SHELTERING ARMS HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
SHELTERING ARMS HOSPITAL (EIN 54-0505955)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-15
IRS object ID
201422279349301302
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-08-15T08:48:01-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN560574444EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CHERRY BEKAERT LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 1119AddressLine1
CityLYNCHBURGCity
StateVAState
ZIP Code245051119ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN540505955EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SHELTERING ARMS HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSHELNameControl
Phone8043424340Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line18254 ATLEE ROADAddressLine1
CityMECHANICSVILLECity
StateVAState
ZIP Code23116ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMICHAEL E DACUSName
TitleCFOTitle
Phone8043424340Phone
Date Signed2014-08-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSAMUEL E JOHNSONName
PTINP00019699PTIN
Phone4348476643Phone
Date Prepared2014-08-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMICHAEL E DACUSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line18254 ATLEE ROADAddressLine1
CityMECHANICSVILLECity
StateVAState
ZIP Code23116ZIPCode
FieldValueIRS element (for citing)
Gross Receipts52792996GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SHELTERINGARMS.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1941YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission DescriptionTO 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body22NbrVotingMembersGoverningBody
Nbr Independent Voting Members21NbrIndependentVotingMembers
Total Nbr Employees757TotalNbrEmployees
Total Nbr Volunteers22TotalNbrVolunteers
Total Gross UBI102587TotalGrossUBI
Net Unrelated Business Txbl Income-56934NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year11499503ContributionsGrantsPriorYear
Contributions Grants Current Year9950677ContributionsGrantsCurrentYear
Program Service Revenue Prior Year50582724ProgramServiceRevenuePriorYear
Program Service Revenue CY41914846ProgramServiceRevenueCY
Investment Income Prior Year688311InvestmentIncomePriorYear
Investment Income Current Year-1268InvestmentIncomeCurrentYear
Other Revenue Prior Year808892OtherRevenuePriorYear
Other Revenue Current Year595647OtherRevenueCurrentYear
Total Revenue Prior Year63579430TotalRevenuePriorYear
Total Revenue Current Year52459902TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year204593GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY246763GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year32171751SalariesEtcPriorYear
Salaries Etc Current Year23815906SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year100000TotalFundrsngExpCurrentYear
Other Expense Prior Year32531172OtherExpensePriorYear
Other Expenses Current Year31386455OtherExpensesCurrentYear
Total Expenses Prior Year64907516TotalExpensesPriorYear
Total Expenses Current Year55449124TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1328086RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-2989222RevenuesLessExpensesCY
Total Assets BOY21712605TotalAssetsBOY
Total Assets EOY18332170TotalAssetsEOY
Total Liabilities BOY3807688TotalLiabilitiesBOY
Total Liabilities EOY3416475TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY17904917NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY14915695NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense49702066Expense
Revenue41756061Revenue
DescriptionPHYSICAL 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 2013, 970 PATIENTS WERE ADMITTED RESULTING IN 13,402 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 2013, SHELTERING ARMS HOSPITAL PROVIDED OUTPATIENT THERAPY SERVICES RESULTING IN 72,542 THERAPY VISITS. FOR FISCAL YEAR 2013, PHYSICIAN AND PSYCHOLOGY SERVICES RESULTED IN 42,427 PATIENT VISITS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1645672Expense
Revenue449146Revenue
DescriptionPARTNER 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 ACOMMUNITY OUTINGS. IN FY 2013 CLUB REC ENJOYED 7,780 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 2013 THERE WERE 58 EVENTS TOTALING 754 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 TRAINNING 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 2013 THERE WERE 26,591 VISITS TO THE POOLS AND FITNESS CENTERS. SHELTERING ARMS LEAD 1,410 GROUP EXERCISE CLASSES TOTALING 6,225 PARTICPANTS. FITNESS SPECIALISTS CONDUCTED 3,147 NEUROFIT, PERSONAL TRAINING UTILIZING ADVANCED TECHNOLOGIES FOR THE NEUROGLOGICALLY IMPAIRED, AND PERSONAL TRAINING SESSIONS TO THE COMMUNITY.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1529603Expense
Grants246763Grants
DescriptionCHARITY 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 2013, CHARITY CARE AND/OR FINANCIAL ASSISTANCE RESULTED IN TOTAL DISCOUNTED CHARGES FOREGONE BY SHELTERING ARMS HOSPITAL OF $1,274,836. IN FISCAL YEAR 2013, SHELTERING ARMS ALSO TRANSPORTED PATIENTS PARTICIPATING IN PATIENT THERAPY SERVICES AT AN UNREIMBURSED COST OF $8,004. 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 $33,924. IN ADDITION, SHELTERING ARMS HOSPITAL CONTRIBUTED $212,839 TO SUPPORT OTHER COMMUNITY ORGANIZATIONS AND EVENTS.Description
FieldValueIRS element (for citing)
Total Program Service Expense52877341TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109687NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees757NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members22NbrVotingGoverningBodyMembers
Number Independent Voting Members21NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledVAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MICHAEL E DACUS VP OF FINANCE AND CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8043424340TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line18254 ATLEE RDAddressLine1
CityMECHANICSVILLECity
StateVAState
ZIP Code23116ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
TERESA REYNOLDS DIMARCO
DIRECTOR2.001.00X000
CHARLES M CARAVATI III
DIRECTOR2.003.00X000
WILLIAM T CLARKE JR
DIRECTOR2.002.00X000
JOYCE F NASH
DIRECTOR2.002.00X000
DONNAN O'KEEFE
DIRECTOR2.001.00X000
BARBARA H DUNN
DIRECTOR2.001.00X000
WILLIAM E HARDY
DIRECTOR2.002.00X000
DIANNE V JEWELL
DIRECTOR2.002.00X000
SUSAN J RAWLES
DIRECTOR2.001.00X000
JAMES RUSSELL
DIRECTOR2.001.00X000
JAMES A SLABAUGH SR
DIRECTOR2.001.00X000
KATHRYN M BARLEY
DIRECTOR2.001.00X000
ANNE H BENNETT
DIRECTOR2.001.00X000
PETER BOWLES
DIRECTOR2.002.00X000
DAVID CONSTINE
DIRECTOR2.001.00X000
W BATES CHAPPELL
DIRECTOR2.002.00X000
PATRICIA B CUSHNIE
DIRECTOR2.001.00X000
THEODORE PRICE
DIRECTOR2.003.00X000
WAVERLY J PULLEY
DIRECTOR2.001.00X000
ABRAHAM SEGRES
DIRECTOR2.001.00X000
LISA T POWELL
CHAIRMAN2.003.00X000X
JOHN L MCELROY III
FIRST VICE CHAIRMAN2.003.00X000X
JAMES E SOK
PRESIDENT/CEO24.0016.00466065088198X
JAMES A BRAITH
SECRETARY/VP OF BUSINESS D24.0016.00280064022043X
ELLEN VANCE
V.P. AND CHIEF HUMAN RESOU30.0010.00219290020998X
MICHAEL E DACUS
VP OF FINANCE AND CFO24.0016.00152039010046X
MARY ZWEIFEL
VP OF OPERATIONS SINCE OCTOBER 201240.000.00595970894X
HILLARY S HAWKINS
MEDICAL DIRECTOR40.000.00379469016984X
TIMOTHY M SILVER
MEDICAL DIRECTOR1.0040.00361802026382X
JOHN E GIBBS II
PHYSICIAN40.000.00270082016288X
CHARLES MATTHEW GIBELLATO
PHYSICIAN40.000.00253224024083X
ALBERT M JONES
PHYSICIAN40.000.00261793024217X
GREGORY LEGHART
PHYSICIAN40.000.00315940023727X
SCOTT N SCHIMPFF
PHYSICIAN40.000.00605106025105X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3624471TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation298965TotalOtherCompensation
Number Individuals GT100 K24NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MEMORIAL REGIONAL MEDICAL
8260 ATLEE ROADMECHANICSVILLEVA23116HOSPITAL ANCILLARY & SUPPORT2008194
TROUTMAN SANDERS LLP
1001 HAXALL POINTRICHMONDVA23219LEGAL ADVICE607746
OWENS & MINOR
9120 LOCKWOOD BLVDMECHANICSVILLEVA23116PATIENT SUPPLIES430952
CROTHALL
955 CHESTERBROOK BLVD SUITE 800WAYNEPA19087HOUSEKEEPING417490
FREE AGENTS MARKETING LLC
10124 WEST BROAD ST SUITE NGLEN ALLENVA23060ADVERTISING & MARKETING334206
FieldValueIRS element (for citing)
Number Of Contractors GT100 K19NumberOfContractorsGT100K
Related Organizations9606968RelatedOrganizations
All Other Contributions343709AllOtherContributions
Total Contributions9950677TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENU6214004139005341390053
THERAPEUTIC RECREATION621400524793524793
FieldValueIRS element (for citing)
Total Program Service Revenue41914846TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1649TotalRevenueColumn
Exclusion$1,649ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real131878Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real131878Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column131878TotalRevenueColumn
Related Or Exempt Function Income101878RelatedOrExemptFunctionIncome
Exclusion$30,000ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other2917Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-2917Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-2917TotalRevenueColumn
Exclusion-$2,917ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events502876GrossIncomeFundraisingEvents
Fundraising Direct Expenses330177FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column172699TotalRevenueColumn
Exclusion$172,699ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
MISCELLANEOUS621400182121182121
SPORTS ACCELERATION PR713940102587102587
MOB RENTAL INCOME62140063626362
FieldValueIRS element (for citing)
Total Other Revenue291070TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column52459902TotalRevenueColumn
Related Or Exempt Function Income42205207RelatedOrExemptFunctionIncome
Unrelated Business Revenue102587UnrelatedBusinessRevenue
Exclusion$201,431ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total246763Total
Program Services246763ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2103873Total
Program Services1312332ProgramServices
Management And General791541ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total17513131Total
Program Services17332576ProgramServices
Management And General180555ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1017832Total
Program Services644655ProgramServices
Management And General373177ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1033505Total
Program Services1051473ProgramServices
Management And General-17968ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2147565Total
Program Services2040187ProgramServices
Management And General107378ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total408644Total
Program Services-523ProgramServices
Management And General409167ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total84986Total
Program Services58193ProgramServices
Management And General26793ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1162958Total
Program Services937892ProgramServices
Management And General225066ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total184364Total
Program Services165915ProgramServices
Management And General18449ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total732442Total
Program Services722312ProgramServices
Management And General-89870ManagementAndGeneral
Fundraising100000Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1012533Total
Program Services872531ProgramServices
Management And General140002ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total11807Total
Program Services11807ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2273157Total
Program Services2203361ProgramServices
Management And General69796ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total101125Total
Program Services92582ProgramServices
Management And General8543ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total122517Total
Program Services110002ProgramServices
Management And General12515ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total5913010Total
Program Services5913010ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1988608Total
Program Services1809936ProgramServices
Management And General178672ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total181792Total
Program Services148591ProgramServices
Management And General33201ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CONTRACTUAL ADJUSTMENTS1370603313706033
PURCHASED SERVICES309086030908573
BAD DEBT EXPENSE324715324715
MEMBERSHIPS86904821414763

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total55449124Total
Program Services52877341ProgramServices
Management And General2471783ManagementAndGeneral
Fundraising100000Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY140621BOY
EOY222219EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1471919BOY
EOY1203079EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY6078689BOY
EOY3265557EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY49049BOY
EOY42857EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY722496BOY
EOY893060EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis34348286LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec22363985LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY12614145BOY
EOY11984301EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY100000EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY505647BOY
EOY502313EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY130039BOY
EOY118784EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY21712605BOY
EOY18332170EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3807688BOY
EOY3416475EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3807688BOY
EOY3416475EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY17729917BOY
EOY14763913EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY75000BOY
EOY51782EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY100000BOY
EOY100000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17904917BOY
EOY14915695EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY21712605BOY
EOY18332170EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-2989222ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis416370OtherCostOrOtherBasis
Book Value416370BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11135716OtherCostOrOtherBasis
Depreciation5388297Depreciation
Book Value5747419BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3123578OtherCostOrOtherBasis
Depreciation1890432Depreciation
Book Value1233146BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis14337028OtherCostOrOtherBasis
Depreciation9411092Depreciation
Book Value4925936BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5335594OtherCostOrOtherBasis
Depreciation5674164Depreciation
Book Value-338570BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings11984301TotalOfBookValueLandBuildings
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationGAAP 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, 2013, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR 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, 2010.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1BAL-DU-BOISNameOfEvent1
Gross Receipts Event1502876GrossReceiptsEvent1
Gross Revenue Event1502876GrossRevenueEvent1
Rent Facility Costs Event1141012RentFacilityCostsEvent1
Other Direct Expenses Event1189165OtherDirectExpensesEvent1
Gross Receipts Total502876GrossReceiptsTotal
Gross Revenue Total Events502876GrossRevenueTotalEvents
Rent Facility Costs Total Events141012RentFacilityCostsTotalEvents
Other Direct Expenses Total Events189165OtherDirectExpensesTotalEvents
Direct Expense Summary Events330177DirectExpenseSummaryEvents
Net Income Summary172699NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent350XPcent350
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1274836TotalCommunityBenefitExpense
Net Community Benefit Expense1274836NetCommunityBenefitExpense
Percent Of Total Expense0.02300PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense238257TotalCommunityBenefitExpense
Net Community Benefit Expense238257NetCommunityBenefitExpense
Percent Of Total Expense0.00430PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense1513093TotalCommunityBenefitExpense
Net Community Benefit Expense1513093NetCommunityBenefitExpense
Percent Of Total Expense0.02730PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Total Community Benefit Expense1645672TotalCommunityBenefitExpense
Direct Offsetting Revenue449146DirectOffsettingRevenue
Net Community Benefit Expense1196526NetCommunityBenefitExpense
Percent Of Total Expense0.02160PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Persons Served2PersonsServed
Total Community Benefit Expense128473TotalCommunityBenefitExpense
Net Community Benefit Expense128473NetCommunityBenefitExpense
Percent Of Total Expense0.00230PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs20NumberOfActivitiesOrPrograms
Total Community Benefit Expense246763TotalCommunityBenefitExpense
Net Community Benefit Expense246763NetCommunityBenefitExpense
Percent Of Total Expense0.00450PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs24NumberOfActivitiesOrPrograms
Persons Served2PersonsServed
Total Community Benefit Expense2020908TotalCommunityBenefitExpense
Direct Offsetting Revenue449146DirectOffsettingRevenue
Net Community Benefit Expense1571762NetCommunityBenefitExpense
Percent Of Total Expense0.02840PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs24NumberOfActivitiesOrPrograms
Persons Served2PersonsServed
Total Community Benefit Expense3534001TotalCommunityBenefitExpense
Direct Offsetting Revenue449146DirectOffsettingRevenue
Net Community Benefit Expense3084855NetCommunityBenefitExpense
Percent Of Total Expense0.05570PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served1050PersonsServed
Total Community Building Expense252TotalCommunityBuildingExpense
Net Community Building Expense252NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs12NumberOfActivitiesOrPrograms
Persons Served114PersonsServed
Total Community Building Expense700TotalCommunityBuildingExpense
Net Community Building Expense700NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs14NumberOfActivitiesOrPrograms
Persons Served1164PersonsServed
Total Community Building Expense952TotalCommunityBuildingExpense
Net Community Building Expense952NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$324,715BadDebtExpenseAmount
Amount Attributable To16236AmountAttributableTo
Amount Reimbursed By Medicare12110660AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare9086928CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall3023732MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1SHELTERING ARMS HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line18254 ATLEE ROADAddressLine1
CityMECHANICSVILLECity
StateVAState
ZIP Code23116ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
OtherPHYSICAL REHABILITATION HOSPITALOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SHELTERING ARMS HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted1CHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into Account1TakeIntoAccount
Other Facilities0OtherFacilities
CHNA Widely Available1CHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
All Needs Addressed0AllNeedsAddressed
Organization Incur Excise Tax0OrganizationIncurExciseTax
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent350.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Collection Activities0CollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy0NondiscrimEmergencyCarePolicy
No Emergency CareXNoEmergencyCare
Medicare RateXMedicareRate
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities10NumberOfOtherFacilities

Other Facilities OtherFacilities (10 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
SHELTERING ARMS HANOVER REHABILITATION C
8226 MEADOWBRIDGE ROADMECHANICSVILLEVA23116OUTPATIENT THERAPY AND PHYSICIANS CLINIC
SHELTERING ARMS SOUTH PHYSICIANS CLINIC
13700 ST FRANCES BLVDMIDLOTHIANVA23114OUTPATIENT THERAPY AND PHYSICIANS CLINIC
SHELTERING ARMS BON AIR CENTER
206 TWINRIDGE LANERICHMONDVA23235OUTPATIENT THERAPY AND PHYSICIANS CLINIC
SHELTERING ARMS CHESTER CENTER
12220 IRONBRIDGE ROADCHESTERVA23831OUTPATIENT THERAPY AND PHYSICIANS CLINIC
SHELTERING ARMS LABURNAM CENTER
4730 S LABURNUM AVENUERICHMONDVA23231OUTPATIENT THERAPY AND PHYSICIANS CLINIC
SHELTERING ARMS MAPLE CENTER
1501 MAPLE AVENUE SUITE 100RICHMONDVA23226OUTPATIENT THERAPY AND PHYSICIANS CLINIC
SHELTERING ARMS MIDTOWN CLUB REC
2805 WEST BROAD STREETRICHMONDVA23230OUTPATIENT DAY PROGRAM AND FITNESS CENTER
PT WORKS CENTER
2296 JOHN ROLFE PARKWAYRICHMONDVA23233OUTPATIENT THERAPY AND PHYSICIANS CLINIC
SHELTERING ARMS HANOVER NEURO CTR
8254 ATLEE ROADMECHANICSVILLEVA23116OUTPATIENT THERAPY AND PHYSICIANS CLINIC
SHELTERING ARMS HULL STREET CENTER
13530 HULL STREET ROADMIDLOTHIANVA23114OUTPATIENT THERAPY AND PHYSICIANS CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (8 entries)

ExplanationExplanation
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; AND APPLICATIONS BY PATIENTS/FAMILIES WHO DISAGREE WITH THE PROGRAM DETERMINATION AND WHO REQUEST RECONSIDERATION.PART I: LINE 6A: THE COMMUNITY HEALTH NEEDS ASSESSMENT BEGAN IN FY 2012 AND WAS PUBLISHED IN FY 2013.PART I: LINE 6B: THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE TO THE PUBLIC AT WWW.SHELTERINGARMS.COM.PART I: LINE 7: COLUMN F REFLECTS THE CHARITY AND OTHER COMMUNITY BENEFITS AS A PERCENTAGE OF THE TOTAL FUNCTIONAL EXPENSES IN COLUMN A, LINE 25 OF PART IX OF THE FORM 990.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 V, SECTION B, LINE 3: BEGINNING IN 2012, THE SHELTERING ARMS HOSPITAL (SAH) DEVELOPED AND CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY THROUGH COLLABORATION WITH COMMUNITY HEALTH SOLUTIONS, A RICHMOND, VIRGINIA-BASED HEALTH RESEARCH AND CONSULTING COMPANY. THE PROCESS BEGAN BY DEFINING THE TARGET COMMUNITY AND THEN ASSESSING THE CONCERNS AND NEEDS OF THE COMMUNITY USING HEALTH DATA AND INPUT FROM KEY COMMUNITY STAKEHOLDERS. THE CONTENT OF THE SURVEY WAS FOCUSED ON THE FOLLOWING:1) IMPORTANT HEALTH CONCERNS IN THE COMMUNITY (NON-SPECIFIC TO REHABILITATION);2) SIGNIFICANT SERVICE GAPS IN THE COMMUNITY; AND3) IDEAS AND SUGGESTIONS FOR IMPROVING COMMUNITY HEALTHTHE SURVEY WAS SENT TO A GROUP OF 162 COMMUNITY STAKEHOLDERS IDENTIFIED BY THE SHELTERING ARMS HOSPITAL IN COLLABORATION WITH COMMUNITY HEALTH SOLUTIONS. RESPONDENTS TO THE SURVEY, INCLUDING TWO PUBLIC HEALTH ENTITIES, IDENTIFIED MORE THAN TWENTY IMPORTANT HEALTH CONCERNS; AND MORE THAN TWO DOZEN GAPS IN SPECIFIC COMMUNITY SERVICES (SEE "A COMMUNITY HEALTH NEEDS ASSESSMENT - SHELTERING ARMS HOSPITAL-HANOVER"). RESPONDENTS ALSO OFFERED, THROUGH A WRITE-IN OPTION, IDEAS AND SUGGESTIONS FOR IMPROVING COMMUNITY HEALTH; THE MOST COMMON SUGGESTION BEING THAT THE SHELTERING ARMS HOSPITALPURSUE ADDITIONAL BEDS FOR INPATIENT REHABILITATION. THE STUDY POPULATION FOR THE SHELTERING ARMS HOSPITAL CHNA SURVEY WAS ADULT RESIDENTS (18+) RESIDING IN THE PRIMARY SERVICE AREA OF 47 ZIP CODES - FALLING LARGELY IN THE COUNTIES OF CAROLINE, CHARLES CITY, ESSEX, HANOVER, HENRICO, KING WILLIAM, LANCASTER, NEW KENT, NORTHUMBERLAND AND RICHMOND; AND THE CITY OF RICHMOND. AS OF 2012, THAT STUDY AREA INCLUDED AN ESTIMATED 459,123 INDIVIDUALS AGES 18 AND OVER.PART V, SECTION B: LINE 7: SHELTERING ARMS WILL FOLLOW THE IMPLEMENTATION PLAN IN PLACE TO FURTHER ADDRESS SERVICE GAPS IN FY 2014 - FY 2016 BY EXPANDING SERVICES ALREADY IN PLACE WHICH ADDRESS THESE GAPS. THOSE IDENTIFIED GAPS WERE AGING SERVICES, BEHAVIORAL HEALTH SERVICES, PATIENT SELF MANAGEMENT SERVICES (FOR EXAMPLE, EXERCISE & EDUCATION) & HEALTH PROMOTION AND PREVENTION SERVICES, CHRONIC PAIN MANAGEMENT SERVICES, HEALTH CARE COVERAGE, DIABETES, CARE COORDINATION SERVICES, CHRONIC DISEASE SERVICES, JOB/VOCATIONAL REHABILITATION.
PART II: THE COMMUNITY BUILDING ACTIVITIES INCLUDE COALITION BUILDING THROUGH PARTICIPATION IN TASK FORCES SUCH AS THE VIRGINIA ARTHRITIS ACTION COALITION AND THE HEALTH PROMOTIONS FOR PEOPLE WITH DISABILITIES PROJECT RUN THROUGH THE VIRGINIA COMMONWEALTH UNIVERSITY PARTNERSHIP FOR PEOPLE WITH DISABILITIES. THESE TASK FORCES WORK WITH AGENCIES AND ORGANIZATIONS ACROSS THE STATE TO PROMOTE HEALTHY LIFESTYLES, EDUCATIONAL OPPORTUNITIES, AND TRAINING PROGRAMS IN AN EFFORT TO DECREASE FUTURE LONG TERM DISABILITIES BY OFFERING WORKSHOPS AND TRAINING COURSES. THE COMMUNITY HEALTH IMPROVEMENT ADVOCACY IS ACCOMPLISHED BY PARTICIPATION IN CENTRALLY ACCESSIBLE LOCATIONS TO PROVIDE STROKE SCREENINGS, SEMINARS ON LIVING WITH FIBROMYALGA, DIABETES EDUCATION,FALL PREVENTION, AS WELL AS HEALTH FAIRS SPONSORED BY OTHER LOCAL HOSPITALS. THIS EDUCATION AND SEMINAR PARTICIPATION FOLLOWS THE GOAL OF PROVIDING THE GREATER PUBLIC WITH THE INFORMATION THEY NEED TO IMPROVE THEIR FITNESS AND AWARENESS OF DEBILITATING ILLNESSES.
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 ANTICIPATED ECONOMIC CONDITIONS. AND OTHER RISKS INHERENT IN THE ACCOUNTS RECEIVABLE BALANCE.
PART III, LINE 8: PART III: LINE 8: THE MEDICARE GAIN WAS OBTAINED FROM THE MEDICARE COST REPORT FILED FOR FY 2013.
PART VI, LINE 2: SHELTERING ARMS HOSPITAL 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 FOUNDATION GRANT SUPPORT OF ENTITIES SUCH AS CIRCLE CENTER ADULT DAY SERVICES, HANOVER ADULT CENTER, IVNA, JEWISH FAMILY SERVICES, RAMP ACCESS MADE POSSIBLE BY STUDENTS, RICHMOND AREA HIGH BLOOD PRESSURE CENTER, AND SOUTH RICHMOND ADULT DAY CARE CENTER. IN ADDITION, SHELTERING ARMS PROVIDES FITNESS / EXERCISE PROGRAMS AND CLASSES FOCUSED SPECIFICALLY ON SENIORS, INCLUDING PROGRAMS FOR SENIORS WITH ARTHRITIS AND ONGOING EDUCATION PROVIDED BY SHELTERING ARMS NURSE LIAISONS TO THE STAFF OF 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 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 OF SPECIALIZED 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 ADDEDOUTPATIENT 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 ORGANIZATIONS INCLUDE: 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. GRANTMAKING - SUPPORT FROM THE SHELTERING ARMS FOUNDATION TO ENTITIES SUCH AS CIRCLE CENTER ADULT DAY SERVICES, COMMUNITY BRAIN INJURY SERVICES, HANOVER ADULT CENTER, SOUTH RICHMOND ADULT DAY CARE CENTER, AND SPORTABLE RICHMOND ADAPTIVE SPORT & RECREATION.
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.- MORTALITY PROFILE. THE STUDY REGION HAD 4,959 TOTAL DEATHS FOR ADULTS AGE 18+ IN 2011. THE TWO LEADING CAUSES OF DEATH WERE MALIGNANT NEOPLASMS (CANCER) AND HEART DISEASE. THE STUDY REGION DEATH RATE PER 100,000 POPULATION WAS HIGHER THAN THE STATEWIDE RATE FOR ALL AGE GROUPS.- ADULT HEALTH RISK PROFILE. THE STUDY INCLUDED A PROFILE OF SELECTED HEALTH RISKS FOR ADULTS AGE 18+. THE ESTIMATES INDICATE THAT SUBSTANTIAL NUMBERS OF ADULTS IN THE STUDY REGION HAVE HEALTH RISKS RELATED TO NUTRITION,WEIGHT, PHYSICAL INACTIVITY, ALCOHOL AND TOBACCO. IN ADDITION, SUBSTANTIAL NUMBERS OF ADULTS MAY HAVE CHRONIC CONDITIONS SUCH AS HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, ARTHRITIS, DIABETES AND ASTHMA.- UNINSURED PROFILE. AN ESTIMATED 57,462 (16%) ADULTS AGE 19-64 IN THE STUDY REGION WERE UNINSURED AT ANY POINT IN TIME. THE MAJORITY OF UNINSURED ADULTS WERE ESTIMATED TO HAVE INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL (FPL).- MEDICALLY UNDERSERVED PROFILE. MEDICALLY UNDERSERVED AREAS (MUAS) AND MEDICALLY UNDERSERVED POPULATIONS (MUPS) ARE DESIGNATED BY THE U.S. HEALTH RESOURCES AND SERVICES ADMINISTRATION AS BEING AT RISK FOR HEALTH CARE ACCESS PROBLEMS. THE DESIGNATIONS ARE BASED ON SEVERAL FACTORS INCLUDING PRIMARY CARE PROVIDER SUPPLY, INFANT MORTALITY, PREVALENCE OF POVERTY, AND THE PREVALENCE OF SENIORS AGE 65+. TEN OF THE 11 LOCALITIES THAT ENCOMPASS THE STUDY REGION HAVE BEEN FULLY OR PARTIALLY DESIGNATED AS MUAS/MUPS.- PREVENTABLE HOSPITALIZATION DISCHARGE PROFILE. THE AGENCY FOR HEALTHCARE RESEARCH AND QUALITY (AHRQ) IDENTIFIES A DEFINED SET OF CONDITIONS (CALLED PREVENTION QUALITY INDICATORS, OR "PQIS") FOR WHICH HOSPITALIZATION SHOULD BE AVOIDABLE WITH PROPER OUTPATIENT HEALTH CARE. HIGH RATES OF HOSPITALIZATION FOR THESE CONDITIONS INDICATE POTENTIAL GAPS IN ACCESS TO QUALITY OUTPATIENT SERVICES FOR COMMUNITY RESIDENTS. STUDY REGION RESIDENTS AGE 18+ HAD 5,695 PQI HOSPITAL DISCHARGES IN 2011. THE STUDY REGION PQI DISCHARGE RATE PER 100,000 POPULATION WAS HIGHER THAN THE STATEWIDE RATE OVERALL, AND FOR ADULTS AGE 18-44.- BEHAVIORAL HEALTH HOSPITALIZATION DISCHARGE PROFILE. BEHAVIORAL HEALTH HOSPITALIZATIONS PROVIDE ANOTHER IMPORTANT INDICATOR OF COMMUNITY HEALTH STATUS. STUDY REGION RESIDENTS AGE 18+ HAD 5,220 HOSPITAL DISCHARGES FROM VIRGINIA COMMUNITY HOSPITALS FOR BEHAVIORAL HEALTH CONDITIONS IN 2011.1 THE LEADING DIAGNOSES FOR THESE DISCHARGES WERE AFFECTIVE PSYCHOSES AND SCHIZOPHRENIC DISORDERS. THE STUDY REGION BEHAVIORAL HEALTH HOSPITALIZATION DISCHARGE RATE PER 100,000 POPULATION WAS HIGHER THAN THE STATEWIDE RATE FOR ALL AGE GROUPS EXCEPT THE 65+ AGE GROUP.
PART VI, LINE 5: SHELTERING ARMS REPRESENTATIVES HAVE BEEN APPOINTED TO THE AMERICAN PHYSICAL THERAPY ASSOCIATION, THE RICHMOND ACADEMY OF MEDICINE, THE MULTIPLE SCLEROSIS SOCIETY AS WELL AS FACULTY APPOINTMENTS TO THE VCU PHYSICAL THERAPY AND MEDICAL SCHOOLS. WE ALSO HAVE MADE PRESENTATIONS AND SPEAKING ENGAGEMENTS TO THE AMERICAN PHYSICAL THERAPY ASSOCIATION, THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION, AND THE VIRGINIA OCCUPATIONAL THERAPY ASSOCIATION.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
BON SECOURS RICHMOND HEALTHCARE FOUNDATION
5875 BREMO ROAD SUITE 305RICHMONDVA23226541201346501(C)(3)33225ANNUAL PLEDGE
THE COMMUNITY FOUNDATION SERVING RICHMOND AND CENTRAL VIRGINIA
7501 BOULDERS VIEW DRIVE SUITE 110RICHMONDVA23225237009135501(C)(3)136223TO SUPPORT NINE PROGRAMS IDENTIFIED IN THE COMMUNITY SERVING POPULATIONS IN NEED OF ASSISTANCE.
WASHINGTON REDSKINS CHARITABLE FOUNDATION
21300 REDSKINS PARK DRIVEASHBURNVA20147541982366501(C)(3)16613IN SUPPORT OF MAKING A POSITIVE AND MEASURABLE IMPACT ON YOUTH DEVELOPMENT IN THE AREAS OF EDUCATION, COMMUNITY OUTREACH, AND HEALTH AND WELLNESS.
SENIOR NAVIGATOR
7501 BOULDERS VIEW DRIVE SUITE 201RICHMONDVA23225541977334501(C)(3)9968SUPPORT OF ONLINE SEARCH WEBSITE TO ASSIST SENIORS AND CAREGIVERS TO FIND COMMUNITY PROGRAMS AND SERVICES.
NATIONAL MULTIPLE SCLEROSIS SOCIETY - CENTRAL VIRGINIA CHAPTER
4200 INNSLAKE DRIVE SUITE 301GLEN ALLENVA23060540633474501(C)(3)8639SUPPORT OF THE LOCAL INITIATIVES OF THE AMERICAN HEART ASSOCIATION.
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants5TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JAMES E SOK
PRESIDENT/CEO338849012721600079736084620554263000
JAMES A BRAITH
SECRETARY/VP OF BUSINESS D187050093014000101690118740302107000
ELLEN VANCE
V.P. AND CHIEF HUMAN RESOU15507106421900096080113900240288000
MICHAEL E DACUS
VP OF FINANCE AND CFO1330120190270002992070540162085000
HILLARY S HAWKINS
MEDICAL DIRECTOR28021809925100050000119840396453000
TIMOTHY M SILVER
MEDICAL DIRECTOR308716053086000142290121530388184000
JOHN E GIBBS II
PHYSICIAN1995800705020008806074820286370000
CHARLES MATTHEW GIBELLATO
PHYSICIAN220764032460000119120121710277307000
ALBERT M JONES
PHYSICIAN238805022988000117380124790286010000
GREGORY LEGHART
PHYSICIAN250603065337000119900117370339667000
SCOTT N SCHIMPFF
PHYSICIAN2751060330000000130710120340630211000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 4BTHE ORGANIZATION HAS A 457B PLAN FOR JAMES E. SOK. THE AGGREGATE EARNED PORTION OF THE EMPLOYER PAID CONTRIBUTION FOR THE CALENDAR YEAR 2012 WAS $166,223.
PART IIIFOR 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.SUPPLEMENTAL INFORMATION

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1TROUTMAN SANDERS LLPBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipDAVID CONSTINE, A BOARD MEMBER, IS A PARTNER IN THIS LAW FIRM.Relationship
Amount Of Transaction607746AmountOfTransaction
Description Of TransactionLEGAL SERVICES. THE SERVICES ARE NEGOTIATED AT ARM'S LENGTH AND ARE AT FAIR MARKET VALUE.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION HAS ONE MEMBER, THE RELATED ORGANIZATION SHELTERING ARMS CORPORATION, EIN 54-1615598.
FORM 990, PART VI, SECTION A, LINE 7ASHELTERING 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 11FORM 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 12CBOARD 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 15SHELTERING 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 19UPON REQUEST, SHELTERING ARMS HOSPITAL WILL MAKE AVAILABLE FOR PUBLIC INSPECTION GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, WHISTLEBLOWER POLICIES, RELATED POLICIES, AND FINANCIAL STATEMENTS.
PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.AUDIT COMMITTEE PROCESS:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
SHELTERING ARMS PHYSICAL REHABILITATION ASSOCIATES LLC
8254 ATLEE ROADMECHANICSVILLEVA23116260402064PHYSICAL REHABILITATIONVA-3014766750959SHELTERING ARMS HOSPITAL
SHELTERING ARMS THERAPY CLINICS LLC DBA PT WORKS
8254 ATLEE ROADMECHANICSVILLEVA23116271939022PHYSICAL REHABILITATIONVA-344276700992SHELTERING ARMS HOSPITAL

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
SHELTERING ARMS FOUNDATION
8254 ATLEE ROADMECHANICSVILLEVA23116541615599PHYSICAL REHABILITATIONVA501(C)(3)LINE 11B, IISHELTERING ARMS CORPORATION0
SHELTERING ARMS HOSPITAL SOUTH
8254 ATLEE ROADMECHANICSVILLEVA23116352258075PHYSICAL REHABILITATIONVA501(C)(3)LINE 3SHELTERING ARMS CORPORATION0
PALMYRA REHABILITATION CORPORATION
8254 ATLEE ROADMECHANICSVILLEVA23116541615601PHYSICAL REHABILITATIONVA501(C)(3)LINE 11A, ISHELTERING ARMS CORPORATION0
SHELTERING ARMS CORPORATION
8254 ATLEE ROADMECHANICSVILLEVA23116541615598PHYSICAL REHABILITATIONVA501(C)(3)LINE 30N/A
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
SHELTERING ARMS HOSPITAL SOUTH
C5096001AMOUNT TRANSFERRED
SHELTERING ARMS FOUNDATION
C3671437AMOUNT TRANSFERRED
PALMYRA REHABILITATION CORPORATION
C839530AMOUNT TRANSFERRED
SHELTERING ARMS HOSPITAL SOUTH
B4258953AMOUNT TRANSFERRED
PALMYRA REHABILITATION CORPORATION
B1654057AMOUNT TRANSFERRED

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