SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
SHELTERING ARMS HOSPITAL SOUTH INC
 
Employer identification number

35-2258075
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
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
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) . . . 		    302,700   302,700 2.370 %
b Medicaid (from Worksheet 3, column a) . . . . .     783,993   783,993 6.130 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     1,086,693   1,086,693 8.500 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).            
f Health professions education (from Worksheet 5) . . .            
g Subsidized health services (from Worksheet 6) . . . .            
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     11,874   11,874 0.090 %
j Total. Other Benefits . .     11,874   11,874 0.090 %
k Total. Add lines 7d and 7j .     1,098,567   1,098,567 8.590 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
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            
8 Workforce development            
9 Other            
10 Total            
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
398,404
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
43,149
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
8,190,583
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
5,952,824
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
2,237,759
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) 2018
Schedule H (Form 990) 2018
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?1Name, 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 SOUTH INC
13700 ST FRANCIS BLVD SUITE 400
MIDLOTHIAN,VA23114
WWW.SHELTERINGARMS.COM
VA DEPT OF HEALTH LICENSE NO. H-1927 		X               PHYSICAL REHABILITATION HOSPITAL  
Schedule H (Form 990) 2018
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Schedule H (Form 990) 2018
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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 SOUTH INC
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 18
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  
6 a 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 Yes  
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 18
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    
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" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on 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) 2018
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Schedule H (Form 990) 2018
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Part VFacility Information (continued)

Financial Assistance Policy (FAP)
SHELTERING ARMS HOSPITAL SOUTH INC
Name of hospital facility or letter of facility reporting group  
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 Was widely publicized 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
WWW.SHELTERINGARMS.COM
b
WWW.SHELTERINGARMS.COM
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
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Schedule H (Form 990) 2018
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Part VFacility Information (continued)

Billing and Collections
SHELTERING ARMS HOSPITAL SOUTH INC
Name of hospital facility or letter of facility reporting group  
Yes No
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 nonpayment?.................................. 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
f
19 Did the hospital facility or other authorized 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
e
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 19. (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
Schedule H (Form 990) 2018
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Schedule H (Form 990) 2018
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Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
SHELTERING ARMS HOSPITAL SOUTH INC
Name of hospital facility or letter of facility reporting group  
Yes No
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) 2018
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Schedule H (Form 990) 2018
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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, 16j, 18e, 19e, 20e, 21c, 21d, 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 SOUTH, INC. PART V, SECTION B, LINE 5: THE CONTENT OF THE SURVEY WAS BASED ON BROAD COMMUNITY HEALTH DATA. ON A NATIONAL LEVEL, SAH SOUTH LOOKED AT HEALTHY PEOPLE 2020 FOR IMPROVING HEALTH OF ALL AMERICANS AND SPECIFIC OBJECTIVES RELATED TO DISABILITY AND HEALTH. AT THE STATE LEVEL SAH SOUTH LOOKED AT THE VIRGINIA HEALTH PROMOTION FOR PEOPLE WITH DISABILITIES AT VIRGINIA COMMONWEALTH UNIVERSITY WHOSE MISSION IS TO PROMOTE THE HEALTH OF PEOPLE WITH DISABILITIES, PREVENT SECONDARY CONDITIONS, AND ELIMINATE DISPARITY BETWEEN PEOPLE WITH AND WITHOUT DISABILITIES. AT THE LOCAL LEVEL SHELTERING ARMS LOOKED TO THE VIRGINIA DEPARTMENT OF HEALTH-OFFICE OF MINORITY HEALTH AND HEALTH EQUITY TO DETERMINE THE MANY FACTORS DETERMINING HEALTH INCLUDING COMMUNITY WALKABILITY, FOOD ACCESSIBILITY, AFFORDABILITY, INCOME INEQUALITY AND ACCESS TO CARE. THERE WERE TWO SURVEYS CONDUCTED: ONE FOR CLIENTS AND PATIENTS AND THEN ANOTHER FOR AGENCIES AND PERSONS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH AND ASSESS THE NEEDS OF THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. SHELTERING ARMS SOUTH CARES FOR PATIENTS IN THE CENTRAL AND EASTERN VIRGINIA REGION COVERING 14 COUNTIES AND THE CITY OF RICHMOND.
SHELTERING ARMS HOSPITAL SOUTH, INC. PART V, SECTION B, LINE 6A: SHELTERING ARMS HOSPITAL
SHELTERING ARMS HOSPITAL SOUTH, INC. PART V, SECTION B, LINE 11: SHELTERING ARMS SOUTH IS ADDRESSING THE CHNA USING CHIP. THE CHNA IDENTIFIED AND THEN PRIORITIZED THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE TWO SURVEYS CONDUCTED. THE SURVEY RESULTS WERE GROUPED IN TO FOUR MAJOR AREAS: ACCESS TO HEALTHCARE, ACCESS TO EDUCATION AND SUPPORT, ACCESS RESOURCES, AND ACCESS TO FITNESS AND WELLNESS. SHELTERING ARMS LEADERSHIP REVIEWED THE RESULTS AND PRIORITIZED THEM BASED ON THE NUMBER OF RESPONSES AND GROUPED THE RESPONSES IN TO FOUR TOP COMMUNITY HEALTH NEEDS. THE HEALTH NEED PRIORITIES ARE: HEALTHY LIFESTYLE WHICH INCLUDES NUTRITION, HEALTH, WELLNESS, FITNESS AND MOBILITY; CARE NAVIGATION; CAREGIVER SUPPORT; MEDICAL DEVICES-RAMPS SINCE THE SURVEY DETERMINED THAT THEY ARE DIFFICULT TO OBTAIN AND MAKE A DIFFERENCE IN PATIENTS GOING HOME VERSUS LONG TERM CARE FACILITIES.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2018
Page 9
Schedule H (Form 990) 2018
Page 9
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?1
Name and address Type of Facility (describe)
1 1 - SHELTERING ARMS HOSPITAL SOUTH NEURO
13700 ST FRANCIS BLVD SUITE 400
MIDLOTHIAN,VA23114 		OUTPATIENT THERAPY CENTER
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2018
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Schedule H (Form 990) 2018
Page 10
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 6A: THE FY 2018-19 COMMUNITY BENEFIT REPORT WAS PUBLISHED IN THE SHELTERING ARMS HOSPITAL ANNUAL REPORT AND IS AVAILABLE ON THE WEBSITE AT WWW.SHELTERINGARMS.COM.
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. INFORMATION REGARDING THE CASH GRANTS TO OTHERS CAN BE FOUND IN 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 ATTRIBUTABLE 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 "PATIENT ACCOUNTS RECEIVABLE"
PART III, LINE 8: THE MEDICARE GAIN WAS OBTAINED DIRECTLY FROM THE FY 2018-2019 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 WITH COLLECTIONS AND HAS NO PAYMENT ARRANGEMENT, OR A BROKEN PAYMENT ARRANGEMENT, THEN THE ACCOUNT CAN BE PULLED BACK FROM THE COLLECTION VENDOR, THE BAD DEBT STATUS WILL REMAIN AND COLLECTION EFFORTS WILL CEASE.
PART VI, LINE 2: NEEDS ASSESSMENT: SHELTERING ARMS HOSPITAL ASSESSES THE SERVICE GAPS AND HEALTH CARE NEEDS OF THE COMMUNITIES WE SERVE TO IDENTIFY NEEDED PROGRAMS AND EVENTS. THE LATEST CHNA AND CORRESPONDING CHIP CAN BE ACCESSED AT WWW.SHELTERINGARMS.COM. THE 1ST IDENTIFIED SIGNIFICANT HEALTH NEED IS HEALTHY LIFESTYLE. IT ENCOMPASSES NUTRITION, HEALTH, WELLNESS, FITNESS, RECREATION AND MOBILITY. THE CHIP PLAN CALLS FOR FOLLOW-UP PHONE CALLS FROM INPATIENT DIETICIAN TWO WEEKS POST-DISCHARGE FROM THE INPATIENT REHABILITATION HOSPITAL; PARTNERING WITH LOCAL GROUPS ON NUTRITIONAL EDUCATION TWICE A YEAR TO INCLUDE BON SECOURS, RELAY FOODS, AND VCU HEALTH SYSTEM; COMPILING RESOURCE LIST FOR PATIENTS TO ACCESS FOOD SERVICES IN THE COMMUNITY AND DEVELOPING A PROCESS FOR CONNECTING PATIENTS TO THESE SERVICES; ADDING NUTRITION SCREENING QUESTION AT DISCHARGE FROM INPATIENT HOSPITAL; ADDING NUTRITION SCREENING QUESTION FOR OUTPATIENT THERAPY; AND EXPANDING FITNESS/WELLNESS PROGRAMS FOR PERSONS WITH NEUROLOGIC DISORDERS. CURRENTLY WE HAVE ADDED A NEW PARKINSON'S BOXING PROGRAM AND EXPANDED THE NEURO-FIT PROGRAM. IN ADDITION OUR PLAN INCLUDES SHORT SCREENING TOOLS FOR INPATIENT AND OUTPATIENT REGARDING NEED FOR HEALTH, WELLNESS, AND EDUCATION CLASSES. WE ARE ADDING NUTRITION EDUCATION AN SHELTERING ARMS CHANNEL IN INPATIENT, ADDING NUTRITION TRAINING/SPECIALIZATION FOR FITNESS STAFF, A SERIES OF HEALTHY COOKING AND MEAL PLANNING FOR PATIENTS AND CAREGIVERS, A NUTRITION SUPPORT GROUP IN INPATIENT FOR PATIENTS AND CAREGIVERS, AN OUTPATIENT DIETICIAN TO ADDRESS POST-INPATIENT NUTRITION NEEDS AS PART OF A COMPREHENSIVE HEALTH/WELLNESS CARE MODEL AND INPATIENT AND OUTPATIENT THERAPEUTIC RECREATION AS PART OF THE COMPREHENSIVE CARE MODEL. THE SECOND SIGNIFICANT HEALTH NEED IDENTIFIED IS CARE NAVIGATION, WE HAVE MAPPED IN CERNER (OUR EHR) FOR TOUCH POINTS TO BUILD AND FOSTER CARE NAVIGATION. ALSO AS A STANDARD OF CARE AT DISCHARGE, REFER APPROPRIATE AND INTERESTED PATIENTS TO SENIOR CONNECTIONS. WE HAVE IMPROVED INTERNAL AND EXTERNAL EDUCATION OF WHAT SHELTERING ARMS OFFERS FOR CONTINUUM OF CARE THROUGH INTERNAL EDUCATION PROVIDED TO NURSE LIAISONS AND THE COMMUNITY LIAISON TEAMS. WE ARE IMPLEMENTING SCREENSAVER TIPS ON SHELTERING ARMS COMPUTERS TO EDUCATE CLINICIANS ON RESOURCES AVAILABLE FOR PATIENTS/FAMILIES. IN ADDITION WE ARE DEVELOPING A STRATEGY FOR HIGH RISK PATIENTS AND WE PLAN TO ADD A SOCIAL WORKER AS PART OF THE COMPREHENSIVE HEALTH AND WELLNESS CARE MODEL. THE 3RD SIGNIFICANT HEALTH NEED IDENTIFIED IS CAREGIVER SUPPORT. THIS PLAN INCLUDES DEVELOPING EDUCATION MATERIALS AND REFERENCES FOR CAREGIVERS NEEDING SUPPORT AND A SCREENING TOOL FOR ALL SITES THAT ASKS ABOUT THE NEED FOR CAREGIVER SUPPORT. THE 4TH SIGNIFICANT HEALTH CARE NEED IS MEDICAL DEVICES-RAMPS. WE ARE PARTNERING WITH LOCAL ORGANIZATIONS THAT PROVIDE RAMPS TO IDENTIFY HOW WE CAN SUPPORT THEM. WE ARE CURRENTLY IN DISCUSSIONS WITH PROJECT HOMES TO DEVELOP A PROCESS. THE SHELTERING ARMS FOUNDATION CURRENTLY PROVIDES SUPPORT TO PROJECTHOMES AND RAMPS MADE POSSIBLE BY STUDENTS. AS PART OF THIS INITIATIVE WE ARE ACTIVELY LOOKING TO IDENTIFY OTHER RAMP BUILDING RESOURCES IN THE COMMUNITIES SHELTERING ARMS SERVES.
PART VI, LINE 3: THE HOSPITAL HAS POSTED POSTERS NOTIFYING INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE (IN ENGLISH AND SPANISH) IN THE ADMISSIONS AND PATIENT INTAKE AREAS OF EACH OF ITS INPATIENT AND OUTPATIENT LOCATIONS AS WELL AS IN THE PATIENT ACCOUNTING DEPARTMENT. NEW PATIENT ADMISSIONS RECEIVE A FORM UPON ARRIVAL DISCLOSING THE FINANCIAL AGREEMENT TO PAY WHICH INCLUDES OFFERING MONTHLY PAYMENT ARRANGEMENTS AS WELL AS AN APPLICATION FOR FINANCIAL ASSISTANCE. OUTPATIENT AND PHYSICIAN SERVICES APPOINTMENT VERIFICATION LETTERS FOR NEW PATIENTS ALSO DISCLOSE AVAILABILITY OF FINANCIAL ASSISTANCE. ADDITIONALLY, THE HOSPITAL INCLUDES A NOTICE ABOUT ITS FINANCIAL ASSISTANCE POLICY ON ITS BILLING STATEMENTS.
PART VI, LINE 4: BASED ON THE RECENT COMMUNITY HEALTH NEEDS ASSESSMENT THE STUDY REGION IS BASED ON THE SHELTERING ARMS HANOVER CAMPUS SERVICE AREA WHICH INCLUDES URBAN AND RURAL AREAS. THE COUNTIES INCLUDED ARE CAROLINE, CHARLES CITY, ESSEX, HANOVER, HENRICO, KING AND QUEEN, KING WILLIAM, LANCASTER, LOUISA, MIDDLESEX, NEW KENT, NORTHUMBERLAND, RICHMOND AND RICHMOND CITY. AS AN ACUTE INPATIENT REHABILITATION HOSPITAL, THE ORGANIZATION SERVES THE TARGET POPULATION OF PEOPLE WITH PHYSICAL DISABILITIES. SPECIFICALLY, THE HOSPITAL PROVIDES REHABILITATION SERVICES TO PATIENTS WITH THE FOLLOWING DIAGNOSES: STROKE, BRAIN INJURY, SPINAL CORD INJURY, ORTHOPEDIC, NEUROLOGICAL, AND GENERAL REHAB/MEDICAL.
PART VI, LINE 5: OUR COMMUNITY SUPPORT INITIATIVES INCLUDE PARTICIPATION IN THE DSCR EMPLOYEE HEALTH FAIR; THE RICHMOND DIABETES WALK; THE RICHMOND HEALTH EXPO; THE VIRGINIA HOME WALK AND ROLL; THE CHESTERFIELD TRIAD SENIOR HEALTH FAIR; THE LOCAL MULTIPLE SCLEROSIS SUPPORT GROUP MEETING; AND THE AREA AMPUTEE SUPPORT GROUP MEETING. IN ADDITION, SA 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. SA 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 SA COMMITMENT DOES NOT END WHEN THERAPY OR PHYSICIAN SERVICES ARE COMPLETE. SA 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 LIFE (LEISURE, INTERACTION, FITNESS, AND ENJOYMENT) PROGRAM (PFL) EMPOWERING INDIVIDUALS TO EMBRACE A LIFETIME OF RECREATION AND WELLNESS. OUR UNIQUE PROGRAM 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 AND DIABETES SELF-MANAGEMENT CLASSES, A MATTER OF BALANCE CLASSES, POWEREX, NEUROFIT, AND OUR CLUB REC PROGRAM. CLUB REC IS A NON-MEDICALLY BASED SOCIAL, RECREATION PROGRAM PROVIDING OPPORTUNITIES FOR FITNESS, WELLNESS, RECREATION, SOCIALIZATION, AND COMMUNITY REINTEGRATION FOR MEMBERS UP TO FIVE DAYS PER WEEK. SA CERTIFIED THERAPEUTIC RECREATION SPECIALISTS CREATE A MONTHLY CALENDAR PROGRAM PLANNING ACTIVITIES AND SERVICES THAT ADDRESS THE SEVEN DIMENSIONS OF HEALTH AND WELLNESS. PROGRAMS PLANNED INCLUDE SOCIAL, RECREATIONAL, PHYSICAL, EMOTIONAL AND COGNITIVE ACTIVITIES, AS WELL AS OPPORTUNITIES FOR COMMUNITY REINTEGRATION AND CIVIC ENGAGEMENT. 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, AS WELL AS COMMUNITY OUTINGS. IN FY 18-19, CLUB REC HAD 7,179 VISITS TO THE PROGRAM. THIS YEAR CLUB REC PARTNERED WITH THE BON SECOURS CLASS A ROLL PROGRAM WHICH ALLOWED OPPORTUNITIES FOR A REGISTERED DIETICIAN TO ADDRESS NUTRITION SERVICES WITHIN THE PROGRAM. THIS WAS A SUCCESSFUL PARTNERSHIP ALLOWING THE OPPORTUNITY TO EDUCATE OUR PARTICIPANTS ON NUTRITION, TOPICS, PRACTICAL RECIPES, AND HEALTHY EATING ON A BUDGET. PFL SPECIAL EVENT PROGRAMS INCLUDE: ADAPTIVE YOGA, ADAPTIVE GOLF, ADAPTIVE BOWLING LEAGUE, ACCESSIBLE TRAVEL PROGRAMS, FISHING OUTINGS, AND SOCIAL RECREATION PROGRAMS. THESE PROGRAMS PROVIDE OPPORTUNITIES FOR INDIVIDUALS WITH DISABILITIES TO PARTICIPATE IN ORGANIZED RECREATION ACTIVITIES. RECREATIONAL THERAPISTS, VOLUNTEERS, AND ADAPTIVE RECREATION EQUIPMENT ARE PROVIDED AT EACH PROGRAM TO ENSURE SUCCESSFUL PARTICIPATION REGARDLESS OF PHYSICAL LIMITATION. IN FY 18-19, THERE WERE 20 EVENTS TOTALING 306 PARTICIPANTS. AN ACCESSIBLE CRUISE TO BERMUDA WAS HELD THIS YEAR FOR INDIVIDUALS WITH DISABILITIES, AS WELL AS THEIR CAREGIVERS AND FAMILY MEMBERS. ALL ACCESSIBLE TRAVEL PLANS, AIRLINE ACCOMMODATIONS, EQUIPMENT NEEDS, EXCURSION ADAPTATIONS ARE PLANNED AND ORGANIZED BY THE RECREATIONAL THERAPISTS. SA ALSO PARTNERED WITH SPORTABLE OFFERING HAND CYCLING CLINIC TO INTRODUCE OUR PATIENTS AND CLUB REC MEMBERS TO HAND CYCLING. SA ALSO PARTNERED WITH SPORTABLE BY HOSTING THEIR SWIMMING PROGRAM AT OUR BON AIR FACILITY WHICH ALLOWS ACCESS FOR ATHLETES ENROLLED IN THE PROGRAM TO AN ACCESSIBLE AND WARM WATER THERAPEUTIC POOL FOR THIS PROGRAM. CHRONIC DISEASE SELF-MANAGEMENT, DIABETES SELF MANAGEMENT, AND MATTER OF BALANCE 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. THESE PROGRAMS ARE OPEN TO SA PATIENTS AS WELL AS THE COMMUNITY. IN ADDITION TO RECREATION EVENTS, PFL SERVICES FOCUS ON 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. SA FITNESS CENTERS HAVE SEEN SIGNIFICANT GROWTH IN SILVER SNEAKER MEMBERS. THIS COMMUNITY PROGRAM PROVIDES FINANCIAL FITNESS MEMBERSHIP SUPPORT FOR THOSE WITH A SILVER SNEAKER WELLNESS OPTION THROUGH THEIR PRIVATE INSURANCE COMPANY. DURING FY 18-19, THERE WERE 29,578 COMMUNITY MEMBERSHIP VISITS TO THE POOLS AND FITNESS CENTERS. SA LED 1,140 GROUP EXERCISE CLASSES AND WELLNESS EDUCATION CLASSES TOTALING 5,152 CLASS PARTICIPANTS. FITNESS SPECIALISTS AT OUR BON AIR, REYNOLDS, AND HANOVER LOCATIONS PROVIDE PERSONAL TRAINING SERVICES TO THOSE TRANSITIONING FROM OUTPATIENT THERAPY SERVICES, WHILE ALSO PROVIDING PERSONAL TRAINING SERVICE TO THE COMMUNITY FOR PREVENTION AND WELLNESS. FITNESS SPECIALISTS CONDUCTED 4,342 PERSONAL TRAINING VISITS. ON OUR HANOVER AND SOUTH HOSPITAL CAMPUS THE FITNESS SPECIALISTS UTILIZE ADVANCED TECHNOLOGIES TO PROVIDE UNIQUE PERSONAL TRAINING SERVICES FOR THE NEUROLOGICALLY IMPAIRED IN OUR NEUROFIT PROGRAM. NEUROFIT FITNESS SPECIALISTS PROVIDED 1,865 TRAINING SESSIONS. THE GOAL IS TO ENSURE LIFELONG PHYSICAL ACTIVITY AFTER A CATASTROPHIC INJURY OR ILLNESS. SPECIALTY PARKINSON DISEASE GROUP EXERCISE CLASSES ARE OFFERED AT OUR BON AIR AND MIDTOWN LOCATIONS. OUR PARKINSON'S WELLNESS RECOVERY BI-WEEKLY GROUP EXERCISE CLASS AT BON AIR HAS SEEN SIGNIFICANT GROWTH IN CLASS PARTICIPANTS. POWER PUNCH, A PARKINSON'S BOXING CLASS, HAS BEEN SUCCESSFUL AT OUR MIDTOWN LOCATION. IN FY 2018-2019, THE PFL DEPARTMENT CONTINUED TO PROVIDE COMMUNITY OUTREACH PRESENTATIONS TO LOCAL AMPUTEE, MULTIPLE SCLEROSIS, AND PARKINSON'S, AND STROKE SUPPORT GROUPS SHARING INFORMATION ON STRATEGIES TO STAY ENGAGED IN PHYSICAL, SOCIAL AND RECREATION ACTIVITIES WHILE MANAGING CHRONIC HEALTH CONDITIONS. HEALTH AND WELLNESS EDUCATION SESSIONS RELATING TO SENIOR SAFETY, NUTRITION, AND HEALTHY EATING ON A BUDGET WERE HELD AT THE BON AIR FACILITY. ADAPTIVE YOGA CLASSES WERE PILOTED IN OUR INPATIENT REHABILITATION HOSPITAL SETTINGS, AS WELL AS GROUP RECREATION AND DIVERSIONAL ACTIVITIES PROVIDED BY RECREATION THERAPISTS WEEKLY AT BOTH INPATIENT HOSPITALS. IT'S NEVER 2 LATE (IN2L) ADAPTIVE TECHNOLOGY IMPLEMENTED IN BOTH INPATIENT HOSPITALS AS WELL AS TWO OUT-PATIENT FACILITIES. THE IN2L IS UTILIZED BY ALL DISCIPLINES AS A THERAPEUTIC TOOL BY CLINICIANS, ASSISTS RECREATIONAL THERAPISTS WITH PROGRAM PLANNING, AND SUPPORTS PATIENT ENGAGEMENT AND PATIENT EXPERIENCE IN THE INPATIENT HOSPITAL SETTING DURING THE PATIENT'S DOWNTIME. 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. PFL SERVICES PROVIDE A UNIQUE NICHE FOR INDIVIDUALS WITH PHYSICAL DISABILITIES, AS WELL AS THE COMMUNITY, TO MAINTAIN AN ACTIVE AND HEALTHY LIFESTYLE. IN FY 2018-2019, THE FITNESS, RECREATION, AND WELLNESS PROGRAMS RECORDED 48,369 VISITS IMPACTING QUALITY OF LIFE.
PART VI, LINE 7, REPORTS FILED WITH STATES VA
Schedule H (Form 990) 2018
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