REHAB JV LLC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- REHAB JV LLC (EIN 81-4446403)
- Tax period
- 2019-10-01 to 2020-09-30
- Filed
- 2021-08-13
- IRS object ID
- 202122259349302337
- Schema version
- 2019v5.2
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-08-13T14:41:22-05:00 | ReturnTs |
| Tax Period End | 2020-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 560574444 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHERRY BEKAERT LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 SOUTH 10TH ST STE 900 | AddressLine1Txt |
| City | RICHMOND | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23219 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 814446403 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REHAB JV LLC | BusinessNameLine1Txt |
| Business Name Line2 | DBA SHELTERING ARMS INSTITUTE | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | REHA | BusinessNameControlTxt |
| Phone | 8048774000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 WILKES RIDGE DR | AddressLine1Txt |
| City | RICHMOND | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23233 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAMES S LITSINGER | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 8048774000 | PhoneNum |
| Signature | 2021-08-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMANDA ADAMS | PreparerPersonNm |
| PTIN | P00748038 | PTIN |
| Phone | 8046735700 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | ALAN LOMBARDO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 WILKES RIDGE DR | AddressLine1Txt |
| City | RICHMOND | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23233 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $10,187,876 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTPS://SHELTERINGARMSINSTITUTE.COM | WebsiteAddressTxt |
| Type Of Organization Other | Yes (X) | TypeOfOrganizationOtherInd |
| Other Organization Dsc | LLC | OtherOrganizationDsc |
| Formation | 2016 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $10,187,876 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $0 | PYTotalRevenueAmt |
| CY Total Revenue | $10,187,876 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,711,633 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $0 | PYOtherExpensesAmt |
| CY Other Expenses | $9,562,492 | CYOtherExpensesAmt |
| PY Total Expenses | $0 | PYTotalExpensesAmt |
| CY Total Expenses | $17,274,125 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $0 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$7,086,249 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $0 | TotalAssetsBOYAmt |
| Total Assets EOY | $21,839,432 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $17,484,013 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $0 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,355,419 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O | MissionDesc |
| Significant New Program Srvc | Yes (1) | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $16,298,891 | ExpenseAmt |
| Revenue | $10,187,876 | RevenueAmt |
| Desc | 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 2019-2020, SAI SERVED MORE THAN 400 PATIENTS FROM AROUND VIRGINIA AND THE MID-ATLANTIC REGION.SEE SCHEDULE O FOR ADDITIONAL DETAILS | Desc |
| Total Program Service Expenses | $16,298,891 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | VA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JAMES S LITSINGER CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8043424340 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8226 MEADOWBRIDGE ROAD | AddressLine1Txt |
| City | MECHANICSVILLE | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23116 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| LAWRENCE E GIBSON | ||||||
| CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DEBORAH DAVIS | ||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| RYAN RAISIG | ||||||
| SECRETARY & TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DR DAVID CIFU | ||||||
| VCU REP | 1.00 | Yes (X) | $0 | $0 | $0 | |
| TRICIA CUSHNIE | ||||||
| SAC REP | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ASHBY HACKNEY | ||||||
| SAC REP | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DIANNE JEWELL | ||||||
| SAC REP | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DR ALEX VALADKA | ||||||
| VCU REP | 1.00 | Yes (X) | $0 | $0 | $0 | |
| PAUL WESOLOWSKI | ||||||
| VCU REP | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MARY ZWEIFEL | ||||||
| SAC REP | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ALAN LOMBARDO | ||||||
| CEO | 40.00 | Yes (X) | $314,039 | $0 | $17,677 | |
| JAMES LITSINGER | ||||||
| CFO | 15.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $314,039 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $17,677 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $10,144,266 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,144,266 | RelatedOrExemptFuncIncomeAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $43,610 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $43,610 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $10,187,876 | TotalProgramServiceRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,187,876 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,187,876 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $152,754 | TotalAmt |
| Program Services | $145,116 | ProgramServicesAmt |
| Management And General | $7,638 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,349,800 | TotalAmt |
| Program Services | $6,032,311 | ProgramServicesAmt |
| Management And General | $317,489 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,673 | TotalAmt |
| Program Services | $91,839 | ProgramServicesAmt |
| Management And General | $4,834 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $648,242 | TotalAmt |
| Program Services | $615,830 | ProgramServicesAmt |
| Management And General | $32,412 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $464,164 | TotalAmt |
| Program Services | $440,956 | ProgramServicesAmt |
| Management And General | $23,208 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,398 | TotalAmt |
| Management And General | $57,398 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,000 | TotalAmt |
| Management And General | $60,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,063,793 | TotalAmt |
| Program Services | $4,810,603 | ProgramServicesAmt |
| Management And General | $253,190 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,684 | TotalAmt |
| Program Services | $11,100 | ProgramServicesAmt |
| Management And General | $584 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,437 | TotalAmt |
| Program Services | $43,165 | ProgramServicesAmt |
| Management And General | $2,272 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,110,874 | TotalAmt |
| Program Services | $1,055,330 | ProgramServicesAmt |
| Management And General | $55,544 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,233,338 | TotalAmt |
| Program Services | $2,121,671 | ProgramServicesAmt |
| Management And General | $111,667 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,016 | TotalAmt |
| Program Services | $16,165 | ProgramServicesAmt |
| Management And General | $851 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,275 | TotalAmt |
| Program Services | $2,161 | ProgramServicesAmt |
| Management And General | $114 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,631 | TotalAmt |
| Program Services | $33,849 | ProgramServicesAmt |
| Management And General | $1,782 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $462,997 | TotalAmt |
| Program Services | $439,847 | ProgramServicesAmt |
| Management And General | $23,150 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,641 | TotalAmt |
| Program Services | $86,109 | ProgramServicesAmt |
| Management And General | $4,532 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PATIENT/DEPT SUPPLIES | $187,394 | $178,024 | $9,370 |
| EQUIPMENT | $172,102 | $163,497 | $8,605 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,912 | TotalAmt |
| Program Services | $11,318 | ProgramServicesAmt |
| Management And General | $594 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,274,125 | TotalAmt |
| Program Services | $16,298,891 | ProgramServicesAmt |
| Management And General | $975,234 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $4,333,586 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $6,200,514 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $522,129 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $30,602 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $11,215,599 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $462,998 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $10,752,601 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $21,839,432 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $5,259,886 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $9,300,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $2,924,127 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $17,484,013 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $4,355,419 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $4,355,419 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $21,839,432 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$7,086,249 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $11,441,668 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,109,248 | OtherCostOrOtherBasisAmt |
| Depreciation | $458,610 | DepreciationAmt |
| Book Value | $10,650,638 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $106,351 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,388 | DepreciationAmt |
| Book Value | $101,963 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $10,752,601 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO SHELTERING ARMS HOSPITAL | Desc |
| Amt | $2,924,127 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,924,127 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $10,187,876 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $10,187,876 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $10,187,876 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $17,274,125 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $17,274,125 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $17,274,125 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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, 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 FINANCIAL STATEMENTS. SAI IS SUBJECT TO AUDIT BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent250 | Yes (X) | Percent250Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $659,712 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $659,712 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03820 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,847,427 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,223,168 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $624,259 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03610 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,507,139 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,223,168 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,283,971 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07430 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $114,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $114,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00660 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $114,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $114,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00660 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,621,139 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,223,168 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,397,971 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08090 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $0 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $5,381,532 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $3,474,667 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $1,906,865 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHELTERING ARMS INSTITUTE | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 WILKES RIDGE DRIVE | AddressLine1Txt |
| City | RICHMOND | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23233 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | HTTPS://SHELTERINGARMSINSTITUTE.COM | WebsiteAddressTxt |
| State License | H0201 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Other | PHYSICAL REHABILITATION HOSPITAL | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHELTERING ARMS INSTITUTE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | Yes (1) | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | Yes (1) | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | 0 | CHNAConductedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 250.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | 0 | NondisEmergencyCarePolicyInd |
| No Emergency Care | Yes (X) | NoEmergencyCareInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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/ |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 III, LINE 2: | SAI ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE. BAD DEBT EXPENSE REPRESENTS THE UNCOLLECTIBLE AMOUNTS WRITTEN OFF DURING THE FISCAL YEAR. THERE WERE NO SUCH AMOUNTS DURING THE FISCAL YEAR ENDING SEPTEMBER 30, 2020 DUE TO THE BRIEF PERIOD OF TIME THE FACILITY WAS OPERATIONAL. |
| 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 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 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 WE CONTINUE TO FACE THE TRANSITION OF HEALTH CARE IN OUR COMMUNITY, THE FOCUS OF HEALTH, WELLNESS, AND PREVENTION CONTINUE TO EMERGE AS A CRITICAL COMPONENT IN LIFELONG CARE. SHELTERING ARMS' PARTNER FOR LIFE SERVICES PROVIDE A UNIQUE NICHE FOR INDIVIDUALS WITH PHYSICAL DISABILITIES, AS WELL AS THE COMMUNITY, TO MAINTAIN AN ACTIVE AND HEALTHY LIFESTYLE. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | VA |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ALAN LOMBARDO | PersonNm |
| Title | CEO | TitleTxt |
| Base Compensation Filing Org | $289,039 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $25,000 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $0 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $17,677 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $331,716 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, EXPLANATION OF COMPENSATION PAID BY AN UNRELATED ORGANIZATION: | FormAndLineReferenceDesc |
| Explanation | ALAN LOMBARDO RECEIVED COMPENSATION FROM SHELTERING ARMS HOSPITAL FOR SERVICES PROVIDED TO THE INSTITUTE. ALTHOUGH THE HOSPITAL IS A MEMBER OF THE INSTITUTE, IT IS NOT TECHNICALLY A RELATED ORGANIZATION FOR 990 PURPOSES. THE COMPENSATION PAID BY THE HOSPITAL HAS BEEN REFLECTED IN FORM 990, PART VII AND SCHEDULE J, PART II AS IF IT WERE PAID BY THE INSTITUTE IN ACCORDANCE WITH THE INSTRUCTIONS TO THE FORM 990. THE INSTITUTE DID NOT HAVE ANY EMPLOYEES UNTIL JUNE OF 2020, WHICH IS WHEN IT BEGAN PAYING HIM DIRECTLY. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 2 | THE HOSPITAL OPENED IN JUNE 2020, AND BEGAN PROVIDING REHABILITATION SERVICES TO PATIENTS. |
| FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS: | IN JUNE 2020, SHELTERING ARMS INSTITUTE (SAI) OPENED ITS 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 2019-2020, SAI SERVED MORE THAN 400 PATIENTS FROM AROUND VIRGINIA AND THE MID-ATLANTIC REGION. COLLABORATION IS LEVERAGED THROUGHOUT SAI TO BENEFIT PATIENT OUTCOMES. CARE TEAMS PARTNER WITH EACH OTHER TO UNDERSTAND EACH 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 AND THE CENTRAL VIRGINIA VETERANS MEDICAL CENTER CREATES A RESOURCE-RICH ENVIRONMENT THAT SUPPORTS PROGRAMS SUCH AS THE TRAUMATIC BRAIN INJURY MODEL SYSTEM, WHICH IS FUNDED BY A FEDERAL GRANT. 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 RELATIONSHIPS, COMMUNITY PARTNER GROUPS ARE ONSITE AT SAI TO MEET WITH PATIENTS AND THEIR LOVED ONES. SAI HAS MORE THAN 425 CLINICAL TEAM MEMBERS INCLUDING 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, 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 | CERTAIN 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 | CONSULTING FEES: PROGRAM SERVICE EXPENSES 262,913. MANAGEMENT AND GENERAL EXPENSES 13,838. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 276,751. ADMINISTRATIVE SERVICES PROVIDED BY MEMBER: PROGRAM SERVICE EXPENSES 2,351,166. MANAGEMENT AND GENERAL EXPENSES 123,746. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,474,912. PURCHASED SERVICES - HEALTHCARE RELATED: PROGRAM SERVICE EXPENSES 2,196,524. MANAGEMENT AND GENERAL EXPENSES 115,606. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,312,130. |
| FORM 990, PART XI, LINE 9: | NET CAPITAL CONTRIBUTION FROM SHELTERING ARMS HOSPITAL 11,182,780. NET CAPITAL CONTRIBUTION FROM VCU HEALTH SYSTEM AUTHORITY 258,888. |
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