SHELTERING ARMS HOSPITAL: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- SHELTERING ARMS HOSPITAL (EIN 54-0505955)
- Tax period
- 2013-10-01 to 2014-09-30
- Filed
- 2016-04-12
- IRS object ID
- 201611039349300736
- Schema version
- 2013v4.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-04-12T17:11:11-05:00 | ReturnTs |
| Tax Period End | 2014-09-30 | 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 | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 828 MAIN ST STE 1701 | AddressLine1 |
| City | LYNCHBURG | City |
| State | VA | State |
| ZIP Code | 24504 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 540505955 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHELTERING ARMS HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SHEL | BusinessNameControlTxt |
| Phone | 8043424340 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8254 ATLEE ROAD | AddressLine1 |
| City | MECHANICSVILLE | City |
| State | VA | State |
| ZIP Code | 23116 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL E DACUS | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 8043424340 | PhoneNum |
| Signature | 2016-03-24 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SAMUEL JOHNSON | PreparerPersonNm |
| PTIN | P00019699 | PTIN |
| Phone | 4348476643 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | Yes (X) | AmendedReturnInd |
| Principal Officer | MICHAEL E DACUS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8254 ATLEE ROAD | AddressLine1 |
| City | MECHANICSVILLE | City |
| State | VA | State |
| ZIP Code | 23116 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $59,931,510 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SHELTERINGARMS.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1941 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE COMPREHENSIVE PHYSICAL REHABILIATION OF THE HIGHEST CALIBER WITH COMPASSION AND RESPECT, TO ENHANCE THE QUALITY OF LIFE TO THOSE PERSONS EXPERIENCING DISABILITIES, AND TO OFFER FINANCIAL ASSISTANCE TO THOSE IN NEED. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 19 | VotingMembersIndependentCnt |
| Total Employee | 757 | TotalEmployeeCnt |
| Total Volunteers | 19 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$152,204 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $9,950,677 | PYContributionsGrantsAmt |
| CY Contributions Grants | $14,413,853 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $41,914,846 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $44,658,615 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$1,268 | PYInvestmentIncomeAmt |
| CY Investment Income | $29,689 | CYInvestmentIncomeAmt |
| PY Other Revenue | $595,647 | PYOtherRevenueAmt |
| CY Other Revenue | $224,919 | CYOtherRevenueAmt |
| PY Total Revenue | $52,459,902 | PYTotalRevenueAmt |
| CY Total Revenue | $59,327,076 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $246,763 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $203,092 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $23,815,906 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $23,924,932 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $331,881 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $31,386,455 | PYOtherExpensesAmt |
| CY Other Expenses | $35,334,477 | CYOtherExpensesAmt |
| PY Total Expenses | $55,449,124 | PYTotalExpensesAmt |
| CY Total Expenses | $59,462,501 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,989,222 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$135,425 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $18,332,170 | TotalAssetsBOYAmt |
| Total Assets EOY | $18,741,881 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,416,475 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,993,097 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $14,915,695 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $14,748,784 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF SHELTERING ARMS HOSPITAL IS TO PROVIDE COMPREHENSIVE PHYSICAL REHABILITATION OF THE HIGHEST CALIBER WITH COMPASSION AND RESPECT, TO ENHANCE THE QUALITY OF LIFE TO THOSE PERSONS EXPERIENCING DISABILITIES, AND TO OFFER FINANCIAL ASSISTANCE TO THOSE IN NEED. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $54,296,652 | ExpenseAmt |
| Revenue | $44,431,308 | RevenueAmt |
| Desc | INPATIENT PHYSICAL REHABILITATION SERVICES:SHELTERING ARMS HOSPITAL OPERATES A 40 BED ACUTE PHYSICAL REHABILITATION INPATIENT HOSPITAL IN MECHANICSVILLE, VIRGINIA. THE PRIMARY SERVICE AREA IS CENTRAL VIRGINIA ALTHOUGH PATIENTS ARE ADMITTED FROM VIRGINIA AND SURROUNDING STATES. DURING FISCAL YEAR 2014, 894 PATIENTS WERE ADMITTED RESULTING IN 13,087 PATIENT DAYS.OUTPATIENT PHYSICAL REHABILITATION SERVICES:SHELTERING ARMS HOSPITAL PROVIDES OUTPATIENT PHYSICAL REHABILITATION SERVICES AT THE HOSPITAL CAMPUS AND NINE ADDITIONAL LOCATIONS IN THE RICHMOND AREA. THE OUTPATIENT CONTINUUM OF SERVICES INCLUDES ORTHOPEDIC REHABILITATION SERVICES, NEUROLOGICAL REHABILITATION SERVICES, PHYSICIANS' REHABILITATION SERVICES, AND OUTPATIENT REHABILITATION THERAPIES. DURING FISCAL YEAR 2014, SHELTERING ARMS HOSPITAL PROVIDED OUTPATIENT THERAPY SERVICES RESULTING IN 73,710 THERAPY VISITS. FOR FISCAL YEAR 2014, PHYSICIAN AND PSYCHOLOGY SERVICES RESULTED IN 32,324 PATIENT VISITS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,699,096 | ExpenseAmt |
| Revenue | $449,455 | RevenueAmt |
| Desc | PARTNER FOR L.I.F.E.: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 WITHIN THEMSELVES 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 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. PROGRAM (LEISURE, INTERACTION, FITNESS, AND ENJOYMENT), EMPOWERING 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 THEIR LIMITATIONS. THE SERVICES PROVIDED ARE OPEN TO THE PUBLIC AND DO NOT REQUIRE A PHYSICIAN REFERRAL. SERVICES OFFERED INCLUDE GROUP RECREATION AND SOCIAL EVENTS, ADAPTIVE GOLF PROGRAM, ADAPTIVE BOWLING LEAGUE, ACCESSIBLE TRAVEL PROGRAM, THERAPEUTIC POOL AND FITNESS CENTER MEMBERSHIPS, PERSONAL TRAINING SERVICES, GROUP EXERCISE CLASSES, EDUCATIONAL SEMINARS, AND OUR CLUB REC PROGRAM.CLUB REC IS A NON MEDICALLY BASED SOCIAL, RECREATION PROGRAM PROVIDING OPPORTUNITIES FOR FITNESS, WELLNESS, SOCIALIZATION, AND COMMUNITY REINTEGRATION FOR MEMBERS FIVE DAYS PER WEEK. CERTIFIED THERAPEUTIC RECREATION AND FITNESS SPECIALISTS ORGANIZE DAILY PROGRAMS, COMMUNITY OUTINGS, GROUP AND INDIVIDUAL EXERCISE SESSIONS, SOCIAL PROGRAMS, COGNITIVE ACTIVITIES, ADAPTIVE LEISURE ACTIVITIES, EDUCATIONAL PROGRAMS, AND AN ARRAY OF WEEKLY LEISURE ACTIVITIES. 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, PARTICIPATE IN SPIRITUALITY GROUP, THE COMPUTER LAB, WEEKLY TRIPS TO OUR THERAPEUTIC POOL, INTERGENERATIONAL PROGRAMS, COMMUNITY SERVICES OPPORTUNITIES, AS WELL AS A COMMUNITY OUTINGS. IN FY 2014 CLUB REC ENJOYED 7,450 VISITS FROM INDIVIDUALS WITH DISABILITIES.PARTNER FOR L.I.F.E. SPECIAL EVENT PROGRAMS (INCLUDING ADAPTIVE GOLF & ADAPTIVE BOWLING LEAGUE) PROVIDE OPPORTUNITIES FOR INDIVIDUALS WITH DISABILITIES TO PARTICIPATE IN ORGANIZED RECREATION ACTIVITIES WITH THE SUPPORT OF RECREATIONAL THERAPISTS, AND NECESSARY ADAPTIVE RECREATION EQUIPMENT, TO ENSURE SUCCESSFUL PARTICIPATION REGARDLESS OF THEIR PHYSICAL LIMITATIONS. EDUCATIONAL SESSIONS ON WELLNESS AND LEARNING TO LIVE LIFE AFTER A DISABILITY ARE ORGANIZED AND OFFERED TO THE COMMUNITY. IN FISCAL YEAR 2014 THERE WERE 35 EVENTS TOTALING 491 PARTICIPANTS.IN ADDITION TO RECREATION EVENTS, PARTNER FOR L.I.F.E. SERVICES BELIEVE IN 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 TWO WARM WATER THERAPEUTIC POOLS AND FITNESS CENTERS OFFERING POOL AND FITNESS MEMBERSHIPS, AQUATIC AND LAND GROUP EXERCISE CLASSES, AND PERSONAL TRAINING SERVICES TO THE COMMUNITY. ONE 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 THE INPATIENT HOSPITAL AND OUTPATIENT THERAPY CLINICS THE OPPORTUNITY TO CONTINUE TO ENGAGE IN PHYSICAL ACTIVITY. FITNESS SPECIALISTS WORK WITH INDIVIDUASL PROVIDING PERSONALIZED ATTENTION TO THE MEMBERS, AS WELL AS PERSONAL TRAINING SERVICES FOR THOSE WHO ARE INTERESTEED IN INDIVIDUALIZED GOAL SETTING AND EXERCISE POGRAMS DESIGNED TO MEET THEIR NEEDS. DURING FISCAL YEAR 2014 THERE WERE 29,940 VISITS TO THE POOLS AND FITNESS CENTERS. SHELTERING ARMS LEAD 1,551 GROUP EXERCISE CLASSES TOTALING 6,706 PARTICPANTS. FITNESS SPECIALISTS CONDUCTED 3,634 NEUROFIT, PERSONAL TRAINING UTILIZING ADVANCED TECHNOLOGIES FOR THE NEUROGLOGICALLY IMPAIRED, AND PERSONAL TRAINING SESSIONS TO THE COMMUNITY. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,535,492 | ExpenseAmt |
| Grant | $203,092 | GrantAmt |
| Desc | CHARITY CARE AND COMMUNITY SUPPORT:SHELTERING ARMS HOSPITAL ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND PROVIDES FINANCIAL ASSISTANCE FOR MEDICAL BILLS TO QUALIFIED PATIENTS LACKING ADEQUATE FINANCIAL RESOURCES. FINANCIAL ASSISTANCE IS ALSO OFFERED FOR THE PARTNERS FOR LIFE PROGRAM. DURING FISCAL YEAR 2014, CHARITY CARE AND/OR FINANCIAL ASSISTANCE RESULTED IN TOTAL DISCOUNTED CHARGES FOREGONE BY SHELTERING ARMS HOSPITAL OF $1,027,604. IN FISCAL YEAR 2014, SHELTERING ARMS ALSO TRANSPORTED PATIENTS PARTICIPATING IN PATIENT THERAPY SERVICES AT AN UNREIMBURSED COST OF $681. SHELTERING ARMS 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 $31,045. IN ADDITION, SHELTERING ARMS HOSPITAL CONTRIBUTED $172,047 TO SUPPORT OTHER COMMUNITY ORGANIZATIONS AND EVENTS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $57,531,240 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| 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 | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | 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 | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | 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 | 94 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 757 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 19 | 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 | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| 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 | Yes (1) | 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 | MICHAEL E DACUS VP OF FINANCE AND CFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8043424340 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8254 ATLEE RD | AddressLine1 |
| City | MECHANICSVILLE | City |
| State | VA | State |
| ZIP Code | 23116 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| TERESA REYNOLDS DIMARCO | |||||||||
| DIRECTOR | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| HOLLY ANTRIM | |||||||||
| DIRECTOR | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM T CLARKE JR | |||||||||
| DIRECTOR | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| BARBARA H DUNN | |||||||||
| DIRECTOR | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM E HARDY | |||||||||
| DIRECTOR | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| SUSAN J RAWLES | |||||||||
| DIRECTOR | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| JAMES A SLABAUGH SR | |||||||||
| DIRECTOR | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| KATHRYN M BARLEY | |||||||||
| DIRECTOR | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| ANNE H BENNETT | |||||||||
| DIRECTOR | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| PETER BOWLES | |||||||||
| DIRECTOR | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID CONSTINE | |||||||||
| DIRECTOR | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| W BATES CHAPPELL | |||||||||
| DIRECTOR | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| ABRAHAM SEGRES | |||||||||
| DIRECTOR | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| ASHBY R HACKNEY | |||||||||
| DIRECTOR | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| AMES J RUSSELL | |||||||||
| DIRECTOR | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| THEODORE PRICE | |||||||||
| DIRECTOR | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| PATRICIA B CUSHNIE | |||||||||
| CHAIRMAN | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| J WAVERLY PULLEY III | |||||||||
| FIRST VICE CHAIRMAN | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| DIANNE V JEWELL | |||||||||
| SECOND VICE CHAIRMAN | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| JAMES E SOK | |||||||||
| PRESIDENT/CEO | 8.00 | 32.00 | $596,523 | $0 | $132,699 | Yes (X) | |||
| JAMES A BRAITH | |||||||||
| SECRETARY/VP OF BUS. DEVELOPMENT | 8.00 | 32.00 | $261,871 | $0 | $29,765 | Yes (X) | |||
| MICHAEL E DACUS | |||||||||
| VP OF FINANCE & CFO/TREASURER | 8.00 | 32.00 | $304,241 | $0 | $18,878 | Yes (X) | |||
| ELLEN VANCE | |||||||||
| VP & CHIEF HUMAN RESOURCES OFFICER | 10.00 | 30.00 | $227,525 | $0 | $28,426 | Yes (X) | |||
| CHRISTOPHER P SORENSON | |||||||||
| VP OF INFORMATION TECHNOLOGY | 10.00 | 30.00 | $213,983 | $0 | $15,479 | Yes (X) | |||
| SANDY EYLER | |||||||||
| VP & CHIEF NURSING OFFICER | 10.00 | 30.00 | $157,011 | $0 | $16,332 | Yes (X) | |||
| MARY ZWEIFEL | |||||||||
| VP OPERATIONS | 10.00 | 30.00 | $262,109 | $0 | $8,934 | Yes (X) | |||
| TIMOTHY M SILVER | |||||||||
| MEDICAL DIRECTOR | 0.00 | 40.00 | $391,094 | $0 | $28,894 | Yes (X) | |||
| HILLARY S HAWKINS | |||||||||
| MEDICAL DIRECTOR | 40.00 | 0.00 | $404,726 | $0 | $19,907 | Yes (X) | |||
| GREGORY LEGHART | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $302,255 | $0 | $29,618 | Yes (X) | |||
| CHARLES MATTHEW GIBELLATO | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $287,257 | $0 | $26,912 | Yes (X) | |||
| ALBERT M JONES | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $262,402 | $0 | $25,388 | Yes (X) | |||
| MARIA C LITTAUA | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $238,575 | $0 | $30,987 | Yes (X) | |||
| JOHN E GIBBS II | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $237,226 | $0 | $19,657 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,146,798 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $431,876 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 28 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MEMORIAL REGIONAL MEDICAL | |||||
| 8260 ATLEE ROAD | MECHANICSVILLE | VA | 23116 | HOSPITAL ANCILLARY & SUPPORT | $2,212,766 |
| TROUTMAN SANDERS LLP | |||||
| 1001 HAXALL POINT | RICHMOND | VA | 23219 | LEGAL ADVICE | $441,269 |
| CROTHALL | |||||
| 1500 LIBERTY RIDGE DRIVE STE 210 | WAYNE | PA | 19087 | HOUSEKEEPING | $392,682 |
| INTERACTIVE DATA SYSTEMS | |||||
| 203 BURNING LAMP LANE | FOREST | VA | 24551 | SYSTEM MAINTENANCE & SUPPORT | $298,426 |
| JDA EHEALTH SYSTEMS INC | |||||
| 1415 U DIEHL ROAD STE 200-N | NAPERVILLE | FL | 60563 | ACCOUNTS RECEIVABLE CLAIM PROCESSING | $233,168 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 35 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $13,384,978 | RelatedOrganizationsAmt |
| All Other Contributions | $1,028,875 | AllOtherContributionsAmt |
| Total Contributions | $14,413,853 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT REVENUE | 621400 | $44,013,913 | $44,013,913 |
| THERAPEUTIC RECREATION | 621400 | $644,702 | $644,702 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $44,658,615 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,823 | TotalRevenueColumnAmt |
| Exclusion | $1,823 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $149,110 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $149,110 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $149,110 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $119,110 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $30,000 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $42,041 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $14,175 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $27,866 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $27,866 | TotalRevenueColumnAmt |
| Exclusion | $27,866 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $563,030 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $590,259 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$27,229 | TotalRevenueColumnAmt |
| Exclusion | -$27,229 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $103,038 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $103,038 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $103,038 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $59,327,076 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $44,880,763 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $32,460 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $172,047 | TotalAmt |
| Program Services | $172,047 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,045 | TotalAmt |
| Program Services | $31,045 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,118,397 | TotalAmt |
| Program Services | $2,549,953 | ProgramServicesAmt |
| Management And General | $568,444 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,546,506 | TotalAmt |
| Program Services | $16,546,506 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,194,598 | TotalAmt |
| Program Services | $1,134,868 | ProgramServicesAmt |
| Management And General | $59,730 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $864,783 | TotalAmt |
| Program Services | $864,783 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,200,648 | TotalAmt |
| Program Services | $2,090,616 | ProgramServicesAmt |
| Management And General | $110,032 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $472,440 | TotalAmt |
| Program Services | $156,827 | ProgramServicesAmt |
| Management And General | $315,613 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,759 | TotalAmt |
| Program Services | $99,569 | ProgramServicesAmt |
| Management And General | $33,190 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $976,706 | TotalAmt |
| Program Services | $821,226 | ProgramServicesAmt |
| Management And General | $6,344 | ManagementAndGeneralAmt |
| Fundraising | $149,136 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $628,078 | TotalAmt |
| Program Services | $619,660 | ProgramServicesAmt |
| Management And General | $5,942 | ManagementAndGeneralAmt |
| Fundraising | $2,476 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $404,276 | TotalAmt |
| Program Services | $404,276 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,017,245 | TotalAmt |
| Program Services | $875,067 | ProgramServicesAmt |
| Management And General | $142,178 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,697,026 | TotalAmt |
| Program Services | $2,519,311 | ProgramServicesAmt |
| Management And General | $566 | ManagementAndGeneralAmt |
| Fundraising | $177,149 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,467 | TotalAmt |
| Program Services | $89,171 | ProgramServicesAmt |
| Management And General | $6,426 | ManagementAndGeneralAmt |
| Fundraising | $2,870 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $182,646 | TotalAmt |
| Program Services | $134,634 | ProgramServicesAmt |
| Management And General | $48,012 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,733,049 | TotalAmt |
| Program Services | $6,733,049 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,883,889 | TotalAmt |
| Program Services | $1,624,433 | ProgramServicesAmt |
| Management And General | $259,456 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $231,717 | TotalAmt |
| Program Services | $207,381 | ProgramServicesAmt |
| Management And General | $24,086 | ManagementAndGeneralAmt |
| Fundraising | $250 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CONTRACTUAL ADJUSTMENTS | $16,681,721 | $16,681,721 | |
| PURCHASED SERVICES | $2,754,589 | $2,754,589 | |
| BAD DEBT EXPENSE | $320,254 | $320,254 | |
| MEMBERSHIPS | $119,615 | $100,254 | $19,361 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,462,501 | TotalAmt |
| Program Services | $57,531,240 | ProgramServicesAmt |
| Management And General | $1,599,380 | ManagementAndGeneralAmt |
| Fundraising | $331,881 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $222,219 | BOYAmt |
| EOY | $211,372 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,203,079 | BOYAmt |
| EOY | $984,701 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,265,557 | BOYAmt |
| EOY | $3,461,075 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,857 | BOYAmt |
| EOY | $47,179 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $893,060 | BOYAmt |
| EOY | $990,456 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $36,258,631 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $23,949,594 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,984,301 | BOYAmt |
| EOY | $12,309,037 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,000 | BOYAmt |
| EOY | $100,000 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $502,313 | BOYAmt |
| EOY | $498,981 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,784 | BOYAmt |
| EOY | $139,080 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,332,170 | BOYAmt |
| EOY | $18,741,881 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,416,475 | BOYAmt |
| EOY | $3,993,097 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,416,475 | BOYAmt |
| EOY | $3,993,097 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,763,913 | BOYAmt |
| EOY | $14,647,155 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,782 | BOYAmt |
| EOY | $1,629 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,000 | BOYAmt |
| EOY | $100,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,915,695 | BOYAmt |
| EOY | $14,748,784 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,332,170 | BOYAmt |
| EOY | $18,741,881 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$135,425 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $20,298 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$51,784 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| 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 B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $416,370 | OtherCostOrOtherBasisAmt |
| Book Value | $416,370 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,135,716 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,691,679 | DepreciationAmt |
| Book Value | $5,444,037 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,222,548 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,158,138 | DepreciationAmt |
| Book Value | $1,064,410 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,652,671 | OtherCostOrOtherBasisAmt |
| Depreciation | $14,385,620 | DepreciationAmt |
| Book Value | $3,267,051 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,831,326 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,714,157 | DepreciationAmt |
| Book Value | $2,117,169 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,309,037 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE CORPORATION HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(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, 2014, 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. THE CORPORATION'S MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR TAX YEARS PRIOR TO THE FISCAL YEAR ENDED SEPTEMBER 30, 2011. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | BAL-DU-BOIS | NameOfEvent1Amt |
| Gross Receipts Event1 | $563,030 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $563,030 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $144,058 | RentFacilityCostsEvent1Amt |
| Other Direct Expenses Event1 | $446,201 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $563,030 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $563,030 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $144,058 | RentFcltyCostsTotalEventsAmt |
| Oth Direct Expnss Total Events | $446,201 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $590,259 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$27,229 | NetIncomeSummaryAmt |
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 |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | 0 | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,059,330 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,059,330 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01780 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $127,549 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $127,549 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,186,879 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,186,879 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01990 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,699,096 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $449,455 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,249,641 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02100 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $141,825 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $141,825 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00240 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $172,047 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $172,047 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,012,968 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $449,455 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,563,513 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02630 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,199,847 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $449,455 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,750,392 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04620 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $320,254 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $16,013 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $11,378,979 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $8,906,502 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $2,472,477 | 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 HOSPITAL | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8254 ATLEE ROAD | AddressLine1 |
| City | MECHANICSVILLE | City |
| State | VA | State |
| ZIP Code | 23116 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | 0 | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 350.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| State Regulation | Yes (X) | StateRegulationInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Attached To Invoice | Yes (X) | AttachedToInvoiceInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | 0 | NondisEmergencyCarePolicyInd |
| No Emergency Care | Yes (X) | NoEmergencyCareInd |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SHELTERING ARMS HOSPITAL | PART V, SECTION B, LINE 3: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS DEVELOPED AND CONDUCTED IN 2012 IN COLLABORATION WITH COMMUNITY HEALTH SOLUTIONS, A RICHMOND, VIRGINIA BASED HEALTH RESEARCH AND CONSULTING COMPANY. THE TARGET COMMUNITY WAS DEFINED AND THE THREE KEY ELEMENTS WERE FOCUSED ON: 1. IMPORTANT HEALTH CONCERNS IN THE COMMUNITY 2. SIGNIFICANT SERVICE GAPS IN THE COMMUNITY 3. IDEAS AND SUGGESTIONS FOR IMPROVING THE COMMUNITY. THE SURVEY WAS SENT TO 162 COMMUNITY STAKE HOLDERS IDENTIFIED BY SHELTERING ARMS HOSPITAL IN COLLABORATION WITH COMMUNITY HEALTH SOLUTIONS. THE RESPONDENTS INCLUDED TWO PUBLIC HEALTH ENTITIES. MORE THAN 20 HEALTH CONCERNS AND MORE THAN 24 SERVICE GAPS WERE IDENTIFIED IN THE COMMUNITY. RESPONDENTS ALSO HAD THE ABILITY, THROUGH THE WRITE-IN OPTION, IDEAS AND SUGGESTIONS FOR IMPROVING COMMUNITY HEALTH. SHELTERING ARMS HOSPITAL THEN PRIORITIZED THE CONCERNS AND SERVICE GAPS TO THOSE WITH WHICH RESOURCES COULD BE FOCUSED WHICH ARE WITHIN THE SCOPE OF PHYSICAL REHABILITATION AND CAN BE ADDRESSED IN PART THROUGH COMMUNITY COLLABORATION. |
| SHELTERING ARMS HOSPITAL | PART V, SECTION B, LINE 7: HEALTH CARE SERVICE GAPS IDENTIFIED BUT NOT ADDRESSED BY DETAILED INITIATIVES ARE OUTSIDE THE SCOPE OF THE SHELTERING ARMS MISSION, PURPOSE, COMPETENCIES AND/OR RESOURCES. HOWEVER SHELTERING ARMS HOSPITAL ADDRESSES THOSE SERVICE GAPS IN THE COMMUNITY HEALTH NEEDS ASSESSMENT IN TERMS OF ITS CURRENT PRACTICE AND HOW SHELTERING ARMS HOSPITAL CAN CONTINUE TO SUPPORT THE COMMUNITY IN THOSE AREAS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 10 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| SHELTERING ARMS HANOVER REHABILITATION C | ||||
| 8226 MEADOWBRIDGE ROAD | MECHANICSVILLE | VA | 23116 | OUTPATIENT THERAPY AND PHYSICIANS CLINIC |
| SHELTERING ARMS SOUTH PHYSICIANS CLINIC | ||||
| 13700 ST FRANCES BLVD | MIDLOTHIAN | VA | 23114 | OUTPATIENT THERAPY AND PHYSICIANS CLINIC |
| SHELTERING ARMS BON AIR CENTER | ||||
| 206 TWINRIDGE LANE | RICHMOND | VA | 23235 | OUTPATIENT THERAPY AND PHYSICIANS CLINIC |
| SHELTERING ARMS CHESTER CENTER | ||||
| 12220 IRONBRIDGE ROAD | CHESTER | VA | 23831 | OUTPATIENT THERAPY AND PHYSICIANS CLINIC |
| SHELTERING ARMS LABURNAM CENTER | ||||
| 4730 S LABURNUM AVENUE | RICHMOND | VA | 23231 | OUTPATIENT THERAPY AND PHYSICIANS CLINIC |
| SHELTERING ARMS MAPLE CENTER | ||||
| 1501 MAPLE AVENUE SUITE 100 | RICHMOND | VA | 23226 | OUTPATIENT THERAPY AND PHYSICIANS CLINIC |
| SHELTERING ARMS MIDTOWN CLUB REC | ||||
| 2805 WEST BROAD STREET | RICHMOND | VA | 23230 | OUTPATIENT DAY PROGRAM AND FITNESS CENTER |
| PT WORKS CENTER | ||||
| 2296 JOHN ROLFE PARKWAY | RICHMOND | VA | 23233 | OUTPATIENT THERAPY AND PHYSICIANS CLINIC |
| SHELTERING ARMS HANOVER NEURO CTR | ||||
| 8254 ATLEE ROAD | MECHANICSVILLE | VA | 23116 | OUTPATIENT THERAPY AND PHYSICIANS CLINIC |
| SHELTERING ARMS HULL STREET CENTER | ||||
| 13530 HULL STREET ROAD | MIDLOTHIAN | VA | 23114 | OUTPATIENT THERAPY AND PHYSICIANS CLINIC |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | VICE PRESIDENT FINANCE/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 AND WHO REQUEST RECONSIDERATION.PART I, LINE 6A: THE TAX YEAR 2014 COMMUNITY BENEFIT REPORT IS NOT YET COMPLETED. ONE WILL BE FILED ON AUGUST 31, 2015 THROUGH THE VHHA. IN ADDITION, THE 2014 ANNUAL REPORT OF THE SHELTERING ARMS HOSPITAL AND AFFILIATES WILL BE PUBLISHED AND MADE AVAILABLE TO THE PUBLIC IN THE FALL OF 2015 AND WILL CONTAIN COMMUNITY BENEFIT REPORTING. 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. A COMPLETE LIST OF THE CASH GRANTS TO OTHERS CAN BE FOUND ON SCHEDULE I OF THE FORM 990. |
| PART III, LINE 2: | THIS IS THE ACTUAL SELF PAY BALANCES WRITTEN OFF THE HOSPITALS ACCOUNTS RECEIVABLE IN FY 2014. |
| PART III, LINE 4: | DOUBTFUL ACCOUNTS GENERALLY ARISE BASED UPON A PATIENT'S INABILITY TO PAY THEIR PORTION OF THE AMOUNT BILLED FOR SERVICES. MANAGEMENT'S ESTIMATES ARE BASED UPON AN ANALYSIS OF HISTORICAL COLLECTION TRENDS, CURRENT PAYER MIX, INDUSTRY FACTORS, CURRENT AND ANTICIPATED ECONOMIC CONDITIONS, AND OTHER RISKS INHERENT IN THE ACCOUNTS RECEIVABLE TRIAL BALANCE. |
| PART III, LINE 8: | PART III: LINE 8: THE MEDICARE GAIN WAS OBTAINED FROM THE MEDICARE COST REPORT FILED FOR FY 2014. |
| PART III, LINE 9B: | PATIENTS MAY APPLY RETROACTIVELY FOR FINANCIAL ASSISTANCE FOR SERVICES UP TO 60 DAYS OLD. 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 3RD PARTY PAYERS AS PATIENT RESPONSIBILITY WILL BE ASSIGNED TO THE PATIENT BALANCE SEGMENT IN THE SAH BILLING SYSTEM. QUALIFYING PATIENT RESPONSIBLE BALANCES WILL BE BILLED DIRECTLY BY SHELTERING ARMS EVERY WEDNESDAY. PATIENT BALANCES WILL BE BILLED FOR 2 CYCLES (60 DAYS) UPON WHICH ANY UNPAID BALANCES WILL BE FORWARDED TO OUR FIRST OUT VENDOR FOR RESOLUTION OF THE REMAINING DEBT BEGINNING ON DAY 61. THE FIRST OUT VENDOR WILL WORK IN AN ATTEMPT TO COLLECT THE OUTSTANDING BALANCE OR ESTABLISH PAYMENT PLAN ARRANGEMENTS WITH THE PATIENT OR THEIR ESTATE. ANY ACCOUNTS WITH: UNSETTLED BALANCES REMAINING, NO PAYMENT ARRANGEMENTS, OR BROKEN PAYMENT ARRANGEMENTS AFTER 60 DAYS (120 DAYS SINCE DESIGNATION AS PATIENT RESPONSIBILITY), WILL BE RETURNED SYSTEMATICALLY FROM THE VENDOR AND SHELTERING ARMS WILL DESIGNATE THE BALANCES AS "OUTSOURCED" TO COLLECTION VENDOR AS COLLECTION BALANCES. THE COLLECTION VENDOR WILL RECEIVE AND PROCESS DESIGNATED ACCOUNTS FOR BALANCES AND WORK ACCOUNTS DESIGNATED AS BAD DEBT FOR AN ADDITIONAL 120 DAYS (240 DAYS SINCE DESIGNATION AS A PATIENT RESPONSIBLE BALANCE) AT WHICH TIME ANY ACCOUNTS WITH UNSETTLED BALANCES REMAINING, NO PAYMENT ARRANGEMENTS, OR BROKEN PAYMENT ARRANGEMENTS WILL BE RETRACTED FROM THE VENDOR AND ASSOCIATED COLLECTION EFFORTS WILL CEASE. |
| PART VI, LINE 2: | SHELTERING ARMS HOSPITAL CONTINUES TO ASSESS THE SERVICE GAPS AND HEALTH CARE NEEDS OF THE COMMUNITIES WE SERVE THROUGH DIALOG WITH AREA AGENCIES TO IDENTIFY NEEDED PROGRAMS AND EVENTS; EXPANDED OUTREACH SERVICES THROUGH PRESENTATIONS AND EDUCATIONAL SEMINARS; CURRENT PATIENTS AND STAFF ARE ALSO ENCOURAGE TO DISCUSS SERVICES AND EDUCATIONAL TRAINING AND SUPPORT THEY SEE OR HAVE ENCOUNTERED AS A GAP IN AVAILABILITY TO THE POPULATION IN NEED. |
| PART VI, LINE 3: | FINANCIAL ASSISTANCE INFORMATION AND APPLICATIONS WILL BE PROVIDED TO PATIENTS/FAMILIES WHO EXPRESS CONCERN ABOUT THEIR ABILITY TO PAY FOR SHELTERING ARMS SERVICES. APPLICATIONS WITH INSTRUCTIONS MAY BE OBTAINED FROM THE PATIENT ACCESS STAFF, CASE MANAGER OR PATIENT FINANCIAL SERVICES REPRESENTATIVE AND ARE AVAILABLE ON THE SHELTERING ARMS WEBSITE AT WWW.SHELTERINGARMS.COM WITH THE COMPLETE POLICY AND APPLICATION. ALL COMPLETED APPLICATIONS MUST BE SUBMITTED TO THE PATIENT INFORMATION DEPARTMENT, AS PER PRINTED INSTRUCTIONS, FOR REVIEW AND VERIFICATION OF INFORMATION. THE UTILIZATION MANAGER MAY BE CONSULTED AS NEEDED. NEW INPATIENT 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 AVAILABILITY OF FINANCIAL ASSISTANCE IF THE PATIENT WISHES TO APPLY. |
| PART VI, LINE 4: | BASED ON THE COMMUNITY HEALTH NEEDS ASSESSMENT PATIENT POPULATION IS LARGELY COMPRISED OF ADULT RESIDENTS IN CENTRAL AND EASTERN VIRGINIA. THE STUDY POPULATION FOR THIS CHNA IS ADULT RESIDENTS AGE 18+. THE STUDY REGION IS BASED ON THE SA HANOVER SERVICE AREA OF 47 ZIP CODES. MOST OF THESE ZIP CODES FALL WITHIN THE COUNTIES OF CAROLINE, CHARLES CITY, ESSEX, HANOVER, HENRICO, KING WILLIAM, LANCASTER, NEW KENT, NORTHUMBERLAND, AND RICHMOND; AND THE CITY OF RICHMOND. DEMOGRAPHIC PROFILE. AS OF 2012, THE STUDY REGION INCLUDED AN ESTIMATED 459,123 PERSONS AGE 18+. COMPARED TO THE COMMONWEALTH OF VIRGINIA AS A WHOLE, THE STUDY REGION IS MORE DENSELY POPULATED, AND PROPORTIONALLY MORE BLACK/AFRICAN AMERICAN. THE REGION HAS SLIGHTLY LOWER INCOME LEVELS THAN VIRGINIA AS A WHOLE.THE STUDY INCLUDED A MORTALITY PROFILE, ADULT HEALTH RISK PROFILE, MEDICALLY UNDERSERVED PROFILE, PREVENTATIVE HOSPITALIZATION PROFILE, AND BEHAVIORAL HEALTH HOSPITALIZATION DISCHARGE PROFILE. THESE PROFILES WERE INSTRUMENTAL IN DETERMINING THE IMPORTANT HEALTH CONCERNS AND THE SIGNIFICANT SERVICE GAPS USED BY SHELTERING ARMS TO MODIFY A STRATEGY THAT COULD BEST SERVE THE NEEDS OF THE COMMUNITIES. |
| PART VI, LINE 5: | SHELTERING HAS DEVELOPED A HOME HEALTH AGENCY, SPECIALIZING IN REHABILITATION SERVICES, TO PROVIDE SERVICES TO A LARGELY SENIOR POPULATION TO SUPPORT AGING IN PLACE IN THE COMMUNITY SETTING; HOSTS AN EDUCATIONAL SERIES AND EVENTS SUCH AS THE CHRONIC DISEASE SELF- MANAGEMENT CLASS, SPONSORED BY SENIOR CONNECTIONS; SEMINARS ON HEALTHY LIVING PROVIDED TO LONG TERM CARE FACILITIES; AND SEMINARS ON FALL PREVENTION, NUTRITION, AND SO ON; HOLDS A SIX-WEEK STROKE EDUCATION SERIES PROVIDED AT THE SHELTERING ARMS HOSPITAL; A LOW-VISION PROGRAM TO PROVIDE SPECIALIZED SCREENING AND TREATMENT SERVICES; REFERRAL RELATIONSHIPS WITH COMMUNITY AGENCIES AND ORGANIZATIONS TO ASSIST PATIENTS AND FAMILIES IN LOCATING NEEDED SERVICES; HOSTS AN ANNUAL POSTER DAY ON ADVANCED DIRECTIVES; SHELTERING ARMS HOSPITAL GRANTS SUPPORT OF ENTITIES SUCH AS CIRCLE CENTER ADULT DAY SERVICES, COMMUNITY BRAIN INJURY SERVICES, CROSS OVER MINISTRY, INC., FOUNDATION FOR REHABILITATION EQUIPMENT AND ENDOWMENT-ROANOKE, IVNA HEALTH SERVICES, JEWISH FAMILY SERVICES, PARALYZED VETERANS OF AMERICA-MID-ATLANTIC CHAPTER, POSITIVE VIBE FOUNDATION, ELDERHOMES CORPORATION, RAMP ACCESS MADE POSSIBLE BY STUDENTS, SPORTABLE RICHMOND ADAPTIVE SPORT & RECREATION, INC., GOOCHLAND FREE CLINIC AND FAMILY SERVICES, SAILING 4 ALL, AND SOUTH RICHMOND ADULT DAY CARE CENTER. IN ADDITION, SHELTERING ARMS NURSE LIAISONS PROVIDE INFORMATION TO LOCAL ACUTE CARE HOSPITALS WITH REGARD TO APPROPRIATE SERVICES, AND SITES OF SERVICE, FOR SENIORS WHO REQUIRE REHABILITATIVE CARE AND A WIDE PORTFOLIO OF UNIQUE, COMMUNITY-BASED SERVICES INTENDED LARGELY TO MEET THE NEEDS OF INDIVIDUALS WHO ARE TRANSITIONING FROM A MEDICAL TREATMENT REGIMEN TO AN EMPHASIS ON SELF-MANAGEMENT.SHELTERING ARMS PROVIDES A COMPREHENSIVE PORTFOLIO OF UNIQUE, COMMUNITY-BASED RECREATION AND HEALTH AND WELLNESS SERVICES TO MEET THE NEEDS OF THE COMMUNITY. SHELTERING ARMS PARTNER FOR LIFE PROGRAMS (LEISURE; INTERACTION; FITNESS; AND ENJOYMENT) PROVIDE A VARIETY OF SOCIAL AND WELLNESS OPPORTUNITIES TO EXTEND THE SHELTERING ARMS CONTINUUM WHILE ALSO SERVING INDIVIDUALS FROM THE COMMUNITY- OR THOSE REFERRED BY OTHER HEALTHCARE PROVIDERS - WHO ARE INTERESTED IN PREVENTION, WELLNESS AND SELF-MANAGEMENT ACTIVITIES. THE PARTNERS FOR LIFE PROGRAMS INCLUDE NEUROFIT- A COMPREHENSIVE "AFTER-CARE" EXERCISE PROGRAM- BASED ON A FITNESS MODEL - FOR INDIVIDUALS WHO HAVE NEUROLOGICAL CONDITIONS BUT NO LONGER REQUIRE FORMAL THERAPY. PROGRAM EMPHASES INCLUDE IMPROVED OR MAINTAINED STRENGTH, RANGE OF MOTION, BALANCE AND FUNCTIONAL MOVEMENT - COMPLEMENTING THE PROGRESS MADE IN PHYSICAL THERAPY AND OTHER CLINICAL VENUES. POOL AND FITNESS MEMBERSHIPS- SHELTERING ARMS PROVIDES TWO FITNESS CENTERS AND TWO THERAPEUTIC (WARM WATER) POOLS TO MEMBERS WHO MAY BE FORMER PATIENTS OR MAY SIMPLY RESIDE IN THE COMMUNITY. FITNESS CENTERS FEATURE HIGH QUALITY EQUIPMENT AND THE AVAILABILITY OF CERTIFIED PERSONAL TRAINERS TO PROVIDE INDIVIDUALIZED FITNESS PLANS AND SERVICES. THE FITNESS ENVIRONMENT IS COMFORTABLE AND NON-INTIMIDATING TO SERVE AN AGING AND/OR CHALLENGED COMMUNITY POPULATION. POOLS PROVIDE A NEEDED EXERCISE MODALITY FOR THOSE STRUGGLING WITH PAIN CONDITIONS AND/OR MOBILITY RESTRICTIONS. AQUATIC AND FITNESS CLASSES- IN WATER OR ON LAND, EXERCISE CLASSES INCLUDE STRENGTH & CONDITIONING; SENIORLITE (LIMITED INDIVIDUALS CAN TOLERATE EXERCISE), CORE STRENGTHENING, CARDIO BLAST, YOGA, AND AQUATIC FITNESS. CLUB REC- A DAY RECREATION PROGRAM FOR INDIVIDUALS WITH DISABILITY OR PHYSICAL LIMITATIONS WHO CAN BENEFIT FROM A SUPERVISED SOCIAL AND WELLNESS PROGRAM. THE MODEL IS HOLISTIC, ANCHORED IN SELF-MANAGEMENT CONCEPTS, AND INCLUDES: ORGANIZED PROGRAMS AND MODULES IN HEALTH, EDUCATION AND LEISURE - PROVIDED BY RECREATION THERAPISTS AND FITNESS SPECIALISTS; COPING SKILLS GROUP (LED BY A LICENSED CLINICAL SOCIAL WORKER); USE OFSPECIALIZED RECREATION/ADAPTIVE EQUIPMENT; A COMPUTER LAB; ACCESS TO A FITNESS CENTER AND POOL; SPORTING EVENTS; AND COMMUNITY SERVICE PROJECTS. TO FURTHER SERVE THE NEEDS OF THE - LARGELY - AGING POPULATION OF CLUB REC MEMBERS, SHELTERING ARMS ADDED OUTPATIENT PHYSICAL THERAPY, OCCUPATIONAL THERAPY, AND SPEECH-LANGUAGE PATHOLOGY SERVICES TO THE CLUB REC FACILITY TO CREATE AN EFFICIENT AND HIGHLY COORDINATED EXPERIENCE FOR THOSE INDIVIDUALS WHO REQUIRE FORMAL TREATMENT SERVICES. CHRONIC DISEASE SELF-MANAGEMENT CLASS - A SIX-WEEK PROGRAM DESIGNED TO TEACH CRITICAL PREVENTION AND HEALTH SELF-MANAGEMENT SKILLS. CLASS TOPICS INCLUDE: NUTRITION; EXERCISE; MANAGEMENT OF PAIN AND FATIGUE; EFFECTIVE COMMUNICATION ABOUT HEALTH MATTERS; MANAGING FEAR, ANGER & FRUSTRATION; AND ACTION PLANS FOR LIFESTYLE CHANGES. FITNESS & WELLNESS EDUCATION SERIES - FREE MONTHLY EDUCATION SESSIONS FOCUSED ON HEART HEALTH, FALL PREVENTION, NUTRITION, GENERAL EXERCISE, AND OTHER TOPICS AS REQUESTED BY ATTENDEES. SHAREGIVER PROGRAM - A SIX-WEEK EDUCATIONAL PROGRAM, DESIGNED BY THE AMERICAN HEART & STROKE ASSOCIATION, FOR STROKE SURVIVORS AND THEIR CAREGIVERS. TOPICS INCLUDE: PREVENTING RECURRENCE; EMOTIONAL WELLNESS; SAFETY IN THE HOME; AND ACCESSING COMMUNITY RESOURCES. SPECIAL ADAPTIVE SPORTING AND TRAVEL EVENTS - INCLUDING BOWLING CLINICS; ADAPTIVE GOLF CLINICS AND TOURNAMENTS; FISHING TRIPS; ADAPTIVE SKI TRIPS; AND AN ACCESSIBLE TRAVEL PROGRAM. COLLABORATIVE EVENTS - SHELTERING ARMS PARTNERS WITH LOCAL AGENCIES TO PROVIDE HEALTH AND WELLNESS EDUCATION EVENTS TO THE COMMUNITY. PARTNER AGENCIES AND ORGANIZATIONSINCLUDE: ARTHRITIS FOUNDATION; VCU PARTNERSHIPS FOR PEOPLE WITH DISABILITIES; VIRGINIA ARTHRITIS ACTION COALITION; SENIOR NAVIGATOR; AMERICAN HEART & STROKE ASSOCIATION; NATIONAL MULTIPLE SCLEROSIS SOCIETY; VIRGINIA BRAIN INJURY ASSOCIATION; VIRGINIA DEPARTMENT OF HEALTH; AND VIRGINIA DEPARTMENT ON AGING. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (3 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| THE COMMUNITY FOUNDATION SERVING RICHMOND AND CENTRAL VIRGINIA | |||||||
| 7501 BOULDERS VIEW DRIVE SUITE 110 | RICHMOND | VA | 23225 | 237009135 | 501(C)(3) | $143,500 | TO SUPPORT FOURTEEN PROGRAMS IDENTIFIED IN THE COMMUNITY SERVING POPULATIONS |
| INTERNATIONAL BRAIN INJURY ASSOCIATION | |||||||
| PO BOX 1804 | ALEXANDRIA | VA | 22313 | 363892309 | 501(C)(3) | $13,300 | TO SUPPORT PROFESSIONALS STUDYING BRAIN INJURY AND TREATMENT |
| SENIOR NAVIGATOR | |||||||
| 7501 BOULDERS VIEW DRIVE SUITE 201 | RICHMOND | VA | 23225 | 541977334 | 501(C)(3) | $5,600 | SUPPORT OF ONLINE SEARCH WEBSITE TO ASSIST SENIORS AND CAREGIVERS TO FIND COMMUNITY PROGRAMS AND SERVICES. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | EQUIPMENT AND PHARMACY ASSISTANCE | GrantTypeTxt |
| Recipient | 20 | RecipientCnt |
| Non Cash Assistance | $31,045 | NonCashAssistanceAmt |
| Valuation Method Used | FMV | ValuationMethodUsedDesc |
| Non Cash Assistance | COST OF SUPPLIES GRANTED | NonCashAssistanceDesc |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION MAINTAINS RECORDS OF ALL GRANTS GIVEN. THE DONATIONS WERE MADE TO COMMUNITY PROGRAMS IDENTIFIED BY THE INDEPENDENT BOARD AND MANAGEMENT AS SERVING THE HOSPITAL'S MISSION AND POPULATIONS IN NEED OF ASSISTANCE. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | 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 (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JAMES E SOK | ||||||||||||||
| PRESIDENT/CEO | $403,900 | $0 | $192,623 | $0 | $0 | $0 | $121,639 | $0 | $11,060 | $0 | $729,222 | $0 | $0 | $0 |
| JAMES A BRAITH | ||||||||||||||
| SECRETARY/VP OF BUS. DEVELOPMENT | $190,303 | $0 | $71,568 | $0 | $0 | $0 | $14,675 | $0 | $15,090 | $0 | $291,636 | $0 | $0 | $0 |
| MICHAEL E DACUS | ||||||||||||||
| VP OF FINANCE & CFO/TREASURER | $223,395 | $0 | $80,846 | $0 | $0 | $0 | $3,483 | $0 | $15,395 | $0 | $323,119 | $0 | $0 | $0 |
| ELLEN VANCE | ||||||||||||||
| VP & CHIEF HUMAN RESOURCES OFFICER | $160,703 | $0 | $66,822 | $0 | $0 | $0 | $13,391 | $0 | $15,035 | $0 | $255,951 | $0 | $0 | $0 |
| CHRISTOPHER P SORENSON | ||||||||||||||
| VP OF INFORMATION TECHNOLOGY | $142,881 | $0 | $71,102 | $0 | $0 | $0 | $2,216 | $0 | $13,263 | $0 | $229,462 | $0 | $0 | $0 |
| SANDY EYLER | ||||||||||||||
| VP & CHIEF NURSING OFFICER | $129,327 | $0 | $27,684 | $0 | $0 | $0 | $6,451 | $0 | $9,881 | $0 | $173,343 | $0 | $0 | $0 |
| MARY ZWEIFEL | ||||||||||||||
| VP OPERATIONS | $191,379 | $0 | $70,730 | $0 | $0 | $0 | $3,257 | $0 | $5,677 | $0 | $271,043 | $0 | $0 | $0 |
| TIMOTHY M SILVER | ||||||||||||||
| MEDICAL DIRECTOR | $313,071 | $0 | $78,023 | $0 | $0 | $0 | $13,085 | $0 | $15,809 | $0 | $419,988 | $0 | $0 | $0 |
| HILLARY S HAWKINS | ||||||||||||||
| MEDICAL DIRECTOR | $286,868 | $0 | $117,858 | $0 | $0 | $0 | $4,243 | $0 | $15,664 | $0 | $424,633 | $0 | $0 | $0 |
| GREGORY LEGHART | ||||||||||||||
| PHYSICIAN | $246,828 | $0 | $55,427 | $0 | $0 | $0 | $14,248 | $0 | $15,370 | $0 | $331,873 | $0 | $0 | $0 |
| CHARLES MATTHEW GIBELLATO | ||||||||||||||
| PHYSICIAN | $220,150 | $0 | $67,107 | $0 | $0 | $0 | $11,633 | $0 | $15,279 | $0 | $314,169 | $0 | $0 | $0 |
| ALBERT M JONES | ||||||||||||||
| PHYSICIAN | $239,414 | $0 | $22,988 | $0 | $0 | $0 | $10,963 | $0 | $14,425 | $0 | $287,790 | $0 | $0 | $0 |
| MARIA C LITTAUA | ||||||||||||||
| PHYSICIAN | $206,575 | $0 | $32,000 | $0 | $0 | $0 | $15,753 | $0 | $15,234 | $0 | $269,562 | $0 | $0 | $0 |
| JOHN E GIBBS II | ||||||||||||||
| PHYSICIAN | $191,796 | $0 | $45,430 | $0 | $0 | $0 | $9,750 | $0 | $9,907 | $0 | $256,883 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4B | THE ORGANIZATION HAS A 457B PLAN FOR JAMES E. SOK. THE AGGREGATE EARNED PORTION OF THE EMPLOYER PAID CONTRIBUTION FOR THE CALENDAR YEAR 2013 WAS $70,174. |
| SCHEDULE J, PART 1, LINE 4: | FOR ANY EXECUTIVE OR OTHER EMPLOYEE WHO HAS SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF THE ORGANIZATION THE COMPENSATION ARRANGEMENT MUST BE APPROVED BY THE ORGANIZATIONS GOVERNING BODY OR A COMMITTEE OF THE GOVERNING BODY COMPRISED OF INDIVIDUALS WHO DO NOT HAVE A CONFLICT OF INTEREST WITH RESPECT TO THE ARRANGEMENT. THE GOVERNING BODY OR ITS COMMITTEE OBTAINS AND RELIES UPON APPROPRIATE DATA AS TO COMPARABILITY PRIOR TO MAKING ITS DECISION AND THE GOVERNING BODY OR ITS COMMITTEE ADEQUATELY DOCUMENTS THE BASIS FOR ITS DECISION. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TROUTMAN SANDERS LLP | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | DAVID CONSTINE, A BOARD MEMBER, IS A PARTNER IN THIS LAW FIRM. | RelationshipDescriptionTxt |
| Transaction | $441,269 | TransactionAmt |
| Transaction | LEGAL THE SERVICES ARE NEGOTIATED AT ARM'S LENGTH AND ARE AT FAI | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 3 | THE INPATIENT SERVICES PROVIDED TO OTHER LOCAL HOSPITALS HAS BEEN MOVED TO THE RELATED ENTITY, PALMYRA REHABILITATION SERVICES. |
| 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 11 | 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, WHISTLEBLOWER POLICIES, RELATED POLICIES, AND FINANCIAL STATEMENTS. |
| SCHEDULE J, PART B, COLUMN III | THE WAGES AND BONUS COMPENSATION WAS DOUBLE REPORTED IN THE OTHER COMPENSATION COLUMN III. THE AMOUNTS IN COLUMN III HAVE BEEN REMOVED FOR THE TOP FIVE HIGHEST COMPENSATED EMPLOYEES. |
| FORM 990, PART XI, LINE 9: | TEMPORAIRILY RESTRICTED ASSETS RELEASED -51,784. |
| PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| SHELTERING ARMS PHYSICAL REHABILITATION ASSOCIATES LLC | |||||||||
| 8254 ATLEE ROAD | MECHANICSVILLE | VA | 23116 | 260402064 | PHYSICAL REHABILITATION | VA | -$3,479,769 | $642,009 | SHELTERING ARMS HOSPITAL |
| SHELTERING ARMS THERAPY CLINICS LLC DBA PT WORKS | |||||||||
| 8254 ATLEE ROAD | MECHANICSVILLE | VA | 23116 | 271939022 | PHYSICAL REHABILITATION | VA | -$319,392 | $653,467 | SHELTERING ARMS HOSPITAL |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SHELTERING ARMS FOUNDATION | |||||||||||
| 8254 ATLEE ROAD | MECHANICSVILLE | VA | 23116 | 541615599 | PHYSICAL REHABILITATION | VA | 501(C)(3) | LINE 11B, II | SHELTERING ARMS CORPORATION | 0 | |
| SHELTERING ARMS HOSPITAL SOUTH | |||||||||||
| 8254 ATLEE ROAD | MECHANICSVILLE | VA | 23116 | 352258075 | PHYSICAL REHABILITATION | VA | 501(C)(3) | LINE 3 | SHELTERING ARMS CORPORATION | 0 | |
| PALMYRA REHABILITATION CORPORATION | |||||||||||
| 8254 ATLEE ROAD | MECHANICSVILLE | VA | 23116 | 541615601 | PHYSICAL REHABILITATION | VA | 501(C)(3) | LINE 11A, I | SHELTERING ARMS CORPORATION | 0 | |
| SHELTERING ARMS CORPORATION | |||||||||||
| 8254 ATLEE ROAD | MECHANICSVILLE | VA | 23116 | 541615598 | PHYSICAL REHABILITATION | VA | 501(C)(3) | LINE 3 | 0 | N/A | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| SHELTERING ARMS HOSPITAL SOUTH | ||
| C | $4,872,239 | AMOUNT TRANSFERRED |
| SHELTERING ARMS FOUNDATION | ||
| C | $7,630,859 | AMOUNT TRANSFERRED |
| PALMYRA REHABILITATION CORPORATION | ||
| C | $881,881 | AMOUNT TRANSFERRED |
| SHELTERING ARMS HOSPITAL SOUTH | ||
| B | $4,312,624 | AMOUNT TRANSFERRED |
| PALMYRA REHABILITATION CORPORATION | ||
| B | $1,783,377 | AMOUNT TRANSFERRED |
| SHELTERING ARMS FOUNDATION | ||
| B | $637,048 | AMOUNT TRANSFERRED |
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