2013-08-15T13:36:37-05:00 2012-09-30 560574444 CHERRY BEKAERT LLP P O BOX 1119 LYNCHBURG VA 245051119 990 2011-10-01 541615599 SHELTERING ARMS FOUNDATION SHEL 8047645241 8254 ATLEE ROAD MECHANICSVILLE VA 23116 MICHAEL E DACUS 8047645241 2013-08-13 1 SAMUEL E JOHNSON P00019699 4348476643 2013-08-13 2011 2016-02-24 21:20:13Z MICHAEL E DACUS 8254 ATLEE ROAD MECHANICSVILLE VA 23116 34028958 0 X WWW.SHELTERINGARMS.COM X 1992 VA THE MISSION OF SHELTERING ARMS FOUNDATION IS TO SUPPORT THE SHELTERING ARMS HOSPITAL AND SHELTERING ARMS HOSPITAL SOUTH AND PROVIDE HEALTHCARE SERVICES TO THE COMMUNITIES SERVED BY THE HOSPITALS. 13 13 0 13 0 0 5858119 995718 0 0 9096529 635780 0 0 14954648 1631498 0 0 0 0 0 0 0 0 0 6955657 7872187 6955657 7872187 7998991 -6240689 177686464 192598122 0 0 177686464 192598122 X TO SUPPORT SHELTERING ARMS HOSPITAL AND SHELTERING ARMS HOSPITAL SOUTH AND PROVIDE HEALTHCARE SERVICES TO THE COMMUNITIES SERVED BY THE HOSPITALS. 0 0 7872187 THE SHELTERING ARMS FOUNDATION IS RECOGNIZED UNDER SECTION 501 (C) (3) AND IS CLASSIFIED AS A SUPPORTING ORGANIZATION DESCRIBED IN SECTION 509 (A) (3) OF THE INTERNAL REVENUE CODE. THE FOUNDATION MANAGES CERTAIN INVESTMENT FUNDS FOR SHELTERING ARMS HOSPITAL, A 501 (C) (3) ORGANIZATION CLASSIFIED AS A HOSPITAL UNDER SECTION 170 (B) (1) (A) OF THE INTERNAL REVENUE CODE. THE SHELTERING ARMS FOUNDATION MANAGES CERTAIN INVESTMENT FUNDS FOR SHELTERING ARMS HOSPITAL AND TRANSFERS FUNDS OVER TO THE HOSPITAL TO SUPPORT CAPITAL IMPROVEMENTS, OPERATING EXPENSES AND CHARITY AND FINANCIAL ASSISITANCE FOR PATIENTS. IN THE FISCAL YEAR ENDED SEPTEMBER 30, 2012, THE FOUNDATION TRANSFERRED $7,143,996 TO THE HOSPITAL IN SUPPORT OF ITS MISSION. THE FOUNDATION ALSO INCURRED $728,191 IN INVESTMENT CUSTODIAN FEES DURING FISCAL YEAR 2012. 7872187 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 VA X MICHAEL E DACUS TREASURER 8043424340 8254 ATLEE ROAD MECHANICSVILLE VA 23116 PETER BOWLES 4.00 X 0 0 0 CHARLES M CARAVATI III 4.00 X 0 0 0 WILLIAM T CLARKE JR 4.00 X 0 0 0 W BATES CHAPPELL 4.00 X 0 0 0 GILBERT ROSENTHAL 4.00 X 0 0 0 JOYCE F NASH 4.00 X 0 0 0 ASHBY R HACKNEY 4.00 X 0 0 0 S BUFORD SCOTT 4.00 X 0 0 0 DONALD M SWITZ MD 4.00 X 0 0 0 LISA POWELL 4.00 X 0 0 0 JOHN L MCELROY III 4.00 X 0 0 0 LAWRENCE E GIBSON 4.00 X X 0 0 0 THEODORE W PRICE 4.00 X X 0 0 0 MICHAEL A BOEMMEL 2.00 X 0 319187 7687 JAMES A BRAITH 2.00 X 0 210846 27113 MICHAEL E DACUS 4.00 X 0 0 0 0 530033 34800 0 0 1 0 LCG ASSOCIATES 400 GALLERIA PARKWAY SUITE 1800 ATLANTA GA 30336 INVESTMENT ADVISORY SERVICES 100310 1 995718 995718 1337052 1337052 31696188 32397460 -701272 -701272 -701272 1631498 0 0 635780 728191 728191 7143996 7143996 7872187 7872187 0 0 6995782 2483748 28597 70703 31319347 39011155 139342738 151032516 177686464 192598122 0 0 X 159648743 173017525 946836 693478 17090885 18887119 177686464 192598122 177686464 192598122 X -6240689 21152347 X X 0 1 1 X 0 X X 0 0 0 SHELTERING ARMS HOSPITAL 540505955 3 1 1 1 7143996 1 7143996 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 MUTUAL FUNDS 20074072 F OTHER TRUSTS (NOT CONTROLLED BY SAF) 19580597 F OTHER INVESTMENTS 111377847 F 151032516 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: GAAP REQUIRES THE CORPORATION'S MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE CORPORATION AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE CORPORATION HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE THAN LIKELY WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE CORPORATION'S MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CORPORATION, AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2012, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE CORPORATION IS SUBJECT TO AUDIT BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE CORPORATION'S MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR TAX YEARS PRIOR TO THE FISCAL YEAR ENDED SEPTEMBER 30, 2009. 0 0 0 0 0 0 0 0 0 MICHAEL A BOEMMEL 0 263406 0 55781 0 0 0 6500 0 1187 0 326874 0 0 JAMES A BRAITH 0 171471 0 39375 0 0 0 15397 0 11716 0 237959 0 0 SUPPLEMENTAL INFORMATION PART III EXECUTIVE COMPENSATION, INCLUDING BONUSES IS DETERMINED BY THE INDEPENDENT COMPENSATION COMMITTEE OF THE RELATED ORGANIZATION SHELTERING ARMS HOSPITAL. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE MEMBER, THE RELATED ORGANIZATION SHELTERING ARMS CORPORATION, EIN 54-1615598. FORM 990, PART VI, SECTION A, LINE 7A SHELTERING ARMS CORPORATION AS SOLE MEMBER HAS THE POWER TO APPOINT THE BOARD OF SHELTERING ARMS FOUNDATION PER THE ORGANIZATION BYLAWS. FORM 990, PART VI, SECTION B, LINE 11 FORM 990 AND APPLICABLE ATTACHMENTS WERE PROVIDED TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS OF THE RELATED ORGANIZATION SHELTERING ARMS HOSPITAL AND TO ALL BOARD MEMBERS OF THE SHELTERING ARMS FOUNDATION, 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 MEMBERS ARE REQUIRED TO REVIEW AND SIGN A COPY OF THE CONFLICT OF INTEREST POLICY ANNUALLY. ANY CONFLICTS ARE DISCLOSED AT THAT TIME, AND THE SIGNED POLICY IS KEPT ON FILE BY THE ORGANIZATION. THE DIRECTOR WITH THE CONFLICT MUST ABSTAIN FROM VOTING ON ANY MATTER THAT RELATES TO THE IDENTIFIED CONFLICT. THE ORGANIZATIONS CONFLICT OF INTEREST, WHISTBLOWER, AND RELATED POLICIES CAN BE FOUND ON THE ORGANIZATION'S WEBSITE, WWW.SHELTERINGARMS.COM. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVES LISTED ARE EMPLOYEES OF THE RELATED ORGANIZATION SHELTERING ARMS HOSPITAL, AND THEIR COMPENSATION IS REVIEWED AND APPROVED AT A FORMAL MEETING OF THE INDEPENDENT COMPENSATION COMMITTEE OF SHELTERING ARMS HOSPITAL. THE COMPENSATION COMMITTEE EVALUATES PERFORMANCE, COMPENSATION SURVEYS, AND CONTRACT TERMS AND CONDITIONS ANNUALLY BEFORE DETERMINING AND RECOMMENDING COMPENSATION. ALL COMPENSATION COMMITTEE DISCUSSIONS ARE DOCUMENTED IN FORMAL MINUTES. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST, SHELTERING ARMS FOUNDATION WILL MAKE AVAILABLE FOR PUBLIC INSPECTION GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICIES, WHISTLEBLOWER POLICIES, RELATED POLICIES, AND FINANCIAL STATEMENTS. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 19,609,471. CHANGE IN PRESENT VALUE OF TRUST FUNDS - TEMPORARILY RESTRICTED -253,358. CHANGE IN PRESENT VALUE OF TRUST FUNDS - PERMANENTLY RESTRICTED 1,796,234. TOTAL TO FORM 990, PART XI, LINE 5: 21,152,347. AUDIT COMMITTEE OVERSIGHT PART XII, LINCE 2C: THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. SHELTERING ARMS HOSPITAL 8254 ATLEE ROAD MECHANICSVILLE VA 23116 540505955 PHYSICAL REHABILITATION VA 501(C)(3) LINE 3 SHELTERING ARMS CORPORATION 0 SHELTERING ARMS HOSPITAL SOUTH 8254 ATLEE ROAD MECHANICSVILLE VA 23116 352258075 PHYSICAL REHABILITATION VA 501(C)(3) LINE 3 SHELTERING ARMS CORPORATION 0 PALMYRA REHABILITATION CORPORATION 8254 ATLEE ROAD MECHANICSVILLE VA 23116 541615601 PHYSICAL REHABILITATION VA 501(C)(3) LINE 11A, I SHELTERING ARMS CORPORATION 0 SHELTERING ARMS CORPORATION 8254 ATLEE ROAD MECHANICSVILLE VA 23116 541615598 PHYSICAL REHABILITATION VA 501(C)(3) LINE 3 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 SHELTERING ARMS HOSPITAL Q 7143996 AMOUNT TRANSFERRED