2012-08-15T10:48:35-05:00 2011-09-30 CHERRY BEKAERT & HOLLAND LLP P O BOX 1119 LYNCHBURG VA 245051119 990 2010-10-01 541615599 SHELTERING ARMS FOUNDATION SHEL 8047645241 8254 ATLEE ROAD MECHANICSVILLE VA 23116 MICHAEL E DACUS 8047645241 2012-08-15 1 4348476643 2012-08-15 2010 2016-02-24 21:20:13Z MICHAEL E DACUS 8254 ATLEE ROAD MECHANICSVILLE VA 23116 58619913 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 662271 5858119 0 0 2665998 9096529 0 0 3328269 14954648 0 0 0 0 0 0 0 0 0 8458656 6955657 8458656 6955657 -5130387 7998991 178992480 177686464 0 0 178992480 177686464 X TO SUPPORT SHELTERING ARMS HOSPITAL AND SHELTERING ARMS HOSPITAL SOUTH AND PROVIDE HEALTHCARE SERVICES TO THE COMMUNITIES SERVED BY THE HOSPITALS. 0 0 6955657 0 THE SHELTERING ARMS FOUNDATION IS RECOGNIZED EXEMPT 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, 2011, THE FOUNDATION TRANSFERRED $1,480,845 (NET) TO THE HOSPITAL IN SUPPORT OF ITS MISSION. THE FOUNDATION ALSO INCURRED $694,962 IN INVESTMENT CUSTODIAN FEES DURING FISCAL YEAR 2011. 6955657 1 1 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 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 VA X MICHAEL E DACUS VP OF FINANCE AND CFO 8043424340 8254 ATLEE ROAD MECHANICSVILLE VA 23116 THEODORE W PRICE 4.00 X 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 LAWRENCE E GIBSON 4.00 X 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 GILBERT ROSENTHAL 4.00 X 0 0 0 JOHN L MCELROY III 4.00 X 0 0 0 PETER BOWLES 4.00 X 0 0 0 MICHAEL A BOEMMEL 2.00 X 0 344709 13660 JAMES A BRAITH 2.00 X 0 215933 28509 0 560642 42169 0 0 1 0 LCG ASSOCIATES 400 GALLERIA PARKWAY SUITE 1800 ATLANTA GA 30336 INVESTMENT ADVISORY SERVICES 124875 1 4779850 1078269 5858119 1244151 1244151 51517643 43665265 7852378 7852378 7852378 14954648 0 0 9096529 694962 694962 6260695 6260695 6955657 6955657 0 0 -1 5322272 6995782 19434 28597 26734748 31319347 146916027 139342738 178992480 177686464 0 0 X 159880136 159648743 984226 946836 18128118 17090885 178992480 177686464 178992480 177686464 X 7998991 -9305007 X 0 1 1 X 0 X X 0 0 0 SHELTERING ARMS HOSPITAL 540505955 7 1 1 1 6260695 1 6260695 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 MUTUAL FUNDS 26796813 F OTHER TRUSTS (NOT CONTROLLED BY SAF) 18037721 F OTHER 94508204 F 139342738 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, 2011, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE CORPORATION IS SUBJECT TO AUDIT BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE CORPORATION'S MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR TAX YEARS PRIOR TO THE FISCAL YEAR ENDED SEPTEMBER 30, 2008. X X X X 0 1 0 0 0 0 0 0 0 MICHAEL A BOEMMEL 0 256909 0 87800 0 0 0 7900 0 5760 0 358369 0 0 JAMES A BRAITH 0 166293 0 49640 0 0 0 10795 0 17714 0 244442 0 0 PART I, LINE 4B JAMES E. SOK - $40,295 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 SHELTERING ARMS HOSPITAL AND TO ALL OTHER BOARD MEMBERS, EITHER IN ELECTRONIC FORMAT OR BY MAIL. AN OPEN COMMENT AND QUESTION PERIOD WAS WELCOMED TO DIRECT ANY QUESTIONS OR COMMENTS BEFORE FILING THE FORM 990 AND ITS RELATED ATTACHMENTS. 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. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVES LISTED ARE EMPLOYEES OF SHELTERING ARMS HOSPITAL, AND THEIR COMPENSATION IS REVIEWED AND APPROVED AT A FORMAL MEETING OF THE 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, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS. SUCH REQUESTS MUST BE PRESENTED TO EITHER THE CHAIRMAN OF THE BOARD AND/OR THE TREASURER. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -8,230,384. CHANGE IN PRESENT VALUE OF TRUST FUNDS - TEMPORARILY RESTRICTED -37,390. CHANGE IN PRESENT VALUE OF TRUST FUNDS - PERMANENTLY RESTRICTED -1,037,233. TOTAL TO FORM 990, PART XI, LINE 5: -9,305,007. 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 0 0