SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
SHELTERING ARMS HOSPITAL
 
Employer identification number

54-0505955
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
 
No
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
 
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		    972,361   972,361 1.440 %
b Medicaid (from Worksheet 3, column a) . . . . .     513,209   513,209 0.760 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     1,485,570   1,485,570 2.200 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     1,681,521 476,268 1,205,253 1.790 %
f Health professions education (from Worksheet 5) . . .     139,825   139,825 0.210 %
g Subsidized health services (from Worksheet 6) . . . .            
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     160,312   160,312 0.240 %
j Total. Other Benefits . .     1,981,658 476,268 1,505,390 2.240 %
k Total. Add lines 7d and 7j .     3,467,228 476,268 2,990,960 4.440 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy 13 221 2,509   2,509 0 %
8 Workforce development            
9 Other            
10 Total 13 221 2,509   2,509  
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
243,247
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
12,162
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
10,923,767
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
9,075,123
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
1,848,644
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?1
Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 SHELTERING ARMS HOSPITAL
8254 ATLEE ROAD
MECHANICSVILLE,VA23116
WWW.SHELTERINGARMS.COM
H-1899 		X               PHYSICAL REHABILITATION HOSPITAL  
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
SHELTERING ARMS HOSPITAL
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 12
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................. 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): WWW.SHELTERINGARMS.COM
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

SHELTERING ARMS HOSPITAL
Name of hospital facility or letter of facility reporting group  
Financial Assistance Policy (FAP) Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

SHELTERING ARMS HOSPITAL
Name of hospital facility or letter of facility reporting group  
Financial Assistance Policy (FAP) Yes No
19 Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21   No
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
SHELTERING ARMS HOSPITAL PART V, SECTION B, LINE 5: PART V, SECTION B, LINE 5: DURING THE MOST RECENT CHNA THE TARGET COMMUNITY WAS DEFINED AND THREE KEY ELEMENTS WERE FOCUSED ON: THEY ARE 1. IMPORTANT HEALTH CONCERNS IN THE COMMUNITY; 2. SIGNIFICANT SERVICE GAPS IN THE COMMUNITY; 3. IDEAS AND SUGGESTIONS FOR IMPROVING THE COMMUNITY. THE SURVEY WAS SENT TO 162 COMMUNITY STAKE HOLDERS IDENTIFIED BY SHELTERING ARMS HOSPITAL IN COLLABORATION WITH COMMUNITY HEALTH SOLUTIONS, A VIRGINIA BASED HEALTH RESEARCH AND CONSULTING COMPANY. THE RESPONDENTS INCLUDED TWO PUBLIC HEALTH ENTITIES. MORE THAN TWENTY HEALTH CONCERNS AND MORE THAN TWENTY FOUR SERVICE GAPS WERE IDENTIFIED. RESPONDENTS ALSO HAD THE ABILITY, THROUGH THE WRITE IN OPTION IDEAS AND SUGGESTIONS FOR IMPROVING COMMUNITY HEALTH. SHELTERING ARMS THEN PRIORITIZED THE CONCERNS AND SERVICE GAPS TO THOSE WITH WHICH RESOURCES COULD BE FOCUSED ON WHICH ARE WITHIN THE SCOPE OF PHYSICAL REHABILITATION AND CAN BE ADDRESSED THROUGH COMMUNITY COLLABORATION.
SHELTERING ARMS HOSPITAL PART V, SECTION B, LINE 11: IN OUR FY 2015 SHELTERING ARMS HAS ADDRESSED THE IDENTIFIED SERVICE GAP ON AGING BY EXPANDED AND ENHANCED COMMUNITY OUTREACH SERVICES INCLUDING SEMINARS, PRESENTATIONS, CLASSES, AND COLLABORATION WITH OTHER ORGANIZATIONS AND AGENCIES VIA JOINT EVENT LINKS. WE CONTINUE DIALOGUE WITH AREA AGENCIES TO IDENTIFY SERVICE GAPS AND OPPORTUNITIES FOR ADDITIONAL PROGRAMS AND EVENTS. THE SECOND SERVICE GAP ON BEHAVIORAL HEALTH SERVICES-MEDICALLY RELATED HAS BEEN ADDRESSED BY HIRING ANOTHER HEALTH PSYCHOLOGIST TO PROVIDE BEHAVIORAL HEALTH SERVICES TO PATIENTS WITH OBESITY, CHRONIC PAIN, AND OTHER MEDICAL CONDITIONS AND THOSE FACING CHALLENGES WITH PAIN, MOOD, ADJUSTMENT AND BEHAVIOR. WE HAVE EXPANDED GROUP TREATMENT SERVICES TO PROVIDE BROADER ACCESS TO A LARGER NUMBER OF PEOPLE AT A LOWER COST AND EXPANDED OUTREACH SERVICES THROUGH PRESENTATIONS AND SEMINARS. SERVICE GAP 4 & % IS PATIENT SELF-MANAGEMENT, HEALTH PROMOTION AND PREVENTION. SHELTERING ARMS HAS EXPANDED THE POWEREX PROGRAM, WHICH FOCUSES ON AN ACTIVE AND HEALTHY LIFESTYLE. INCREASED OUTREACH ACTIVITIES AND SERVICES, INCLUDING CHRONIC DISEASE MANAGEMENT CLASS AND DIABETES SELF MANAGEMENT. SERVICE GAP NUMBER 7 IS CHRONIC PAIN MANAGEMENT SERVICES. SHELTERING ARMS HAS ADDED A SPINE CLINIC PHYSICIAN AND INCREASED ANOTHER SPINE CLINICS PHYSICIAN HOURS TO PROVIDE SERVICES FOR A RANGE OF PAIN CONDITIONS. A HEALTH PSYCHOLOGIST WAS ALSO HIRED TO INCLUDE TREATMENT AND MANAGEMENT OF PAIN CONDITIONS. SERVICE GAP 9 IS HEALTH CARE COVERAGE. SHELTERING ARMS PROVIDED CHARITY CARE BASED ON FEDERAL POVERTY GUIDELINES, CONTINUED THE RELATIONSHIP WITH ACCESS NOW TO PROVIDE SERVICES TO A LARGER NUMBER OF UNINSURED WHILE IMPROVING COMMUNICATION THROUGH ENHANCED REPORTING AND CONTINUED THE RELATIONSHIP WITH CHAMBERLIN EDMONDS TO ASSIST QUALIFYING PATIENTS TO PROVIDE ACCESS TO MEDICARE AND MEDICAID.
SHELTERING ARMS HOSPITAL PART V, SECTION B, LINE 15E: THE CFO WILL REVIEW APPLICATIONS THAT DO NOT MEET THE PROGRAM GUIDELINES BUT FOR WHICH EXTRAORDINARY CIRCUMSTANCES MAY EXIST. ALSO, APPLICATIONS BY PATIENTS/FAMILIES WHO DISAGREE WITH THE PROGRAM DETERMINATION MAY REQUEST RECONSIDERATION THROUGH THIS PROCESS.
PART V, SECTION B, LINE 16 FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
SHELTERING ARMS HOSPITAL PART V, SECTION B, LINE 16A WEBSITE: WWW.SHELTERINGARMS.COM
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?10
Name and address Type of Facility (describe)
1 SHELTERING ARMS HANOVER REHABILITATION C
8226 MEADOWBRIDGE ROAD
MECHANICSVILLE,VA23116 		OUTPATIENT THERAPY AND PHYSICIANS CLINIC
2 SHELTERING ARMS SOUTH PHYSICIANS CLINIC
13700 ST FRANCES BLVD
MIDLOTHIAN,VA23114 		OUTPATIENT THERAPY AND PHYSICIANS CLINIC
3 SHELTERING ARMS BON AIR CENTER
206 TWINRIDGE LANE
RICHMOND,VA23235 		OUTPATIENT THERAPY AND PHYSICIANS CLINIC
4 SHELTERING ARMS CHESTER CENTER
12220 IRONBRIDGE ROAD
CHESTER,VA23831 		OUTPATIENT THERAPY AND PHYSICIANS CLINIC
5 SHELTERING ARMS LABURNAM CENTER
4730 S LABURNUM AVENUE
RICHMOND,VA23231 		OUTPATIENT THERAPY AND PHYSICIANS CLINIC
6 SHELTERING ARMS REYNOLDS CENTER
6627 W BROAD STREET
RICHMOND,VA23226 		OUTPATIENT THERAPY AND PHYSICIANS CLINIC
7 SHELTERING ARMS MIDTOWN CLUB REC
2805 WEST BROAD STREET
RICHMOND,VA23230 		OUTPATIENT DAY PROGRAM AND FITNESS CENTER
8 PT WORKS CENTER
2296 JOHN ROLFE PARKWAY
RICHMOND,VA23233 		OUTPATIENT THERAPY AND PHYSICIANS CLINIC
9 SHELTERING ARMS HANOVER NEURO CTR
8254 ATLEE ROAD
MECHANICSVILLE,VA23116 		OUTPATIENT THERAPY AND PHYSICIANS CLINIC
10 SHELTERING ARMS HULL STREET CENTER
13530 HULL STREET ROAD
MIDLOTHIAN,VA23114 		OUTPATIENT THERAPY AND PHYSICIANS CLINIC
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
PART I, LINE 3C: PART I, LINE 6A: THE FY 2014 COMMUNITY BENEFIT REPORT WAS COMPLETED AND PUBLISHED THROUGH VHHA IN AUGUST OF 2015. THE FY 2015 COMMUNITY BENEFIT REPORT WILL BE SUBMITTED TO VHHA FOR PUBLICATION IN SEPTEMBER OF FY 2015. IN ADDITION, THE FY 2014 COMMUNITY BENEFIT REPORT WAS PUBLISHED IN THE SHELTERING ARMS ANNUAL REPORT AND IS AVAILABLE ON THE WEBSITE: WWW.SHELTERINGARMS.COM. THE FY 2015 RESULTS WILL ALSO BE PART OF THE SHELTERING ARMS ANNUAL REPORT WHICH SHOULD BE AVAILABLE IN THE FALL OF FY 2016.PART I, LINE 7: COLUMN F REFLECTS THE CHARITY AND FINANCIAL ASSISTANCE AT COST AND OTHER COMMUNITY BENEFITS AS A PERCENTAGE OF THE TOTAL FUNCTIONAL EXPENSES IN PART IX, COLUMN A, LINE 25 OF THE FORM 990. A COMPLETE LIST OF THE CASH GRANTS TO OTHERS CAN BE FOUND ON SCHEDULE I OF THE FORM 990.
PART III, LINE 2: BAD DEBT REPRESENTS THE UNCOLLECTIBLE ACTUAL AMOUNTS WRITTEN OFF DURING THE FISCAL YEAR.
PART III, LINE 3: BAD DEBT ATTRIBUTABL TO PATIENTS UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS ESTIMATED BASED ON A PATIENT'S INABILITY TO PAY AND WHO FAIL TO COMPLETE THE APPLICATION AND/OR SUBMIT THE REQUIRED DOCUMENTS WITHIN THE 60 DAY GRACE PERIOD ALLOWED TO APPLY FOR ASSISTANCE.
PART III, LINE 4: SEE PAGE 11 OF THE AUDITED FINANCIAL STATEMENTS - NOTE 1- NATURE OF ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES "PAITENT ACCOUNTS RECEIVABLE."
PART III, LINE 8: THE MEDICARE GAIN WAS OBTAINED DIRECTLY FROM THE FY 2015 MEDICARE COST REPORT.
PART III, LINE 9B: PATIENTS MAY APPLY RETROACTIVELY FOR FINANCIAL ASSISTANCE FOR SERVICES UP TO 60 DAYS OLD. IF THE PATIENT DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE AND ALL OTHER PROGRAMS HAVE BEEN EXHAUSTED FOR PAYMENT ASSISTANCE, A PAYMENT PLAN ARRANGEMENT MAY BE MADE. BALANCES DESIGNATED BY 3RD PARTY PAYERS AS PATIENT RESPONSIBILITY WILL BE ASSIGNED TO THE PATIENT BALANCE SEGMENT IN THE SAH BILLING SYSTEM. QUALIFYING PATIENT RESPONSIBLE BALANCES WILL BE BILLED DIRECTLY TO THE PATIENT BY SHELTERING ARMS. IF PAYMENT IS NOT RECEIVED WITHIN 60 DAYS ANY UNPAID BALANCES WILL BE FORWARDED TO OUR FIRST OUT VENDOR FOR CONTINUING COLLECTION EFFORTS TO INCLUDE PATIENT PAYMENT PLANS. ANY UNSETTLED BALANCES REMAINING AFTER A TOTAL OF 120 DAYS AFTER THE FIRST ASSIGNMENT OF BALANCES AS PATIENT PAY THE BALANCES WILL BE SENT TO OUR COLLECTION AGENCY AND REMOVED FROM OUR ACTIVE ACCOUNTS RECEIVABLE AS BAD DEBT. IF THE COLLECTION AGENCY SUCCESSFULLY COLLECTS THE BALANCES THE PATIENT ACCOUNT WILL BE REACTIVATED IN OUR AR SYSTEM AND THE BAD DEBT WILL BE REVERSED AND CODED AS RECOVERY. IF THE COLLECTION AGENCY IS UNSUCCESSFUL AND HAS NO PAYMENT ARRANGEMENT OR BROKEN PAYMENT ARRANGEMENTS THE ACCOUNT CAN ALSO BE PULLED BACK FROM THE COLLECTION VENDOR, BAD DEBT STATUS WILL REMAIN AND COLLECTION EFFORTS WILL CEASE.
PART VI, LINE 2: SHELTERING ARMS HOSPITAL CONTINUE TO ASSESS THE SERVICE GAPS AND HEALTH CARE NEEDS OF THE COMMUNITIES WE SERVE THROUGH DIALOG WITH AREA AGENCIES TO IDENTIFY NEEDED PROGRAMS AND EVENTS; SHELTERING ARMS BUILDS COALITIONS WITH OTHER HEALTH CARE PROVIDERS AND AGENCIES TO PLAN AND DEVELOP PROGRAMS AND EDUCATIONAL EVENTS TO ASSIST THE POPULATION SERVED TO GIVE THEM OPTIONS FOR FINDING SOLUTIONS TO THEIR SERVICE NEEDS; CONDUCTING EXPANDED OUTREACH SERVICES THROUGH PRESENTATIONS AND EDUCATIONAL SEMINARS; ENCOURAGING PATIENTS AND STAFF TO DISCUSS SERVICES AND EDUCATIONAL TRAINING AND SUPPORT THEY SEE OR HAVE ENCOUNTERED TO ADDRESS THOSE GAPS IN AVAILABILITY TO THE POPULATION IN NEED.
PART VI, LINE 3: FINANCIAL ASSISTANCE INFORMATION AND APPLICATIONS ARE AVAILABLE TO THE POPULATION SERVED THROUGH THE WEBSITE AT WWW.SHELTERINGARMS.COM COMPLETE WITH DIRECT CONTACT TELEPHONE INFORMATION TO A FINANCIAL ASSISTANCE REPRESENTATIVE. INFORMATION ON FINANCIAL ASSISTANCE AND APPLICATIONS ARE AVAILABLE IN PERSON THROUGH PATIENT ACCESS STAFF AT EACH LOCATION, CASE MANAGERS OR PATIENT FINANCIAL SERVICES STAFF.
PART VI, LINE 4: BASED ON THE COMMUNITY HEALTH NEEDS ASSESSMENT PATIENT POPULATION IS LARGELY COMPRISED OF ADULT RESIDENTS IN CENTRAL AND EASTERN VIRGINIA. THE STUDY POPULATION FOR THIS CHNA IS ADULT RESIDENTS AGE 18+. THE STUDY REGION IS BASED ON THE SA HANOVER SERVICE AREA OF 47 ZIP CODES. MOST OF THESE ZIP CODES FALL WITHIN THE COUNTIES OF CAROLINE, CHARLES CITY, ESSEX, HANOVER, HENRICO, KING WILLIAM, LANCASTER, NEW KENT, NORTHUMBERLAND, AND RICHMOND; AND THE CITY OF RICHMOND. DEMOGRAPHIC PROFILE. AS OF 2012, THE STUDY REGION INCLUDED AN ESTIMATED 459,123 PERSONS AGE 18+. COMPARED TO THE COMMONWEALTH OF VIRGINIA AS A WHOLE, THE STUDY REGION IS MORE DENSELY POPULATED, AND PROPORTIONALLY MORE BLACK/AFRICAN AMERICAN. THE REGION HAS SLIGHTLY LOWER INCOME LEVELS THAN VIRGINIA AS A WHOLE.THE STUDY INCLUDED A MORTALITY PROFILE, ADULT HEALTH RISK PROFILE, MEDICALLY UNDERSERVED PROFILE, PREVENTATIVE HOSPITALIZATION PROFILE, AND BEHAVIORAL HEALTH HOSPITALIZATION DISCHARGE PROFILE. THESE PROFILES WERE INSTRUMENTAL IN DETERMINING THE IMPORTANT HEALTH CONCERNS AND THE SIGNIFICANT SERVICE GAPS USED BY SHELTERING ARMS TO MODIFY A STRATEGY THAT COULD BEST SERVE THE NEEDS OF THE COMMUNITIES.
PART VI, LINE 5: SHELTERING HAS DEVELOPED A HOME HEALTH AGENCY, SPECIALIZING IN REHABILITATION SERVICES, TO PROVIDE SERVICES TO A LARGELY SENIOR POPULATION TO SUPPORT AGING IN PLACE IN THE COMMUNITY SETTING; HOSTS AN EDUCATIONAL SERIES AND EVENTS SUCH AS THE CHRONIC DISEASE SELF- MANAGEMENT CLASS, SPONSORED BY SENIOR CONNECTIONS; SEMINARS ON HEALTHY LIVING PROVIDED TO LONG TERM CARE FACILITIES; AND SEMINARS ON FALL PREVENTION, PHYSICAL THERAPY, FITNESS, DIABETES, NUTRITION, MS, STROKE EDUCATION, AND SO ON; A LOW-VISION PROGRAM TO PROVIDE SPECIALIZED SCREENING AND TREATMENT SERVICES; REFERRAL RELATIONSHIPS WITH COMMUNITY AGENCIES AND ORGANIZATIONS TO ASSIST PATIENTS AND FAMILIES IN LOCATING NEEDED SERVICES; HOSTS AN ANNUAL POSTER DAY ON ADVANCED DIRECTIVES; SHELTERING ARMS HOSPITAL GRANTS SUPPORT OF ENTITIES SUCH AS CIRCLE CENTER ADULT DAY SERVICES, BRAIN INJURY ASSOCIATION OF VIRGINIA, HOSPITALITY HOUSE OF RICHMOND, INC. (FAMILY SUPPORT PROGRAM), REACHCYCLES, SPORTABLE RICHMOND ADAPTIVE SPORT & RECREATION, INC., GOOCHLAND FREE CLINIC AND FAMILY SERVICES, PARALYZED VETERANS OF AMERICA, MID-ATLANTIC CHAPTER, FOUNDATION FOR REHABILITATION EQUIPMENT & ENDOWMENT-ROANOKE, POSITIVE VIBE FOUNDATION, IVNA HEALTH SERVICES, A GRACE PLACE ADULT CARE CENTER, AND SOUTH RICHMOND ADULT DAY CARE CENTER. IN ADDITION, SHELTERING ARMS NURSE LIAISONS PROVIDE INFORMATION TO LOCAL ACUTE CARE HOSPITALS WITH REGARD TO APPROPRIATE SERVICES, AND SITES OF SERVICE, FOR SENIORS WHO REQUIRE REHABILITATIVE CARE AND A WIDE PORTFOLIO OF UNIQUE, COMMUNITY-BASED SERVICES INTENDED LARGELY TO MEET THE NEEDS OF INDIVIDUALS WHO ARE TRANSITIONING FROM A MEDICAL TREATMENT REGIMEN TO AN EMPHASIS ON SELF-MANAGEMENT.THE BENEFITS OF PHYSICAL AND RECREATIONAL ACTIVITY PARTICIPATION HIGHLIGHT A NEED FOR INDIVIDUALS WITH PHYSICAL DISABILITIES, THE AGING POPULATION, AND INDIVIDUALS MANAGING CHRONIC CONDITIONS TO ACCESS SERVICES THAT CAN POSITIVELY IMPACT QUALITY OF LIFE AND PHYSICAL ACTIVITY LEVEL. SHELTERING ARMS IS DEDICATED TO HELPING PEOPLE FIND WITHIN THEMSELVES THE POWER TO OVERCOME SERIOUS SETBACKS FOLLOWING ILLNESS, INJURY, OR ACCIDENT THROUGH INTERNATIONALLY RECOGNIZED PHYSICAL REHABILITATION PROGRAMS. THE SHELTERING ARMS COMMITMENT DOES NOT END WHEN THERAPY OR PHYSICIAN SERVICES ARE COMPLETE. SHELTERING ARMS PROVIDES A COMPREHENSIVE PORTFOLIO OF UNIQUE, COMMUNITY-BASED RECREATION AND HEALTH AND WELLNESS SERVICES TO MEET THE NEEDS OF THE COMMUNITY. THESE SERVICES MAKE UP THE PARTNER FOR L.I.F.E. PROGRAM (LEISURE, INTERACTION, FITNESS, AND ENJOYMENT), EMPOWERING INDIVIDUALS TO EMBRACE A LIFETIME OF RECREATION AND WELLNESS. OUR UNIQUE PROGRAMMING PROVIDES AN OPPORTUNITY FOR PEOPLE TO RE-ENGAGE IN ACTIVITIES THEY ONCE ENJOYED AND MAINTAIN AN ACTIVE SOCIAL AND PHYSICAL LIFESTYLE DESPITE THEIR LIMITATIONS. THE SERVICES PROVIDED ARE OPEN TO THE PUBLIC AND THE MAJORITY OF THE SERVICES DO NOT REQUIRE A PHYSICIAN REFERRAL. SERVICES OFFERED INCLUDE GROUP RECREATION AND SOCIAL EVENTS, ADAPTIVE GOLF PROGRAM, ADAPTIVE BOWLING LEAGUE, ACCESSIBLE TRAVEL PROGRAM, THERAPEUTIC POOL AND FITNESS CENTER MEMBERSHIPS, PERSONAL TRAINING SERVICES, GROUP EXERCISE CLASSES, EDUCATIONAL SEMINARS, CHRONIC DISEASE SELF-MANAGEMENT CLASSES, DIABETES SELF-MANAGEMENT CLASSES, POWEREX, NEUROFIT, AND OUR CLUB REC PROGRAM. CLUB REC IS A NON- MEDICALLY BASED SOCIAL, RECREATION PROGRAM PROVIDING OPPORTUNITIES FOR FITNESS, WELLNESS, SOCIALIZATION, AND COMMUNITY REINTEGRATION FOR MEMBERS UP TO FIVE DAYS PER WEEK. CERTIFIED THERAPEUTIC RECREATION AND FITNESS SPECIALISTS ORGANIZE DAILY PROGRAMS, COMMUNITY OUTINGS, GROUP AND INDIVIDUAL EXERCISE SESSIONS, SOCIAL PROGRAMS, COGNITIVE ACTIVITIES, ADAPTIVE LEISURE ACTIVITIES, EDUCATIONAL PROGRAMS, AND AN ARRAY OF WEEKLY RECREATION PROGRAMS. CLUB REC FOCUSES ON ENHANCING QUALITY OF LIFE FOR THOSE RECOVERING FROM INJURY OR ILLNESS. MEMBERS ENROLLED IN CLUB REC HAVE OPPORTUNITIES TO UTILIZE THE ON -SITE FITNESS CENTER, PARTICIPATE IN SPIRITUALITY GROUP , THE COMPUTER LAB, WEEKLY TRIPS TO OUR THERAPEUTIC POOL, INTERGENERATIONAL PROGRAMS, COMMUNITY SERVICES OPPORTUNITIES, AS WELL AS COMMUNITY OUTINGS. IN FY 2015 THE CLUB REC PROGRAM ENROLLED 7,391 VISITS FROM INDIVIDUALS WITH DISABILITIES. PARTNER FOR L.I.F.E. SPECIAL EVENT PROGRAMS (INCLUDING ADAPTIVE GOLF & ADAPTIVE BOWLING LEAGUE) PROVIDE OPPORTUNITIES FOR INDIVIDUALS WITH DISABILITIES TO PARTICIPATE IN ORGANIZED RECREATION ACTIVITIES WITH THE SUPPORT OF RECREATIONAL THERAPISTS, AND NECESSARY ADAPTIVE RECREATION EQUIPMENT, TO ENSURE SUCCESSFUL PARTICIPATION REGARDLESS OF THEIR PHYSICAL LIMITATIONS. IN FISCAL YEAR 2015 THERE WERE 17 EVENTS TOTALING 259 PARTICIPANTS. CHRONIC DISEASE SELF-MANAGEMENT AND DIABETES SELF MANAGEMENT CLASSES WERE OFFERED FREE TO THE COMMUNITY THROUGH PARTNERSHIP WITH LOCAL SENIOR AND HEALTH CARE AGENCIES. THE GOAL OF THE PROGRAM IS FOR PARTICIPANTS TO LEARN STRATEGIES TO IMPLEMENT HEALTHY LIFESTYLE CHANGES TO SUCCESSFULLY MANAGE THEIR CHRONIC CONDITION. IN ADDITION TO RECREATION EVENTS, PARTNER FOR L.I.F.E. SERVICES BELIEVE IN THE NECESSITY OF MAINTAINING PHYSICAL ACTIVITY TO CONTINUE AN ACTIVE LIFESTYLE, MAINTAIN PROGRESS ACHIEVED IN SKILLED THERAPY, AS WELL AS PREVENT FUTURE INJURY OR ILLNESS. WE HAVE A WARM WATER THERAPEUTIC POOL AND FITNESS CENTER OFFERING POOL AND FITNESS MEMBERSHIPS, AQUATIC AND LAND GROUP EXERCISE CLASSES, AND PERSONAL TRAINING SERVICES TO THE COMMUNITY. OUR WARM WATER THERAPEUTIC POOL PROVIDES A RAMP FOR WHEELCHAIR ENTRY INTO THE WATER, SUBMERGED PARALLEL BARS, AND LAP LANE SWIMMING FOR THOSE WHO FIND LESS PAIN AND INCREASED RANGE OF MOTION IN A WARM WATER ENVIRONMENT. POOL AND FITNESS MEMBERSHIPS PROVIDE A TRANSITION PLAN FOR PATIENTS BEING DISCHARGED FROM INPATIENT HOSPITAL AND OUTPATIENT THERAPY CLINICS THE OPPORTUNITY TO CONTINUE TO ENGAGE IN PHYSICAL ACTIVITY. FITNESS SPECIALISTS PROVIDE FITNESS MEMBERS WITH PERSONALIZED ATTENTION, AS WELL AS PERSONAL TRAINING SERVICES FOR THOSE WHO ARE INTERESTED IN INDIVIDUALIZED GOAL SETTING AND EXERCISE PROGRAMS DESIGNED TO MEET THEIR NEEDS. DURING FISCAL YEAR 2015 THERE WERE 24,398 COMMUNITY MEMBERSHIP VISITS TO THE POOLS AND FITNESS CENTERS. SHELTERING ARMS LEAD 1,389 GROUP EXERCISE CLASSES AND WELLNESS EDUCATION CLASSES TOTALING 6,938 CLASS PARTICIPANTS. FITNESS SPECIALISTS CONDUCTED 2,417 PERSONAL TRAINING VISITS AND 1,767 NEUROFIT PERSONAL TRAINING VISITS. ON OUR HOSPITAL CAMPUS THE FITNESS SPECIALISTS UTILIZE ADVANCED TECHNOLOGIES TO PROVIDE UNIQUE PERSONAL TRAINING SERVICES FOR THE NEUROLOGICALLY IMPAIRED IN OUR NEUROFIT PROGRAM. THIS FY THE NEUROFIT PROGRAM EXPANDED TO OFFER THIS SERVICE TWICE PER WEEK AT OUR SOUTH HOSPITAL. THE GOAL IS TO ENSURE LIFELONG PHYSICAL ACTIVITY AFTER A CATASTROPHIC INJURY OR ILLNESS. FITNESS SPECIALISTS AT OUR BON AIR AND REYNOLDS LOCATION PROVIDE PERSONAL TRAINING SERVICES TO THOSE TRANSITIONING FROM OUTPATIENT THERAPY SERVICES, WHILE ALSO PROVIDING PERSONAL TRAINING SERVICE TO THE COMMUNITY FOR PREVENTION AND WELLNESS. OUR PARKINSON'S WELLNESS RECOVERY BI-WEEKLY GROUP EXERCISE CLASS AT BON AIR HAS SEEN SIGNIFICANT GROWTH IN CLASS PARTICIPANTS. THIS FY SHELTERING ARMS FITNESS CENTERS HAVE BECOME A SILVER SNEAKERS PROVIDER FOR THE COMMUNITY WHICH PROVIDES FINANCIAL SUPPORT FOR FITNESS MEMBERSHIPS FOR THOSE WITH A SILVER SNEAKER WELLNESS OPTION THROUGH THEIR PRIVATE INSURANCE COMPANY. SPECIFIC SILVER SNEAKER GROUP EXERCISE CLASSES ARE OFFERED AT OUR BON AIR LOCATION WEEKLY.AS WE CONTINUE TO FACE THE TRANSITION OF HEALTH CARE IN OUR COMMUNITY THE FOCUS OF HEALTH, WELLNESS, AND PREVENTION CONTINUE TO EMERGE AS A CRITICAL COMPONENT IN LIFE LONG CARE. SHELTERING ARMS PARTNER FOR LIFE SERVICES PROVIDE A UNIQUE NICHE FOR INDIVIDUALS WITH PHYSICAL DISABILITIES, AS WELL AS THE COMMUNITY, TO MAINTAIN AN ACTIVE AND HEALTHY LIFESTYLE.
Schedule H (Form 990) 2014
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