What Sheltering Arms Institute reported to Medicare in its latest cost report, covering Oct 1, 2024 to Sep 30, 2025.
2,553
Inpatient discharges
Medicare 55%, Medicaid 2%
37,027
Inpatient days
89% of available bed days used
598
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 830665). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Utilization by payer and unit
Inpatient days and discharges Sheltering Arms Institute reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
Medicare
Medicaid
Other
Total
Inpatient days
18,354
878
17,795
37,027
Discharges
1,405
50
1,098
2,553
Average length of stay
13.1 days
17.6 days
16.2 days
14.5 days
Average daily census
50.3
2.4
48.8
101.4
3,710
Medicare Advantage days
242 discharges
4,064
Medicaid managed care days
255 discharges
Beds and days by unit
Unit
Beds
Inpatient days
Medicare days
Occupancy
Adults & pediatrics
114
37,027
18,354
89%
Source: CMS cost report (HCRIS, Form 2552-10), report 830665, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
Where patients come from
ZIP codes with the most Medicare inpatient stays at Sheltering Arms Institute in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 196 in 2020 to 1,142 in 2025.
ZIP code
Stays
Of this hospital's stays
Days
Charges
Market share
Share in 2020
23238
79
7%
957
$4.3M
5%
1%
23111
70
6%
846
$3.9M
3%
2%
23059
62
5%
844
$3.9M
4%
1%
23233
58
5%
733
$3.3M
4%
23112
46
4%
643
$3.1M
2%
1%
23116
46
4%
554
$2.5M
3%
1%
23139
46
4%
578
$2.7M
3%
23060
45
4%
555
$2.5M
3%
1%
23229
45
4%
514
$2.3M
3%
2%
23832
38
3%
440
$2M
2%
23114
37
3%
464
$2.2M
4%
23227
35
3%
440
$1.9M
2%
1%
23831
35
3%
493
$2.3M
2%
23113
34
3%
441
$2M
2%
23235
34
3%
499
$2.9M
2%
1%
23005
30
3%
372
$1.7M
3%
23231
30
3%
354
$1.6M
1%
1%
23223
27
2%
363
$1.6M
1%
23228
27
2%
392
$1.8M
2%
23120
24
2%
358
$1.7M
4%
23225
23
2%
305
$1.3M
1%
1%
23236
23
2%
278
$1.3M
1%
23222
20
2%
272
$1.2M
1%
23226
20
2%
226
$999,119
3%
2%
23103
19
2%
272
$1.2M
5%
Source: CMS Hospital Service Area file. Shares are of the 1,142 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff and facilities
Staff by profession and the rooms and units Sheltering Arms Institute reported at its latest Medicare certification survey (2020). Counts are people, not full-time equivalents.
425 clinicians who bill Medicare list Sheltering Arms Institute as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Income statement
Revenue, expenses and income Sheltering Arms Institute reported to Medicare for Oct 1, 2024 to Sep 30, 2025. Percentages are of net patient revenue.
Line
Amount
Share
Gross patient revenue (charges)
$215.2M
249.1%
Inpatient
$171.6M
198.6%
Outpatient
$43.7M
50.5%
Contractual allowances and discounts
-$128.8M
-149.1%
Net patient revenue
$86.4M
100.0%
Operating expenses
-$89.3M
-103.4%
Operating income from patient care
-$2.9M
-3.4%
Other income
$3.2M
3.7%
Contributions and donations
$700,667
0.8%
Other
$2.5M
2.9%
Net income
$260,644
0.3%
Gross revenue by payer
Line
Amount
Share
Traditional Medicare
$39M
18.2%
Other payers and self-pay
$175.2M
81.8%
Total charges
$214.2M
100.0%
Source: CMS cost report (HCRIS, Form 2552-10), report 830665, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Financial ratios
Computed from Sheltering Arms Institute's latest cost report.
-3.4%
Operating margin
Operating income from patient care / net patient revenue
0.3%
Total margin
Net income / net patient revenue plus other income
11.9%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
Cash, temporary investments and net receivables / current liabilities
42 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
54 days
Days in patient receivables
Net patient receivables / daily net patient revenue
79 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.02
Asset turnover
Total revenue for a year / total assets
1.0 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 830665, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Balance sheet
What Sheltering Arms Institute owned and owed at the end of its reporting period (Sep 2025), across all fund types: $88M in total assets and a $23.9M fund balance.
Show the balance sheetHide the balance sheet
Line
Amount
Of total assets
Cash and temporary investments
$9M
10.2%
Patient receivables, net
$12.8M
14.6%
Inventory
$299,597
0.3%
Total current assets
$24.7M
28.1%
Property and equipment, net of depreciation
$5.9M
6.7%
Investments and other assets
$57.4M
65.2%
Total assets
$88M
100.0%
Current liabilities
$17.1M
19.4%
Long-term debt
$47M
53.4%
Total liabilities
$64.1M
72.8%
Fund balance (net assets)
$23.9M
27.2%
Source: CMS cost report (HCRIS, Form 2552-10), report 830665, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Financial trend
Sheltering Arms Institute's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
Show 5 yearsHide 5 years
Fiscal year ending
Sep 2021
Sep 2022
Sep 2023
Sep 2024
Sep 2025
Net patient revenue
$57.9M
$65M
$79.6M
$82.8M
$86.4M
Operating expenses
$62.8M
$67.6M
$83.9M
$85.7M
$89.3M
Operating margin
-8.4%
-3.9%
-5.3%
-3.5%
-3.4%
Net income
-$4.4M
$3.7M
-$2.3M
$256,565
$260,644
Total assets
$20.5M
$27.3M
$79.2M
$81M
$88M
Discharges
2,120
2,113
2,368
2,557
2,553
Inpatient days
33,703
34,068
35,638
36,316
37,027
Medicare Advantage days
2,774
3,733
3,434
3,875
3,710
Beds
114
114
114
114
114
Employees (FTE)
340
584
563
571
598
Source: CMS cost report (HCRIS, Form 2552-10), report 830665, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Departments
Each cost center Sheltering Arms Institute reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
Show all 18 departmentsHide all 18 departments
Ancillary and outpatient departments
Department
Salaries
Total cost
Charges
Cost-to-charge
Square feet
Physical therapy
$16.1M
$23.5M
$50.8M
0.46
75,800
Occupational therapy
$9.2M
$22.2M
0.42
33,092
Speech pathology
$4.6M
$10.6M
0.43
15,737
Drugs charged to patients
$1.4M
$4.2M
$30.2M
0.14
2,056
Laboratory
$808,320
$5.1M
0.16
2,461
Respiratory therapy
$771,526
$920,166
0.84
634
Renal dialysis
$650,352
$869,531
0.75
495
Medical supplies charged to patient
$524,729
$932,917
0.56
Radiology-diagnostic
$436,841
$1.5M
0.29
1,090
Inpatient units
Department
Salaries
Total cost
Charges
Cost-to-charge
Square feet
Adults & pediatrics
$16M
$45.3M
$91.1M
0.50
97,171
Overhead (general service) departments
Department
Salaries
Direct cost
Paid hours
Average hourly wage
Square feet
Administrative & general
$11.8M
$17.7M
33,401
Employee benefits department
$1.5M
$13M
Cap rel costs-mvble equip
$5.7M
Cap rel costs-bldg & fixt
$4.8M
290,837
Operation of plant
$4.1M
10,555
Dietary
$205,669
$2.4M
8,834
Nursing administration
$1.2M
$1.5M
Social service
$988,899
$1M
Source: CMS cost report (HCRIS, Form 2552-10), report 830665, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
Ownership
Organizations Sheltering Arms Institute reports to Medicare as owners or with operational control. 1 individuals also hold ownership interests; they are not listed here.
Sheltering Arms Corporation
5% or greater direct ownership interest, 55%, since 2017
Virginia Commonwealth University Health System Authority
5% or greater direct ownership interest, 45%, since 2017
About Sheltering Arms Institute's rates and hospital price transparency.
How many patients does Sheltering Arms Institute admit?
Sheltering Arms Institute reported 2,553 inpatient discharges and 37,027 inpatient days from Oct 1, 2024 to Sep 30, 2025.
How many employees does Sheltering Arms Institute have?
Sheltering Arms Institute reported 598 full-time-equivalent employees on payroll from Oct 1, 2024 to Sep 30, 2025.
How much revenue does Sheltering Arms Institute make?
Sheltering Arms Institute reported $86.4M in net patient revenue on $215.2M of gross charges for Oct 1, 2024 to Sep 30, 2025, an operating margin of -3.4%, and net income of $260,644.
Who is the CEO of Sheltering Arms Institute?
Sheltering Arms Institute's Medicare enrollment lists Alan Lombardo as CEO since 2019.
How many doctors are affiliated with Sheltering Arms Institute?
425 clinicians who bill Medicare list Sheltering Arms Institute as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (87), internal medicine physician (66), orthopaedic surgery physician (46).
Is Sheltering Arms Institute accredited?
Yes. CMS's Provider of Services file lists DNV as the accrediting organization for Sheltering Arms Institute, effective 2025.
Who owns Sheltering Arms Institute?
In its Medicare enrollment, Sheltering Arms Institute reports Sheltering Arms Corporation as 5% or greater direct ownership interest (55%).
Where do Sheltering Arms Institute's patients come from?
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Sheltering Arms Institute came from ZIP codes 23238 (79), 23111 (70), 23059 (62).
How many beds does Sheltering Arms Institute have?
Sheltering Arms Institute has 114 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Rehabilitation Hospital.
Where is Sheltering Arms Institute and what is its phone number?
Sheltering Arms Institute is located at 2000 Wilkes Ridge Pl, Richmond, VA 23233. Its main phone number is None.
What is Sheltering Arms Institute's CCN (Medicare provider number)?
Sheltering Arms Institute's CMS Certification Number (CCN), also called its Medicare provider number, is 493036.
What is Sheltering Arms Institute's NPI number?
The National Provider Identifier (NPI) on file for Sheltering Arms Institute is 1194047522.
What health system is Sheltering Arms Institute part of?
Sheltering Arms Institute is affiliated with VCU Health System.
What is a hospital price transparency MRF?
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A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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