2021-08-13T14:41:22-05:00 2020-09-30 560574444 CHERRY BEKAERT LLP 200 SOUTH 10TH ST STE 900 RICHMOND VA 23219 990 2019-10-01 814446403 REHAB JV LLC DBA SHELTERING ARMS INSTITUTE REHA 8048774000 2000 WILKES RIDGE DR RICHMOND VA 23233 JAMES S LITSINGER CFO 8048774000 2021-08-11 1 AMANDA ADAMS P00748038 8046735700 2019 2022-09-23 18:48:47Z X ALAN LOMBARDO 2000 WILKES RIDGE DR RICHMOND VA 23233 10187876 0 X HTTPS://SHELTERINGARMSINSTITUTE.COM X LLC 2016 VA SEE SCHEDULE O 10 10 0 0 0 0 0 0 0 10187876 0 0 0 0 0 10187876 0 0 0 0 0 7711633 0 0 0 0 9562492 0 17274125 0 -7086249 0 21839432 0 17484013 0 4355419 X SEE SCHEDULE O 1 0 16298891 10187876 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 16298891 1 0 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 0 0 0 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 0 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 VICE CHAIR 1.00 X X 0 0 0 RYAN RAISIG SECRETARY & TREASURER 1.00 X X 0 0 0 DR DAVID CIFU VCU REP 1.00 X 0 0 0 TRICIA CUSHNIE SAC REP 1.00 X 0 0 0 ASHBY HACKNEY SAC REP 1.00 X 0 0 0 DIANNE JEWELL SAC REP 1.00 X 0 0 0 DR ALEX VALADKA VCU REP 1.00 X 0 0 0 PAUL WESOLOWSKI VCU REP 1.00 X 0 0 0 MARY ZWEIFEL SAC REP 1.00 X 0 0 0 ALAN LOMBARDO CEO 40.00 X 314039 0 17677 JAMES LITSINGER CFO 15.00 X 0 0 0 314039 0 17677 1 0 1 1 0 NET PATIENT SERVICE REVENUE 621400 10144266 10144266 43610 43610 10187876 10187876 10187876 0 0 X 152754 145116 7638 6349800 6032311 317489 96673 91839 4834 648242 615830 32412 464164 440956 23208 57398 57398 60000 60000 5063793 4810603 253190 11684 11100 584 45437 43165 2272 1110874 1055330 55544 2233338 2121671 111667 17016 16165 851 2275 2161 114 35631 33849 1782 462997 439847 23150 90641 86109 4532 PATIENT/DEPT SUPPLIES 187394 178024 9370 EQUIPMENT 172102 163497 8605 11912 11318 594 17274125 16298891 975234 0 4333586 6200514 522129 30602 11215599 462998 0 10752601 0 21839432 5259886 9300000 0 2924127 0 17484013 X 4355419 0 4355419 0 21839432 X -7086249 11441668 X 0 1 X 1 0 X 11109248 458610 10650638 106351 4388 101963 10752601 DUE TO SHELTERING ARMS HOSPITAL 2924127 2924127 X 10187876 0 10187876 0 10187876 17274125 0 17274125 0 17274125 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, 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. 1 1 X 1 X 1 X 1 1 0 0 659712 659712 0.03820 1847427 1223168 624259 0.03610 2507139 1223168 1283971 0.07430 114000 114000 0.00660 114000 114000 0.00660 2621139 1223168 1397971 0.08090 1 0 0 5381532 3474667 1906865 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 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 0 0 0 0 0 0 0 0 0 ALAN LOMBARDO CEO 289039 0 25000 0 0 0 0 0 17677 0 331716 0 0 0 SCHEDULE J, EXPLANATION OF COMPENSATION PAID BY AN UNRELATED ORGANIZATION: 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. 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.