Form 990 for tax year 2022
Filed by SHELTERING ARMS HOSPITAL SOUTH INC.
Totals
- Total revenue
- $54,338
- Total expenses
- $0
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $0
- Investment income
- $0
- Other revenue
- $54,338
- Total assets, end of year
- $41,456
- Total liabilities, end of year
- $206,639
- Net assets or fund balances, end of year
- -$165,183
- Program services expenses (Part IX)
- $0
- Management and general expenses
- $0
- Fundraising expenses
- $0
- Program service expenses (Part III)
- not reported
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
11a · Other revenue: MISCELLANEOUS REVENUE
total $54,338 · related or exempt $54,338
-
11e · Other revenue, total
$54,338
Balance sheet
Part X, book values.
-
15 · Other assets
beginning of year $0 · end of year $41,456
-
17 · Accounts payable and accrued expenses
beginning of year $167,650
-
25 · Other liabilities
beginning of year $0 · end of year $206,639
-
27 · Net assets without donor restrictions
beginning of year -$167,650 · end of year -$165,183
Mission and programs · 2022
Mission
NONE
Activities or mission (Part I)
N/A - THE ORGANIZATION IS IN THE PROCESS OF WINDING DOWN.
-
SHELTERING ARMS HOSPITAL SOUTH CEASED OPERATIONS IN JUNE OF 2020. ANY REVENUE AND EXPENSE DURING FISCAL YEAR 2023 WAS AS A RESULT OF WINDING DOWN THE OPERATIONS.
As filed on the 2022 return.
Listed in Part VII
-
Ashby HackneyASHBY HACKNEY
CHAIRMAN
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
John D BurnsJOHN D BURNS
FORMER VICE CHAIRMAN/CURRENT DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
Holly AntrimHOLLY ANTRIM
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
Peter H BowlesPETER H BOWLES
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
W Lee Cheney IIIW LEE CHENEY III
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
David ConstineDAVID CONSTINE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
Patricia CushniePATRICIA CUSHNIE
FORMER DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
Teresa DimarcoTERESA DIMARCO
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
Sandra DouglasSANDRA DOUGLAS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
Lawrence GibsonLAWRENCE GIBSON
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
Theodore PriceTHEODORE PRICE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
Leslie WyattLESLIE WYATT
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
Dr Peter ZedlerDR PETER ZEDLER
CURRENT VIC CHAIR/FORMER DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
Dianne V JewellDIANNE V JEWELL
PRES. & CEO SAH
- Total calculated
- $383,086
- From this org
- $0
- From related orgs
- $366,746
- Other
- $16,340
- Hours/week
- 8 + 32 related
Schedule J breakdown matched by us
- Base
- $0 + $280,278 related
- Bonus
- $0 + $84,146 related
- Other
- $0 + $2,322 related
- Deferred
- $0 + $9,185 related
- Nontaxable benefits
- $0 + $7,155 related
- Filer's total
- $0 + $383,086 related
-
James S LitsingerJAMES S LITSINGER
CFO & TREASURER
- Total calculated
- $167,438
- From this org
- $0
- From related orgs
- $150,395
- Other
- $17,043
- Hours/week
- 10 + 25 related
Schedule J breakdown matched by us
- Base
- $0 + $149,145 related
- Bonus
- $0
- Other
- $0 + $1,250 related
- Deferred
- $0 + $7,269 related
- Nontaxable benefits
- $0 + $9,774 related
- Filer's total
- $0 + $167,438 related
-
Amanda L WorleyAMANDA L WORLEY
SECRETARY
- Total calculated
- $99,691
- From this org
- $0
- From related orgs
- $84,596
- Other
- $15,095
- Hours/week
- 5 + 35 related
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 3 · Compensation committee
- 3 · Independent compensation consultant
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 3
- 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.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
501(C)(3) · SUPPORT · VA
Directly controlled by SHELTERING ARMS CORPORATION
-
501(C)(3) · COMMUNITY PROGRAMS · VA
Directly controlled by SHELTERING ARMS CORPORATION
-
PALMYRA REHABILITATION CORPORATION
501(C)(3) · INACTIVE. DISSOLVED IN AUGUST 2023 · VA
Directly controlled by SHELTERING ARMS CORPORATION
-
501(C)(3) · PHYSICAL REHABILITATION · VA
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 2 August 2024
- IRS schema version
- 2022v5.0
- Source object
- 202412189349300731
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