 The transfer was supported in part by the planned relocation of Rockingham Memorial Hospital from north of the James Madison University campus in the city to southeast of the city in Rockingham County, a process that began in 2004 and was completed when the hospital opened in 2010.SR 253 was expanded to a four-lane divided highway from SR 704 (Boyers Road) north to the city limit, thus connecting with the four-lane highway built by the city, starting in early 2010.The expansion project was completed in early 2012, although the new divided highway opened to traffic in June 2011.