2022-08-12T07:33:27-05:00 2021-09-30 560574444 CHERRY BEKAERT LLP 200 SOUTH 10TH ST STE 900 RICHMOND VA 23219 990 2020-10-01 814446403 REHAB JV LLC DBA SHELTERING ARMS INSTITUTE REHA 8048774000 2000 WILKES RIDGE DR RICHMOND VA 23233 JAMES S LITSINGER CFO 8048774000 2022-08-11 1 JAMES LITSINGER 999009999 AMANDA ADAMS P00748038 8046735700 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z ALAN LOMBARDO 2000 WILKES RIDGE DR RICHMOND VA 23233 58443805 0 X HTTPS://SHELTERINGARMSINSTITUTE.COM X LLC 2016 VA SEE SCHEDULE O 10 10 634 0 0 0 0 254860 10187876 58188945 0 0 0 0 10187876 58443805 0 0 0 0 7711633 28669783 0 0 0 9562492 34165628 17274125 62835411 -7086249 -4391606 21839432 20485656 17484013 19637805 4355419 847851 SEE SCHEDULE O 0 0 51245203 0 58188945 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 10,000 SQUARE FOOT MAIN THERAPY GYM, THREE SATELLITE GYMS, AND THROUGHOUT THE HOSPITAL. DURING FISCAL YEAR 2020-2021, SAI SERVED MORE THAN 2,100 PATIENTS FROM AROUND VIRGINIA AND THE MID-ATLANTIC REGION.SEE SCHEDULE O FOR ADDITIONAL DETAILS 51245203 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 0 0 0 0 0 0 0 0 0 1 15 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 LAWRENCE E GIBSON CHAIR 1.00 X X 0 0 0 DEBORAH DAVIS CO-CHAIR 1.00 X X 0 0 0 RYAN RAISIG SECRETARY & TREASURER 1.00 X X 0 0 0 DR DAVID X CIFU DIRECTOR 1.00 X 0 0 0 DR ILVY COTTERELL DIRECTOR 1.00 X 0 0 0 TRICIA P CUSHNIE DIRECTOR 1.00 X 0 0 0 ASHBY R HACKNEY DIRECTOR 1.00 X 0 0 0 DR DIANNE V JEWELL DIRECTOR 1.00 X 0 0 0 PAUL V WESOLOWSKI DIRECTOR 1.00 X 0 0 0 DR PETER ZEDLER DIRECTOR 1.00 X 0 0 0 ALAN LOMBARDO PRESIDENT & CEO 40.00 X 212853 0 13295 JAMES S LITSINGER CFO 15.00 X 0 0 0 MISTY WOODWARD CNO 40.00 X 158562 0 13335 MATT WILKS CRO 40.00 X 149760 0 18372 521175 0 45002 21 0 1 0 SHELTERING ARMS HOSPITAL 8226 MEADOWBRIDGE ROAD MECHANICSVILLE VA 23116 ADMINISTRATIVE/IT 6528165 VCU HEALTH 57 N 11TH STREET RICHMOND VA 23298 HOSPITAL MANAGEMENT 5510816 ABM HEALTH 711 MOOREFIELD PARK DR RICHMOND VA 23236 FNS AND EVS MGMT 2582739 QUALIVIS LLC 2000 CENTER POINT RD STE 2285 COLUMBIA SC 29210 STAFFING 578655 DVA HEALTHCARE RENAL CARE INC 14 CLAIRTON BLVD PITTSBURGH PA 15236 RENAL CARE 432123 12 254860 254860 NET PATIENT SERVICE REVENUE 621400 57971707 57971707 FOOD SERVICE REVENUE 722514 136476 136476 SHARED SERVICES 541900 55608 55608 25154 25154 58188945 58443805 58188945 0 0 X 917901 842403 75498 22720174 21000371 1719803 535983 454247 81736 2775166 2351959 423207 1720559 1458177 262382 106135 53068 53067 54045 54045 11663947 7131537 4532410 461654 323813 137841 106282 71691 34591 3653924 1835595 1818329 6886309 5511850 1374459 6008 4686 1322 353679 288442 65237 1635896 1310010 325886 259122 129561 129561 PATIENT/DEPT SUPPLIES 5183343 4878495 304848 FOOD SERVICES 2062943 1959796 103147 PHARMACY 1336329 1269513 66816 EQUIPMENT 263325 248355 14970 132687 121634 11053 62835411 51245203 11590208 0 4333586 1495205 6200514 8321200 522129 345428 30602 69231 12353486 2098894 10752601 10254592 21839432 20485656 5259886 4365236 9300000 12300000 2924127 2972569 17484013 19637805 X 4355419 847851 4355419 847851 21839432 20485656 X -4391606 884038 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12247076 2081814 10165262 106410 17080 89330 10254592 DUE TO MEMBERS 2972569 2972569 X 58443805 0 58443805 0 58443805 62835411 0 62835411 0 62835411 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, 2021, 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 0 1141000 1141000 0.01820 10602252 7943943 2658309 0.04250 11743252 7943943 3799309 0.06070 299000 299000 0.00480 312618 312618 0.00500 611618 611618 0.00980 12354870 7943943 4410927 0.07050 1 156067 17260 31039552 30963971 75581 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 1 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 2: IN 2020, HOSPITAL FACILITY CONSTRUCTION WAS COMPLETED, A LICENSE WAS OBTAINED, AND REHABILITATION SERVICES BEGAN TO BE PROVIDED TO PATIENTS. 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, IT WILL BE REQUIRED TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT NO LATER THAN ITS TAXABLE YEAR ENDING SEPTEMBER 30, 2022 AND PLANS TO DO SO. 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 2020-2021 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, WE PARTNER WITH SHELTERING ARMS HOSPITAL OUTPATIENT OPERATIONS WHICH PROVIDES 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 212853 0 0 0 0 0 750 0 12545 0 226148 0 0 0 MISTY WOODWARD CNO 118062 0 40500 0 0 0 1146 0 12189 0 171897 0 0 0 MATT WILKS CRO 111510 0 38250 0 0 0 6208 0 12164 0 168132 0 0 0 PART I, LINE 7 BONUSES WERE AWARDED DURING THE YEAR BASED ON PERFORMANCE. THE DETERMINATION OF THE AMOUNT OF THE BONUS WAS MADE BY EITHER THE COMPENSATION COMMITTEE OR THE VP OF HR DEPENDING ON THE INDIVIDUAL INVOLVED. 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: SHELTERING ARMS INSTITUTE (SAI) WAS CREATED AS A COLLABORATION BETWEEN SHELTERING ARMS CORPORATION 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. IN ALL CLINICAL DISCIPLINES AND SUPPORT STAFF, THERE IS A CONSISTENT AND INTENTIONAL ORGANIZATIONAL CULTURE FOCUSED ON PROPELLING PATIENT OUTCOMES AND TRANSFORMING THE COURSE OF REHABILITATION MEDICINE. IN JUNE 2020, SAI OPENED ITS 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 SAI, PATIENTS HAVE ACCESS TO ADVANCED THERAPEUTIC TECHNOLOGIES IN A 9,000 SQUARE FOOT MAIN GYM AND OTHER SATELLITE GYMS. SAI SERVES MORE THAN 2,100 PATIENTS PER YEAR FROM AROUND VIRGINIA AND THE MID-ATLANTIC. COLLABORATION IS LEVERAGED THROUGHOUT THE INSTITUTE TO BENEFIT PATIENT OUTCOMES. CARE TEAMS WORK TOGETHER TO UNDERSTAND THE PATIENT'S GOALS AND DELIVER THE BEST MIX OF TREATMENTS AND INTERVENTIONS. 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 THROUGH CLINICAL SCIENCE AND RESEARCH INCLUDES A CONCERTED EFFORT TO BE EFFECTIVE STEWARDS OF RESEARCH KNOWLEDGE. TO THIS END, CLINICAL LEADERS ACTIVELY ENGAGE IN KNOWLEDGE TRANSLATION SO THAT SAI'S CLINICAL PRACTICE GUIDELINES ARE ALIGNED WITH CURRENT RESEARCH. AS AN EXAMPLE, RESEARCH SHOWS THAT LONG-TERM PATIENT OUTCOMES IMPROVE THROUGH SUPPORTIVE RELATIONSHIPS WITH COMMUNITY PARTNER ORGANIZATIONS. TO FOSTER THOSE RELATIONS, COMMUNITY PARTNER GROUPS ARE REGULARLY ONSITE 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. SIMULTANEOUSLY, THE ORGANIZATION IS 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, A HISTORICALLY BLACK COLLEGE AND UNIVERSITY 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. SAI ANALYZES DATA COLLECTED BY RESEARCH PARTNERS TO UNDERSTAND AND REMOVE IMPEDIMENTS AND DISPARITIES TO PROVIDE THE BEST POSSIBLE OUTCOMES FOR ALL PATIENTS. SAI HAS MORE THAN 425 CLINICAL TEAM MEMBERS ON STAFF, WHICH INCLUDES PHYSICAL THERAPISTS, OCCUPATIONAL THERAPISTS, RECREATION THERAPISTS, SPEECH LANGUAGE PATHOLOGISTS AND NURSES, AS WELL AS A TEAM OF INPATIENT PHYSICIANS. THERE IS ALSO A FULL COMPLEMENT OF SUPPORT SERVICES ONSITE, 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 4,124,856. MANAGEMENT AND GENERAL EXPENSES 4,124,856. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,249,712. PURCHASED SERVICES - HEALTHCARE RELATED: PROGRAM SERVICE EXPENSES 2,855,063. MANAGEMENT AND GENERAL EXPENSES 311,484. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,166,547. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 151,618. MANAGEMENT AND GENERAL EXPENSES 96,070. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 247,688. FORM 990, PART XI, LINE 9: NET CAPITAL CONTRIBUTION FROM SHELTERING ARMS HOSPITAL 884,038.