2021-08-13T14:42:56-05:00 2020-09-30 560574444 CHERRY BEKAERT LLP 200 SOUTH 10TH ST STE 900 RICHMOND VA 23219 990 2019-10-01 540505955 SHELTERING ARMS HOSPITAL SHEL 8047641000 8226 MEADOWBRIDGE ROAD MECHANICSVILLE VA 23116 JAMES S LITSINGER CFO 8047641000 2021-08-12 1 AMANDA ADAMS P00748038 8046735700 2019 2022-09-23 18:48:47Z X DIANNE JEWELL 8226 MEADOWBRIDGE ROAD MECHANICSVILLE VA 23116 43392349 0 X WWW.SHELTERINGARMS.COM X 1941 VA THE MISSION OF SHELTERING ARMS IS TO INCREASE ACCESS TO INNOVATIVE REHABILITATIVE CARE OF THE HIGHEST CALIBER THROUGH A CONTINUUM OF SERVICES THAT ENHANCES THE QUALITY OF LIFE FOR THE PEOPLE WE SERVE. 14 14 684 15 0 0 10592355 15225535 33224086 28166814 1057 -86912 0 0 43817498 43305437 9066 159371 0 0 21156256 17045334 0 0 0 11557021 15305460 32722343 32510165 11095155 10795272 33940291 35365777 6761385 9024675 27178906 26341102 X THE MISSION OF SHELTERING ARMS IS TO INCREASE ACCESS TO INNOVATIVE REHABILITATIVE CARE OF THE HIGHEST CALIBER THROUGH A CONTINUUM OF SERVICES THAT ENHANCES THE QUALITY OF LIFE FOR THE PEOPLE WE SERVE. 0 1 27302507 158550 28042063 INPATIENT PHYSICAL REHABILITATION SERVICES: SHELTERING ARMS HOSPITAL OPERATED A 40-BED ACUTE PHYSICAL REHABILITATION INPATIENT HOSPITAL IN MECHANICSVILLE, VIRGINIA. THE PRIMARY SERVICE AREA WAS CENTRAL VIRGINIA; HOWEVER, PATIENTS WERE ADMITTED FROM ACROSS VIRGINIA AND SURROUNDING STATES. DURING FISCAL YEAR 2020, 577 PATIENTS WERE ADMITTED RESULTING IN 9,252 PATIENT DAYS. IN JUNE OF 2020, ALL HOSPITAL BED LICENSES WERE TRANSFERRED TO SHELTERING ARMS INSTITUTE, A COLLABORATION WITH VCU HEALTH, AND OPERATIONS AT THE CURRENT HOSPITAL CEASED.OUTPATIENT PHYSICAL REHABILITATION SERVICES: SHELTERING ARMS HOSPITAL HANOVER PROVIDED OUTPATIENT PHYSICAL REHABILITATION SERVICES ON THE HANOVER HOSPITAL CAMPUS AND CONTINUES TO PROVIDE SERVICES AT SEVEN ADDITIONAL LOCATIONS THROUGHOUT THE RICHMOND AREA. THE OUTPATIENT CONTINUUM OF SERVICES INCLUDES ORTHOPEDIC REHABILITATION SERVICES, NEUROLOGICAL REHABILITATION SERVICES, PHYSICIAN AND PSYCHOLOGY REHABILITATION SERVICES, AND OUTPATIENT REHABILITATION THERAPIES. DURING FISCAL YEAR 2020, SHELTERING ARMS HOSPITAL PROVIDED OUTPATIENT THERAPY RESULTING IN 74,721 THERAPY VISITS. FOR FISCAL YEAR 2020, PHYSICIAN AND PSYCHOLOGY SERVICES RESULTED IN 4,198 PATIENT VISITS. 7372 821 CHARITY CARE AND COMMUNITY SUPPORT: SHELTERING ARMS HOSPITAL HANOVER ACCEPTED PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND PROVIDED FINANCIAL ASSISTANCE FOR MEDICAL BILLS TO QUALIFIED PATIENTS LACKING ADEQUATE FINANCIAL RESOURCES. FINANCIAL ASSISTANCE IS ALSO OFFERED FOR THE PARTNER FOR L.I.F.E. SERVICES. DURING FISCAL YEAR 2020, CHARITY CARE AND/OR FINANCIAL ASSISTANCE RESULTED IN TOTAL DISCOUNTED CHARGES FOREGONE BY SHELTERING ARMS HOSPITAL OF $544,614. IN FISCAL YEAR 2020, SHELTERING ARMS HOSPITAL ALSO TRANSPORTED PATIENTS PARTICIPATING IN PATIENT THERAPY AT AN UNREIMBURSED COST OF $6,551. SHELTERING ARMS HOSPITAL ALSO PROVIDED FREE MOBILITY AND THERAPY EQUIPMENT AND PHARMACY ASSISTANCE TO THOSE PATIENTS WHO QUALIFIED FOR USE DURING THEIR RECOVERY AT HOME. THE COST OF PROVIDING THIS ASSISTANCE WAS $821. 1244262 124751 THE BENEFITS OF PHYSICAL AND RECREATIONAL ACTIVITY PARTICIPATION HIGHLIGHT A NEED FOR INDIVIDUALS WITH PHYSICAL DISABILITIES, THE AGING POPULATION, AND INDIVIDUALS MANAGING CHRONIC CONDITIONS TO ACCESS SERVICES THAT CAN POSITIVELY IMPACT QUALITY OF LIFE AND PHYSICAL ACTIVITY LEVEL. SHELTERING ARMS IS DEDICATED TO HELPING PEOPLE FIND THE POWER TO OVERCOME SERIOUS SETBACKS FOLLOWING ILLNESS, INJURY, OR ACCIDENT THROUGH INTERNATIONALLY RECOGNIZED PHYSICAL REHABILITATION PROGRAMS. THE SHELTERING ARMS COMMITMENT DOES NOT END WHEN THERAPY OR PHYSICIAN SERVICES ARE COMPLETE. SHELTERING ARMS ALSO PROVIDES A COMPREHENSIVE PORTFOLIO OF UNIQUE, COMMUNITY-BASED RECREATION AND HEALTH AND WELLNESS SERVICES TO MEET THE NEEDS OF THE COMMUNITY. THESE SERVICES MAKE UP THE PARTNER FOR L.I.F.E. (LEISURE, INTERACTION, FITNESS, AND ENJOYMENT) PROGRAM, WHICH EMPOWERS INDIVIDUALS TO EMBRACE A LIFETIME OF RECREATION AND WELLNESS. OUR UNIQUE PROGRAMMING PROVIDES AN OPPORTUNITY FOR PEOPLE TO RE-ENGAGE IN ACTIVITIES THEY ONCE ENJOYED AND MAINTAIN AN ACTIVE SOCIAL AND PHYSICAL LIFESTYLE DESPITE ANY LIMITATIONS. THE SERVICES PROVIDED ARE OPEN TO THE PUBLIC AND MOST OF THE SERVICES DO NOT REQUIRE A PHYSICIAN REFERRAL. SERVICES OFFERED INCLUDE: GROUP RECREATION, SOCIAL EVENTS, AND SPECIAL EVENT PROGRAMS SUCH AS ADAPTIVE GOLF, ADAPTIVE BOWLING, ACCESSIBLE TRAVEL, AND FISHING OUTINGS. THESE PROGRAMS PROVIDE OPPORTUNITIES FOR INDIVIDUALS WITH DISABILITIES TO PARTICIPATE IN ORGANIZED RECREATION ACTIVITIES. RECREATIONAL THERAPISTS, VOLUNTEERS, AND ADAPTIVE RECREATION EQUIPMENT ARE PROVIDED AT EACH PROGRAM TO ENSURE SUCCESSFUL PARTICIPATION REGARDLESS OF PHYSICAL LIMITATION. IN FISCAL YEAR 2020, THERE WERE 7 EVENTS TOTALING 125 PARTICIPANTS. THERAPEUTIC POOL AND FITNESS CENTER MEMBERSHIPS. IN ADDITION TO RECREATION EVENTS, PARTNER FOR L.I.F.E. SERVICES FOCUS ON THE NECESSITY OF MAINTAINING PHYSICAL ACTIVITY TO CONTINUE AN ACTIVE LIFESTYLE, MAINTAIN PROGRESS ACHIEVED IN SKILLED THERAPY, AS WELL AS PREVENT FUTURE INJURY OR ILLNESS. WE HAVE A WARM-WATER THERAPEUTIC POOL AND FITNESS CENTER OFFERING POOL AND FITNESS MEMBERSHIPS, AQUATIC AND LAND-BASED GROUP EXERCISE CLASSES, AND PERSONAL TRAINING SERVICES TO THE COMMUNITY. OUR WARM-WATER THERAPEUTIC POOL PROVIDES A RAMP FOR WHEELCHAIR ENTRY INTO THE WATER, SUBMERGED PARALLEL BARS, AND LAP-LANE SWIMMING FOR THOSE WHO FIND LESS PAIN AND INCREASED RANGE OF MOTION IN A WARM-WATER ENVIRONMENT. POOL AND FITNESS MEMBERSHIPS PROVIDE A TRANSITION PLAN FOR PATIENTS BEING DISCHARGED FROM INPATIENT AND OUTPATIENT PHYSICAL REHABILITATION THE OPPORTUNITY TO CONTINUE TO ENGAGE IN PHYSICAL ACTIVITY. FITNESS SPECIALISTS PROVIDE FITNESS MEMBERS WITH PERSONALIZED ATTENTION, AS WELL AS PERSONAL TRAINING SERVICES FOR THOSE WHO ARE INTERESTED IN INDIVIDUALIZED GOAL SETTING AND EXERCISE PROGRAMS DESIGNED TO MEET THEIR NEEDS. SHELTERING ARMS FITNESS CENTERS HAVE SEEN SIGNIFICANT GROWTH IN SILVER SNEAKER MEMBERS. THIS COMMUNITY PROGRAM PROVIDES FINANCIAL FITNESS MEMBERSHIP SUPPORT FOR THOSE WITH A SILVER SNEAKER WELLNESS OPTION THROUGH THEIR PRIVATE INSURANCE COMPANY.PERSONAL TRAINING SERVICES. EXERCISE PHYSIOLOGISTS AT OUR BON AIR, REYNOLDS, AND HANOVER LOCATIONS PROVIDE PERSONAL TRAINING SERVICES TO THOSE TRANSITIONING FROM OUTPATIENT THERAPY SERVICES WHILE ALSO PROVIDING PERSONAL TRAINING SERVICES TO THE COMMUNITY FOR INJURY AND ILLNESS PREVENTION AND OVERALL WELLNESS. EXERCISE PHYSIOLOGISTS CONDUCTED 4,500 PERSONAL TRAINING VISITS. GROUP EXERCISE CLASSES. FOR THE SECOND YEAR, BOTH ADAPTIVE YOGA AND STROKE CIRCUIT GROUP EXERCISE CLASSES WERE HELD AT OUR HANOVER LOCATION. OUR AQUATIC GROUP EXERCISE CLASSES WERE REDEFINED, OFFERING A CHANGE IN CLASS OFFERINGS TO MEET PARTICIPANTS' NEEDS. SPECIALTY PARKINSON'S DISEASE GROUP EXERCISE CLASSES ARE OFFERED AT OUR BON AIR AND MIDTOWN LOCATIONS. OUR PARKINSON'S WELLNESS RECOVERY BI-WEEKLY GROUP EXERCISE CLASS AT BON AIR AND POWER PUNCH, A PARKINSON'S BOXING CLASS AT MIDTOWN, HAVE SEEN SIGNIFICANT GROWTH IN THE PAST YEAR.EDUCATIONAL SEMINARS. HEALTH AND WELLNESS EDUCATION SESSIONS RELATING TO SENIOR SAFETY, COGNITIVE WELLNESS, NUTRITION, AND HEALTHY EATING ON A BUDGET WERE HELD AT THE BON AIR FACILITY. IT'S NEVER 2 LATE (IN2L) ADAPTIVE TECHNOLOGY CONTINUES TO ASSIST WITH GROUP PROGRAM OFFERINGS. THE IN2L IS ONE PIECE OF TECHNOLOGY THAT IS UTILIZED BY ALL DISCIPLINES AS A THERAPEUTIC TOOL BY ALL CLINICIANS, ASSISTS RECREATIONAL THERAPISTS WITH PROGRAM PLANNING, AND SUPPORTS PATIENT ENGAGEMENT IN BOTH THE INPATIENT HOSPITAL SETTING AND CLUB REC PROGRAM DURING PATIENTS AND MEMBERS' FREE TIME.CHRONIC DISEASE AND DIABETES SELF-MANAGEMENT CLASSES. CHRONIC DISEASE SELF-MANAGEMENT, DIABETES SELF-MANAGEMENT, MATTER OF BALANCE, AND HEALTHY HABITS CLASSES WERE OFFERED FREE TO THE COMMUNITY THROUGH PARTNERSHIP WITH LOCAL SENIOR AND HEALTHCARE AGENCIES. THE GOAL OF THE PROGRAM IS FOR PARTICIPANTS TO LEARN STRATEGIES TO IMPLEMENT HEALTHY LIFESTYLE CHANGES TO SUCCESSFULLY MANAGE THEIR CHRONIC CONDITION. THIS YEAR, MATTER OF BALANCE AND HEALTHY HABITS CLASSES WERE NEW ADDITIONS TO THE WELLNESS CLASS OFFERINGS. THESE PROGRAMS WERE LED BY CERTIFIED INSTRUCTORS TRAINED ON EVIDENCE-BASED CURRICULUM TEACHING STRATEGIES FOR OVERCOMING THE FEAR OF FALLING, AS WELL AS NUTRITION TIPS FOR EATING HEALTHY. THESE PROGRAMS ARE OPEN TO SHELTERING ARMS PATIENTS AS WELL AS THE COMMUNITY. DURING FISCAL YEAR 2020, WE HAD 94 PARTICIPANTS IN OUR WELLNESS CLASS SERIES.POWEREX. POWEREX IS A PHYSICIAN-REFERRED, SEMI-SUPERVISED EXERCISE PROGRAM FOR INDIVIDUALS WHO ARE NOT SURE OF THEIR NEXT STEPS AFTER THERAPY OR THOSE WHO ARE LOOKING TO ESTABLISH A HEALTHIER LIFESTYLE THROUGH EXERCISE. WE UTILIZE A HYBRID APPROACH COMBINING ONE-ON-ONE SESSIONS WITH AN EXERCISE PHYSIOLOGIST AND INDEPENDENT WORKOUT SESSION TO HELP PATIENTS FEEL COMFORTABLE AND CONFIDENT WITH THEIR EXERCISE PROGRAM.NEUROFIT. NEUROFIT IS AN AN EXERCISE RECOVERY PROGRAM FOR INDIVIDUALS WITH NEUROLOGICAL CONDITIONS. EXERCISE PHYSIOLOGISTS UTILIZE ADVANCED TECHNOLOGIES TO PROVIDE UNIQUE PERSONAL TRAINING SERVICES FOR THE NEUROLOGICALLY IMPAIRED. NEUROFIT FITNESS SPECIALISTS PROVIDED 1,428 TRAINING SESSIONS WITH A GOAL OF ENSURING LIFELONG PHYSICAL ACTIVITY AFTER INJURY OR ILLNESS.CLUB REC DAY RECREATION PROGRAM. CLUB REC IS A NON-MEDICALLY BASED SOCIAL RECREATION PROGRAM PROVIDING OPPORTUNITIES FOR FITNESS, WELLNESS, RECREATION, SOCIALIZATION, AND COMMUNITY REINTEGRATION FOR MEMBERS UP TO FIVE DAYS PER WEEK. SHELTERING ARMS CERTIFIED THERAPEUTIC RECREATION SPECIALISTS CREATE A MONTHLY CALENDAR WITH ACTIVITIES AND SERVICES THAT ADDRESS THE SEVEN DIMENSIONS OF HEALTH AND WELLNESS. PROGRAMS PLANNED INCLUDE SOCIAL, RECREATIONAL, PHYSICAL, EMOTIONAL, AND COGNITIVE ACTIVITIES AS WELL AS OPPORTUNITIES FOR COMMUNITY REINTEGRATION AND CIVIC ENGAGEMENT. CLUB REC FOCUSES ON ENHANCING QUALITY OF LIFE FOR THOSE RECOVERING FROM INJURY OR ILLNESS. MEMBERS ENROLLED IN CLUB REC HAVE OPPORTUNITIES TO UTILIZE THE ON-SITE FITNESS CENTER, THERAPEUTIC POOL, AND COMPUTER LAB AS WELL AS PARTICIPATE IN SPIRITUALITY GROUP AND COMMUNITY OUTINGS. IN FISCAL YEAR 2020, CLUB REC HAD 3,246 VISITS TO THE PROGRAM. THIS YEAR, CLUB REC IMPLEMENTED MUSIC THERAPY INTO THE PROGRAM CREATING THE FIRST CLUB REC CHOIR. THE MUSIC THERAPIST LEADS TWO SESSIONS PER MONTH ENGAGING PARTICIPANTS IN GROUP MUSIC THERAPY SESSIONS. A MATTER OF BALANCE AND HEALTHY HABITS EDUCATION SESSIONS WERE CONDUCTED BY CERTIFIED INSTRUCTORS PROVIDING WELLNESS EDUCATION RELATED TO FALL PREVENTION AND NUTRITION. A PARTNERSHIP WITH CHECK POINT ONE WAS IMPLEMENTED PROVIDING MEMBERS THE OPPORTUNITY TO ENGAGE IN GROUNDWORK WITH HORSES AND LEARN ABOUT RELATIONSHIP BUILDING AND CARING FOR EQUINES. CHECK POINT ONE ALSO PROVIDES OPPORTUNITIES FOR ADAPTIVE YOGA ON SITE PRIOR TO INTERACTING WITH THE HORSES.COMMUNITY OUTREACH PRESENTATIONS. IN 2020, THE PARTNER FOR L.I.F.E. DEPARTMENT CONTINUED TO PROVIDE COMMUNITY OUTREACH PRESENTATION TO LOCAL AMPUTEE, BARIATRIC, MULTIPLE SCLEROSIS, PARKINSON'S DISEASE, AND STROKE SUPPORT GROUPS TO SHARE INFORMATION ON STRATEGIES TO STAY ENGAGED IN PHYSICAL, SOCIAL, AND RECREATIONAL ACTIVITIES WHILE MANAGING CHRONIC HEALTH CONDITIONS.IN SUMMARY, DURING FISCAL YEAR 2020, THE FITNESS, RECREATION, AND WELLNESS PROGRAMS RECORDED 13,950 COMMUNITY MEMBERSHIP VISITS TO THE POOLS AND FITNESS CENTERS, 2,826 GROUP EXERCISE CLASS PARTICIPANTS, AND A TOTAL OF 24,827 VISITS IMPACTING QUALITY OF LIFE. AS WE CONTINUE TO FACE THE TRANSITION OF HEALTHCARE IN OUR COMMUNITY, THE FOCUS OF HEALTH, WELLNESS, AND PREVENTION CONTINUE TO EMERGE AS CRITICAL COMPONENTS IN LIFELONG CARE. SHELTERING ARMS PARTNERS FOR LIFE SERVICES PROVIDE A UNIQUE NICHE FOR INDIVIDUALS WITH PHYSICAL DISABILITIES, AS WELL AS THE COMMUNITY, TO MAINTAIN AN ACTIVE AND HEALTHY LIFESTYLE. 28554141 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 23 0 1 684 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 1 1 0 1 1 0 1 1 1 1 1 1 0 1 1 1 0 VA X JAMES S LITSINGER CFO 8043424340 8226 MEADOWBRIDGE ROAD MECHANICSVILLE VA 23116 ASHBY R HACKNEY CHAIR 2.00 3.00 X X 0 0 0 JOHN D BURNS VICE CHAIR 2.00 3.00 X X 0 0 0 HOLLY ANTRIM 2ND VICE CHAIR 2.00 3.00 X X 0 0 0 PETER H BOWLES DIRECTOR 2.00 3.00 X 0 0 0 W LEE CHENEY III DIRECTOR 2.00 3.00 X 0 0 0 DAVID E CONSTINE III DIRECTOR 2.00 3.00 X 0 0 0 PATRICIA B CUSHNIE DIRECTOR 2.00 3.00 X 0 0 0 TERESA REYNOLDS DIMARCO DIRECTOR 2.00 3.00 X 0 0 0 SANDRA M DOUGLAS DIRECTOR 2.00 3.00 X 0 0 0 LAWRENCE E GIBSON DIRECTOR 2.00 3.00 X 0 0 0 DIANNE V JEWELL DIRECTOR 2.00 3.00 X 0 0 0 THEODORE PRICE DIRECTOR 2.00 3.00 X 0 0 0 LESLIE WYATT DIRECTOR 2.00 3.00 X 0 0 0 DR PETER ZEDLER DIRECTOR 2.00 3.00 X 0 0 0 MARY A ZWEIFEL PRESIDENT & CEO 15.00 25.00 X 497177 0 25784 JAMES S LITSINGER CFO 10.00 40.00 X 348375 0 31341 AMANDA WORLEY VP HR & SECRETARY 15.00 25.00 X 202074 0 26560 HILLARY S HAWKINS MEDICAL DIRECTOR - SAH 20.00 20.00 X 463331 0 13455 TIMOTHY M SILVER MEDICAL DIRECTOR - SAHS 20.00 20.00 X 426937 0 29627 GREGORY LEGHART PHYSICIAN 20.00 20.00 X 352860 0 30982 AARON M JONES PHYSICIAN 20.00 20.00 X 300075 0 22001 JOHN L MCELROY III PRESIDENT - SAF 0.00 40.00 X 274910 0 31377 2865739 0 211127 40 0 1 0 MEMORIAL REGIONAL MEDICAL 8260 ATLEE ROAD MECHANICSVILLE VA 23116 HOSPITAL ANCILLARY & SUPPORT 2174350 TROUTMAN SANDERS LLP 600 PEACHTREE ST NE 3000 ATLANTA GA 30308 ATTORNEY 1027068 TECHNICAL YOUTH LLC 8365 KEYSTONE CROSSING INDIANAPOLIS IN 46240 IT SERVICES 566210 CROTHALL 1500 LIBERTY RIDGE DRIVE STE 210 WAYNE PA 19087 HOUSEKEEPING 520214 LEWIS MEDIA PARTNERS LLC 500 LIBBIE AVE RICHMOND VA 23226 ADVERTISING 394314 18 14196895 1028640 15225535 PATIENT REVENUE 621400 24536666 24536666 SHARED SERVICES REVENUE 561000 3570090 3570090 60058 60058 28166814 86912 -86912 -86912 -86912 43305437 28166814 0 -86912 158550 158550 821 821 1131311 1074745 56566 12974212 12325501 648711 419867 398874 20993 1454327 1381611 72716 1065617 1012336 53281 2252077 2139473 112604 44586 42357 2229 25615 24334 1281 2051554 1948976 102578 38773 36834 1939 56503 53678 2825 754078 716374 37704 SHARED SERVICES 8895218 6111973 2783245 MEDICAL SUPPLIES 978715 929779 48936 EQUIPMENT/REPAIRS/MAINT 183367 174199 9168 24974 23726 1248 32510165 28554141 3956024 0 619864 3320792 5797563 2698299 816465 601385 26713263 21095414 6846601 5617849 8437 482313 19377485 23119015 33940291 35365777 6743611 5473157 17774 3551518 6761385 9024675 X 7801421 6103484 19377485 20237618 27178906 26341102 33940291 35365777 X 10795272 -11633076 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 416370 416370 12014819 8059172 3955647 2218202 1907471 310731 12063872 11128771 935101 5617849 BENEFICIAL INTEREST IN TRUSTS (NOT CONTROLLED BY SAH) 20237618 DUE FROM SHELTERING ARMS INSTITUTE 2881397 23119015 MEDICARE ADVANCES PAYABLE 3551518 3551518 X PART X, LINE 2: THE CORPORATION HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A NON-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(3) OF THE INTERNAL REVENUE CODE ("IRC") AND IS EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE IRC. GAAP REQUIRES THE CORPORATION'S MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE CORPORATION AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE CORPORATION HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE THAN LIKELY WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE CORPORATION'S MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CORPORATION AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2020. 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 CONSOLIDATED FINANCIAL STATEMENTS. THE CORPORATION 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 741696 741696 0.02280 4733521 2386154 2347367 0.07220 5475217 2386154 3089063 0.09500 1244262 124751 1119511 0.03440 387810 317677 70133 0.00220 7372 7372 0.00020 1639444 442428 1197016 0.03680 7114661 2828582 4286079 0.13180 1 848116 9367 8405409 16301665 -7896256 X 1 1 1 1 SHELTERING ARMS HOSPITAL 8226 MEADOWBRIDGE ROAD MECHANICSVILLE VA 23116 WWW.SHELTERINGARMS.COM H-1899 X PHYSICAL REHABILITATION HOSPITAL SHELTERING ARMS HOSPITAL 1 0 0 1 X X X X X X X X X 18 1 1 0 1 X WWW.SHELTERINGARMS.COM X 1 18 1 WWW.SHELTERINGARMS.COM 0 1 X 200.000000000000 250.000000000000 X X X X X X 1 1 X X X X 1 X WWW.SHELTERINGARMS.COM X WWW.SHELTERINGARMS.COM X WWW.SHELTERINGARMS.COM X X X X X X 1 X 0 X X X 0 X X 0 0 SHELTERING ARMS HOSPITAL PART V, SECTION B, LINE 5: A SURVEY WAS CREATED TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY. THE CONTENT OF THE SURVEY WAS BASED ON BROAD COMMUNITY HEALTH DATA. ON A NATIONAL LEVEL, SHELTERING ARMS CONSIDERED THE HEALTHY PEOPLE 2020 SURVEY WHICH PROVIDES "SCIENCE-BASED, 10-YEAR NATIONAL OBJECTIVES FOR IMPROVING THE HEALTH OF ALL AMERICANS." AT THE STATE LEVEL, SHELTERING ARMS LOOKED AT THE VIRGINIA HEALTH PROMOTION FOR PEOPLE WITH DISABILITIES (HPPD) INITIATIVE ADMINISTERED BY THE PARTNERSHIP FOR PEOPLE WITH DISABILITIES AT VIRGINIA COMMONWEALTH UNIVERSITY WHOSE MISSION IS TO "PROMOTE THE HEALTH OF PEOPLE WITH DISABILITIES, PREVENT SECONDARY CONDITIONS, AND ELIMINATE DISPARITY BETWEEN PEOPLE WITH AND WITHOUT DISABILITIES." AT THE LOCAL LEVEL, SHELTERING ARMS LOOKED TO THE VIRGINIA DEPARTMENT OF HEALTH OFFICE OF MINORITY HEALTH AND HEALTH EQUITY TO UNDERSTAND THE MANY FACTORS DETERMINING HEALTH INCLUDING COMMUNITY WALKABILITY, FOOD ACCESSIBILITY, AFFORDABILITY, INCOME INEQUALITY, AND ACCESS TO CARE. THERE WERE TWO SURVEYS CONDUCTED, ONE FOR CURRENT AND FORMER CLIENTS AND PATIENTS AND ANOTHER FOR HEALTH PROFESSIONALS AND COMMUNITY LEADERS WHO HAVE SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH AND ASSESS THE NEEDS OF THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. SHELTERING ARMS HOSPITAL HANOVER SERVED PATIENTS IN THE CENTRAL AND EASTERN VIRGINIA REGIONS COVERING 16 COUNTIES. SHELTERING ARMS HOSPITAL PART V, SECTION B, LINE 6A: SHELTERING ARMS HOSPITAL SOUTH SHELTERING ARMS HOSPITAL PART V, SECTION B, LINE 11: SHELTERING ARMS HOSPITAL IS ADDRESSING THE NEEDS IDENTIFIED WITHIN THE CHNA USING A COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP). THE CHNA IDENTIFIED AND PRIORITIZED THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE TWO SURVEYS CONDUCTED. THE SURVEY RESULTS WERE GROUPED INTO FOUR MAJOR AREAS: ACCESS TO HEALTHCARE, ACCESS TO EDUCATION AND SUPPORT, ACCESS RESOURCES, AND ACCESS TO FITNESS AND WELLNESS. SHELTERING ARMS LEADERSHIP REVIEWED THE RESULTS AND PRIORITIZED THESE AREAS BASED ON THE NUMBER OF RESPONSES AND GROUPED THE RESPONSES IN TO FOUR TOP COMMUNITY HEALTH NEEDS. THE HEALTH NEED PRIORITIES ARE HEALTHY LIFESTYLE INCLUDING NUTRITION, HEALTH, WELLNESS, FITNESS, AND MOBILITY; CARE NAVIGATION; CAREGIVER SUPPORT; AND MEDICAL DEVICES. SHELTERING ARMS HOSPITAL PART V, SECTION B, LINE 15E: THE CFO WILL REVIEW APPLICATIONS THAT DO NOT MEET THE PROGRAM GUIDELINES BUT FOR WHICH EXTRAORDINARY CIRCUMSTANCES MAY EXIST. ALSO, APPLICATIONS BY PATIENTS/FAMILIES WHO DISAGREE WITH THE PROGRAM DETERMINATION MAY REQUEST RECONSIDERATION THROUGH THIS PROCESS. 10 1 - SHELTERING ARMS HANOVER REHABILITATION C 8226 MEADOWBRIDGE ROAD MECHANICSVILLE VA 23116 OUTPATIENT THERAPY AND PHYSICIANS CLINIC 2 - SHELTERING ARMS SOUTH PHYSICIANS CLINIC 13700 ST FRANCES BLVD MIDLOTHIAN VA 23114 OUTPATIENT THERAPY AND PHYSICIANS CLINIC 3 - SHELTERING ARMS BON AIR CENTER 206 TWINRIDGE LANE RICHMOND VA 23235 OUTPATIENT THERAPY AND PHYSICIANS CLINIC 4 - SHELTERING ARMS REYNOLDS CENTER 6227 W BROAD STREET RICHMOND VA 23226 OUTPATIENT THERAPY AND PHYSICIANS CLINIC 5 - SHELTERING ARMS HANOVER NEURO CTR 8254 ATLEE ROAD MECHANICSVILLE VA 23116 OUTPATIENT THERAPY AND PHYSICIANS CLINIC 6 - SHELTERING ARMS CHESTER CENTER 12220 IRONBRIDGE ROAD CHESTER VA 23831 OUTPATIENT THERAPY AND PHYSICIANS CLINIC 7 - SHELTERING ARMS MIDTOWN CLUB REC 2805 WEST BROAD STREET RICHMOND VA 23230 OUTPATIENT THERAPY, OUTPATIENT DAY PROGRAM AND FITNESS CENTER 8 - PT WORKS CENTER 2296 JOHN ROLFE PARKWAY RICHMOND VA 23233 OUTPATIENT THERAPY AND PHYSICIANS CLINIC 9 - SHELTERING ARMS HULL STREET CENTER 13530 HULL STREET ROAD MIDLOTHIAN VA 23114 OUTPATIENT THERAPY AND PHYSICIANS CLINIC 10 - SHELTERING ARMS LABURNUM CENTER 4730 S LABURNUM AVENUE RICHMOND VA 23231 OUTPATIENT THERAPY AND PHYSICIANS CLINIC PART I, LINE 6A: THE FY 2019-2020 COMMUNITY BENEFIT REPORT WAS PUBLISHED IN THE SHELTERING ARMS HOSPITAL ANNUAL REPORT AND IS AVAILABLE ON THE WEBSITE AT WWW.SHELTERINGARMS.COM. 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. DETAILS REGARDING THE GRANTS TO OTHERS CAN BE FOUND ON SCHEDULE I OF THE FORM 990. PART III, LINE 2: BAD DEBT REPRESENTS THE UNCOLLECTIBLE AMOUNTS 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 11 OF THE AUDITED FINANCIAL STATEMENTS - NOTE 1- NATURE OF ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES "PATIENT ACCOUNTS RECEIVABLE." PART III, LINE 8: THE MEDICARE LOSS WAS OBTAINED DIRECTLY FROM THE FY 2019-2020 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 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 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 HOSPITAL ASSESSES THE SERVICE GAPS AND HEALTHCARE NEEDS OF THE COMMUNITIES WE SERVE TO IDENTIFY NEEDED PROGRAMS AND EVENTS. THE CHNA AND CORRESPONDING CHIP CAN BE ACCESSED AT WWW.SHELTERINGARMS.COM. THE FIRST IDENTIFIED SIGNIFICANT HEALTH NEED IS HEALTHY LIFESTYLE. IT ENCOMPASSES NUTRITION, HEALTH, WELLNESS, FITNESS, RECREATION, AND MOBILITY. THE CHIP PLAN CALLS FOR FOLLOW-UP PHONE CALLS FROM THE INPATIENT DIETICIAN TWO WEEKS POST-DISCHARGE FROM THE INPATIENT REHABILITATION HOSPITAL; PARTNERING WITH LOCAL GROUPS ON NUTRITIONAL EDUCATION TWICE A YEAR TO INCLUDE BON SECOURS, RELAY FOODS, AND VCU HEALTH SYSTEM; COMPILING RESOURCE LISTS FOR PATIENTS TO ACCESS FOOD SERVICES IN THE COMMUNITY AND DEVELOPING A PROCESS FOR CONNECTING PATIENTS TO THESE SERVICES; ADDING NUTRITION SCREENING QUESTION AT DISCHARGE FROM INPATIENT HOSPITAL; ADDING NUTRITION SCREENING QUESTION FOR OUTPATIENT THERAPY; AND EXPANDING FITNESS/WELLNESS PROGRAMS FOR PERSONS WITH NEUROLOGIC DISORDERS. ADDITIONALLY, WE HAVE A NEW PARKINSON'S BOXING PROGRAM AND AN EXPANDED NEUROFIT PROGRAM. THE IMPLEMENTATION PLAN ALSO INCLUDES SHORT SCREENING TOOLS FOR INPATIENT AND OUTPATIENT REGARDING NEED FOR HEALTH, WELLNESS, AND EDUCATION CLASSES. WE ALSO PLAN TO OFFER NUTRITION EDUCATION ADDING NUTRITION TRAINING/SPECIALIZATION FOR FITNESS STAFF, A SERIES OF HEALTHY COOKING AND MEAL PLANNING FOR PATIENTS AND CAREGIVERS, A NUTRITION SUPPORT GROUP IN INPATIENT FOR PATIENTS AND CAREGIVERS, AN OUTPATIENT DIETICIAN TO ADDRESS POST-INPATIENT NUTRITION NEEDS AS PART OF A COMPREHENSIVE HEALTH/WELLNESS CARE MODEL AND INPATIENT AND OUTPATIENT THERAPEUTIC RECREATION AS PART OF THE COMPREHENSIVE CARE MODEL. THE SECOND SIGNIFICANT HEALTH NEED IDENTIFIED IS CARE NAVIGATION, WHICH WE HAVE MAPPED IN CERNER (OUR ELECTRONIC HEALTH RECORD) FOR TOUCHPOINTS TO BUILD AND FOSTER CARE NAVIGATION. ALSO, AS A STANDARD OF CARE AT DISCHARGE, WE REFER APPROPRIATE AND INTERESTED PATIENTS TO SENIOR CONNECTIONS. WE HAVE IMPROVED INTERNAL AND EXTERNAL EDUCATION OF WHAT SHELTERING ARMS OFFERS FOR A CONTINUUM OF CARE THROUGH INTERNAL EDUCATION PROVIDED TO NURSE LIAISONS AND THE COMMUNITY LIAISON TEAMS. WE ARE IMPLEMENTING SCREENSAVER TIPS ON SHELTERING ARMS COMPUTERS TO EDUCATE CLINICIANS ON RESOURCES AVAILABLE FOR PATIENTS AND THEIR FAMILIES. IN ADDITION, WE ARE DEVELOPING A STRATEGY FOR HIGH-RISK PATIENTS AND HAVE ADDED A SOCIAL WORKER TO OUR TEAM AS PART OF THE COMPREHENSIVE HEALTH AND WELLNESS CARE MODEL. THE THIRD SIGNIFICANT HEALTH NEED IDENTIFIED IS CAREGIVER SUPPORT. THIS PLAN INCLUDES DEVELOPING EDUCATIONAL MATERIALS AND REFERENCES FOR CAREGIVERS NEEDING SUPPORT AND A SCREENING TOOL FOR ALL SITES THAT ASKS ABOUT THE NEED FOR CAREGIVER SUPPORT. THE FOURTH SIGNIFICANT HEALTHCARE NEED IS MEDICAL DEVICES. WE HAVE PARTNERED WITH LOCAL ORGANIZATIONS THAT PROVIDE RAMPS TO IDENTIFY HOW WE CAN SUPPORT THEM. THE SHELTERING ARMS FOUNDATION CURRENTLY PROVIDES SUPPORT TO PROJECT:HOMES AND RAMP ACCESS MADE POSSIBLE BY STUDENTS. AS PART OF THIS INITIATIVE, WE ARE ACTIVELY LOOKING TO IDENTIFY OTHER RAMP-BUILDING RESOURCES IN THE COMMUNITIES SHELTERING ARMS SERVES. PART VI, LINE 3: FINANCIAL ASSISTANCE INFORMATION AND APPLICATIONS WERE PROVIDED TO PATIENTS AND FAMILIES/CAREGIVERS WHO EXPRESS CONCERN ABOUT THEIR ABILITY TO PAY FOR SERVICES PROVIDED BY SHELTERING ARMS. APPLICATIONS WITH INSTRUCTIONS MAY BE OBTAINED FROM THE PATIENT ACCESS STAFF, CASE MANAGERS, OR A PATIENT FINANCIAL SERVICES REPRESENTATIVE. THE COMPLETE POLICY AND APPLICATION ARE ALSO AVAILABLE ON SHELTERING ARMS' WEBSITE AT WWW.SHELTERINGARMS.COM. ALL COMPLETED APPLICATIONS MUST BE SUBMITTED TO THE PATIENT INFORMATION DEPARTMENT, AS PER THE INSTRUCTIONS, FOR REVIEW AND VERIFICATION OF INFORMATION. THE UTILIZATION MANAGER MAY BE CONSULTED AS NEEDED. NEW PATIENT ADMISSIONS RECEIVE A FORM UPON ARRIVAL DISCLOSING THE FINANCIAL AGREEMENT TO PAY, WHICH INCLUDES OFFERING MONTHLY PAYMENT ARRANGEMENTS OR APPLICATION FOR FINANCIAL ASSISTANCE. THIS FORM REQUIRES SIGNATURE. OUTPATIENT AND PHYSICIAN SERVICES APPOINTMENT VERIFICATION LETTERS FOR NEW PATIENTS DISCLOSES THE AVAILABILITY OF FINANCIAL ASSISTANCE SHOULD THE PATIENT WISH TO APPLY. PART VI, LINE 4: SHELTERING ARMS HOSPITAL SERVED THE GREATER CENTRAL VIRGINIA COMMUNITY. BASED ON THE RECENT COMMUNITY HEALTH NEEDS ASSESSMENT, THE STUDY REGION IS BASED ON THE SHELTERING ARMS HANOVER CAMPUS SERVICE AREA THAT SERVED URBAN AND RURAL AREAS. THE COUNTIES INCLUDED ARE 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: OUR COMMUNITY SUPPORT INITIATIVES INCLUDE PARTICIPATION IN THE: DEFENSE SUPPLY CENTER RICHMOND (DSCR) EMPLOYEE HEALTH FAIR PROMOTING THE NECESSITY OF FITNESS AND WELLNESS; RICHMOND DIABETES WALK IN WHICH SHELTERING ARMS EMPLOYEES, PATIENTS, AND MEMBERS PARTICIPATED TO SHARE FITNESS AND WELLNESS INFORMATION AND RESOURCES; RICHMOND HEALTH EXPO PROMOTING NECESSITY OF FITNESS AND WELLNESS PARTICIPATION; VIRGINIA HOME WALK AND ROLL; CHESTERFIELD TRIAD SENIOR HEALTH FAIR FOR CHESTERFIELD COUNTY PROMOTING NECESSITY OF FITNESS AND WELLNESS IN LIVING A HEALTHY LIFESTYLE; STAFF SPEAKERS PROVIDED BY SHELTERING ARMS AT THE LOCAL MULTIPLE SCLEROSIS SUPPORT GROUP MEETING WHICH INCLUDED THREE SESSIONS FOCUSING ON PHYSICAL THERAPY, FITNESS, AND RECREATION ACTIVITIES; STAFF SPEAKERS AT THE AREA AMPUTEE SUPPORT GROUP MEETING FOR TWO SESSIONS FOCUSING ON PHYSICAL THERAPY, FITNESS, AND RECREATIONAL ACTIVITIES. SHELTERING ARMS HOSPITAL ALSO GRANTS 12 ORGANIZATIONS FINANCIAL SUPPORT THROUGH THE COMMUNITY FOUNDATION. THOSE RECIPIENTS WERE: CIRCLE CENTER ADULT DAY SERVICES COMMUNITY FUTURES FOUNDATION CROSSOVER HEALTHCARE MINISTRY FOUNDATION FOR REHABILITATION EQUIPMENT AND ENDOWMENT (F.R.E.E.) FOUNDATION OF VIRGINIA GOOCHLANDCARES FREE CLINIC AND FAMILY SERVICES POSITIVE VIBE FOUNDATION PROJECT:HOMES RAMPS REACHCYCLES RVA RAPID TRANSIT SOUTH RICHMOND ADULT DAY CARE CENTER SPORTABLE THE DOORWAYS UNITED SPINAL ASSOCIATION OF VIRGINIASHELTERING ARMS ALSO PARTNERED WITH SPORTABLE TO OFFER HAND CYCLING CLINICS TO INTRODUCE OUR PATIENTS AND CLUB REC MEMBERS TO HAND CYCLING AND HOSTED SPORTABLE'S SWIMMING PROGRAM AT OUR BON AIR FACILITY, WHICH ALLOWS ATHLETES ENROLLED IN THE PROGRAM ACCESS TO AN ACCESSIBLE AND WARM-WATER THERAPEUTIC POOL FOR THIS PROGRAM.IN ADDITION TO THE ABOVE COMMUNITY SUPPORT INITIATIVES, SHELTERING ARMS CLINICAL LIAISONS PROVIDE INFORMATION TO LOCAL ACUTE CARE HOSPITALS REGARDING APPROPRIATE SERVICES AND SITES OF SERVICE FOR SENIORS WHO REQUIRE REHABILITATIVE CARE, AND A WIDE PORTFOLIO OF UNIQUE, COMMUNITY-BASED SERVICES INTENDED TO MEET THE NEEDS OF INDIVIDUALS WHO ARE TRANSITIONING FROM A MEDICAL TREATMENT REGIMEN TO AN EMPHASIS ON SELF-MANAGEMENT. PART VI, LINE 7, REPORTS FILED WITH STATES VA 1 PALMYRA REHABILITATION CORPORATION 8226 MEADOWBRIDGE ROAD MECHANICSVILLE VA 23116 541615601 501(C)(3) 158550 GENERAL SUPPORT 1 0 PART I, LINE 2: THE ORGANIZATION ONLY MAKES GRANTS TO ITS AFFILIATED ORGANIZATIONS. THE CLOSE RELATIONSHIP BETWEEN THE ORGANIZATIONS SERVES TO MONITOR THE USE OF THE FUNDS. X 1 1 X X X X X 0 0 0 0 0 0 0 1 0 MARY A ZWEIFEL PRESIDENT & CEO 376553 0 120624 0 0 0 12500 0 13284 0 522961 0 0 0 JAMES S LITSINGER CFO 250457 0 97918 0 0 0 12500 0 18841 0 379716 0 0 0 AMANDA WORLEY VP HR & SECRETARY 160924 0 41150 0 0 0 8100 0 18460 0 228634 0 0 0 HILLARY S HAWKINS MEDICAL DIRECTOR - SAH 415944 0 47387 0 0 0 0 0 13455 0 476786 0 0 0 TIMOTHY M SILVER MEDICAL DIRECTOR - SAHS 389721 0 37216 0 0 0 10400 0 19227 0 456564 0 0 0 GREGORY LEGHART PHYSICIAN 282262 0 70598 0 0 0 12000 0 18982 0 383842 0 0 0 AARON M JONES PHYSICIAN 240298 0 59777 0 0 0 9500 0 12501 0 322076 0 0 0 JOHN L MCELROY III PRESIDENT - SAF 255910 0 19000 0 0 0 12500 0 18877 0 306287 0 0 0 PART I, LINE 1A AS PART OF THE COMPENSATION ARRANGEMENT OF THE FOUNDATION'S PRESIDENT, JOHN L. MCELROY, III, THE HOSPITAL HAS HISTORICALLY PAID SOCIAL CLUB DUES ON HIS BEHALF AND TREATED THE VALUE OF THE DUES AS TAXABLE COMPENSATION TO HIM. THIS ARRANGEMENT CEASED IN MARCH OF 2020. 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 III, LINE 3 DURING 2020, THE HOSPITAL'S INPATIENT CARE ACTIVITIES AND RELATED ASSETS WERE TRANSFERRED TO SHELTERING ARMS INSTITUTE, AN ORGANIZATION OPERATING A NEW STATE-OF-THE-ART REHABILITATION HOSPITAL. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE MEMBER, THE RELATED ORGANIZATION SHELTERING ARMS CORPORATION, EIN 54-1615598. FORM 990, PART VI, SECTION A, LINE 7A SHELTERING ARMS CORPORATION, AS SOLE MEMBER HAS THE POWER TO APPOINT THE BOARD OF SHELTERING ARMS HOSPITAL INC. PER THE ORGANIZATION BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 AND APPLICABLE ATTACHMENTS WERE PROVIDED TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS OF SHELTERING ARMS HOSPITAL AND TO ALL OTHER BOARD MEMBERS 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 MEMBERS 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 DIRECTOR WITH SUCH CONFLICT MUST RECUSE HIM/HERSELF FROM ALL DISCUSSIONS AND VOTE ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 15 SHELTERING ARMS HOSPITAL UTILIZED 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 HOSPITAL WILL MAKE AVAILABLE FOR PUBLIC INSPECTION GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, RELATED POLICIES, AND FINANCIAL STATEMENTS. FORM 990, PART XI, LINE 9: GOODWILL IMPAIRMENT -462,313. PROVISION FOR DOUBTFUL ACCOUNTS -848,116. CHANGE IN PRESENT VALUE OF TRUST FUNDS 860,133. NET CAPITAL CONTRIBUTION TO REHAB JV, LLC (SHELTERING ARMS INSTITUTE) -11,182,780. SHELTERING ARMS PHYSICAL REHABILITATION ASSOCIATES LLC 8226 MEADOWBRIDGE ROAD MECHANICSVILLE VA 23116 260402064 PHYSICAL REHABILITATION VA 3386843 1249041 SHELTERING ARMS HOSPITAL SHELTERING ARMS THERAPY CLINICS LLC DBA PT WORKS 8226 MEADOWBRIDGE ROAD MECHANICSVILLE VA 23116 271939022 PHYSICAL REHABILITATION VA 0 0 SHELTERING ARMS HOSPITAL SHELTERING ARMS FOUNDATION 8226 MEADOWBRIDGE ROAD MECHANICSVILLE VA 23116 541615599 SEE SUPPLEMENTAL INFORMATION, PART VII VA 501(C)(3) LINE 7 SHELTERING ARMS CORPORATION 0 SHELTERING ARMS HOSPITAL SOUTH 8226 MEADOWBRIDGE ROAD MECHANICSVILLE VA 23116 352258075 PHYSICAL REHABILITATION VA 501(C)(3) LINE 3 SHELTERING ARMS CORPORATION 0 PALMYRA REHABILITATION CORPORATION 8226 MEADOWBRIDGE ROAD MECHANICSVILLE VA 23116 541615601 PHYSICAL REHABILITATION VA 501(C)(3) LINE 12B, II SHELTERING ARMS CORPORATION 0 SHELTERING ARMS CORPORATION 8226 MEADOWBRIDGE ROAD MECHANICSVILLE VA 23116 541615598 PHYSICAL REHABILITATION VA 501(C)(3) LINE 12B, II N/A 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 1 SCHEDULE R, PART II, COLUMN (B): SHELTERING ARMS FOUNDATION SUPPORTS SHELTERING ARMS CORPORATION, SHELTERING ARMS HOSPITAL, AND SHELTERING ARMS HOSPITAL SOUTH IN PROVIDING HEALTHCARE TO THE COMMUNITIES SERVED BY THE ORGANIZATION.