{"success":true,"data":{"_id":541801466,"filings":[{"Organization":{"Hours":[0],"Total Compensation":[0],"Direct compensation":[0],"Other compensation":[0]},"Basic":{"mission":"The purpose of halifax regional health system is to provide the highest quality care based on the healthcare needs of the people we serve.","primary_activities":"Oversight of affiliation agreement between sentara and halifax regional hospital group. For more information, see schedule o.\n\nHalifax Regional Health System (HRHS), a not-for-profit organization, is a multidivisional organization providing acute and long-term care, Alzheimer's/dementia care, home health, hospice, rehabilitation, behavioral health services, and a multitude of outpatient services to approximately 80,000 residents in the region; and providing primary care services in four locations throughout the service area. Governed by a 36-member volunteer board of directors, the system serves Halifax, Charlotte and Mecklenburg counties and surrounding communities. HRHS serves an area designated as a medical, dental and mental Health Professional Shortage Area (HPSA) and a Virginia Medically Underserved Area (VMUA). This non-profit, tax-exempt system consists of a parent company and six primary operating companies, Halifax Regional Hospital, Inc. (HRH); Halifax Regional Long Term Care, Inc., dba The Woodview and Seasons at The Woodview; Clarksville Senior Care, LLC, dba MeadowView Terrace; Halifax Regional Development Foundation, Inc.; Halifax Regional Properties, Inc.; and Southside Health Services, Inc. The purpose of Halifax Regional Health System is \"to provide the highest quality care based on the healthcare needs of the people we serve.\" Our vision is \"to be the leader in providing person-centered care through a continuum of quality and cost effective services that improves the general health of the communities we serve.\" Healthcare takes many forms at Halifax Regional Health System, including medical services for inpatients and outpatients, acute-care and skilled-care services, rehabilitation programs, long term care, specialized Alzheimer's/dementia care, home health and hospice services and behavioral health, as well as health screenings, patient education and community wellness. To support the general health and welfare of over 80,000 persons in the region, 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. Halifax Regional Hospital (HRH) is an acute care facility 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 skilled nursing facility beds (subacute). HRH offers the region advanced diagnostic and treatment capabilities including 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 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. HRH is the only provider of inpatient and outpatient acute care services in a 30-40 mile radius and serves as a Regional Referral Center for neighboring counties in Virginia and North Carolina. The hospital extends its continuum of care into the home through Halifax Home Health and Halifax Regional Hospice. These agencies provide skilled care (nursing and physical, occupational, and speech therapy), hospice, and support services to homebound patients. More than 100 physicians representing 29 specialties serve on the HRHS medical staff, supported by a number of physician extenders. Four family practice groups operated by the Health System and located throughout the service region help to serve the primary care needs in the community. During FY13, Halifax Regional Hospital served 4,528 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. The Woodview, a 180-bed dually certified (Medicaid and Medicare) nursing facility and MeadowView Terrace, a 150-bed dually certified nursing facility provide personal care, health care services and rehabilitation services for persons needing long term care and whose special needs cannot be met in independent living environments. Seasons at The Woodview is an 18-bed licensed assisted living facility providing specialized memory support services for individuals who have Alzheimer's disease or a related dementia. Both Seasons at The Woodview and MeadowView Terrace have evidence-based designed neighborhoods that serve the special needs of the memory impaired and the staff is specially trained to meet the unique needs of these residents and their families. The following statistics support the need for and value of this special care service offering: \" Over 69% of long term care residents suffer from Alzheimer's Disease or a related dementia. \" Nineteen percent of Halifax and Charlotte County residents are age 65+ and 20% of Mecklenburg County residents are age 65+ compared to the Virginia state average of 12%. \" Statistically one out of 10 persons over the age of 65 will develop Alzheimer's disease or a related dementia as will 50% of those age 85+.\n\nIn FY13, 59.1 percent of The Woodview's revenues and 60.9 percent of MeadowView Terrace's revenues were reimbursable under the Medicaid program; and 18.4 percent of The Woodview's revenues and 18.1 percent of MeadowView Terrace's revenues were reimbursable under the Medicare program. The Halifax Regional Development Foundation is responsible for administering gifts, grants and contributions for Halifax Regional Health System and for providing other services that are exclusively charitable, educational or scientific in nature. The Foundation is also responsible for managing the investment of HRHS endowment funds and for management of the affiliated groups' educational assistance program. Halifax Regional Properties is organized to promote the general health and welfare of the community and is responsible for construction, acquisition, and management of HRHS's real estate holdings other than the hospital facility and the long term care facilities. These holdings are situated both on campus and in medically-underserved areas within the service area of Halifax Regional Hospital. Southside Health Services, Inc. is a for-profit corporation utilized to develop physician joint ventures or acquisitions and operates a management services organization for physician practices. The hospital and long-term care facilities, all part of Halifax Regional Health System (HRHS), utilize excess revenue over expenses to upgrade facilities, to purchase new equipment and to upgrade clinical and information technology in order to improve quality and patient safety. Halifax Regional Health System provides a variety of community benefit services to respond to identified community needs and to support the general health and welfare of approximately 80,000 persons in the region. As a community-owned, not-for-profit organization, Halifax Regional Hospital takes pride in its mission to provide care to all citizens regardless of their ability to pay. Halifax County uninsured and unemployed statistics, as well as those in the surrounding counties, are significantly higher than the percentages for the state of Virginia. Although the provision of healthcare services to a growing uninsured and underinsured population while maintaining fiscal responsibility is one of the greatest challenges that hospitals face, we believe that a lack of financial resources should never get in the way of a patient receiving essential health services. HRH's Patient Financial Assistance Policy is designed to offer low-income, uninsured and underinsured patients discounted charges at increased percentages of the Federal Poverty Guidelines (FPG). The hospital provides a 32 percent discount from charges for patients without insurance regardless of income. A Medically Indigent Discount is provided for individuals at the 226% to 275% FPG based upon total medical related bills. In addition to the ongoing communications of the hospital's financial assistance program through brochures, postings throughout the hospital and information provided directly to patients, the hospital places an ad in local newspapers quarterly to publicize the program. Although the charity care and uncompensated care provided by HRH increases annually, HRH consistently ranks by Virginia Health Information as one of the lowest charge hospitals in the Commonwealth. In FY13, the hospital provided $17,297,722 in uncompensated care (Charity and Bad Debt) or 6.9 percent of patient revenue. In FY13, charity and uncompensated care increased by 20.4 percent (FY12=$14,361,988; FY13=$17,297,722.) In addition, the un-reimbursed value of providing care to patients insured by the Medicare and Medicaid programs was $125,000,000 or 49.6 percent of patient revenue. HRHS takes pride in being a contributing member of the community and as such reaches out to the community in a variety of ways. 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. In FY13, Halifax Regional Hospital, as part of Halifax Regional Health System, donated $217,423.84 through its Community Partnership Program to assist community groups and agencies in order to help promote all areas of health and wellness in the community, including physical, mental, vocational, emotional, intellectual and spiritual well-being. HRH also assists with fund raising activities for groups such as emergency medical services groups and co-sponsors public events planned by various clubs, schools and businesses. HRH provides a number of community health improvement services, health professions education services and community building activities. If Halifax Regional did not perform these essential roles-providing charity care, monetary contributions and wellness education, these obligations would most likely have to be assumed by government and supported by taxpayers.\n\nHalifax 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 The Woodview and Seasons at The Woodview and MeadowView Terrace also provide free space and available equipment for clinical training programs. The Woodview serves as a clinical site for: * Halifax County High School Nurse Aide classes class; 20 students per semester * Southside Virginia Community College, SVCC; 50 nursing assistant students per year * SVCC; 20 LPN and RN students per year * Danville Community College Nurse Aide classes - 50 nursing assistant students per year. The Woodview also serves as a testing site for Beltone Hearing Aids. MeadowView Terrace serves as a clinical site for: * Bluestone High School, nursing assistant students (approximately 10 students per semester) * Bluestone High School Special Education students (five each semester) * Southside Virginia Community College, SVCC, (nursing assistant students at Estes Center, approximately 60 students) * SVCC, Estes Center, (approximately 20 LPN students). MeadowView Terrace provides free space and available equipment for area wellness programs, community meetings, support groups and clinical training programs. Free space is provided for various community groups to meet including the Gideons who hold their annual banquet at MeadowView Terrace, and space is provided at no charge for Beltone Hearing Clinics which are open to the public.","year":2012,"name":"HALIFAX REGIONAL HEALTH SYSTEM INC","phone":"4345173183","website":"WWW.HRHS.ORG","type":"990","principal_officer":"WILLIAM E CONFROY","year_formation":1996,"state_legal_domicile":"VA","total_volunteers":361,"tax_period_begin":"2012-09-01T00:00:00","tax_period_end":"2013-08-31T00:00:00","address":"2204 WILBORN AVENUE, SOUTH BOSTON, VA, 24592, USA","city":"SOUTH BOSTON","state":"VA","country":"USA","zip_code":"24592"},"Governance":{"501c3 determination":true,"Number of voting members":12,"Number of independent voting members":11,"Number of employees total":0,"Total Gross UBI":0,"Number of employees":0,"Prohibited tax shelter transactions":false,"Taxable party notification":false,"Funds to pay premiums":false,"Premiums Paid":false,"Family or business relationship":true,"Delegation of management duties":false,"Conflict of interest policy":true,"Whistle blower policy":true,"Compensation process for CEO":false,"Compensation process for other employees":false,"Changes to organizing documents":true,"Material diversion or misuse":false,"Members or stockholders":false,"Election of board members":false,"Decisions subject to approval":false,"Minutes of governing body":true,"Local chapters":false,"Form 990 provided to governing body":true,"Document retention policy":true,"Investment in joint venture":false,"Independent audit financial statements":false,"Consolidated audit financial statements":true,"Accountant compile or review":false,"Financial statements audited by independent accountant":true,"Audit committee":true,"Federal grant audit required":false,"Audited financial statements consolidated":true,"Political activities":false,"Donor advised funds":false,"Conservation easements":false,"Collections of art":false,"School":false,"Hospital":false,"Foreign activities":false,"Foreign office":false,"Gaming":false,"Fundraising activities":false,"Professional fundraising":false,"Loan to officer or DQP":false,"Grant to related person":false,"Business relationship through family member":false,"Business relationship with organization":false,"Transfers to exempt non-charitable organization":false},"Revenues":{"value":1000000,"Contributions":{"value":1000000,"Other contributions":1000000},"Program revenue":{"value":0},"Investment income":{"value":0,"Investment income total":0,"Net investment gain":0,"Income from invest bond proceeds":0},"Other revenues":{"value":0,"Other total":0,"Royalties revenue":0,"Net rental income":0,"Net income from fundraising events":0,"Net income from gaming":0,"Net income":0}},"Expenses":{"value":1271,"Grant expense":{"value":0,"Grants to domestic orgs":0,"Grants to domestic individuals":0,"Foreign grants":0},"Total professional fundraising expense":{"value":0,"Fundraising professional":0},"Benefits paid to members":{"value":0,"Benefits paid to members Total":0},"Salaries":{"value":0,"Current officers":0,"Disqualified persons":0,"Other salaries and wages":0,"Pension plan contributions":0,"Other employee benefits":0,"Payroll taxes":0},"Other expenses":{"value":1271,"Management services":0,"Legal":0,"Accounting":0,"Lobbying services":0,"Investment management fees":0,"Other services":14,"Advertising":0,"Office expenses":0,"Information technology":0,"Royalties":0,"Occupancy":0,"Travel":0,"Conferences and meetings":0,"Interest":0,"Payments to affiliates":0,"Depreciation and depletion":0,"Insurance":1257,"Travel entertainment public officials":0}},"Assets":{"value":998829,"Non-interest bearing cash":992541,"Savings and temp cash investments":0,"Pledges and grants receivable":0,"Accounts receivable":0,"Receivables from officers":0,"Receivables from disqual persons":0,"Other net note and loans":0,"Inventories for sale or use":0,"Prepaid expenses deferred charges":6288,"Investments publicly traded":0,"Investments other":0,"Investments program related":0,"Intangible assets":0,"Other assets":0},"Liabilities":{"value":100,"Accounts payable, accrued":100,"Grants payable":0,"Deferred, revenue":0,"Tax exempt bond liabilities":0,"Escrow account liability":0,"Loans from officers, directors":0,"Secured mortgages and notes payable":0,"Unsecured notes loans payable":0,"Other liabilities":0},"Fund balance":{"value":998729},"Form990Details":{"program_service_accomplishments":[{"description":"OVERSIGHT OF AFFILIATION AGREEMENT BETWEEN SENTARA AND HALIFAX REGIONAL HOSPITAL GROUP. FOR MORE INFORMATION, SEE SCHEDULE O.","expense":1271},{"description":"ACUTE, HOME HEALTH, HOSPICE AND OUTPATIENT CARE. FOR MORE INFORMATION, SEE SCHEDULE O."},{"description":"INTERMEDIATE AND ALZHEIMER'S CARE. FOR MORE INFORMATION, SEE SCHEDULE 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TRANSFERRED, ASSIGNED AND CONVEYED TO HALIFAX REGIONAL HOSPITAL ALL TANGIBLE AND INTANGIBLE ASSETS OF HRHS INCLUDING ALL SHARES OF STOCK, MEMBERSHIP INTERESTS AND OTHER SECURITIES ON JULY 1, 2013. HRHS ARTICLES OF INCORPORATION AND ITS BYLAWS WERE AMENDED AND RESTATED TO REFLECT THE FOLLOWING SIGNIFICANT CHANGE: \" THE BOARD SHALL BE COMPOSED OF NO FEWER THAN SIX DIRECTORS, NOT LESS THAN ONE-HALF OF WHOM SHALL BE PERSONS THEN SERVING AS CLASS A DIRECTORS OF HALIFAX REGIONAL HOSPITAL. BECAUSE HRHS AND HALIFAX REGIONAL HOSPITAL, INC. SHARED BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES, SOME OF THE BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES OF HRHS WERE ALSO BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES OF THE TRANSFEREE ORGANIZATION, HALIFAX REGIONAL HOSPITAL."}]},"ScheduleR":{"tax_exempt_organizations":[{"ein":540648699,"business_name_line1":"HALIFAX REGIONAL HOSPITAL INCORPORATED","primary_activities":"HEALTHCARE","exempt_code_section":"501(C)","public_charity_status":"3","controlled_organization":true,"legal_domicile_state":"VA","direct_controlling_business_name_line1":"NA","address_line1":"2204 WILBORN AVENUE","city":"SOUTH BOSTON","state":"VA","zip":"24592","name":"HALIFAX REGIONAL HOSPITAL INCORPORATED","address":"2204 WILBORN AVENUE, SOUTH BOSTON, VA, 24592"},{"ein":541801459,"business_name_line1":"HALIFAX REGIONAL DEVELOPMENT FOUNDATION","primary_activities":"HLTH/WELFARE","exempt_code_section":"501(C)","public_charity_status":"11A TYPE 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24592"}],"transaction_flags":{"dividends_from_related_organization":false,"gift_grant_or_capital_contribution_from_other_org":false,"gift_grant_or_capital_contribution_to_other_org":false,"loans_or_guarantees_from_other_org":false,"loans_or_guarantees_to_other_org":false,"performance_of_services_by_other_orgs":false,"performance_of_services_for_other_orgs":false,"sharing_of_facilities":false,"sharing_of_paid_employees":false,"reimbursement_paid_by_other_org":false,"reimbursement_paid_to_other_org":false,"rental_of_facilities_from_other_orgs":false,"rental_of_facilities_to_other_orgs":false,"purchase_of_assets_from_other_org":false,"sale_of_assets_to_other_org":false,"exchange_of_assets":false,"receipt_of_interest_annuities_rents_royalties":false,"other_transfer_from_other_org":false,"other_transfer_to_other_org":true}},"source_xml":"201421959349300537_public.xml"},{"Organization":{"Hours":[0],"Total Compensation":[0],"Direct compensation":[0],"Other compensation":[0]},"Basic":{"mission":"The purpose of Halifax Regional Health System is to provide the highest quality care based on the healthcare needs of the people we serve.","primary_activities":"Acute, home health, hospice and outpatient care.\n\nIntermediate and alzheimer's care.\n\nPromotion of health and wellness in the communities served.\n\nHalifax regional health system (hrhs), a not-for-profit organization, is a multidivisional organization providing acute and long-term care, alzheimer's/dementia care, home health, hospice, rehabilitation, behavioral health services, and a multitude of outpatient services to approximately 80,000 residents in the region; and providing primary care services in four locations throughout the service area. Governed by a 36-member volunteer board of directors, the system serves halifax, charlotte and mecklenburg counties and surrounding communities. Hrhs serves an area designated as a medical, dental and mental health professional shortage area (hpsa) and a virginia medically underserved area (vmua). This non-profit, tax-exempt system consists of a parent company and six primary operating companies, halifax regional hospital, inc. (hrh); halifax regional long term care, inc., dba the woodview and seasons at the woodview; clarksville senior care, llc, dba meadowview terrace; halifax regional development foundation, inc.; halifax regional properties, inc.; and southside health services, inc. The purpose of halifax regional health system is \"to provide the highest quality care based on the healthcare needs of the people we serve.\" our vision is \"to be the leader in providing person-centered care through a continuum of quality and cost effective services that improves the general health of the communities we serve.\" healthcare takes many forms at halifax regional health system, including medical services for inpatients and outpatients, acute-care and skilled-care services, rehabilitation programs, long term care, specialized alzheimer's/dementia care, home health and hospice services and behavioral health, as well as health screenings, patient education and community wellness. To support the general health and welfare of over 80,000 persons in the region, 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. Halifax regional hospital (hrh) is an acute care facility 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 skilled nursing facility beds (subacute). Hrh offers the region advanced diagnostic and treatment capabilities including 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 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. Hrh is the only provider of inpatient and outpatient acute care services in a 30-40 mile radius and serves as a regional referral center for neighboring counties in virginia and north carolina. The hospital extends its continuum of care into the home through halifax home health and halifax regional hospice. These agencies provide skilled care (nursing and physical, occupational, and speech therapy), hospice, and support services to homebound patients. More than 100 physicians representing 28 specialties serve on the hrhs medical staff, supported by a number of physician extenders. Four family practice groups operated by the health system and located throughout the service region help to serve the primary care needs in the community. During FY10, halifax regional hospital served 4864 inpatients, including newborns, provided services to 62,808 outpatients and had 26,840 emergency department visits. Halifax regional participates in both medicare and medicaid and, based upon its mission to the community, provides services to all individuals regardless of their ability to pay. The woodview, a 180-bed dually certified (medicaid and medicare) nursing facility and meadowview terrace, a 120-bed dually certified nursing facility provide personal care, health care services and rehabilitation services for persons needing long term care and whose special needs cannot be met in independent living environments. Seasons at the woodview is an 18-bed licensed assisted living facility providing specialized memory support services for individuals who have alzheimer's disease or a related dementia. Both seasons at the woodview and meadowview terrace have evidence-based designed neighborhoods that serve the special needs of the memory impaired and the staff is specially trained to meet the unique needs of these residents and their families. The following statistics support the need for and value of this special care service offering: \" over 69% of long term care residents suffer from alzheimer's disease or a related dementia. \" nineteen percent of halifax and charlotte county residents are age 65+ and 20% of mecklenburg county residents are age 65+ compared to the virginia state average of 12%. \" statistically one out of 10 persons over the age of 65 will develop alzheimer's disease or a related dementia as will 50% of those age 85+.\n\nIn FY10 57.5 percent of the woodview's revenues and 58.4 percent of meadowview terrace's revenues were reimbursable under the medicaid program; and 21.1 percent of the woodview's revenues and 21.0 percent of meadowview terrace's revenues were reimbursable under the medicare program. The halifax regional development foundation is responsible for administering gifts, grants and contributions for halifax regional health system and for providing other services that are exclusively charitable, educational or scientific in nature. The foundation is also responsible for managing the investment of hrhs endowment funds and for management of the affiliated groups' educational assistance program. Halifax regional properties is organized to promote the general health and welfare of the community and is responsible for construction, acquisition, and management of hrhs's real estate holdings other than the hospital facility and the long term care facilities. These holdings are situated both on campus and in medically-underserved areas within the service area of halifax regional hospital. Southside health services, inc. Is a for-profit corporation utilized to develop physician joint ventures or acquisitions and operates a management services organization for physician practices. The hospital and long-term care facilities, all part of halifax regional health system (hrhs), utilize excess revenue over expenses to upgrade facilities, to purchase new equipment and to upgrade clinical and information technology in order to improve quality and patient safety. Halifax regional health system provides a variety of community benefit services to respond to identified community needs and to support the general health and welfare of approximately 80,000 persons in the region. As a community-owned, not-for-profit organization, halifax regional hospital takes pride in its mission to provide care to all citizens regardless of their ability to pay. Halifax county uninsured and unemployed statistics, as well as those in the surrounding counties, are significantly higher than the percentages for the state of virginia. Although the provision of healthcare services to a growing uninsured and underinsured population while maintaining fiscal responsibility is one of the greatest challenges that hospitals face, we believe that a lack of financial resources should never get in the way of a patient receiving essential health services. Hrh's patient financial assistance policy is designed to offer low-income, uninsured and underinsured patients discounted charges at increased percentages of the federal poverty guidelines (fpg). The hospital provides a 25 percent discount from charges for patients without insurance regardless of income. A medically indigent discount is provided for individuals at the 226% to 275% fpg based upon total medical related bills. In addition to the ongoing communications of the hospital's financial assistance program through brochures, postings throughout the hospital and information provided directly to patients, the hospital places an ad in local newspapers quarterly to publicize the program. Although the charity care and uncompensated care provided by hrh increases annually, hrh consistently ranks by virginia health information as one of the lowest charge hospitals in the commonwealth. In FY10, the hospital provided $12,360,980 in uncompensated care (charity and bad debt) or 6.4 percent of patient revenue. In FY10, charity and uncompensated care increased by 5.7 percent (FY09=$11,697,777; FY10=$12,360,980.) in addition, the un-reimbursed value of providing care to patients insured by the medicare and medicaid programs was $87,301,389 or 45 percent of patient revenue. Hrhs takes pride in being a contributing member of the community and as such reaches out to the community in a variety of ways. 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. In FY10 halifax regional hospital, as part of halifax regional health system, donated $102,643 through its community partnership program to assist community groups and agencies in order to help promote all areas of health and wellness in the community, including physical, mental, vocational, emotional, intellectual and spiritual well-being. Hrh also assists with fund raising activities for groups such as emergency medical services groups and co-sponsors public events planned by various clubs, schools and businesses. Hrh provides a number of community health improvement services, health professions education services and community building activities. If halifax regional did not perform these essential roles-providing charity care, monetary contributions and wellness education, these obligations would most likely have to be assumed by government and supported by taxpayers. Community health improvement services & education halifax regional health system encourages its staff and volunteers to continue the caring traditions of those citizens who worked so diligently to establish the hospital in the early 1950s. Today, many employees, physicians and volunteers help strengthen the community by addressing various community health needs. Whether sponsoring a health fair, participating in a chamber of commerce project, sending a speaker to a school classroom or civic club, partnering with other healthcare providers to provide additional outreach services or donating to organizations with similar missions to help improve the quality of life for residents of all ages, halifax regional is proud to be a good corporate citizen and to take a leadership role in the well being of all citizens in the region. Some of these activities, services, joint sponsorships and other programs are described below. Avoid the flu campaign this community awareness campaign is continued each year to educate the public before and during flu season. This year the infection control department utilized several venues for disseminating information to the public. Posters and flyers were placed throughout the hospital with the 'protect your patients\" and \"it's ok to ask\" message and reminders to WASH your hands and reconsider visiting patients when you are sick were placed on the television in the hospital lobby, on the health system web site and in articles in local newspapers. Finally, a booth about proper hand washing is a consistent presence at the healthy living expo each year and visitors actually have the opportunity to WASH their hands and learn about the best techniques to ensure proper cleanliness food and nutrition services community service in addition to participating in halifax regional hospital's health fairs, food and nutrition employees provided diet and nutrition information to the public (adults and children) in a variety of other venues including churches, local businesses, support groups, schools and special events. \"eating for a healthy weight\" and \"eating for a healthy heart\" classes have continued throughout FY10 as a part of the cardiopulmonary rehabilitation education classes. \"dishin' nutrition with your kids,\" a free class designed for parents and children addressing nutrition and obesity, continued as well. The department also offered a healthy cooking class free to the community as part of halifax regional's health nite out series of educational events. Healthy living expo halifax regional health system holds annual community health fairs in its service area. Halifax regional's annual signature event, the healthy living expo, was held at halifax county high school in march 2010. In addition to the myriad of screenings and health and wellness educational activities and information provided by hrh at this event, hrh invites other health-related organizations to participate in the event in order to expand the offerings to the participants. Guest participants included the american red cross, caregivers of autistic children, the lion's club (vision and amblyopia screening), the halifax county cancer association, the local alzheimer's association; the social security administration, halifax county sheriff's department (project lifesaver), healthy families; the ymca; the south boston fire department, the south boston library (\"exercise for the mind\"), and the south boston police department and more. All health screenings provided were free, including blood pressure, blood glucose and cholesterol, vision and amblyopia, oral, bmi (body mass index), osteoporosis, balance, grip strength and anxiety and depression screenings. 417 individuals attended the expo and 570 free screenings were provided.\n\nCommunity health fairs/screenings other community health fairs in which halifax regional participated and provided screenings (including blood pressure, body mass index, cholesterol and blood glucose) during FY10 included, chase city rescue squad fun day, ymca senior health fair, north halifax marathon, health screening at bacon district elementary and the clover community health fair. A prostrate screening was also held at halifax primary care. In FY10 halifax regional participated in seven health fair screening events with 1334 individuals screened. Annual national depression and anxiety screening day halifax regional's center for behavioral health held a free depression and anxiety screening day again in FY10. The center staff provided a questionnaire and mental health professionals were on hand to discuss the results with participants. Additionally, the center staff provided free screenings at other halifax regional sponsored events throughout the year. Advanced directives day in april 2010, halifax regional hospital joined hospitals and health systems around the commonwealth of virginia in a day designed to create public awareness of the need to plan ahead for health care decisions related to end of life care and medical decision making for patients unable to speak for themselves. The event also encouraged the use of advance directives to communicate these important health care decisions. Hrh participated in the virginia advance directives day by presenting a program, open to the public, at meadowview terrace. Meadowview terrace and the woodview also participated by providing advance directive information to residents, staff members, visitors and family members and each facility hosted an educational program free to the community. Look good . . . Feel better workshops this american cancer society (acs) program is designed for women undergoing active cancer treatment. The free workshop is hosted on an as needed basis, at the request of individuals in the community. Participants learn about skin problems that can result from chemotherapy and/or radiation therapy; learn to add color to their faces with a free skin-care kit valued at $250 (compliments of acs); and are instructed on how to use wigs, hats and scarves to enhance their looks and self-esteem. Hrh supplies meeting space and refreshments for those who want to know more about achieving a brighter outlook on life. The hospital promotes these workshops in bi-monthly ads. In FY10 two workshops were held.\n\nHealthy directions wellness program during FY10, 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. By looking better and feeling better, employees \"show\" the community that good health is achievable and set a good example for the healthcare role the organization plays in the community. Childbirth education classes through the family birthing center, halifax regional offers a wide range of childbirth education classes for parents-to-be. All classes except prepared childbirth classes are provided free. (special arrangements for waiver of fee are made on an individual basis and no parents-to-be are refused.) offered in FY10 were: \" prepared childbirth classes - seven classes, 58 participants \" breastfeeding class - six classes, 66 participants \" bereavement counseling for loss of infant/child - given to all mothers and birthing partners in cases of childbirth loss (miscarriages and stillbirths) \" baby basics and beyond classes - seven classes, 88 participants diabetes education classes seventy-three people attended halifax regional's free diabetes group classes in FY10. The diabetes education department offers monthly classes (no december class) for those interested in learning about monitoring blood glucose, nutrition, stress management and the prevention of complications related to diabetes. Diabetes group classes are offered at various times of day and evening and several all-day saturday classes are scheduled each year to provide additional opportunities for persons who work during the week or prefer not to come at night. In FY10 the diabetes educator also provided twenty one-to-one sessions with individuals either referred by physician or self at no charge and did fourteen telephone education sessions. A diabetes educator is also available to teach and demonstrate how to use a blood sugar monitor upon request in march 2010 the diabetes education department, participated in the 2010 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. Basic carbohydrate counting and advanced insulin pumping class - this class was held six times during FY10. Taught by a registered dietitian, halifax regional provided space and advertising. Alzheimer's caregiver training one of halifax regional's employee's serves on the leadership council of the southeastern virginia chapter of the alzheimer's association, and, during FY10, presented educational sessions on alzheimer's disease to local church groups, civic clubs, community college classes, high school nursing classes, area clergy and professional and family caregivers. This person also serves with an employee of seasons at the woodview as co-facilitator of the local alzheimer's support group. 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.\n\n1. What you need to know about prostate screening - this health nite out program, led by a member of the hrh medical staff, focused on prostrate screening. Twenty-three individuals attended. 2. Preventative medicine for the 40+ crowd and the role of the fnp in primary care - this health nite out program was presented by a physician and family nurse practitioner. Topics included health care tips for older individuals and the role/responsibilities of family nurse practitioners. Twenty-five participated. 3. Healthy eating to beat the heat - this fast paced and fun filled educational session, presented by hrh's nutrition and food services department, showed the chef at work preparing healthy summertime fare which participates then sampled. Forty-five individuals attended. 4. All the buzz about breast cancer - this health nite out, presented by halifax regional's oncology nurse practitioner, discussed the latest in breast cancer detection, treatment and prevention. Sixty-five individuals participated. Long term care town meetings, national celebrations/observances for public the woodview welcomes the residents' families and the community into the facility for programs of interest to the general public. FY10 featured an advanced directives educational program. Other programs opened to the public included a piano concert for residents and family members, a family picnic and an elegant night out dinner for residents and family. Other programs and observations included an african american history month celebration and reception, wear red day for cardiovascular awareness, mother's day, veteran's day, and father's day observances and wear pink day for public awareness of breast cancer. The woodview continued providing \"stress free\" days, complete with hand massages, for residents and staff and this year included families. And finally, the woodview resident glee club performed an easter concert for all. Meadowview terrace periodically hosts free family night programs which are open to and promoted to the public. These meetings are programs of interest to the general public and feature an invited speaker. Topics in FY10 included advanced directives, mds 3.0 and alzheimer's disease. In addition, residents, family members and visitors had the opportunity to participate in a black history celebration, and celebrations for veteran's day, mother's day, father's day and other special observances. Healthy families through june 2010 halifax regional hospital partnered with the healthy families halifax program, providing support and office space at below market rates, with two members of halifax regional's staff serving on the healthy families halifax advisory board. Staff in the newborn nursery did 120 screenings during this time. Halifax united way halifax regional provided support and office space at below market rates for this organization during FY10. Mentor role model program halifax regional provided support and office space at below market rates for the role mentor model program (a community program providing adult mentors to 135 local children) during FY10. Speakers bureau halifax regional's speakers bureau provides free informational programs to schools, community groups, businesses and other organizations in halifax, mecklenburg and charlotte counties. Topics range from diet and nutrition to risks for heart disease, drug interactions, stress management, wellness, disaster preparedness, and alzheimer's disease, to name a few. Speakers include staff members and physicians. In FY10 presentations were made to 37 community organizations, civic clubs and churches. Approximately 574 individuals were reached through these presentations. In FY10 the woodview \"adopted\" the kindergarten class at sinai elementary school - approximately 50 students. During the school year staff visited the students monthly, for a total of seven sessions, for fun, interactive and educational activities focused on health-related topics including the importance of physical activity, talking to strangers, a tooth-fairy dental visit, tooth care, flu prevention, hand washing, activities with the elderly, nutrition and an end-of-year celebratory party with snacks provided by the woodview dietary department. The staff educator, food service manager, cook, unit secretary and activity manager served as facilitators for these learning events. Support groups on a bi-monthly basis, halifax regional hospital advertises meetings for support groups and information classes that the community is invited to attend. Many of these support groups have long-standing memberships and as new needs are identified, halifax regional works to ensure that new groups are added. Halifax regional works with groups to serve as facilitators or identify facilitators in the community, obtains speakers for meetings and provides free meeting space for support groups. 1. Bosom buddies cancer support group, offers women who have or who have experienced breast cancer, an opportunity to share their feelings and exchange coping strategies. Six meetings were held during FY10 with a total of approximately 35 participants. 2. Caregivers of autistic children meets monthly at a local church. The group gives parents and grandparents an opportunity to share successes with others who care for children with autistic tendencies. Approximately eight to 10 individuals attend the monthly meetings routinely. Halifax regional advertises their monthly meetings in newspapers and on the web site. 3. Better breathers support group meets the fourth thursday of the month at the hospital. During fy 2010, the group met nine times with an average of six members at each meeting. Each session alternates between group discussions and programs provided by hospital employees, physicians, or guests from the community. 4. Stroke/aphasia support group met 10 times during FY10 with a total of 74 participants. The meetings are held at halifax regional hospital and are open to stroke survivors, stroke caregivers and friends, and anyone wishing to know more about stroke and aphasia. 5. Weight watchers although this is a franchised program, halifax regional hospital provides space and encourages participation. The group meets every monday with approximately 20 participants, including employees and community members. 6. R.i.s.e. (resource information sessions of encouragement) meets the fourth tuesday of each month and serves as a bereavement support group for the community. Sessions are led by halifax regional hospice staff and the 11 meetings held during fy 2010 reached 164 participants. During fy 2010 a second meeting time was added to the group's schedule. Meetings are held at the hospital. Each session has a different topic, focusing on the different needs of those who have recently suffered a loss. Topics are presented by volunteer leaders from the community and include subjects like understanding grief, identifying the positives, journaling grief experiences and exploring resources available for people who are newly living alone. 7. Narcotics anonymous - this group meets weekly at the hospital. The hospital provides free space and advertising. 8. Cancer support group (hope) - during FY2010, halifax regional continued to advertise this group's weekly meetings in its bi-monthly for your good health advertisement. The group's weekly meetings take place at a local church. 9. Alzheimer's support group - meeting monthly, this group is facilitated by a hospital employee. Hrh advertises its meetings. Sessions are designed to provide education and support to individuals caring for someone with alzheimer's disease or related dementias.\n\nFor your good health calendar ad halifax regional hospital offers a bi-monthly calendar ad, \"for your good health,\" which advertises free events in four local newspapers in its service area. The ad is printed in each newspaper's first edition of the week and provides information and dates for childbirth and diabetes group classes, support group meetings and other community/health system-sponsored wellness programs. Contact persons and phone numbers are listed for access to registration and/or more information. Community health news magazine halifax regional's life and health magazine is mailed to more than 31,000 households in our service area four times a year. The 8-page magazine contains health and wellness information as well as articles and photos of events and activities at halifax regional hospital, meadowview terrace, seasons at the woodview and the woodview and our four family practice clinics and orthopedic office. The full-color publication features information on new services and technologies, special awards, accreditations, and lists classes and events. Woodview and seasons at the woodview newsletters in-house prepared newsletters from the woodview and seasons at the woodview are distributed monthly to nearly 450 families and businesses. While serving as a communication tool about facility activities they also include health and wellness information. Health literature a wide range of free health literature is available through halifax regional health system's marketing and education departments. Information is placed in waiting rooms, on hospital nursing units or may be requested through the mail. Literature is also distributed by speakers bureau participants, at support group meetings, health nite outs and at screening events. Halifax regional is often asked to supply educational materials to churches, schools and community groups that hold health fairs in their respective facilities. This literature covers risk factors for heart attack and stroke; ways to identify hypertension, high cholesterol, diabetes and mental health problems as well as good nutrition and exercise. Halifax regional's community newsletter references the hrhs website's medical library frequently, offering readers alternate ways to learn more about diseases and treatments currently available. Web site visitors to www.hrhs.org can find a physician, learn about and register for classes and events, search for a job, search the health library, engage in interactive health screenings, take a virtual tour and learn about services. Online features include bill payment, job applications, charitable donations, event registration, physician cv submission, cheer cards and messages, registration for outpatient procedures, and visiting the secure online baby nursery. New in FY10 was the introduction of the online volunteer application 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 5000 visitors each month. Also in FY10, halifax regional expanded into social media with the creation of a facebook page. The woodview, seasons at the woodview and meadowview terrace each have their own web site with unique urls and which can also be entered from the hrhs web site. The long term care sites include general information about the facilities and also include the monthly activity calendars with pages focusing on special events, awards and publications, as well as links to the alzheimer's association. Your right to decide; a guide to communicating your healthcare choices this booklet encourages readers to consider end-of-life decisions while they are well enough to make these choices. Staff and chaplains have used the booklet, along with copies of advance directives, to present programs to their own congregations and community groups to make people aware of having a living will and designating someone to make healthcare decisions for them when they may be unable to speak for themselves. These free booklets and copies of the virginia advance directive form are available at healthy living expos, on our website, in the admissions area and through the guest relations coordinator and chaplain's office. Enrollment assistance services a full-time eligibility worker who is a hrh employee assists patients in identifying and enrolling in public programs to improve their accessibility to healthcare services. Health professions education the project prime scholarship endowment fund (project prime), which provides financial assistance to those in the region who want to pursue a career in healthcare or a healthcare-related field is administered and promoted by halifax regional hospital. In FY10 $65,100 was awarded to 86 individuals. The dr. Jesse j. Bates scholarship program which provides scholarships to encourage high school seniors to seek education to fill critical healthcare vacancies and acquire skills for use with technologically advanced equipment and treatment therapies is administered by and promoted by halifax regional hospital. In FY10, seven students received $1000 each from this fund. Continuing medical education (cme) program hrh is accredited by the medical society of virginia to sponsor cme programs for physicians. The continuing medical education program is open to all physicians in the community and service area. The mission of the cme program is to insure the continuing improvement of quality patient care by offering education courses to help assure that the highest level of scientific medical knowledge and technical skills will be maintained for our active staff and for physicians in our service area. Educational programs are planned based on needs identified by physicians and through quality performance measures.\n\nFinancial and in-kind contributions halifax regional community partnership program as a cornerstone organization in our region, halifax regional takes seriously its responsibility to be an active corporate citizen. The health system contributes to various organizations that share its mission to promote good health and wellness and to help improve the quality of life of all ages. As part of the health system's continued active community involvement, the halifax regional community partnership program was established in FY05 to enable halifax regional health system to maximize its resources to provide the greatest benefit to citizens in southside virginia. Guidelines for requests help answer important questions that enable the program to disperse resources in the most effective manner. In FY10 $102,643 was donated to support community programs in our service area. Additionally, hundreds of health education brochures and giveaways were provided to community organizations to help support their events and programs. Medication assistance program with funding support from the virginia health care foundation, the chastain home and the halifax regional development foundation, medassist of halifax provides medication assistance to low income, uninsured and underinsured residents in halifax and mecklenburg counties. Medassist of halifax collaborates with other healthcare providers and agencies in the area to identify individuals who can benefit from this service. This program provides participants a stable process for receiving life sustaining and/or preventive medications. Halifax county has a higher incidence than the state median for health conditions for which hospitalizations can be prevented with consistent, available ambulatory care and good patient compliance with treatment/self protocols, including hypertension, asthma and diabetes. Compliance with prescribed courses of medication improves the quality of life for patients, while decreasing the number of hospital visits of patients who return due to inability to comply. Emergency department visits precipitated by conditions which could have been managed with compliance with the prescribed medication regimen are expected to also be reduced. This program is administered through the halifax regional development foundation, inc. During FY10, 1403 patients received medications valued at $1,891,440.50. Center for nursing excellence recognizing the local, state and national nursing shortage, halifax regional health system's ceo envisioned a nursing education center that would eliminate the traditional barriers for nursing students such as commuting, scheduling, waiting lists and inadequate career preparation. Directing the effort to establish such a site, halifax regional leadership worked to secure cooperation and additional funding from like-minded entities. The collaborative effort resulted in the september 2008 opening of the center of nursing excellence at the southern virginia higher education center - a state-of-the-art nursing education center where students acquire clinical and critical thinking skills in a safe environment utilizing advanced simulation technology. The center now offers education from nurse aide through the doctorate of nursing practice utilizing six high-tech laboratories offering instructional technologies and high fidelity simulations which give students hands-on experience, boost confidence and prepare them to enter the workforce fully prepared for the rigors of professional nursing practice. In FY10, halifax regional contributed $25,000 to the center. In addition, one hrh employees serve on the advisory board and another worked with the center exploring grant opportunities. Food drives during FY10 employees, physicians and volunteers at halifax regional hospital again participated in sodexo services' \"servathon,\" a nationwide food drive conducted each april to help put food on the tables of those having difficulty providing for their families. Staff members and others collected over $1500 and nearly 600 pounds of canned goods, pastas, rice, sugar, flour, coffee, and other non-perishable foods. A check and the food were donated to the united missionary soup kitchen in south boston, a local organization that helps in the collection and distribution of food to needy individuals and families in halifax county. The woodview also participated in a food drive for the soup kitchen and meadowview terrace coordinated a food drive collecting cans and boxes of non-perishable food which were donated to the clarksville food pantry during their annual food drive to help put food on the tables of those having difficulty providing for their families. Alzheimer's memory walks the woodview, seasons at the woodview and meadowview terrace staff and volunteers coordinate and host the annual alzheimer's memory walks each year, one in south boston and one in clarksville, to raise funds for the southeastern virginia chapter of the alzheimer's association. A number of fundraising events are held throughout the year by these facilities leading up to the big event- the alzheimer's memory walk. In FY10, meadowview terrace had approximately 125 walkers and raised more than $11,000 while seasons and woodview hosted 80 walkers and raised $7,000. Funds are used by the southeastern virginia chapter of the alzheimer's association to support local educational programs such as family orientations, support groups, a 24-hour helpline, educational seminars and training programs for both professional and family caregivers, the safe return program, and speaker's bureau. Both woodview and meadowview terrace provided space and lunch for area team captain meetings. \"samantha doll\" project \"samantha\" dolls are part of a nationwide effort to distribute huggable, therapeutic dolls to terminally ill patients of all ages. Halifax regional hospice joins more than 2,500 hospice providers throughout the united states in distributing these free dolls to their patients. In FY10 the hospital began distributing them as well. Women from local missionary unions in the dan river baptist association sew the dolls and provide them for local hospice and hospital patients. During FY10, approximately 80 dolls were distributed to patients in homes, the hospital and nursing facilities. Clarksville lake festival (lakefest) meadowview terrace staff manned a booth during clarksville's lake festival event. The team provided free chilled bottles of water, advance directive information and information about long-term care to thousands of visitors on this hot summer's day. On thursday night, prior to the festival's opening on friday evening, staff members operated a concession stand and provided supper for the hot-air balloonists who demonstrate the art of ballooning to the festival-goers and to spectators. 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24592"}],"transaction_flags":{"gift_grant_or_capital_contribution_from_other_org":false,"gift_grant_or_capital_contribution_to_other_org":false,"loans_or_guarantees_from_other_org":false,"loans_or_guarantees_to_other_org":false,"performance_of_services_by_other_orgs":false,"performance_of_services_for_other_orgs":false,"sharing_of_facilities":false,"sharing_of_paid_employees":false,"reimbursement_paid_by_other_org":false,"reimbursement_paid_to_other_org":false,"rental_of_facilities_from_other_orgs":false,"rental_of_facilities_to_other_orgs":false,"purchase_of_assets_from_other_org":false,"sale_of_assets_to_other_org":false,"exchange_of_assets":false,"receipt_of_interest_annuities_rents_royalties":false,"other_transfer_from_other_org":false,"other_transfer_to_other_org":false}},"source_xml":"201101929349300525_public.xml"},{"Organization":{"Hours":[0],"Total Compensation":[0],"Direct compensation":[0],"Other compensation":[0]},"Basic":{"mission":"The purpose of halifax regional health system is to provide the highest quality care based on the healthcare needs of the people we serve.","primary_activities":"Halifax regional health system (hrhs), a not-for-profit organization, is a multidivisional organization providing acute and long-term care, alzheimer's/dementia care, home health, hospice, rehabilitation, behavioral health services, and a multitude of outpatient services to approximately 80,000 residents in the region; and providing primary care services in four locations throughout the service area. Governed by a 36-member volunteer board of directors, the system serves halifax, charlotte and mecklenburg counties and surrounding communities. Hrhs serves an area designated as a medical, dental and mental health professional shortage area (hpsa) and a virginia medically underserved area (vmua). This non-profit, tax-exempt system consists of a parent company and six primary operating companies, halifax regional hospital, inc. (hrh); halifax regional long term care, inc., dba the woodview and seasons at the woodview; clarksville senior care, llc, dba meadowview terrace; halifax regional development foundation, inc.; halifax regional properties, inc.; and southside health services, inc. The purpose of halifax regional health system is \"to provide the highest quality care based on the healthcare needs of the people we serve.\" our vision is \"to be the leader in providing person-centered care through a continuum of quality and cost effective services that improves the general health of the communities we serve.\" healthcare takes many forms at halifax regional health system, including medical services for inpatients and outpatients, acute-care and skilled-care services, rehabilitation programs, long term care, specialized alzheimer's/dementia care, home health and hospice services and behavioral health, as well as health screenings, patient education and community wellness. To support the general health and welfare of over 80,000 persons in the region, 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. Halifax regional hospital (hrh) is an acute care facility 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 skilled nursing facility beds (subacute). Hrh offers the region advanced diagnostic and treatment capabilities including 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 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. Hrh is the only provider of inpatient and outpatient acute care services in a 30-40 mile radius and serves as a regional referral center for neighboring counties in virginia and north carolina. The hospital extends its continuum of care into the home through halifax home health and halifax regional hospice. These agencies provide skilled care (nursing and physical, occupational, and speech therapy), hospice, and support services to homebound patients. More than 100 physicians representing 29 specialties serve on the hrhs medical staff, supported by a number of physician extenders. Four family practice groups operated by the health system and located throughout the service region help to serve the primary care needs in the community. During FY12, halifax regional hospital served 4,817 inpatients, including newborns, provided services to 75,498 outpatients and had 29,463 emergency department visits. Halifax regional participates in both medicare and medicaid and, based upon its mission to the community, provides services to all individuals regardless of their ability to pay. The woodview, a 180-bed dually certified (medicaid and medicare) nursing facility and meadowview terrace, a 150-bed dually certified nursing facility provide personal care, health care services and rehabilitation services for persons needing long term care and whose special needs cannot be met in independent living environments. Seasons at the woodview is an 18-bed licensed assisted living facility providing specialized memory support services for individuals who have alzheimer's disease or a related dementia. Both seasons at the woodview and meadowview terrace have evidence-based designed neighborhoods that serve the special needs of the memory impaired and the staff is specially trained to meet the unique needs of these residents and their families. The following statistics support the need for and value of this special care service offering: -over 69% of long term care residents suffer from alzheimer's disease or a related dementia. -nineteen percent of halifax and charlotte county residents are age 65+ and 20% of mecklenburg county residents are age 65+ compared to the virginia state average of 12%. -statistically one out of 10 persons over the age of 65 will develop alzheimer's disease or a related dementia as will 50% of those age 85+.\n\nIn FY12 61.8 percent of the woodview's revenues and 61.2 percent of meadowview terrace's revenues were reimbursable under the medicaid program; and 19.6 percent of the woodview's revenues and 15.7 percent of meadowview terrace's revenues were reimbursable under the medicare program. The halifax regional development foundation is responsible for administering gifts, grants and contributions for halifax regional health system and for providing other services that are exclusively charitable, educational or scientific in nature. The foundation is also responsible for managing the investment of hrhs endowment funds and for management of the affiliated groups' educational assistance program. Halifax regional properties is organized to promote the general health and welfare of the community and is responsible for construction, acquisition, and management of hrhs's real estate holdings other than the hospital facility and the long term care facilities. These holdings are situated both on campus and in medically-underserved areas within the service area of halifax regional hospital. Southside health services, inc. Is a for-profit corporation utilized to develop physician joint ventures or acquisitions and operates a management services organization for physician practices. The hospital and long-term care facilities, all part of halifax regional health system (hrhs), utilize excess revenue over expenses to upgrade facilities, to purchase new equipment and to upgrade clinical and information technology in order to improve quality and patient safety. Halifax regional health system provides a variety of community benefit services to respond to identified community needs and to support the general health and welfare of approximately 80,000 persons in the region. As a community-owned, not-for-profit organization, halifax regional hospital takes pride in its mission to provide care to all citizens regardless of their ability to pay. Halifax county uninsured and unemployed statistics, as well as those in the surrounding counties, are significantly higher than the percentages for the state of virginia. Although the provision of healthcare services to a growing uninsured and underinsured population while maintaining fiscal responsibility is one of the greatest challenges that hospitals face, we believe that a lack of financial resources should never get in the way of a patient receiving essential health services. Hrh's patient financial assistance policy is designed to offer low-income, uninsured and underinsured patients discounted charges at increased percentages of the federal poverty guidelines (fpg). The hospital provides a 32 percent discount from charges for patients without insurance regardless of income. A medically indigent discount is provided for individuals at the 226% to 275% fpg based upon total medical related bills. In addition to the ongoing communications of the hospital's financial assistance program through brochures, postings throughout the hospital and information provided directly to patients, the hospital places an ad in local newspapers quarterly to publicize the program. Although the charity care and uncompensated care provided by hrh increases annually, hrh consistently ranks by virginia health information as one of the lowest charge hospitals in the commonwealth. In FY12, the hospital provided $14,361,988 in uncompensated care (charity and bad debt) or 6.3 percent of patient revenue. In FY12, charity and uncompensated care increased by 17.0 percent (FY11=$12,277,995; FY12=$14,361,988.) in addition, the un-reimbursed value of providing care to patients insured by the medicare and medicaid programs was $87,301,389 or 45 percent of patient revenue.\n\nHrhs takes pride in being a contributing member of the community and as such reaches out to the community in a variety of ways. 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. In FY12, halifax regional hospital, as part of halifax regional health system, donated $182,543 through its community partnership program to assist community groups and agencies in order to help promote all areas of health and wellness in the community, including physical, mental, vocational, emotional, intellectual and spiritual well-being. Hrh also assists with fund raising activities for groups such as emergency medical services groups and co-sponsors public events planned by various clubs, schools and businesses. Hrh provides a number of community health improvement services, health professions education services and community building activities. If halifax regional did not perform these essential roles-providing charity care, monetary contributions and wellness education, these obligations would most likely have to be assumed by government and supported by taxpayers. Community health improvement services & education halifax regional hospital encourages its staff and volunteers to continue the caring traditions of those citizens who worked so diligently to establish the hospital in the early 1950s. Today, many employees, physicians and volunteers help strengthen the community by addressing various community health needs. Whether sponsoring a health fair, participating in a chamber of commerce project, sending a speaker to a school classroom or civic club, partnering with other healthcare providers to provide additional outreach services or donating to organizations with similar missions to help improve the quality of life for residents of all ages, halifax regional is proud to be a good corporate citizen and to take a leadership role in the well-being of all citizens in the region. Some of these activities, services, joint sponsorships and other programs are described below. Avoid the flu campaign this community awareness campaign is continued each year to educate the public before and during flu season. This year the infection control department utilized several venues for disseminating information to the public. Posters and flyers were placed throughout the hospital with the 'protect your patients\" and \"it's ok to ask\" message and reminders to WASH your hands and reconsider visiting patients when you are sick were placed on the television in the hospital lobby, on the health system web site and in articles in local newspapers. Finally, a booth about proper hand washing is a consistent presence at the healthy living expo each year and visitors actually have the opportunity to learn about the best techniques to ensure proper cleanliness. Food and nutrition services community service in addition to participating in halifax regional hospital's health fairs, food and nutrition employees provided diet and nutrition information to the public (adults and children) in a variety of other venues including churches, local businesses, support groups, schools and special events. \"eating for a healthy weight and heart\" classes have continued throughout FY12 as a part of the cardiopulmonary rehabilitation education classes. \"dishin' nutrition with your kids,\" a free class designed for parents and children addressing nutrition and obesity, continued as well. The department also offered a healthy cooking class free to the community as part of halifax regional's health nite out series of educational events. Healthy living expo halifax regional health system holds annual community health fairs in its service area. Halifax regional's annual signature event, the healthy living expo, was held at halifax county high school on march 18, 2012. In addition to the myriad of screenings and health and wellness educational activities and information provided by hrh at this event, hrh invites other health-related organizations to participate in the event in order to expand the offerings to the participants. Guest participants included the american red cross, the arc of southern virginia, the lion's club (vision and amblyopia screening), the halifax county cancer association, the local alzheimer's association; the social security administration, halifax county sheriff's department (project lifesaver), healthy families; the ymca; the south boston fire department, the south boston library (\"exercise for the mind\"), and the south boston police department and more. All health screenings provided were free, including blood pressure, blood glucose and cholesterol, vision and amblyopia, oral, bmi (body mass index), balance, grip strength and anxiety and depression screenings. In addition to screenings and resources, hrhs brought in the ameriheart. A giant walkthrough heart showing all chambers of the heart to educate individuals on what steps they should take to take care of their heart. Approximately 500 individuals attended the expo and 400 free screenings were provided. Again this year, the woodview and seasons at the woodview participated in halifax regional health system's healthy living expo, an annual community health fair that provides a myriad of free health screenings and health and wellness educational activities and information to the public. In addition to assisting with planning for this event, the woodview and seasons at the woodview provided long term care and alzheimer's disease information. Approximately 500 people were reached through this event. Again this year, meadowview terrace participated in halifax regional health system's healthy living expo, an annual community health fair that provides a myriad of free health screenings and health and wellness educational activities and information to the public. In addition to assisting with planning for this event, meadowview terrace provided long term care information, nutrition counseling and information related to exercise for the elderly. More than 500 individuals were reached through this community health event.\n\nCommunity health fairs/screenings other community health fairs in which halifax regional participated and provided screenings (including blood pressure, body mass index, cholesterol and blood glucose) during FY12 included, cardiologists speaking to annin, halifax county middle school and sunshine mills employees, dollar general health fair, ebenezer cme health fair, ymca active older adults day, north halifax marathon. A prostrate screening was also held at halifax urology associates. In FY12 halifax regional participated in eight health fair screening events with 585 individuals screened. Advanced directives day in april 2012, meadowview terrace participated in the virginia advance directive day by providing information on advance directives in the facility's library with staff available to answer questions. Healthy directions wellness program during FY12, a variety of wellness programs, classes and contests continued to be held regularly to help employees and their family members with weight loss, exercise, and nutrition to lower bmi, cholesterol, glucose, blood pressure and risks for heart attack, stroke and other complications of cardiovascular disease. New initiatives were put in place and gained popularity quickly. A walking mileage reimbursement program started where employees are rewarded twenty-five cents for every mile they walk. A wellness champ program also started which allows employees who are working toward achieving their wellness goals can nominate themselves each month to be recognized as hrhs wellness champ. By looking better and feeling better, employees \"show\" the community that good health is achievable and set a good example for the healthcare role the organization plays in the community. Weight watchers support group weight watchers meets weekly at meadowview terrace to weigh in and for educational meetings covering nutrition, food buying and preparations, etc. Although this is a franchised program, meadowview terrace provided meeting space at a reduced rate. Childbirth education classes through the family birthing center, halifax regional offers a wide range of childbirth education classes for parents-to-be. All classes except prepared childbirth classes are provided free. (special arrangements for waiver of fee are made on an individual basis and no parents-to-be are refused.) offered in FY12 were: -prepared childbirth classes - seven classes, 61 participants -breastfeeding class - five classes, 48 participants -bereavement counseling for loss of infant/child - given to all mothers and birthing partners in cases of childbirth loss (miscarriages and stillbirths) -baby basics and beyond classes - six classes, 78 participants diabetes education classes one hundred one people attended halifax regional's free diabetes group classes in FY12. The diabetes education department offers monthly classes (no december class) for those interested in learning about monitoring blood glucose, nutrition, stress management and the prevention of complications related to diabetes. Diabetes group classes are offered at various times of day and evening and several all-day saturday classes are scheduled each year to provide additional opportunities for persons who work during the week or prefer not to come at night. In FY12 the diabetes educator also provided 155 one-on-one sessions with individuals, either referred by physician or self-referred at no charge, and did 57 telephone education sessions. A diabetes educator is also available to teach and demonstrate how to use a blood sugar monitor upon request. In march 2012 the diabetes education department, participated in the 2012 healthy living expo, providing free dietary counseling and literature to interested individuals and to those having elevated blood sugars following free expo blood glucose screenings. The dietitian at meadowview terrace worked in conjunction with halifax regional hospital staff to teach diabetes education classes throughout the year. These classes are free of charge and offered monthly. Other health-related programs, seminars for the public in addition to speakers bureau presentations, halifax regional hospital hosts a number of special seminars, called health nite out, free of charge to the general public. Hrh staff plan, promote, implement and provide refreshments for these programs. In FY12, eight events were offered to the community in which a total of 246 people participated.\n\n1. Step up to a healthier lifestyle - this health nite out program, led by a physical therapist of cox rehabilitation center, focused on proper ways to exercise and how exercise helps people live a healthier life. Twenty-nine individuals attended. 2. Preventing sids - this health nite out program was presented by a family nurse practitioner. Topics included how to prevent sids and tips on taking care of infants. Nine individuals participated. 3. Eat in? Eat out? Which costs less? - this fun filled educational session, presented by hrh's nutrition and food services department, showed the chef preparing a healthy meal that cost much less than eating out which participants then sampled. An hrh registered dietitian then talked about the benefits of eating in vs. Eating out. Forty-two individuals attended. 4. How to keep your ticker ticking...- this health nite out, presented by one of halifax regional's cardiologists and manager of cardiopulmonary rehab, discussed the risk factors of heart disease and how to help prevent it. Twenty-nine individuals participated. 5. The faces of aids - this powerful and emotional health nite out, presented by the aids service organization board, was a panel discussion with community members affected by aids. Nineteen individuals attended. 6. Anxiety 101 - this health nite out, presented by a licensed professional counselor from center for behavioral health, discussed anxiety and depression and how to help cope with its symptoms. Fifty-eight individuals participated. 7. Caregiver workshop - this event was offered to individuals who play the caregiver role for loved ones. Halifax regional home health and hospice teamed up to offer a full day seminar on how to care for a loved one. This event was so successful; it resulted in a caregiver support group that now meets once a month at hrh. Forty-five individuals attended. 8. Anxiety 101 (chase city) - this health nite out, presented by a licensed professional counselor from center for behavioral health, was the same as the first, but in a different location after a community requested we offer it to the chase city, va community. Fifteen individuals attended. Long term care town meetings, national celebrations/observances for public educational family night the woodview welcomes the residents' families and the community into the facility for programs of interest to the general public. Programs during FY12 included hospice care and healthy cooking. Other in FY12, the woodview staff provided information and presentations on careers in healthcare during career days at local elementary schools. The woodview staff also worked with habitat for humanity's \"pumpkin patch\" fundraiser to raise money for habitat homes. Meadowview terrace periodically hosts free family night programs which are open to and promoted to the public. These meetings are programs of interest to the general public and feature an invited speaker. In FY12, family nights focused on behavior management (september 2011) and skilled services (january 2012.) mentor role model program halifax regional provided support and office space at below market rates for the role mentor model program (a community program providing adult mentors to local children) during FY12. Speakers bureau halifax regional's speakers bureau provides free informational programs to schools, community groups, businesses and other organizations in halifax, mecklenburg and charlotte counties. Topics range from diet and nutrition to risks for heart disease, drug interactions, stress management, wellness, disaster preparedness, and alzheimer's disease, to name a few. Speakers include staff members and physicians. In FY12 presentations were made to twenty-eight community organizations, civic clubs and churches. Approximately 1,514 individuals were reached through these presentations. Support groups on a bi-monthly basis, halifax regional hospital advertises meetings for support groups and information classes that the community is invited to attend. Many of these support groups have long-standing memberships and as new needs are identified, halifax regional works to ensure that new groups are added. Halifax regional works with groups to serve as facilitators or identify facilitators in the community, obtains speakers for meetings and provides free meeting space for support groups.\n\n1. Bosom buddies cancer support group, offers women who have or who have experienced breast cancer, an opportunity to share their feelings and exchange coping strategies. Five meetings were held during FY12 with a total of approximately 50 participants. 2. The arc of southern virginia, meets monthly at hrh. The group gives parents and grandparents an opportunity to share successes with others who care for children with special needs. Approximately fifteen to twenty individuals attend the monthly meetings routinely. Halifax regional advertises their monthly meetings in newspapers and on the web site. 3. Better breathers support group meets the fourth thursday of the month at the hospital. During fy 2012, the group met eleven times with an average of six members at each meeting. Each session alternates between group discussions and programs provided by hospital employees, physicians, or guests from the community. 4. Stroke/aphasia support group met 11 times during FY12 with a total of 88 participants. The meetings are held at halifax regional hospital and are open to stroke survivors, stroke caregivers and friends, and anyone wishing to know more about stroke and aphasia. 5. Weight watchers although this is a franchised program, halifax regional hospital provides space and encourages participation. The group meets every monday with approximately 20 participants, including employees and community members. 6. R.i.s.e. (resource information sessions of encouragement) meets the fourth tuesday of each month and serves as a bereavement support group for the community. Sessions are led by halifax regional hospice staff and the 11 meetings held during fy 2012 reached 165 participants. Meetings are held at the hospital. Each session has a different topic, focusing on the different needs of those who have recently suffered a loss. Topics are presented by volunteer leaders from the community and include subjects like understanding grief, identifying the positives, journaling grief experiences and exploring resources available for people who are newly living alone. 7. Narcotics anonymous - this group meets weekly at the hospital. The hospital provides free space and advertising. 8. Cancer support group (hope) - during FY12, halifax regional continued to advertise this group's weekly meetings in its bi-monthly for your good health advertisement. The group's weekly meetings take place at a local church. 9. Alzheimer's support group - meeting monthly, this group is facilitated by a hospital employee. Hrh advertises its meetings. Sessions are designed to provide education and support to individuals caring for someone with alzheimer's disease or related dementias. For your good health calendar ad halifax regional hospital offers a bi-monthly calendar ad, \"for your good health,\" which advertises free events in four local newspapers in its service area. The ad is printed in each newspaper's first edition of the week and provides information and dates for childbirth and diabetes group classes, support group meetings and other community/health system-sponsored wellness programs. Contact persons and phone numbers are listed for access to registration and/or more information. Community health news magazine halifax regional's life and health magazine is mailed to more than 31,000 households in our service area four times a year. The 8-page magazine contains health and wellness information as well as articles and photos of events and activities at halifax regional hospital, meadowview terrace, seasons at the woodview and the woodview and our four family practice clinics and five specialty practices. The full-color publication features information on new services and technologies, special awards, accreditations, and lists classes and events. The woodview and seasons at the woodview newsletters in-house prepared newsletters from the woodview and seasons at the woodview are distributed to over 520 families, businesses and individuals each month. The woodview whistle includes a special feature focusing on an employee and one or more residents and features other items of interest related to activities at the woodview. Making the woodview whistle especially interesting, are drawings by residents that depict life and times and/or activities they fondly remember. Often the artist will include a handwritten explanation with the artwork. Also included are photos that depict residents involved in the life of the facility. The seasons at the woodview newsletter features educational information related to alzheimer's disease and general information about the residents and facility events. Health literature a wide range of free health literature is available through halifax regional health system's marketing and education departments. Information is placed in waiting rooms, on hospital nursing units or may be requested through the mail. Literature is also distributed by speakers bureau participants, at support group meetings, health nite outs and at screening events. Halifax regional is often asked to supply educational materials to churches, schools and community groups that hold health fairs in their respective facilities. This literature covers risk factors for heart attack and stroke; ways to identify hypertension, high cholesterol, diabetes and mental health problems as well as good nutrition and exercise. Halifax regional's community newsletter references the hrhs website's medical library frequently, offering readers alternate ways to learn more about diseases and treatments currently available. Web site visitors to www.hrhs.org can find a physician, learn about and register for classes and events, search for a job, search the health library, engage in interactive health screenings, take a virtual tour and learn about services. Online features include bill payment, job applications, charitable donations, event registration, physician cv submission, cheer cards and messages, registration for outpatient procedures, online adult and junior volunteer application, and visiting the secure online baby nursery. The use of these online features continues to rise with a significant increase noted for online bill payment, event registration and cheer cards. Visitors to the site can subscribe to three online newsletters: the health e-newsletter, pregnancy e-newsletter, and the new-parent e-newsletter, a monthly electronic publication for parents with newborns and toddlers. The site receives approximately 10,000 visitors each month. Also in FY12, halifax regional expanded into social media with the creation of a youtube channel and blog. The woodview, seasons at the woodview and meadowview terrace each have their own web site with unique urls and which can also be entered from the hrhs web site. The long term care sites include general information about the facilities and also include the monthly activity calendars with pages focusing on special events, awards and publications, as well as links to the alzheimer's association. Your right to decide; a guide to communicating your healthcare choices this booklet encourages readers to consider end-of-life decisions while they are well enough to make these choices. Staff and chaplains have used the booklet, along with copies of advance directives, to present programs to their own congregations and community groups to make people aware of having a living will and designating someone to make healthcare decisions for them when they may be unable to speak for themselves. These free booklets and copies of the virginia advance directive form are available at healthy living expos, on our website, in the admissions area and through the guest relations coordinator and chaplain's office. Health professions education the project prime scholarship endowment fund (project prime), which provides financial assistance to those in the region who want to pursue a career in healthcare or a healthcare-related field is administered and promoted by halifax regional hospital. In FY12 $65,000 was awarded to 52 individuals.\n\nThe dr. Jesse j. Bates scholarship program was started in 2002 in honor of dr. Jesse j. Bates, one of twelve physicians on halifax regional hospital's medical staff when the hospital opened in 1953. In FY12, the bates scholarship provided $7,792 in scholarship funds to five graduating high school seniors from the halifax regional health system service area. The purpose of the scholarship is to encourage high school seniors to seek education to fill critical healthcare vacancies and acquire skills for use with technologically advanced equipment and treatment therapies. The scholarship endowment fund receives donations from the community and the late dr. Bates' family. This scholarship is administered and promoted by halifax regional hospital. Continuing medical education (cme) program hrh is accredited by the medical society of virginia to sponsor continuing medical education (cme) for physicians. The cme program is open to all physicians and physicians extenders in our service area, as well as to our medical students. The mission of the cme program is to provide physicians with the latest evidence-based medical knowledge and technical skills. Educational programs are planned based on identified educational needs that underlie the professional practice gaps of our learners. Financial and in-kind contributions halifax regional community partnership program as a cornerstone organization in our region, halifax regional takes seriously its responsibility to be an active corporate citizen. The health system contributes to various organizations that share its mission to promote good health and wellness and to help improve the quality of life of all ages. As part of the health system's continued active community involvement, the halifax regional community partnership program was established in FY05 to enable halifax regional health system to maximize its resources to provide the greatest benefit to citizens in southside virginia. Guidelines for requests help answer important questions that enable the program to disperse resources in the most effective manner. In FY12 $182,543 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 FY12, 1,314 patients received medications valued at $5,394,657.76.\n\nCenter for nursing excellence recognizing the local, state and national nursing shortage, halifax regional health system's ceo envisioned a nursing education center that would eliminate the traditional barriers for nursing students such as commuting, scheduling, waiting lists and inadequate career preparation. Directing the effort to establish such a site, halifax regional leadership worked to secure cooperation and additional funding from like-minded entities. The collaborative effort resulted in the september 2008 opening of the center of nursing excellence at the southern virginia higher education center - a state-of-the-art nursing education center where students acquire clinical and critical thinking skills in a safe environment utilizing advanced simulation technology. The center now offers education from nurse aide through the doctorate of nursing practice utilizing six high-tech laboratories offering instructional technologies and high fidelity simulations which give students hands-on experience, boost confidence and prepare them to enter the workforce fully prepared for the rigors of professional nursing practice. In FY12, halifax regional contributed $35,165 to the center. In addition, one hrh employees serve on the advisory board and another worked with the center exploring grant opportunities. Food drives during FY12 employees, physicians and volunteers at halifax regional hospital again participated in sodexo services' \"servathon,\" a nationwide food drive conducted each april to help put food on the tables of those having difficulty providing for their families. Staff members and others collected $1000 and 621 pounds of canned goods, pastas, rice, sugar, flour, coffee, and other non-perishable foods. A check and the food were donated to the united missionary soup kitchen in south boston, a local organization that helps in the collection and distribution of food to needy individuals and families in halifax county. In FY12 meadowview terrace coordinated a food drive and collected 300 pounds of cans and boxes of non-perishable food which were donated to the clarksville food pantry during their annual food drive to help put food on the tables of those having difficulty providing for their families. Alzheimer's memory walks in FY2012 the woodview and seasons at the woodview staff and volunteers planned, coordinated and hosted the annual alzheimer's support walk. A number of fundraising events held throughout the year by the woodview and seasons lead up to walk day with 80 walkers participating. Funds raised in these events were donated to the southeastern virginia chapter of the alzheimer's association. The money is used locally to support alzheimer's related programs including family orientations, the 24-hour helpline, educational seminars and training sessions for both family and professional caregivers, the safe return program, local support groups and the speaker's bureau, all of which assist individuals and families affected by the disease. Nearly $4000 was collected from fund-raising efforts throughout the year including bake sales, ice cream sundae sales, yard sales, donations and the alzheimer's walk itself. In addition, the woodview provided space and lunch for the area alzheimer's walk team committee captain kick-off meeting. The meadowview terrace staff and volunteers organize, coordinate, advertise and host fundraising events to support the work of the southeastern virginia chapter of the alzheimer's association. The money raised is used locally to support alzheimer's related programs including family orientations, the 24-hour helpline, educational seminars and training sessions for both family and professional caregivers, the safe return program, local support groups and the speaker's bureau, all of which assist individuals and families affected by the disease. Nearly $5200 was collected from the fund-raising efforts throughout the year and donated to the association. \"samantha doll\" project \"samantha\" dolls are part of a nationwide effort to distribute huggable, therapeutic dolls to terminally ill patients of all ages. Halifax regional hospice joins more than 2,500 hospice providers throughout the united states in distributing these free dolls to their patients. Halifax regional hospital distributes them as well. Women from local missionary unions in the dan river baptist association sew the dolls and provide them for local hospice and hospital patients. During FY12, approximately 105 dolls were distributed to patients in homes, the hospital and nursing facilities. Other long term care in-kind contributions meadowview terrace held bake sales to raise money for the mecklenburg county department of social services christmas program, (gifts for needy children). In addition, over 150 pounds of dog and cat food was collected and donated to the clarksville spca. The facility also collected newspapers to donate to the spca. In FY12 meadowview terrace sponsored the backpack buddies program at clarksville elementary school, providing students with school supplies. Sponsorship continued throughout the year with staff providing parties and gifts for a third grade class. Long-term care residents are encouraged to become involved in the life of the facility as well as the life of the community, adding to their quality of life along with assisting those to whom their efforts are concentrated. With leadership and coordination from the staff, in FY12, the woodview family - residents, volunteers and staff alike - co-hosted a fall bazaar which this year included vendors from the community. Funds raised were donated to the halifax county cancer association. Again in FY12, the woodview residents prepared hand-made dolls and stuffed animals for the \"toys for tots\" program and made and donated cookies to the united missionary soup kitchen for thanksgiving. Rescue squad and fire department training halifax regional hospital provides supplies and other assistance to help local rescue squad members meet local, state and federal patient safety guidelines. The health system also makes donations to local fire departments and rescue squads to help them with their respective fundraising activities. A halifax regional emergency room physician serves as an operational medical director for ems agencies. During national ems week, halifax regional hospital employees took barbeque platters to honor members of rescue squads, emergency transport personnel and fire departments throughout our three-county service area. In addition to the lunch platters, each rescue squad received $250 through halifax regional community partnership. Sports physicals members of halifax regional hospital's medical staff, including physicians, nurse practitioners and physician assistants, provide free sports physicals for halifax county middle school, halifax county high school, bluestone middle school and bluestone high school students who participate in fall, winter, spring and summer school sports programs. In FY12 providers completed approximately 350 physicals for middle and high school students in both the primary and extended service area for hrhs. Facility use halifax regional hospital and the long term care affiliates provide free space and available equipment for area wellness programs, community meetings and clinical training programs. Examples include: economic development commission, halifax county public school foundation, weight watchers, united way board meetings, local minister's conference, dixie softball meeting, credit union, blue ridge autism center workshop on autism, southside community college nursing program, american red cross bloodmobile, beltone hearing clinics, aarp safe driving classes and various support group meetings.\n\nHalifax regional hospital served as a clinical site for: * rn and lpn students, southside virginia community college * physical therapy students from unc-chapel hill * physical therapy assistant students, jefferson college health sciences * speech language pathology students from longwood college * agreements are also held to serve as a training site for students from east carolina university, university of north carolina-chapel hill, shenandoah, james madison university, appalachian state university, medical university of south carolina, winston salem state university, elon, lynchburg college and radford university. * radiology technologists program, cvcc, lynchburg, va * ems students from local ems classes completed their training at different levels. Other students from south hill, farmville and richmond also performed their training at halifax regional hospital. * pharmacy students, medical college of virginia * pharmacy technician students, national business college, miller mott technical college * doctor of pharmacy students, medical college of virginia * third and fourth year students from edward via virginia college of osteopathic medicine (vcom), blacksburg, va * occupational therapy students from vcu * occupational therapy assistants students from jefferson college of health sciences the woodview and seasons at the woodview and meadowview terrace also provide free space and available equipment for clinical training programs. The woodview serves as a clinical site for: * halifax county high school nurse aide classes class; 20 students per semester * southside virginia community college, svcc; 50 nursing assistant students per year * svcc; 20 lpn and rn students per year * danville community college nurse aide classes - 50 nursing assistant students per year. The woodview also serves as a testing site for beltone hearing aids. Meadowview terrace serves as a clinical site for: * bluestone high school, nursing assistant students (approximately 20 students per semester) * bluestone high school special education students (five each semester) * southside virginia community college, svcc, (nursing assistant students at estes center, approximately 60 students) * svcc, estes center, (approximately 20 lpn students). * southern virginia higher education center rn students (approximately 20 per semester) meadowview terrace provides free space and available equipment for area wellness programs, community meetings, support groups and clinical training programs. Free space is provided for various community groups to meet including the gideons who hold their annual banquet at meadowview terrace, and space is provided at no charge for beltone hearing clinics which are open to the public. Community building employees donate hundreds of hours and share their talents and expertise as members of various civic and religious organizations in their communities, as well as serving on rescue squads and fire departments. The hospital allows and encourages employees to provide service to the community during working hours also. Employees serve in various capacities including on boards and advisory committees of a number of community groups and state organizations advancing community health and wellness and workforce development including the following: halifax county chamber of commerce; charlotte county chamber of commerce; clarksville chamber of commerce; mecklenburg county business education partnership; tri-county community action agency; halifax advocates for substance abuse prevention; southside health coalition, halifax vocational education foundation; southside virginia community college school of nursing advisory council; committee for the center for nursing excellence; southern virginia higher education center; virginia community college system; virginia foundation for community colleges; halifax education foundation; halifax county public schools education foundation; virginia advanced study on strategies board; economic development committee; workforce investment board; halifax county united way: mentor role model program and the mecklenburg county ymca. Employees at the woodview and seasons at the woodview participate in and share their talents and expertise as members of various civic and religious organizations in their respective communities. They participate in the chamber of commerce in halifax county; serve on virginia health care association committees; and serve on various boards and advisory committees such as the, lake country commission on aging, the southside virginia community college lpn school advisory council, halifax vocational foundation advisory council, lake country area agency on aging and the halifax county community federal credit union. Other programs opened to the public included a family picnic and antique car show, an african american history month celebration and reception, wear red day for cardiovascular awareness, mother's day, veteran's day, and father's day observances and wear pink day for public awareness of breast cancer. The woodview continued providing \"stress free\" days and the woodview resident glee club performed a christmas concert for all. The dietary department assembled several gift baskets to raffle to raise money for staff who experienced personal hardships including house fires and extended illness; one example of the woodview family caring for its own. Employees participate in and share their talents and expertise as members of various civic and religious organizations in their respective communities. They participate in the chamber of commerce, in the ruritan club and the aarp, and they serve on advisory boards such as the virginia employment commission, southside virginia community college and other committees and boards including the mecklenburg county business education partnership. This year they participated in a spelling bee to raise money for scholarships. In FY12 the facility participated in the downtown clarksville veterans program, the july 4th parade and the christmas parade in both clarksville and chase city. Adopt a us soldier program in FY12 seasons at the woodview continued support of a staff sergeant in the air force \"adopted\" in FY11 through the adopt a us soldier program and throughout the year sent care packages to him and his platoon in afghanistan. The residents, their families and the seasons staff were involved in the project. Poetry project during FY12 virginia's poet laureate kelly cherry met regularly with residents in poetry workshops after which activity staff helped residents write their own poems. This project continues with plans to compile a small book of poems. Intergenerational programs in the long term care facilities the woodview visits the dan river wee school on a regular basis to provide learning experiences for both the young children and the residents. The children and residents visit together, work on crafts and enjoy various holiday presentations and projects. People of all ages from approximately 50 community groups-churches, dance groups, bands and various clubs-share their talents with residents, staff members, and families at both the woodview and seasons at the woodview. Woodview residents often join other community groups to help with local events, too. Each year, the woodview plans, coordinates and hosts community events especially for children. Approximately sixty children from the community enjoyed the woodview's annual easter egg hunt this year with children enjoying fun activities and delicious refreshments provided by the facility. Dinner with santa was a treat for approximately thirty-five local youngsters and approximately 150 children participated in the FY12 safe trick or treat. In FY12 american legion post #8 provided the residents with a veterans day program and celebration and the woman's auxiliary of post #8 provided gifts for residents at christmas, easter, valentine's day and veteran's day. In FY12 seasons at the woodview partnered with several church youth groups and a group of home schooled children to work on special projects, a valuable experience for both the youth and the residents. These programs offered the youth the opportunity to learn how to relate to individuals with cognitive impairment and to learn compassion for the elderly. Seasons residents were also visited throughout the year by students of a local dance company. In FY12 the woodview partnered with helping hands, a service organization of halifax county high school. As a school project the students assisted residents at weekly bingo events.\n\nEach year, meadowview terrace plans, coordinates and hosts a community \"safe trick or treat\" at the facility on halloween. This event provides a safe haven for children to trick or treat, going from neighborhood to neighborhood in the facility and includes refreshments for all participants. The facility also plans, coordinates and hosts a breakfast with santa and an easter egg hunt each year for the children of staff, and residents' grandchildren, complete with refreshments and prizes for all. The boy scout, girl scout and cub scout troops continue to visit and interact with residents as part of their badge program. People of all ages from various community groups, clubs, churches and schools share their talents with residents, staff members and families throughout the year. Community involvement recognition for long term care affiliates the woodview and seasons at the woodview have been recognized for community involvement by the virginia health care association (vhca) frequently over the years. The annual vhca awards are presented to facilities that demonstrate a high degree of professionalism and creativity in implementing programs that encourage and support strong community relations. In FY12, the woodview was again recognized, receiving second place for year round community involvement, third place for national nursing home week and third place in the newsletter category. Season's was recognized with third place in special event (assisted living.) disaster readiness activities halifax regional hospital continues to participate in regional and local exercises to test the emergency operations plan and to conduct internal exercises. These initiatives help halifax regional hospital prepare for and coordinate crisis response and recovery operations with state, local and federal agencies in the event of a bioterrorist event/disaster. Outside the realm of the grant funding, halifax regional hospital supplied the employee time involved in training for community emergency preparedness as well as for community disaster training drills. Our focus continues to be on preparing the hospital staff and the community for \"all hazards.\" subsidized health services center for behavioral health the center for behavioral health provides day treatment services to adults and children between the ages of 6 and 17 years of age who are facing psychiatric, behavioral and emotional problems. This is an outpatient treatment program. This is a clinical service that is provided despite a financial loss of $32,576 (negative margin service). Other volunteer services program the volunteer auxiliary of halifax regional health system is a dedicated group of individuals whose helping hands extend even further than the walls of the hospital. In addition to the many services they provide to the hospital to support its programs and services, they generously donate proceeds from their fundraising events and sales from the hospital's gift shop and vending machines to support a number of outreach activities. The tender loving care team provided many handmade items for the patients including 393 baby blankets, 91 stuffed teddy bears, 37 stuffed fish, 13 walker bags, and 14 christmas stockings for newborns during the holiday season. In FY12 the group continued managing planetree programs such as the cookie cutters and pet therapy programs, the bedside music program and the care cart program. One hundred thirty-six volunteers contributed more than 24,000 hours of service to the hospital and community. Included in this program is the participation of junior volunteers who benefit from this opportunity to contribute to their community. In addition, for individuals contemplating a future healthcare career, the program offers them a chance to experience healthcare first-hand. Volunteers in halifax regional hospice visit hospice patients where they live, providing life-enhancing assistance to patients and their families. During FY12, hospice volunteers provided companionship and respite for terminally ill patients and their caregivers, assisted with patients' daily activities and served as a compassionate presence. The volunteers, who must complete specific volunteer training classes, also read to patients, run errands, write letters and fill bird feeders at patients' homes. Volunteers also knit prayer shawls for hospice patients, and red, white and blue \"lapghans\" which are given to veterans. These volunteers are an important part of the hospice team and trainings sessions for new volunteers are held as needed. Volunteer services are coordinated and oversight is provided by an hrhs employee. More than 100 volunteers from the community, both individuals and groups, have donated over 5,000 hours at meadowview terrace during FY12, providing companionship, recreation and spiritual activities for residents. Volunteers coordinate bingo games, craft activities, chapel services, birthday observances and holiday celebrations. They also accompany residents on picnics and out-of-residence activities, including bus trips to county fairs, lakefest, parades, boydton day and other community events/festivals. The volunteers assist with the annual halloween \"safe trick-or-treat night,\" \"breakfast with santa,\" easter egg hunts and cookouts for residents and families and provide one on one friendly visits to residents. Meadowview's volunteers also organize and implement the facility's fundraising events. Volunteers from the community, individuals and groups, have donated many hours at the woodview and seasons at the woodview during FY12, providing companionship, recreation and spiritual activities for residents. Volunteers also include certified pet therapy dogs. Volunteers at the woodview and seasons at the woodview, coordinate bingo games, craft activities, birthday observances and holiday celebrations. They also accompany residents on picnics and fishing excursions and out-of-residence activities, including bus trips to county fairs and other community events/festivals. The volunteers assist with the annual easter egg hunt, dinner with santa, the safe trick-or-treat and cookouts for residents and families. An annual volunteer recognition luncheon is hosted to recognize and honor volunteers for their service. Chaplaincy program the chaplain program (pastoral care services) led by manager of guest relations/pastoral care services incorporates more than 20 volunteer associate chaplains to provide spiritual care to patients, their family members in the hospital setting as well as to residents in our long-term care facilities, hospice patients, and the community. In addition to spiritual care, chaplains lend their listening presence to employees and volunteers. Weekly chapel services are available in the sub-acute area of our hospital as well as in halifax regional's long-term care facilities. The chaplain maintains a listening/educational presence for local clergy as well as the community on issues related to spirituality and health care. In FY12 the hospital chaplain spoke to various community groups on advance directives, and led classes for local clergy. Access to information the marketing and communication department's phone number is listed on \"health nite out\" and other wellness program ads promoting health education programs. This number is also listed in halifax regional health system's life & health newsletter, which is mailed quarterly to more than 31,000 households in the system's three-county service area. The public can request free brochures, a physician directory and be directed to many sites on the web site, including an extensive on-line health information library. Contact information is also given on the hospital's on-hold messaging system. When specific information is provided and individuals might like more information through a pamphlet or brochure, the phone number is listed and callers can have more information mailed to them. The marketing and communications office is often referenced when callers reaching the main hospital number are not sure who they need to talk to about their question. The department can also be sent email from the health system's web site.","year":2011,"name":"HALIFAX REGIONAL HEALTH SYSTEM INC","phone":"4345173183","website":"WWW.HRHS.ORG","type":"990","principal_officer":"CHRIS A LUMSDEN","year_formation":1996,"state_legal_domicile":"VA","total_volunteers":317,"tax_period_begin":"2011-09-01T00:00:00","tax_period_end":"2012-08-31T00:00:00","address":"2204 WILBORN AVENUE, SOUTH BOSTON, VA, 24592, USA","city":"SOUTH BOSTON","state":"VA","country":"USA","zip_code":"24592"},"Governance":{"501c3 determination":true,"Number of voting members":35,"Number of independent voting members":26,"Number of employees total":0,"Total Gross UBI":0,"Net unrelated business taxable income":0,"Number of employees":0,"Prohibited tax shelter transactions":false,"Taxable party notification":false,"Funds to pay premiums":false,"Premiums Paid":false,"Family or business relationship":true,"Delegation of management duties":false,"Conflict of interest policy":true,"Whistle blower policy":true,"Compensation process for CEO":false,"Compensation process for other employees":false,"Changes to organizing documents":false,"Material diversion or misuse":false,"Members or stockholders":false,"Election of board members":false,"Decisions subject to approval":false,"Minutes of governing body":true,"Local chapters":false,"Form 990 provided to governing body":true,"Document retention policy":true,"Investment in joint venture":false,"Independent audit financial statements":false,"Consolidated audit financial statements":true,"Accountant compile or review":false,"Financial statements audited by independent accountant":true,"Audit committee":true,"Federal grant audit required":false,"Political activities":false,"Donor advised funds":false,"Conservation easements":false,"Collections of art":false,"School":false,"Hospital":false,"Foreign activities":false,"Foreign office":false,"Gaming":false,"Fundraising activities":false,"Professional fundraising":false,"Loan to officer or DQP":false,"Grant to related person":false,"Business relationship through family member":false,"Business relationship with organization":false,"Transfers to exempt non-charitable organization":false},"Revenues":{"value":0,"Contributions":{"value":0},"Program revenue":{"value":0,"Unrelated business revenue":0},"Investment income":{"value":0,"Investment income total":0,"Net investment gain":0,"Income from invest bond proceeds":0},"Other revenues":{"value":0,"Other total":0,"Royalties revenue":0,"Net income from fundraising events":0,"Net income from gaming":0,"Net income":0}},"Expenses":{"value":0,"Grant expense":{"value":0,"Grants to domestic orgs":0,"Grants to domestic individuals":0,"Foreign grants":0},"Total professional fundraising expense":{"value":0,"Fundraising professional":0},"Benefits paid to members":{"value":0,"Benefits paid to members Total":0},"Salaries":{"value":0,"Current officers":0,"Disqualified persons":0,"Other salaries and wages":0,"Pension plan contributions":0,"Other employee benefits":0,"Payroll taxes":0},"Other expenses":{"value":0,"Management services":0,"Legal":0,"Accounting":0,"Lobbying services":0,"Investment management fees":0,"Other services":0,"Advertising":0,"Office expenses":0,"Information technology":0,"Royalties":0,"Occupancy":0,"Travel":0,"Conferences and meetings":0,"Interest":0,"Payments to affiliates":0,"Depreciation and depletion":0,"Insurance":0,"Travel entertainment public officials":0}},"Assets":{"value":83977064,"Non-interest bearing cash":0,"Savings and temp cash investments":0,"Pledges and grants receivable":0,"Accounts receivable":0,"Receivables from officers":0,"Receivables from disqual persons":0,"Other net note and loans":0,"Inventories for sale or use":0,"Prepaid expenses deferred charges":0,"Investments publicly traded":0,"Investments other":0,"Investments program related":0,"Intangible assets":0,"Other assets":83977064},"Liabilities":{"value":0,"Accounts payable, accrued":0,"Grants payable":0,"Deferred, revenue":0,"Tax exempt bond liabilities":0,"Escrow account liability":0,"Loans from officers, directors":0,"Secured mortgages and notes payable":0,"Unsecured notes loans payable":0,"Other liabilities":0},"Fund balance":{"value":83977064},"Form990Details":{"program_service_accomplishments":[{"description":"ACUTE, HOME HEALTH, HOSPICE AND OUTPATIENT CARE. 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Compensation":[0],"Direct compensation":[0],"Other compensation":[0]},"Basic":{"mission":"The purpose of halifax regional health system is to provide the highest quality care based on the healthcare needs of the people we serve.","primary_activities":"Halifax regional health system (hrhs), a not-for-profit organization, is a multidivisional organization providing acute and long-term care, alzheimer's/dementia care, home health, hospice, rehabilitation, behavioral health services, and a multitude of outpatient services to approximately 80,000 residents in the region; and providing primary care services in four locations throughout the service area. Governed by a 36-member volunteer board of directors, the system serves halifax, charlotte and mecklenburg counties and surrounding communities. Hrhs serves an area designated as a medical, dental and mental health professional shortage area (hpsa) and a virginia medically underserved area (vmua). This non-profit, tax-exempt system consists of a parent company and six primary operating companies, halifax regional hospital, inc. (hrh); halifax regional long term care, inc., dba the woodview and seasons at the woodview; clarksville senior care, llc, dba meadowview terrace; halifax regional development foundation, inc.; halifax regional properties, inc.; and southside health services, inc. The purpose of halifax regional health system is \"to provide the highest quality care based on the healthcare needs of the people we serve.\" our vision is \"to be the leader in providing person-centered care through a continuum of quality and cost effective services that improves the general health of the communities we serve.\" healthcare takes many forms at halifax regional health system, including medical services for inpatients and outpatients, acute-care and skilled-care services, rehabilitation programs, long term care, specialized alzheimer's/dementia care, home health and hospice services and behavioral health, as well as health screenings, patient education and community wellness. To support the general health and welfare of over 80,000 persons in the region, 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. Halifax regional hospital (hrh) is an acute care facility 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 skilled nursing facility beds (subacute). Hrh offers the region advanced diagnostic and treatment capabilities including 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 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. Hrh is the only provider of inpatient and outpatient acute care services in a 30-40 mile radius and serves as a regional referral center for neighboring counties in virginia and north carolina. The hospital extends its continuum of care into the home through halifax home health and halifax regional hospice. These agencies provide skilled care (nursing and physical, occupational, and speech therapy), hospice, and support services to homebound patients. More than 100 physicians representing 29 specialties serve on the hrhs medical staff, supported by a number of physician extenders. Four family practice groups operated by the health system and located throughout the service region help to serve the primary care needs in the community. During FY11, halifax regional hospital served 4,784 inpatients, including newborns, provided services to 64,092 outpatients and had 27,920 emergency department visits. Halifax regional participates in both medicare and medicaid and, based upon its mission to the community, provides services to all individuals regardless of their ability to pay. The woodview, a 180-bed dually certified (medicaid and medicare) nursing facility and meadowview terrace, a 120-bed dually certified nursing facility provide personal care, health care services and rehabilitation services for persons needing long term care and whose special needs cannot be met in independent living environments. Seasons at the woodview is an 18-bed licensed assisted living facility providing specialized memory support services for individuals who have alzheimer's disease or a related dementia. Both seasons at the woodview and meadowview terrace have evidence-based designed neighborhoods that serve the special needs of the memory impaired and the staff is specially trained to meet the unique needs of these residents and their families. The following statistics support the need for and value of this special care service offering: -over 69% of long term care residents suffer from alzheimer's disease or a related dementia. -nineteen percent of halifax and charlotte county residents are age 65+ and 20% of mecklenburg county residents are age 65+ compared to the virginia state average of 12%. -statistically one out of 10 persons over the age of 65 will develop alzheimer's disease or a related dementia as will 50% of those age 85+.\n\nIn FY11 60.1 percent of the woodview's revenues and 55.5 percent of meadowview terrace's revenues were reimbursable under the medicaid program; and 20.6 percent of the woodview's revenues and 24.0 percent of meadowview terrace's revenues were reimbursable under the medicare program. The halifax regional development foundation is responsible for administering gifts, grants and contributions for halifax regional health system and for providing other services that are exclusively charitable, educational or scientific in nature. The foundation is also responsible for managing the investment of hrhs endowment funds and for management of the affiliated groups' educational assistance program. Halifax regional properties is organized to promote the general health and welfare of the community and is responsible for construction, acquisition, and management of hrhs's real estate holdings other than the hospital facility and the long term care facilities. These holdings are situated both on campus and in medically-underserved areas within the service area of halifax regional hospital. Southside health services, inc. Is a for-profit corporation utilized to develop physician joint ventures or acquisitions and operates a management services organization for physician practices. The hospital and long-term care facilities, all part of halifax regional health system (hrhs), utilize excess revenue over expenses to upgrade facilities, to purchase new equipment and to upgrade clinical and information technology in order to improve quality and patient safety. Halifax regional health system provides a variety of community benefit services to respond to identified community needs and to support the general health and welfare of approximately 80,000 persons in the region. As a community-owned, not-for-profit organization, halifax regional hospital takes pride in its mission to provide care to all citizens regardless of their ability to pay. Halifax county uninsured and unemployed statistics, as well as those in the surrounding counties, are significantly higher than the percentages for the state of virginia. Although the provision of healthcare services to a growing uninsured and underinsured population while maintaining fiscal responsibility is one of the greatest challenges that hospitals face, we believe that a lack of financial resources should never get in the way of a patient receiving essential health services. Hrh's patient financial assistance policy is designed to offer low-income, uninsured and underinsured patients discounted charges at increased percentages of the federal poverty guidelines (fpg). The hospital provides a 32 percent discount from charges for patients without insurance regardless of income. A medically indigent discount is provided for individuals at the 226% to 275% fpg based upon total medical related bills. In addition to the ongoing communications of the hospital's financial assistance program through brochures, postings throughout the hospital and information provided directly to patients, the hospital places an ad in local newspapers quarterly to publicize the program. Although the charity care and uncompensated care provided by hrh increases annually, hrh consistently ranks by virginia health information as one of the lowest charge hospitals in the commonwealth. In FY11 the hospital provided $12,277,995 in uncompensated care (charity and bad debt) or 6.1 percent of patient revenue. In FY10, charity and uncompensated care decreased by 0.7 percent (FY10=$12,360,980; FY11=$12,277,995.) in addition, the un-reimbursed value of providing care to patients insured by the medicare and medicaid programs was $94,746,988 or 47 percent of patient revenue.\n\nHrhs takes pride in being a contributing member of the community and as such reaches out to the community in a variety of ways. 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. In FY11, halifax regional hospital, as part of halifax regional health system, donated $251,933 through its community partnership program to assist community groups and agencies in order to help promote all areas of health and wellness in the community, including physical, mental, vocational, emotional, intellectual and spiritual well-being. Hrh also assists with fund raising activities for groups such as emergency medical services groups and co-sponsors public events planned by various clubs, schools and businesses. Hrh provides a number of community health improvement services, health professions education services and community building activities. If halifax regional did not perform these essential roles-providing charity care, monetary contributions and wellness education, these obligations would most likely have to be assumed by government and supported by taxpayers. Community health improvement services & education ------------------------------------------------- halifax regional hospital encourages its staff and volunteers to continue the caring traditions of those citizens who worked so diligently to establish the hospital in the early 1950s. Today, many employees, physicians and volunteers help strengthen the community by addressing various community health needs. Whether sponsoring a health fair, participating in a chamber of commerce project, sending a speaker to a school classroom or civic club, partnering with other healthcare providers to provide additional outreach services or donating to organizations with similar missions to help improve the quality of life for residents of all ages, halifax regional is proud to be a good corporate citizen and to take a leadership role in the well-being of all citizens in the region. Some of these activities, services, joint sponsorships and other programs are described below. Avoid the flu campaign this community awareness campaign is continued each year to educate the public before and during flu season. This year the infection control department utilized several venues for disseminating information to the public. Posters and flyers were placed throughout the hospital with the 'protect your patients\" and \"it's ok to ask\" message and reminders to WASH your hands and reconsider visiting patients when you are sick were placed on the television in the hospital lobby, on the health system web site and in articles in local newspapers. Finally, a booth about proper hand washing is a consistent presence at the healthy living expo each year and visitors actually have the opportunity to WASH their hands and learn about the best techniques to ensure proper cleanliness. Food and nutrition services community service in addition to participating in halifax regional hospital's health fairs, food and nutrition employees provided diet and nutrition information to the public (adults and children) in a variety of other venues including churches, local businesses, support groups, schools and special events. \"eating for a healthy weight\" and \"eating for a healthy heart\" classes have continued throughout FY11 as a part of the cardiopulmonary rehabilitation education classes. \"dishin' nutrition with your kids,\" a free class designed for parents and children addressing nutrition and obesity, continued as well. The department also offered a healthy cooking class free to the community as part of halifax regional's health nite out series of educational events. Healthy living expo halifax regional health system holds annual community health fairs in its service area. Halifax regional's annual signature event, the healthy living expo, was held at halifax county high school in march 2011. In addition to the myriad of screenings and health and wellness educational activities and information provided by hrh at this event, hrh invites other health-related organizations to participate in the event in order to expand the offerings to the participants. Guest participants included the american red cross, caregivers of autistic children, the lion's club (vision and amblyopia screening), the halifax county cancer association, the local alzheimer's association; the social security administration, halifax county sheriff's department (project lifesaver), healthy families; the ymca; the south boston fire department, the south boston library, and the south boston police department and more. All health screenings provided were free, including blood pressure, blood glucose and cholesterol, vision and amblyopia, oral, bmi (body mass index), osteoporosis, balance, grip strength and anxiety and depression screenings. 301 individuals attended the expo and more than 600 free screenings were provided. Again this year, the woodview and seasons at the woodview participated in halifax regional health system's healthy living expo, an annual community health fair that provides a myriad of free health screenings and health and wellness educational activities and information to the public. In addition to assisting with planning for this event, the woodview and seasons at the woodview provided long term care and alzheimer's disease information. Nearly 400 people were reached through this event. Again this year, meadowview terrace participated in halifax regional health system's healthy living expo, an annual community health fair that provides a myriad of free health screenings and health and wellness educational activities and information to the public. In addition to assisting with planning for this event, meadowview terrace provided long term care information, nutrition counseling and assisted with blood pressure screenings. More than 400 individuals were reached through this community health event.\n\nCommunity health fairs/screenings other community health fairs in which halifax regional participated and provided screenings (including blood pressure, body mass index, cholesterol and blood glucose) during FY11 included north halifax fire department marathon, halifax county cancer association walk for hope, american national bank grand opening, trick or treat, charlotte county business expo, halifax county chamber expo, national night out in mecklenburg and halifax counties, relay for life and st. Paul church health fair. A prostrate screening was also held at halifax primary care. In FY11 halifax regional participated in ten health fair screening events with 1,417 individuals screened. Annual national depression and anxiety screening day in may, halifax regional's center for behavioral health held a free depression and anxiety screening day. The center staff provided a questionnaire and mental health professionals were on hand to discuss the results with participants. Additionally, the center staff provided free screenings at other halifax regional sponsored events throughout the year including the halifax county chamber of commerce business expo in february and halifax regional health system's healthy living expo in march. Advanced directives day in april 2011, halifax regional hospital joined hospitals and health systems around the commonwealth of virginia in a day designed to create public awareness of the need to plan ahead for health care decisions related to end of life care and medical decision making for patients unable to speak for themselves. The event also encouraged the use of advance directives to communicate these important health care decisions. Hrh and halifax regional hospice participated by going to multiple areas in the community to talk about the benefits of advanced directives. The woodview participated with halifax regional hospital in increasing public awareness of the need to plan ahead for health care decisions related to end of life care and medical decision making for patients unable to speak for themselves. The woodview provided advance directive information to residents, staff members, visitors and family members and the public. Staff members designed a display board for the woodview lobby and spent a day providing shoppers at wal-mart with free advance directive information. Meadowview terrace participated in the virginia advance directive day by providing information on advance directives in the facility's lobby with staff available to answer questions and also offered a program on advanced directives and end of life decisions free of charge to the community. Look good . . . Feel better workshops this american cancer society (acs) program is designed for women undergoing active cancer treatment. The free workshop is hosted on an as needed basis, at the request of individuals in the community. Participants learn about skin problems that can result from chemotherapy and/or radiation therapy; learn to add color to their faces with a free skin-care kit valued at $250 (compliments of acs); and are instructed on how to use wigs, hats and scarves to enhance their looks and self-esteem. In FY2011, two workshops were held. Hrh supplied the space for the workshops and a portion of the supplies such as mirrors, washcloths, for those who wanted to know more about achieving a brighter outlook on life. The hospital promotes these workshops in bi-monthly ads and in the quarterly life & health newsletter. During FY2011, hrh turned over control of these workshops - setting up and carrying out the events - to the local halifax county cancer association. Hrh continues to advertise for the events.\n\nHealthy directions wellness program during FY11, a variety of wellness programs, classes and contests continued to be held regularly to help employees and their family members with weight loss, exercise, and nutrition to lower bmi, cholesterol, glucose, blood pressure and risks for heart attack, stroke and other complications of cardiovascular disease. A total of 806 employees and spouses took advantage of the free wellness screenings given at halifax regional hospital, meadowview terrace and the woodview in FY11. By looking better and feeling better, employees \"show\" the community that good health is achievable and set a good example for the healthcare role the organization plays in the community. Weight watchers support group weight watchers meets weekly at meadowview terrace to weigh in and for educational meetings covering nutrition, food buying and preparations, etc. Although this is a franchised program, meadowview terrace provided meeting space at a reduced rate. Childbirth education classes through the family birthing center, halifax regional offers a wide range of childbirth education classes for parents-to-be. All classes except prepared childbirth classes are provided free. Offered in FY11 were: -prepared childbirth classes - seven classes, 56 participants -breastfeeding class - eight classes, 60 participants -bereavement counseling for loss of infant/child - given to all mothers and birthing partners in cases of childbirth loss (miscarriages and stillbirths) -baby basics and beyond classes - seven classes, 63 participants diabetes education classes ninety-nine people attended halifax regional's free diabetes group classes in FY11. The diabetes education department offers monthly classes for those interested in learning about monitoring blood glucose, nutrition, stress management and the prevention of complications related to diabetes. Diabetes group classes are offered at various times of day and evening and several all-day saturday classes are scheduled each year to provide additional opportunities for persons who work during the week or prefer not to come at night. In FY11 the diabetes educator also provided 30 one-to-one sessions with individuals either referred by physician or self at no charge and did 37 telephone education sessions. A diabetes educator is also available to teach and demonstrate how to use a blood sugar monitor upon request. In march 2011 the diabetes education department, participated in the 2011 healthy living expo, providing free dietary counseling and literature to interested individuals and to those having elevated blood sugars following free expo blood glucose screenings. The registered dietitian at meadowview terrace worked in conjunction with halifax regional hospital staff to teach diabetes education classes throughout the year. Alzheimer's caregiver training one of halifax regional's employee's serves on the leadership council of the southeastern virginia chapter of the alzheimer's association, and, during FY11, presented educational sessions on alzheimer's disease to local church groups, civic clubs, community college classes, high school nursing classes, area clergy and professional and family caregivers. This person also serves with an employee of seasons at the woodview as co-facilitator of the local alzheimer's support group. 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.\n\n1. Wellness & weight: finding what works - this highly informative program was presented by katie conschafter, ms, rd, cde, a senior clinical manager for animas corporation, a johnson & johnson company. Among her licenses and training, conschafter is both a registered dietician and a certified diabetes educator, and she has more than 30 years of knowledge and experience. She has taught both nutrition and weight loss classes and she has treated patients of all ages. The presentation provided a deeper look into the scope of obesity in america and the factors behind it, as well as weight loss options and lifestyle changes. A total of 97 people attended. 2. Cooking with kids - this program offered a fun-filled night for adults and their child(ren) (or grandchild) to spend quality time together while instilling healthy eating habits! Taught by lisa caudle, clinical nutrition manager at halifax regional hospital, and janet conner, senior dietary advisor, you and your child are sure to gain the culinary and bonding experience of a lifetime. A total of 28 people attended this program. 3. Heart health for all ages - your heart is on duty twenty-four hours a day seven days a week. Participants at this program learned how to take care of their heart and reduce their risk for heart-related health problems. Cardiologist gareth titus, md presented this program and representatives from hrh's center for cardiovascular services and cardiopulmonary rehab departments were on-hand to offer blood pressure checks. Twenty people were in attendance. 4. Konnecting parents & kids - this health nite out, presented by beth gillis, ms, ncc, lpc of halifax regional's center for behavioral health, concentrated on developing positive communication skills and concepts between parents and children. While parents enjoyed beth's presentation, their children were invited to participate in fun learning activities and reading time in another room. A total of 16 people attended this workshop. Long term care town meetings, national celebrations/observances for public educational family night the woodview welcomes the residents' families and the community into the facility for programs of interest to the general public. FY11 featured an educational program on hospice care. Community educational open house in the fall of FY11 the woodview and seasons at the woodview hosted a free shred-a-thon for the community in conjunction with an open house for area senior citizens featuring community resources available to and of interest to that population other in FY11 woodview staff provided information and presentations on careers in healthcare for third graders at south boston elementary school. The admission department worked with habitat for humanity by sending mailings to the community publicizing the \"pumpkin patch\" fundraiser to raise money for habitat homes and created a data-base for mailing addresses for habitat for humanity projects. Other programs opened to the public included a piano concert for residents and family members, a family picnic and an elegant night out dinner for residents and family. Other programs and observations included an african american history month celebration and reception, wear red day for cardiovascular awareness, mother's day, veteran's day, and father's day observances and wear pink day for public awareness of breast cancer. The woodview continued providing \"stress free\" days, complete with hand massages, for residents and staff and this year included families. Also in FY11 a family member provided a stress-busting zumba class for staff and residents. And finally, the woodview resident glee club performed an easter concert for all. Meadowview terrace periodically hosts free family night programs which are open to and promoted to the public. These meetings are programs of interest to the general public and feature an invited speaker. In FY11 a family night focusing on the mds 3.0 was held. Mentor role model program halifax regional provided support and office space at below market rates for the role mentor model program (a community program providing adult mentors to 130 local children) during FY11. Speakers bureau halifax regional's speakers bureau provides free informational programs to schools, community groups, businesses and other organizations in halifax, mecklenburg and charlotte counties. Topics range from diet and nutrition to risks for heart disease, drug interactions, stress management, wellness, disaster preparedness, and alzheimer's disease, to name a few. Speakers include staff members and physicians. In FY11 presentations were made to 27 community organizations, civic clubs and churches. Approximately 876 individuals were reached through these presentations. Support groups on a bi-monthly basis, halifax regional hospital advertises meetings for support groups and information classes the community is invited to attend. Many of these support groups have long-standing memberships and as new needs are identified, halifax regional works to ensure new groups are added. Halifax regional works with groups to serve as facilitators or identify facilitators in the community, obtains speakers for meetings and provides free meeting space for support groups. 1. Bosom buddies cancer support group, offers women who have or who have experienced breast cancer, an opportunity to share their feelings and exchange coping strategies. Six meetings were held during FY11 with a total of approximately 50 participants. 2. Caregivers of autistic children meets monthly at a local church. The group gives parents and grandparents an opportunity to share successes with others who care for children with autistic tendencies. Approximately eight to ten individuals attend the monthly meetings routinely. Halifax regional advertises their monthly meetings in newspapers and on the web site. 3. Better breathers support group meets the fourth thursday of the month at the hospital. During fy 2011, the group met ten times with an average of six members at each meeting. Each session alternates between group discussions and programs provided by hospital employees, physicians, or guests from the community. 4. Stroke/aphasia support group met 10 times during FY11 with a total of 80 participants. The meetings are held at halifax regional hospital and are open to stroke survivors, stroke caregivers and friends, and anyone wishing to know more about stroke and aphasia. 5. Weight watchers although this is a franchised program, halifax regional hospital provides space and encourages participation. The group meets every monday with approximately 20 participants, including employees and community members. Weight watchers meets weekly at meadowview terrace to weigh in and for educational meetings covering nutrition, food buying and preparations, etc. Although this is a franchised program, meadowview terrace provided meeting space at a reduced rate. 6. R.i.s.e. (resource information sessions of encouragement) meets the fourth tuesday of each month and serves as a bereavement support group for the community. Sessions are led by halifax regional hospice staff and the 19 meetings held during fy 2011 reached 158 participants. During fy 2011 a second meeting time was added to the group's schedule. Meetings are held at the hospital. Each session has a different topic, focusing on the different needs of those who have recently suffered a loss. Topics are presented by volunteer leaders from the community and include subjects like understanding grief, identifying the positives, journaling grief experiences and exploring resources available for people who are newly living alone. 7.narcotics anonymous - this group meets weekly at the hospital. The hospital provides free space and advertising. 8. Cancer support group (hope) - during FY2011, halifax regional continued to advertise this group's weekly meetings in its bi-monthly for your good health advertisement. The group's weekly meetings take place at a local church with approximately 15-20 participants. 9. Alzheimer's support group - meeting monthly at the woodview, this group is facilitated by a hospital employee. Hrh advertises its meetings. Sessions are designed to provide education and support to individuals caring for someone with alzheimer's disease or related dementias.\n\nFor your good health calendar ad halifax regional hospital offers a bi-monthly calendar ad, \"for your good health,\" which advertises free events in four local newspapers in its service area including the gazette virginian, news&record, mecklenburg sun and the news progress. The ad is printed in each newspaper's first edition of the week and provides information and dates for childbirth and diabetes group classes, support group meetings and other community/health system-sponsored wellness programs. Contact persons and phone numbers are listed for access to registration and/or more information. Community health news magazine halifax regional's life and health magazine is mailed to more than 31,000 households in our service area four times a year. The 8-page magazine contains health and wellness information as well as articles and photos of events and activities at halifax regional hospital, meadowview terrace, seasons at the woodview and the woodview and our four family practice clinics and orthopedic office. The full-color publication features information on new services and technologies, special awards, accreditations, and lists classes and events. Woodview and seasons at the woodview newsletters in-house prepared newsletters from the woodview and seasons at the woodview are distributed to nearly 520 families, businesses and individuals each month. The woodview whistle includes a special feature focusing on an employee and one or more residents and features other items of interest related to activities at the woodview. Making the woodview whistle especially interesting, are drawings by residents that depict life and times and/or activities they fondly remember. Often the artist will include a handwritten explanation with the artwork. Also included are photos that depict residents involved in the life of the facility. The seasons at the woodview newsletter features educational information related to alzheimer's disease and general information about the residents and facility events. Health literature a wide range of free health literature is available through halifax regional health system's marketing and education departments. Information is placed in waiting rooms, on hospital nursing units or may be requested through the mail. Literature is also distributed by speakers bureau participants, at support group meetings, health nite's out and at screening events. Halifax regional is often asked to supply educational materials to churches, schools and community groups that hold health fairs in their respective facilities. This literature covers risk factors for heart attack and stroke; ways to identify hypertension, high cholesterol, diabetes and mental health problems as well as good nutrition and exercise. Halifax regional's community newsletter references the hrhs website's medical library frequently, offering readers alternate ways to learn more about diseases and treatments currently available. Web site visitors to www.hrhs.org can find a physician, learn about and register for classes and events, search for a job, search the health library, engage in interactive health screenings, take a virtual tour and learn about services. Online features include bill payment, job applications, charitable donations, event registration, physician cv submission, cheer cards and messages, registration for outpatient procedures, and visiting the secure online baby nursery. The use of these online features continues to rise with a significant increase noted for online bill payment, event registration and cheer cards. Visitors to the site can subscribe to three online newsletters: the health e-newsletter, pregnancy e-newsletter, and the new-parent e-newsletter, a monthly electronic publication for parents with newborns and toddlers. In FY2011, hrhs.org averaged just over 6,000 visits per month and a total of more than 73,000 visits for the fiscal year. After having expanded into social media in FY10, halifax regional found continued success with their facebook page and its ability to reach out to the community during FY2011. The woodview, seasons at the woodview and meadowview terrace each have their own web site with unique urls and which can also be entered from the hrhs web site. The long term care sites include general information about the facilities and also include the monthly activity calendars with pages focusing on special events, awards and publications, as well as links to the alzheimer's association. Your right to decide; a guide to communicating your healthcare choices this booklet encourages readers to consider end-of-life decisions while they are well enough to make these choices. Staff and chaplains have used the booklet, along with copies of advance directives, to present programs to their own congregations and community groups to make people aware of having a living will and designating someone to make healthcare decisions for them when they may be unable to speak for themselves. These free booklets and copies of the virginia advance directive form are available at healthy living expos, on our website, in the admissions area and through the guest relations coordinator and chaplain's office. Enrollment assistance services a full-time eligibility worker who is a hrh employee assists patients in identifying and enrolling in public programs to improve their accessibility to healthcare services. Health professions education ---------------------------- the project prime scholarship endowment fund (project prime), which provides financial assistance to those in the region who want to pursue a career in healthcare or a healthcare-related field is administered and promoted by halifax regional hospital. In FY11 $67,000 was awarded to 72 individuals. The dr. Jesse j. Bates scholarship program was started in 2002 in honor of dr. Jesse j. Bates, one of twelve physicians on halifax regional hospital's medical staff when the hospital opened in 1953. In FY11, the bates scholarship provided $7000 in scholarship funds to five graduating high school seniors from the halifax regional health system service area. The purpose of the scholarship is to encourage high school seniors to seek education to fill critical healthcare vacancies and acquire skills for use with technologically advanced equipment and treatment therapies. The scholarship endowment fund receives donations from the community and the late dr. Bates' family. This scholarship is administered and promoted by halifax regional hospital. Continuing medical education (cme) program hrh is accredited by the medical society of virginia to sponsor continuing medical education (cme) for physicians. The cme program is open to all physicians and physicians extenders in our service area, as well as to our medical students. The mission of the cme program is to provide physicians with the latest evidence-based medical knowledge and technical skills. Educational programs are planned based on identified educational needs that underlie the professional practice gaps of our learners.\n\nFinancial and in-kind contributions ----------------------------------- halifax regional community partnership program as a cornerstone organization in our region, halifax regional takes seriously its responsibility to be an active corporate citizen. The health system contributes to various organizations that share its mission to promote good health and wellness and to help improve the quality of life of all ages. As part of the health system's continued active community involvement, the halifax regional community partnership program was established in FY05 to enable halifax regional health system to maximize its resources to provide the greatest benefit to citizens in southside virginia. Guidelines for requests help answer important questions that enable the program to disperse resources in the most effective manner. In FY11 $251,933 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 FY11, 1408 patients received medications valued at $4,793,479. Center for nursing excellence recognizing the local, state and national nursing shortage, halifax regional health system's ceo envisioned a nursing education center that would eliminate the traditional barriers for nursing students such as commuting, scheduling, waiting lists and inadequate career preparation. Directing the effort to establish such a site, halifax regional leadership worked to secure cooperation and additional funding from like-minded entities. The collaborative effort resulted in the september 2008 opening of the center of nursing excellence at the southern virginia higher education center - a state-of-the-art nursing education center where students acquire clinical and critical thinking skills in a safe environment utilizing advanced simulation technology. The center now offers education from nurse aide through the doctorate of nursing practice utilizing six high-tech laboratories offering instructional technologies and high fidelity simulations which give students hands-on experience, boost confidence and prepare them to enter the workforce fully prepared for the rigors of professional nursing practice. In FY11, halifax regional contributed $163,411.79 to the center. In addition, one hrh employees serve on the advisory board and another worked with the center exploring grant opportunities. Food drives during FY11 employees, physicians and volunteers at halifax regional hospital again participated in sodexo services' \"servathon,\" a nationwide food drive conducted each april to help put food on the tables of those having difficulty providing for their families. Staff members and others collected $879.50 and 338 pounds of canned goods, pastas, rice, sugar, flour, coffee, and other non-perishable foods. A check and the food were donated to the united missionary soup kitchen in south boston, a local organization that helps in the collection and distribution of food to needy individuals and families in halifax county. In FY11 meadowview terrace coordinated a food drive and collected 350 pounds of cans and boxes of non-perishable food which were donated to the clarksville food pantry during their annual food drive to help put food on the tables of those having difficulty providing for their families. Alzheimer's memory walks the woodview and seasons at the woodview staff and volunteers plan, coordinate and host an annual alzheimer's memory walk. A number of fundraising events are held throughout the year by the woodview and seasons leading up to the big event- the alzheimer's memory walk, with 80 walkers participating in FY11. All money raised in these events is donated to the southeastern virginia chapter of the alzheimer's association. The money is used locally to support alzheimer's related programs including family orientations, the 24-hour helpline, educational seminars and training sessions for both family and professional caregivers, the safe return program, local support groups and the speaker's bureau, all of which assist individuals and families affected by the disease. Nearly $7700 was collected from fund-raising efforts throughout the year including bake sales, ice cream sundae sales, yard sales, donations and the alzheimer's walk itself. In addition, the woodview provided space and lunch for the area alzheimer's walk team committee captain kick-off meeting. The meadowview terrace staff and volunteers organize, coordinate, advertise and host an annual alzheimer's memory walk. A number of fundraising events are held throughout the year. All money raised in these events is donated to the southeastern virginia chapter of the alzheimer's association. The money is used locally to support alzheimer's related programs including family orientations, the 24-hour helpline, educational seminars and training sessions for both family and professional caregivers, the safe return program, local support groups and the speaker's bureau, all of which assist individuals and families affected by the disease. Nearly $7000 was collected from the fund-raising efforts throughout the year including bake sales and food sales at local events. In addition, meadowview terrace provided space and lunch for the area alzheimer's walk team committee captain meetings. \"samantha doll\" project \"samantha\" dolls are part of a nationwide effort to distribute huggable, therapeutic dolls to terminally ill patients of all ages. Halifax regional hospice joins more than 2,500 hospice providers throughout the united states in distributing these free dolls to their patients. Women from local missionary unions in the dan river baptist association sew the dolls and provide them for local hospice and hospital patients. During FY11, approximately 350 dolls were distributed to patients in homes, the hospital and nursing facilities. Clarksville lake festival (lakefest) meadowview terrace staff manned a booth during clarksville's lake festival event. The team provided free chilled bottles of water, advance directive information and information about long-term care to thousands of visitors on this hot summer day. On thursday night, prior to the festival's opening on friday evening, staff members operated a concession stand and provided supper for the hot-air balloonists who demonstrate the art of ballooning to the festival-goers and to spectators. All proceeds from this supper went to the southeastern virginia chapter of the alzheimer's association.\n\nOther long term care in-kind contributions meadowview terrace held bake sales to raise money for the mecklenburg county department of social services christmas program, (gifts for needy children). In addition, over 250 pounds of dog and cat food was collected and donated to the clarksville spca. The facility also collected newspapers to donate to the spca. The activity department \"adopted\" five children through mecklenburg county social services providing cash and gifts during the holiday season. At thanksgiving, the facility donated nine turkeys to social services. In FY11 meadowview terrace sponsored a first grade class at clarksville elementary school, providing the twenty students with school supplies. Sponsorship continued throughout the year with parties and gifts for the students and in march they participated together in the read across america program. Long-term care residents are encouraged to become involved in the life of the facility as well as the life of the community, adding to their quality of life along with assisting those to whom their efforts are concentrated. With leadership and coordination from the staff, in FY11, the woodview family - residents, volunteers and staff alike - co-hosted a fall bazaar. Funds raised were donated to the halifax county cancer association. Again in FY11 woodview residents prepared hand-made dolls and stuffed animals for the \"toys for tots\" program and made and donated cookies to the united missionary soup kitchen for thanksgiving. The residents also made bracelets and pins and donated them to raise money for \"wear pink day.\" these proceeds were also donated to the cancer association. Rescue squad and fire department training halifax regional hospital provides supplies and other assistance to help local rescue squad members meet local, state and federal patient safety guidelines. The health system also makes donations to local fire departments and rescue squads to help them with their respective fundraising activities. A halifax regional emergency room physician serves as an operational medical director for ems agencies. Sports physicals members of halifax regional hospital's medical staff, including physicians, nurse practitioners and physician assistants, provide free sports physicals for halifax county middle school, halifax county high school, bluestone middle school and bluestone high school students who participate in fall, winter, spring and summer school sports programs. In FY11 providers completed approximately 87 physicals for middle school students and approximately 200 for high school students. Facility use halifax regional hospital and the long term care affiliates provide free space and available equipment for area wellness programs, community meetings and clinical training programs. Examples include: economic development commission, halifax county public school foundation, weight watchers, united way board meetings, local minister's conference, dixie softball meeting, credit union, blue ridge autism center workshop on autism, southside community college nursing program, american red cross bloodmobile, beltone hearing clinics, aarp safe driving classes and various support group meetings. Halifax regional hospital served as a clinical site for: * rn and lpn students, southside virginia community college, longwood university * physical therapy students from regis university, denver, colorado, lynchburg college, shenandoah university * physical therapy assistant students, jefferson college health sciences * speech language pathology students from longwood college * agreements are also held to serve as a training site for students from east carolina university, university of north carolina-chapel hill, shenandoah, james madison university, appalachian state university, medical university of south carolina, winston salem state university, elon, lynchburg college and radford university. * respiratory therapy students from j. Sergeant reynolds community college * radiology technologists program, cvcc, lynchburg, va * ems students from local ems classes completed their training at different levels. Other students from south hill, farmville and richmond also performed their training at halifax regional hospital. * pharmacy technician students, national business college, miller mott technical college * doctor of pharmacy students, medical college of virginia * phlebotomy students in our outpatient lab from piedmont community college * physician assistant students from james madison university * cna students from danville community college do clinical at woodview * halifax county high school students from the stem center do an internship at the hospital in nursing, rehab, pharmacy and dietary (clinical dietitian) * third and fourth year students from edward via virginia college of osteopathic medicine (vcom) the woodview and seasons at the woodview and meadowview terrace also provide free space and available equipment for clinical training programs. The woodview serves as a clinical site for: * halifax county high school nurse aide classes class; 20 students per semester * southside virginia community college, svcc; 50 nursing assistant students per year * svcc; 20 lpn and rn students per year * danville community college nurse aide classes - 50 nursing assistant students per year. The woodview also serves as a testing site for beltone hearing aids. Meadowview terrace serves as a clinical site for: * bluestone high school, nursing assistant students (approximately 20 students per semester) * bluestone high school special education students (five each semester) * southside virginia community college, svcc, (nursing assistant students at estes center, approximately 60 students) * svcc, estes center, (approximately 20 lpn students). * southern virginia higher education center rn students (approximately 20 per semester) free space is provided for various community groups to meet including the gideons who hold their annual banquet at meadowview terrace, and space is provided at no charge for beltone hearing clinics which are open to the public, and for aarp safe driving classes. Community building ------------------ employees donate hundreds of hours and share their talents and expertise as members of various civic and religious organizations in their communities, as well as serving on rescue squads and fire departments. The hospital allows and encourages employees to provide service to the community during working hours also. Employees serve in various capacities including on boards and advisory committees of a number of community groups and state organizations advancing community health and wellness and workforce development including the following: halifax county chamber of commerce; charlotte county chamber of commerce; clarksville chamber of commerce; mecklenburg county business education partnership; tri-county community action agency; halifax advocates for substance abuse prevention; southside health coalition, halifax vocational education foundation; southside virginia community college school of nursing advisory council; committee for the center for nursing excellence; southern virginia higher education center; virginia community college system; virginia foundation for community colleges; halifax education foundation; halifax county public schools education foundation; virginia advanced study on strategies board; economic development committee; workforce investment board; halifax county united way: mentor role model program and the mecklenburg county ymca. Employees at the woodview and seasons at the woodview participate in and share their talents and expertise as members of various civic and religious organizations in their respective communities. They participate in the chamber of commerce in halifax county; the southside outreach group, a group that assists low to moderate income families to obtain affordable, safe and decent housing, repairing homes and building homes; and on various boards and advisory committees such as the virginia healthcare association, the southside virginia community college lpn school advisory council, halifax vocational foundation advisory council, lake country area agency on aging and the halifax county community federal credit union.\n\nEmployees at meadowview terrace participate in and share their talents and expertise as members of various civic and religious organizations in their respective communities. They participate in the chamber of commerce, in the ruritan club and the aarp, and they serve on advisory boards such as the virginia employment commission, southside virginia community college and other committees and boards including the mecklenburg county business education partnership. In FY11 the facility participated in the downtown clarksville veterans program, the july 4th parade and the christmas parade in both clarksville and chase city. In FY11 meadowview terrace completed an expansion and welcomed the community via open houses and receptions on three separate occasions to view the new households and neighborhoods. Adopt a us soldier program in FY11 seasons at the woodview \"adopted\" a staff sergeant in the air force through the adopt a us soldier program and throughout the year sent care packages to him and his platoon in afghanistan. The residents, their families and the seasons staff were involved in the project. Intergenerational programs in the long term care facilities the woodview visits the dan river wee school on a regular basis to provide learning experiences for both the young children and the residents. The children and residents visit together, work on crafts and enjoy various holiday presentations and projects. People of all ages from approximately 30 community groups-churches, dance groups, bands and various clubs-share their talents with residents, staff members, and families at both the woodview and seasons at the woodview. Woodview residents often join other community groups to help with local events, too. Each year, the woodview plans, coordinates and hosts community events especially for children. Approximately 100 children from the community enjoyed the woodview's annual easter egg hunt this year with children enjoying fun activities and delicious refreshments provided by the facility. Dinner with santa was a treat for approximately forty-five local youngsters and approximately 200 children participated in the FY11 safe trick or treat. In FY11 american legion post #8 provided the residents with a veterans day program and celebration and the woman's auxiliary of post #8 provided gifts for residents at christmas, easter, valentine's day and veteran's day. In FY11 seasons at the woodview partnered with several church youth groups and a group of home schooled children to work on special projects, a valuable experience for both the youth and the residents. These programs offered the youth the opportunity to learn how to relate to individuals with cognitive impairment and to learn compassion for the elderly. Seasons residents were also visited throughout the year by students of a local dance company. Each year, meadowview terrace plans, coordinates and hosts a community \"safe trick or treat\" at the facility on halloween. This event provides a safe haven for children to trick or treat, going from neighborhood to neighborhood in the facility and includes refreshments for all participants. The facility also plans, coordinates and hosts a breakfast with santa and an easter egg hunt each year for the children of staff, and residents' grandchildren, complete with refreshments and prizes for all. The boy scout, girl scout and cub scout troops continue to visit and interact with residents as part of their badge program. People of all ages from various community groups, clubs, churches and schools share their talents with residents, staff members and families throughout the year. Community involvement recognition for long term care affiliates the woodview and seasons at the woodview have been recognized for community involvement by the virginia healthcare association (vhca) frequently over the years. The annual vhca awards are presented to facilities that demonstrate a high degree of professionalism and creativity in implementing programs that encourage and support strong community relations. In FY11, the woodview was again recognized, receiving third place awards for year round community involvement and national nursing home week. Season's was recognized with third place in year round community involvement (assisted living.) for the eighth consecutive year the seasons memory walk team was awarded the \"sundae best\" trophy from the southeastern virginia chapter of the alzheimer's association for its fundraising efforts for the association's walk to end alzheimer's. In FY11 a woodview resident was named a virginia health care association \"spirit of success\" winner with his photo and bio included on the vhca 2011 calendar. Adopt-a-school program halifax regional continued to \"adopt\" south boston elementary school. Over the years, halifax regional has donated money for the purchase of computers and software and furniture for their outdoor learning centers, sponsored family skate night, father-daughter dances, and provided refreshments and bottled water for field day activities. This fiscal year, halifax regional continued to support programs in the school such as the intergenerational \"adopt a grandparent\" program. Disaster readiness activities in collaboration with the central virginia hospital disaster planning committee, halifax regional hospital participates in emergency management activities in the central virginia region. Funding for the emergency management coordinator (emc) position at the hospital was provided in FY11 by hrh. Halifax regional hospital continues to participate in regional and local exercises to test the emergency operations plan and to conduct internal exercises. These initiatives help halifax regional hospital prepare for and coordinate crisis response and recovery operations with state, local and federal agencies in the event of a bioterrorist event/disaster. Outside the realm of the grant funding, halifax regional hospital supplied the employee time involved in training for community emergency preparedness as well as for community disaster training drills. Our focus continues to be on preparing the hospital staff and the community for \"all hazards.\" subsidized health services -------------------------- center for behavioral health the center for behavioral health provides day treatment services to adults and children between the ages of 6 and 17 years of age who are facing psychiatric, behavioral and emotional problems. This is an outpatient treatment program. This is a clinical service that is provided despite a financial loss of $60,386 (negative margin service.) family birthing center the family birthing center provides obstetrical care to females. This is a clinical service that is provided despite an FY11 financial loss of $135,216 (obstetrics contribution margin.)\n\nOther ----- volunteer services program the volunteer auxiliary of halifax regional health system is a dedicated group of individuals whose helping hands extend even further than the walls of the hospital. In addition to the many services they provide to the hospital to support its programs and services, they generously donate proceeds from their fundraising events and sales from the hospital's gift shop and vending machines to support a number of outreach activities. The tender loving care team provided many handmade items for the patients including 287 baby blankets, 57 stuffed teddy bears, 182 stuffed fish, 17 walker bags, 16 telemetry bags and 15 christmas stockings for newborns during the holiday season. In FY11 the group continued managing planetree programs such as the cookie cutters and pet therapy programs, the bedside music program and the care cart program. One hundred thirty-six volunteers contributed more than 27,000 hours of service to the hospital and community. This year saw a record number of 100-hour pins presented to volunteers and the awarding of 10,000-hour pin to one well-known, long time volunteer. This was only the fourth time saw an accomplishment has been seen in the 58 year history of the organization. Included in this program is the participation of junior volunteers who benefit from this opportunity to contribute to their community. In addition, for individuals contemplating a future healthcare career, the program offers them a chance to experience healthcare first-hand. Volunteers in halifax regional hospice visit hospice patients where they live, providing life-enhancing assistance to patients and their families. During FY11, hospice volunteers provided companionship and respite for terminally ill patients and their caregivers, assisted with patients' daily activities and served as a compassionate presence. The volunteers, who must complete specific volunteer training classes, also read to patients, run errands, write letters and fill bird feeders at patients' homes. Volunteers also knit prayer shawls for hospice patients, and red, white and blue \"lapghans\" which are given to veterans. These volunteers are an important part of the hospice team and trainings sessions for new volunteers are held as needed. Volunteer services are coordinated and oversight is provided by an hrhs employee. More than 100 volunteers from the community, both individuals and groups, have donated over 5,000 hours at meadowview terrace during FY11, providing companionship, recreation and spiritual activities for residents. Volunteers coordinate bingo games, craft activities, chapel services, birthday observances and holiday celebrations. They also accompany residents on picnics and out-of-residence activities, including bus trips to county fairs, lakefest, parades, boydton day and other community events/festivals. The volunteers assist with the annual halloween \"safe trick-or-treat night,\" \"breakfast with santa,\" easter egg hunts and cookouts for residents and families and provide one on one friendly visits to residents. Meadowview's volunteers also organize and implement the facility's fundraising events. Volunteers from the community, individuals and groups, have donated many hours at the woodview and seasons at the woodview during FY11, providing companionship, recreation and spiritual activities for residents. Volunteers also include certified pet therapy dogs. Volunteers at the woodview and seasons at the woodview, coordinate bingo games, craft activities, birthday observances and holiday celebrations. They also accompany residents on picnics and fishing excursions and out-of-residence activities, including bus trips to county fairs and other community events/festivals. The volunteers assist with the annual easter egg hunt, dinner with santa, the safe trick-or-treat and cookouts for residents and families. An annual volunteer recognition luncheon is hosted to recognize and honor volunteers for their service. Chaplaincy program the chaplain program (pastoral care services) led by manager of guest relations/pastoral care services incorporates more than 20 volunteer associate chaplains to provide spiritual care to patients, their family members in the hospital setting as well as to residents in our long-term care facilities, hospice patients, and the community. In FY11 an associate chaplain specific for sub-acute and icu joined the group. In addition to spiritual care, chaplains lend their listening presence to employees and volunteers. Weekly chapel services are available in the sub-acute area of our hospital as well as in halifax regional's long-term care facilities. The chaplain maintains a listening/educational presence for local clergy as well as the community on issues related to spirituality and health care. In FY11 the hospital chaplain spoke to various community groups on advance directives, and led a series of classes for local clergy on \"pastoral presence during time of illness, death and health crisis. Access to information the marketing and communication department's phone number is listed on \"health nite out\" and other wellness program ads promoting health education programs. This number is also listed in halifax regional health system's life and health newsletter, which is mailed quarterly to more than 31,000 households in the system's three-county service area. The public can request free brochures, a physician directory and be directed to many sites on the web site, including an extensive on-line health information library. Contact information is also given on the hospital's on-hold messaging system. When specific information is provided and individuals might like more information through a pamphlet or brochure, the phone number is listed and callers can have more information mailed to them. The marketing and communications office is often referenced when callers reaching the main hospital number are not sure who they need to talk to about their question. The department can also be sent email from the health system's web site.","year":2010,"name":"HALIFAX REGIONAL HEALTH SYSTEM INC","phone":"4345173183","website":"WWW.HRHS.ORG","type":"990","principal_officer":"CHRIS A LUMSDEN","year_formation":1996,"state_legal_domicile":"VA","total_volunteers":364,"tax_period_begin":"2010-09-01T00:00:00","tax_period_end":"2011-08-31T00:00:00","address":"2204 WILBORN AVENUE, SOUTH BOSTON, VA, 24592, USA","city":"SOUTH BOSTON","state":"VA","country":"USA","zip_code":"24592"},"Governance":{"501c3 determination":true,"Number of voting members":35,"Number of independent voting members":27,"Number of employees total":0,"Total Gross UBI":0,"Net unrelated business taxable income":0,"Number of employees":0,"Prohibited tax shelter transactions":false,"Taxable party notification":false,"Funds to pay premiums":false,"Premiums Paid":false,"Family or business relationship":true,"Delegation of management duties":false,"Conflict of interest policy":true,"Whistle blower policy":true,"Compensation process for CEO":false,"Compensation process for other employees":false,"Changes to organizing documents":false,"Material diversion or misuse":false,"Members or stockholders":false,"Election of board members":false,"Decisions subject to approval":false,"Minutes of governing body":true,"Local chapters":false,"Form 990 provided to governing body":true,"Document retention policy":false,"Investment in joint venture":false,"Independent audit financial statements":false,"Consolidated audit financial statements":true,"Accountant compile or review":false,"Financial statements audited by independent accountant":true,"Audit committee":true,"Federal grant audit required":false,"Political activities":false,"Donor advised funds":false,"Conservation easements":false,"Collections of art":false,"School":false,"Hospital":false,"Foreign activities":false,"Foreign office":false,"Gaming":false,"Fundraising activities":false,"Professional fundraising":false,"Loan to officer or DQP":false,"Grant to related person":false,"Business relationship through family member":false,"Business relationship with organization":false,"Transfers to exempt non-charitable organization":false},"Revenues":{"value":0,"Contributions":{"value":0},"Program revenue":{"value":0,"Unrelated business revenue":0},"Investment income":{"value":0,"Investment income total":0,"Net investment gain":0,"Income from invest bond proceeds":0},"Other revenues":{"value":0,"Other total":0,"Royalties revenue":0,"Net income from fundraising events":0,"Net income from gaming":0,"Net income":0}},"Expenses":{"value":0,"Grant expense":{"value":0,"Grants to domestic orgs":0,"Grants to domestic individuals":0,"Foreign grants":0},"Total professional fundraising expense":{"value":0,"Fundraising professional":0},"Benefits paid to members":{"value":0,"Benefits paid to members Total":0},"Salaries":{"value":0,"Current officers":0,"Disqualified persons":0,"Other salaries and wages":0,"Pension plan contributions":0,"Other employee benefits":0,"Payroll taxes":0},"Other expenses":{"value":0,"Management services":0,"Legal":0,"Accounting":0,"Lobbying services":0,"Investment management fees":0,"Other services":0,"Advertising":0,"Office expenses":0,"Information technology":0,"Royalties":0,"Occupancy":0,"Travel":0,"Conferences and meetings":0,"Interest":0,"Payments to affiliates":0,"Depreciation and depletion":0,"Insurance":0,"Travel entertainment public officials":0}},"Assets":{"value":87446706,"Other assets":87446706},"Liabilities":{"value":0,"Accounts payable, accrued":0},"Fund balance":{"value":87446706},"Form990Details":{"program_service_accomplishments":[{"description":"ACUTE, HOME HEALTH, HOSPICE AND OUTPATIENT CARE. 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