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ROCKINGHAM HEALTH CARE INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ROCKINGHAM HEALTH CARE INC (EIN 52-1309259)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-14
IRS object ID
201203199349303100
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-14T11:36:10-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN540504608EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BROWN EDWARDS & COMPANY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1124 NEWMAN AVENUEAddressLine1
CityHARRISONBURGCity
StateVAState
ZIP Code22801ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN521309259EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ROCKINGHAM HEALTH CARE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlROCKNameControl
Phone5406891200Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12010 HEALTH CAMPUS DRIVEAddressLine1
CityHARRISONBURGCity
StateVAState
ZIP Code22801ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJAMES R MESSNERName
TitleSECRETARY/TREASURERTitle
Phone5406891200Phone
Date Signed2012-11-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJEFF SMITHName
PTINP00446095PTIN
Phone5404346736Phone
Date Prepared2012-11-09DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonJAMES R MESSNERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1438 PRESTON DRIVEAddressLine1
CityHARRISONBURGCity
StateVAState
ZIP Code22801ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1186263GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1908YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission DescriptionPARENT ORGANIZATION FOR TWO NOT-FOR-PROFIT TAX-EXEMPT ORGANIZATIONSActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year4946227InvestmentIncomePriorYear
Investment Income Current Year252249InvestmentIncomeCurrentYear
Other Revenue Prior Year-61433OtherRevenuePriorYear
Other Revenue Current Year-9727OtherRevenueCurrentYear
Total Revenue Prior Year4884794TotalRevenuePriorYear
Total Revenue Current Year242522TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year932841OtherExpensePriorYear
Other Expenses Current Year154990OtherExpensesCurrentYear
Total Expenses Prior Year932841TotalExpensesPriorYear
Total Expenses Current Year154990TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3951953RevenuesLessExpensesPriorYear
Revenues Less Expenses CY87532RevenuesLessExpensesCY
Total Assets BOY261309755TotalAssetsBOY
Total Assets EOY0TotalAssetsEOY
Total Liabilities BOY5009000TotalLiabilitiesBOY
Total Liabilities EOY0TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY256300755NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY0NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE LEADERSHIP AND DIRECTION FOR THE PROVISION OF HEALTH CARE TO THE COMMUNITY AND TO COORDINATE, PROMOTE AND PLAN FOR THE PROVISION OF HEALTH AND WELLNESS SERVICES, COMMUNITY MEDICAL EDUCATION AND THE CULTURAL, EDUCATIONAL AND ECONOMIC DEVELOPMENT OF THE COMMUNITY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionN/ADescription
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation1PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account1ForeignFinancialAccount
Name Of Foreign CountryCANameOfForeignCountry
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SALLY SMITHBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5406891200TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12010 HEALTH CAMPUS DRIVEAddressLine1
CityHARRISONBURGCity
StateVAState
ZIP Code228018679ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
BARBARA B STOLTZFUS
DIRECTOR/CHAIRMAN OF BOARD0.30X000
MENSEL D DEAN JR
DIRECTOR/VICE CHAIRMAN OF BOARD0.30X000
JAMES R MESSNER
SECRETARY/TREASURER0.30X000
A JERRY BENSON
DIRECTOR0.30X000
W CARLTON BANKS
DIRECTOR0.30X000
JOSEPH L FUNKHOUSER II
DIRECTOR/CHAIRMAN OF BOARD0.30X000
C WAYNE GATES MD
DIRECTOR0.30X000
ANN E C HOMAN
DIRECTOR0.30X000
ALDEN L HOSTETTER MD
DIRECTOR0.30X000
ELMER E KENNEL MD
DIRECTOR0.30X000
GEORGE W PACE
DIRECTOR0.30X000
ALLON H LEFEVER
DIRECTOR/VICE-CHAIRMAN OF BOARD0.30X000
STEWART G POLLOCK MD
DIRECTOR0.30X000
JAMES D KRAUSS
PRESIDENT40.00015864445563X
MICHAEL KING
TREASURER40.0008485232142X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs243496TotalReportableCompFrmRltdOrgs
Total Other Compensation77705TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column264370TotalRevenueColumn
Exclusion$264,370ExclusionAmount

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real9727Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-9727Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-9727TotalRevenueColumn
Exclusion-$9,727ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities921893Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities934014Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-12121Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-12121TotalRevenueColumn
Exclusion-$12,121ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column242522TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$242,522ExclusionAmount

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total3667Total
Management And General3667ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total-6519Total
Management And General-6519ManagementAndGeneral

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionPURCHASED SERVICESDescription
Total157842Total
Management And General157842ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total154990Total
Program Services0ProgramServices
Management And General154990ManagementAndGeneral
Fundraising0Fundraising

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7391896BOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY77504828BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY176413031BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY261309755BOY
EOY0EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1337819BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3671181BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5009000BOY
EOY0EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY256300755BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY256300755BOY
EOY0EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY261309755BOY
EOY0EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses87532ReconcilationRevenueExpenses
Reconcilation Other Changes-256388287ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (2 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
ROCKINGHAM MEMORIAL HOSPITAL
5405063317111$0
VALLEY WELLNESS CENTER
52130925712111$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs2TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance29171837BeginningOfYearBalance
Contributions266343Contributions
Investment Earnings Or Losses870847InvestmentEarningsOrLosses
Other Expenditures30309027OtherExpenditures

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance31098549BeginningOfYearBalance
Contributions1334949Contributions
Investment Earnings Or Losses2080749InvestmentEarningsOrLosses
Other Expenditures5342410OtherExpenditures
End Of Year Balance29171837EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance29446900BeginningOfYearBalance
Contributions1310621Contributions
Investment Earnings Or Losses3427364InvestmentEarningsOrLosses
Other Expenditures3086336OtherExpenditures
End Of Year Balance31098549EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance36688003BeginningOfYearBalance
Contributions2014074Contributions
Investment Earnings Or Losses-6513327InvestmentEarningsOrLosses
Grants Or Scholarships11000GrantsOrScholarships
Other Expenditures2730850OtherExpenditures
End Of Year Balance29446900EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Buildings Buildings

FieldValueIRS element (for citing)
Book Value0BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:Identifier
Return ReferencePART V, LINE 4:ReturnReference
ExplanationENDOWMENT FUNDS WERE HELD BY SUBSIDIARY ROCKINGHAM MEMORIAL HOSPITAL (RMH) AT THE BEGINNING OF THE CURRENT YEAR, BUT RMH WAS NOT A RELATED ORGANIZATION AT THE END OF THE CURRENT YEAR. ENDOWMENT FUNDS ARE USED FOR HEALTH CARE PROGRAM NEEDS, EQUIPMENT, AND BUILDING PROJECTS OF ROCKINGHAM MEMORIAL HOSPITAL BASED ON AGREEMENTS WITH DONORS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonJAMES D KRAUSSNamePerson
Base Compensation Filing Org0BaseCompensationFilingOrg
Comp Based On Related Orgs158644CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs36505DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs9058NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org0TotalCompensationFilingOrg
Total Compensation Related Orgs204207TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule N IRS990ScheduleN

Disposition Table DispositionTable (6 entries)

Description Of AssetDescriptionOfAssetDate Of DistributionDateOfDistributionFMV Of AssetFMVOfAssetMethod Of FMV DeterminationMethodOfFMVDeterminationEINEINAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeIRC SectionIRCSection
ROCKINGHAM MEMORIAL HOSPITAL
PROPERTY, PLANT AND EQUIPMENT2011-04-307371318BOOK VALUE5405063312010 HEALTH CAMPUS DRIVEHARRISONBURGVA22801501(C)(3)
ROCKINGHAM MEMORIAL HOSPITAL
MARKETABLE SECURITIES2011-04-3077751462INVESTMENT STATEMENTS5405063312010 HEALTH CAMPUS DRIVEHARRISONBURGVA22801501(C)(3)
ROCKINGHAM MEMORIAL HOSPITAL
INVESTMENTS IN SUBSIDIARY - ROCKINGHAM MEMORIAL HOSPITAL2011-04-30166732359BOOK VALUE5405063312010 HEALTH CAMPUS DRIVEHARRISONBURGVA22801501(C)(3)
ROCKINGHAM MEMORIAL HOSPITAL
INVESTMENT IN SUBSIDIARY - RMH WELLNESS CENTER2011-04-308163214BOOK VALUE5405063312010 HEALTH CAMPUS DRIVEHARRISONBURGVA22801501(C)(3)
ROCKINGHAM MEMORIAL HOSPITAL
INVESTMENT IN SUBSIDIARY - ROCKINGHAM HEALTH SERVICES2011-04-30-186119BOOK VALUE5405063312010 HEALTH CAMPUS DRIVEHARRISONBURGVA22801501(C)(3)
ROCKINGHAM MEMORIAL HOSPITAL
TOTAL LIABILITIES TRANSFERRED2011-04-30-4961405BOOK VALUE5405063312010 HEALTH CAMPUS DRIVEHARRISONBURGVA22801501(C)(3)
FieldValueIRS element (for citing)
Director Of Successor21DirectorOfSuccessor2
Employee Of Successor20EmployeeOfSuccessor2
Owner Of Successor20OwnerOfSuccessor2
Receive Compensation20ReceiveCompensation2

Form990 Schedule N Part III Form990ScheduleNPartIII (3 entries)

ExplanationExplanation
PART II, LINE 2E: SOME OF THE DIRECTORS OF ROCKINGHAM HEALTH CARE, INC. (RHC) ARE ALSO DIRECTORS OF ROCKINGHAM MEMORIAL HOSPITAL (RMH).
PART II, LINE 2E: THERE WERE NO CHANGES IN THE RHC BOARD OF DIRECTORS AFTER THE TRANSFER OF NET ASSETS TO ROCKINGHAM MEMORIAL HOSPITAL. MICHAEL KING AND JAMES KRAUSS WERE OFFICERS OF BOTH RHC AND RMH FOR THE PERIOD JANUARY 1, 2011, THROUGH APRIL 30, 2011. HOWEVER, THEY WERE NO LONGER OFFICERS OF RHC AFTER APRIL 30, 2011.
PURSUANT TO AN AFFILIATION AGREEMENT WITH SENTARA HEALTHCARE ALL ASSETS AND LIABILITIES OF ROCKINGHAM HEALTH CARE, INC. WERE TRANSFERRED TO ROCKINGHAM MEMORIAL HOSPITAL ON APRIL 30, 2011. ROCKINGHAM HEALTH CARE, INC. CONTINUES TO EXIST TO ENSURE PERFORMANCE OF THE OBLIGATIONS AND DUTIES OF THE CORPORATION UNDER THE AFFILIATION AGREEMENT DATED DECEMBER 6, 2010, BY AND AMONG THE CORPORATION, ROCKINGHAM MEMORIAL HOSPITAL, AND SENTARA HEALTHCARE.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 4DURING THE 2011 TAX YEAR THE ORGANIZATION AMENDED ITS GOVERNING DOCUMENTS TO CHANGE ITS PRIMARY FUNCTION FROM PARENT CORPORATION TO TWO OTHER ENTITIES TO PROVIDING NOMINEES OF CLASS A DIRECTORS OF ROCKINGHAM MEMORIAL HOSPITAL (RMH) AND TO ENSURE PERFORMANCE OF THE OBLIGATIONS AND DUTIES OF THE ORGANIZATION UNDER THE AFFILIATION AGREEMENT DATED DECEMBER 6, 2010, BY AND AMONG THE ORGANIZATION, RMH AND SENTARA HEALTHCARE.
FORM 990, PART VI, SECTION B, LINE 11FORM 990 WAS MADE AVAILABLE FOR REVIEW BY THE GOVERNING BODY THROUGH EMAIL. EACH MEMBER OF THE BOARD OF DIRECTORS WAS SENT A DRAFT COPY OF THE RETURN BY EMAIL PRIOR TO THE FILING OF THE RETURN.
FORM 990, PART VI, SECTION B, LINE 12CALL MEMBERS WITH ANY CONFLICT OF INTEREST ARE MADE AWARE OF THE NEED TO EXCUSE THEMSELVES FROM PARTICIPATING IN ANY DISCUSSION OR VOTING ON ANY ISSUES WHERE THERE MAY BE A CONFLICT. OFFICERS OF THE ORGANIZATION ARE AWARE OF DUTIES AND RESPONSIBILITIES IN REGARDS TO THIS ISSUE.
FORM 990, PART VI, SECTION B, LINE 15OFFICERS: AN INDEPENDENT COMPENSATION CONSULTING FIRM IS RETAINED BY THE BOARD OF DIRECTORS (BOD) TO COMPLETE MARKET ANALYSIS AND RECOMMEND EXECUTIVE COMPENSATION CHANGES. THE BOD APPROVES COMPENSATION CHANGES FOR OFFICERS. DIRECTORS: AN INDEPENDENT COMPENSATION CONSULTING FIRM IS RETAINED TO CONDUCT MARKET ANALYSIS AND MAKE RECOMMENDATIONS FOR DIRECTOR LEVEL COMPENSATION CHANGES. COMPENSATION CHANGES ARE APPROVED BY THE VP OF HUMAN RESOURCES DEVELOPMENT AND THE COO.
FORM 990, PART VI, SECTION C, LINE 19AVAILABLE UPON REQUEST
FORM 990 PART VII COLUMNS (E) AND (F)REPORTABLE COMPENSATION AND NON-TAXABLE BENEFITS PAID BY A RELATED ORGANIZATION, ROCKINGHAM MEMORIAL HOSPITAL (RMH), ARE REPORTED FOR THE PERIOD DURING WHICH RMH WAS A RELATED ORGANIZATION: JANUARY 1, 2011, THROUGH APRIL 30, 2011.THE RELATED ORGANIZATION WAS RELATED ONLY FOR THE FIRST FOUR MONTHS OF 2011
FORM 990, PART XI, LINE 5:ADJUSTMENT TO INVESTMENT IN SUBSIDIARY (RMH) FOR DECREASE IN INCOME -1,517,458. TRANSFER OF NET ASSETS TO ROCKINGHAM MEMORIAL HOSPITAL -254,870,829. TOTAL TO FORM 990, PART XI, LINE 5: -256,388,287.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
ROCKINGHAM MEMORIAL HOSPITAL
2010 HEALTH CAMPUS DRIVEHARRISONBURGVA22801540506331NOT-FOR-PROFIT COMMUNITY HOSPITALVA501(C)(3)3ROCKINGHAM HEALTH CARE INC THROUGH APRIL 30 20111
VALLEY WELLNESS CENTER INC
501 STONE SPRING ROADHARRISONBURGVA22801521309257PREVENTIVE HEALTH CARE AND REHABILITATION SERVICESVA501(C)(3)509(A)(2)ROCKINGHAM HEALTH CARE INC THROUGH APRIL 30 20111

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1ROCKINGHAM HEALTH SERVICES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12010 HEALTH CAMPUS DRIVEAddressLine1
CityHARRISONBURGCity
StateVAState
ZIP Code22801ZIPCode
FieldValueIRS element (for citing)
EIN541721387EIN
Primary ActivityCONTRACTING SERVICESPrimaryActivity
Legal Domicile StateVALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ROCKINGHAM HEALTH CARE INCBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1ROCKINGHAM MEMORIAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeQTransactionType
Amount Involved256761480AmountInvolved
Method Of Amt DeterminationNET BOOK VALUEMethodOfAmtDetermination