SENTARA RMH MEDICAL CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: SENTARA RMH MEDICAL CENTER (EIN 54-0506331)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-14
IRS object ID: 201203199349306305
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-14T16:13:24-06:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	540506331	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ROCKINGHAM MEMORIAL HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	ROCK	NameControl
Phone	5406891000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2010 HEALTH CAMPUS DRIVE	AddressLine1
City	HARRISONBURG	City
State	VA	State
ZIP Code	22801	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	J MICHAEL BURRIS	Name
Title	CFO	Title
Phone	5406891000	Phone
Date Signed	2012-11-14	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	J MICHAEL BURRIS	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	2010 HEALTH CAMPUS DRIVE	AddressLine1
City	HARRISONBURG	City
State	VA	State
ZIP Code	22801	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	388744871	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.RMHONLINE.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1908	YearFormation
State Legal Domicile	VA	StateLegalDomicile
Activity Or Mission Description	NOT-FOR-PROFIT COMMUNITY HOSPITAL ORGANIZATION.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	6	NbrIndependentVotingMembers
Total Nbr Employees	2728	TotalNbrEmployees
Total Nbr Volunteers	418	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2096638	ContributionsGrantsPriorYear
Contributions Grants Current Year	8836589	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	308876991	ProgramServiceRevenuePriorYear
Program Service Revenue CY	357665123	ProgramServiceRevenueCY
Investment Income Prior Year	-673912	InvestmentIncomePriorYear
Investment Income Current Year	3469884	InvestmentIncomeCurrentYear
Other Revenue Prior Year	7902021	OtherRevenuePriorYear
Other Revenue Current Year	4497165	OtherRevenueCurrentYear
Total Revenue Prior Year	318201738	TotalRevenuePriorYear
Total Revenue Current Year	374468761	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	69735	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	1295879	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	154281338	SalariesEtcPriorYear
Salaries Etc Current Year	162513874	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	437201	TotalFundrsngExpCurrentYear
Other Expense Prior Year	182405058	OtherExpensePriorYear
Other Expenses Current Year	189775805	OtherExpensesCurrentYear
Total Expenses Prior Year	336756131	TotalExpensesPriorYear
Total Expenses Current Year	353585558	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-18554393	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	20883203	RevenuesLessExpensesCY
Total Assets BOY	571441385	TotalAssetsBOY
Total Assets EOY	420450379	TotalAssetsEOY
Total Liabilities BOY	374877003	TotalLiabilitiesBOY
Total Liabilities EOY	370823705	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	196564382	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	49626674	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	OUR MISSION IS TO IMPROVE HEALTH AND PROMOTE WELLBEING AND TO BE AN INNOVATIVE, COMMUNITY-ORIENTED HEALTH CARE PROVIDER COMMITTED TO OFFERING ACCESSIBLE, PERSONALIZED, AND HIGH-QUALITY SERVICES IN A COST-EFFECTIVE MANNER.WE WILL WORK IN PARTNERSHIP WITH THE LOCAL MEDICAL COMMUNITY AND OTHER LOCAL AND REGIONAL HEALTH CARE RESOURCES TO ENSURE THAT NECESSARY HEALTH SERVICES ARE AVAILABLE TO ALL, REGARDLESS OF THEIR FINANCIAL STATUS. WITH OUT PARTNERS, WE WILL SEEK TO ENHANCE THE HEALTH STATUS OF THE COMMUNITY WE SERVE BY OFFERING AN APPROPRIATE RANGE OF SERVICES, INCLUDING SELECTED AREAS OF EXCELLENCE. WORKING WITH OUR LOCAL PHYSICIAN PARTNERS, WE WILL ACTIVELY PARTICIPATE IN THE FORMATION OF A LOCALLY CONTROLLED, INTEGRATED DELIVERY SYSTEM. IN OUR EFFORTS, WE WILL BE GUIDED BY THE SHARED VALUES, BELIEFS AND NEEDS OF OUR LOCAL COMMUNITY.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	328389075	Expense
Grants	1295879	Grants
Revenue	357665123	Revenue
Description	HOSPITAL SERVICES:THE HOSPITAL PROVIDES HIGH-QUALITY HEALTH CARE TO THE COMMUNITY BY OFFERING THE LATEST TECHNOLOGY AND THE BEST TECHNICAL EXPERTISE. THE HOSPITAL SERVES A SEVEN-COUNTY AREA WITH A POPULATION OF CLOSE TO 200,000 ADMITTING MORE THAN 16,300 INPATIENTS AND DELIVERING CLOSE TO 1,700 BABIES PER YEAR. THE HOSPITAL IS LICENSED AS A 238-BED HOSPITAL AND PROVIDES AN APPROPRIATE ARRAY OF REGIONAL COMMUNITY HOSPITAL SERVICES INCLUDING ONCOLOGY, CARDIOLOGY INCLUDING CARDIAC SURGERY, BEHAVIORAL HEALTH, OBSTETRICS AND WOMEN'S SERVICES, OUTPATIENT AND INPATIENT SURGERY, SLEEP MEDICINE, EMERGENCY CARE, SENIOR SERVICES, HOME AND HOSPICE CARE, PHYSICIAN PRACTICES AND A VARIETY OF OTHER OUTPATIENT SERVICES AS WELL AS EDUCATION AND OUTREACH. THE HOSPITAL IS HOME TO SCHOOLS OF RADIOLOGICAL TECHNOLOGY AND MEDICAL TECHNOLOGY. ALONG WITH TRADITIONAL HEALTH SERVICES, THE HOSPITAL MAKES ITS RESOURCES AVAILABLE TO SUPPORT MANY COMMUNITY HEALTH INITIATIVES AND PROGRAMS.IN 2011, THE HOSPITAL RECORDED 16,363 ADMISSIONS (INCLUDING NEWBORNS), 357,412 OUTPATIENT VISITS, 72,699 EMERGENCY DEPARTMENT VISITS, 191,985 REGISTERED OUTPATIENTS (LAB AND X-RAY), 7,440 CHEMOTHERAPY THERAPY VISITS, 6,963 RADIATION THERAPY TREATMENTS AND 18,576 SURGERY PATIENTS.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	738960	Expense
Description	FREE CLINIC:PROVIDES VOLUNTEER OUTPATIENT HEALTHCARE SERVICES TO THE UNINSURED IN A MANNER THAT PROMOTES DIGNITY, WHOLENESS, AND COORDINATION OF SERVICES WITH PRIORITY GIVEN TO WORKING PEOPLE WHOSE INCOME IS UNDER 175% OF FEDERAL POVERTY LEVEL. IN 2011, THE FREE CLINIC RECORDED APPROXIMATELY 20,000 PATIENT VISITS.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	229692	Expense
Description	HEALTHY FAMILIES OF BLUE RIDGE AND HAND-IN-HAND RESOURCES FOR MOTHERS:HEALTHY FAMILIES OF BLUE RIDGE IS A HOME VISITATION PROGRAM TARGETING HIGH-RISK FIRST TIME FAMILIES WHO VOLUNTARILY AGREE TO PARTICIPATE IN ONGOING HOME VISITS UNTIL THE CHILD IS FIVE YEARS OLD. HAND-IN-HAND IS A MENTORING PROGRAM FOR PREGNANT AND PARENTING TEENS AGE 19 AND YOUNGER. THE PROGRAM FOCUSES ON HELPING TEENS KEEP MEDICAL APPOINTMENTS, REMAIN IN SCHOOL, DEVELOP PLANS FOR BABY'S CARE, DELAY REPEAT PREGNANCIES UNTIL ADULTHOOD AND SOLVE THE DAILY CHALLENGES OF BEING A NEW PARENT.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	1079472	Expense
Description	COMMUNITY HEALTH EDUCATION AND AWARENESS PROGRAM:INCLUDES STRONG FAMILIES/GREAT YOUTH, PEAS, AND SAFE KIDS. AS A PARTNER IN THE STRONG FAMILIES/GREAT YOUTH COALITION, RMH WORKS WITH THE COALITION TO REDUCE RISK FACTORS AND INCREASE PROTECTIVE FACTORS IN YOUTH UNDER THE AGE OF 18 IN THE HARRISONBURG-ROCKINGHAM COMMUNITY. AREAS OF FOCUS INCLUDE REDUCING SUBSTANCE ABUSE, UNINTENTIONAL INJURY, TEEN PREGNANCY, AND VIOLENCE, INCREASING SCHOOL ATTENDANCE, AND INCREASING ACCESS TO MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT IN YOUTH. THROUGH THE PARENTING EDUCATION AND SUPPORT (PEAS) PROGRAM, RMH OFFERED A SERIES OF CLASSES TO ADULTS INCLUDING THE INCREDIBLE YEARS, ALL ABOUT BABY, AND STAYING CONNECTED WITH YOUR TEEN IN BOTH ENGLISH AND SPANISH.EXPENSES $ 124,362. INCLUDING GRANTS OF $ 0. REVENUE $ 0.HEALTHQUEST:A FREE QUARTERLY HEALTH AND WELLNESS PUBLICATION THAT THE HOSPITAL PRODUCES TO HIGHLIGHT THE PRINCIPLES OF HEALTHY LIFESTYLE CHOICES, PREVENTATIVE CARE AND EARLY DETECTION AND SCREENING. IT ALSO FEATURES MEMBERS OF THE HOSPITAL MEDICAL AND CLINICAL STAFF, AND SERVES TO MARKET OUR PROGRAMS AND SERVICES. THE MAGAZINE IS MAILED PRIMARILY TO PEOPLE IN OUR LARGER SERVICE AREA AND IN 2011 THERE WERE MORE THAN 36,000 DISTRIBUTIONS.EXPENSES $ 223,154. INCLUDING GRANTS OF $ 0. REVENUE $ 0.CHILD CARE CONNECTION:A RESOURCE AND REFERRAL CENTER FOR CHILDCARE PROVIDERS AND PARENTS. THIS PROGRAM ENHANCES THE QUALITY OF CHILDCARE BY PROVIDING EDUCATION AND EDUCATIONAL MATERIALS, ALONG WITH TOYS AND GAMES RELATED TO SAFE, NURTURING CHILDCARE. IT ALSO SUPPORTS INCREASING THE QUANTITY AND QUALITY OF PROVIDERS IN THE AREA BY OFFERING CONSULTATION AND EDUCATION ON STARTING A CHILDCARE BUSINESS. CHILDCARE CONNECTION HAS CREATED A COORDINATED SYSTEM OF CHILDCARE WITH A CUSTOMIZABLE DATABASE OF CHILDCARE PROVIDERS THAT CAN BE ACCESSED BY PARENTS.EXPENSES $ 114,846. INCLUDING GRANTS OF $ 0. REVENUE $ 0.HEALTHSOURCE:PHYSICIAN REFERRAL, HEALTH INFORMATION AND CLASS REGISTRATION ARE PROVIDED FREE TO THE PUBLIC, ALONG WITH ASSISTANCE FOR COMMUNITY AND CORPORATE HEALTHCARE EVENTS.EXPENSES $ 33,825. INCLUDING GRANTS OF $ 0. REVENUE $ 0.HEALTH SCREENINGS:NUMEROUS FREE HEALTH SCREENINGS, SUCH AS SKIN CANCER, PROSTATE CANCER, CHOLESTEROL AND BLOOD GLUCOSE ARE OFFERED TO RESIDENTS AT LOCAL HEALTH FAIRS AND COMMUNITY EVENTS WITH WIDE-SPREAD PARTICIPATION.EXPENSES $ 16,129. INCLUDING GRANTS OF $ 0. REVENUE $ 0.FOUNDATION:GRANTS THROUGH THE RMH FOUNDATION SUPPORT INITIATIVES THAT WILL HAVE A POSITIVE IMPACT ON THE OVERALL HEALTH OF OUR COMMUNITY. EXPENSES $ 62,944. INCLUDING GRANTS OF $ 0. REVENUE $ 0.HEALTH SCIENCE LIBRARY:THE VIRGINIA FUNKHOUSER HEALTH SCIENCE LIBRARY IS A BIOMEDICAL REFERENCE SERVICE FOR HOSPITAL STAFF AND THE SURROUNDING COMMUNITY.EXPENSES $ 64,254. INCLUDING GRANTS OF $ 0. REVENUE $ 0.LIFE LINE:LIFELINE IS AN EMERGENCY RESPONSE SYSTEM THAT ENABLES THOSE WITH SAFETY ISSUES TO REMAIN INDEPENDENT AND IN THEIR OWN HOMES FOR AS LONG AS POSSIBLE.EXPENSES $ 13,735. INCLUDING GRANTS OF $ 0. REVENUE $ 0.MISCELLANEOUS PROGRAM SERVICES:IN ADDITION TO THE PROGRAM SERVICES HIGHLIGHTED ABOVE, THE HOSPITAL SUPPORTS VARIOUS OTHER PROGRAMS FOR THE BENEFIT OF THE COMMUNITY INCLUDING BUT NOT LIMITED TO GRIEF SUPPORT, FAMILY FAIR, WOMEN'S HEALTH EDUCATION, AND SENIOR ADVANTAGE.EXPENSES $ 426,223. INCLUDING GRANTS OF $ 0. REVENUE $ 0.TOTAL OTHER PROGRAM SERVICES, FORM 990, PAGE 2, LINE 4D	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	1079472	TotalOfOtherProgramServiceExp
Total Program Service Expense	330437199	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	1	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	1	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Info In Schedule O Part V	X	InfoInScheduleOPartV
Number Forms Transmitted With1096	292	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	2728	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	1	ForeignFinancialAccount
Name Of Foreign Country	CJ	NameOfForeignCountry
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	11	NbrVotingGoverningBodyMembers
Number Independent Voting Members	6	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	1	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	VA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	CORPORATE OFFICERS	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	5406891245	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2010 HEALTH CAMPUS DRIVE	AddressLine1
City	HARRISONBURG	City
State	VA	State
ZIP Code	228018679	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (35 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
ANN E C HOMAN
CHAIR (AS OF 5/2011)/DIRECTOR	2.00	X	X	0	0	0
HOWARD P KERN
DIRECTOR/VICE CHAIR (AS OF 5/2011)	2.00	X	X	0	1612156	910858
JAMES R MESSNER
DIRECTOR/SECRETARY	2.00	X	X	0	0	0
BARBARA B STOLTZFUS
DIRECTOR/CHAIR (THRU 4/2011)	2.00	X	X	0	0	0
W CARLTON BANKS
DIRECTOR	2.00	X		0	0	0
A JERRY BENSON
DIRECTOR (THRU 4/2011)	2.00	X		0	0	0
DAVID L BERND
DIRECTOR (AS OF 5/2011)	2.00	X		0	3838264	743146
LAWRENCE D BOWERS JR
DIRECTOR (THRU 4/2011)	2.00	X		0	0	0
MENSEL D DEAN JR
VICE CHAIR (THRU 4/2011)/DIRECTOR	2.00	X	X	0	0	0
DOUGLAS G DRIVER
DIRECTOR (THRU 4/2011)	2.00	X		0	0	0
JOSEPH K FUNKHOUSER II
DIRECTOR	2.00	X		0	0	0
C WAYNE GATES MD
DIRECTOR (THRU 4/2011)	2.00	X		0	0	0
ALDEN L HOSTETTER
DIRECTOR	2.00	X		0	0	0
ELMER E KENNEL
DIRECTOR	2.00	X		0	0	0
KENNETH M KRAKAUR
DIRECTOR (AS OF 5/2011)	2.00	X		0	1003009	184819
ALLON H LEFEVER
DIRECTOR	2.00	X		0	0	0
W NEAL MENEFEE
DIRECTOR (THRU 4/2011)	2.00	X		0	0	0
GEORGE W PACE
DIRECTOR (THRU 4/2011)	2.00	X		0	0	0
STEWART G POLLOCK MD
DIRECTOR (THRU 4/2011)	2.00	X		0	0	0
MICHAEL R KING
TREASURER/SR. VP, FINANCE/CFO	40.00		X	336324	0	80969
JAMES D KRAUSS
ASST. TREAS (THRU 4/2011)/PRESIDENT	40.00		X	633239	0	121323
DALE A CARROLL
SR. VP, CLINICAL EFFECT./CMO	40.00			438843	0	138738	X
DONNA HAHN
VP, ACUTE CARE/CNE	40.00			216425	0	69831	X
KATHERINE HARRISON
VP, BUSINESS DEVELOPMENT	40.00			185200	0	77903	X
RICHARD L HAUSHALTER
SR. VP, OPERATIONS/COO	40.00			390301	0	123361	X
JOHN MCGOWAN
RMH MEDICAL GROUP CEO	40.00			319133	0	39504	X
P RICHARD PIERCE
VP, AMBULATORY CARE	40.00			248120	0	178018	X
MICHAEL ROZMUS
VP, INFORMATION SERVICES/CIO	40.00			231994	0	94193	X
MERV WEBB
VP, FOUNDATION	40.00			201746	0	137694	X
MARK ZIMMERMAN
VP, HUMAN RESOURCES	40.00			245048	0	108431	X
WILLIAM LENNEN MD
DIERCTOR - PULMONARY SERVICES	40.00			768602	0	30476		X
STEVEN MARRA MD
CARDIOTHORACIC SURGEON	40.00			694743	0	42088		X
OLUMIDE DANISA MD
ORTHOPAEDIC SURGEON	40.00			531692	0	28177		X
THOMAS WEBER MD
FAMILY PRACTITIONER	40.00			512310	0	35792		X
HEIDI GORSUCH-RAFFERTY MD
BREAST SURGEON	40.00			493248	0	41859		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	6446968	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	6453429	TotalReportableCompFrmRltdOrgs
Total Other Compensation	3187180	TotalOtherCompensation
Number Individuals GT100 K	156	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
AMERISOURCE BERGEN - RICHMOND
PO BOX 5188	NEW YORK	NY	100875188	PHARMACEUTICAL SVCS	20462479
HARRISONBURG MEDICAL ASSOCIATES
1871 EVELYN BYRD AVE	HARRISONBURG	VA	22801	MEDICAL SERVICES	13439422
HARRISONBURG PHYSICIANS ANETHESIOLOGY
1840 EAST MARKET ST	HARRISONBURG	VA	22801	MEDICAL SERVICES	8873556
SHENANDOAH SHARED HOSPITAL SERVICES
304 NEFF AVE	HARRISONBURG	VA	22801	MEDICAL SERVICES	8288836
CARDINAL HEALTH MEDICAL PRODUCTS & SERVI
PO BOX 905867	CHARLOTTE	NC	282905867	MEDICAL SERVICES	5065227

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	184	NumberOfContractorsGT100K
Membership Dues	780	MembershipDues
Government Grants	889701	GovernmentGrants
All Other Contributions	7946108	AllOtherContributions
Total Contributions	8836589	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SRVC REV	621300	354869169	354869169
OTHER PROGRAM SERVICES	621300	2795954	2795954

Field	Value	IRS element (for citing)
Total Program Service Revenue	357665123	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	2890680	TotalRevenueColumn
Exclusion	$2,890,680	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	109079	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	32643	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	76436	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	76436	TotalRevenueColumn
Exclusion	$76,436	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	13394707	Securities
Other	1175810	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	13830258	Securities
Other	161055	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-435551	Securities
Other	1014755	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	579204	TotalRevenueColumn
Exclusion	$579,204	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	399762	GrossSalesOfInventory
Cost Of Goods Sold	252154	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	147608	TotalRevenueColumn
Exclusion	$147,608	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
OTHER	900099	2187529	$2,187,529
EQUITY ALLOCATIONS	900099	2060917	$2,060,917
DIETARY SALES	722210	24675	$24,675

Field	Value	IRS element (for citing)
Total Other Revenue	4273121	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	374468761	TotalRevenueColumn
Related Or Exempt Function Income	357665123	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$7,967,049	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	1217084	Total
Program Services	1217084	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	78795	Total
Program Services	78795	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	4616338	Total
Management And General	4616338	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	127891644	Total
Program Services	119093978	ProgramServices
Management And General	8574130	ManagementAndGeneral
Fundraising	223536	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	8158255	Total
Program Services	7597049	ProgramServices
Management And General	545777	ManagementAndGeneral
Fundraising	15429	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	13284379	Total
Program Services	12370547	ProgramServices
Management And General	890902	ManagementAndGeneral
Fundraising	22930	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	8563258	Total
Program Services	7974191	ProgramServices
Management And General	574385	ManagementAndGeneral
Fundraising	14682	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	683558	Total
Program Services	568512	ProgramServices
Management And General	115046	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	215854	Total
Management And General	215854	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	26474	Total
Management And General	26474	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	53022257	Total
Program Services	50781895	ProgramServices
Management And General	2240362	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1849266	Total
Program Services	1436965	ProgramServices
Management And General	356932	ManagementAndGeneral
Fundraising	55369	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	5583531	Total
Program Services	3724028	ProgramServices
Management And General	1769014	ManagementAndGeneral
Fundraising	90489	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	4334442	Total
Program Services	3709579	ProgramServices
Management And General	621239	ManagementAndGeneral
Fundraising	3624	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	5458298	Total
Program Services	5456897	ProgramServices
Fundraising	1401	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	410955	Total
Program Services	410698	ProgramServices
Management And General	257	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	800012	Total
Program Services	677116	ProgramServices
Management And General	114847	ManagementAndGeneral
Fundraising	8049	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	11606909	Total
Program Services	11606909	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	17707868	Total
Program Services	17547576	ProgramServices
Management And General	160292	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	4706928	Total
Program Services	4431794	ProgramServices
Management And General	275134	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
MEDICAL SUPPLIES	53575684	53575684
BAD DEBT PROVISION	26273144	26273144
PURCHASED & CONTRACTED	2146559	653051	1493315	193
DUES, BOOKS & SUBSCRIPT	632826	631854		972

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	741240	Total
Program Services	619853	ProgramServices
Management And General	120860	ManagementAndGeneral
Fundraising	527	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	353585558	Total
Program Services	330437199	ProgramServices
Management And General	22711158	ManagementAndGeneral
Fundraising	437201	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	61370294	BOY
EOY	70359781	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	23360811	BOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	3293228	BOY
EOY	2126632	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	40457298	BOY
EOY	41951342	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	3500102	BOY
EOY	99231	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	4136934	BOY
EOY	5699308	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	5181378	BOY
EOY	5381819	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2964890	BOY
EOY	2845419	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	141978332	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	7596335	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	366608189	BOY
EOY	134381997	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	36492911	BOY
EOY	102534027	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	15048046	BOY
EOY	34711284	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	1326477	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	9027304	BOY
EOY	19033062	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	571441385	BOY
EOY	420450379	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	37442881	BOY
EOY	25085416	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	231376	BOY
EOY	198697	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	300160065	BOY
EOY	181613508	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	37042681	BOY
EOY	163926084	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	374877003	BOY
EOY	370823705	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	166691561	BOY
EOY	15932801	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	15126649	BOY
EOY	18960064	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	14746172	BOY
EOY	14733809	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	196564382	BOY
EOY	49626674	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	571441385	BOY
EOY	420450379	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	20883203	ReconcilationRevenueExpenses
Reconcilation Other Changes	-167820911	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$16,176	OtherActivitiesAmount
Total Lobbying Expenditures IIB	16176	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF OTHER LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1I:	ReturnReference
Explanation	THE HOSPITAL IS INVOLVED IN INDIRECT LOBBYING ACTIVITIES THROUGH PAYMENT OF MEMBERSHIP DUES TO THE FOLLOWING ORGANIZATIONS: VIRGINIA HOSPITAL & HEALTHCARE ASSOCIATION, AMERICAN HOSPITAL ASSOCIATION, AND NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	29171837	BeginningOfYearBalance
Contributions	7634593	Contributions
Investment Earnings Or Losses	119000	InvestmentEarningsOrLosses
Other Expenditures	3231557	OtherExpenditures
End Of Year Balance	33693873	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	31098549	BeginningOfYearBalance
Contributions	1334949	Contributions
Investment Earnings Or Losses	2080749	InvestmentEarningsOrLosses
Other Expenditures	5342410	OtherExpenditures
End Of Year Balance	29171837	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	29446900	BeginningOfYearBalance
Contributions	1310621	Contributions
Investment Earnings Or Losses	3427364	InvestmentEarningsOrLosses
Other Expenditures	3086336	OtherExpenditures
End Of Year Balance	31098549	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	36688003	BeginningOfYearBalance
Contributions	2014074	Contributions
Investment Earnings Or Losses	-6513327	InvestmentEarningsOrLosses
Grants Or Scholarships	11000	GrantsOrScholarships
Other Expenditures	2730850	OtherExpenditures
End Of Year Balance	29446900	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	0.43730	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.56270	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	11780878	OtherCostOrOtherBasis
Book Value	11780878	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	38283997	OtherCostOrOtherBasis
Depreciation	561843	Depreciation
Book Value	37722154	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	84367008	OtherCostOrOtherBasis
Depreciation	6813349	Depreciation
Book Value	77553659	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7546449	OtherCostOrOtherBasis
Depreciation	221143	Depreciation
Book Value	7325306	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	134381997	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (8 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
AIG PRIVATE EQUITY PORTFOLIO	1440500	F
AUSTIN CAPITAL SAFE HARBOR	557549	F
CMS ENTREPRENEURIAL REAL ESTATE FUND IV	145099	F
K2 HIGHLAND OVERSEAS FUND	12547783	F
OCM PRINCIPLE OPPORTUNITIES FUND III	1952678	F
SILVER CREEK LOW VOLATILITY STRATEGIES	3801954	F
UBS TRUMBULL PROPERTY INCOME FUND	6637670	F
WELLINGTON CTF MID CAP GROWTH PORTFOLIO	7628051	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	34711284	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescription	AmountAmount
PAYABLE TO AFFILIATES	$89,853,383
ANNUITIES PAYABLE	$497,788
MARK-TO-MARKET LIABILITY	$867,699
PENSION LIABILITY	$35,353,103
DUE TO THIRD PARTIES	$2,301,647
OTHER CURRENT LIABILITIES	$8,808,477
OTHER NON-CURRENT LIABILITIES	$26,243,987

Field	Value	IRS element (for citing)
Total Of Amounts	163926084	TotalOfAmounts

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)

RegionRegion	Number Of OfficesNumberOfOffices	Number Of EmployeesNumberOfEmployees	Type Of Activities ConductedTypeOfActivitiesConducted	Specific Services ProvidedSpecificServicesProvided	Total ExpendituresTotalExpenditures
CENTRAL AMERICA AND THE CARIBBEAN	0	0	PROGRAM SERVICES	JOINT VENTURE AGREEMENT WITH VIRGINIA SOLUTIONS SPC, LTD - INSURANCE CAPTIVE THAT UNDERWRITES HOSPITAL AND PHYSICIAN LIABILITY AND WORKERS COMPENSATION POLICIES FOR ITS MEMBER HOSPITALS. THE HOSPITAL HAS A 16.67% OWNERSHIP INTEREST IN THE CAPTIVE.
CENTRAL AMERICA AND THE CARIBBEAN -			INVESTMENTS		16907286

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	0	SubtotalNumberOfOffices
Subtotal Number Of Employees	0	SubtotalNumberOfEmployees
Cont Number Of Offices	0	ContNumberOfOffices
Cont Number Of Employees	0	ContNumberOfEmployees
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Subtotal Amount Spent	16907286	SubtotalAmountSpent
Cont Amount Spent	0	ContAmountSpent
Total Amount Spent	16907286	TotalAmountSpent
Transfer To Foreign Corp	1	TransferToForeignCorp
Interest In Foreign Trust	0	InterestInForeignTrust
Own Foreign Corp	1	OwnForeignCorp
Passive Foreign Invest Co	0	PassiveForeignInvestCo
Foreign Partnership	1	ForeignPartnership
Boycott Countries	0	BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

Field	Value	IRS element (for citing)
Identifier	METHOD USED TO ACCCOUNT FOR EXPENDITURES:	Identifier
Explanation	SCHEDULE F, PART I, LINE 3: EQUITY	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	0	FPGReferenceFreeCare
FPG Reference Discounted Care	0	FPGReferenceDiscountedCare
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	0	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	10346151	TotalCommunityBenefitExpense
Net Community Benefit Expense	10346151	NetCommunityBenefitExpense
Percent Of Total Expense	0.03160	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	20327493	TotalCommunityBenefitExpense
Direct Offsetting Revenue	15390745	DirectOffsettingRevenue
Net Community Benefit Expense	4936748	NetCommunityBenefitExpense
Percent Of Total Expense	0.01510	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	30673644	TotalCommunityBenefitExpense
Direct Offsetting Revenue	15390745	DirectOffsettingRevenue
Net Community Benefit Expense	15282899	NetCommunityBenefitExpense
Percent Of Total Expense	0.04670	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	596772	TotalCommunityBenefitExpense
Net Community Benefit Expense	596772	NetCommunityBenefitExpense
Percent Of Total Expense	0.00180	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1625179	TotalCommunityBenefitExpense
Direct Offsetting Revenue	628964	DirectOffsettingRevenue
Net Community Benefit Expense	996215	NetCommunityBenefitExpense
Percent Of Total Expense	0.00300	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	96278243	TotalCommunityBenefitExpense
Direct Offsetting Revenue	76901316	DirectOffsettingRevenue
Net Community Benefit Expense	19376927	NetCommunityBenefitExpense
Percent Of Total Expense	0.05920	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2511384	TotalCommunityBenefitExpense
Net Community Benefit Expense	2511384	NetCommunityBenefitExpense
Percent Of Total Expense	0.00770	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	101011578	TotalCommunityBenefitExpense
Direct Offsetting Revenue	77530280	DirectOffsettingRevenue
Net Community Benefit Expense	23481298	NetCommunityBenefitExpense
Percent Of Total Expense	0.07170	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	131685222	TotalCommunityBenefitExpense
Direct Offsetting Revenue	92921025	DirectOffsettingRevenue
Net Community Benefit Expense	38764197	NetCommunityBenefitExpense
Percent Of Total Expense	0.11840	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	5570	TotalCommunityBuildingExpense
Net Community Building Expense	5570	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	7484	TotalCommunityBuildingExpense
Net Community Building Expense	7484	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	13054	TotalCommunityBuildingExpense
Net Community Building Expense	13054	NetCommunityBuildingExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$26,273,144	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	87719671	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	103221508	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-15501837	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ROCKINGHAM MEMORIAL HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	2010 HEALTH CAMPUS DR	AddressLine1
City	HARRISONBURG	City
State	VA	State
ZIP Code	22801	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours
Other	OTHER MENTAL HEALTH AND SUBSTANCE ABUSE	Other

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ROCKINGHAM MEMORIAL HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	0	UsesFPGFree
Uses FPG Discounted	0	UsesFPGDiscounted
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
State Regulation	X	StateRegulation
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Average Negotiated Rates	X	AverageNegotiatedRates
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	16	NumberOfOtherFacilities

Other Facilities OtherFacilities (16 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
MEDICAL OFFICE BLDG - PHYSIC PRACT
2006 HEALTH CAMPUS DRIVE	HARRISONBURG	VA	22801	PHYSICIAN OFFICES - SPECIALTY PRACTICES
WOMEN'S CENTER
530 NEFF AVE	HARRISONBURG	VA	22801	MAMMOGRAPHY SERVICES, BREAST SURGERY CLINIC
RMH SOUTH MAIN HEALTH CENTER
1661 S MAIN STREET	HARRISONBURG	VA	22801	FAMILY PRACTICE
RMH EAST ROCKINGHAM HEALTH CENTER
13737 SPOTSWOOD TRAIL	ELKTON	VA	22827	FAMILY PRACTICE, LEAB, REHAB SERVICES
HOME HEALTH AND HOSPICE
411 STONE SPRING ROAD	HARRISONBURG	VA	22801	IN-HOME AND END-OF-LIFE CARE
REHAB SERVICES - PAVILION
501 STONE SPRING ROAD	HARRISONBURG	VA	22801	OUTPATIENT PHYSICAN THERAPY SERVICES
RMH CANCER CENTER
2008 HEALTH CAMPUS DRIVE	HARRISONBURG	VA	22801	SPECIALTY PHYSICIAN OFFICES
RMH VALLEY BEHAVIOR MEDICINE
644 UNIVERSITY BLVD	HARRISONBURG	VA	22801	MENTAL HEALTH SERVICES
RMH SPRINGBROOK FAMILY MEDICINE
173 E SPRINGBROOK ROAD	BROADWAY	VA	22815	FAMILY MEDICINE
RMH OCCUPATIONAL HEALTH CENTER
1790-64B E MARKET STREET	HARRISONBURG	VA	22801	OCCUPATIONAL MEDICINE
RMH LURAY HEALTH CENTER
135 GENERAL DRIVE	LURAY	VA	22835	FAMILY PRACTICE
RMH NEW MARKET HEALTH CENTER
9626 S CONGRESS ST	NEW MARKET	VA	22844	FAMILY PRACTICE
RMH MOUNT JACKSON HEALTH CENTER
120 MEDICAL AVENUE	MT JACKSON	VA	22842	FAMILY PRACTICE
BRIDGEWATER REHAB
302 N SECOND STREET	BRIDGEWATER	VA	22812	OUTPATIENT PHYSICAL THERAPY
IMAGE RECOVERY CENTER
2989 S MAIN STREET	HARRISONBURG	VA	22801	SALON & MASSAGE SERVICES FOR CANCER PATIENTS
RMH CENTER FOR SLEEP MEDICINE
640 SOUTH MAIN ST	HARRISONBURG	VA	22801	SLEEP STUDIES

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

ExplanationExplanation	Return ReferenceReturnReference	IdentifierIdentifier
PART I, LINE 3C: AND PART V, SECTION B LINES 9&10:UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, UNINSURED INDIVIDUALS RECEIVING EMERGENCY OR OTHER MEDICALLY NECESSARY CARE ARE CHARGED NO MORE THAN AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE. IN ADDITION, AN INDIVIDUAL WHOSE INCOME IS AT OR BELOW 400% OF THE FPG MAY BE ELIGIBLE FOR ADDITIONAL FINANCIAL ASSISTANCE. WHEN AN INDIVIDUAL SUBMITS A FINANCIAL ASSISTANCE APPLICATION, THE ORGANIZATION USES A MULTI-FACETED REVIEW OF AN APPLICANT'S SITUATION TO DETERMINE BOTH ELIGIBILITY FOR FREE OR ADDITIONAL DISCOUNTED CARE, AND THE LEVEL OF DISCOUNT PROVIDED. AMONG THE FACTORS TAKEN INTO CONSIDERATION ARE WHETHER THE INDIVIDUAL HAS HEALTH INSURANCE COVERAGE, THE AMOUNT OF ASSETS AVAILABLE TO CONTRIBUTE TOWARDS THE COST OF CARE, THE AMOUNT OF INCOME AVAILABLE TO CONTRIBUTE TOWARDS THE COST OF CARE, EITHER THE INDIVIDUAL HAD THE ABILITY TO PURCHASE HEALTH INSURANCE THROUGH AN EMPLOYER AND DECLINED TO DO SO OR HAD ELIGIBILITY THROUGH A GOVERNMENT PROGRAM AND FAILED TO APPLY, FAMILY SIZE, AND WHETHER THE INDIVIDUAL HAS A HEALTH CONDITION THAT IS REASONABLY EXPECTED TO RESULT IN THEM BECOMING A RECURRING PATIENT WHO WILL CONTINUE TO ACCUMULATE HEALTH CARE EXPENSES. THE PROGRAM PROVIDES A SLIDING SCALE AMOUNT BASED ON THE ABOVE FACTORS, WHICH IS CAPPED BY A "MAXIMUM OUT OF POCKET" LIMIT THAT ALSO FOLLOWS A SLIDING SCALE. THE OUT-OF-POCKET MINIMUM COST FOR ALL FAP-ELIGIBLE INDIVIDUALS IS $25.
PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 26273144.
A COST-TO-CHARGE RATIO, CALCULATED USING WORKSHEET 2, WAS USED TO CALCULATE COSTS REPORTED IN LINES 7A AND 7B. FOR LINE 7G, A DEPARTMENT COST-TO-CHARGE RATIO WAS CALCULATED FOR EACH SUBSIDIZED HEALTH SERVICE.	PART I, LINE 7
$14,569,536 OF THE AMOUNT REPORTED IN COLUMN (E) IS ATTRIBUTABLE TO PHYSICIAN CLINICS.	PART I, LINE 7G
--COMMUNITY SUPPORT: RMH LEADERS SERVE ON VARIOUS COMMUNITY BOARDS BECAUSE OF THEIR ROLES AT RMH, INCLUDING THE HARRISONBURG COMMUNITY HEALTH CENTER, THE HARRISONBURG-ROCKINGHAM FREE CLINIC, THE COLLINS CENTER, THE MARCH OF DIMES, THE CENTER FOR MARRIAGE AND FAMILY COUNSELING, AND GENERATIONS CROSSING.--COALITION BUILDING: RMH STAFF PARTICIPATE ON VARIOUS LOCAL COALITIONS (INCLUDING STRONG FAMILIES GREAT YOUTH COALITION, WOMEN'S AND GIRL'S HEALTH COALITION, HEALTHY COMMUNITY COUNCIL STEERING COMMITTEE, SMART BEGINNINGS HARRISONBURG-ROCKINGHAM, SMART BEGINNINGS STAUNTON-AUGUSTA-WAYNESBORO, AND SEASONS PLUS) AS PART OF THEIR ROLES AT RMH.	PART II: COMMUNITY BUILDING ACTIVITIES
PART III, LINE 4: ACCOUNTS RECEIVABLE ARE REPORTED AT NET REALIZABLE VALUE. BALANCES NOT PAID WITHIN 30 DAYS ARE CONSIDERED PAST DUE. BALANCES ARE CONSIDERED DELINQUENT WHEN THEY ARE OUTSTANDING FOR 120 DAYS WITH NO ACTIVITY AT WHICH TIME THE BALANCES ARE TRANSFERRED TO A COLLECTION AGENCY AND THE BALANCE IS MOVED TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. BALANCES ARE WRITTEN OFF AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN MADE. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED ON HISTORICAL BAD DEBT EXPERIENCE AND MANAGEMENTS' EVALUATION OF THE COMPONENTS OF ACCOUNTS RECEIVABLE.
PART III, LINE 8: INTERNAL COST ACCOUNTING CALCULATIONS WERE USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS.
PART III, LINE 9B: PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE WILL HAVE THEIR BALANCES DISCOUNTED BY THE APPLICABLE RATE AND ANY REMAINING BALANCES WILL BE BILLED TO THEM. THE COLLECTION PRACTICES OF STATEMENTS, LETTERS, PHONE CALLS, REFERRAL TO THIRD PARTY COLLECTION AGENCIES, ETC. ARE THE SAME FOR ALL PATIENTS WITH A BALANCE DUE. IF DURING A CALL THE PATIENT ASKS FOR FINANCIAL ASSISTANCE, AN APPLICATION IS MAILED TO THEM. THE ORGANIZATION DID NOT IMPOSE COLLECTION ACTIONS FOR ANY PATIENT WITHOUT FIRST MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THAT PATIENT WAS ELIGIBLE FOR FINANCIAL ASSISTANCE.
PART V, SECTION B, LINE 9: SEE EXPLANATION FOR PART I, LINE 3C		ROCKINGHAM MEMORIAL HOSPITAL
PART V, SECTION B, LINE 10: SEE EXPLANATION FOR PART I, LINE 3C		ROCKINGHAM MEMORIAL HOSPITAL
PART V, SECTION B, LINE 13G: NOTICES OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND THE CONTACT INFORMATION FOR MORE INFORMATION OR TO APPLY IS POSTED ON THE HOSPITAL'S WEB SITE, POSTED IN ALL WAITING ROOMS AND REGISTRATION AREAS, AND ON ALL PATIENT BILLING STATEMENTS.		ROCKINGHAM MEMORIAL HOSPITAL
THE HEALTH OF THE RESIDENTS OF HARRISONBURG AND ROCKINGHAM COUNTY IS ASSESSED EVERY FIVE YEARS FOR ADULTS AND SENIORS AND EVERY TWO YEARS FOR YOUTH. THESE ASSESSMENTS ARE COMPLETED BY THE HEALTHY COMMUNITY COUNCIL, A PARTNERSHIP INCLUDING RMH AS WELL AS REPRESENTATIVES FROM GOVERNMENT, SCHOOLS, BUSINESS, HIGHER EDUCATION, HEALTH AND HUMAN SERVICES, FAITH COMMUNITY, LAW ENFORCEMENT, AND MEDIA.	PART VI, LINE 2
THE HOSPITAL HAS POSTED INFORMATION ABOUT FINANCIAL ASSISTANCE AND HOW TO APPLY IN EACH REGISTRATION AND EATING AREA. BILLING STATEMENTS AND THE WEBSITE HAVE INSTRUCTIONS AND PHONE NUMBERS LISTED FOR ALL PATIENTS WHO MAY BE HAVING DIFFICULTY PAYING BILLS. SELF PAY PATIENTS ARE SCREENED IN PERSON TO DETERMINE IF THEY QUALIFY FOR FEDERAL OR STATE PROGRAMS THAT MAY OFFER INSURANCE. PATIENTS ARE ALSO SCREENED FOR AND GIVEN THE OPPORTUNITY TO APPLY FOR RMH FINANCIAL ASSISTANCE. THE HOSPITAL USES AN OUTSIDE VENDOR THAT SCREENS ALL PATIENTS WITHOUT INSURANCE FOR ELIGIBILITY FOR GOVERNMENT PROGRAMS, AND A FINANCIAL COUNSELOR WHO SCREENS THOSE THAT ARE NOT ELIGIBLE FOR GOVERNMENT PROGRAMS TO DETERMINE WHETHER THEY MEET CRITERIA FOR CHARITY CARE.	PART VI, LINE 3
THE HARRISONBURG-ROCKINGHAM COUNTY AREA COVERS 871 SQUARE MILES OF LAND AND IS HOME TO ABOUT 111,000 PEOPLE. THE MEDIAN AGE IS 32 YEARS WITH 22 PERCENT OF THE POPULATION FALLING UNDER THE AGE OF 18 AND 12 PERCENT OVER AGE 65. RMH IS A SOLE COMMUNITY HOSPITAL IN THE HARRISONBURG - ROCKINGHAM COUNTY AREA. THE AREA IS CONSIDERED RURAL. COMMUNITIES.	PART VI, LINE 4
THE ORGANIZATION HAS A COMMUNITY-BASED BOARD COMPRISED OF A MAJORITY OF MEMBERS WHO ARE NEITHER EMPLOYEES, CONTRACTORS, NOR FAMILY MEMBERS THEREOF.GENERALLY, MEDICAL STAFF MEMBERSHIP IS OPEN TO ALL CARE PROVIDERS WHO MAY QUALIFY. THE ORGANIZATION'S SURPLUS FUNDS ARE USED FOR IMPROVEMENTS IN PATIENT CARE, PROVISION OF SERVICES TO THE UNINSURED AND UNDERINSURED, MEDICAL EDUCATION, AND COMMUNITY PROGRAMS.	PART VI, LINE 5
IN A MOVE TO INCREASE ITS ABILITY TO PROVIDE HIGH QUALITY, COMPREHENSIVE HEALTH CARE SERVICES TO PATIENTS, THE ORGANIZATION AFFILIATED WITH THE SENTARA HEALTHCARE SYSTEM ("SENTARA") EFFECTIVE MAY 1, 2011. SENTARA, A NOT-FOR-PROFIT HEALTH SYSTEM, OPERATES MORE THAN 100 SITES OF CARE SERVING RESIDENTS ACROSS VIRGINIA AND NORTHEASTERN NORTH CAROLINA. THE SYSTEM IS COMPRISED OF 10 ACUTE CARE HOSPITALS, INCLUDING SEVEN IN HAMPTON ROADS, ONE IN NORTHERN VIRGINIA AND TWO IN THE BLUE RIDGE REGION, ADVANCED IMAGING CENTERS, NURSING AND ASSISTED-LIVING CENTERS, OUTPATIENT CAMPUSES, TWO HOME HEALTH AND HOSPICE AGENCIES, A 3,680-PROVIDER MEDICAL STAFF, AND THREE MEDICAL GROUPS WITH 618 PROVIDERS.THE ORGANIZATION, ALONG WITH ITS SUBSIDIARIES, HAS JOINED WITH SENTARA IN ORDER TO ENHANCE ITS ABILITY TO ACHIEVE BEST PRACTICES IN HEALTHCARE DELIVERY; ACQUIRE CUTTING EDGE TECHNOLOGY AND INTEGRATED INFORMATION SYSTEMS; AND PROVIDE A HIGHER LEVEL OF MEDICAL CARE TO VIRGINIA'S BLUE RIDGE REGION COMMUNITY. COMBINED, THESE ATTRIBUTES BETTER POSITION THE ORGANIZATION TO ADDRESS HEALTH CARE REFORM AND OTHER PROFOUND CHANGES AFFECTING THE HEALTHCARE ENVIRONMENT.	PART VI, LINE 6

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (7 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
GENERATIONS CROSSING
3765 TAYLOR SPRING LANE	HARRISONBURG	VA	22801	542061192	501(C)(3)	7500	SCHOLARSHIPS FOR DAY CAER FOR ELDERLY AND DISABLED ADULTS
BLUE RIDGE AREA HEALTH EDUCATION CENTER
MSC 9009 JAMES MADISON UNIVERSITY	HARRISONBURG	VA	22807	546001756	501(C)(3)	14725	BEHAVIORAL HEALTH PROJECT FOR NON-ENGLISH SPEAKING POPULATION IN THE COMMUNITY
OUR COMMUNITY PLACE
17 E JOHNSON STREET	HARRISONBURG	VA	22802	541835664	501(C)(3)	8090	HEALTH INITIATIVE FOR THOSE INDIVIDUALS WHO FIND OCP THEIR HOME AND COMMUNITY
INSTITUTE OF HEALTH & HUMAN SERVICES
MSC 9009 JAMES MADISON UNIVERSITY	HARRISONBURG	VA	22807	546001756	501(C)(3)	15000	HEALTHCARE FOR HOMELESS SUITCASE CLINIC
HARRISONBURG COMMUNITY HEALTH CENTER
563 A NEFF AVE	HARRISONBURG	VA	22801	020813294	501(C)(3)	500000	HEALTHCARE FOR INDIGENTS
HARRISONBURG ROCKINGHAM FREE CLINIC
25 WEST WATER STREET	HARRISONBURG	VA	22801	541568909	501(C)(3)	500000	HEALTHCARE FOR INDIGENTS
EASTERN MENNONITE UNIVERSITY
1200 PARK ROAD	HARRISONBURG	VA	22802	540575812	501(C)(3)	10000	SPONSORSHIP

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	7	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (4 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant
EMPLOYEE RELIEF FUND	38	47210
PATIENT MEDICAL EXPENSES	52	12212
FITNESS CENTER SCHOLARSHIPS	136	7873
SCHOLARSHIPS	11	11500

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	PART I, LINE 2:	SCHEDULE I, PART I, LINE 2: ROCKINGHAM MEMORIAL HOSPITAL HAS A CAREFUL SCREENING PROCESS IN REVIEWING GRANT APPLICANTS. THE APPLICATIONS ARE FIRST REVIEWED BY A SMALL COMMITTEE USING ESTABLISHED CRITERIA SUCH AS 1) WHAT COMMUNITY NEED IS BEING ADDRESSED, 2) THE ROLE OF PARTNERS IN THE INITIATIVE, 3) AN ACTION PLAN WITH SPECIFIC ACTIVITIES, 4) MEASURABLE GOALS OR OUTCOMES, 5) BUDGET, AND 6) SUSTAINABILITY FOR THE PROJECT IN THE FUTURE. IF AWARDED THE GRANT, THE APPLICANT IS REQUIRED TO SUBMIT A WRITTEN REPORT OF THE OUTCOME WITHIN 12 MONTHS. NO GRANTS ARE MADE OUTSIDE OF THE UNITED STATES.
SCHEDULE I, PART III		-THE EMPLOYEE RELIEF FUND PROVIDES ASSITANCE TO EMPLOYEES WITH FINANCIAL NEED. -PATIENT MEDICAL EXPENSES IS THE PAYMENT OF MEDICAL COSTS FOR INDIGENT PATIENTS. -FITNESS CENTER SCHOLARSHIPS ARE SCHOLARSHIPS AWARDED TO INDIVUALS WHO HAVE AN IDENTIFIED MEDICAL NEED REQUIRING ONGOING PARTICIPATION IN AN EXERCISE PROGRAM. -SCHOLARSHIPS ARE AWARDED TO NURSING STUDENTS WITH FINANCIAL NEED.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
HOWARD P KERN
0	726289	0	868885	0	16982	0	888823	0	22035	0	2523014	0	0
DAVID L BERND
0	1060556	0	1541673	0	1236035	0	718589	0	24557	0	4581410	0	0
KENNETH M KRAKAUR
0	453890	0	457834	0	91285	0	159233	0	25586	0	1187828	0	7755
MICHAEL R KING
252679	0	29700	0	53945	0	54859	0	26110	0	417293	0	0	0
JAMES D KRAUSS
480386	0	41400	0	111453	0	94814	0	26509	0	754562	0	0	0
DALE A CARROLL
345791	0	42462	0	50590	0	110239	0	28499	0	577581	0	0	0
DONNA HAHN
180899	0	27360	0	8166	0	45111	0	24720	0	286256	0	0	0
KATHERINE HARRISON
153088	0	23792	0	8320	0	62786	0	15117	0	263103	0	0	0
RICHARD L HAUSHALTER
294714	0	34572	0	61015	0	100569	0	22792	0	513662	0	0	0
JOHN MCGOWAN
284229	0	33320	0	1584	0	14700	0	24804	0	358637	0	0	0
P RICHARD PIERCE
71427	0	30764	0	145929	0	170141	0	7877	0	426138	0	0	0
MICHAEL ROZMUS
196682	0	29268	0	6044	0	66645	0	27548	0	326187	0	0	0
MERV WEBB
173943	0	26448	0	1355	0	116976	0	20718	0	339440	0	0	0
MARK ZIMMERMAN
202927	0	31537	0	10584	0	85682	0	22749	0	353479	0	0	0
WILLIAM LENNEN MD
529283	0	150099	0	89220	0	7350	0	23126	0	799078	0	0	0
STEVEN MARRA MD
652519	0	17100	0	25124	0	14700	0	27388	0	736831	0	0	0
OLUMIDE DANISA MD
489476	0	31856	0	10360	0	14700	0	13477	0	559869	0	0	0
THOMAS WEBER MD
247403	0	249012	0	15895	0	14700	0	21092	0	548102	0	0	0
HEIDI GORSUCH-RAFFERTY MD
334203	0	138607	0	20438	0	14700	0	27159	0	535107	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReference	ExplanationExplanation
PART I, LINE 1A	PART I, LINE 1A: MEMBERSHIP TO VALLEY WELLNESS CENTER, A RELATED 501(C)(3) ORGANIZATION WAS PROVIDED AT REDUCED RATES. THIS BENEFIT IS AVAILABLE TO ALL ORGANIZATION'S EMPLOYEES.
PART I, LINES 4A-B	RECEIVED SEVERANCE PAYMENT AND/OR SUPPLEMENTAL NQ RETIREMENT P. RICHARD PIERCE, VICE PRESIDENT THROUGH 4/2011, RECEIVED $128,436 IN COMPENSATION RELATED TO HIS SEPARATION FROM SERVICE. THIS AMOUNT HAS BEEN INCLUDED IN COLUMN (B)(III) OF SCHEDULE J, PART II. HOWARD KERN PARTICIPATES IN THE SENTARA SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. PARTICIPATION IN THE PLAN IS LIMITED TO SELECT INDIVIDUALS AS APPROVED BY SENTARA HEALTHCARE'S BOARD OF DIRECTOR'S COMPENSATION COMMITTEE. THE PLAN IS CURRENTLY CLOSED TO ADDITIONAL MEMBERS. VESTING OCCURS UPON THE COMPLETION OF A TWO YEAR NON-COMPETE PERIOD FOLLOWING TERMINATION AFTER EARLY RETIREMENT DATE OR UPON DEATH. EARLY RETIREMENT DATE IS WHEN THE EXECUTIVE OBTAINS AT LEAST AGE 55 AND HAS 10 YEARS OF SERVICE AND BENEFITS ARE FORFEITED IF PARTICIPANT LEAVES PRIOR TO AGE 55 WITH 10 YEARS OF SERVICE. DAVID BERND PARTICIPATES IN AN INDIVIDUAL SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN SPONSORED BY SENTARA. VESTING OCCURS EACH DECEMBER 31 AND THE PRESENT VALUE OF THE ADDITIONAL ACCRUAL IS DISTRIBUTED IN A TAXABLE LUMP SUM. FOR 2011, MR. BERND RECEIVED A TOTAL LUMP SUM DISTRIBUTION OF $1,192,399. THIS AMOUNT HAS BEEN REPORTED IN COLUMN(B)(III) OF SCHEDULE J, PART II. DAVID BERND AND HOWARD KERN PARTICIPATE IN THE SENTARA OPTION PLAN FOR EXECUTIVES. THIS PLAN IS UNRELATED TO "EQUITY" OF THE EMPLOYER. PARTICIPATION IS LIMITED TO SELECT INDIVIDUALS AS APPROVED BY SENTARA HEALTHCARE'S BOARD OF DIRECTOR'S COMPENSATION COMMITTEE. VESTING IS DETERMINED BY THE GOVERNING BOARD OF SENTARA HEALTHCARE AND IS SEPARATELY STATED IN EACH PARTICIPANT'S OPTION AGREEMENT. THERE WERE NO OPTIONS GRANTED AFTER 2002. DAVID BERND, HOWARD KERN AND KENNETH KRAKAUR PARTICIPATE IN THE SENTARA CAPITAL ACCUMULATION ACCOUNT PLAN. PARTICIPATION IS LIMITED TO A SELECT GROUP OF CORPORATE EXECUTIVES AS APPROVED BY SENTARA HEALTHCARE'S BOARD OF DIRECTOR'S COMPENSATION COMMITTEE. TERMS OF THE PLAN CHANGED EFFECTIVE JANUARY 1, 2009, WHEREBY VESTING OF CONTRIBUTIONS MADE ON OR AFTER THAT DATE NOW OCCURS ON THE EARLIER OF FIVE YEARS FOR EACH YEARS' CONTRIBUTIONS OR AGE 55 WITH 10 YEARS OF SERVICE. UNDER THE OLD TERMS, VESTING OF CONTRIBUTIONS MADE PRIOR TO JANUARY 1, 2009 OCCURS ON THE EARLIEST OF ASSIGNED DISTRIBUTION DATE, DEATH, INVOLUNTARY TERMINATION WITHOUT CAUSE OR COMPLETION OF TWO-YEAR NON-COMPETE AFTER VOLUNTARY TERMINATION (REGARDLESS OF ORIGINAL ASSIGNED DISTRIBUTION DATE). DURING 2011, KENNETH KRAKAUR RECEIVED VESTED DISTRIBUTIONS OF $71,345 UNDER THE PLAN. THIS AMOUNT HAS BEEN REPORTED IN COLUMN(B)(III) OF SCHEDULE J, PART II. SENTARA HEALTHCARE OWNED A SPOUSAL SURVIVOR SPLIT-DOLLAR LIFE INSURANCE POLICY FOR KENNETH KRAKAUR. THE SPLIT DOLLAR PLAN PROVIDES FOR TRANSFER OF THE POLICY TO THE PARTICIPANT UPON CERTAIN EVENTS. AT TRANSFER (OR THE PARTICIPANT'S DEATH), THE ORGANIZATION RECOVERS THE PREMIUMS THAT IT HAS PAID. DURING 2011, THE SPOUSAL SURVIVOR SPLIT-DOLLAR LIFE INSURANCE POLICY FOR KENNETH KRAKAUR WAS SURRENDERED. THE POLICY VALUE REMAINING AFTER REDUCTION FOR CORPORATE RECOVERY OF PREMIUMS AND AFTER TAX ART AMOUNTS WAS $10,147. THIS AMOUNT WAS TREATED AS ADDITIONAL TAXABLE COMPENSATION AND HAVE BEEN REPORTED IN COLUMN(B)(III) OF SCHEDULE J PART II. JAMES KRAUSS, DALE CARROLL, RICHARD HAUSHALTER AND MIKE KING PARTICIPATE IN THE ORGANIZATION'S SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. PARTICIPATION IS LIMITED TO THE CEO, CMO, COO, AND CFO POSITIONS. THE PLAN IS A DEFINED CONTRIBUTION PLAN WITH ANNUAL CONTRIBUTIONS EQUAL TO A FIXED PERCENT OF TOTAL COMPENSATION. THE FIXED PERCENT IS SET AT PLAN ENTRY AND NEVER ADJUSTED REGARDLESS OF WHETHER OR NOT ASSUMPTIONS ARE REALIZED. CONTRIBUTIONS ARE MADE AT THE END OF THE PLAN YEAR TO ACTIVE EXECUTIVES (NOT PAID IF SEPARATION OF SERVICE DURING YEAR.) DURING 2011, DISTRIBUTIONS UNDER THE PLAN WERE AS FOLLOWS: JAMES KRAUSS ($95,266); DALE CARROLL ($31,643); RICHARD HAUSHALTER (42,224); MIKE KING ($44,633). THESE AMOUNTS HAVE BEEN REPORTED IN COLUMN(B)(III) OF SCHEDULE J, PART II.
PART I, LINE 7	DURING 2011, THE ORGANIZATION MADE NON-FIXED PAYMENTS OF COMPENSATION UNDER THE FOLLOWING INCENTIVE PROGRAM: SHORT TERM INCENTIVE PLAN - EXECUTIVES AND SENIOR LEADERS ARE ELIGIBLE FOR ANNUAL AWARDS BASED ON SYSTEM AND INDIVIDUAL PERFORMANCE.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF HARRISONBURG VA
542000436	415669BN9	2006-12-28	196167653	FUND CONSTRUCTION OF NEW HOSPITAL FACILITY	0	0	0
INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF HARRISONBURG VA
542000436	NONEAVAIL	2009-04-15	30000000	REFUNDED ISSUE DATED 4/4/2007	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Other Spent ProceedsOtherSpentProceeds
7117653	198951052	15036899	1336500	4253886	178323767	2011	0	0	1	1
10000000	30000000					2007	1	0	1	1	30000000

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0	0	1	1	0	0.00000	0.00000	0.00000	1
0	0	1	1	0	0.00000	0.00000	0.00000	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Business Name Line2NameOfGICProvider/BusinessNameLine2	Term Of GICTermOfGIC	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate	Term Of HedgeTermOfHedge
NA
0	0	0	0	0	1	JP MORGAN CHASE	BANK	2.500000000000	1	0	0
SUNTRUST BANK
0	1	1	1	0	0					0	1	7.000000000000

Field	Value	IRS element (for citing)
Fed Tax Requirements Compliance	X	FedTaxRequirementsCompliance

Form990 Schedule K Part VI Form990ScheduleKPartVI (3 entries)

IdentifierIdentifier	ExplanationExplanation
PART II, B, 1	$10M OF ORIGINAL REFUNDING ISSUE WAS NOTE SUBSTITUTED TO PARENT, SENTARA HEALTHCARE 52-1271901, IN 2011. THE NOTE IS REPORTED IN SENTARA'S 990, SCHEDULE K AS OF 12/31/2011.
PART II, COLUMN A, LINE 3	TOTAL PROCEEDS OF THE BOND ISSUE = $190,000,000 PAR VALUE, $6,167,653 BOND PREMIUM, $11,069 EARNINGS ON THE INTEREST FUND AND $2,772,330 FROM EARNINGS ON DSRF.
PART II, COLUMN A, LINE 4	GROSS PROCEEDS IN RESERVE INCLUDE $12,253,500 DEPOSITED INTO RESERVE ON CLOSING DATE PLUS $2,772,330 EARNINGS ON DSRF AND $11,069 EARNINGS ON INTEREST FUND.

Schedule L IRS990ScheduleL

Loan Table LoanTable

Field	Value	IRS element (for citing)
Name Person	DR WILLIAM LENNEN HIGHEST COMPENS	NamePerson
Purpose Of Loan	PHYS RECRUIT-INC GUAR	PurposeOfLoan
Loan From Organization	X	LoanFromOrganization
Original Principal	$150,000	OriginalPrincipalAmount
Balance Due	99231	BalanceDue
Default	0	Default
Approved By Board	0	ApprovedByBoard
Written Agreement	1	WrittenAgreement

Field	Value	IRS element (for citing)
Total Balance Due	99231	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
SHENANDOAH SHARED HOSPITAL SERVICES INC
OVERLAP OF OFFICERS/DIRECTORS	8288836	CLINICAL SERVICES	0
PATHOLOGY ASSOCIATES OF HARRISONBURG
>5%-OWNED BY DIRECTOR ALDEN HOSTETTER, M.D.	185232	PATHOLOGY SERVICES	0
HARRISONBURG MEDICAL ASSOCIATES
>5%-OWNED BY DIRECTOR STEWART POLLACK, M.D.	13439422	PROFESSIONAL SERVICES	0
PAR-MED LLC
>5%-OWNED BY DIRECTOR STEWART POLLACK, M.D.	360660	RENT EXPENSE	0
LANTZ CONSTRUCTION COMPANY
>5%-OWNED BY DIRECTOR DOUGLAS DRIVER.	502268	CONSTRUCTION SERVICES	0

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Explanation	DIRECTORS/TRUSTEES/OFFICERS/KEY EMPLOYEES OF THE ORGANIZATION MAY ALSO SERVE AS DIRECTORS/TRUSTEES/OFFICERS OF RELATED TAXABLE ENTITIES WITHIN THE SENTARA HEALTHCARE SYSTEM. SEE SCHEDULE R FOR A LISTING OF TRANSACTIONS THE ORGANIZATION HAD WITH THESE RELATED TAXABLE ENTITIES.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (15 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART V, LINE 1A: FORM 1096	THE ORGANIZATION IS THE 501(C)(3) SOLE MEMBER OF ANOTHER 501(C)(3) ORGANIZATION FOR WHICH IT MAINTAINS AN AGENCY RELATIONSHIP AND ISSUES 1099S. THE NUMBER REPORTED IS A BEST ESTIMATE OF THE 1099S ATTRIBUTABLE TO THE ORGANIZATION. THE EXACT NUMBER CANNOT BE DETERMINED; AS SOME OF THE 1099S ISSUED BY THE ORGANIZATION ARE ATTRIBUTABLE TO MORE THAN ONE ENTITY, AND THERE IS NO REPORTING MECHANISM TO DETERMINE 1099S ATTRIBUTABLE SOLELY TO THE ORGANIZATION.
FORM 990, PART I LINE 5 AND PART V LINE 2A	THE ORGANIZATION IS THE 501(C)(3) SOLE MEMBER OF ANOTHER 501(C)(3) ORGANIZATION FOR WHICH IT ACTS AS COMMON PAY AGENT AND ISSUES ALL FORM W-2S. SINCE THE ORGANIZATION HAS NO REPORTING MECHANISM TO DETERMINE W-2S ATTRIBUTABLE SOLELY TO THE ORGANIZATION, THE NUMBER REPORTED APPROXIMATES THE NUMBER OF W-2S ISSUED BY THE ORGANIZATION ON ITS OWN BEHALF.
FORM 990, PART VI, SECTION A, LINE 2	BUSINESS OR FAMILY RELATIONSHIP OF OFFICERS, DIRECTORS, ETC. DAVID BERND AND HOWARD KERN HAVE A BUSINESS RELATIONSHIP THROUGH COMMON OWNERSHIP OF AN ENTITY UNRELATED TO THE ORGANIZATION. 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	SIGNIFICANT CHANGES MADE TO GOVERNING DOCUMENTS ON DECEMBER 6, 2010, THE ORGANIZATION ENTERED INTO AN AFFILIATION AGREEMENT WITH SENTARA HEALTHCARE, A 501(C)(3) ORGANIZATION ("SENTARA"), WHEREBY SENTARA REPLACED ROCKINGHAM HEALTH CARE, INC. ("RHC")AS SOLE MEMBER OF THE ORGANIZATION EFFECTIVE MAY 1, 2011. AS A RESULT OF THE AFFILIATION, THE ORGANIZING AND GOVERNING DOCUMENTS WERE CHANGED IN THE FOLLOWING MANNER: --RHC WAS REPLACED BY SENTARA AS SOLE MEMBER OF THE ORGANIZATION. --THE ORGANIZATION'S PURPOSE CLAUSE WAS EXPANDED TO INCLUDE THE PROVISION OF ANCILLARY AND RELATED MEDICAL AND OTHER HEALTHCARE SERVICES; THE PROVISION OF MANAGEMENT, ADVISORY, SERVICE ASSISTANCE AND OTHER SUPPORT TO HEALTH CARE ORGANIZATIONS HAVING THE SAME PURPOSES AS ITS OWN; AND THE ENGAGEMENT IN OTHER RELATED, EXCLUSIVELY CHARITABLE, SCIENTIFIC, EDUCATIONAL AND MEDICAL RESEARCH ACTIVITIES AS MAY BE AUTHORIZED FROM TIME TO TIME BY ITS BOARD OF DIRECTORS. --THE ELEVEN-TO EIGHTEEN-MEMBER BOARD OF DIRECTORS, WHICH WAS PREVIOUSLY SELECTED BY RHC, WAS REPLACED WITH A NINE-TO-ELEVEN MEMBER BOARD OF DIRECTORS COMPRISED OF TWO CLASSES: SIX-TO-EIGHT CLASS A DIRECTORS SELECTED BY THE ORGANIZATION'S NOMINATING COMMITTEE, AND THREE CLASS B DIRECTORS APPOINTED BY SENTARA. IN ADDITION, CLASS A DIRECTORS MUST BE SELECTED BY THE NOMINATING COMMITTEE FROM CURRENT MEMBERS OF RHC'S BOARD OF DIRECTORS; ELECTED BY A MAJORITY OF THE MEMBERS OF THE ORGANIZATION'S BOARD; AND RATIFIED BY SENTARA AS SOLE MEMBER. --SENTARA, AS SOLE MEMBER, HAS EXCLUSIVE AUTHORITY TO DIRECT AND MANAGE THE OPERATIONS AND AFFAIRS OF THE ORGANIZATION, SUBJECT TO BOARD OVERSIGHT TO THE EXTENT AND IN THE MANNER SET FORTH IN THE ORGANIZATION'S BYLAWS. THE BOARD OF DIRECTORS SHALL FUNCTION IN AN ADVISORY CAPACITY, PROVIDING RECOMMENDATIONS TO SENTARA REGARDING THE ESTABLISHMENT OF ORGANIZATION POLICIES, THE MAINTENANCE OF QUALITY PATIENT CARE, AND THE PROVISION OF INSTITUTIONAL PLANNING IN A MANNER RESPONSIVE TO LOCAL COMMUNITY NEEDS. --UPON ANY LIQUIDATION OR DISSOLUTION OF THE ORGANIZATION, ITS REMAINING ASSETS SHALL BE DISTRIBUTED TO SENTARA. --ORGANIZING OR ENABLING DOCUMENTS OR BYLAWS MAY BE AMENDED, RESTATED OR REPEALED THROUGH APPROVAL OF A MAJORITY OF THE ORGANIZATION'S BOARD, PROVIDED THAT A MAJORITY OF CLASS A DIRECTORS VOTE IN THE AFFIRMATIVE AND SUCH AMENDMENT, RESTATEMENT OR REPEAL IS APPROVED BY SENTARA.
FORM 990, PART VI, SECTION A, LINE 6	EXPLANATION OF CLASSES OF MEMBERS OR SHAREHOLDERS THE ORGANIZATION HAD ONE CLASS OF MEMBER. EFFECTIVE MAY 1, 2011, THE SOLE MEMBER WAS SENTARA HEALTHCARE, A VIRGINIA NONSTOCK CORPORATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION'S SOLE MEMBER PRIOR TO MAY 1, 2011, WAS ROCKINGHAM HEALTH CARE, INC., A VIRGINIA NONSTOCK CORPORATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE.
FORM 990, PART VI, SECTION A, LINE 7A	HOW MEMBERS OR SHAREHOLDERS ELECT GOVERNING BODY PRIOR TO THE ORGANIZATION'S AFFILIATION WITH SENTARA HEALTHCARE, BOARD MEMBERS WERE ELECTED BY ROCKINGHAM HEALTH CARE, INC., THE FORMER SOLE MEMBER OF THE ORGANIZATION. EFFECTIVE MAY 1, 2011, THE DATE OF AFFILIATION WITH SENTARA HEALTHCARE, CLASS B DIRECTORS OF THE ORGANIZATION ARE NOW APPOINTED BY SENTARA HEALTHCARE, THE 501(C)(3) SOLE MEMBER OF THE ORGANIZATION. THE SOLE MEMBER ALSO RATIFIES CLASS A DIRECTORS OF THE ORGANIZATION ONCE NOMINATED BY THE ORGANIZATION'S NOMINATING COMMITTEE AND ELECTED BY THE ORGANIZATION'S BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	DECISIONS OF GOVERNING BODY APPROVAL BY MEMBERS OR SHAREHOLDERS THE ORGANIZATION MAY NOT TAKE OR ALLOW ANY OF THE FOLLOWING GOVERNANCE ACTIONS WITHOUT THE CONSENT OF ITS 501(C)(3) SOLE MEMBER, SENTARA HEALTHCARE: APPROVAL OR ADOPTION OF ANY PLAN OF MERGER OR CONSOLIDATION, ANY SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, THE PROPERTY AND ASSETS OF THE ORGANIZATION, THE VOLUNTARY DISSOLUTION OR LIQUIDATION OF THE ORGANIZATION, REVOCATION OF AN 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 NEW BOARD MEMBERS; OR AMENDMENT, RESTATEMENT OR REPEAL OF ANY ORGANIZING OR ENABLING DOCUMENTS OR BYLAWS. THE APPROVAL OF THE SOLE MEMBER IS ALSO REQUIRED FOR CERTAIN OPERATIONAL ACTIONS, AS OUTLINED IN THE ORGANIZATION'S BYLAWS. SUCH ACTIONS INCLUDE, BUT ARE NOT LIMITED TO, APPROVAL OF STRATEGIC PLANS AND ANNUAL OPERATING AND CAPITAL BUDGETS; TRANSACTIONS WITH INTERESTED PERSONS; CREATION OR ACQUISITION OF SUBSIDIARIES OR INTERESTS IN WHICH THE ORGANIZATION WILL BE A MEMBER; ENTRANCE INTO JOINT VENTURE OR OTHER SIMILAR ARRANGEMENTS; EMPLOYMENT MATTERS CONCERNING THE ORGANIZATION'S PRESIDENT; UNBUDGETED CAPITAL EXPENDITURES OR INDEBTEDNESS OVER SPECIFIED DOLLAR AMOUNTS; AND THE COMMENCEMENT OR SETTLEMENT OF LITIGATION. SENTARA HEALTHCARE HAS EXCLUSIVE AUTHORITY TO DIRECT AND MANAGE THE OPERATIONS AND AFFAIRS OF THE HOSPITAL, SUBJECT TO BOARD OVERSIGHT TO THE EXTENT AND IN THE MANNER SET FORTH IN THE ORGANIZATION'S BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11	THE ORGANIZATION WAS PART OF THE SENTARA HEALTHCARE SYSTEM ("THE SYSTEM"), AND AS SUCH, USED THE SYSTEM'S IN-HOUSE TAX DEPARTMENT, HEADED BY A LICENSED CERTIFIED PUBLIC ACCOUNTANT, TO BOTH PREPARE AND REVIEW ITS FORM 990. DURING THE PREPARATION AND REVIEW PROCESS, THE TAX DEPARTMENT WORKED CLOSELY WITH THE ORGANIZATION AND OTHER SYSTEM DEPARTMENTS, SUCH AS LEGAL, COMPENSATION AND BENEFITS, COMPLIANCE, FINANCE, AND MARKETING, TO ENSURE THAT A COMPLETE AND ACCURATE RETURN WAS FILED.
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 AND KEY EMPLOYEES OF THE ORGANIZATION ARE AWARE OF THEIR DUTIES AND RESPONSIBILITIES IN REGARDS TO THIS ISSUE.
FORM 990, PART VI, SECTION B, LINE 15	PRESIDENT/CEO: AN INDEPENDENT COMPENSATION CONSULTING FIRM WAS RETAINED BY THE BOARD OF DIRECTORS (BOD) TO COMPLETE MARKET ANALYSIS AND RECOMMEND PRESIDENT/CEO COMPENSATION CHANGES. THE BOD APPROVES ALL COMPENSATION CHANGES FOR THE PRESIDENT/CEO. OFFICERS AND KEY EMPLOYEES: AN INDEPENDENT COMPENSATION CONSULTING FIRM WAS RETAINED BY THE BOARD OF DIRECTORS (BOD) TO COMPLETE MARKET ANALYSIS AND RECOMMEND OFFICER AND KEY EMPLOYEE COMPENSATION CHANGES. THE BOD APPROVES ALL COMPENSATION CHANGES FOR THE OFFICERS AND KEY EMPLOYEES. VICE CHAIRMAN: THE VICE CHAIRMAN ALSO SERVES AS THE COO/PRESIDENT OF THE SENTARA HEALTHCARE SYSTEM ("SENTARA"), WHICH AFFILIATED WITH THE ORGANIZATION EFFECTIVE MAY 1, 2011. SENTARA FOLLOWED PROCESSES AND PROCEDURES SET FORTH IN ITS GOVERNING DOCUMENTS TO ENSURE COMPLIANCE WITH ITS OBLIGATIONS AS A 501(C)(3) HEALTHCARE ORGANIZATION TO PAY DISQUALIFIED PERSONS REASONABLE COMPENSATION. SUCH PROCESSES AND PROCEDURES ARE INTENDED TO ESTABLISH THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERNAL REVENUE CODE SECTION 4958 REGULATIONS. THE COMPENSATION PHILOSOPHY OF SENTARA IS TO BASE OVERALL COMPENSATION AND BENEFITS FOR EXECUTIVES ON MARKET COMPARABLES, ADJUSTED AS APPLIED TO EACH EXECUTIVE, TAKING INTO CONSIDERATION THE INDIVIDUAL SKILLS, EXPERIENCE, TENURE AND PERFORMANCE OF THE EXECUTIVE BEING COMPENSATED AND OVERALL PERFORMANCE OF THE ORGANIZATION. IN LINE WITH THIS PHILOSOPHY, SENTARA PERFORMED SUBSTANTIAL DUE DILIGENCE AS TO MARKET COMPARABLES. SENTARA'S COMPENSATION COMMITTEE, WHICH CONSISTS OF BOARD MEMBERS WITHOUT CONFLICTS OF INTERESTS, ENGAGED AN OUTSIDE CONSULTANT, WHO REPORTS TO THE COMPENSATION COMMITTEE, TO CONDUCT A STUDY ASSESSING THE COMPETITIVENESS OF TOTAL COMPENSATION (INCLUDING CASH COMPENSATION, BENEFITS AND PERQUISITES) OF ITS SENIOR EXECUTIVES PRIOR TO MAKING DECISIONS REGARDING ANNUAL BASE SALARY ADJUSTMENTS, APPROVING INCENTIVE AWARDS, OR CONSIDERING PROGRAMMATIC CHANGES. THE STUDY COMPARED THE COMPENSATION OF THE SENTARA'S SENIOR EXECUTIVES TO COMPENSATION DATA FROM MULTIPLE PUBLISHED SURVEY SOURCES BASED ON THE SENIOR EXECUTIVES FUNCTIONAL RESPONSIBILITY. IN CONDUCTING THE STUDY, THE CONSULTANT TARGETED OTHER HEALTH SYSTEMS OF SIMILAR SIZE BASED ON NET REVENUE AND COMPLEXITY. FOR HEALTH PLAN POSITIONS, HEALTH PLANS WITH SIMILAR PREMIUMS, OR MEMBERS, WERE TARGETED. THE CONSULTANT ALSO CONDUCTS A REVIEW OF SENTARA'S PERFORMANCE RELATIVE TO A GROUP OF NOT-FOR-PROFIT HEALTH SYSTEMS OF COMPARABLE SIZE AND SCOPE OF OPERATIONS EVERY TWO TO THREE YEARS. THE MOST RECENT STUDY COMPARED SENTARA'S PERFORMANCE TO 19 HEALTHCARE SYSTEMS BASED ON NET REVENUE GROWTH, OPERATING MARGIN, BOND RATING, AND QUALITATIVE PERFORMANCE MEASURES BASED ON RANKINGS FROM SDI'S NATIONAL TOP INTEGRATED HEALTH NETWORKS. OVERALL, THE CONSULTANT DETERMINED THAT SENTARA'S PAY WAS ALIGNED WITH ITS RELATIVE PERFORMANCE. THE COMPENSATION STUDY WAS PRESENTED TO SENTARA'S COMPENSATION COMMITTEE, WHICH MADE ITS COMPENSATION DECISIONS BASED ON A)ITS REVIEW AND ANALYSIS OF THE PERFORMANCE OF BOTH THE ORGANIZATION AND ITS SENIOR EXECUTIVES AND, B) A REASONABLENESS OF COMPENSATION ANALYSIS AND OPINION FROM AN EXTERNAL EXPERT IN THE COMPENSATION OF EXECUTIVES IN THE TAX-EXEMPT HEALTH CARE FIELD. THE COMMITTEE'S BASES FOR ITS DECISIONS WERE DOCUMENTED IN COMMITTEE MINUTES TAKEN DURING THE MEETING AND THEN CIRCULATED FOR REVIEW AND APPROVAL. ALL DECISIONS REGARDING COMPENSATION WERE MADE BY THE COMMITTEE, WHICH CONSISTS OF BOARD MEMBERS WITHOUT CONFLICT OF INTERESTS.
FORM 990, PART VI, SECTION C, LINE 19	UPON REQUEST
FORM 990, PART VII	COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, HIGHEST COMPENSATED EMPLOYEES, AND INDEPENDENT CONTRACTORS. HOURS DEVOTED TO RELATED ORGANIZATIONS ANN E. C. HOMAN DEVOTED AN AVERAGE OF 3 HOURS PER WEEK TO RELATED ORGANIZATIONS. HOWARD P. KERN DEVOTED AN AVERAGE OF 50 HOURS PER WEEK TO RELATED ORGANIZATIONS. JAMES R. MESSNER DEVOTED AN AVERAGE OF 0.2 HOUR PER WEEK TO RELATED ORGANIZATIONS. BARBARA B. STOLTZFUS DEVOTED AN AVERAGE OF 1 HOUR PER WEEK TO RELATED ORGANIZATIONS. W. CARLTON BANKS DEVOTED AN AVERAGE OF 0.2 HOUR PER WEEK TO RELATED ORGANIZATIONS. A. JERRY BENSON DEVOTED AN AVERAGE OF 0.2 HOUR PER WEEK TO RELATED ORGANIZATIONS. DAVID L. BERND DEVOTED AN AVERAGE OF 51 HOURS PER WEEK TO RELATED ORGANIZATIONS. LAWRENCE D. BOWERS, JR. DEVOTED AN AVERAGE OF 0.2 HOUR PER WEEK TO RELATED ORGANIZATIONS. MENSEL D. DEAN, JR. DEVOTED AN AVERAGE OF 0.2 HOUR PER WEEK TO RELATED ORGANIZATIONS. DOUGLAS G. DRIVER DEVOTED AN AVERAGE OF 0.2 HOUR PER WEEK TO RELATED ORGANIZATIONS. JOSEPH K. FUNKHOUSER, II DEVOTED AN AVERAGE OF 0.2 HOUR PER WEEK TO RELATED ORGANIZATIONS. C. WAYNE GATES, M.D. DEVOTED AN AVERAGE OF 0.2 HOUR PER WEEK TO RELATED ORGANIZATIONS. ALDEN L. HOSTETTER DEVOTED AN AVERAGE OF 0.2 HOUR PER WEEK TO RELATED ORGANIZATIONS. ELMER E. KENNEL DEVOTED AN AVERAGE OF 0.2 HOUR PER WEEK TO RELATED ORGANIZATIONS. KENNETH M. KRAKAUR DEVOTED AN AVERAGE OF 48 HOURS PER WEEK TO RELATED ORGANIZATIONS. ALLON H. LEFEVER DEVOTED AN AVERAGE OF 0.2 HOUR PER WEEK TO RELATED ORGANIZATIONS. W. NEAL MENEFEE DEVOTED AN AVERAGE OF 0.2 HOUR PER WEEK TO RELATED ORGANIZATIONS. GEORGE W. PACE DEVOTED AN AVERAGE OF 0.2 HOUR PER WEEK TO RELATED ORGANIZATIONS. STEWART G. POLLOCK, M.D. DEVOTED AN AVERAGE OF 0.2 HOUR PER WEEK TO RELATED ORGANIZATIONS. MICHAEL R. KING DEVOTED AN AVERAGE OF 0.2 HOUR PER WEEK TO RELATED ORGANIZATIONS. JAMES D. KRAUSS DEVOTED AN AVERAGE OF 0.2 HOUR PER WEEK TO RELATED ORGANIZATIONS. P. RICHARD PIERCE DEVOTED AN AVERAGE OF 0.2 HOUR PER WEEK TO RELATED ORGANIZATIONS.
FORM 990, PART XI, LINE 5:	NET UNREALIZED LOSSES ON INVESTMENTS: -1,985,154. NET ASSET TRANSFER FROM ROCKINGHAM HEALTH CARE, INC. 88,050,937. PENSION COMPREHENSIVE LOSS -21,943,734. ASU 2010-07 FAIR MARKET VALUE ADJUSTMENTS -231,782,831. OTHER CHANGES -160,129. TOTAL TO FORM 990, PART XI, LINE 5: -167,820,911.	CHANGES IN NET ASSETS OR FUND BALANCES:
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.	CHANGES IN AUDITED FINANCIAL STATEMENT OVERSIGHT PROCESS
	THE TAXPAYER IS A MEMBER OF THE SENTARA HEALTHCARE ("SHC") CONTROLLED GROUP. SHC, EIN 52-1271901, OWNS BAY PRIMEX INSURANCE COMPANY, LTD., A CONTROLLED FOREIGN CORPORATION. SHC FURNISHES ALL INFORMATION REQUIRED OF THE TAXPAYER BY IRC SECTION 6038 AND THE REGULATIONS THEREUNDER WITH RESPECT TO BAY PRIMEX INSURANCE COMPANY, LTD. 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 SHC'S FORM 990 RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX.	STATEMENT FILED PURSUANT TO TREASURY REGULATION SEC. 1.6038-2(J)(3):

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	RMH MEDICAL GROUP LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2010 HEALTH CAMPUS DRIVE	AddressLine1
City	HARRISONBURG	City
State	VA	State
ZIP Code	22801	ZIPCode

Field	Value	IRS element (for citing)
EIN	271444665	EIN
Primary Activities	HEALTHCARE	PrimaryActivities
Legal Domicile State	VA	LegalDomicileState
Total Income	24243176	TotalIncome
EOY Assets	0	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	ROCKINGHAM MEMORIAL HOSPITAL	BusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (14 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
SENTARA HEALTHCARE
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	521271901	HEALTH CARE	VA	501(C)(3)	LN7_NORMALGOVTSUPPOR	N/A	0
SENTARA PRINCESS ANNE HOSPITAL
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	521277419	HEALTH CARE	VA	501(C)(3)	LN3_HOSPITALCOOPINSE		1	SENTARA HOSPITALS
SENTARA HOSPITALS
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541547408	HEALTH CARE	VA	501(C)(3)	LN3_HOSPITALCOOPINSE		1	SENTARA HEALTHCARE
SENTARA MEDICAL GROUP
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541217184	HEALTH CARE	VA	501(C)(3)	LN9_MORETHAN30PCTCON		1	SENTARA HEALTHCARE
SENTARA ENTERPRISES
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541917649	HEALTH CARE	VA	501(C)(3)	LN9_MORETHAN30PCTCON		1	SENTARA HEALTHCARE
SENTARA LIFE CARE CORP
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541217183	HEALTH CARE	VA	501(C)(3)	LN9_MORETHAN30PCTCON		1	SENTARA HEALTHCARE
MPB INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541346393	TITLE HOLDING COMPANY	VA	501(C)(2)			1	SENTARA ENTERPRISES
OPTIMA HEALTH PLAN
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541283337	HMO	VA	501(C)(3)	11A - I		1	SENTARA HEALTHCARE
POTOMAC HOSPITAL CORP OF PRINCE WILLIAM
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	540853898	HEALTH CARE	VA	501(C)(3)	LN3_HOSPITALCOOPINSE		1	SENTARA HEALTHCARE
VALLEY WELLNESS CENTER
501 STONE SPRING ROAD	HARRISONBURG	VA	22801	521309257	PREVENTATIVE HEALTH/REHAB	VA	501(C)(3)	LN9_MORETHAN30PCTCON		1	ROCKINGHAM MEMORIAL HOSPITAL
MJH FOUNDATION
500 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	541401357	INVEST/MGT SVCS FOR MARTHA JEFFERSON HOSPITAL	VA	501(C)(3)	11A - I		1	MARTHA JEFFERSON HOSPITAL
MARTHA JEFFERSON HOSPITAL FOUNDATION
500 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	300041113	FUNDRAISING	VA	501(C)(3)	11A - I		1	MARTHA JEFFERSON HOSPITAL
MARTHA JEFFERSON HOSPITAL
500 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	540261840	HEALTH CARE	VA	501(C)(3)	LN3_HOSPITALCOOPINSE		1	SENTARA HEALTHCARE
ROCKINGHAM HEALTH CARE INC
2010 HEALTH CAMPUS DRIVE	HARRISONBURG	VA	22801	521309259	SUPPORT OF HEALTHCARE ORGS	VA	501(C)(3)	11B - II	N/A	0

Form990 Schedule R Part III Form990ScheduleRPartIII (20 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
MANAGEMENT SERVICES LLC
814 GREENBRIER CIRCLE	CHESAPEAKE	VA	23320	541365012	HLTH MGT SV	VA	N/A
OBICI REAL ESTATE HOLDINGS LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	261749881	RE RENTAL	VA	N/A
PRINCESS ANNE AMB SURG MGT LLC
1975 GLENN MITCHELL SUITE 300	VA BEACH	VA	23456	204920880	HEALTH CARE	VA	N/A
VA BEACH AMBULATORY SURGERY CENTER
1700 WILL O WISP DRIVE	VA BEACH	VA	23454	541448218	HEALTH CARE	VA	N/A
AMER HEALTH EVAL CTR-WMSBG LLC
739 THIMBLE SHOALS STE 105	NEWPORT NEWS	VA	23606	263761741	HEALTH CARE	VA	N/A
CANCER CENTERS OF VA LLC
5900 LAKE WRIGHT DRIVE	NORFOLK	VA	23502	201338518	HEALTH CARE	VA	N/A
HAMPTON ROADS LITHOTRIPSY LLC
225 CLEARFIELD AVE	VIRGINIA BEACH	VA	23462	200942600	HEALTH CARE	VA	N/A
HEALTHCARE PERFORMANCE IMPROVEMENT LLC
5041 CORPORATE WOODS DR STE 180	VIRGINIA BEACH	VA	23462	204024074	CONSULTING	VA	N/A
RADIOLOGY SERVICES OF HAMPTON ROADS LC
814 GREENBRIER CIRCLE STE L	CHESAPEAKE	VA	23320	541774472	HEALTH CARE	VA	N/A
SENTARA OBICI AMBULATORY SURGERY LLC
2750 GODWIN BLVD	SUFFOLK	VA	23434	260144898	HEALTH CARE	VA	N/A
ST LUKES PROPERTIES LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	272774684	MOB RENTAL	VA	N/A
POTOMAC INOVA HEALTHCARE ALLIANCE LLC
8110 GATEHOUSE RD SUITE 400W	FALLS CHURCH	VA	22042	541802733	HEALTHCARE	VA	N/A
CAREPLEX WEST LLC
18000 W SARAH LANE SUITE 250	BROOKFIELD	WI	53045	202738977	RENTAL RE	WI	N/A
PORT WARWICK II LLC
18000 WEST SARAH LANE SUITE 250	BROOKFIELD	WI	53045	202739075	RENTAL RE	WI	N/A
ORTHOPAEDIC HOSPITAL MANAGEMENT LLC
3000 COLISEUM DRIVE	HAMPTON	VA	23666	274185117	MGT SVCS	VA	N/A
CAREPLEX ORTHOPAEDIC ASC LLC
3000 COLISEUM DRIVE	HAMPTON	VA	23666	271867311	HEALTH CARE	VA	N/A
PORT WARWICK III LLC
18000 WEST SARAH LANE SUITE 250	BROOKFIELD	WI	53045	611499371	RENTAL RE	WI	N/A
MARTHA JEFFERSON OSC LLC
595 MARTHA JEFFERSON DR	CHARLOTTESVILLE	VA	22911	113656095	HEALTH CARE	VA	N/A
VALIANCE HEALTH LLC
3190 PEOPLES DRIVE	HARRISONBURG	VA	22801	541866081	HEALTH CARE	VA		RMH	RELATED	1368105	2054532	0	1	0.33340
PHYSICAL THERAPY ACACLLC
501 ALBEMARLE SQUARE	CHARLOTTESVILLE	VA	22901	260080717	HEALTH CARE	VA	N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (12 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Percentage OwnershipPercentageOwnership
SENTARA HOLDINGS INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541555638	HOLDING COMPANY	VA	N/A	C
SENTARA HEALTH PLANS INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	522368125	TPA	VA	N/A	C
OPTIMA HEALTH GROUP
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541473382	HMO	VA	N/A	C
OPTIMA HEALTH INSURANCE COMPANY
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541642752	HEALTH INSURANCE	VA	N/A	C
OPTIMA BEHAVIORAL HEALTH SERVICES
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	621382666	MENTAL HEALTH SVCS	VA	N/A	C
SENTARA VENTURES INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541688615	HOLDING COMPANY	VA	N/A	C
SMG INNOVATIONS INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	203730331	HEALTH CARE	VA	N/A	C
SENTARA OBICI PROFESSIONAL CENTER
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541445865	RE RENTAL	VA	N/A	C
SENTARA OBICI MED MGT SERVICES
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541020941	HEALTH CARE	VA	N/A	C
POTOMAC VENTURES CORP
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541441420	PHARMACY	VA	N/A	C
ROCKINGHAM HEALTH SERVICES INC
2010 HEALTH CAMPUS DRIVE	HARRISONBURG	VA	22801	541721387	CONTRACTING SVCS	VA		C	ROCKINGHAM MEMORIAL HOSPITAL	1.00000
MARTHA JEFFERSON MEDICAL ENTERPRISES INC
630 PETER JEFFERSON PARKWAY	CHARLOTTESVILLE	VA	22911	541841528	MEDICAL BILLING SVCS	VA	N/A	C

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
VALLEY WELLNESS CENTER
J	147306	CORP BOOKS/REC
VALLEY WELLNESS CENTER
R	1090368	CORP BOOKS/REC