2026-08-14T09:14:27-05:00 2025-09-30 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2024-10-01 814446403 REHAB JV LLC REHA 8048774000 2000 WILKES RIDGE DR RICHMOND VA 23233 JAMES S LITSINGER CHIEF FINANCIAL OFFICER 8048774000 2026-08-13 1 1 KURT BENNION CPA P01469618 4252506100 2026-08-13 2024 2025-03-06 01:10:19Z SHELTERING ARMS INSTITUTE ALAN LOMBARDO 2000 WILKES RIDGE DR RICHMOND VA 23233 89863707 0 X HTTPS://SHELTERINGARMSINSTITUTE.COM X LLC 2016 VA OPERATE A STATE-OF-THE-SCIENCE INPATIENT PHYSICAL REHABILITATION FACILITY AND OUTPATIENT CENTERS. 11 11 904 77 0 0 2062657 2323350 84997465 86727743 117000 0 0 812614 87177122 89863707 0 0 0 0 55275693 60485326 0 0 0 31644864 29117737 86920557 89603063 256565 260644 81185441 88006607 70879118 64106307 10306323 23900300 X SHELTERING ARMS INSTITUTE (SAI) WAS CREATED AS A COLLABORATION BY SHELTERING ARMS HOSPITAL AND VCU HEALTH TO REINVENT REHABILITATION FOR LIFE BEYOND LIMITS. AS A NATIONAL LEADER IN REHABILITATION MEDICINE, SAI DELIVERS PERSONALIZED CARE IN AN ENVIRONMENT THAT SUPPORTS RECOVERY AND RESTORES POSSIBILITY THROUGH THE INTEGRATION OF COLLABORATIVE SCIENCE AND RESEARCH, INTER-PROFESSIONAL EDUCATION, COMMUNITY ENGAGEMENT, AND STEWARDSHIP. ACROSS THE DISCIPLINES, THERE IS A CONSISTENT AND INTENTIONAL ORGANIZATIONAL CULTURE FOCUSED ON PROPELLING PATIENT OUTCOMES AND TRANSFORMING THE COURSE OF REHABILITATION MEDICINE. 0 0 75851850 0 86727743 IN FALL 2025, SHELTERING ARMS COMPLETED A MAJOR RENOVATION OF THE BON AIR OUTPATIENT REHABILITATION CENTER IN CHESTERFIELD COUNTY, TO BETTER SERVE THE COMMUNITY. THE RENOVATION UPGRADED 22,150 SQUARE FEET OF THE EXISTING FACILITY, CONVERTING UNUSED SPACE INTO THERAPY AND FITNESS AREAS; IMPROVING ACCESS FOR LARGER WHEELCHAIRS AND WALKERS; EXPANDING WAITING AREAS; MODERNIZING THE POOL AND LOCKER ROOMS; ADDING ADVANCED REHABILITATION TECHNOLOGY; AND REFRESHING THE BUILDING WITH NEW HVAC, LIGHTING, FLOORING, AND PAINT.(CONTINUED ON SCHEDULE O)AS SHELTERING ARMS' LARGEST OUTPATIENT FACILITY WITH NEARLY 30,000 PATIENT VISITS EACH YEAR AND SEVERAL MEDICAL AND ADAPTIVE FITNESS PROGRAMS, BON AIR CAN NOW SERVE 700 MORE PEOPLE ANNUALLY, EXPANDING ACCESS TO CARE ACROSS CENTRAL VIRGINIA AND BEYOND. 75851850 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 39 0 1 904 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 VA X JAMES S LITSINGER 8047641000 8226 MEADOWBRIDGE ROAD MECHANICSVILLE VA 23116 KARAH GUNTHER CHAIRMAN 1.00 X X 0 0 0 EDWARD F GERARDO VICE CHAIR 1.00 X X 0 0 0 KIMBERLY R BAINE DIRECTOR 1.00 X 0 0 0 DAVID CIFU DIRECTOR 1.00 X 0 0 0 SANDRA DOUGLAS DIRECTOR 1.00 X 0 0 0 DIANNE V JEWELL IMMEDIATE PAST CHAIR 1.00 X 0 0 0 RYAN RAISIG DIRECTOR 1.00 X 0 0 0 TERESA DI MARCO REYNOLDS DIRECTOR 1.00 X 0 0 0 MUHAMMAD SAEED DIRECTOR 1.00 X 0 0 0 JAMES SIEGEL DIRECTOR 1.00 X 0 0 0 PETER ZEDLER DIRECTOR 1.00 X 0 0 0 ALAN LOMBARDO CEO 40.00 X 494507 0 114256 JAMES S LITSINGER CFO AND TREASURER 40.00 X 406553 0 48629 MATTHEW WILKS CRO 40.00 X 248027 0 41689 MISTY WOODWARD CNO 40.00 X 243089 0 34436 AMANDA WORLEY VP OF HR 40.00 X 238266 0 35592 ALEX GRISHAM CIO 40.00 X 231940 0 38859 PATRICK ZUNIGA AVP REVENUE CYCLE 40.00 X 179133 0 36057 TANZA WESTRY AVP OF OPERATIONS 40.00 X 179315 0 16819 LINDA M TIEMENS VP OF QUALITY AND CARE COO 40.00 X 117734 0 16410 BRYAN C GILREATH VP OF OUTPATIENT SERVICES 40.00 X 155801 0 38076 2494365 0 420823 15 0 1 0 VCU HEALTH SYSTEM BOX 980648 RICHMOND VA 232980648 ANCILLARY & PHYSICIAN SERVICES 4158593 ABM INDUSTRY GROUPS LLC 14141 SOUTHWEST FRWY STE 400 SUGAR LAND TX 77478 FOOD & ENVIRONMENTAL SERVICE 2763562 CROTHALL FACILITIES MANAGEMENT INC 1550 LIBERTY RIDGE DRIVE SUITE 110 WAYNE PA 19087 FACILITY MANAGEMENT SERVICES 825267 6627 BROAD LLC 6641 W BROAD ST SUITE 100 RICHMOND VA 232301728 DIALYSIS SERVICES 653109 4 145853 2177497 700667 2323350 PATIENT SERVICES 621400 86727743 86727743 86727743 SHARED SERVICES 541900 558096 558096 FOOD SERVICE 722514 204407 204407 MEDICARE COST REPORT 621400 50111 50111 812614 89863707 86727743 0 812614 2815433 2815433 46859786 41908349 4951437 1506380 1415360 91020 5778666 5013635 765031 3525061 2982540 542521 108140 108140 137699 137699 8285562 7283528 1002034 443127 370898 72229 1601319 1340307 261012 3785750 3168680 617070 7104410 5946404 1158006 49280 41247 8033 175486 143772 31714 2169110 1788763 380347 351000 293788 57212 PATIENT SUPPLIES 4121069 3449342 671727 EQUIPMENT 398372 333438 64934 BAD DEBT 291616 291616 95797 80183 15614 89603063 75851850 13751213 0 6747145 8993760 13505805 12846929 284320 299597 1575076 1751080 24546990 10709437 8731377 13837553 50341718 50277688 81185441 88006607 7472112 7635035 5862000 0 57545006 56471272 70879118 64106307 X 10306323 23900300 10306323 23900300 81185441 88006607 X 260644 13333333 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 7146 7146 0 PART II-B, LINE 1: A PORTION OF THE ORGANZATION'S MEMBERSHIP DUES TO AMPRA ARE ALLOCATED TO LOBYYING ACTIVITIES. 847670 463614 384056 15321953 9920636 5401317 8377367 325187 8052180 13837553 RIGHT OF USE ASSET 49471396 INTERCOMPANY 806292 50277688 RIGHT OF USE LIABILITY 49494157 ESTIMATED THIRD PARTY PAYMENTS 6977115 56471272 89572091 0 89572091 291616 291616 89863707 89311447 0 89311447 291616 291616 89603063 PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT 291,616. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT 291,616. 1 1 X 1 X 1 X 1 1 0 0 2866000 2866000 0.03210 11091080 9409584 1681496 0.01880 13957080 9409584 4547496 0.05090 730000 730000 0.00820 299000 299000 0.00330 1029000 1029000 0.01150 14986080 9409584 5576496 0.06240 1 291616 0 34123139 34775474 -652335 X 1 1 1 1 SHELTERING ARMS INSTITUTE 2000 WILKES RIDGE DRIVE RICHMOND VA 23233 HTTPS://SHELTERINGARMSINSTITUTE.COM H0201 X PHYSICAL REHABILITATION HOSPITAL SHELTERING ARMS INSTITUTE 1 0 0 1 X X X X X X X 24 1 0 0 1 X SEE PART V X 1 24 1 SEE PART V 0 1 X 200.000000000000 350.000000000000 X X X X X X 1 1 X X X 1 X SEE PART V X SEE PART V X SEE PART V X X X X X X 1 X 0 X X X X 0 X X 0 0 SHELTERING ARMS INSTITUTE PART V, SECTION B, LINE 5: THE SURVEY WAS ADMINISTERED ONLINE VIA A CONSUMER WEB PANEL TO A RANDOM SAMPLE OF 300 INDIVIDUALS IN THE GENERAL POPULATION OF THE GREATER RICHMOND REGION. THE SAME ONLINE SURVEY WAS DUPLICATED TO CREATE A SECOND UNIQUE URL TO ADMINISTER VIA EMAIL AND SOCIAL MEDIA TO INDIVIDUALS WHO ARE FAMILIAR WITH AND/OR HAVE A RELATIONSHIP WITH SHELTERING ARMS INSTITUTE IN SOME CAPACITY (I.E., CURRENT OR FORMER PATIENTS, CAREGIVERS, TEAM MEMBERS, DONORS, OR BOARD MEMBERS).IN TOTAL, 124 HEALTHCARE PROFESSIONALS WERE SURVEYED FROM ORGANIZATIONS INCLUDING: CHESTERFIELD HEALTH DISTRICT, CHICKAHOMINY HEALTH DISTRICT, HENRICO HEALTH DISTRICT, RICHMOND CITY HEALTH DISTRICT, 1-800 MEDICARE, ABM, ABOVE AND BEYOND HOME HEALTHCARE, ALTERNATIVE ADULT CARE, BON SECOURS, BRANDERMILL WOODS, CENTER FOR NEUROREHABILITATION SERVICES, CIRCLE CENTER ADULT DAY SERVICE, COMMUNITY RECREATION, COVENANT WOODS, CROSSOVER HEALTHCARE MINISTRY, DATAVANT, FOUNDATION FOR REHABILITATION EQUIPMENT ENDOWMENT, GOOCHLAND CARES, HALEON HEALTHCARE, HOSPITAL CORPORATION OF AMERICA HEALTHCARE, INTEGRATED HEALTH SERVICES, MORRISONS, NEW GROWTH BEHAVIORAL HEALTH, SENTARA HEALTH, SPORTABLE, THE SPAN CENTER, UNITED HEALTH GROUP, VIRGINIA COMMONWEALTH UNIVERSITY HEALTH, SHELTERING ARMS, AND SHELTERING ARMS INSTITUTE. SHELTERING ARMS INSTITUTE PART V, SECTION B, LINE 11: BY SURVEYING CONSUMERS AND HEALTHCARE PROFESSIONALS, THE HOSPITAL FACILITY IDENTIFIED FOUR SIGNIFICANT HEALTH NEED PRIORITIES INCLUDING: MENTAL HEALTH; FINANCIAL BARRIERS TO ACCESS CARE, MEDICATION ACCESS, AND TRANSPORTATION BARRIERS TO ACCESS CARE. THESE PRIORITIES WERE SELECTED BASED ON COMMUNITY SURVEY RESULTS, STAKEHOLDER INPUT, AND THE ORGANIZATION'S ABILITY TO MAKE A MEANINGFUL IMPACT WITHIN ITS REHABILITATION-FOCUSED MISSION. SHELTERING ARMS INSTITUTE HAS ADOPTED AND IS IMPLEMENTING STRATEGIES TO ADDRESS EACH OF THESE IDENTIFIED NEEDS. MENTAL HEALTH: MENTAL HEALTH WAS IDENTIFIED AS THE HIGHEST-PRIORITY COMMUNITY HEALTH NEED. IN RESPONSE, SHELTERING ARMS INSTITUTE INTEGRATES REHABILITATION PSYCHOLOGY SERVICES INTO THE INPATIENT REHABILITATION EXPERIENCE TO SUPPORT PATIENTS' EMOTIONAL WELL-BEING AND RECOVERY. THE ORGANIZATION ALSO REFERS APPROPRIATE AND INTERESTED PATIENTS TO OUTPATIENT PSYCHOLOGY SERVICES AS A STANDARD PART OF DISCHARGE PLANNING. TO IMPROVE ACCESS TO INFORMATION AND COMMUNITY RESOURCES, SHELTERING ARMS INSTITUTE MAINTAINS AND UPDATES A MENTAL HEALTH RESOURCE GUIDE, MAKES THE GUIDE AVAILABLE THROUGH ITS WEBSITE AND IN PRINTED FORM, AND SHARES THE RESOURCE WITH COMMUNITY ORGANIZATIONS TO INCREASE AWARENESS OF AVAILABLE SERVICES. IN ADDITION, THE INSTITUTE HOSTS DIAGNOSIS-SPECIFIC SUPPORT GROUPS FOR INDIVIDUALS RECOVERING FROM CONDITIONS SUCH AS STROKE, LIMB LOSS, CONCUSSION, PARKINSON'S DISEASE, AND APHASIA, ALONG WITH SUPPORT GROUPS FOR CAREGIVERS. THESE EFFORTS ARE INTENDED TO IMPROVE RECOVERY OUTCOMES, INCREASE ACCESS TO BEHAVIORAL HEALTH RESOURCES, AND PROVIDE ONGOING PEER SUPPORT FOR PATIENTS AND FAMILIES.FINANCIAL BARRIERS TO ACCESS CARE: THE CHNA IDENTIFIED AFFORDABILITY AS A SIGNIFICANT BARRIER TO OBTAINING NEEDED HEALTHCARE SERVICES. TO ADDRESS THIS NEED, SHELTERING ARMS INSTITUTE PROVIDES SUBSTANTIAL COMMUNITY BENEFIT THROUGH CHARITY CARE AND FINANCIAL ASSISTANCE PROGRAMS. THE ORGANIZATION PLANS TO CONTINUE PROVIDING NEARLY $2 MILLION ANNUALLY IN COMMUNITY BENEFIT SUPPORT TO INCREASE ACCESS TO PHYSICAL REHABILITATION AND RELATED SERVICES FOR PATIENTS FACING FINANCIAL HARDSHIP. THROUGH THESE EFFORTS, SHELTERING ARMS INSTITUTE SEEKS TO REDUCE FINANCIAL BARRIERS THAT COULD OTHERWISE PREVENT INDIVIDUALS FROM RECEIVING MEDICALLY NECESSARY REHABILITATION SERVICES. MEDICATION ACCESS: COMMUNITY MEMBERS IDENTIFIED ACCESS TO MEDICATIONS AS A SIGNIFICANT HEALTH NEED. TO IMPROVE MEDICATION AVAILABILITY AND ADHERENCE, SHELTERING ARMS INSTITUTE IS EXPANDING ITS MEDS-TO-BEDS PROGRAM, WHICH DELIVERS PRESCRIBED MEDICATIONS DIRECTLY TO PATIENTS BEFORE DISCHARGE. THIS PROGRAM HELPS ENSURE TIMELY ACCESS TO MEDICATIONS AND FACILITATES COORDINATION AMONG PHYSICIANS, PHARMACISTS, AND PATIENTS REGARDING PRESCRIPTION COVERAGE AND AVAILABILITY. THE INSTITUTE ALSO COLLABORATES WITH THE SHELTERING ARMS FOUNDATION TO PROVIDE TARGETED SUPPORT FOR RX PARTNERSHIP, A VIRGINIA NONPROFIT ORGANIZATION THAT COORDINATES THE DISTRIBUTION OF FREE BRAND-NAME AND LOW-COST GENERIC MEDICATIONS TO UNINSURED INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THESE INITIATIVES ARE DESIGNED TO IMPROVE MEDICATION ADHERENCE AND INCREASE ACCESS TO NECESSARY PRESCRIPTION MEDICATIONS AMONG VULNERABLE POPULATIONS. TRANSPORTATION BARRIERS TO ACCESS CARE: TRANSPORTATION CHALLENGES WERE IDENTIFIED AS A SIGNIFICANT OBSTACLE TO ACCESSING HEALTHCARE SERVICES. TO ADDRESS THIS NEED, SHELTERING ARMS INSTITUTE DIRECTLY REFERS PATIENTS TO TRANSPORTATION ASSISTANCE RESOURCES THROUGH THE UNITEUS PLATFORM AND ASSISTS ELIGIBLE PATIENTS WITH TRANSPORTATION-RELATED APPLICATIONS. THE ORGANIZATION ALSO MAINTAINS AND REGULARLY UPDATES A TRANSPORTATION RESOURCE GUIDE THAT IS AVAILABLE ONLINE AND IN PRINT FOR PATIENTS AND CAREGIVERS. TO EXPAND AWARENESS OF TRANSPORTATION OPTIONS, THE GUIDE IS SHARED WITH COMMUNITY ORGANIZATIONS AND AGENCIES. IN ADDITION, SHELTERING ARMS INSTITUTE COLLABORATES WITH THE SHELTERING ARMS FOUNDATION TO PROVIDE TARGETED GRANT FUNDING TO COMMUNITY ORGANIZATIONS THAT OFFER TRANSPORTATION SERVICES, INCLUDING ORGANIZATIONS SUCH AS GRTC, RVA RAPID TRANSIT, AND THE SPAN CENTER. THESE EFFORTS ARE INTENDED TO IMPROVE ACCESS TO MEDICAL CARE AND REHABILITATION SERVICES BY CONNECTING PATIENTS WITH RELIABLE TRANSPORTATION RESOURCES. THROUGH THESE PROGRAMS AND PARTNERSHIPS, SHELTERING ARMS INSTITUTE IS ACTIVELY ADDRESSING THE FOUR PRIORITY HEALTH NEEDS IDENTIFIED IN ITS 2025 CHNA AND IS COMMITTED TO EVALUATING THE EFFECTIVENESS OF THESE EFFORTS THROUGH ESTABLISHED MEASURES, INCLUDING SERVICE UTILIZATION, REFERRALS, WEBSITE ANALYTICS, GRANT FUNDING ACTIVITY, AND COMMUNITY BENEFIT REPORTING. NEEDS THE HOSPITAL FACILITY IS NOT ADDRESSING IN THIS REPORT INCLUDE MEDICAL CARE, HEALTHY FOOD OPTIONS, AND OPPORTUNITIES FOR SOCIAL ENGAGEMENT. THE PRIMARY REASON THE HOSPITAL FACILITY IS NOT ADDRESSING THESE NEEDS IS BECAUSE OTHER ORGANIZATIONS WITHIN THE COMMUNITY ARE ALREADY ADDRESSING THEM. THE REPORT SPECIFICALLY LISTS THE OTHER ORGANIZATIONS WITHIN THE COMMUNITY WHO PROVIDE RESOURCES TO MEET THOSE NEEDS. ADDITIONALLY, THE HOSPITAL FACILITY INCLUDED A COMMUNITY RESOURCES SECTION IN THE APPENDICES WITH CONTACT INFORMATION. A SECONDARY REASON THE HOSPITAL FACILITY IS NOT ADDRESSING THESE NEEDS IS BECAUSE OF THE FACILITY'S CLOSE COLLABORATION AND PARTNERSHIPS WITH OTHER ORGANIZATIONS WHO ADDRESS THE NEEDS. SCHEDULE H, PART V, SECTION B, LINES 7B AND 10A HTTPS://SHELTERINGARMSINSTITUTE.COM/ABOUT-US/BROCHURES-AND-REPORTS/#COMMUNITY%20HEALTH%20NEEDS%20ASSESSMENTS SCHEDULE H, PART V, SECTION B, LINES 16A-C HTTPS://SHELTERINGARMSINSTITUTE.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE-FEES 7 1 - BON AIR OUTPATIENT CENTER 206 TWINRIDGE LANE RICHMOND VA 23235 OUTPATIENT REHABILITATION 2 - CHESTER OUTPATIENT CENTER 12220 IRON BRIDGE ROAD SUITE C CHESTER VA 23831 OUTPATIENT REHABILITATION 3 - HANOVER OUTPATIENT CENTER 8226 MEADOWBRIDGE ROAD MECHANICSVILLE VA 23116 OUTPATIENT REHABILITATION 4 - HULL STREET OUTPATIENT CENTER 13530 HULL STREET ROAD MIDLOTHIAN VA 23112 OUTPATIENT REHABILITATION 5 - LABURNUM OUTPATIENT CENTER 4730 S LABURNUM AVENUE RICHMOND VA 23231 OUTPATIENT REHABILITATION 6 - MIDTOWN OUTPATIENT CENTER 2805 W BROAD STREET RICHMOND VA 23230 OUTPATIENT REHABILITATION 7 - REYNOLDS OUTPATIENT CENTER 6627 W BROAD STREET RICHMOND VA 23230 OUTPATIENT REHABILITATION PART I, LINE 3C: ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY REQUIRES THAT THE INDIVIDUAL (A) RECEIVES MEDICALLY NECESSARY CARE, (B) COMPLETES A FINANCIAL ASSISTANCE APPLICATION, INCLUDING REQUIRED SUPPORTING DOCUMENTATION, EXCEPT AS EXPLAINED BELOW RELATED TO PRESUMPTIVE ELIGIBILITY DETERMINATIONS, (C) UTILIZES INSURANCE COVERAGE AS AVAILABLE TO THEM, (D) RESIDES IN THE SERVICE AREA, (E) COOPERATES IN ATTEMPTING TO OBTAIN ASSISTANCE, SUCH AS POSSIBLE PUBLIC BENEFITS OR COVERAGE PROGRAMS, AVAILABLE TO THEM, AND (F) HAS HOUSEHOLD INCOME LESS THAN 350% OF FEDERAL POVERTY LEVELS. SHELTERING ARMS INSTITUTE REALIZES THAT THERE MAY BE INSTANCES WHEN A PATIENT'S QUALIFICATION FOR FINANCIAL ASSISTANCE CAN BE ESTABLISHED WITHOUT COMPLETING THE FINANCIAL ASSISTANCE APPLICATION. PATIENTS ALREADY ENROLLED IN CERTAIN MEANS-TESTED PROGRAMS ARE DEEMED ELIGIBLE FOR FREE CARE ON A PRESUMPTIVE BASIS. THESE PROGRAMS INCLUDE, BUT ARE NOT LIMITED TO, VIRGINIA WOMEN, INFANTS AND CHILDREN (WIC), VIRGINIA SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP), VIRGINIA TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF) AND ALL DUAL-ELIGIBLE MEDICARE/MEDICAID PROGRAMS. ADDITIONAL PRESUMPTIVELY ELIGIBLE CATEGORIES WILL INCLUDE, WITH MINIMAL DOCUMENTATION, HOMELESS PATIENTS, DECEASED PATIENTS WITH NO KNOWN ESTATE, ALL PATIENTS RESULTING FROM OTHER AUTOMATED MEANS TEST SCORING CAMPAIGNS AND DATABASES, AND PATIENTS APPROVED FOR CHARITY CARE OR FINANCIAL ASSISTANCE AT OTHER 501(C)(3) ACUTE CARE FACILITIES IN THE RICHMOND, VIRGINIA METROPOLITAN AREA IN THE LAST 30 DAYS. PART I, LINE 7: COLUMN F REFLECTS THE CHARITY AND FINANCIAL ASSISTANCE AT COST AND OTHER COMMUNITY BENEFITS AS A PERCENTAGE OF THE TOTAL FUNCTIONAL EXPENSES IN PART IX, COLUMN A, LINE 25 OF THE FORM 990. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 291,616. PART III, LINE 2: THE AMOUNT REPORTED HERE REPRESENTS AMOUNTS DEEMED TO BE UNCOLLECTIBLE THAT WERE WRITTEN OFF DURING THE FISCAL YEAR. PART III, LINE 3: SHELTERING ARMS INSTITUTE DOES NOT HAVE A MEANS OF CALCULATING THE PORTION OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE BUT FAILED TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION. PART III, LINE 4: SEE THE "PATIENT ACCOUNTS RECEIVABLES" PARAGRAPH ON PAGE 8 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: THE MEDICARE ALLOWABLE COSTS FIGURE WAS OBTAINED FROM THE FISCAL YEAR 2024-2025 MEDICARE COST REPORT. PART III, LINE 9B: PATIENTS MAY APPLY RETROACTIVELY FOR FINANCIAL ASSISTANCE FOR SERVICES UP TO 60 DAYS PRIOR. IF THE PATIENT DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE AND ALL OTHER PROGRAMS HAVE BEEN EXHAUSTED FOR PAYMENT ASSISTANCE, A PAYMENT PLAN ARRANGEMENT MAY BE MADE. BALANCES DESIGNATED BY THIRD-PARTY PAYERS AS PATIENT RESPONSIBILITY WILL BE ASSIGNED TO THE PATIENT BALANCE SEGMENT IN THE SHELTERING ARMS HOSPITAL BILLING SYSTEM. QUALIFYING PATIENT RESPONSIBLE BALANCES WILL BE BILLED DIRECTLY TO THE PATIENT BY SHELTERING ARMS. IF PAYMENT IS NOT RECEIVED WITHIN 60 DAYS, ANY UNPAID BALANCES WILL BE FORWARDED TO OUR FIRST-OUT VENDOR FOR CONTINUING COLLECTION EFFORTS TO INCLUDE PATIENT PAYMENT PLANS. ANY UNSETTLED BALANCES REMAINING AFTER A TOTAL OF 120 DAYS AFTER THE FIRST ASSIGNMENT OF BALANCES WILL BE SENT TO OUR COLLECTION AGENCY AND REMOVED FROM OUR ACTIVE ACCOUNTS RECEIVABLE AS BAD DEBT. IF THE COLLECTION AGENCY SUCCESSFULLY COLLECTS THE BALANCES, THE PATIENT ACCOUNT WILL BE REACTIVATED IN OUR ACCOUNTS RECEIVABLE SYSTEM AND THE BAD DEBT WILL BE REVERSED AND CODED AS RECOVERY. IF THE COLLECTION AGENCY IS UNSUCCESSFUL WITH COLLECTIONS AND HAS NO PAYMENT ARRANGEMENT OR A BROKEN PAYMENT ARRANGEMENT, THE ACCOUNT CAN BE PULLED BACK FROM THE COLLECTION VENDOR, THE BAD DEBT STATUS WILL REMAIN, AND COLLECTION EFFORTS WILL CEASE. PART VI, LINE 3: SHELTERING ARMS INSTITUTE WILL WIDELY PUBLICIZE THE SHELTERING ARMS INSTITUTE FINANCIAL ASSISTANCE POLICY. INFORMATION ON FINANCIAL ASSISTANCE WILL BE PROVIDED TO PATIENTS AND THE COMMUNITY SERVED BY SHELTERING ARMS INSTITUTE. THE FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION, AND A PLAIN LANGUAGE SUMMARY OF THE POLICY WILL BE AVAILABLE ON THE SHELTERING ARMS INSTITUTE'S WEBSITE. SHELTERING ARMS INSTITUTE WILL PROVIDE HARD COPIES OF THE FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND A PLAIN LANGUAGE SUMMARY OF THE POLICY TO PATIENTS UPON REQUEST, IN PERSON OR BY MAIL, AND FREE OF CHARGE. FINANCIAL ASSISTANCE INFORMATION WILL BE MADE AVAILABLE IN THE PATIENT ADMISSION INFORMATION PACKAGE AND DISCHARGE PROCESS FOR ALL PATIENTS. INFORMATION ON THE POLICY AND INSTRUCTIONS ON HOW TO CONTACT SHELTERING ARMS INSTITUTE FOR ASSISTANCE WILL BE POSTED IN AREAS THAT INCLUDE, BUT ARE NOT LIMITED TO, ADMITTING AND REGISTRATION. PATIENT STATEMENTS WILL INCLUDEINFORMATION ON THE SHELTERING ARMS INSTITUTE FINANCIAL ASSISTANCE POLICY AND ON HOW AN APPLICATION FORM MAY BE OBTAINED. SHELTERING ARMS INSTITUTE WILL PROVIDE PUBLIC NOTICES YEARLY IN LOCAL NEWSPAPERS SERVING THE HOSPITAL'S TARGET POPULATION. PART VI, LINE 4: SHELTERING ARMS INSTITUTE IDENTIFIED THE COMMUNITY WE SERVE AS ALL ADOLESCENTS AND ADULTS WITH PHYSICAL AND/OR COGNITIVE DISABILITIES AS WELL AS THEIR CAREGIVERS WHO RESIDE WITHIN THE EIGHT CITIES/COUNTIES OF THE RICHMOND METRO AREA SURROUNDING SHELTERING ARMS INSTITUTE'S MAIN HOSPITAL CAMPUS: CITY OF RICHMOND, HENRICO COUNTY, CHESTERFIELD COUNTY, HANOVER COUNTY, POWHATAN COUNTY, GOOCHLAND COUNTY, NEW KENT COUNTY, AND CHARLES CITY COUNTY. PART VI, LINE 7, REPORTS FILED WITH STATES VA X X X 0 0 0 0 0 0 0 1 0 ALAN LOMBARDO CEO 373566 0 105785 0 15156 0 83455 0 30801 0 608763 0 0 0 JAMES S LITSINGER CFO AND TREASURER 305670 0 91167 0 9716 0 15250 0 33379 0 455182 0 0 0 MATTHEW WILKS CRO 193776 0 43802 0 10449 0 12336 0 29353 0 289716 0 0 0 MISTY WOODWARD CNO 194663 0 44540 0 3886 0 2775 0 31661 0 277525 0 0 0 AMANDA WORLEY VP OF HR 185861 0 41970 0 10435 0 11500 0 24092 0 273858 0 0 0 ALEX GRISHAM CIO 181372 0 40508 0 10060 0 11500 0 27359 0 270799 0 0 0 PATRICK ZUNIGA AVP REVENUE CYCLE 154738 0 23010 0 1385 0 9757 0 26300 0 215190 0 0 0 TANZA WESTRY AVP OF OPERATIONS 155474 0 22497 0 1344 0 5504 0 11315 0 196134 0 0 0 BRYAN C GILREATH VP OF OUTPATIENT SERVICES 135070 0 20018 0 713 0 8717 0 29359 0 193877 0 0 0 PART I, LINE 7 BONUSES ARE AWARDED BASED ON ACHIEVING PRE-ESTABLISHED PERFORMANCE OBJECTIVES FOLLOWING SAI'S COMPENSATION POLICY. X MEDICAL EQUIP. 1 490832 FAIR MARKET VALUE 0 0 0 0 PART I, COLUMN (B): COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS TWO MEMBERS, SHELTERING ARMS HOSPITAL AND VIRGINIA COMMONWEALTH UNIVERSITY HOSPITAL SYSTEM AUTHORITY. FORM 990, PART VI, SECTION A, LINE 7A THE TWO MEMBERS EACH APPOINT 5 OF 10 BOARD MANAGERS. EACH MEMBER ALSO HAS THE POWER TO REMOVE ANY BOARD MANAGER WHICH THEY APPOINTED. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 AND APPLICABLE ATTACHMENTS WERE PROVIDED TO THE BOARD OF MANAGERS EITHER IN ELECTRONIC FORMAT OR BY MAIL. AN OPEN COMMENT AND QUESTION PERIOD WAS WELCOMED TO DIRECT ANY QUESTIONS OR COMMENTS BEFORE FILING THE FORM 990 AND ITS RELATED ATTACHMENTS. FORM 990, PART VI, SECTION B, LINE 12C BOARD MANAGERS ARE REQUIRED TO REVIEW AND SIGN A COPY OF THE CONFLICT OF INTEREST POLICY ANNUALLY. ANY CONFLICTS ARE DISCLOSED AT THAT TIME AND THE SIGNED POLICY IS KEPT ON FILE BY THE ORGANIZATION. IN THE EVENT A POTENTIAL CONFLICT ARISES DURING THE YEAR, THE MANAGER WITH SUCH CONFLICT MUST RECUSE THEMSELF FROM ALL DISCUSSIONS AND VOTE ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 15 THE CEO HAS A WRITTEN EMPLOYMENT CONTRACT APPROVED BY THE BOARD. THE BOARD USED LEGAL COUNSEL TO DRAFT THE AGREEMENT AND GUIDE THEM ON THE COMPENSATION AMOUNT, INCLUDING THE USE OF A COMPENSATION SPECIALIST. CERTAIN OTHER OFFICERS OF SAI ARE EMPLOYED BY SAC. DEPENDING ON THE INDIVIDUAL, EITHER SAC OR SAI UTILIZES THE SERVICES OF AN INDEPENDENT, EXTERNAL COMPENSATION FIRM TO CONDUCT A REVIEW OF ITS EXECUTIVE COMPENSATION PROGRAM TO ENSURE THE EXECUTIVE COMPENSATION LEVELS ARE COMPETITIVE AND REASONABLE. SHELTERING ARMS COMPENSATION WAS MEASURED AGAINST HEALTHCARE ORGANIZATIONS SIMILAR IN SCOPE AND SCALE USING DATA FROM SIX EXTERNAL MARKET SURVEY SOURCES AS THE COMPARATIVE BASIS; BOTH BASE SALARY AND TOTAL CASH COMPENSATION WERE EVALUATED. THE COMPETITIVE ANALYSIS FINDINGS WERE PRESENTED TO THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS WHO EXAMINED AND APPROVED THEM. IN ADDITION, THE COMPENSATION COMMITTEE EVALUATES PERFORMANCE, COMPENSATION SURVEYS, AND CONTRACT TERMS AND CONDITIONS ANNUALLY BEFORE DETERMINING AND RECOMMENDING COMPENSATION. ALL COMPENSATION COMMITTEE DISCUSSIONS ARE DOCUMENTED IN FORMAL MINUTES. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2024. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST, SHELTERING ARMS INSTITUTE WILL MAKE AVAILABLE FOR PUBLIC INSPECTION GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, RELATED POLICIES, AND FINANCIAL STATEMENTS. FORM 990, PART XI, LINE 9: CAPITAL CONTRIBUTIONS 13,333,333. FORM 990, PART XII, LINE 2C: THE PROCESS FOR OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. 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