2023-08-14T15:56:05-05:00 2022-09-30 882730877 CHERRY BEKAERT ADVISORY LLC 200 SOUTH 10TH ST STE 900 RICHMOND VA 23219 990 2021-10-01 814446403 REHAB JV LLC DBA SHELTERING ARMS INSTITUTE REHA 8048774000 2000 WILKES RIDGE DR RICHMOND VA 23233 JAMES S LITSINGER CFO 8048774000 2023-08-11 1 JAMES LITSINGER 999009999 PAULA WENDLING P00536805 8046735700 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z ALAN LOMBARDO 2000 WILKES RIDGE DR RICHMOND VA 23233 71258572 0 X HTTPS://SHELTERINGARMSINSTITUTE.COM X LLC 2016 VA SEE SCHEDULE O 10 10 634 0 0 0 254860 4019418 58188945 67239154 0 0 0 0 58443805 71258572 0 0 0 0 28669783 34775921 0 0 0 34165628 32803512 62835411 67579433 -4391606 3679139 20485656 27439914 19637805 22912924 847851 4526990 X SEE SCHEDULE O 0 0 55366476 0 67239154 SHELTERING ARMS INSTITUTE (SAI) IS A 114-BED REHABILITATION HOSPITAL IN RICHMOND, VIRGINIA. THE HOSPITAL AND ITS CLINICIANS PROVIDE EXCEPTIONAL CARE UNDER ONE ROOF FOR INDIVIDUALS WHO HAVE SURVIVED STROKES, SPINAL CORD INJURIES, BRAIN INJURIES, AS WELL AS THOSE IN NEED OF GENERAL REHABILITATION FOR A VARIETY OF ILLNESSES AND INJURIES. AT SAI, PATIENTS HAVE ACCESS TO ADVANCED THERAPEUTIC TECHNOLOGIES IN A 9,251 SQUARE FOOT MAIN THERAPY GYM, THREE SATELLITE GYMS, AND THROUGHOUT THE HOSPITAL. DURING FISCAL YEAR 2021-2022, SAI SERVED MORE THAN 1,700 PATIENTS FROM AROUND VIRGINIA AND THE MID-ATLANTIC REGION.SEE SCHEDULE O FOR ADDITIONAL DETAILS 55366476 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 18 0 1 634 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 VA X JAMES S LITSINGER CFO 8043424340 8226 MEADOWBRIDGE ROAD MECHANICSVILLE VA 23116 DIANNE V JEWELL CURRENT CHAIRMAN 4.00 X X 0 0 0 RYAN RAISIG FORMER SECRETARY & TREASURER 1.00 X X 0 0 0 LAWRENCE E GIBSON FORMER CHAIRMAN 1.00 X X 0 0 0 PAUL WESOLOWSKI FORMER VICE CHAIR 1.00 X X 0 0 0 DR DAVID CIFU DIRECTOR 1.00 X 0 0 0 DR ILVY COTTERELL DIRECTOR 1.00 X 0 0 0 PATRICIA CUSHNIE DIRECTOR 1.00 X 0 0 0 DEBORAH DAVIS DIRECTOR 1.00 X 0 0 0 ASHBY R HACKNEY DIRECTOR 1.00 X 0 0 0 DR PETER ZEDLER DIRECTOR 1.00 X 0 0 0 LESLIE WYATT DIRECTOR 1.00 X 0 0 0 MICHAEL ROUSSOS DIRECTOR 1.00 X 0 0 0 KARAH GUNTHER CURRENT VICE CHAIRMAN 1.00 X X 0 0 0 ALAN LOMBARDO PRESIDENT & CEO 40.00 X 467754 0 28388 JAMES S LITSINGER CFO 25.00 X 0 0 0 MATTHEW R WILKS CRO 40.00 X 225416 0 28643 MISTY T WOODWARD CNO 40.00 X 224544 0 23255 LINDA M TIEMENS VP QUALITY & CARE COORDINATION 40.00 X 178259 0 12367 TANZA W WESTRY AVP HOSPITAL OPERATIONS 40.00 X 140492 0 13986 SUSAN HAMILTON DIRECTOR OF NURSING 40.00 X 128943 0 14104 PAMELA D MCGEE NURSE MANAGER 40.00 X 126398 0 8252 MELISSA BANTA THERAPY PROGRAM MANAGER 40.00 X 125559 0 16185 1617365 0 145180 21 0 1 0 SHELTERING ARMS HOSPITAL 8226 MEADOWBRIDGE ROAD MECHANICSVILLE VA 23116 ADMINISTRATIVE/IT 9108264 VCU HEALTH 57 N 11TH STREET RICHMOND VA 23298 ANCILLARY & PHYSICIAN SERVICES 4943364 ABM HEALTH 711 MOOREFIELD PARK DR RICHMOND VA 23236 FNS AND EVS MGMT 2547736 CROTHALL 1500 LIBERTY RIDGE DR STE 210 WAYNE PA 19087 FACILITIES MANAGEMENT 410455 LEWIS MEDIA PARTNERS LLC 500 LIBBIE AVE STE 210 RICHMOND VA 23226 MEDIA SERVICES 386037 10 770974 3248444 2922004 4019418 NET PATIENT SERVICE REVENUE 621400 65073418 65073418 MEDICARE COST REPORT REVENUE 621400 1194331 1194331 SHARED SERVICES 541900 225470 225470 FOOD SERVICE REVENUE 722514 124753 124753 MEDICAID COST REPORT REVENUE 621400 120300 120300 500882 500882 67239154 71258572 67239154 0 0 X 1197284 1197284 27363160 25346199 2016961 841147 714975 126172 3327793 2946510 381283 2046537 1739556 306981 195968 97984 97984 37000 18500 18500 9864933 6106227 3758706 257161 179796 77365 202855 152248 50607 4126458 2464934 1661524 7213034 5791076 1421958 19754 13563 6191 364107 298306 65801 1832878 1469448 363430 318716 159358 159358 PATIENT/DEPT SUPPLIES 4237510 3993967 243543 FOOD SERVICES 2052795 1950023 102772 PHARMACY 1322985 1256836 66149 EQUIPMENT 425328 385173 40155 332030 281797 50233 67579433 55366476 12212957 0 1495205 5669593 8321200 9412781 345428 307997 69231 979942 14802888 3885841 10254592 10917047 0 152554 20485656 27439914 4365236 6367045 12300000 11300000 2972569 5245879 19637805 22912924 X 847851 4526990 847851 4526990 20485656 27439914 3679139 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 564093 41802 522291 13929527 3791079 10138448 309268 52960 256308 10917047 ESTIMATED THIRD PARTY PAYMENTS 5245879 5245879 X 71258572 0 71258572 0 71258572 67579433 0 67579433 0 67579433 PART X, LINE 2: U.S. GAAP REQUIRES SAI'S MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY SAI AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF SAI HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE THAN LIKELY WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. SAI'S MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY SAI AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2022, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR AN ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. SAI IS SUBJECT TO AUDIT BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. 1 1 X 1 X 1 X 1 1 0 1 1 2716302 2716302 0.04000 10667013 7581630 3085383 0.04590 13383315 7581630 5801685 0.08590 610252 610252 0.00910 206484 206484 0.00310 816736 816736 0.01220 14200051 7581630 6618421 0.09810 1 494655 30492001 29862054 629947 X 1 1 1 1 SHELTERING ARMS INSTITUTE 2000 WILKES RIDGE DRIVE RICHMOND VA 23233 HTTPS://SHELTERINGARMSINSTITUTE.COM H0201 X PHYSICAL REHABILITATION HOSPITAL SHELTERING ARMS INSTITUTE 1 1 0 1 X X X X X X 21 1 0 0 1 X HTTPS://SHELTERINGARMSINSTITUTE.COM/SHELTERING-ARMS-INSTITUTE-BROCHURE/ X HTTPS://ISSUU.COM/SHELTERINGARMSPHYSICALREHAB/DOCS/2022 SAI CHNA 1 21 0 0 0 1 X 200.000000000000 250.000000000000 X X X X X X 1 1 X X X X 1 X SEE PART V X SEE PART V X SEE PART V X X X X X X 1 X 0 X X X 0 X X 0 0 SHELTERING ARMS INSTITUTE PART V, SECTION B, LINE 5: THERE WERE TWO VERSIONS OF SURVEYS DISTRIBUTED: ONE SPECIFIC TO CONSUMERS AND ONE SPECIFIC TO HEALTH PROFESSIONALS/COMMUNITY LEADERS. THE HOSPITAL FACILITY DISTRIBUTED THE ELECTRONIC SURVEY FOR HEALTH PROFESSIONALS/COMMUNITY LEADERS VIA EMAIL TO INDIVIDUALS WHO WORK FOR LOCAL PUBLIC HEALTH DEPARTMENTS, COMMUNITY FREE CLINICS, DISEASE-SPECIFIC ASSOCIATIONS, AND TEAM MEMBERS OF THE FACILITY. IN TOTAL, 141 HEALTHCARE PROFESSIONALS WERE SURVEYED FROM ORGANIZATIONS INCLUDING: CHESTERFIELD HEALTH DISTRICT, CHICKAHOMINY HEALTH DISTRICT, RICHMOND CITY HEALTH DISTRICT, VIRGINIA DEPARTMENT OF HEALTH, BON SECOURS, BRAIN INJURY ASSOCIATION OF VIRGINIA, CENTRAL VIRGINIA VA HEALTH CARE SYSTEM, COMMONWEALTH PAIN SPECIALISTS, DEPARTMENT FOR AGING & REHABILITATIVE SERVICES, GOOCHLANDCARES, HEALING INTO POSSIBILITY, OASIS SENIOR ADVISORS, PRIMARY HEALTH GROUP - HENRICO, SENIOR CONNECTIONS, UVA MEDICAL CENTER, VCU HEALTH, VIRGINIA ASSISTIVE TECHNOLOGY SYSTEM, VIRGINIA DEPARTMENT FOR AGING AND REHABILITATIVE SERVICES, SHELTERING ARMS, AND SHELTERING ARMS INSTITUTE. SHELTERING ARMS INSTITUTE PART V, SECTION B, LINE 11: BY SURVEYING CONSUMERS AND HEALTHCARE PROFESSIONALS, THE HOSPITAL FACILITY IDENTIFIED FOUR TOP COMMUNITY HEALTH NEED PRIORITIES INCLUDING: EXERCISE, RECREATION, AND LEISURE; FOOD, DIET, AND NUTRITION; NAVIGATION, CARE COORDINATION, AND SUPPORT; AND MENTAL HEALTH. BASED ON THESE PRIORITIES, THE HOSPITAL FACILITY ESTABLISHED AN INTERDEPARTMENTAL WORK GROUP THAT ENCOMPASSES A REPRESENTATIVE FROM EACH OF THE FOUR PRIORITY AREAS. MEMBERS OF THE WORK GROUP COLLABORATED TO DEVELOP 30 SPECIFIC IMPLEMENTATION STRATEGIES, WHICH CAN BE FOUND ON PAGES 8-11 OF THE REPORT. THE WORK GROUP MEETS TWICE ANNUALLY TO DISCUSS PROGRESS MADE ON EACH IMPLEMENTATION STRATEGY TO ENSURE ALL STRATEGIES ARE COMPLETE BY THE NEXT CHNA REPORT IN 2025. NEEDS THE HOSPITAL FACILITY IS NOT ADDRESSING IN THIS REPORT INCLUDE PRIMARY MEDICAL CARE, MEDICAL DEVICES, DENTAL CARE, PREVENTATIVE HEALTH, TRANSPORTATION, AND CARE NAVIGATION. THE PRIMARY REASON THE HOSPITAL FACILITY IS NOT ADDRESSING THESE NEEDS IS BECAUSE OTHER ORGANIZATIONS WITHIN THE COMMUNITY ARE ALREADY ADDRESSING THEM. THE REPORT SPECIFICALLY LISTS THE OTHER ORGANIZATIONS WITHIN THE COMMUNITY WHO PROVIDE RESOURCES TO MEET THOSE NEEDS. ADDITIONALLY, THE HOSPITAL FACILITY INCLUDED A COMMUNITY RESOURCES SECTION IN THE APPENDICES WITH CONTACT INFORMATION. A SECONDARY REASON THE HOSPITAL FACILITY IS NOT ADDRESSING THESE NEEDS IS BECAUSE OF THE FACILITY'S CLOSE COLLABORATION AND PARTNERSHIPS WITH OTHER ORGANIZATIONS WHO ADDRESS THE NEEDS. PART V, SECTION B, COMMUNITY HEALTH NEEDS ASSESSMENT: A HOSPITAL ORGANIZATION MUST MEET THE REQUIREMENTS OF SECTION 501(R)(3) WITH RESPECT TO A NEW HOSPITAL FACILITY IT OPERATES BY THE LAST DAY OF THE SECOND TAXABLE YEAR BEGINNING AFTER THE DATE THE FACILITY WAS LICENSED, REGISTERED, OR SIMILARLY RECOGNIZED BY ITS STATE AS A HOSPITAL. SINCE THE INSTITUTE'S NEW FACILITY WAS LICENSED IN JUNE OF 2020, A COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN ITS TAXABLE YEAR ENDING SEPTEMBER 30, 2022. PART V, SECTION B, FINANCIAL ASSISTANCE POLICY, LINES 16A, 16B, AND 16C: WEBSITE ADDRESS FOR FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY, AND FINANCIAL ASSISTANCE APPLICATION:HTTPS://SHELTERINGARMSINSTITUTE.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE-FEES/ PART I, LINE 7: COLUMN F REFLECTS THE CHARITY AND FINANCIAL ASSISTANCE AT COST AND OTHER COMMUNITY BENEFITS AS A PERCENTAGE OF THE TOTAL FUNCTIONAL EXPENSES IN PART IX, COLUMN A, LINE 25 OF THE FORM 990. PART I, LN 7 COL(F): SAI RECORDS AN ALLOWANCE FOR BAD DEBT BASED ON THE AGE OF RECEIVABLES AND THE SOURCE OF FUNDING (I.E. MEDICARE, MEDICAID, COMMERCIAL INSURANCE, OR SELF-PAY). THE CHANGE IN VALUE OF THE ALLOWANCE IS REFLECTED AS BAD DEBT EXPENSE FOR BOOK PURPOSES. PART III, LINE 2: THE AMOUNT REPORTED HERE REPRESENTS AMOUNTS DEEMED TO BE UNCOLLECTIBLE THAT WERE WRITTEN OFF DURING THE FISCAL YEAR. PART III, LINE 3: BAD DEBT ATTRIBUTABLE TO PATIENTS UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS ESTIMATED BASED ON A PATIENT'S INABILITY TO PAY AND WHO FAIL TO COMPLETE THE APPLICATION AND/OR SUBMIT THE REQUIRED DOCUMENTS WITHIN THE 60 DAY GRACE PERIOD ALLOWED TO APPLY FOR ASSISTANCE. PART III, LINE 4: SEE PAGE 9 OF THE AUDITED FINANCIAL STATEMENTS - NOTE 2- SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES. PART III, LINE 8: THE MEDICARE ALLOWABLE COSTS FIGURE WAS OBTAINED DIRECTLY FROM THE FY 2021-2022 MEDICARE COST REPORT. PART III, LINE 9B: PATIENTS MAY APPLY RETROACTIVELY FOR FINANCIAL ASSISTANCE FOR SERVICES UP TO 60 DAYS PRIOR. IF THE PATIENT DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE AND ALL OTHER PROGRAMS HAVE BEEN EXHAUSTED FOR PAYMENT ASSISTANCE, A PAYMENT PLAN ARRANGEMENT MAY BE MADE. BALANCES DESIGNATED BY THIRD-PARTY PAYERS AS PATIENT RESPONSIBILITY WILL BE ASSIGNED TO THE PATIENT BALANCE SEGMENT IN THE SHELTERING ARMS HOSPITAL BILLING SYSTEM. QUALIFYING PATIENT RESPONSIBLE BALANCES WILL BE BILLED DIRECTLY TO THE PATIENT BY SHELTERING ARMS. IF PAYMENT IS NOT RECEIVED WITHIN 60 DAYS, ANY UNPAID BALANCES WILL BE FORWARDED TO OUR FIRST-OUT VENDOR FOR CONTINUING COLLECTION EFFORTS TO INCLUDE PATIENT PAYMENT PLANS. ANY UNSETTLED BALANCES REMAINING AFTER A TOTAL OF 120 DAYS AFTER THE FIRST ASSIGNMENT OF BALANCES WILL BE SENT TO OUR COLLECTION AGENCY AND REMOVED FROM OUR ACTIVE ACCOUNTS RECEIVABLE AS BAD DEBT. IF THE COLLECTION AGENCY SUCCESSFULLY COLLECTS THE BALANCES, THE PATIENT ACCOUNT WILL BE REACTIVATED IN OUR ACCOUNTS RECEIVABLE SYSTEM AND THE BAD DEBT WILL BE REVERSED AND CODED AS RECOVERY. IF THE COLLECTION AGENCY IS UNSUCCESSFUL WITH COLLECTIONS AND HAS NO PAYMENT ARRANGEMENT OR A BROKEN PAYMENT ARRANGEMENT, THE ACCOUNT CAN BE PULLED BACK FROM THE COLLECTION VENDOR, THE BAD DEBT STATUS WILL REMAIN, AND COLLECTION EFFORTS WILL CEASE. PART VI, LINE 2: SHELTERING ARMS INSTITUTE ASSESSES THE SERVICE GAPS AND HEALTHCARE NEEDS OF THE COMMUNITIES WE SERVE TO IDENTIFY NEEDED PROGRAMS AND EVENTS EVERY THREE YEARS THROUGH A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT. PART VI, LINE 3: SHELTERING ARMS INSTITUTE WILL WIDELY PUBLICIZE THE SHELTERING ARMS INSTITUTE FINANCIAL ASSISTANCE POLICY. INFORMATION ON FINANCIAL ASSISTANCE WILL BE PROVIDED TO PATIENTS AND THE COMMUNITY SERVED BY SHELTERING ARMS INSTITUTE. THE FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION, AND A PLAIN LANGUAGE SUMMARY OF THE POLICY WILL BE AVAILABLE ON THE SHELTERING ARMS INSTITUTE' WEBSITE. SHELTERING ARMS INSTITUTE WILL PROVIDE HARD COPIES OF THE FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND A PLAIN LANGUAGE SUMMARY OF THE POLICY TO PATIENT UPON REQUEST, IN PERSON OR BY MAIL, AND FREE OF CHARGE. FINANCIAL ASSISTANCE INFORMATION WILL BE MADE AVAILABLE IN THE PATIENT ADMISSION INFORMATION PACKAGE AND DISCHARGE PROCESS FOR ALL PATIENTS. INFORMATION ON THE POLICY AND INSTRUCTIONS ON HOW TO CONTACT SHELTERING ARMS INSTITUTE FOR ASSISTANCE WILL BE POSTED IN AREAS THAT INCLUDE, BUT ARE NOT LIMITED TO, ADMITTING AND REGISTRATION. PATIENT STATEMENTS WILL INCLUDE INFORMATION ON THE SHELTERING ARMS INSTITUTE FINANCIAL ASSISTANCE POLICY AND ON HOW AN APPLICATION FORM MAY BE OBTAINED. SHELTERING ARMS INSTITUTE WILL PROVIDE PUBLIC NOTICES YEARLY IN LOCAL NEWSPAPERS SERVING THE HOSPITAL'S TARGET POPULATION. PART VI, LINE 4: SHELTERING ARMS INSTITUTE SERVES A REGIONAL AREA INCLUDING BUT NOT LIMITED TO VIRGINIA AND SURROUNDING STATES. PRIMARY COUNTIES IN VIRGINIA SERVED INCLUDE CAROLINE, CHARLES CITY, ESSEX, HANOVER, HENRICO, KING AND QUEEN, KING WILLIAM, LANCASTER, LOUISA, MIDDLESEX, NEW KENT, NORTHUMBERLAND, RICHMOND, AND RICHMOND CITY. PART VI, LINE 5: AS PART OF OUR COMMITMENT TO LIFELONG CARE, OUR OUTPATIENT PHYSICAL REHABILITATION CENTERS PROVIDE A SEAMLESS STREAM OF CARE AFTER PATIENTS ARE DISCHARGED FROM OUR HOSPITAL. PART VI, LINE 7, REPORTS FILED WITH STATES VA X X X 0 0 0 0 0 0 0 1 0 ALAN LOMBARDO PRESIDENT & CEO 345119 0 121825 0 810 0 9184 0 19204 0 496142 0 0 0 MATTHEW R WILKS CRO 186640 0 38241 0 535 0 10027 0 18616 0 254059 0 0 0 MISTY T WOODWARD CNO 183484 0 40489 0 571 0 4601 0 18654 0 247799 0 0 0 LINDA M TIEMENS VP QUALITY & CARE COORDINATION 148050 0 26450 0 3759 0 5715 0 6652 0 190626 0 0 0 TANZA W WESTRY AVP HOSPITAL OPERATIONS 127428 0 12497 0 567 0 2536 0 11450 0 154478 0 0 0 PART I, LINE 7 BONUSES ARE AWARDED BASED ON ACHIEVING PRE-ESTABLISHED PERFORMANCE OBJECTIVES FOLLOWING SAI'S COMPENSATION POLICY. WE LAST ENGAGED A THIRD PARTY COMPENSATION CONSULTANT IN 2022. X FURNITURE & FIXTURES, PREPAIDS AND RECEIVABLES, LLC INTEREST 1 2922004 BOOK VALUE 0 0 0 0 FORM 990, PART I, LINE 1 SHELTERING ARMS INSTITUTE (SAI) WAS CREATED AS A COLLABORATION BY SHELTERING ARMS HOSPITAL AND VCU HEALTH TO REINVENT REHABILITATION FOR LIFE BEYOND LIMITS. AS A NATIONAL LEADER IN REHABILITATION MEDICINE, SAI DELIVERS PERSONALIZED CARE IN AN ENVIRONMENT THAT SUPPORTS RECOVERY AND RESTORES POSSIBILITY THROUGH THE INTEGRATION OF COLLABORATIVE SCIENCE AND RESEARCH, INTER-PROFESSIONAL EDUCATION, COMMUNITY ENGAGEMENT, AND STEWARDSHIP. ACROSS THESE DISCIPLINES, THERE IS A CONSISTENT AND INTENTIONAL ORGANIZATIONAL CULTURE FOCUSED ON PROPELLING PATIENT OUTCOMES AND TRANSFORMING THE COURSE OF REHABILITATION MEDICINE. FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS: SAI IS A COLLABORATION BETWEEN SAH, AND VCU HEALTH TO REINVENT REHABILITATION FOR LIFE BEYOND LIMITS. AS A NATIONAL LEADER IN REHABILITATION MEDICINE, SAI DELIVERS PERSONALIZED CARE IN AN ENVIRONMENT THAT SUPPORTS RECOVERY AND RESTORES POSSIBILITY THROUGH THE INTEGRATION OF COLLABORATIVE SCIENCE AND RESEARCH, INTER-PROFESSIONAL EDUCATION, COMMUNITY ENGAGEMENT, AND STEWARDSHIP. THE ORGANIZATIONAL CULTURE IS FOCUSED ON PROPELLING PATIENT OUTCOMES AND TRANSFORMING THE COURSE OF REHABILITATION MEDICINE. IN JUNE 2020, SAI OPENED A 114-BED REHABILITATION HOSPITAL IN RICHMOND, VIRGINIA. THE HOSPITAL AND ITS CLINICIANS PROVIDE EXCEPTIONAL CARE IN ONE PLACE FOR INDIVIDUALS WHO HAVE SURVIVED STROKES, SPINAL CORD INJURIES, BRAIN INJURIES, AS WELL AS THOSE IN NEED OF GENERAL REHABILITATION FOR A VARIETY OF ILLNESSES AND INJURIES. AT THE HOSPITAL, PATIENTS HAVE ACCESS TO ADVANCED THERAPEUTIC TECHNOLOGIES IN A 9,251 SQUARE FOOT MAIN GYM AND OTHER SATELLITE GYMS. THE HOSPITAL SERVES MORE THAN 1,700 PATIENTS PER YEAR FROM AROUND VIRGINIA AND THE MID-ATLANTIC. IN JULY OF 2022, SAH DONATED ALL SEVEN OF ITS OUTPATIENT PHYSICAL REHABILITATION CENTERS TO SAI. FOR THE LAST THREE MONTHS OF THE FISCAL YEAR, SAI HAD 23,189 PATIENT VISITS. DURING THIS TIME, SAI OPENED AN OUTPATIENT PHYSICAL REHABILITATION CENTER AT THE HOSPITAL, BRINGING THE TOTAL NUMBER OF OUTPATIENT PHYSICAL REHABILITATION CENTERS TO EIGHT. AT THE SAME TIME, SAH DONATED THEIR AMBULATORY PHYSICIAN SERVICES PRACTICE UNITS TO SAI. THESE PROVIDERS PROVIDED CARE FOR 293 PATIENTS IN THE LAST THREE MONTHS OF THE FISCAL YEAR. THE OUTPATIENT OPERATIONS PROVIDE A SEAMLESS STREAM OF CARE AFTER PATIENTS ARE DISCHARGED FROM OUR HOSPITAL. THE OUTPATIENT THERAPY TREATMENT CENTERS IN THE METRO RICHMOND AREA PROVIDE SERVICES TO PATIENTS FROM ACROSS CENTRAL VIRGINIA. THE CENTERS OFFER PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIES, AS WELL AS ACCESS TO ADVANCED THERAPEUTIC TECHNOLOGIES. AS A WHOLE, THE OUTPATIENT CENTERS SERVE MORE THAN 8,000 PATIENTS ANNUALLY. THROUGH EDUCATIONAL AFFILIATIONS, INCLUDING A PHYSICIAN RESIDENCY PROGRAM WITH THE DEPARTMENT OF PHYSICAL MEDICINE AND REHABILITATION AT VCU HEALTH, SAI IS INFLUENCING THE PRACTICES AND DIVERSITY OF THE NEXT GENERATION OF HEALTHCARE PROFESSIONALS IN REHABILITATION MEDICINE. A COLLABORATIVE APPROACH TO RESEARCH, INCLUDING ACTIVE PARTNERSHIPS WITH VCU HEALTH'S CENTER FOR REHABILITATION SCIENCE AND ENGINEERING AND THE CENTRAL VIRGINIA VETERANS HEALTHCARE SYSTEM, CREATES A RESOURCE-RICH ENVIRONMENT THAT CAN SUPPORT PROGRAMS LIKE TRAUMATIC BRAIN INJURY (TBI) AND SPINAL CORD INJURY (SCI) MODEL SYSTEMS, WHICH ARE FUNDED BY FEDERAL GRANTS. THE PURSUIT OF BETTER PATIENT OUTCOMES INCLUDES PRODUCING CLINICAL RESEARCH, AS WELL AS TRANSLATING RESEARCH KNOWLEDGE INTO CLINICAL PRACTICE GUIDELINES USED BY OUR CLINICIANS. AS AN EXAMPLE OF KNOWLEDGE TRANSLATION, RESEARCH SHOWS THAT LONG-TERM PATIENT OUTCOMES IMPROVE THROUGH SUPPORTIVE RELATIONSHIPS WITH COMMUNITY PARTNER ORGANIZATIONS. TO FOSTER THOSE RELATIONS, COMMUNITY PARTNER GROUPS ARE REGULARLY ON-SITE AS A RESOURCE FOR PATIENTS AND THEIR FAMILIES. THESE RESOURCES INCLUDE PEER MENTORING, ADAPTIVE SPORTS CLINICS, ADAPTIVE TECHNOLOGIES AS WELL AS DONATED MOBILITY EQUIPMENT FOR PATIENTS WHO QUALIFY. THE ORGANIZATION IS ALSO FOCUSED ON IMPROVING PATIENT OUTCOMES THROUGH DIVERSITY, EQUITY, AND INCLUSION (DEI) INITIATIVES. THIS INCLUDES CREATING AND MAINTAINING A WORK ENVIRONMENT THAT ATTRACTS AND RETAINS CLINICIANS AND LEADERS FROM DIVERSE BACKGROUNDS THAT REPRESENT OUR PATIENT BASE. WITH PARTNERS LIKE VIRGINIA COMMONWEALTH UNIVERSITY AND HAMPTON UNIVERSITY, AN HBCU LOCATED IN HAMPTON, VIRGINIA, SAI PARTICIPATES IN WORKFORCE DEVELOPMENT PROGRAMS TO IMPROVE MINORITY REPRESENTATION IN THE RANKS OF REHABILITATION PROFESSIONALS. THE INSTITUTE IS ALSO COMMITTED TO BETTER UNDERSTANDING THE LONG-TERM OUTCOMES FOR ALL REHABILITATION PATIENTS. BY ANALYZING DATA COLLECTED BY RESEARCH PARTNERS, THE INSTITUTE SEEKS TO UNDERSTAND AND REMOVE BARRIERS SO PATIENTS CAN ACHIEVE THE BEST POSSIBLE OUTCOMES. SAI HAS MORE THAN 495 CLINICAL TEAM MEMBERS, WHICH INCLUDES PHYSICAL THERAPISTS, OCCUPATIONAL THERAPISTS, RECREATION THERAPISTS, SPEECH-LANGUAGE PATHOLOGISTS, AND NURSES, AS WELL AS A TEAM OF PHYSICIANS. THERE IS ALSO A FULL COMPLEMENT OF SUPPORT SERVICES AT THE HOSPITAL, SUCH AS LABORATORY, RADIOLOGY, RESPIRATORY THERAPY, AND PHARMACY. FORM 990, PART III, LINE 3, DESCRIPTION OF ORGANIZATION MISSION: SHELTERING ARMS INSTITUTE, A NATIONAL LEADER IN THE SCIENCE OF REHABILITATION, DELIVERS PERSONALIZED CARE IN AN ENVIRONMENT THAT SUPPORTS RECOVERY AND RESTORES POSSIBILITY THROUGH THE INTEGRATION OF COLLABORATIVE SCIENCE AND RESEARCH, INTERPROFESSIONAL EDUCATION, COMMUNITY ENGAGEMENT, AND STEWARDSHIP. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS TWO MEMBERS, SHELTERING ARMS HOSPITAL AND VIRGINIA COMMONWEALTH UNIVERSITY HOSPITAL SYSTEM AUTHORITY. FORM 990, PART VI, SECTION A, LINE 7A THE TWO MEMBERS EACH APPOINT 5 OF 10 BOARD MANAGERS. EACH MEMBER ALSO HAS THE POWER TO REMOVE ANY BOARD MANAGER WHICH THEY APPOINTED. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING DECISIONS ARE SUBJECT TO APPROVAL BY THE MEMBERS: (A) AMEND THE ARTICLES OF ORGANIZATION OR THE JOINT VENTURE OPERATING AGREEMENT; (B) APPROVE ANY MERGER, CONSOLIDATION, OR CONVERSION; SALE OR LEASE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE COMPANY; OR ACQUISITION OF ANOTHER BUSINESS OR ENTRY INTO A NEW LINE OF BUSINESS; (C) APPROVE THE CREATION OF ANY SUBSIDIARY OF THE COMPANY; (D) APPROVE ANY VOLUNTARY BANKRUPTCY OR INSOLVENCY PROCEEDING; (E) APPROVE THE VOLUNTARY DISSOLUTION OF THE COMPANY; (F) APPROVE THE TRANSFER OF UNITS BY ANY MEMBER OR AUTHORIZE OR ISSUE ADDITIONAL UNITS EXCEPT AS PERMITTED BY THE JOINT VENTURE OPERATING AGREEMENT; (G) APPROVE THE ADMISSION OF NEW MEMBER(S) AND THE SPECIFIC TERMS AND CONDITIONS UPON WHICH NEW MEMBER(S) WILL BE ADMITTED: (H) APPROVE THE ENTRY INTO ANY NEW CONTRACT WITH A MEMBER OR ITS AFFILIATES; (I) APPROVE THE NEW FACILITY LEASE; (J) APPROVE ANY ADDITIONAL CAPITAL CONTRIBUTION, OTHER THAN THOSE DESCRIBED IN THE PARTICIPATION AGREEMENT; (K) INCUR ANY INDEBTEDNESS OR GUARANTEE ANY INDEBTEDNESS IN EXCESS OF $500,000 IN THE AGGREGATE FOR A SINGLE EXPENDITURE OR ANY SERIES OF RELATED EXPENDITURES; (L) APPROVE ANY GUARANTEES OF THE DEBT OF THE COMPANY BY THE MEMBERS: (M) TAKE OR AUTHORIZE ANY ACTION THAT WOULD CAUSE THE COMPANY, THE NEW HOSPITAL, OR ANY MEMBER TO OPERATE IN A MANNER INCONSISTENT WITH THE COMMUNITY BENEFIT STANDARD ARTICULATED BY THE INTERNAL REVENUE SERVICE, CAUSE VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM (VCUHS) TO ACT IN A MANNER THAT WOULD VIOLATE OR THAT WOULD BE REASONABLY LIKELY TO VIOLATE THE FINDINGS, MISSION, OR PURPOSE FOR WHICH VCUHS WAS CREATED UNDER THE VCUHS ACT, OR OTHERWISE CAUSE THE COMPANY, THE NEW HOSPITAL, OR ANY MEMBER TO ACT IN VIOLATION OF ITS FEDERAL, STATE, OR LOCAL TAX-EXEMPTION AND/OR CHARITABLE PURPOSE; OR (N) ENTER INTO ANY NEW AFFILIATION OR SIMILAR AGREEMENT FOR THE TRAINING OF STUDENTS, RESIDENTS, OR FELLOWS OTHER THAN WITH VCUHS OR VIRGINIA COMMONWEALTH UNIVERSITY WITHOUT THE CONSENT OF VCUHS, WHICH SHALL NOT BE UNREASONABLY WITHHELD. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 AND APPLICABLE ATTACHMENTS WERE PROVIDED TO THE BOARD OF MANAGERS EITHER IN ELECTRONIC FORMAT OR BY MAIL. AN OPEN COMMENT AND QUESTION PERIOD WAS WELCOMED TO DIRECT ANY QUESTIONS OR COMMENTS BEFORE FILING THE FORM 990 AND ITS RELATED ATTACHMENTS. FORM 990, PART VI, SECTION B, LINE 12C BOARD MANAGERS ARE REQUIRED TO REVIEW AND SIGN A COPY OF THE CONFLICT OF INTEREST POLICY ANNUALLY. ANY CONFLICTS ARE DISCLOSED AT THAT TIME AND THE SIGNED POLICY IS KEPT ON FILE BY THE ORGANIZATION. IN THE EVENT A POTENTIAL CONFLICT ARISES DURING THE YEAR, THE MANAGER WITH SUCH CONFLICT MUST RECUSE HIM/HERSELF FROM ALL DISCUSSIONS AND VOTE ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 15 THE CEO HAS A WRITTEN EMPLOYMENT CONTRACT APPROVED BY THE BOARD. THE BOARD USED LEGAL COUNSEL TO DRAFT THE AGREEMENT AND GUIDE THEM ON THE COMPENSATION AMOUNT, INCLUDING THE USE OF A COMPENSATION SPECIALIST. CERTAIN OTHER OFFICERS OF SAI ARE EMPLOYED BY SHELTERING ARMS HOSPITAL. DEPENDING ON THE INDIVIDUAL, EITHER SHELTERING ARMS HOSPITAL OR SHELTERING ARMS INSTITUTE UTILIZES THE SERVICES OF AN INDEPENDENT, EXTERNAL COMPENSATION FIRM TO CONDUCT A REVIEW OF ITS EXECUTIVE COMPENSATION PROGRAM TO ENSURE THE EXECUTIVE COMPENSATION LEVELS ARE COMPETITIVE AND REASONABLE. SHELTERING ARMS COMPENSATION WAS MEASURED AGAINST HEALTHCARE ORGANIZATIONS SIMILAR IN SCOPE AND SCALE USING DATA FROM SIX EXTERNAL MARKET SURVEY SOURCES AS THE COMPARATIVE BASIS; BOTH BASE SALARY AND TOTAL CASH COMPENSATION WERE EVALUATED. THE COMPETITIVE ANALYSIS FINDINGS WERE PRESENTED TO THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS WHO EXAMINED AND APPROVED THEM. IN ADDITION, THE COMPENSATION COMMITTEE EVALUATES PERFORMANCE, COMPENSATION SURVEYS, AND CONTRACT TERMS AND CONDITIONS ANNUALLY BEFORE DETERMINING AND RECOMMENDING COMPENSATION. ALL COMPENSATION COMMITTEE DISCUSSIONS ARE DOCUMENTED IN FORMAL MINUTES. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST, SHELTERING ARMS INSTITUTE WILL MAKE AVAILABLE FOR PUBLIC INSPECTION GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, RELATED POLICIES, AND FINANCIAL STATEMENTS. FORM 990, PART IX, LINE 11G ADMINISTRATIVE SERVICES PROVIDED BY MEMBER: PROGRAM SERVICE EXPENSES 3,186,450. MANAGEMENT AND GENERAL EXPENSES 3,186,450. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,372,900. CONSULTING: PROGRAM SERVICE EXPENSES 855,621. MANAGEMENT AND GENERAL EXPENSES 149,319. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,004,940. PATIENT RELATED SERVICES: PROGRAM SERVICE EXPENSES 2,064,156. MANAGEMENT AND GENERAL EXPENSES 422,937. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,487,093. SHELTERING ARMS PHYSICAL REHABILITATION ASSOCIATES LLC 8226 MEADOWBRIDGE ROAD MECHANICSVILLE VA 23116 260402064 PHYSICAL REHABILITATION VA 131993 247351 REHAB JV LLC