2014-07-15T15:52:54-05:00 2013-08-31 990 2012-09-01 546074529 HALIFAX REGIONAL LONG TERM CARE INC HALI 4345173183 103 ROSE HILL DRIVE SOUTH BOSTON VA 24592 STEWART R NELSON 4345173183 2014-07-15 2012 2016-02-25 16:41:14Z CHRIS A LUMSDEN 2204 WILBORN AVENUE SOUTH BOSTON VA 24592 13300338 0 X WWW.THEWOODVIEW.ORG X 1967 VA TO PROVIDE THE HIGHEST QUALITY OF CARE TO THE INDIVIDUALS REQUIRING LONG TERM CARE SERVICES. 5 3 223 93 0 0 752525 650000 10783158 12300900 166274 292517 53977 56921 11755934 13300338 0 315000 0 0 7273574 7978860 0 0 0 4156409 4269836 11429983 12563696 325951 736642 9694172 13453665 2586112 2526384 7108060 10927281 X THE MISSION OF HALIFAX REGIONAL LONG TERM CARE, INC. IS TO PROVIDE THE HIGHEST QUALITY OF CARE TO THE INDIVIDUALS REQUIRING LONG TERM CARE SERVICES, RESULTING IN THE HIGHEST ACHIEVABLE QUALITY OF LIFE. FOR MORE INFORMATION, SEE SCHEDULE O. 0 0 10960825 315000 12300900 THIS ORGANIZATION, DOING BUSINESS AS THE WOODVIEW AND SEASONS AT THE WOODVIEW, IS COMPOSED OF A 180-BED DUALLY CERTIFIED (MEDICAID AND MEDICARE) NURSING FACILITY, (THE WOODVIEW), PROVIDING PERSONAL SERVICES, HEALTH CARE SERVICES AND REHABILITATION SERVICES; AND AN 18-BED LICENSED ASSISTED LIVING NEIGHBORHOOD (SEASONS AT THE WOODVIEW), FOR INDIVIDUALS WITH ALZHEIMER'S DISEASE OR A RELATED DEMENTIA. FOR MORE INFORMATION, SEE SCHEDULE O. 10960825 1 1 0 1 0 0 0 0 1 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 37 0 1 223 1 0 0 0 0 0 0 0 0 0 0 X 5 3 1 0 1 0 1 1 1 1 1 0 0 1 1 0 1 1 1 0 0 0 X STEWART R NELSON 4345173183 2204 WILBORN AVE SOUTH BOSTON VA 24592 X DAVID H WHITE JR 1.00 5.00 X X 0 0 0 J AUBREY HOUGHTON 1.00 5.00 X X 0 0 0 CAROL C THOMAS 1.00 5.00 X X 0 0 0 HABIB BASSIL MD 1.00 5.00 X X 0 78750 0 JAMES PRIEST DDS 1.00 5.00 X 0 0 0 CHRIS A LUMSDEN 2.00 38.00 X X 12870 380785 21110 ROBERT A BROERMANN 1.00 54.00 X X 0 0 0 STEWART R NELSON 2.00 38.00 X 8668 250735 4655 THOMAS S KLUGE 2.00 38.00 X 7639 216131 14338 CONNIE ZAMORA 40.00 X 120346 0 17105 149523 926401 57208 1 0 1 0 FUNCTIONAL PATHWAYS LLC 614 MABRY HOOD ROAD STE 301 KNOXVILLE TN 37932 CONTRACT LABOR 659701 PHARM SAVE INC 2545 JETPORT ROAD KINSTON NC 28504 CONSULTING 219950 VIRGINIA HOSPITAL LAUNDRY 1601 OLIVER HILL WAY RICHMOND VA 232191233 LAUNDRY SERVICES 156585 3 650000 650000 NET PATIENT SERVICE REVENUE 623000 12255024 12255024 BARBER & BEAUTY SHOP REVENUE 812900 45876 45876 12300900 292517 292517 CAFE & VENDING 722210 54960 54960 MISCELLANEOUS 900099 1961 1961 56921 13300338 12300900 0 349438 315000 315000 54744 54744 5694958 5028904 666054 346946 305312 41634 1474611 1297658 176953 407601 359137 48464 42757 42757 26928 26928 1211514 1118524 92990 17390 17390 662249 603725 58524 17782 17782 231020 231020 3882 3004 878 497398 497398 200103 200103 MEDICAL SUPPLIES 1076289 1076289 MISCELLANEOUS 182568 21858 160710 BAD DEBTS 63248 63248 EDUCATION 21262 19594 1668 15446 2372 13074 12563696 10960825 1602871 0 839789 1194657 142551 183153 970513 946440 40181 45115 38049 135733 7076898 87192 3800562 6989706 3617005 3831070 245522 127791 9694172 13453665 1219148 1170272 109837 69817 1257127 1286295 2586112 2526384 X 7108060 10927281 7108060 10927281 9694172 13453665 X 736642 -80319 3162898 X X 0 1 X 1 0 X X X 0 0 0 HALIFAX REGIONAL HOSPITAL INC 540648699 3 1 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1254 1254 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: A PORTION OF DUES PAID TO THE VIRGINIA HEALTH CARE ASSOCIATION IS ATTRIBUTABLE TO LOBBYING EXPENSES. 0 1 X 1686000 1686000 3660200 17899 3642301 1487443 63357 1424086 243255 5936 237319 6989706 DUE TO THIRD PARTY PROGRAMS 147087 DUE TO AFFILIATES 273088 PATIENT SECURITY DEPOSITS 183153 OTHER LONG-TERM LIABILITIES 142858 ACCRUED PENSION OBLIGATION 539677 OTHER CURRENT LIABILITIES 432 1286295 X PART IV, LINE 2B: THE ORGANIZATION SERVES AS CUSTODIAN OVER PATIENT ACCOUNTS, AND THESE AMOUNTS HAVE BEEN INCLUDED ON THE AUDITED FINANCIAL STATEMENTS AS A LIABILITY. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE COMPANY IS GENERALLY EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AS AMENDED. THE COMPANY DOES NOT BELIEVE ITS FINANCIAL STATEMENTS INCLUDE (OR REFLECT) ANY UNCERTAIN TAX POSITIONS. 1 HALIFAX REGIONAL PROPERTIES INC 2204 WILBORN AVENUE SOUTH BOSTON VA 24592 541801463 501(C)(3) 300000 TO FUND CONSTRUCTION OF DENTAL FACILITY HALIFAX REGIONAL DEVELOPMENT FOUNDATION INC 2204 WILBORN AVENUE SOUTH BOSTON VA 24592 541801459 501(C)(3) 15000 TO FUND COMMUNITY PARTNERSHIP 2 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: GRANTS FROM HALIFAX REGIONAL LONG TERM CARE, INC. ARE ONLY MADE TO AFFILIATES WHOSE FINANCIAL RECORDS ARE MAINTAINED BY HALIFAX REGIONAL HOSPITAL. 0 0 0 0 0 0 0 0 0 CHRIS A LUMSDEN 12870 307930 0 30000 0 42855 554 1947 4125 14484 17549 397216 0 0 STEWART R NELSON 8668 207394 0 20000 0 23341 622 2182 410 1441 9700 254358 0 0 THOMAS S KLUGE 7639 182790 0 10000 0 23341 -894 -3143 4073 14302 10818 227290 0 0 PART I, LINE 3 THE ORGANIZATION RELIED ON A RELATED ORGANIZATION THAT USED ONE OR MORE METHODS LISTED ON LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. ORGANIZATION'S MISSION FORM 990, PART III, LINE 1 HALIFAX REGIONAL LONG TERM CARE, INC. IS ORGANIZED AND OPERATED EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR CARRY OUT THE PURPOSES OF HALIFAX REGIONAL HOSPITAL, INC. THE FUNCTIONS TO BE PERFORMED ARE TO PROVIDE EXTENDED CARE, OUTPATIENT CARE, HOME CARE, ASSISTED LIVING CARE, SENIOR LIVING COMMUNITY OR HOME FOR THE AGED, AND RELATED MEDICAL SERVICES FOR HALIFAX REGIONAL HOSPITAL, INC. OR ANY OTHER SERVICES REQUESTED BY HALIFAX REGIONAL HOSPITAL, INC. AND TO CARRY OUT OTHER EXCLUSIVELY CHARITABLE, EDUCATIONAL, OR SCIENTIFIC PURPOSES OF HALIFAX REGIONAL HOSPITAL, INC. PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4A THIS ORGANIZATION, DOING BUSINESS AS THE WOODVIEW AND SEASONS AT THE WOODVIEW IS COMPOSED OF A 180-BED DUALLY CERTIFIED (MEDICAID AND MEDICARE) NURSING FACILITY, (THE WOODVIEW), PROVIDING PERSONAL SERVICES, HEALTH CARE SERVICES AND REHABILITATION SERVICES; AND AN 18-BED LICENSED ASSISTED LIVING NEIGHBORHOOD (SEASONS AT THE WOODVIEW), FOR INDIVIDUALS WITH ALZHEIMER'S DISEASE OR A RELATED DEMENTIA. 59.1 PERCENT OF THE FACILITY'S REVENUES WERE REIMBURSABLE UNDER THE MEDICAID PROGRAM IN FY13 AND 18.4 PERCENT WERE REIMBURSABLE UNDER MEDICARE. THE WOODVIEW UTILIZES EXCESS REVENUE OVER EXPENSES TO UPGRADE FACILITIES, TO PURCHASE NEW EQUIPMENT AND TO UPGRADE CLINICAL AND INFORMATION TECHNOLOGY IN ORDER TO IMPROVE QUALITY AND RESIDENT SAFETY. THE WOODVIEW WORKS IN CONJUNCTION WITH HALIFAX REGIONAL HOSPITAL, INC. ("THE HOSPITAL") TO PROVIDE HEALTH INFORMATION TO THE COMMUNITY. WITH THE HIGH PREVALENCE OF ALZHEIMER'S DISEASE (5.4 MILLION AMERICANS) AND WITH A HIGH PERCENT OF NURSING HOME RESIDENTS DIAGNOSED WITH ALZHEIMER'S DISEASE OR RELATED DEMENTIAS, THE WOODVIEW DEVOTES RESOURCES TO ACTIVITIES THAT WILL HELP RAISE AWARENESS OF ALZHEIMER'S DISEASE AND THAT WILL HELP THOSE AFFECTED BY THE DISEASE TO LEARN AND UNDERSTAND MORE ABOUT IT. IN ADDITION, THE WOODVIEW HELPS SUPPORT COMMUNITY ACTIVITIES BY PROVIDING STAFF EXPERTISE AND RESOURCES FOR A NUMBER OF ORGANIZATIONS. COMMUNITY HEALTH IMPROVEMENT SERVICES & EDUCATION 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 FY13 INCLUDED HELPING FAMILIES UNDERSTAND RESPONSIBILITIES IN LONG TERM CARE WITH JUDITH ANDERSON FNP; DINNER WITH SANTA; AND A PERFORMANCE BY HAROLD YOUNG & FRIENDS. SEASONS HOSTED FOUR FAMILY NIGHTS: DIABETIC AWARENESS, HEART HEALTHY EATING, A SANTA PARTY AND A FAMILY COOKOUT. 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. SEASONS' RESIDENTS HELP IN FOLDING AND INSERTING THE NEWSLETTER, AS WELL AS LABELING IT. HEALTHY LIVING EXPO AGAIN THIS YEAR, THE WOODVIEW AND SEASONS AT THE WOODVIEW PARTICIPATED IN THE 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 325 PEOPLE WERE REACHED THROUGH THIS EVENT. ALZHEIMER'S SUPPORT GROUP THE WOODVIEW PROVIDES FREE SPACE FOR ALZHEIMER'S SUPPORT GROUP MEETINGS ON THE FOURTH WEDNESDAY OF EACH MONTH. THE MEETINGS ARE CO-FACILITATED BY THE SEASONS AT THE WOODVIEW MANAGER AND A MEMBER OF THE HOSPITAL STAFF. MEETINGS ARE DESIGNED TO PROVIDE EDUCATION AND SUPPORT FOR FAMILY MEMBERS AND CAREGIVERS OF THOSE EXPERIENCING ALZHEIMER'S DISEASE OR OTHER FORMS OF DEMENTIA. OTHER IN FY13 WOODVIEW STAFF PROVIDED INFORMATION AND PRESENTATIONS ON CAREERS IN HEALTHCARE DURING CAREER DAYS AT LOCAL ELEMENTARY SCHOOLS. WOODVIEW STAFF ALSO WORKED WITH HABITAT FOR HUMANITY'S "PUMPKIN PATCH" FUNDRAISER TO RAISE MONEY FOR HABITAT HOMES. FINANCIAL AND IN-KIND CONTRIBUTIONS ALZHEIMER'S MEMORY WALK IN FY2013 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 $4,000 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. OTHER IN-KIND CONTRIBUTIONS 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 FY13, 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 FY13 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. FACILITY USE THE WOODVIEW AND SEASONS AT THE WOODVIEW PROVIDE FREE CLASSROOM SPACE AND AVAILABLE EQUIPMENT FOR CLINICAL TRAINING PROGRAMS. THE WOODVIEW SERVES AS A CLINICAL SITE FOR: -HALIFAX COUNTY HIGH SCHOOL NURSE AIDE CLASSES; 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. COMMUNITY BUILDING THE WOODVIEW AND SEASONS AT THE WOODVIEW TAKE PRIDE IN BEING A CONTRIBUTING MEMBER OF THE SOUTH BOSTON AND HALIFAX COUNTY COMMUNITY AND AS SUCH, REACH OUT INTO THE COMMUNITY IN A VARIETY OF WAYS: INTERGENERATIONAL PROGRAMS 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 45 LOCAL YOUNGSTERS AND 25 FAMILY MEMBERS, AND APPROXIMATELY 150 CHILDREN PARTICIPATED IN THE FY13 SAFE TRICK OR TREAT. THE WOODVIEW PARTNERED WITH CLAYS MILL ELEMENTARY SCHOOL FOR THE GREAT GRANDS PROGRAM, WHERE STUDENTS ADOPT A GREAT GRANDPARENT. IN FY13 AMERICAN LEGION POST #8 PROVIDED THE RESIDENTS WITH A VETERANS DAY PROGRAM AND CELEBRATION AND THE WOMAN'S AUXILIARY OF POST #8 AND AMERICAN LEGION POST #99 PROVIDED GIFTS FOR RESIDENTS AT CHRISTMAS, EASTER, VALENTINE'S DAY AND VETERANS DAY. AT CHRISTMAS, THE SALVATION ARMY DONATED GIFTS TO ALL 180 RESIDENTS AT THE WOODVIEW. IN FY13 SEASONS AT THE WOODVIEW WAS VISITED BY BOTH CENTERVILLE CHRISTIAN SCHOOL STUDENTS AND WE'VE GOT RHYTHM, STUDENTS FROM A LOCAL DANCE COMPANY. IN FY13 THE WOODVIEW PARTNERED WITH HELPING HANDS, A SERVICE ORGANIZATION OF HALIFAX COUNTY HIGH SCHOOL. HELPING HANDS ASSISTED RESIDENTS IN A BINGO GAME AND HOSTED A VALENTINES PROGRAM FOR THEM. HALIFAX COUNTY HIGH SCHOOL JROTC ALSO HOSTED A VETERANS PROGRAM AND VALENTINES PROGRAM FOR RESIDENTS. SOUTH BOSTON EARLY LEARNING CENTER HOSTED A SPRING PROGRAM FOR RESIDENTS. POETRY PROJECT DURING FY13 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 CONTINUED AND THE POEMS WERE COMPILED A SMALL BOOK OF POEMS. ADOPT A US SOLDIER PROGRAM IN FY13 SEASONS AT THE WOODVIEW CONTINUED SUPPORT OF THE ADOPT A US SOLDIER PROGRAM, DESPITE LOSING THEIR SOLDIER. THE RESIDENTS, THEIR FAMILIES AND THE SEASONS STAFF REMAIN INVOLVED IN THE PROJECT AND CONTINUE TO SEND CARDS TO HIS PLATOON. COMMUNITY INVOLVEMENT 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 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. COMMUNITY INVOLVEMENT RECOGNITION 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 FY13, THE WOODVIEW WAS AGAIN RECOGNIZED, RECEIVING FIRST PLACE FOR YEAR ROUND PUBLIC RELATIONS. SEASON'S WAS RECOGNIZED WITH THIRD PLACE IN SPECIAL EVENT AND YEAR ROUND COMMUNITY INVOLVEMENT. OTHER OTHER PROGRAMS INCLUDED A SPA/RELAXATION DAY OFFERED TO RESIDENTS, AND A BLACK HISTORY PROGRAM GIVEN BY VOLUNTEERS RETHA & FRIENDS. THE WOODVIEW CONTINUED PROVIDING "STRESS FREE" DAYS AND THE WOODVIEW RESIDENT GLEE CLUB PERFORMED AT CHRISTMAS AND EASTER. HEALTHY DIRECTIONS EMPLOYEE PROGRAMS A VARIETY OF WELLNESS PROGRAMS COORDINATED BY THE HOSPITAL ARE HELD ON A MONTHLY BASIS 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. VOLUNTEER SERVICES PROGRAM VOLUNTEERS FROM THE COMMUNITY, INDIVIDUALS AND GROUPS, HAVE DONATED MANY HOURS AT THE WOODVIEW AND SEASONS AT THE WOODVIEW DURING FY13, 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. FORM 990, PART VI, SECTION A, LINE 2 DAVID H. WHITE, JR. AND CHRIS A. LUMSDEN HAVE A BUSINESS RELATIONSHIP. THE ORGANIZATION'S OFFICERS AND DIRECTORS SERVED TOGETHER ON THE BOARDS OF OTHER TAXABLE ORGANIZATIONS WITHIN THE SENTARA HEALTHCARE SYSTEM ("THE SYSTEM"), AS WELL AS JOINT VENTURES IN WHICH THE SYSTEM HAD AN OWNERSHIP INTEREST. SEE SCHEDULE R FOR A LISTING OF SUCH ENTITIES. FORM 990, PART VI, SECTION A, LINE 4 EFFECTIVE JULY 1, 2013, HALIFAX REGIONAL HOSPITAL, INC. ("HRH"), A 501(C)(3) AFFILIATE, REPLACED HALIFAX REGIONAL HEALTH SYSTEM, INC.("HRHS") AS SOLE MEMBER OF THE ORGANIZATION. THE MEMBER CHANGE OCCURRED IN ACCORDANCE WITH THE APRIL 23, 2013 AFFILIATION AGREEMENT AMONG HRHS, HRH, AND SENTARA HEALTHCARE ("SENTARA"), A 501(C)(3) ORGANIZATION, WHEREBY SENTARA REPLACED HRHS AS THE SOLE MEMBER OF HRH. AS A RESULT OF THE AFFILIATION, THE ORGANIZING AND GOVERNING DOCUMENTS OF THE ORGANIZATION WERE CHANGED IN THE FOLLOWING MANNER: -HRH REPLACED HRHS AS SOLE MEMBER OF THE ORGANIZATION. -THE NUMBER OF DIRECTORS ON THE BOARD WAS CHANGED FROM FIVE TO NO LESS THAN THREE. DIRECTORS ARE STILL APPOINTED BY THE SOLE MEMBER BUT NOW MUST BE RATIFIED BY SENTARA. -AS SOLE MEMBER OF HRH, SENTARA HAS BEEN GRANTED CERTAIN RESERVED POWERS, AS OUTLINED IN THE APRIL 23, 2013 AFFILIATION AGREEMENT, WHEREBY HRH WILL NOT PERMIT THE ORGANIZATION TO TAKE OR ALLOW CERTAIN ACTIONS WITHOUT THE PRIOR WRITTEN CONSENT OF SENTARA . SEE PART VI SECTION A LINE 7B FOR FURTHER INFORMATION. -DURING THE COVENANT PERIOD, AS DEFINED IN THE AFFILIATION AGREEMENT, ANY ALTERATION, AMENDMENT, RESTATEMENT OR REPEAL OF ANY GOVERNING DOCUMENTS; THE ADOPTION OF ANY NEW GOVERNING DOCUMENTS; OR ANY ACTION TO BE TAKEN AS THE MEMBER UNDER THE GOVERNING DOCUMENTS REQUIRE THE APPROVAL OF A MAJORITY OF CLASS A DIRECTORS OF HRH, VOTING AS A SEPARATE CLASS, AND OF SENTARA. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAD ONE CLASS OF MEMBER. EFFECTIVE JULY 1, 2013, THE SOLE MEMBER WAS HALIFAX REGIONAL HOSPITAL, INC., A VIRGINIA NONSTOCK CORPORATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION'S SOLE MEMBER PRIOR TO JULY 1, 2013 WAS HALIFAX REGIONAL HEALTH SYSTEM, INC., A VIRGINIA NONSTOCK CORPORATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. FORM 990, PART VI, SECTION A, LINE 7A PRIOR TO JULY 1, 2013, THE DATE OF AFFILIATION WITH THE SENTARA HEALTHCARE SYSTEM, MEMBERS OF THE GOVERNING BODY WERE ELECTED BY THE ORGANIZATION'S FORMER SOLE MEMBER, HALIFAX REGIONAL HEALTH SYSTEM, INC. EFFECTIVE JULY 1, 2013, HALIFAX REGIONAL HOSPITAL, INC. REPLACED HALIFAX REGIONAL HEALTH SYSTEM, INC. AS SOLE MEMBER OF THE ORGANIZATION AND APPOINTED MEMBERS OF THE GOVERNING BODY IN ACCORDANCE WITH THE APRIL 23, 2013 AFFILIATION AGREEMENT WITH SENTARA HEALTHCARE. FORM 990, PART VI, SECTION A, LINE 7B SENTARA HEALTHCARE ("SENTARA"), IN ITS CAPACITY AS THE 501(C)(3) SOLE MEMBER OF HALIFAX REGIONAL HOSPITAL, INC. ("HRH"), THE SOLE MEMBER OF THE ORGANIZATION, HAS RESERVED THE EXCLUSIVE RIGHT, POWER AND AUTHORITY TO MAKE DECISIONS FOR AND ON BEHALF OF THE ORGANIZATION WITH RESPECT TO THE APPROVAL OR ADOPTION OF ANY PLAN OF MERGER OR CONSOLIDATION; ANY SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, THE PROPERTY AND ASSETS OF THE ORGANIZATION; AND THE VOLUNTARY DISSOLUTION OR LIQUIDATION OF THE ORGANIZATION, REVOCATION OF ANY SUCH VOLUNTARY DISSOLUTION PROCEEDINGS, OR ANY DECISION TO FILE A PETITION REQUESTING OR CONSENTING TO AN ORDER FOR RELIEF UNDER THE FEDERAL BANKRUPTCY LAWS OR SIMILAR STATE LAWS FOR THE ORGANIZATION. ELECTION OF THE ORGANIZATION'S GOVERNING BODY IS ALSO SUBJECT TO RATIFICATION BY SENTARA. FINALLY, SPECIAL APPROVAL BY HRH'S GOVERNING BODY IS REQUIRED FOR CERTAIN OTHER ACTIONS OF THE ORGANIZATION. THESE INCLUDE A CHANGE IN THE ORGANIZATION'S MISSION; THE ESTABLISHMENT OF, AND APPOINTMENT OF MEMBERS TO, ANY COMMITTEES WHICH WILL HAVE ANY OF THE AUTHORITY OF THE HRH GOVERNING BODY; AND ANY ALTERATION, AMENDMENT, RESTATEMENT OR REPEAL OF ANY GOVERNING DOCUMENTS, THE ADOPTION OF ANY NEW GOVERNING DOCUMENTS; OR ANY ACTION TO BE TAKEN AS THE MEMBER UNDER THE GOVERNING DOCUMENTS. FINAL AUTHORITY FOR THE ESTABLISHMENT OF ALL POLICY PERTAINING TO THE ORGANIZATION FOR ITS OPERATION, MAINTENANCE AND DEVELOPMENT, AND FOR THE ATTAINMENT OF ITS OBJECTIVES, IS VESTED IN THE GOVERNING BODY OF HRH, AND SUBJECT TO RATIFICATION AND APPROVAL BY SENTARA. FORM 990, PART VI, SECTION B, LINE 11 THE RETURN IS PREPARED BY ORGANIZATION'S CORPORATE TAX DEPARTMENT, BASED ON INFORMATION PROVIDED BY ORGANIZATION AND IN CONSULTATION WITH ORGANIZATION STAFF. THE DRAFT PREPARED BY CORPORATE IS THEN CAREFULLY REVIEWED BY ORGANIZATION MANAGEMENT AND STAFF. CHANGES ARE MADE AS APPROPRIATE. THE FINAL VERSION IS MADE AVAILABLE TO ALL MEMBERS OF THE BOARD OF TRUSTEES PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST QUESTIONNAIRE IS DISTRIBUTED TO EACH BOARD MEMBER IN JANUARY EVERY YEAR. THE QUESTIONNAIRE MUST BE COMPLETED BY ALL MEMBERS. A REPORT OF THE DISCLOSED POTENTIAL CONFLICTS IS PRESENTED BY THE SOLE MEMBER'S BOARD CHAIRMAN TO ITS BOARD IN EXECUTIVE SESSION ANNUALLY. IF IT IS DETERMINED BY THE SOLE MEMBER'S BOARD SECRETARY, BOARD PRESIDENT, AND MEDICAL STAFF PRESIDENT THAT AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST EXISTS, THE CIRCUMSTANCES OF THE CONFLICT OF INTEREST SHALL BE SET FORTH IN DETAIL BY THE AFFECTED PARTY. SUBSEQUENTLY, WHEN A RESOLUTION CANNOT BE FOUND TO THE SATISFACTION OF THE SOLE MEMBER'S BOARD SECRETARY, BOARD PRESIDENT, AND MEDICAL STAFF PRESIDENT, THE MATTER WILL BE REVIEWED AND ADDRESSED BY THE SOLE MEMBER'S EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. A RECOMMENDATION WILL BE MADE TO THE AFFECTED PARTY ON HOW TO REMOVE THE CONFLICT. IF THE CONFLICT CANNOT BE RESOLVED TO THE SATISFACTION OF THE SOLE MEMBER'S EXECUTIVE COMMITTEE, A RECOMMENDATION WILL BE MADE TO REMOVE THE AFFECTED BOARD MEMBER FROM THE BOARD. IN SUCH CASE WHERE REMOVAL IS RECOMMENDED, SUCH REMOVAL PROCEDURES OUTLINED IN THE CORPORATE BYLAWS WILL BE FOLLOWED. THE RESPONSES TO THE ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE ARE RETAINED BY THE SOLE MEMBER'S BOARD SECRETARY. THE ORGANIZATION SEEKS TO PAY REASONABLE COMPENSATION UNDER IRC SECTION 4958 TO ATTRACT AND RETAIN THE APPROPRIATE CALIBER OF EMPLOYEES DEDICATED TO CARRYING OUT ITS TAX-EXEMPT MISSION. THE SOLE MEMBER OF THE ORGANIZATION PERIODICALLY CONDUCTS A REVIEW TO DETERMINE THE GOING FAIR MARKET COMPENSATION RANGES FOR COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. THE SOLE MEMBER SETS COMPENSATION WITHIN THE RANGE OF THE GOING MARKET RATE. NO INDIVIDUAL HAVING A CONFLICT OF INTEREST IS PERMITTED TO PARTICIPATE IN THE REVIEW OR DECISION. THE SOLE MEMBER MAINTAINS RECORDS REGARDING COMPENSATION. THE SOLE MEMBER'S BOARD CHAIRMAN ALSO SERVES AS THE CHAIRMAN OF ITS EXECUTIVE (COMPENSATION) COMMITTEE, COORDINATING WITH THE CHIEF EXECUTIVE OFFICER/PRESIDENT TO REVIEW ANNUAL PERFORMANCE AND COMPARATIVE MARKET INFORMATION FOR THE POSITION OF CHIEF EXECUTIVE OFFICER (CEO)/PRESIDENT, CHIEF OPERATING OFFICER (COO), AND CHIEF FINANCIAL OFFICER (CFO). A RECOMMENDATION IS PRESENTED TO THE EXECUTIVE COMMITTEE BY ITS CHAIRMAN. THE EXECUTIVE COMMITTEE TAKES ACTION ON THE RECOMMENDATION. THE SOLE MEMBER'S FULL BOARD OF DIRECTORS IS MADE AWARE THAT ITS EXECUTIVE COMMITTEE HAS TAKEN ACTION ON COMPENSATION FOR THE CEO/PRESIDENT, COO, AND CFO WITH DETAILS AVAILABLE FOR THEIR REVIEW UPON REQUEST. THIS PROCESS WAS LAST UNDERTAKEN DURING THE TAX YEAR. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION CURRENTLY MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND CONSOLIDATED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A THE EFFECTIVE DATE OF THE ORGANIZATION'S AFFILIATION WITH SENTARA HEALTHCARE, ITS NEW 501(C)(3) SOLE MEMBER, WAS JULY 1, 2013. SINCE THE COMPENSATION REQUIRED TO BE REPORTED IN PART VII SECTION A IS FROM THE 2012 CALENDAR YEAR, AND SENTARA HEALTHCARE WAS NOT RELATED TO THE ORGANIZATION AT ANY TIME DURING 2012, NO RELATED COMPENSATION HAS BEEN REPORTED IN PART VII SECTION FOR BOARD MEMBER AND TREASURER ROBERT BROERMANN, WHO IS AN EMPLOYED OFFICER OF SENTARA HEALTHCARE. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: ASU 2010-07 FMV ADJUSTMENTS 2,965,000. CHANGE IN PENSION LIABILITY 197,898. CHANGE IN AFS OVERSIGHT PROCESS FORM 990, PART XII, LINE 2C DURING THE YEAR, THE ORGANIZATION AFFILIATED WITH THE SENTARA HEALTHCARE SYSTEM, WHO ASSUMED RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTED THE INDEPENDENT ACCOUNTANT. STATEMENT FILED PURSUANT TO TREASURY REGULATION SEC. 1.6038-2(J)(3): HALIFAX REGIONAL HOSPITAL, INC. ("HRH"), THE TAXPAYER'S 501(C)(3) SOLE MEMBER, OWNS A NON-CONTROLLING INTEREST IN VIRGINIA SOLUTIONS SPC, LTD., A CONTROLLED FOREIGN CORPORATION. ALL INFORMATION REQUIRED OF THE TAXPAYER BY IRC SECTION 6038 AND THE REGULATIONS THEREUNDER WITH RESPECT TO VIRGINIA SOLUTIONS SPC, LTD. IS FURNISHED BY HRH, EIN 54-0648699. THEREFORE, PURSUANT TO TREASURY REGULATION SEC. 1.6038-2(J)(2), THE TAXPAYER IS EXCEPTED FROM PROVIDING SUCH INFORMATION. THE REQUIRED INFORMATION IS E-FILED WITH HRH'S FORM 990 RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX. 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