Sheltering Arms Hospital

What it reported doing in 2024

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 and programs that can positively impact quality of life and physical activity level. Sheltering arms community programs provides a comprehensive portfolio of unique, community-based recreation and health and wellness services to meet these needs of the community. 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. (continued on schedule o)the services provided are open to the public and most do not require a physician referral. Services offered in fy 2025 included our club rec program, adapt2fit program, power ex program, neurofit program, s.a.f.e program, memberships, group exercise classes, community social events and adaptive sports programs.club rec is a non-medically based day recreation program providing opportunities for fitness, wellness, recreation, socialization, and community reintegration for members up to four days per week. Sheltering arms certified therapeutic recreation specialists create a monthly calendar of activities and services that include social, recreational, physical, emotional, and cognitive options, as well as opportunities for community reintegration and civic engagement. Members enrolled in club rec can utilize the on-site fitness center and the computer lab, and can engage in music therapy, expressive arts, accessible travel, spirituality group, adaptive golf and bowling, and community outings. In fy 2025 club rec had 3,934 visits to the program. Music therapy sessions were offered to 67 participants through individual music therapy sessions and 539 participants through group music therapy sessions all through a grant received for that purpose. In addition, 11 adaptive golf events were provided for a total of 99 participants, 8 adaptive bowling events were provided for a total of 79 participants, 17 community social events provided for a total of 212 participants, and 1 accessible travel trip for 52 participants.exercise physiologists at our bon air, reynolds, hanover, laburnum and midtown locations provide adaptive and medical fitness training services to those transitioning from outpatient therapy services, while also providing those services to community members for prevention and wellness. Adaptive fitness refers to the expertise needed to modify exercise regimens for people with a wide variety of physical disabilities. Medical fitness refers to the expertise needed to design and implement exercise prescriptions for people who also have chronic conditions such as heart disease, hypertension, diabetes, and metabolic syndrome. Sheltering arms exercise physiologists conducted 4,593 adapt2fit visits in fy 2025. Exercise physiologists also utilize advanced technologies to provide unique adaptive exercise training services for the neurologically impaired in our neurofit program. The goal is to ensure lifelong physical activity after a catastrophic injury or illness such as spinal cord injury, brain injury and stroke. In fy 2025 they provided 3,408 neurofit training sessions. Our power ex program is designed to teach individuals how to exercise independently and address barriers that often inhibit physical activity. In fy 2025 there were 3,114 power ex visits. Also, our chair yoga group exercise classes returned, and we added the matter of balance and aqua arthritis class for fy 2025 for a total of 181 visits. Sheltering arms fitness and recreation services support the importance of maintaining physical activity to continue an active lifestyle, maintain progress achieved in skilled therapy, and prevent future injury or illness. We have a warm water therapeutic pool offering membership to our community. The pool provides a ramp for wheelchair entry, submerged paral

Financial Efficiency

• Mission deployment rate: 100%; rating input score 100
• Program expense ratio: 95%; rating input score 95
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 84.6%; rating input score 85; 2nd percentile among comparable filings
• Pay-setting controls: 4 of 6 controls in place; rating input score 67
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: No; rating input score 0

Accountability

• Independent voting board: 100%; rating input score 100; 63rd percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -49.5%; rating input score 3; 3rd percentile among comparable filings
• Total-asset coverage ratio: 2.83; rating input score 74; 74th percentile among comparable filings
• Liabilities to assets ratio: 0.16; rating input score 35; 35th percentile among comparable filings
• Officer compensation ratio: 56.3%; rating input score 1; 1st percentile among comparable filings

Growth

• Program expense growth: -18.2% per year; rating input score 0; 3rd percentile among comparable filings
• Revenue growth: -9.9% per year; rating input score 0; 3rd percentile among comparable filings
• Asset growth: -3.4% per year; rating input score 0; 9th percentile among comparable filings