SENTARA RMH MEDICAL CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: SENTARA RMH MEDICAL CENTER (EIN 54-0506331)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-14
IRS object ID: 201123189349306177
Schema version: 2010v3.4
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 K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-14T15:39:32-06:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BROWN EDWARDS & COMPANY LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	124 NEWMAN AVENUE	AddressLine1
City	HARRISONBURG	City
State	VA	State
ZIP Code	22801	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	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	228018679	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MICHAEL KING	Name
Title	SENIOR VP, FINANCE/CFO	Title
Phone	5406891245	Phone
Date Signed	2011-11-14	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	TOM DUNHAM	Name
Phone	5404346736	Phone
Date Prepared	2011-11-11	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	MICHAEL KING	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	228018679	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	320372360	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	16	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	16	NbrIndependentVotingMembers
Total Nbr Employees	2808	TotalNbrEmployees
Total Nbr Volunteers	405	TotalNbrVolunteers
Total Gross UBI	167466	TotalGrossUBI
Net Unrelated Business Txbl Income	-40846	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1462566	ContributionsGrantsPriorYear
Contributions Grants Current Year	2096638	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	290683548	ProgramServiceRevenuePriorYear
Program Service Revenue CY	308876991	ProgramServiceRevenueCY
Investment Income Prior Year	3437461	InvestmentIncomePriorYear
Investment Income Current Year	-673912	InvestmentIncomeCurrentYear
Other Revenue Prior Year	9072769	OtherRevenuePriorYear
Other Revenue Current Year	7902021	OtherRevenueCurrentYear
Total Revenue Prior Year	304656344	TotalRevenuePriorYear
Total Revenue Current Year	318201738	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	42021	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	69735	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	142999350	SalariesEtcPriorYear
Salaries Etc Current Year	154281338	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	436763	TotalFundrsngExpCurrentYear
Other Expense Prior Year	147944408	OtherExpensePriorYear
Other Expenses Current Year	182405058	OtherExpensesCurrentYear
Total Expenses Prior Year	290985779	TotalExpensesPriorYear
Total Expenses Current Year	336756131	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	13670565	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-18554393	RevenuesLessExpensesCY
Total Assets BOY	527706374	TotalAssetsBOY
Total Assets EOY	571441385	TotalAssetsEOY
Total Liabilities BOY	347633718	TotalLiabilitiesBOY
Total Liabilities EOY	374877003	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	180072656	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	196564382	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 OUR 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	307652336	Expense
Grants	0	Grants
Revenue	308250325	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 16,000 INPATIENTS AND DELIVERING CLOSE TO 1,750 BABIES PER YEAR. THE HOSPITAL IS LICENSED AS A 235-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 2010, THE HOSPITAL RECORDED 16,317 ADMISSIONS (INCLUDING NEWBORNS), 295,493 OUTPATIENT VISITS, 70,301 EMERGENCY DEPARTMENT VISITS, 135,232 REGISTERED OUTPATIENTS (LAB AND X-RAY), 7,312 CHEMO THERAPY VISITS, 8,628 RADIATION THERAPY TREATMENTS AND 18,650 SURGERY PATIENTS.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	675061	Expense
Grants	0	Grants
Revenue	0	Revenue
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 2010, RECORDED 20,000 PATIENT VISITS.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	394314	Expense
Grants	0	Grants
Revenue	303166	Revenue
Description	HEALTHY FAMILIES OF BLUE RIDGE AND HAND-IN-HAND RESOURCE FOR MOTHERS:HEALTHY FAMILIES OF THE 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 (9 entries)

ExpenseExpense	RevenueRevenue	DescriptionDescription
403251	297907	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.
243312	0	HEALTHQUEST: 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 SERVE TO MARKET OUR PROGRAMS AND SERVICES. THE MAGAZINE MAILS PRIMARILY TO PEOPLE IN OUR LARGER SERVICE AREA AND IN 2010 THERE WERE MORE THAN 50,000 DISTRIBUTIONS.
177618	140676	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 FOR PARENTS. IN ADDITION, A SATELLITE OFFICE IN AN ADJOINING RURAL COUNTY OPERATES A VAN THAT DELIVERS EDUCATIONAL MATERIALS TO HOMES OF OUTLYING CHILDCARE PROVIDERS.
26388	0	HEALTH SCREENINGS:NUMEROUS FREE HEALTH SCREENING, SUCH AS SKIN CANCER, PROSTATE CANCER, CHOLESTEROL AND BLOOD GLUCOSE OFFERED TO RESIDENTS AT LOCAL HEALTH FAIRS AND COMMUNITY EVENTS WITH WIDE-SPREAD PARTICIPATION.
42021	0	FOUNDATION:GRANTS THROUGH THE RMH FOUNDATION SUPPORT INITIATIVES THAT WILL HAVE A POSITIVE IMPACT ON THE OVERALL HEALTH OF OUR COMMUNITY.
46881	600	HEALTH SCIENCE LIBRARY:THE VIRGINIA FUNKHOUSER HEALTH SCIENCE LIBRARY IS A BIOMEDICAL REFERENCE SERVICE FOR HOSPITALS STAFF AND THE SURROUNDING COMMUNITY.
6394	0	LIFE LINE:LIFELINE EMERGENCY RESPONSE SYSTEM THAT ENABLES WHOSE WITH SAFETY ISSUES TO REMAIN INDEPENDENT AND IN THEIR OWN HOMES FOR AS LONG AS POSSIBLE.
490484	0	OTHER 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.
55334	0	HEALTHSOURCE:PROVIDES PHYSICIAN REFERRAL, HEALTH INFORMATION AND CLASS REGISTRATION FREE TO PUBLIC. PROVIDES ASSISTANCE WITH COMMUNITY AND CORPORATE HEALTHCARE EVENTS.

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	1491683	TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev	439183	TotalOfOtherProgramServiceRev
Total Program Service Expense	310213394	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	0	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	1	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	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	1	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	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	1	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	316	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	2808	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
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
Form8899 Filed	0	Form8899Filed
Form1098 C Filed	0	Form1098CFiled
Excess Business Holdings	0	ExcessBusinessHoldings
Taxable Distributions	0	TaxableDistributions
Distribution To Donor	0	DistributionToDonor
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	16	NbrVotingGoverningBodyMembers
Number Independent Voting Members	16	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	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
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	CHIEF FINANCIAL OFFICER	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

Form990 Part VII Section A Form990PartVIISectionA (31 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
BARBARA B STOLTZFUS
CHARIMAN/DIRECTOR	6.00	X	0	0	0
MENSEL D DEAN JR
VICE CHAIRMAN/DIRECTOR	6.00	X	0	0	0
JAMES R MESSNER
SECRETARY/DIRECTOR	6.00	X	0	0	0
A JERRY BENSON
DIRECTOR	6.00	X	0	0	0
W CARLTON BANKS
DIRECTOR	6.00	X	0	0	0
JOSEPH L FUNKHOUSER II
DIRECTOR	6.00	X	0	0	0
DOUGLAS G DRIVER
DIRECTOR	6.00	X	0	0	0
C WAYNE GATES MD
DIRECTOR	6.00	X	0	0	0
ANN E C HOMAN
DIRECTOR	6.00	X	0	0	0
ALDEN L HOSTETTER MD
DIRECTOR	6.00	X	0	0	0
ELMER E KENNEL MD
DIRECTOR	6.00	X	0	0	0
W NEAL MENEFEE
DIRECTOR	6.00	X	0	0	0
GEORGE W PACE
DIRECTOR	6.00	X	0	0	0
ALLON H LEFEVER
DIRECTOR	6.00	X	0	0	0
STEWART G POLLOCK MD
DIRECTOR	6.00	X	0	0	0
LAWRENCE D BOWERS JR
DIRECTOR	6.00	X	0	0	0
JAMES D KRAUSS
PRESIDENT/CEO/ASST.TREASURER	40.00		1107667	0	89514	X
RICHARD L HAUSHALTER
SR. VP OPERATIONS/COO	40.00		681284	0	91623	X
MICHAEL KING
SR. VP FINANCE/CFO/TREASURER	40.00		586525	0	55673	X
DALE A CARROLL MD
SR. VP CLINICAL EFFECTIVENESS	40.00		767799	0	110108	X
DONNA HAHN
VP ACUTE CARE/CNE	40.00		0	198678	45142		X
PAUL R PIERCE
VP AMBULATORY CARE	40.00		0	223647	156709		X
MARK ZIMMERMAN
VP HR DEVELOPMENT & SUPPORT	40.00		0	232162	77180		X
MICHAEL ROZMUS
VP INFORMATION SERVICES/CIO	40.00		0	215376	61477		X
MERV WEBB
VP FOUNDATION	40.00		0	190737	116797		X
MCGOWAN JOHN
CEO RMH MEDICAL GROUP	40.00		248187	0	13967		X
STEPHEN MARRA MD
CARDIOTHORACIC SURGEON	40.00		738473	0	29215			X
WILLIAM F CALE III MD
DIRECTOR - PULMONARY SERVICES	40.00		545915	0	119436			X
HEIDI GORSUCH-RAFFERTY MD
BREAST SURGEON	40.00		578103	0	29303			X
THOMAS WEBER MD
FAMILY PRACTITIONER	40.00		537686	0	28074			X
OLUMIDE DANISA MD
ORTHOPERDIC SURGEON	40.00		533876	0	23125			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	6325515	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1060600	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1047343	TotalOtherCompensation
Number Individuals GT100 K	136	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
HARRISONBURG MEDICAL ASSOCIATES
1871 EVELYN BYRD AVE	HARRISONBURG	VA	22801	MEDICAL SERVICES	12587486
SHENANDOAH SHARED HOSPITAL SERVICES
304 NEFF AVENUE	HARRISONBURG	VA	22801	MEDICAL SERVICES	9465716
HARRISONBURG PHYSICIANS ANESTHESIOLOGY
1840 EAST MARKET STREET	HARRISONBURG	VA	22801	MEDICAL SERVICES	6117779
HARRISONBURG SURGICAL ASSOCCIATES
3320 EMMAUS RD	HARRISONBURG	VA	22801	MEDICAL SERVICES	2543750
HEMATOLOGYONCOLOGY ASSOCIATES
2008 HEALTH CAMPUS DRIVE	HARRISONBURG	VA	22801	MEDICAL SERVICES	1871182

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	66	NumberOfContractorsGT100K
Government Grants	797577	GovernmentGrants
All Other Contributions	1299061	AllOtherContributions
Total Contributions	2096638	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER PROFESSIONAL SER	621300	355334727	355334727
DAILY PATIENT SERVICES	621300	93282322	93282322
OTHER NURSING SERVICES	621300	92811933	92811933
LESS CHARITY CARE	621300	-20172906	-20172906
LESS CONTRACTUAL ADJUS	621300	-212379085	-212379085

Field	Value	IRS element (for citing)
Total Program Service Revenue	308876991	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	502800	TotalRevenueColumn
Exclusion	$502,800	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	94215	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	6000	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	88215	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	88215	TotalRevenueColumn
Exclusion	$88,215	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	623758	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	1800470	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-1176712	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-1176712	TotalRevenueColumn
Exclusion	-$1,176,712	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	479835	GrossSalesOfInventory
Cost Of Goods Sold	364152	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	115683	TotalRevenueColumn
Related Or Exempt Function Income	115683	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
PHARMACY	446110	2960189	$2,960,189
OTHER	900099	1777338	$1,775,717	1621
EQUITY ALLOCATIONS	900099	1708599	$1,708,599

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1251997	TotalRevenueColumn
Unrelated Business Revenue	165845	UnrelatedBusinessRevenue
Exclusion	$1,086,152	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	7698123	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	318201738	TotalRevenueColumn
Related Or Exempt Function Income	308992674	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	167466	UnrelatedBusinessRevenue
Exclusion	$6,944,960	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	69735	Total
Program Services	69735	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	5270250	Total
Management And General	5270250	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	119279285	Total
Program Services	111073983	ProgramServices
Management And General	7995565	ManagementAndGeneral
Fundraising	209737	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	7653938	Total
Program Services	7127419	ProgramServices
Management And General	513061	ManagementAndGeneral
Fundraising	13458	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	13832549	Total
Program Services	12880998	ProgramServices
Management And General	927228	ManagementAndGeneral
Fundraising	24323	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	8245316	Total
Program Services	7678115	ProgramServices
Management And General	552703	ManagementAndGeneral
Fundraising	14498	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	929064	Total
Program Services	800629	ProgramServices
Management And General	128435	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	304052	Total
Management And General	304052	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	25566	Total
Program Services	25566	ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	59591	Total
Management And General	59591	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	39463350	Total
Program Services	37129868	ProgramServices
Management And General	2333482	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	727518	Total
Program Services	544239	ProgramServices
Management And General	183279	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	63938024	Total
Program Services	61477643	ProgramServices
Management And General	2326692	ManagementAndGeneral
Fundraising	133689	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	5773958	Total
Program Services	1930113	ProgramServices
Management And General	3843845	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	3672906	Total
Program Services	3672906	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	341707	Total
Program Services	341631	ProgramServices
Management And General	76	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	450480	Total
Program Services	334589	ProgramServices
Management And General	111325	ManagementAndGeneral
Fundraising	4566	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	5858353	Total
Program Services	5858353	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	19994218	Total
Program Services	19994218	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	3332639	Total
Program Services	3056321	ProgramServices
Management And General	275230	ManagementAndGeneral
Fundraising	1088	Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
BAD DEBTS	18195450	18195450
CONTRACT LABOR	8993769	8707188	286581
IMPUTED RENT - JMU	4080000	4080000
RENT	2159907	2196007	-37501	1401
OTHER	1974182	1505154	437587	31441

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2130324	Total
Program Services	1533269	ProgramServices
Management And General	594493	ManagementAndGeneral
Fundraising	2562	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	336756131	Total
Program Services	310213394	ProgramServices
Management And General	26105974	ManagementAndGeneral
Fundraising	436763	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	48292506	BOY
EOY	61370294	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	23813177	BOY
EOY	23360811	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	4650541	BOY
EOY	3293228	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	38340648	BOY
EOY	40457298	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	3958102	BOY
EOY	3500102	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	9126856	BOY
EOY	4136934	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	4972415	BOY
EOY	5181378	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2959146	BOY
EOY	2964890	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	444187048	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	77578859	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	323951596	BOY
EOY	366608189	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	34974286	BOY
EOY	36492911	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	18747632	BOY
EOY	15048046	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	13919469	BOY
EOY	9027304	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	527706374	BOY
EOY	571441385	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	51640240	BOY
EOY	37442881	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	259834	BOY
EOY	231376	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	267211274	BOY
EOY	300160065	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	28522370	BOY
EOY	37042681	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	347633718	BOY
EOY	374877003	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	147827152	BOY
EOY	166691561	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	17696661	BOY
EOY	15126649	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	14548843	BOY
EOY	14746172	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	180072656	BOY
EOY	196564382	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	527706374	BOY
EOY	571441385	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-18554393	ReconcilationRevenueExpenses
Reconcilation Other Changes	35046119	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 Separate	X	FinancialStatementSeparate
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)
Political Expenditures	0	PoliticalExpenditures
Volunteer Hours	0	VolunteerHours
Amt Of4955 Tax	0	AmtOf4955Tax
Amt Of4955 Tax On Managers	0	AmtOf4955TaxOnManagers
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	$25,566	OtherActivitiesAmount
Total Lobbying Expenditures IIB	25566	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	31098549	BeginningOfYearBalance
Contributions	1334949	Contributions
Investment Earnings Or Losses	2080749	InvestmentEarningsOrLosses
Other Expenditures	5342410	OtherExpenditures
End Of Year Balance	29171837	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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)
Board Designated EOY Balance	0.00000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.50550	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.49450	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	1744913	OtherCostOrOtherBasis
Book Value	1744913	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	156675543	OtherCostOrOtherBasis
Depreciation	10136471	Depreciation
Book Value	146539072	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	273831512	OtherCostOrOtherBasis
Depreciation	66388716	Depreciation
Book Value	207442796	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	11935080	OtherCostOrOtherBasis
Depreciation	1053672	Depreciation
Book Value	10881408	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	366608189	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
ANNUITIES PAYABLE	$540,522
PENSION LIABILITY	$34,715,451
OTHER NON-CURRENT LIABILITIES	$1,055,374
MARK-TO-MARKET LIABILITY	$731,334

Field	Value	IRS element (for citing)
Total Of Amounts	37042681	TotalOfAmounts
Total Revenue	318201738	TotalRevenue
Total Expenses	336756131	TotalExpenses
Excess Or Deficit For Year	-18554393	ExcessOrDeficitForYear
Net Unrealized GL On Investments	277728	NetUnrealizedGLOnInvestments
Other	$34,768,391	OtherAmount
Total Adjustments	35046119	TotalAdjustments
Excess Or Deficit Per FS	16491726	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	317060078	TotRevenueEtcAuditedFinclStmt
Other Revenues	6000	OtherRevenues
Revenue Not Rptd F990	6000	RevenueNotRptdF990
Revenue Subtotal	317054078	RevenueSubtotal
Investment Expenses Not Included	59591	InvestmentExpensesNotIncluded
Other Revenues Not Included	1088069	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	1147660	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	318201738	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	336645129	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	6000	OtherExpensesIncluded
Expenses Not Rptd F990	6000	ExpensesNotRptdF990
Expenses Subtotal	336639129	ExpensesSubtotal
Investment Expenses Not Included2	59591	InvestmentExpensesNotIncluded2
Other Expenses Not Included	57411	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	117002	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	336756131	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X:	N/A
PART XI, LINE 8 - OTHER ADJUSTMENTS:		OTHER CHANGES IN NET ASSETS 1,533,114. PENSION ADJUSTMENT -9,541,139. RATE SWAP MARK TO MARKET ADJUSTMENT -731,334. RATE LOCK SWAP ADJUSTMENT 197,061. INCREASE IN BENEFICIAL INTEREST IN TRUST HELD BY OTHERS 310,689. TRANSFER FROM ROCKINGHAM HEALTH CARE, INC.(PARENT COMPANY) 43,000,000.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		RENTAL EXPENSES 6,000.
PART XII, LINE 4B - OTHER ADJUSTMENTS:		AUXILIARY INCOME 82,655. NET ASSETS RELEASED FROM RESTRICTIONS 1,005,414.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:		RENTAL EXPENSES 6,000.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:		AUXILIARY EXPENSES 57,411.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA AND THE CARIBBEAN	Region
Number Of Offices	0	NumberOfOffices
Number Of Employees	0	NumberOfEmployees
Type Of Activities Conducted	PROGRAM SERVICES	TypeOfActivitiesConducted
Specific Services Provided	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 22.29% OWNERSHIP INTEREST IN THE CAPTIVE.	SpecificServicesProvided
Total Expenditures	0	TotalExpenditures

Field	Value	IRS element (for citing)
Subtotal Number Of Employees	0	SubtotalNumberOfEmployees
Cont Number Of Employees	0	ContNumberOfEmployees
Total Number Of Employees	0	TotalNumberOfEmployees
Subtotal Amount Spent	0	SubtotalAmountSpent
Cont Amount Spent	0	ContAmountSpent
Total Amount Spent	0	TotalAmountSpent
Transfer To Foreign Corp	0	TransferToForeignCorp
Interest In Foreign Trust	0	InterestInForeignTrust
Own Foreign Corp	0	OwnForeignCorp
Passive Foreign Invest Co	0	PassiveForeignInvestCo
Foreign Partnership	0	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	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
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	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	11091288	TotalCommunityBenefitExpense
Net Community Benefit Expense	11091288	NetCommunityBenefitExpense
Percent Of Total Expense	0.03290	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	21162417	TotalCommunityBenefitExpense
Direct Offsetting Revenue	14327285	DirectOffsettingRevenue
Net Community Benefit Expense	6835132	NetCommunityBenefitExpense
Percent Of Total Expense	0.02030	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	32253705	TotalCommunityBenefitExpense
Direct Offsetting Revenue	14327285	DirectOffsettingRevenue
Net Community Benefit Expense	17926420	NetCommunityBenefitExpense
Percent Of Total Expense	0.05320	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1466531	TotalCommunityBenefitExpense
Net Community Benefit Expense	1466531	NetCommunityBenefitExpense
Percent Of Total Expense	0.00440	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1847131	TotalCommunityBenefitExpense
Direct Offsetting Revenue	606851	DirectOffsettingRevenue
Net Community Benefit Expense	1240280	NetCommunityBenefitExpense
Percent Of Total Expense	0.00370	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	65768935	TotalCommunityBenefitExpense
Direct Offsetting Revenue	51040229	DirectOffsettingRevenue
Net Community Benefit Expense	14728706	NetCommunityBenefitExpense
Percent Of Total Expense	0.04370	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	262468	TotalCommunityBenefitExpense
Net Community Benefit Expense	262468	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	69345065	TotalCommunityBenefitExpense
Direct Offsetting Revenue	51647080	DirectOffsettingRevenue
Net Community Benefit Expense	17697985	NetCommunityBenefitExpense
Percent Of Total Expense	0.05260	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	101598770	TotalCommunityBenefitExpense
Direct Offsetting Revenue	65974365	DirectOffsettingRevenue
Net Community Benefit Expense	35624405	NetCommunityBenefitExpense
Percent Of Total Expense	0.10580	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$11,680,250	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	89809639	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	117661576	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-27851937	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost Accounting System	X	CostAccountingSystem

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	3	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (3 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours	OtherOther
ROCKINGHAM MEMORIAL HOSPITAL
1	235 CANTRELL AVENUE	HARRISONBURG	VA	22801	X	X	X	OTHER MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES
PARTIAL HOSPITALIZATION PROGRAM
2	752 OTT STREET	HARRISONBURG	VA	22801				BEHAVIORAL HEALTH
LIFE RECOVERY PROGRAM
3	752 OTT STREET	HARRISONBURG	VA	22801				BEHAVIORAL HEALTH

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	1	UsesFPGFree
FPG Free Percent	200.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	400.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
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
Permit Report To Credit Agency	X	PermitReportToCreditAgency
Permit Lawsuit	X	PermitLawsuit
Permit Lien On Residence	X	PermitLienOnResidence
Collection Activities	1	CollectionActivities
Report To Credit Agency	X	ReportToCreditAgency
Lawsuit	X	Lawsuit
Lien On Residence	X	LienOnResidence
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Other Actions Taken	X	OtherActionsTaken
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	1	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	10	NumberOfOtherFacilities

Other Facilities OtherFacilities (10 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
MEDICAL OFFICE BDG - PHYSICIAN PRACTICES
2006 HEALTH CAMPUS DRIVE	HARRISONBURG	VA	22801	PHYSICIAN OFFICES - SPECIALTY PRACTICES
WOMEN'S CENTER
530 NEFF AVENUE	HARRISONBURG	VA	22801	MAMMGRAPHY SERVICES, BREAST SURGERY CLINIC
RMH SOUTH MAIN HEALTH CENTER
1661 SOUTH MAIN ST	HARRISONBURG	VA	22801	FAMILY PRACTICE
HOME HEALTH
706 SOUTH MAIN ST	HARRISONBURG	VA	22801	IN HOME NURSING CARE
REHAB SEVICES - PAVILION
501 STONE SPRING RD	HARRISONBURG	VA	22801	OUTPATIENT PHYSICAL THERAPY SERVICES
RMH EAST ROCKINGHAM HEALTH CENTER
13737 SPOTSWOOD TRAIL	ELKTON	VA	22827	FAMILY PRACTICE, LAB, REHAB SERVICES
HOSPICE
2010 HEALTH CAMPUS DRIVE	HARRISONBURG	VA	22801	END OF LIFE CARE
RMH CENTER FOR SLEEP MEDICINE
640 SOUTH MAIN ST	HARRISONBURG	VA	22801	SLEEP STUDIES
RMH VALLEY BEHAVIORAL MEDICINE
644 UNIVERSITY BLVD	HARRISONBURG	VA	22801	MENTAL HEALTH SERVICES
RMH CANCER CENTER
2008 HEALTH CAMPUS DRIVE	HARRISONBURG	VA	22801	SPECIALTY PHYSICIAN OFFICES

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART II: AS OUR AREA'S LOCAL HEALTHCARE PROVIDER, ROCKINGHAM MEMORIAL HOSPITAL (RMH) EMBRACES A COUMMUNITYWIDE APPROACH TO HEALTH. THIS MEANS THAT IN ADDITION TO PROVIDING HIGH QUALITY PATIENT CARE, RMH IS COMMITTED TO EDUCATING THE COMMUNITY ABOUT PREVENTATIVE CARE MEASURES AND EARLY DETECTION OF POTENTIAL HEALTH RISKS. TO THAT END, RMH HAS ESTABLISHED MANY COMMUNITY OUTREACH PROGRAMS AND PARTNERSHIPS TO BUILD A HEALTHIER COMMUNITY IN WAYS THAT ARE MEANINGFUL AND MEASURABLE. IN 2010, OUR COMMUNITY BUILDING ACTIVITIES INCLUDED THE FOLLOWING:- CHILDCARE CONNECTION, A RESOURCE AND REFERRAL CENTER LINKING FAMILIES WITH CHILCARE PROVIDERS AND OFFERING CAREGIVER SUPPORT AND EDUCATION. OFFICES ARE LOCATED IN HARRISONBURG AND PAGE COUNTY.- FARM SAFETY DAY CAMP, A DAY CAMP FOR CHILDREN AND ADULTS TO INCREASE AWARENESS OF FARM SAFETY AND REDUCE THE NUMBER OF FARM INJURIES IN OUR REGION.- GRANTS THROUGH THE RMH FOUNDATION FOR INITIATIVES THAT WILL HAVE A POSTIVE IMPACT ON THE OVERALL HELATH OF OUR COMMUNITY.- HARRIOSNBURG-ROCKINGHAM FREE CLINIC, RMH PLAYS A MAJOR ROLE IN SUPPORTING THE FREE CLINIC WITH AN ESTIMATE VALUE OF SERVICES PROVIDED OF $675,000 IN 2010.- HEALTH SCREENINGS, SUCH AS SKIN CANCER, PROSTRATE CANCER, CHOLESTEROL AND BLOOD GLUCOSE OFFERED FREE OF CHARGE TO RESIDENTS AT LOCAL HEALTH FAIRS AND COMMUNITY EVENTS WITH WIDE-SPREAD PARTICIPATION.- HEALTHY FAMILIES OF THE BLUE RIDGE, 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.- LIFELINE EMERGENCY RESPONSE SYSTEM THAT ENABLES THOSE WITH SAFETY ISSUES TO REMAIN INDEPENDENT AND IN THEIR OWN HOMES FOR AS LONG AS POSSIBLE.- RESOURCE MOTHERS, A PROGRAM FOR PREGNANT AND PARENTIN GTEENS. OUTCOME DATA FOR THIS PROGRAM REVEALS A YEARLY COST SAVINGS TO THE HELATH CARE SYSTEM OF AT LEAST $600,000 BY THE PREVENTATION OF LOW-BIRTH WEIGHT BABIES (WHEN COMPARED TO THE STATE'S RATE FOR TEENS), A SIGNIFICANTLY LOWER REPEAT PREGNANCY RATE THAN THE STATE (2% VS 20%), AND 90% OF THESE TEENS REMAIN IN SCHOOL OR THE WORKFORCE.- SENIOR ADVANTAGE, A HEALTHY AGING MEMBERSHIP PROGRAM FOR ADULTS AGE 55 OR BETTER OFFERING EDUCATIONAL OPPORTUNITIES, HEALTH SCREENS, AND SOCIAL EVENTS AND ACTIVITIES.- SUPPORT GROUPS AND CLASSES, RMH OFFERS FREE OR LOW-COST CLASSES, SEMINARS AND SUPPORT GROUPS ON A WIDE VARIETY OF HEALTH -RELATED TOPICS AND ISSUES.
PART V, SECTION B, LINE 13G: SIGNAGE INDICATING FINANCIAL ASSISTANCE IS AVAILABLE WITH THE PHONE NUMBER TO CALL FOR MORE INFORMATION IS POSTED IN ALL REGISTRATION AREAS. ADDITIONALLY THE SAME INFORMATION IS INCLUDED ON ALL BILLING INVOICES.	ROCKINGHAM MEMORIAL HOSPITAL
PART V, SECTION B, LINE 17E: SIGNAGE INDICATING FINANCIAL ASSISTANCE IS AVAILABLE IS WITH THE PHONE NUMBER TO CALL FOR MORE INFORMATION IS POSTED IN ALL REGISTRATION AREAS.	ROCKINGHAM MEMORIAL HOSPITAL
PART V, SECTION B, LINE 19D: THE HOSPITAL BILLS GROSS CHARGES.	ROCKINGHAM MEMORIAL HOSPITAL
PART V, SECTION B, LINE 21: ALL PATIENTS ARE CHARGED THE SAME, GROSS CHARGES LESS ANY APPLICABLE DISCOUNTS.	ROCKINGHAM MEMORIAL HOSPITAL
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 MANAGEMENT'S EVALUATION OF THE COMPONENTS OF ACCOUNTS RECEIVABLE. THE COST-TO-CHARGE RATIO WAS USED TO DETERMINE BAD DEBT EXPENSE AMOUNTS REPORTED ON LINES 2 AND 3.
PART III, LINE 8: INTERNAL COST ACCOUNTING CALCULATIONS WERE USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS.
PART III, LINE 9B: 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. COLLECTOR'S REMINDERS CONSIST OF ACCOUNTS THAT ARE OVER $1000. A PHONE CALL IS PLACED TO THE PATIENT REGARDING THE SELF PAY BALANCE. EACH ACCOUNT NEEDS TO HAVE 3 CALLS MADE AND DOCUMENTED ON EACH ACCOUNT THAT IS IN THE REMINDER QUEUE. IF A CALL IS MADE FROM THE FIRST REMINDER AND THE PATIENT STATES THEY WILL MAKE A PAYMENT OR CALL BACK - A SECOND AND/OR THIRD CALL IS MADE TO BE SURE THEY FOLLOW THROUGH. IF DURING A CALL THE PATIENT ASKS FOR FINANCIAL ASSISTANCE, APPLICATION IS MAILED TO THEM.
PART VI, LINE 2: 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, HELATH AND HUMAN SERVICES, FAITH COMMUNITY, LAW ENFORCEMENT AND MEDIA. THE 2006 COMMUNITY NEEDS ASSESSMENT REPORT IS AVAILABLE AT HTTP://WWW.HEALTHYCOMMUNITYCOUNCIL.ORG/HCC%20REPORT%202006.PDF.
PART VI, LINE 3: THE HOSPITAL HAS POSTED PATIENT INFORMATION ABOUT FINANCIAL ASSISTANCE AND HOW TO APPLY AT EACH REGISTRATION AND WAITING AREAS. BILLING STATEMENTS AND THE WEBSITE HAS 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 PROGRAM, AND A FINANCIAL COUNSELOR WHO SCREENS THOSE THAT ARE NOT ELIGIBLE FOR GOVERNMENT PROGRAM TO DETERMINE WHETHER THEY MEET CRITERIA FOR CHARITY CARE.
PART VI, LINE 4: THE HARRISONBURG-ROCKINGHAM AREA COVERS 871 SQUARE MILES OF LAND AND IS HOME TO ABOUT 111,000. THE MEDIA AGE IS 32 YEARS WITH 22 PERSENT 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 AREA. THE AREA IS CONSIDERED RURAL.
PART VI, LINE 7: N/A
VA	REPORTS FILED WITH STATES	PART VI, LINE 7

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)	15000	SCHOLARSHIPS FOR DAY CARE FOR ELDERLY AND DISABLED ADULTS
CENTER FOR MARRIAGE & FAMILY
96 CAMPBELL ST	HARRISONBURG	VA	22801	540914625		12400	SUPERVISED VISITATION
JAMES MADISON UNIVERSITY
302 WARREN HALL MSC 3516	HARRISONBURG	VA	22807	546001756	501(C)(3)	9349	MEDICAL SUITCASE CLINIC
BOYS & GRILS CLUB OF HARRISONBURGROCKINGHAM
PO BOX 1223	HARRISONBURG	VA	22803	541652418	501(C)(3)	7500	TRIPLE PLAY PROGRAM
BLUE RIDGE AREA FOOD BANK
MSC 9009 JAMES MADISON UNIVERSITY	HARRISONBURG	VA	22807	546001756	501(C)(3)	7140	SUPPORT FOR COMMUNITY HEALTH INTERPRETER SERVICES
COLLINS CENTER
PO BOX 1473	HARRISONBURG	VA	22803	541478133	501(C)(3)	5675	CARE FOR KIDS PROGRAM
DREAM COME TRUE
956 MOCKINGBIRD DRIVE	HARRISONBURG	VA	22802	546001343		5000	PLAYGROUND

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	6	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	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.	Explanation

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	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	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	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (15 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
JAMES D KRAUSS
448888	0	532864	0	125915	0	71050	0	18464	0	1197181	0	0	0
RICHARD L HAUSHALTER
282785	0	337486	0	61013	0	77699	0	13924	0	772907	0	0	0
MICHAEL KING
240918	0	289676	0	55931	0	40151	0	15522	0	642198	0	0	0
DALE A CARROLL MD
331485	0	398481	0	37833	0	93309	0	16799	0	877907	0	0	0
DONNA HAHN
0	174068	0	24116	0	494	0	32761	0	12381	0	243820	0	0
PAUL R PIERCE
0	195388	0	26675	0	1584	0	144111	0	12598	0	380356	0	0
MARK ZIMMERMAN
0	194815	0	28542	0	8805	0	62452	0	14728	0	309342	0	0
MICHAEL ROZMUS
0	189792	0	25042	0	542	0	47164	0	14313	0	276853	0	0
MERV WEBB
0	167674	0	21750	0	1313	0	104810	0	11987	0	307534	0	0
MCGOWAN JOHN
247700	0	0	0	487	0	0	0	13967	0	262154	0	0	0
STEPHEN MARRA MD
622150	0	31000	0	85323	0	14685	0	14530	0	767688	0	0	0
WILLIAM F CALE III MD
360209	0	103705	0	82001	0	101097	0	18339	0	665351	0	0	0
HEIDI GORSUCH-RAFFERTY MD
271693	0	215972	0	90438	0	14700	0	14603	0	607406	0	0	0
THOMAS WEBER MD
228331	0	289139	0	20216	0	14700	0	13374	0	565760	0	0	0
OLUMIDE DANISA MD
454952	0	45000	0	33924	0	14700	0	8425	0	557001	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Return Reference	PART I, LINE 1A	ReturnReference
Explanation	MEMBERSHIP TO VALLEY WELLNESS CENTER, A RELATED 501(C)(3) ORGANIZATION PROVIDED AT REDUCED RATES. THIS BENEFIT IS AVAILABLE TO ALL ORGANIZATION'S EMPLOYEES.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 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 VIRGINIA
542000436	415675AX5	2005-12-07	50000000	REFUND 9/9/2005 ISSUE; PAY OFF COMMERCIAL NOTE; FINANCE CAPITAL EXPENDITURES	0	0	0
INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF HARRISONBURG VIRGINIA
542000436	415669BN9	2006-12-28	196167653	FUND CONSTRUCTION OF NEW HOSPITAL FACILITY	0	0	0
INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF HARRISONBURG VIRGINIA
542000436	NONEAVAIL	2009-04-01	30000000	PROVIDE FUNDS TO REFUND 4/4/2007 ISSUE	0	0	0
INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF HARRISONBURG VIRGINIA
541222826	NONEAVAIL	2010-09-15	25000000	COST OF NEW HOSPITAL, EQUIPMENT AND MOB	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
208479998	12253500	570000	195656498	2010	0	1	1
30000000					1	1	1
25000000			25000000		1	1	1

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
1	1	1
1	1	1
1	1	1
1	1	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate	Business Name Line2NameOfGICProvider/BusinessNameLine2	Term Of GICTermOfGIC	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied
(no name)
0	1	0	0	0	1
JP MORGAN CHASE
0	0	0	1	0	0	BANK	2.400000000000	1
(no name)
0	1	0	0	0	1
(no name)
0	1	0	0	0	1

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 VIRGINIA
541222826	NONEAVAIL	2010-09-15	25000000	COST OF NEW HOSPITAL, EQUIPMENT AND MOB	0	0	0
INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF HARRISONBURG VIRGINIA
541222826	NONEAVAIL	2010-09-15	25000000	COST OF NEW HOSPITAL, EQUIPMENT AND MOB	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceeds	Capital ExpendituresCapitalExpenditures	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
25000000	25000000	1	0	1	1
25000000	25000000	1	0	1	1

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0	0	1	0	1	0.00000	0.00000	0.00000	1
0	0	1	0	1	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	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0	1	0	0	0	1
0	1	0	0	0	1

Schedule L IRS990ScheduleL

Loan Table LoanTable

Field	Value	IRS element (for citing)
Name Person	MENSEL DEAN MEMBER OF PLEASANT RUN	NamePerson
Purpose Of Loan	PURCHASE OF LAND	PurposeOfLoan
Loan From Organization	X	LoanFromOrganization
Original Principal	$4,265,842	OriginalPrincipalAmount
Balance Due	3500102	BalanceDue
Default	0	Default
Approved By Board	1	ApprovedByBoard
Written Agreement	1	WrittenAgreement

Field	Value	IRS element (for citing)
Total Balance Due	3500102	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
SHENANDOAH SHARED HOSPITAL SERVICES INC
53% EQUITY ALLOCATED TO RMH & 3 PEOPLE SERVE AS OFFICERS/DIRECTORS FOR BOTH	9570886	ORGANIZATION MADE PAYMENTS TO SHENANDOAH SHARED HOSPITAL SERCICES, INC. FOR CLINICAL SERVICES INCLUDING COMPUTERIZED TOMOGRAPHY, MAGNETIC RESONANCE IMAGING, POSITRON EMISSION TOMOGRAPHY, LITHOTRIPSY, MOBILE MAMMOGRAPHY, PILL ENDOSCOPY, AND TECHNOLOGY MANAGEMENT.	0
ALDEN HOSTETTERMD
BOD MEMBER; 33.3% OWNER OF PATHOLOGY ASSOCIATES OF HARRISONBURG	177247	ORGANIZARION MADE PAYMENTS TO PATHOLOGY ASSOCIATES OF HARRISONBURG FOR PROFESSIONAL SERVICES.	0
STEWART POLLACK MD
BOD MEMBER; 7.69% OWNERSHIP IN HARRISONBURG MEDICAL ASSOCIATES	12587486	ORGANIZATION MADE PAYMENTS TO HARRISONBURG MEDICAL ASSOCIATES FOR PROFESSIONAL SERVICES.	0
DOUGLAS DRIVER
BOD MEMBER; PRESIDENT AND 11% OWNER OF LANZ CONSTRUCTION CO.	598021	ORGANIZATION MADE PAYMENTS TO LANZ CONSTRUCTION CO. FOR CONSTRUCTION SERVICES.	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11	FORM 990 WAS PRESENTED AT THE BOARD OF DIRECTORS MEETING PRIOR TO FILING.
	ALL MEMBERS WITH ANY CONFLICT OF INTEREST ARE MADE AWARE OF THE NEED TO EXCUSE THEMSELVES FROM PARTICIPATING IN ANY DISCUSSION OR VOTING ON ANY ISSUES WHERE THERE MAY BE A CONFLICT. OFFICERS OF THE ORGANIZATION ARE AWARE OF DUTIES AND RESPONSIBILITIES IN REGARDS TO THIS ISSUE.	FORM 990, PART VI, SECTION B, LINE 12C
	OFFICERS: AN INDEPENDENT COMPENSATION CONSULTING FIRM IS RETAINED BY THE BOARD OF DIRECTORS (BOD) TO COMPLETE MARKET ANALYSIS AND RECOMMEND EXECUTIVE COMPENSATION CHANGES. THE BOD APPROVES COMPENSATION CHANGES FOR OFFICERS. DIRECTORS: AN INDEPENDENT COMPENSATION CONSULTING FIRM IS RETAINED TO CONDUCT MARKET ANALYSIS AND MAKE RECOMMENDATIONS FOR DIRECTOR LEVEL COMPENSATION CHANGES. COMPENSATION CHANGES ARE APPROVED BY THE VP OF HUMAN RESOURCES DEVELOPMENT AND THE COO. OTHER EMPLOYEES: HUMAN RESOURCES DEVELOPMENT CONDUCTS COMPENSATION SURVEYS AND MAKES RECOMMENDATIONS FOR COMPENSATION CHANGES. MERIT INCREASES AND MARKET ADJUSTMENTS ARE APPROVED BY SENIOR LEADERSHIP.	FORM 990, PART VI, SECTION B, LINE 15
	UPON REQUEST	FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:	NET UNREALIZED GAINS ON INVESTMENTS: 277,728. OTHER CHANGES IN NET ASSETS 1,533,114. PENSION ADJUSTMENT -9,541,139. RATE SWAP MARK TO MARKET ADJUSTMENT -731,334. RATE LOCK SWAP ADJUSTMENT 197,061. INCREASE IN BENEFICIAL INTEREST IN TRUST HELD BY OTHERS 310,689. TRANSFER FROM ROCKINGHAM HEALTH CARE, INC.(PARENT COMPANY) 43,000,000. TOTAL TO FORM 990, PART XI, LINE 5: 35,046,119.	FORM 990, PART XI, LINE 5:
OVERSIGHT OF AUDITED FINANCIAL STATEMENTS	THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.	FORM 990, PART XI, LINE 2C

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 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
ROCKINGHAM HEALTH CARE INC
235 CANTRELL AVENUE	HARRISONBURG	VA	22801	521309259	PARENT ORGANIZATION FOR TWO NOT-FOR-PROFIT TAX-EXEMPT ORGANIZATIONS	VA	501(C)(3)	11B TYPE II	N/A	0
VALLEY WELLNESS CENTER
501 STONE SPRING ROAD	HARRISONBURG	VA	22801	521309257	PREVENTATIVE HEALTH CARE AND REHABILITATION SERVICES	VA	501(C)(3)	3		0	ROCKINGHAM HEALTH CARE INC

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	ROCKINGHAM HEALTH SERVICES INC	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)
Primary Activity	CONTRACTING SERVICES	PrimaryActivity
Legal Domicile State	VA	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	ROCKINGHAM HEALTH CARE INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Type Of Entity	C	TypeOfEntity

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	1	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
VALLEY WELLNESS CENTER
J	152609	ACTUAL
VALLEY WELLNESS CENTER
R	701507	ACTUAL