2012-11-14T11:36:10-06:00 2011-12-31 540504608 BROWN EDWARDS & COMPANY LLP 124 NEWMAN AVENUE HARRISONBURG VA 22801 990 2011-01-01 521309259 ROCKINGHAM HEALTH CARE INC ROCK 5406891200 2010 HEALTH CAMPUS DRIVE HARRISONBURG VA 22801 JAMES R MESSNER 5406891200 2012-11-09 1 JEFF SMITH P00446095 5404346736 2012-11-09 2011 2016-02-24 21:20:13Z X JAMES R MESSNER 438 PRESTON DRIVE HARRISONBURG VA 22801 1186263 0 X N/A X 1908 VA PARENT ORGANIZATION FOR TWO NOT-FOR-PROFIT TAX-EXEMPT ORGANIZATIONS 13 13 0 0 0 0 0 0 0 0 4946227 252249 -61433 -9727 4884794 242522 0 0 0 0 0 0 0 0 0 932841 154990 932841 154990 3951953 87532 261309755 0 5009000 0 256300755 0 TO 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. 0 0 N/A 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 1 0 0 0 0 1 CA 0 0 0 0 0 0 0 0 X 13 13 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X SALLY SMITH 5406891200 2010 HEALTH CAMPUS DRIVE HARRISONBURG VA 228018679 X BARBARA B STOLTZFUS 0.30 X 0 0 0 MENSEL D DEAN JR 0.30 X 0 0 0 JAMES R MESSNER 0.30 X 0 0 0 A JERRY BENSON 0.30 X 0 0 0 W CARLTON BANKS 0.30 X 0 0 0 JOSEPH L FUNKHOUSER II 0.30 X 0 0 0 C WAYNE GATES MD 0.30 X 0 0 0 ANN E C HOMAN 0.30 X 0 0 0 ALDEN L HOSTETTER MD 0.30 X 0 0 0 ELMER E KENNEL MD 0.30 X 0 0 0 GEORGE W PACE 0.30 X 0 0 0 ALLON H LEFEVER 0.30 X 0 0 0 STEWART G POLLOCK MD 0.30 X 0 0 0 JAMES D KRAUSS 40.00 X 0 158644 45563 MICHAEL KING 40.00 X 0 84852 32142 0 243496 77705 0 0 1 0 0 264370 264370 9727 -9727 -9727 -9727 921893 934014 -12121 -12121 -12121 242522 0 0 242522 3667 3667 -6519 -6519 PURCHASED SERVICES 157842 157842 154990 0 154990 0 7391896 77504828 0 176413031 0 261309755 0 1337819 3671181 0 5009000 0 X 256300755 0 256300755 0 261309755 0 X 87532 -256388287 X 0 0 0 X X X 0 0 0 ROCKINGHAM MEMORIAL HOSPITAL 540506331 7 1 1 1 0 VALLEY WELLNESS CENTER 521309257 12 1 1 1 0 2 0 29171837 266343 870847 30309027 31098549 1334949 2080749 5342410 29171837 29446900 1310621 3427364 3086336 31098549 36688003 2014074 -6513327 11000 2730850 29446900 0.00000 0.00000 0.00000 0 1 1 0 0 0 0 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: ENDOWMENT 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. 1 X X X X X X 0 0 0 0 0 0 0 0 0 JAMES D KRAUSS 0 158644 0 0 0 0 0 36505 0 9058 0 204207 0 0 PROPERTY, PLANT AND EQUIPMENT 2011-04-30 7371318 BOOK VALUE 540506331 ROCKINGHAM MEMORIAL HOSPITAL 2010 HEALTH CAMPUS DRIVE HARRISONBURG VA 22801 501(C)(3) MARKETABLE SECURITIES 2011-04-30 77751462 INVESTMENT STATEMENTS 540506331 ROCKINGHAM MEMORIAL HOSPITAL 2010 HEALTH CAMPUS DRIVE HARRISONBURG VA 22801 501(C)(3) INVESTMENTS IN SUBSIDIARY - ROCKINGHAM MEMORIAL HOSPITAL 2011-04-30 166732359 BOOK VALUE 540506331 ROCKINGHAM MEMORIAL HOSPITAL 2010 HEALTH CAMPUS DRIVE HARRISONBURG VA 22801 501(C)(3) INVESTMENT IN SUBSIDIARY - RMH WELLNESS CENTER 2011-04-30 8163214 BOOK VALUE 540506331 ROCKINGHAM MEMORIAL HOSPITAL 2010 HEALTH CAMPUS DRIVE HARRISONBURG VA 22801 501(C)(3) INVESTMENT IN SUBSIDIARY - ROCKINGHAM HEALTH SERVICES 2011-04-30 -186119 BOOK VALUE 540506331 ROCKINGHAM MEMORIAL HOSPITAL 2010 HEALTH CAMPUS DRIVE HARRISONBURG VA 22801 501(C)(3) TOTAL LIABILITIES TRANSFERRED 2011-04-30 -4961405 BOOK VALUE 540506331 ROCKINGHAM MEMORIAL HOSPITAL 2010 HEALTH CAMPUS DRIVE HARRISONBURG VA 22801 501(C)(3) 1 0 0 0 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. FORM 990, PART VI, SECTION A, LINE 4 DURING 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 11 FORM 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 12C ALL 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 15 OFFICERS: 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 19 AVAILABLE UPON REQUEST THE RELATED ORGANIZATION WAS RELATED ONLY FOR THE FIRST FOUR MONTHS OF 2011 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. CHANGES IN NET ASSETS OR FUND BALANCES: 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. ROCKINGHAM MEMORIAL HOSPITAL 2010 HEALTH CAMPUS DRIVE HARRISONBURG VA 22801 540506331 NOT-FOR-PROFIT COMMUNITY HOSPITAL VA 501(C)(3) 3 ROCKINGHAM HEALTH CARE INC THROUGH APRIL 30 2011 1 VALLEY WELLNESS CENTER INC 501 STONE SPRING ROAD HARRISONBURG VA 22801 521309257 PREVENTIVE HEALTH CARE AND REHABILITATION SERVICES VA 501(C)(3) 509(A)(2) ROCKINGHAM HEALTH CARE INC THROUGH APRIL 30 2011 1 ROCKINGHAM HEALTH SERVICES INC 2010 HEALTH CAMPUS DRIVE HARRISONBURG VA 22801 541721387 CONTRACTING SERVICES VA ROCKINGHAM HEALTH CARE INC C 1.00000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 ROCKINGHAM MEMORIAL HOSPITAL Q 256761480 NET BOOK VALUE