2016-08-14T13:12:31-05:00 2015-09-30 560574444 CHERRY BEKAERT LLP 828 MAIN ST STE 1801 LYNCHBURG VA 24504 990 2014-10-01 540505955 SHELTERING ARMS HOSPITAL SHEL 8043424340 8254 ATLEE ROAD MECHANICSVILLE VA 23116 MARY ZWEIFEL INTERIM PRESIDENT AND CEO 8043424340 2016-08-12 1 SAMUEL JOHNSON P00019699 4348476643 2014 2016-09-27 15:27:22Z MARY ZWEIFEL 8254 ATLEE ROAD MECHANICSVILLE VA 23116 69465514 0 X WWW.SHELTERINGARMS.COM X 1941 VA TO PROVIDE PHYSICAL REHABILITATION AND TO ENHANCE THE QUALITY OF LIFE TO THOSE WITH DISABILITIES, AND TO OFFER FINANCIAL ASSISTANCE TO THOSE IN NEED. 19 19 721 19 0 0 14413853 17891406 44658615 51153593 29689 3112 224919 -30495 59327076 69017616 203092 200712 0 0 23924932 25409754 0 0 265182 35334477 41893992 59462501 67504458 -135425 1513158 18741881 33322851 3993097 17038981 14748784 16283870 X 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. 0 0 61963067 58421650 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 2015, 865 PATIENTS WERE ADMITTED RESULTING IN 12,696 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 AND PSYCHOLOGY REHABILITATION SERVICES, AND OUTPATIENT REHABILITATION THERAPIES. DURING FISCAL YEAR 2015, SHELTERING ARMS HOSPITAL PROVIDED OUTPATIENT THERAPY SERVICES RESULTING IN 73,710 THERAPY VISITS. FOR FISCAL YEAR 2015, PHYSICIAN AND PSYCHOLOGY SERVICES RESULTED IN 44,303 PATIENT VISITS. 1681521 476268 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, CHRONIC DISEASE SELF-MANAGEMENT CLASSES, DIABETES SELF-MANAGEMENT CLASSES, NERUOFIT 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 ONSITE FITNESS CENTER, PARTICIPATE IN SPIRITUALITY GROUP, THE COMPUTER LAB, WEEKLY TRIPS TO OUR THERAPEUTIC POOL, INTERGENERATIONAL PROGRAMS, COMMUNITY SERVICES OPPORTUNITIES, AS WELL AS COMMUNITY OUTINGS. FINANCIAL ASSISTANCE WAS PROVIDED TO THOSE WHO QUALIFIED IN THIS PROGRAM AT A DISCOUNTED AMOUNT OF $120,122. IN FISCAL YEAR 2015 THE CLUB REC PROGRAM ENROLLED 7,341 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. IN FISCAL YEAR 2015 THERE WERE 17 EVENTS WITH A TOTAL OF 259 PARTICIPANTS. CHRONIC DISEASE SELF-MANAGEMENT AND DIABETES SELF-MANAGEMENT CLASSES WERE OFFERED FREE TO THE COMMUNITY THROUGH PARTNERSHIP WITH LOCAL SENIOR AND HEALTH CARE AGENCIES. THE GOAL OF THE PROGRAM IS FOR PARTICIPANTS TO LEARN STRATEGIES TO IMPLEMENT HEALTHY LIFESTYLE CHANGES TO SUCCESSFULLY MANAGE THEIR CHRONIC CONDITION. 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 A WARM WATER THERAPEUTIC POOLS AND FITNESS CENTER OFFERING POOL AND FITNESS MEMBERSHIPS, AQUATIC AND LAND GROUP EXERCISE CLASSES, AND PERSONAL TRAINING SERVICES TO THE COMMUNITY. OUR WARM WATER THERAPEUTIC POOL PROVIDES A RAMP FOR WHEELCHAIR ENTRY INTO THE WATER, SUBMERGED PARALLEL BARS, AND LAP LANE SWIMMING FOR THOSE WHO FIND LESS PAIN AND INCREASED RANGE OF MOTION IN A WARM WATER ENVIRONMENT. POOL AND FITNESS MEMBERSHIPS PROVIDE A TRANSITION PLAN FOR PATIENTS BEING DISCHARGED FROM INPATIENT HOSPITAL AND OUTPATIENT THERAPY CLINICS BY PROVIDING THE OPPORTUNITY TO CONTINUE TO ENGAGE IN PHYSICAL ACTIVITY. FITNESS SPECIALISTS WORK WITH INDIVIDUALS PROVIDING PERSONALIZED ATTENTION TO THE MEMBERS, AS WELL AS PERSONAL TRAINING SERVICES FOR THOSE WHO ARE INTERESTED IN INDIVIDUALIZED GOAL SETTING AND EXERCISE PROGRAMS DESIGNED TO MEET THEIR NEEDS. DURING FISCAL YEAR 2015 THERE WERE 24,398 COMMUNITY MEMBERSHIP VISITS TO THE POOLS FITNESS CENTERS. SHELTERING ARMS LEAD 1,389 GROUP EXERCISE CLASSES AND WELLNESS EDUCATION CLASSES WITH A TOTAL OF 6,938 CLASS PARTICIPANTS. FITNESS SPECIALISTS UTILIZE ADVANCED TECHNOLOGIES TO PROVIDE UNIQUE PERSONAL TRAINING SERVICES FOR THE NEUROLOGICALLY IMPAIRED IN OUR NEUROFIT PROGRAM. THIS FISCAL YEAR THE NEUROFIT PROGRAM EXPANDED TO OFFER THIS SERVICE TWICE PER WEEK AT OUR SHELTERING ARMS SOUTH HOSPITAL. THE GOAL IS TO ENSURE LIFELONG PHYSICAL ACTIVITY AFTER A CATASTROPHIC INJURY OR ILLNESS. FITNESS SPECIALISTS AT OUR BON AIR AND REYNOLDS LOCATIONS PROVIDE PERSONAL TRAINING SERVICES TO THOSE TRANSITIONING FROM OUTPATIENT THERAPY SERVICES, WHILE ALSO PROVIDING PERSONAL TRAINING SERVICE TO THE COMMUNITY FOR PREVENTION AND WELLNESS. OUR PARKINSON'S WELLNESS RECOVERY BI-WEEKLY GROUP EXERCISE AT BON AIR HAS SEEN SIGNIFICANT GROWTH IN CLASS PARTICIPANTS. THIS FISCAL YEAR SHELTERING ARMS FITNESS CENTERS HAVE BECOME A SILVER SNEAKERS PROVIDER FOR THE COMMUNITY WHICH PROVIDES FINANCIAL SUPPORT FOR FITNESS MEMBERSHIPS FOR THOSE WITH A SILVER SNEAKER WELLNESS OPTION THROUGH THEIR PRIVATE INSURANCE COMPANY. SPECIFIC SILVER SNEAKER GROUP EXERCISE CLASSES ARE OFFERED WEEKLY AT OUR BON AIR LOCATION.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 QUALITY OF LIVING. SHELTERING ARMS PARTNER FOR L.I.F.E. SERVICES PROVIDE A UNIQUE NICHE FOR INDIVIDUALS WITH PHYSICAL DISABILITIES, AS WELL AS THE COMMUNITY, TO MAINTAIN AN ACTIVE AND HEALTHY LIFESTYLE. 1493485 200712 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 2015, CHARITY CARE AND/OR FINANCIAL ASSISTANCE RESULTED IN TOTAL DISCOUNTED CHARGES FOREGONE BY SHELTERING ARMS HOSPITAL OF $929,638. IN FY 2015, SHELTERING ARMS HOSPITAL ALSO TRANSPORTED PATIENTS PARTICIPATING IN PATIENT THERAPY AT AN UNREIMBURSED COST OF $2,323. SHELTERING ARMS HOSPITAL ALSO PROVIDED FREE MOBILITY AND THERAPY EQUIPMENT AND PHARMACY ASSISTANCE TO THOSE PATIENTS WHO QUALIFIED, FOR USE DURING THEIR RECOVERY AT HOME. THE COST OF PROVIDING THIS ASSISTANCE WAS $40,400. IN ADDITION, SHELTERING ARMS HOSPITAL CONTRIBUTED $160,372 TO SUPPORT OTHER COMMUNITY ORGANIZATIONS AND EVENTS. 65138073 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 1 0 1 1 1 1 1 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 103 0 1 721 1 1 1 0 0 0 0 0 0 0 0 0 X 19 19 0 0 0 0 1 1 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 VA X JAMES S LITSINGER CFO 8043424340 8254 ATLEE RD MECHANICSVILLE VA 23116 X TERESA REYNOLDS DIMARCO DIRECTOR 2.00 3.00 X 0 0 0 HOLLY ANTRIM DIRECTOR 2.00 3.00 X 0 0 0 WILLIAM T CLARKE JR DIRECTOR 2.00 3.00 X 0 0 0 BARBARA H DUNN DIRECTOR 2.00 3.00 X 0 0 0 WILLIAM E HARDY DIRECTOR 2.00 3.00 X 0 0 0 SUSAN J RAWLES DIRECTOR 2.00 3.00 X 0 0 0 JAMES A SLABAUGH SR DIRECTOR 2.00 3.00 X 0 0 0 KATHRYN M BARLEY DIRECTOR 2.00 3.00 X 0 0 0 ANNE H BENNETT DIRECTOR 2.00 3.00 X 0 0 0 PETER BOWLES DIRECTOR 1.00 4.00 X 0 0 0 DAVID E CONSTINE III DIRECTOR 2.00 3.00 X 0 0 0 W BATES CHAPPELL DIRECTOR 2.00 3.00 X 0 0 0 ABRAHAM SEGRES DIRECTOR 2.00 3.00 X 0 0 0 ASHBY R HACKNEY DIRECTOR 2.00 3.00 X 0 0 0 AMES J RUSSELL DIRECTOR 2.00 3.00 X 0 0 0 THEODORE PRICE DIRECTOR 1.00 4.00 X 0 0 0 PATRICIA B CUSHNIE CHAIRMAN 1.00 4.00 X X 0 0 0 J WAVERLY PULLEY III FIRST VICE CHAIRMAN 2.00 3.00 X X 0 0 0 DIANNE V JEWELL SECOND VICE CHAIRMAN 2.00 3.00 X X 0 0 0 JAMES E SOK PRESIDENT/CEO 24.00 16.00 X 595830 0 152763 JAMES A BRAITH SECRETARY/VP OF BUS. DEVEL 8.00 32.00 X 274479 0 27686 MICHAEL E DACUS VP OF FINANCE & CFO/TREASU 24.00 16.00 X 351214 0 20705 ELLEN VANCE VP & CHIEF HUMAN RESOURCES 10.00 30.00 X 236814 0 25980 CHRISTOPHER P SORENSON VP OF INFORMATION TECHNOLO 10.00 30.00 X 217922 0 21100 SANDY EYLER VP & CHIEF NURSING OFFICER 10.00 30.00 X 202625 0 15898 MARY ZWEIFEL VP OPERATIONS 10.00 30.00 X 305647 0 17815 TIMOTHY M SILVER MEDICAL DIRECTOR 0.00 40.00 X 399168 0 27845 HILLARY S HAWKINS MEDICAL DIRECTOR 40.00 X 477104 0 17232 GREGORY LEGHART PHYSICIAN 40.00 X 334055 0 28611 CHARLES MATTHEW GIBELLATO PHYSICIAN 40.00 X 328077 0 25088 ALBERT M JONES PHYSICIAN 40.00 X 285826 0 23602 MARIA C LITTAUA PHYSICIAN 40.00 X 236186 0 28152 AARON M JONES PHYSICIAN 40.00 X 252933 0 15469 4497880 0 447946 33 0 1 0 MEMORIAL REGIONAL MEDICAL 8260 ATLEE ROAD MECHANICSVILLE VA 23116 HOSPITAL ANCILLARY & SUPPORT 1986736 TROUTMAN SANDERS LLP 1001 HAXALL POINT RICHMOND VA 23219 LEGAL ADVICE 504263 CROTHALL 1500 LIBERTY RIDGE DRIVE STE 210 WAYNE PA 19087 HOUSEKEEPING 400536 BURFORD ADVERTISING 125 EAST MAIN ST RICHMOND VA 23219 ADVERTISING 232174 JDA EHEALTH SYSTEMS 1415 U DIEHL ROAD STE 200-N NAPERVILLE FL 60563 ACCOUNTS RECEIVABLE CLAIM PROCESSING 195481 7 16929878 961528 17891406 PATIENT REVENUE 621400 50500776 50500776 THERAPEUTIC RECREATION 621400 652817 652817 51153593 2379 2379 140784 0 140784 140784 140784 1401 668 733 733 733 410128 447230 -37102 -37102 MISCELLANEOUS 621400 -134177 -134177 -134177 69017616 51160200 0 -33990 160312 160312 40400 40400 3387827 2401236 986591 17308337 17308337 1066299 1012984 53315 1315294 1315294 2331997 2215397 116600 436883 266746 170137 136837 102628 34209 719894 413143 52357 254394 44367 4480 30524 9363 577445 577445 1386186 1180140 206046 2561521 2472383 89138 87788 81042 5571 1175 199590 174444 25146 37938 37938 7887740 7887740 1740183 1498996 241187 255691 212819 42622 250 CONTRACTUAL ADJUSTMENTS 22032135 22032135 PURCHASED SERVICES 3384184 3364983 19201 BAD DEBT EXPENSE 243247 243247 MEMBERSHIPS 162363 133804 28559 67504458 65138073 2101203 265182 211372 237654 984701 12521045 3461075 3736093 47179 60348 990456 1302491 38177358 25972703 12309037 12204655 100000 100000 498981 495647 139080 2664918 18741881 33322851 3993097 4185490 12853491 3993097 17038981 X 14647155 16180832 1629 3038 100000 100000 14748784 16283870 18741881 33322851 1513158 -39956 61884 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 416370 416370 11135716 5977206 5158510 3907628 2399775 1507853 18694750 15247715 3447035 4022894 2348007 1674887 12204655 INVESTMENT IN OTHER ENTITIES 99126 INTERNAL USE SOFTWARE 2565792 2664918 X PART X, LINE 2: 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, 2015, 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. BAL-DU-BOIS 410128 410128 146896 300334 410128 410128 146896 300334 447230 -37102 1 1 X 1 X 1 X 1 1 0 0 972361 972361 0.01440 513209 513209 0.00760 1485570 1485570 0.02200 1681521 476268 1205253 0.01790 139825 139825 0.00210 160312 160312 0.00240 1981658 476268 1505390 0.02240 3467228 476268 2990960 0.04440 13 221 2509 2509 0.00000 13 221 2509 2509 1 243247 12162 10923767 9075123 1848644 X 1 1 1 1 SHELTERING ARMS HOSPITAL 8254 ATLEE ROAD MECHANICSVILLE VA 23116 WWW.SHELTERINGARMS.COM H-1899 X PHYSICAL REHABILITATION HOSPITAL SHELTERING ARMS HOSPITAL 1 0 0 1 X X X X X X X X X 12 1 0 0 1 X WWW.SHELTERINGARMS.COM X 1 13 1 WWW.SHELTERINGARMS.COM 0 0 1 X 200.000000000000 250.000000000000 X X X X X 1 1 X X X X 1 X WWW.SHELTERINGARMS.COM X X X 1 X 0 X X X X 0 X X 0 0 SHELTERING ARMS HOSPITAL PART V, SECTION B, LINE 5: PART V, SECTION B, LINE 5: DURING THE MOST RECENT CHNA THE TARGET COMMUNITY WAS DEFINED AND THREE KEY ELEMENTS WERE FOCUSED ON: THEY ARE 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, A VIRGINIA BASED HEALTH RESEARCH AND CONSULTING COMPANY. THE RESPONDENTS INCLUDED TWO PUBLIC HEALTH ENTITIES. MORE THAN TWENTY HEALTH CONCERNS AND MORE THAN TWENTY FOUR SERVICE GAPS WERE IDENTIFIED. RESPONDENTS ALSO HAD THE ABILITY, THROUGH THE WRITE IN OPTION IDEAS AND SUGGESTIONS FOR IMPROVING COMMUNITY HEALTH. SHELTERING ARMS THEN PRIORITIZED THE CONCERNS AND SERVICE GAPS TO THOSE WITH WHICH RESOURCES COULD BE FOCUSED ON WHICH ARE WITHIN THE SCOPE OF PHYSICAL REHABILITATION AND CAN BE ADDRESSED THROUGH COMMUNITY COLLABORATION. SHELTERING ARMS HOSPITAL PART V, SECTION B, LINE 11: IN OUR FY 2015 SHELTERING ARMS HAS ADDRESSED THE IDENTIFIED SERVICE GAP ON AGING BY EXPANDED AND ENHANCED COMMUNITY OUTREACH SERVICES INCLUDING SEMINARS, PRESENTATIONS, CLASSES, AND COLLABORATION WITH OTHER ORGANIZATIONS AND AGENCIES VIA JOINT EVENT LINKS. WE CONTINUE DIALOGUE WITH AREA AGENCIES TO IDENTIFY SERVICE GAPS AND OPPORTUNITIES FOR ADDITIONAL PROGRAMS AND EVENTS. THE SECOND SERVICE GAP ON BEHAVIORAL HEALTH SERVICES-MEDICALLY RELATED HAS BEEN ADDRESSED BY HIRING ANOTHER HEALTH PSYCHOLOGIST TO PROVIDE BEHAVIORAL HEALTH SERVICES TO PATIENTS WITH OBESITY, CHRONIC PAIN, AND OTHER MEDICAL CONDITIONS AND THOSE FACING CHALLENGES WITH PAIN, MOOD, ADJUSTMENT AND BEHAVIOR. WE HAVE EXPANDED GROUP TREATMENT SERVICES TO PROVIDE BROADER ACCESS TO A LARGER NUMBER OF PEOPLE AT A LOWER COST AND EXPANDED OUTREACH SERVICES THROUGH PRESENTATIONS AND SEMINARS. SERVICE GAP 4 & % IS PATIENT SELF-MANAGEMENT, HEALTH PROMOTION AND PREVENTION. SHELTERING ARMS HAS EXPANDED THE POWEREX PROGRAM, WHICH FOCUSES ON AN ACTIVE AND HEALTHY LIFESTYLE. INCREASED OUTREACH ACTIVITIES AND SERVICES, INCLUDING CHRONIC DISEASE MANAGEMENT CLASS AND DIABETES SELF MANAGEMENT. SERVICE GAP NUMBER 7 IS CHRONIC PAIN MANAGEMENT SERVICES. SHELTERING ARMS HAS ADDED A SPINE CLINIC PHYSICIAN AND INCREASED ANOTHER SPINE CLINICS PHYSICIAN HOURS TO PROVIDE SERVICES FOR A RANGE OF PAIN CONDITIONS. A HEALTH PSYCHOLOGIST WAS ALSO HIRED TO INCLUDE TREATMENT AND MANAGEMENT OF PAIN CONDITIONS. SERVICE GAP 9 IS HEALTH CARE COVERAGE. SHELTERING ARMS PROVIDED CHARITY CARE BASED ON FEDERAL POVERTY GUIDELINES, CONTINUED THE RELATIONSHIP WITH ACCESS NOW TO PROVIDE SERVICES TO A LARGER NUMBER OF UNINSURED WHILE IMPROVING COMMUNICATION THROUGH ENHANCED REPORTING AND CONTINUED THE RELATIONSHIP WITH CHAMBERLIN EDMONDS TO ASSIST QUALIFYING PATIENTS TO PROVIDE ACCESS TO MEDICARE AND MEDICAID. SHELTERING ARMS HOSPITAL PART V, SECTION B, LINE 15E: THE CFO WILL REVIEW APPLICATIONS THAT DO NOT MEET THE PROGRAM GUIDELINES BUT FOR WHICH EXTRAORDINARY CIRCUMSTANCES MAY EXIST. ALSO, APPLICATIONS BY PATIENTS/FAMILIES WHO DISAGREE WITH THE PROGRAM DETERMINATION MAY REQUEST RECONSIDERATION THROUGH THIS PROCESS. PART V, SECTION B, LINE 16 FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY SHELTERING ARMS HOSPITAL PART V, SECTION B, LINE 16A WEBSITE: WWW.SHELTERINGARMS.COM 10 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 REYNOLDS CENTER 6627 W BROAD STREET 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 PART I, LINE 3C: PART I, LINE 6A: THE FY 2014 COMMUNITY BENEFIT REPORT WAS COMPLETED AND PUBLISHED THROUGH VHHA IN AUGUST OF 2015. THE FY 2015 COMMUNITY BENEFIT REPORT WILL BE SUBMITTED TO VHHA FOR PUBLICATION IN SEPTEMBER OF FY 2015. IN ADDITION, THE FY 2014 COMMUNITY BENEFIT REPORT WAS PUBLISHED IN THE SHELTERING ARMS ANNUAL REPORT AND IS AVAILABLE ON THE WEBSITE: WWW.SHELTERINGARMS.COM. THE FY 2015 RESULTS WILL ALSO BE PART OF THE SHELTERING ARMS ANNUAL REPORT WHICH SHOULD BE AVAILABLE IN THE FALL OF FY 2016.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: BAD DEBT REPRESENTS THE UNCOLLECTIBLE ACTUAL AMOUNTS WRITTEN OFF DURING THE FISCAL YEAR. PART III, LINE 3: BAD DEBT ATTRIBUTABL TO PATIENTS UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS ESTIMATED BASED ON A PATIENT'S INABILITY TO PAY AND WHO FAIL TO COMPLETE THE APPLICATION AND/OR SUBMIT THE REQUIRED DOCUMENTS WITHIN THE 60 DAY GRACE PERIOD ALLOWED TO APPLY FOR ASSISTANCE. PART III, LINE 4: SEE PAGE 11 OF THE AUDITED FINANCIAL STATEMENTS - NOTE 1- NATURE OF ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES "PAITENT ACCOUNTS RECEIVABLE." PART III, LINE 8: THE MEDICARE GAIN WAS OBTAINED DIRECTLY FROM THE FY 2015 MEDICARE COST REPORT. 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 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 AS PATIENT PAY THE 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 AR SYSTEM AND THE BAD DEBT WILL BE REVERSED AND CODED AS RECOVERY. IF THE COLLECTION AGENCY IS UNSUCCESSFUL AND HAS NO PAYMENT ARRANGEMENT OR BROKEN PAYMENT ARRANGEMENTS THE ACCOUNT CAN ALSO BE PULLED BACK FROM THE COLLECTION VENDOR, BAD DEBT STATUS WILL REMAIN AND COLLECTION EFFORTS WILL CEASE. PART VI, LINE 2: SHELTERING ARMS HOSPITAL CONTINUE 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; SHELTERING ARMS BUILDS COALITIONS WITH OTHER HEALTH CARE PROVIDERS AND AGENCIES TO PLAN AND DEVELOP PROGRAMS AND EDUCATIONAL EVENTS TO ASSIST THE POPULATION SERVED TO GIVE THEM OPTIONS FOR FINDING SOLUTIONS TO THEIR SERVICE NEEDS; CONDUCTING EXPANDED OUTREACH SERVICES THROUGH PRESENTATIONS AND EDUCATIONAL SEMINARS; ENCOURAGING PATIENTS AND STAFF TO DISCUSS SERVICES AND EDUCATIONAL TRAINING AND SUPPORT THEY SEE OR HAVE ENCOUNTERED TO ADDRESS THOSE GAPS IN AVAILABILITY TO THE POPULATION IN NEED. PART VI, LINE 3: FINANCIAL ASSISTANCE INFORMATION AND APPLICATIONS ARE AVAILABLE TO THE POPULATION SERVED THROUGH THE WEBSITE AT WWW.SHELTERINGARMS.COM COMPLETE WITH DIRECT CONTACT TELEPHONE INFORMATION TO A FINANCIAL ASSISTANCE REPRESENTATIVE. INFORMATION ON FINANCIAL ASSISTANCE AND APPLICATIONS ARE AVAILABLE IN PERSON THROUGH PATIENT ACCESS STAFF AT EACH LOCATION, CASE MANAGERS OR PATIENT FINANCIAL SERVICES STAFF. 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, PHYSICAL THERAPY, FITNESS, DIABETES, NUTRITION, MS, STROKE EDUCATION, AND SO ON; 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, BRAIN INJURY ASSOCIATION OF VIRGINIA, HOSPITALITY HOUSE OF RICHMOND, INC. (FAMILY SUPPORT PROGRAM), REACHCYCLES, SPORTABLE RICHMOND ADAPTIVE SPORT & RECREATION, INC., GOOCHLAND FREE CLINIC AND FAMILY SERVICES, PARALYZED VETERANS OF AMERICA, MID-ATLANTIC CHAPTER, FOUNDATION FOR REHABILITATION EQUIPMENT & ENDOWMENT-ROANOKE, POSITIVE VIBE FOUNDATION, IVNA HEALTH SERVICES, A GRACE PLACE ADULT CARE CENTER, 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.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 THE MAJORITY OF THE SERVICES 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, CHRONIC DISEASE SELF-MANAGEMENT CLASSES, DIABETES SELF-MANAGEMENT CLASSES, POWEREX, NEUROFIT, 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 UP TO 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 RECREATION PROGRAMS. 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 COMMUNITY OUTINGS. IN FY 2015 THE CLUB REC PROGRAM ENROLLED 7,391 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. IN FISCAL YEAR 2015 THERE WERE 17 EVENTS TOTALING 259 PARTICIPANTS. CHRONIC DISEASE SELF-MANAGEMENT AND DIABETES SELF MANAGEMENT CLASSES WERE OFFERED FREE TO THE COMMUNITY THROUGH PARTNERSHIP WITH LOCAL SENIOR AND HEALTH CARE AGENCIES. THE GOAL OF THE PROGRAM IS FOR PARTICIPANTS TO LEARN STRATEGIES TO IMPLEMENT HEALTHY LIFESTYLE CHANGES TO SUCCESSFULLY MANAGE THEIR CHRONIC CONDITION. 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 A WARM WATER THERAPEUTIC POOL AND FITNESS CENTER OFFERING POOL AND FITNESS MEMBERSHIPS, AQUATIC AND LAND GROUP EXERCISE CLASSES, AND PERSONAL TRAINING SERVICES TO THE COMMUNITY. OUR WARM WATER THERAPEUTIC POOL PROVIDES A RAMP FOR WHEELCHAIR ENTRY INTO THE WATER, SUBMERGED PARALLEL BARS, AND LAP LANE SWIMMING FOR THOSE WHO FIND LESS PAIN AND INCREASED RANGE OF MOTION IN A WARM WATER ENVIRONMENT. POOL AND FITNESS MEMBERSHIPS PROVIDE A TRANSITION PLAN FOR PATIENTS BEING DISCHARGED FROM INPATIENT HOSPITAL AND OUTPATIENT THERAPY CLINICS THE OPPORTUNITY TO CONTINUE TO ENGAGE IN PHYSICAL ACTIVITY. FITNESS SPECIALISTS PROVIDE FITNESS MEMBERS WITH PERSONALIZED ATTENTION, AS WELL AS PERSONAL TRAINING SERVICES FOR THOSE WHO ARE INTERESTED IN INDIVIDUALIZED GOAL SETTING AND EXERCISE PROGRAMS DESIGNED TO MEET THEIR NEEDS. DURING FISCAL YEAR 2015 THERE WERE 24,398 COMMUNITY MEMBERSHIP VISITS TO THE POOLS AND FITNESS CENTERS. SHELTERING ARMS LEAD 1,389 GROUP EXERCISE CLASSES AND WELLNESS EDUCATION CLASSES TOTALING 6,938 CLASS PARTICIPANTS. FITNESS SPECIALISTS CONDUCTED 2,417 PERSONAL TRAINING VISITS AND 1,767 NEUROFIT PERSONAL TRAINING VISITS. ON OUR HOSPITAL CAMPUS THE FITNESS SPECIALISTS UTILIZE ADVANCED TECHNOLOGIES TO PROVIDE UNIQUE PERSONAL TRAINING SERVICES FOR THE NEUROLOGICALLY IMPAIRED IN OUR NEUROFIT PROGRAM. THIS FY THE NEUROFIT PROGRAM EXPANDED TO OFFER THIS SERVICE TWICE PER WEEK AT OUR SOUTH HOSPITAL. THE GOAL IS TO ENSURE LIFELONG PHYSICAL ACTIVITY AFTER A CATASTROPHIC INJURY OR ILLNESS. FITNESS SPECIALISTS AT OUR BON AIR AND REYNOLDS LOCATION PROVIDE PERSONAL TRAINING SERVICES TO THOSE TRANSITIONING FROM OUTPATIENT THERAPY SERVICES, WHILE ALSO PROVIDING PERSONAL TRAINING SERVICE TO THE COMMUNITY FOR PREVENTION AND WELLNESS. OUR PARKINSON'S WELLNESS RECOVERY BI-WEEKLY GROUP EXERCISE CLASS AT BON AIR HAS SEEN SIGNIFICANT GROWTH IN CLASS PARTICIPANTS. THIS FY SHELTERING ARMS FITNESS CENTERS HAVE BECOME A SILVER SNEAKERS PROVIDER FOR THE COMMUNITY WHICH PROVIDES FINANCIAL SUPPORT FOR FITNESS MEMBERSHIPS FOR THOSE WITH A SILVER SNEAKER WELLNESS OPTION THROUGH THEIR PRIVATE INSURANCE COMPANY. SPECIFIC SILVER SNEAKER GROUP EXERCISE CLASSES ARE OFFERED AT OUR BON AIR LOCATION WEEKLY.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 LIFE LONG 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. 1 THE COMMUNITY FOUNDATION SERVING RICHMOND AND CENTRAL VIRGINIA 7501 BOULDERS VIEW DRIVE SUITE 110 RICHMOND VA 23225 541201346 501(C)(3) 149076 TO SUPPORT THIRTEEN PROGRAMS IDENTIFIED IN THE COMMUNITY SERVING POPULATIONS 1 1 EQUIPMENT AND PHARMACY ASSISTANCE 74 40400 FMV COST OF SUPPLIES GRANTED PART I, LINE 2: 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. X X X X X 0 0 0 0 0 0 0 0 0 JAMES E SOK PRESIDENT/CEO 433266 0 162564 0 0 0 140684 0 12079 0 748593 0 0 0 JAMES A BRAITH SECRETARY/VP OF BUS. DEVEL 214020 0 60459 0 0 0 11171 0 16515 0 302165 0 0 0 MICHAEL E DACUS VP OF FINANCE & CFO/TREASU 252528 0 98686 0 0 0 3932 0 16773 0 371919 0 0 0 ELLEN VANCE VP & CHIEF HUMAN RESOURCES 180290 0 56524 0 0 0 9557 0 16423 0 262794 0 0 0 CHRISTOPHER P SORENSON VP OF INFORMATION TECHNOLO 170296 0 47626 0 0 0 4747 0 16353 0 239022 0 0 0 SANDY EYLER VP & CHIEF NURSING OFFICER 156076 0 46549 0 0 0 4864 0 11034 0 218523 0 0 0 MARY ZWEIFEL VP OPERATIONS 242002 0 63645 0 0 0 11500 0 6315 0 323462 0 0 0 TIMOTHY M SILVER MEDICAL DIRECTOR 343249 0 55919 0 0 0 10638 0 17207 0 427013 0 0 0 HILLARY S HAWKINS MEDICAL DIRECTOR 350164 0 126940 0 0 0 0 0 17232 0 494336 0 0 0 GREGORY LEGHART PHYSICIAN 282328 0 51727 0 0 0 11755 0 16856 0 362666 0 0 0 CHARLES MATTHEW GIBELLATO PHYSICIAN 234718 0 93359 0 0 0 8488 0 16600 0 353165 0 0 0 ALBERT M JONES PHYSICIAN 262838 0 22988 0 0 0 6809 0 16793 0 309428 0 0 0 MARIA C LITTAUA PHYSICIAN 228186 0 8000 0 0 0 11500 0 16652 0 264338 0 0 0 AARON M JONES PHYSICIAN 214809 0 38124 0 0 0 6663 0 8806 0 268402 0 0 0 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. TROUTMAN SANDERS LLP DAVID CONSTINE, A BOARD MEMBER, IS A PARTNER IN THIS LAW FIRM. 504263 LEGAL THE SERVICES ARE NEGOTIATED AT ARM'S LENGTH AND ARE AT FAIR MARKET VALUE 0 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. PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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