liabilities .............			19,581,736	20	18,949,621
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....................			10,985,172	25	14,548,579
26	Total liabilities. Add lines 17 through 25.........			42,186,919	26	45,010,912
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			84,182,937	27	87,798,206
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 ...........			84,182,937	33	87,798,206
34	Total liabilities and net assets/fund balances ........			126,369,856	34	132,809,118

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 organization may 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; do not file with Form 990)............................	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, Information 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; do not file with Form 990).....................................	Yes	No