SHELTERING ARMS HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SHELTERING ARMS HOSPITAL (EIN 54-0505955)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-15
IRS object ID
201232289349301738
Schema version
2010v3.4
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)
Timestamp2012-08-15T10:48:35-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CHERRY BEKAERT & HOLLAND 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 Date2010-10-01TaxPeriodBeginDate

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)
NameJAMES E SOKName
TitlePRESIDENT/CEOTitle
Phone8043424340Phone
Date Signed2012-08-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSAMUEL E JOHNSONName
Phone4348476643Phone
Date Prepared2012-08-10DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJAMES E SOKNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line18254 ATLEE ROADAddressLine1
CityMECHANICSVILLECity
StateVAState
ZIP Code23116ZIPCode
FieldValueIRS element (for citing)
Gross Receipts66562326GrossReceipts
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 Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees780TotalNbrEmployees
Total Nbr Volunteers20TotalNbrVolunteers
Total Gross UBI111667TotalGrossUBI
Net Unrelated Business Txbl Income-55912NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year8824327ContributionsGrantsPriorYear
Contributions Grants Current Year11152461ContributionsGrantsCurrentYear
Program Service Revenue Prior Year46771750ProgramServiceRevenuePriorYear
Program Service Revenue CY49598719ProgramServiceRevenueCY
Investment Income Prior Year-56512InvestmentIncomePriorYear
Investment Income Current Year3718121InvestmentIncomeCurrentYear
Other Revenue Prior Year634869OtherRevenuePriorYear
Other Revenue Current Year688148OtherRevenueCurrentYear
Total Revenue Prior Year56174434TotalRevenuePriorYear
Total Revenue Current Year65157449TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year241250GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY388561GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year28725064SalariesEtcPriorYear
Salaries Etc Current Year31077037SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year100000TotalFundrsngExpCurrentYear
Other Expense Prior Year25243812OtherExpensePriorYear
Other Expenses Current Year35476891OtherExpensesCurrentYear
Total Expenses Prior Year54210126TotalExpensesPriorYear
Total Expenses Current Year66942489TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1964308RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1785040RevenuesLessExpensesCY
Total Assets BOY24500064TotalAssetsBOY
Total Assets EOY22514027TotalAssetsEOY
Total Liabilities BOY3482021TotalLiabilitiesBOY
Total Liabilities EOY3281024TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY21018043NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY19233003NetAssetsOrFundBalancesEOY
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
Expense52890722Expense
Revenue53328912Revenue
DescriptionPHYSICAL REHABILITATION SERVICES: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 2011, 999 PATIENTS WERE ADMITTED RESULTING IN 13,466 PATIENT DAYS. IN ADDITION, SHELTERING ARMS HOSPITAL PROVIDES INPATIENT THERAPY SERVICES TO LOCAL ACUTE CARE HOSPITALS ON A CONTRACT BASIS.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 A DAY REHABILITATION PROGRAM, ORTHOPEDIC REHABILITATION SERVICES, NEUROLOGICAL REHABILITATION SERVICES, PHYSICIANS' REHABILITATION SERVICES, AND OUTPATIENT REHABILITATION THERAPIES. DURING FISCAL YEAR 2011, SHELTERING ARMS HOSPITAL PROVIDED OUTPATIENT THERAPY AND PHYSICIAN SERVICES RESULTING IN 128,230 PATIENT VISITS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1790456Expense
Grants388561Grants
DescriptionCHARITY CARE/FINANCIAL ASSISTANCE: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 2011, 839 OCCURRENCES RESULTED IN CHARITY CARE AND/OR FINANCIAL ASSISTANCE BEING ACCEPTED. THE DISCOUNTED CHARGES FOREGONE BY SHELTERING ARMS HOSPITAL FOR THIS ASSISTANCE WAS $1,282,021. IN FISCAL YEAR 2011, SHELTERING ARMS ALSO TRANSPORTED 120 PATIENTS PARTICIPATING IN THE OUTPATIENT THERAPY DAY REHAB PROGRAM AT AN UNREIMBURSED COST OF $72,609. 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 $47,238. SHELTERING ARMS ALSO CONTRIBUTED $388,561 TO SUPPORT COMMUNITY ORGANIZATIONS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1612798Expense
Revenue443514Revenue
DescriptionPARTNERS 4 LIFE/COMMUNITY REC PROGRAM:SHELTERING ARMS HOSPITAL OPERATES A PARTNERS 4 LIFE PROGRAM WHICH ENCOMPASSES THE SPECIALIZED COMMUNITY RECREATIONAL PROGRAM TO ADDRESS THE LEISURE AND RECREATIONAL NEEDS OF INDIVIDUALS WITH DISABILITIES ON A DAILY BASIS. THE COMMUNITY REC PROGRAM WAS DESIGNED AS AN EXTENSION OF THE REHABILITATION CONTINUUM OF SERVICES OFFERED BY SHELTERING ARMS HOSPITAL. THE PROGRAM PROMOTES WELLNESS AND COMMUNITY INTEGRATION THAT DIRECTLY IMPACTS THE QUALITY OF LIFE FOR INDIVIDUALS WITH DISABILITIES. SERVICES OFFERED ARE GROUP CLINICS, CLASSES, TOURNAMENTS, AND SEMINARS PROMOTING LEISURE SKILL DEVELOPMENT, COMMUNITY INTEGRATION, AND SOCIALIZATION.ALL CLUB REC PROGRAMS ARE PLANNED AND IMPLEMENTED BY A CERTIFIED THERAPEUTIC RECREATION SPECIALIST WHO IS AVAILABLE TO PROVIDE AND ASSIST THE PARTICIPANTS WITH RESOURCES, INSTRUCTION ON THE USE OF ADAPTIVE LEISURE EQUIPMENT, INSTRUCTION ON MODIFICATIONS/ADAPTIVE TECHNIQUES TO PARTICIPATE IN THE ACTIVITY, PROVIDE ENCOURAGEMENT AND FOSTER SOCIALIZATION. THE CLUB RECREATION PROGRAM OFFERS MEMBERS ACCESS TO VARIOUS RESOURCES INCLUDING A SPIRITUALITY GROUP, A COMPUTER LAB, LIBRARY RESOURCES AND A FITNESS CENTER. THIS PROGRAM ENJOYED 7,375 VISITS IN FY 2011 FROM INDIVIDUALS WITH DISABILITIES.PARTNERS 4 LIFE ALSO FOCUSES ON THERAPEUTIC RECOVERY AND MAINTAINING PHYSICAL WELLNESS AFTER DISCHARGE ON A BROADER SPECTRUM. THIS PROGRAM HELD 1,495 SPECIAL EVENTS WHICH INCLUDED EXERCISE CLASSES, EDUCATIONAL PROGRAMS, AND SPECIAL RECREATION WITH A TOTAL OF 8,304 PARTICIPANTS.THERE ARE TWO WARM WATER THERAPEUTIC POOLS FOR THERAPHY AND THERAPEUTIC CLASSES. THESE POOLS ALLOW PATIENTS WITH DISABILITIES TO PERFORM THERAPEUTIC EXERCISE AND IMPROVE AND MAINTAIN THEIR MOBILITY. INDIVIDUALS MAY PURCHASE POOL MEMBERSHIPS THAT ALLOW THEM TO UTILIZE THE POOL FACILITITIES TO CONTINUE THEIR FITNESS PROGRAMS AFTER DISCHARGE FROM THE HOSPITAL OR OUTPATIENT CLINICS.DURING FISCAL YEAR 2011, THERE WERE 34,352 VISITS TO THE POOL AND FITNESS CENTERS. SHELTERING ARMS HOSPITAL PROVIDES THESE PROGRAMS TO THE COMMUNITY FOR FEES AND UNDERWRITES THE REMAINING COST. FOR FY 2011, THE COST UNDERWRITTEN WAS $1,169,284.Description
FieldValueIRS element (for citing)
Total Program Service Expense56293976TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 Activities0FundraisingActivities
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109691NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees780NumberOfEmployees
Employment Tax Returns Filed0EmploymentTaxReturnsFiled
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
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
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 (33 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
CHARLES M CARAVATI III
CHAIRMAN4.00XX000
LISA T POWELL
FIRST VICE CHAIRMAN4.00XX000
LAWRENCE E GIBSON
SECOND VICE CHAIRMAN4.00XX000
JOHN L MCELROY III
DIRECTOR4.00X000
WILLIAM T CLARKE JR
DIRECTOR4.00X000
JOYCE F NASH
DIRECTOR4.00X000
EVANS B BRASFIELD
DIRECTOR4.00X000
BARBARA H DUNN
DIRECTOR4.00X000
WILLIAM E HARDY
DIRECTOR4.00X000
DIANNE V JEWELL
DIRECTOR4.00X000
THEODORE W PRICE
DIRECTOR4.00X000
CORBIN K RANKIN
DIRECTOR4.00X000
SUSAN J RAWLES
DIRECTOR4.00X000
AMES RUSSELL
DIRECTOR4.00X000
JAMES A SLABAUGH SR
DIRECTOR4.00X000
KATHRYN M BARLEY
DIRECTOR4.00X000
ANNE H BENNETT
DIRECTOR4.00X000
PETER BOWLES
DIRECTOR4.00X000
DAVID CONSTINE
DIRECTOR4.00X000
W BATES CHAPPELL
DIRECTOR4.00X000
JAMES E SOK
PRESIDENT/CEO40.00X439878066566
MICHAEL A BOEMMEL
CFO/VP OF FINANCE/TREASURER40.00X344709013660
JAMES A BRAITH
VP OF BUSINESS DEVELOPMENT/SECRETARY40.00X215933028509
HILLARY S HAWKINS
MEDICAL DIRECTOR40.00372438020722X
TIMOTHY M SILVER
MEDICAL DIRECTOR40.00385083027832X
MICHAEL J MCDONNELL
V.P./COO40.0023323200X
CHERYL LEE
V.P. OF PATIENT CARE SERVICES40.0018693500X
ELLEN VANCE
V.P./CHIEF HUMAN RESOURCES OFFICER40.0016368700X
JOHN E GIBBS II
PHYSICIAN40.00242552013451X
CHARLES M GIBELLATO
PHYSICIAN40.00218980023785X
ALBERT M JONES
PHYSICIAN40.00274227025062X
GREGORY LEGHART
PHYSICIAN40.00299185026357X
SCOTT N SCHIMPFF
PHYSICIAN40.00464343026392X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3841182TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation272336TotalOtherCompensation
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
BON SECOURS MEMORIAL REGIONAL MEDICAL CE
8260 ATLEE ROADMECHANICSVILLEVA23116HOSPITAL ANCILLARY & SUPPORT1562844
FREE AGENTS MARKETING LLC
10124 WEST BROAD STREET SUITE NGLEN ALLENVA23059ADVERTISING & MARKETING481799
LAWSON SOFTWARE AMERICAS
C/O CITIBANK PO BOX 2395CAROL STREAMIL60132PAYROLL SYSTEM & SUPPORT384092
CROTHALL
955 CHESTERBROOK BLVD SUITE 800WAYNEPA19087HOUSEKEEPING345981
INTERACTIVE DATA SYSTEMS
203 BURNING LAMP LANEFORESTVA24551IT EQUIPMENT AND SUPPORT288503
FieldValueIRS element (for citing)
Number Of Contractors GT100 K11NumberOfContractorsGT100K
Related Organizations10333218RelatedOrganizations
All Other Contributions819243AllOtherContributions
Total Contributions11152461TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENU6214004217392142173921
THERAPY SERVICE - CONT62140069812846981284
THERAPEUTIC RECREATION621400443514443514
FieldValueIRS element (for citing)
Total Program Service Revenue49598719TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3166TotalRevenueColumn
Exclusion$3,166ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real108191Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real108191Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column108191TotalRevenueColumn
Exclusion$108,191ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other4780850Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other1065895Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other3714955Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column3714955TotalRevenueColumn
Exclusion$3,714,955ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events456711GrossIncomeFundraisingEvents
Fundraising Direct Expenses338982FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column117729TotalRevenueColumn
Exclusion$117,729ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
MISC REAL ESTATE INCOM621400343383343383
SPORTS ACCELERATION PR713940111667111667
MISCELLANEOUS62140071787178
FieldValueIRS element (for citing)
Total Other Revenue462228TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column65157449TotalRevenueColumn
Related Or Exempt Function Income49949280RelatedOrExemptFunctionIncome
Unrelated Business Revenue111667UnrelatedBusinessRevenue
Exclusion$3,944,041ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total388561Total
Program Services388561ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2547317Total
Program Services1069873ProgramServices
Management And General1477444ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total23790604Total
Program Services22375902ProgramServices
Management And General1414702ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total869069Total
Program Services851563ProgramServices
Management And General17506ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1658932Total
Program Services1590873ProgramServices
Management And General68059ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2211115Total
Program Services2056337ProgramServices
Management And General154778ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total276568Total
Program Services13246ProgramServices
Management And General263322ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total88584Total
Program Services14547ProgramServices
Management And General74037ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1024909Total
Program Services616181ProgramServices
Management And General408728ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total389801Total
Program Services69154ProgramServices
Management And General320647ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1353904Total
Program Services1003624ProgramServices
Management And General250280ManagementAndGeneral
Fundraising100000Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total671659Total
Program Services335898ProgramServices
Management And General335761ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total14759Total
Program Services14759ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1986661Total
Program Services1800201ProgramServices
Management And General186460ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total179808Total
Program Services100919ProgramServices
Management And General78889ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total58862Total
Program Services43540ProgramServices
Management And General15322ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total8833929Total
Program Services4054079ProgramServices
Management And General4779850ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1904450Total
Program Services1558936ProgramServices
Management And General345514ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total197619Total
Program Services177857ProgramServices
Management And General19762ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CONTRACTUAL ADJUSTMENTS1508684515086845
PURCHASED SERVICES29934972993497
BAD DEBT265572265572
MEMBERSHIPS1494647758471880

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total66942489Total
Program Services56293976ProgramServices
Management And General10548513ManagementAndGeneral
Fundraising100000Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1830957BOY
EOY322909EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1582173BOY
EOY1789720EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5586539BOY
EOY5593975EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY48074BOY
EOY44816EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY390727BOY
EOY411581EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis32405849LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec18660511LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY13451475BOY
EOY13745338EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY446480EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1610119BOY
EOY159208EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY24500064BOY
EOY22514027EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3462021BOY
EOY3281024EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY20000BOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3482021BOY
EOY3281024EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY20900960BOY
EOY19116531EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY17083BOY
EOY16472EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY100000BOY
EOY100000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY21018043BOY
EOY19233003EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY24500064BOY
EOY22514027EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-1785040ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Basis11688079OtherCostOrOtherBasis
Depreciation5493917Depreciation
Book Value6194162BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2081641OtherCostOrOtherBasis
Depreciation576192Depreciation
Book Value1505449BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis16007355OtherCostOrOtherBasis
Depreciation12202283Depreciation
Book Value3805072BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2212404OtherCostOrOtherBasis
Depreciation388119Depreciation
Book Value1824285BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings13745338TotalOfBookValueLandBuildings

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X: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, 2011, 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, 2008.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1BAL-DU-BOISNameOfEvent1
Gross Receipts Event1456711GrossReceiptsEvent1
Gross Revenue Event1456711GrossRevenueEvent1
Rent Facility Costs Event1208055RentFacilityCostsEvent1
Other Direct Expenses Event1130927OtherDirectExpensesEvent1
Gross Receipts Total456711GrossReceiptsTotal
Gross Revenue Total Events456711GrossRevenueTotalEvents
Rent Facility Costs Total Events208055RentFacilityCostsTotalEvents
Other Direct Expenses Total Events130927OtherDirectExpensesTotalEvents
Direct Expense Summary Events338982DirectExpenseSummaryEvents
Net Income Summary117729NetIncomeSummary

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
Pcent200 DXPcent200D
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1401895TotalCommunityBenefitExpense
Net Community Benefit Expense1401895NetCommunityBenefitExpense
Percent Of Total Expense0.02090PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense433562TotalCommunityBenefitExpense
Net Community Benefit Expense433562NetCommunityBenefitExpense
Percent Of Total Expense0.00650PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense1835457TotalCommunityBenefitExpense
Net Community Benefit Expense1835457NetCommunityBenefitExpense
Percent Of Total Expense0.02740PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Total Community Benefit Expense1612798TotalCommunityBenefitExpense
Direct Offsetting Revenue443514DirectOffsettingRevenue
Net Community Benefit Expense1169284NetCommunityBenefitExpense
Percent Of Total Expense0.01750PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Persons Served2PersonsServed
Total Community Benefit Expense157757TotalCommunityBenefitExpense
Net Community Benefit Expense157757NetCommunityBenefitExpense
Percent Of Total Expense0.00240PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs9NumberOfActivitiesOrPrograms
Total Community Benefit Expense341265TotalCommunityBenefitExpense
Net Community Benefit Expense341265NetCommunityBenefitExpense
Percent Of Total Expense0.00510PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs12NumberOfActivitiesOrPrograms
Persons Served2PersonsServed
Total Community Benefit Expense2111820TotalCommunityBenefitExpense
Direct Offsetting Revenue443514DirectOffsettingRevenue
Net Community Benefit Expense1668306NetCommunityBenefitExpense
Percent Of Total Expense0.02500PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs12NumberOfActivitiesOrPrograms
Persons Served2PersonsServed
Total Community Benefit Expense3947277TotalCommunityBenefitExpense
Direct Offsetting Revenue443514DirectOffsettingRevenue
Net Community Benefit Expense3503763NetCommunityBenefitExpense
Percent Of Total Expense0.05240PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs8NumberOfActivitiesOrPrograms
Persons Served2PersonsServed
Total Community Building Expense819TotalCommunityBuildingExpense
Net Community Building Expense819NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs28NumberOfActivitiesOrPrograms
Persons Served2327PersonsServed
Total Community Building Expense4838TotalCommunityBuildingExpense
Net Community Building Expense4838NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs36NumberOfActivitiesOrPrograms
Persons Served2329PersonsServed
Total Community Building Expense5657TotalCommunityBuildingExpense
Net Community Building Expense5657NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$233,983BadDebtExpenseAmount
Amount Attributable To46797AmountAttributableTo
Amount Reimbursed By Medicare10413009AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare9296239CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall1116770MedicareSurplusOrShortfall

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 Facilities11NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (11 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalOtherOther
SHELTERING ARMS HOSPITAL
18254 ATLEE ROADMECHANICSVILLEVA23116XPHYSICAL REHABILITATION HOSPITAL
SHELTERING ARMS HANOVER REHABILITATION C
28226 MEADOWBRIDGE ROADMECHANICSVILLEVA23116OUTPATIENT THERAPY AND PHYSICIANS
SHELTERING ARMS SOUTH PHYSICANS CLINIC
313700 ST FRANCES BLVDMIDLOTHIANVA23114OUTPATIENT THERAPY AND PHYSICIANS
SHLETERING ARMS BON AIR CENTER
4206 TWINRIDGE LANERICHMONDVA23235OUTPATIENT THERAPY AND PHYSICIANS
SHELTERING ARMS CHESTER CENTER
511601 IRONBRIDGE ROAD SUITE 110CHESTERVA23831OUTPATIENT THERAPY AND PHYSICIANS
SHELTERING ARMS LABURNUM CENTER
64730 S LABURNUM AVENUERICHMONDVA23231OUTPATIENT THERAPY AND PHYSICIANS
SHELTERING ARMS MAPLE CENTER
71501 MAPLE AVENUE SUITE 100RICHMONDVA23226OUTPATIENT THERAPY AND PHYSICIANS
SHELTERING ARMS MIDTOWN CLUB REC
82805 WEST BROAD STREETRICHMONDVA23230OUTPATIENT DAY PROGRAM AND FITNESS CENTER
SHELTERING ARMS HANOVER NEURO CTR
98254 ATLEE ROADMECHANICSVILLEVA23116OUTPATIENT THERAPY AND PHYSICIANS
PT WORKS CENTER
102296 JOHN ROLFE PARKWAYRICHMONDVA23233OUTPATIENT THERAPY AND PHYSICIANS
SHELTERING ARMS HULL STREET CENTER
1113530 HULL STREET ROADMIDLOTHIANVA23114OUTPATIENT THERAPY AND PHYSICIANS

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NOT REQUIREDBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

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
11601 IRONBRIDGE ROAD SUITE 110CHESTERVA23831OUTPATIENT 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 (10 entries)

ExplanationExplanation
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,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: THE MEDICARE GAIN WAS OBTAINED FROM THE MEDICARE COST REPORT.
PART III, LINE 9B: ANY PATIENT WHO QUALIFIES FOR CHARITY CARE AND/OR FINANCIAL ASSISTANCE MUST FOLLOW THE GUIDELINES INCORPORATED IN THE CHARITY CARE AND FINANCIAL ASSISTANCE SIGNED DOCUMENTS. LEGAL ACTION MAY ONLY BE PURSUED IF IT IS DETERMINED THAT THE PATIENT HAS ASSETS OR INCOME NOT REPORTED ON THE APPLICATION FOR CHARITY AND FINANCIAL ASSISTANCE, HAS FAILED TO COMPLETE THE REQUIRED FINANCIAL ASSISTANCE OR CHARITY APPLICATION, OR IF THE PATIENT FAILS TO COMPLY WITH THE PREVIOUS AGREED UPON TERMS AND HAS FAILED TO NOTIFY SHELTERING ARMS OF A CHANGE IN THEIR FINANCIAL STATUS. ALL PATIENTS MAY RE-APPLY FOR FINANCIAL ASSISTANCE OR CHARITY IF THEIR FINANCIAL CONDITION WORSENS AT WHICH TIME NEW PAYMENT ARRANGEMENTS OR FULL CHARITY OR FINANCIAL ASSISTANCE MAY BE GRANTED. ONLY WHEN THE PATIENT FAILS TO NOTIFY SHELTERING ARMS OF THE HARDSHIP OR REFUSES TO COOPERATE WITH THE WRITTEN AGREEMENTS WILL SHELTERING ARMS TURN UNPAID PATIENT BALANCES OVER TO A COLLECTION AGENCY.
PART 1, LINE 6A:SHELTERING ARMS PRODUCES AN ANNUAL REPORT SUMMARIZING THE ACCOMPLISHMNETS OF THE ORGANIZATION OVER THE CURRENT FISCAL YEAR. IT IS MAILED TO THE BOARD OF DIRECTORS, AND ALL EMPLOYEES AND COPIES ARE LEFT IN THE WAITING ROOMS OF ALL INPATIENT AND OUTPATIENT FACILITIES. HIGHLIGHTS INCLUDE OUR COMMUNITY INVOLVEMENT WITH ASSOCIATIONS DEDICATED TO COMMUNITY HEALTH AND FITNESS AWARENESS, ADVANCED CERTIFICATIONS OF OUR STAFF TO PROVIDE OUR SERVICE AREA WITH THE MOST ADVANCED PHYSICAL THERAPY BEST PRACTICES, INFORMATION REGARDING OUR EXPANSION THROUGHOUT THE AREA TO SERVE MORE PEOPLE, REPORTING THE NUMBER OF LIVES TOUCHED THROUGHOUT THE YEAR THROUGH INPATIENT AND OUTPATIENT REHABILITATION SERVICES, AND TO ACKNOWLEDGE THE COMMUNITY PUBLIC SUPPORT SO IMPORTANT TO OUR MISSION. IT ALSO DISCLOSES THE OUTREACH EFFORTS WHICH INCLUDE STROKE RECOVERY SEMINARS, HEALTH SCREENINGS, PARTICIPATION IN HEALTH FAIRS, AND PARTICIPATION AND SPONSORSHIP IN LOCAL FUNDRAISING EVENTS SUCH AS THE MS WALK, ARTHRITIS FOUNDATION, AND THE VIRGINIA HOME. PART 1, LINE 7, COLUMN F: 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 VI, LINE 2: SHELTERING ARMS,THROUGH THE RESEARCH OF THE COMMUNITY FOUNDATION AND RECOMMENDED ASSISTANCE TO THOSE COMMUNITY PROGRAMS IN NEED OF SUPPORT, OUR INVOLVEMENT WITH THE VIRGINIA INJURY COMMUNITY PLANNING GROUP, THE AMERICAN HEART ASSOCIATION, THE DISABILITY TASKFORCE, THE VIRGINIA ARTHRITIS ACTION COALITION, THE SPINAL CORD INJURY ASSOCIATION OF VIRGINIA, AND THE VARIOUS SPEAKING ENGAGEMENTS WE PARTICIPATE IN SUCH AS THE AMERICAN PHYSICAL THERAPY ASSOCIATION, AND THE AMERICAN OCCUPATIONAL ASSOCIATION, AND THROUGH OUR STRATEGIC PARTNERSHIPS FOR RESEARCH, WE STRIVE TO PROVIDE THE MOST INNOVATIVE AND BROAD SPECTRUM OF SERVICES AND SUPPORT POSSIBLE TO OUR COMMUNITY.
PART VI, LINE 3: 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. THE FORM REQUIRES SIGNATURE. OUTPATIENT AND PHYSICIANS SERVICES APPOINTMENT VERIFICATION LETTERS FOR NEW PATIENTS DISCLOSES AVAILABLITY OF FINANCIAL ASSISTANCE IF THE PATIENT WISHES TO APPLY. PATIENT ACCESS STAFF VERBALLY DISCLOSE THIS INFORMATION TO PATIENTS IN PERSON AND/OR OVER THE PHONE, AND IT IS ALSO DISCLOSED ON OUR WEBSITE.
PART VI, LINE 4: SHELTERING ARMS SERVES THE RICHMOND METROPOLITAN AREA AND SURROUNDING COUNTIES. THE REGION IS ALSO KNOWN AS REGION IV OF CENTRAL VIRGINIA AND SOME POINTS IN OTHER ADJOINING REGIONS. OVER THE LAST 10 YEARS THE POPULATION HAS GROWN IN THIS AREA AN AVERAGE OF 12%. SHELTERING ARMS SERVES THE CITY OF RICHMOND WITH A POPULATION OF 204,214, CHESTERFIELD COUNTY WITH A POPULATION OF 316,236, HENRICO COUNTY WITH A POPULATION OF 306,935, HANOVER COUNTY WITH A POPULATION OF 99,863, PETERSBURG CITY WITH A POPULATION OF 32,420 AND 7-10 OTHER SURROUNDING COUNTIES WITH A MORE RURAL GEOGRAPHIC. REGION IV HAS A POPULATION ESTIMATE OVER AGE 65 OF 167,972.
PART VI, LINE 6: 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.
PART VI, LINE 7: N/A

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
BON SECOURS RICHMOND FOUNDATION
5875 BREMO ROAD SUITE 305RICHMONDVA23226541201346501(C)(3)203728TO SUPPORT THE BON SECOUR CHARITABLE INITIATIVES.
THE COMMUNITY FOUNDATION SERVING RICHMOND AND CENTRAL VIRGINIA
7501 BOULDERS VIEW DRIVE SUITE 110RICHMONDVA23225237009135501(C)(3)137280TO SUPPORT EIGHT PROGRAMS IDENTIFIED IN THE COMMUNITY SERVING POPULATIONS IN NEED OF ASSISTANCE.
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVENUEDALLASTX75231135613797501(C)(3)10000TO SUPPORT THE FUNDRAISING INITIATIVE FOR THE AMERICAN HEART ASSOCIATION IN RAISING AWARENESS OF HEART RELATED CONDITIONS AND PREVENTATIVE AWARENESS.
NATIONAL MULTIPLE SCLEROSIS SOCIETY - CENTRAL VIRGINIA CHAPTER
4200 INNSLAKE DRIVE SUITE 301GLEN ALLENVA23060540633474501(C)(3)37553SPONSORSHIP OF THE RICHMOND MS WALK AND RECOGNITION CEREMONY IN 2011.
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants4TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

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 (13 entries)

Base 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
3161280123750000478620187040506444000
MICHAEL A BOEMMEL
2569090878000007900057600358369000
JAMES A BRAITH
166293049640000107950177140244442000
HILLARY S HAWKINS
265077010736100049000158220393160000
TIMOTHY M SILVER
29747808760500049000229320412915000
MICHAEL J MCDONNELL
1822320510000000000233232000
CHERYL LEE
1406500462850000000186935000
ELLEN VANCE
1378770258100000000163687000
JOHN E GIBBS II
1934890490630004881085700256003000
CHARLES M GIBELLATO
20530701367300044660193190242765000
ALBERT M JONES
25467701955000049000201620299289000
GREGORY LEGHART
20533209385300079400184170325542000
SCOTT N SCHIMPFF
272027019231600049000214920490735000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4BReturnReference
ExplanationJAMES E. SOK - $40,295Explanation

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 Transaction348975AmountOfTransaction
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 (4 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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.
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. THE DIRECTOR WITH THE CONFLICT MUST ABSTAIN FROM VOTING ON ANY MATTER THAT RELATES TO THE IDENTIFIED CONFLICT.FORM 990, PART VI, SECTION B, LINE 12C
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 EXECUTIVE 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 B, LINE 15
UPON REQUEST, SHELTERING ARMS HOSPITAL WILL MAKE AVAILABLE FOR PUBLIC INSPECTION GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS. SUCH REQUESTS MUST BE PRESENTED TO EITHER THE PRESIDENT/CEO AND/OR THE VICE PRESIDENT OF FINANCE/CFO.FORM 990, PART VI, SECTION C, LINE 19

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 REHABILITATIONVA9419176562834SHELTERING ARMS HOSPITAL
SHELTERING ARMS THERAPY CLINICS LLC DBA PT WORKS
8254 ATLEE ROADMECHANICSVILLEVA23116271939022PHYSICAL REHABILITATIONVA1629840742689SHELTERING 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)509(A)(2)SHELTERING ARMS CORPORATION0
SHELTERING ARMS HOSPITAL SOUTH
8254 ATLEE ROADMECHANICSVILLEVA23116352258075PHYSICAL REHABILITATIONVA501(C)(3)170(B)(1)(A)(III)SHELTERING ARMS CORPORATION0
PALMYRA REHABILITATION CORPORATION
8254 ATLEE ROADMECHANICSVILLEVA23116541615601PHYSICAL REHABILITATIONVA501(C)(3)509(A)(3)SHELTERING ARMS CORPORATION0
SHELTERING ARMS CORPORATION
8254 ATLEE ROADMECHANICSVILLEVA23116541615598PHYSICAL REHABILITATIONVA501(C)(3)170(B)(1)(A)(III)0N/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
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 (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
SHELTERING ARMS FOUNDATION
C6260695ACTUAL DOLLAR VALUE
SHELTERING ARMS HOSPITAL SOUTH
C3848237ACTUAL DOLLAR VALUE
PALMYRA REHABILITATION CORPORATION
C224285ACTUAL DOLLAR VALUE
SHELTERING ARMS HOSPITAL SOUTH
B3543492ACTUAL DOLLAR VALUE
PALMYRA REHABILITATION CORPORATION
B510588ACTUAL DOLLAR VALUE
SHELTERING ARMS FOUNDATION
B4779850ACTUAL DOLLAR VALUE

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