2026-07-11T18:39:38+00:00 2025-08-31 350921680 CROWE LLP 225 West Wacker Drive Suite 2600 Chicago IL 606061224 990 2024-09-01 362256036 Rehabilitation Institute of Chicago REHA 3122381000 355 EAST ERIE STREET CHICAGO IL 60611 Jonathan M Tingstad Senior VP/CFO 2026-07-12 true MALLORY FAIRLESS P01321579 3128997000 2026-07-12 2024 2025-03-06 01:10:19Z SHIRLEY RYAN ABILITYLAB Pablo Celnik MD CEO 355 EAST ERIE STREET CHICAGO IL 60611 688927933 false X www.sralab.org X 1951 IL The Rehabilitation Institute of Chicago DBA Shirley Ryan AbilityLab (SRAlab) is dedicated to providing the best patient outcomes through the highest-quality clinical care, translational research, scientific discovery and education. 17 15 3334 168 7961762 119045774 57586903 51099022 370239401 389621951 16047616 37693942 2857235 2970031 446731155 481384946 6887779 10342595 0 265660592 282773690 90000 90000 2822660 158783134 160854686 431421505 454060970 15309650 27323976 1266946907 1318654075 407304886 399252421 859642021 919401654 X SRAlab is dedicated to providing the best patient outcomes through the highest-quality clinical care, translational research, scientific discovery and education. false false 325708871 378641775 The Rehabilitation Institute of Chicago (RIC) was founded in 1951 as an Illinois not-for-profit corporation. In 2017 RIC with 182 beds, began doing business as the Shirley Ryan Abilitylab (SRAlab) and moved to a new building with 242 licensed beds. This move brought not only a physical change of address but a whole new model to the field of rehabilitation. Upon opening the 1.2-million-square-foot SRAlab became the first-ever "translational" rehabilitation research hospital in which clinicians, scientists, innovators and technologists work together in the same space, surrounding patients, discovering new approaches and applying (or "translating") research in real time. SRAlab's vision is to advance human ability through science and research. The organization has earned the distinction of being named the nation's #1-ranked provider of comprehensive physical medicine and rehabilitation care to patients from around the world every year since the designation's inception in 1992 by U.S. News & World Report - a record for any U.S. hospital. In addition to being a large rehabilitation hospital, SRAlab is the nation's largest rehabilitation research enterprise, advancing the field globally through innovation of the most advanced treatments and technologies. For FY 2025 SRAlab's system of care included a 262-bed hospital located at 355 East Erie Street in Chicago and numerous outpatient and day rehabilitation programs in the Chicago metropolitan area and surrounding suburbs. In addition, we manage the rehabilitation service line in several acute care hospitals through our strategic alliance platform, primarily in the Chicagoland area. We completed our second full year managing the inpatient rehabilitation service at Hennepin Healthcare. In addition, we began managing the rehabilitation service line within Henry Ford Health. The Corporation offers a comprehensive range of inpatient, day rehabilitation and outpatient rehabilitation services. Inpatient rehabilitation services are provided using an interdisciplinary approach with a team bringing unique skills and knowledge to ensure patients achieve the best possible outcomes. Day rehabilitation is a similar model to inpatient in that it consists of an interdisciplinary approach for individuals. Once the patient does not require 24-hour nursing care and daily medical management, we are able to transition patients to the day rehabilitation model. Outpatient care is typically a singular discipline (e.g., physical therapy) and offers various levels of therapeutic intensity, depending on the patient's needs and goals. In FY 2025, our total net revenue grew by 4.9% resulting in $0.8M in net operating income, $0.8M better than budget. We improved financial ratios and exceeded debt covenant metrics, including debt service coverage ratio and days cash on hand (more than 411 days at year-end). In addition, Fitch Ratings upgraded Shirley Ryan AbilityLab's credit rating to A+ with stable outlook. Inpatient admissions to the Flagship facility were 1% below prior year; however, average daily census grew 2% relative to prior year. The day rehabilitation programs grew 3% year over year and the outpatient therapy programs were 2% below prior year. Our total research grant portfolio exceeds $150M. SRAlab offers the ability for patients to participate in research at the same time they are receiving clinical care. Since inception, SRAlab has worked relentlessly to develop and implement interventions that drive the very best outcomes. SRAlab serves patients with the most complex conditions with multiple medical and rehabilitation issues. The Advancement Department is in year 3 of the Accelerate Ability Campaign with an aim to raise money to support research initiatives and quality of life programs. Approximately $85M was raised and more than $20M secured in bequests toward a $100M goal. We continue our planning for a new and unique partnership with Henry Ford Healthcare, the Gilbert Family Foundation and Michigan State University which will allow us to bring our world-class care to the Detroit market. Construction is underway for the new tower in downtown Detroit as part of Henry Ford Healthcare's new facility expansion. This tower will house 72 rehabilitation beds managed through a joint venture between Henry Ford Health System and Shirley Ryan AbilityLab. It is the mission of SRAlab to not only focus on our patients but to also elevate the entire rehabilitation field. In FY 2025, SRAlab clinicians, physicians and researchers shared numerous presentations to various professional audiences as well as published papers on scientific and clinical advancements. SRAlab continues to focus on providing a number of unreimbursed services improving the quality of life for our patients. These services include vocational rehabilitation, virtual education and consumer health resources available free of charge to all through our LIFE (Learning Innovation, Family and Empowerments) Center web site, and adaptive sports and fitness services for children and adults. SRAlab continues to support the Robert R. McCormick Center for Hope & Equity to provide needed education for our staff and wraparound services for our patients who come from vulnerable communities. 50313298 10342595 7984668 Research Program: SRAlab's Research Program is the world's largest physical rehabilitation research enterprise in pursuit of clinical advancement through scientific discovery. In Fiscal Year 2025, the Research Program had approximately 200 research projects underway, funded by more than $188 million in grants and donations from both private and public sources. Its experts regularly publish research in the world's foremost medical journals, including the Journal of the American Medical Association (JAMA) and its European equivalent, The Lancet, and it is home to federal research designations to develop cutting-edge solutions for patients. Shirley Ryan AbilityLab's research enterprise serves patients with the most severe, complex conditions - from traumatic brain and spinal cord injury to stroke, amputation and cancer-related impairment. The organization is renowned for breakthroughs in biomedical, neural, mechanical, and electrical engineering; bionics; molecular/cellular biology; robotics; and pharmacotherapeutics. All Shirley Ryan AbilityLab research directly addresses challenges faced by one or more of the patient populations served. Research into urgent patient problems is accelerated through space designed to facilitate collaboration across departments and disciplines. In fact, in this setting, research coexists with patient care and is fully integrated into the clinical environment, with patients engaged in the process. Because scientists' labs physically surround patients, the innovation feedback loop is shortened, and research is more focused. Shirley Ryan AbilityLab is already seeing breakthrough technology and treatments emerging from its applied-science model, proving that this "no boundaries" approach improves and accelerates discovery and innovation, and ultimately results in better, faster patient outcomes. The following are some of the many research highlights from Fiscal Year 2025: * Successfully competed for a grant proposing multi-modal treatment of function after amputation in pediatric population. * Completed a Phase 1b/2 trial for NVG-291 showing improvement in arm function and neural pathways for the chronic spinal cord injured patient. * Enrolled four pediatric subjects to repurpose an FDA-approved medication to restore muscle function in pediatric patients with no adverse events. * Completed development of a "stroke sensor toolkit" to automatically diagnose and help treat balance, strength and coordination in stroke patients. Another Fiscal Year 2025 achievement is the continuation of Shirley Ryan Ability Lab's Catalyst Grant Program. This program encourages innovation from every corner of the hospital - from nurses to administrators, environmental service technicians, physicians, and therapists - by inviting multidisciplinary teams to apply for funding to develop innovative solutions in collaboration with researchers. The central requirement is that the solution must directly address a problem faced by one or more of the hospital's patient populations. In the last year, the organization received 56 Catalyst Grant proposals submitted by a total of 223 applicants on interdisciplinary teams. It awarded 13 new Catalyst Grants to employees across the organization, who pursued innovation and discovery on a range of topics in the following projects: * Artificial Intelligence Test Lab: AI Agents to Improve Employee Access to Organizational Resources * Can We Be Doing More? Implementing Electrical Stimulation into Wound Care in the Spinal Cord Injury Population * Developing a Sensor System to Provide Feedback to Patients with Lower Extremity Weight-bearing Precautions * Parkinson's Boot Camp Roll Out Across DayRehab(TM) in Shirley Ryan AbilityLab * A Study on How Shank-to-vertical Angle Manipulation in Children with Cerebral Palsy who use Ankle Foot Orthoses Affects Vertical Ground Reaction Forces * Development of a Polycentric Elbow Prosthesis for Amputees with a Long Residual Limb * Incorporating Markerless Motion Capture into Physical Therapy for People with Multiple Sclerosis * Shirley Ryan AbilityLab Performance And Rating (PAR) System for Golfers with Disabilities * Who Should We Walk? Development and Validation of a Clinician-Oriented Recovery Calculator in Spinal Cord Injury * Investigating the Impact of Sex-Hormones on Corticospinal Excitability, Motor Learning, and Fatigue in Females with Multiple Sclerosis * Optimization of a Humanized 3D Muscle-Nerve Organ-on-a-Chip Platform to Advance Regenerative Rehabilitation Medicine * Towards Automated Gait Analysis during the 10-Meter Walk Test * Investigating the Role of the Spleen in Muscle Recovery During Aging 11338029 1927007 Medical Education: The Department of Physical Medicine and Rehabilitation at Northwestern University's Feinberg School of Medicine (Dept of PM&R) is housed within SRAlab, which has one of the largest and most highly respected residency programs in Physical Medicine and Rehabilitation in the country. Resident physicians spend three to four years rotating through the Dept of PM&R, taught by SRAlab physicians who are experts in this specialty, In FY 2025 SRAlab trained 52 residents. The SRAlab medical education program also provides opportunities for fourth year medical students from Northwestern University Feinberg School of Medicine to rotate in a rehabilitation setting to gain experience with spinal cord injury, brain injury, amputee rehabilitation, cancer rehabilitation, medically complex rehabilitation, and pediatric rehabilitation. There are approximately 180 medical students from Northwestern that rotate with us and an additional 50 medical students from other medical schools nationally that rotate with us. Fellowships: SRAlab offers 5 physician sub-specialty fellowships, funded primarily by donations, in Sports Medicine, Pain Medicine, Pediatric Rehabilitation, Brain Injury Rehabilitation, and Spinal Cord Injury Rehabilitation. In FY 2025, 13 physician fellows were named at SRAlab, 2 in Spinal Cord Medicine, 4 in Sports Medicine, 3 in Pediatric Rehabilitation, 2 in Brain Injury Medicine, and 2 in Pain Medicine. SRAlab also supports residencies for therapists, nurses and other non-physicians. . Prosthetics and Orthotics (P&O) Residency: SRAlab's Prosthetics thotics Center has several prosthetics thotics residency positions which are highly sought after. In FY2025, there were five residency positions, three orthotic residencies and two prosthetic residencies, each lasting 12 months. The American Board for Certification in Orthotics, Prosthetics, and Pedorthics (ABC) and the National Commission on Orthotic and Prosthetic Education (NCOPE) have implemented a combined discipline exam and residency model, therefore Shirley Ryan AbilityLab began transitioning to a dual-discipline (orthotics & prosthetics) residency model in FY2025. The first two dual-discipline residents were hired in July 2025, and all future hires will be dual-discipline residents. Each dual-discipline residency will last 24 months, and each resident will gain 12 months of orthotics experience and 12 months of prosthetics experience. Through these training programs, P&O residents are mentored by SRAlab's certified, licensed professionals and gain exposure to a variety of clinical presentations and pathologies, prosthetic and orthotic devices, clinical evaluation, prescription recommendation, documentation, collaboration with the multidisciplinary rehabilitation team, fitting, fabrication, assembly, alignment, maintenance, and repair of prosthetic and orthotic devices The Academy -Continuing Education Programs for Clinicians: Since 1953, the organization has offered continuing education programming to help healthcare professionals stay at the forefront of the field. Each year, more than 13,600 learners participate in Academy programs, which are taught by interdisciplinary teams of our recognized PM&R specialists and visiting experts from around the world. These programs cover the latest evidence-based rehabilitation interventions, assessments, and discoveries including new courses in Functional Neurologic Disorders, Cognition, Vision and Pediatric Rehabilitation. By incorporating flexible modalities such as on-site workshops, online webinars and courses, and outreach programs, the Academy seeks to bring the latest insights to healthcare professionals in a format that best meets their learning needs. In 2025, the Academy offered 12 courses and more than 200 webinars reaching attendees from all 50 states and 51 countries. 6061704 1068501 SRAlab's Henry B. Betts LIFE Center is a virtual and multimedia education center providing patient education and consumer health information for patients, families, staff and the community. Everything in the collection relates in some way to people living with a wide range of cognitive and physical impairments, chronic conditions or diseases affecting function. The website enables individuals across the globe to have access to current, peer-reviewed patient education and consumer health resources with real-time updates, printing on demand and a dashboard to save favorite resources for easy access. Resources such as the LIFE Center help individuals, and their families navigate the intricacies of health care and minimize the complexity of relevant health information. Having access to information empowers people to partner with their health care team to make the best choices for themselves, their families and engage in life-long learning. The LIFE Center's resources are organized according to eight topic areas: Medical Information and Care, Caregiving and Equipment, Housing and Transportation, Education and Employment, Support and Wellness, Recreation and Leisure, Finance and Law and Inspiration and Hope. LIFE Center web traffic in FY 2025 averaged 14,248 page views per month, with 170,970 page views annually, across 189 countries. In FY 2025, total outreach and service efforts apart from web activity were 7,972 person contacts served which includes programs, classes, special events, resource requests, teaching activities, peer mentoring events, and tours for patients, families, staff and the community. Sports and Fitness Program: The SRAlab Adaptive Sports and Fitness Program provides wellness opportunities to people with physical disabilities through sports and recreation as well as an accessible fitness center. All services offered in the adaptive sports program, which marked its 44th year in FY 2025, are free of charge. The fitness programs, which celebrated its 29th anniversary, provide access to a 1-on-1 functional fitness activities and group fitness classes that operate five days a week between the hours of 6am to 6pm for a nominal participation fee. The sports and fitness program is funded primarily by grants and generous community donations and is operated by thirteen full time equivalent staff. Additionally, volunteers logged nearly 8500 hours in FY 2025. The Shirley Ryan Adaptive Sports and Fitness Program is considered a national leader in health promotion for people with disabilities. In FY 2025 we continued to expand programming, developing new initiatives to promote wellness opportunities for persons living with disabilities. The functional fitness program continues to provide services virtually, as well as, in person recording 8,456 one-on-one visits and welcomed 260 new participants ranging from age 12 to 96 in FY 2025. In addition, there were nearly 8,000 group class visits, held in person and virtually across three different sites. The sports program recorded over 6300 by 550 registered participants while the Tengelsen Family Foundation Sports for Kids program recorded more than 820 visits by 135 Chicago area children with disabilities. Adaptive Sports and Fitness programs continue to develop community partnerships and collaborations that open doors for people living with a disability to lead an active healthy lifestyle Vocational Rehabilitation Program: Beginning a career or returning to work following an illness or injury is important to a patient's financial security and emotional well-being. It can contribute to the achievement of a productive, independent and fulfilling life. For more than 50 years, the SRAlab has been providing comprehensive vocational rehabilitation services tailored to meet the needs of each client. Services include initial assessment, vocational counseling and guidance, diagnostic evaluation, work trial assessments, job analysis, return-to-work evaluations, job placement, resume writing, job interview workshops and internship coordination. The SRAlab covers the cost of initial assessments, which are not covered by most third-party payers. Patients receive vocational services at nine SRAlab facilities or via telehealth, ensuring that employment assistance is closely tied to community reintegration. During FY 2025 the program served 692 clients. In the last year, we placed 52 individuals in jobs. Assistive Technology Programs: The Technology Center and the Wheelchair & Seating center, comprise SRAlab's Assistive Technology Programs. In FY 2025, the Assistive Technology Programs served approximately 5,024 unique patients. The SRAlab Technology Center provides computer access training, smartphone/tablet access, augmentative communication evaluations/treatment, and electronic aids to daily living, including recommendations for home automation and modifications, for people with different or changing abilities. Occupational therapists and speech language pathologists evaluate and recommend equipment for each individual's needs. Through a lending library, or support from manufacturers facilitated by Technology Center staff, patients can try items before purchasing them or borrow them for short-term use due to changing needs. Staff members speak to universities, schools, organizations for people with disabilities, senior centers and the general public. We also provide continuing education lectures in assistive technology through assistive tech conferences and the SRALAB Academy. The center provides 1 to 2 home visits if the client can no longer come to SRALab following their evaluation. We have also integrated the use of telehealth appointments. Staff recommend applying for SRALab charity funds if Patients' insurance is maxed out. The Technology Center served a total of 1488 clients representing 647 inpatients, 365 Day Rehab clients, and 476 outpatients in the past fiscal year. Rehabilitation Engineering: The Rehabilitation Engineering program pairs an experienced OT with other allied health clinicians to provide consultation, evaluation, and design of individual solutions to aid persons with different abilities to complete activities of daily living with increased independence at home, work, and in the community. The Rehabilitation Engineering OT has access to fabrication materials and equipment embedded within the Prosthetics and Orthotics lab. Rehabilitation Engineering involves fabricating custom equipment and modifying commercially available equipment and objects to create unique, individualized solutions to help patients navigate obstacles encountered in daily life. SRAlab provides free care for services and products fabricated through the Rehabilitation Engineering program. SRAlab also partners with Northwestern University's engineering design program to provide real-life design experience to students. The Wheelchair & Seating Center staff evaluate and make recommendations for complex wheelchairs and customized seating systems for patients with significant mobility and postural needs. This includes manual wheelchairs; powered wheelchairs; custom-made and customized seat and back cushions to relieve pressure, prevent pressure sores, and maintain posture; alternative drive controls like sip and puff and head array systems; that help clients maintain or increase their mobility and independence, at home, work, or in the community. During FY25 the Wheelchair & Seating Center continued to use telehealth appointments to serve our patients that were unable to attend an in-person appointment. We had 3536 patient visits, including 974 inpatient visits and 2,562 outpatient visits this past fiscal year. 6061704 1068501 393421902 true true false true false false false false false true true true false false true true false true false false true true false true true false true true true true true true false false false false false false false true true false true false false false true true true true false false true 396 0 true 3334 true true true false false false false true true false false false false true false X 17 15 false true false false true true true true true false false false true true true true true true true true false false CA CT FL GA AL HI IL IN KS KY MD MA MI MN MS NH NJ NM NY NC ND OR PA RI SC TN UT VA AR WV WI X Jonathan M Tingstad 3122381000 355 East Erie Street Chicago IL 60611 Daniel D Dolan Jr Vice Chairman 1.0 1.0 X X 0 0 0 M Jude Reyes Chairman 1.0 2.0 X X 0 0 0 Michael P Krasny Vice Chairman 1.0 1.0 X X 0 0 0 Pablo Celnik MD Chief Executive Officer 40.0 2.0 X X 2130622 0 99671 Thomas A Reynolds III Vice Chairman 1.0 1.0 X X 0 0 0 Christopher Gust Director 1.0 1.0 X 0 0 0 Dan K Webb Director 1.0 1.0 X 0 0 0 Ken Graboys Director 1.0 1.0 X 0 0 0 Linda S Wolf Director 1.0 1.0 X 0 0 0 Mark F Stephan Director 1.0 1.0 X 0 0 0 Michael L Keiser Director 1.0 1.0 X 0 0 0 Richard B Murphy Director 1.0 1.0 X 0 0 0 Robert O Delaney Jr Director 1.0 1.0 X 0 0 0 Sharon L OKeefe Director 1.0 1.0 X 0 0 0 Sheli Z Rosenberg Director (ending 2/13/25) 1.0 1.0 X 0 0 0 Shirley W Ryan Director 1.0 2.0 X 0 0 0 Wayne R Andersen Director 1.0 1.0 X 0 0 0 William J Cernugel Director 1.0 1.0 X 0 0 0 Jonathan M Tingstad SVP, Chief Financial Officer 40.0 2.0 X 1201366 0 138600 Nancy E Paridy President, Chief Administrative Officer 40.0 2.0 X 1483387 0 1068018 Laura L Ferrio SVP, Chief Operating Officer 40.0 0.0 X 1108934 0 119281 Dan O'Mahoney SVP, Chief Information Officer 40.0 0.0 X 576421 0 92319 David J Weiss Medical Director 40.0 0.0 X 676559 0 89179 Elizabeth Owens SVP, Chief Marketing and Innovation Officer 40.0 0.0 X 1130797 0 111245 James Sliwa DO Chief Medical Officer 40.0 0.0 X 1031571 0 218328 Richard Lieber PhD SVP of Research, Chief Scientific Officer 40.0 0.0 X 1188856 0 108207 Peggy M Kirk Former President, CEO 0.0 0.0 X 2501811 0 1818 13030324 0 2046666 529 true true false CROTHALL FACILITIES MANAGEMENT 13028 Collections Center Drive CHICAGO IL 60693 Facility Care Services 6450399 CDW GOVERNMENT INC 230 N MILWAUKEE AVE VERNON HILLS IL 60061 IT Services 5225995 Cerner Corp co Oracle America Inc PO BOX 203448 Dallas TX 753203448 IT Services 4643885 ABBVIE US LLC 1 N WAUKEGAN ROAD North Chicago IL 60064 Medical Equipment 4392570 MCGAW MEDICAL CENTER 645 N Michigan Ave Office of Graduate Med Ed CHICAGO IL 60611 Medical Services 3706320 173 5501537 20848550 24748935 483030 51099022 Net Patient Revenue 621990 347649420 347649420 Affiliation Income 900099 23192351 16801981 6390370 Sponsored Research Rev 541700 7684145 7684145 Medicare GME Payment 622310 1269097 1269097 Consulting 900099 3873191 2595441 1277750 5953747 5953747 0 0 389621951 7094234 293642 6800592 96529 96529 240128 240128 0 240128 240128 237307585 206707877 30599708 0 30599708 30599708 337583 5501537 835110 -497527 -497527 Parking 900099 1727632 1727632 Cafeteria Sales 900099 1403269 1403269 0 0 0 0 3130901 481384946 381953831 7961762 40370331 8430876 8430876 722408 722408 1189311 1189311 0 0 7418880 0 6793272 625608 2576259 72630 2503629 213198091 195590649 16379354 1228088 13587553 10919531 2599485 68537 30732471 29913204 648945 170322 15260436 13831739 1341882 86815 5669864 4291031 1359593 19240 1568778 592486 976292 684233 174599 502269 7365 204360 204360 90000 90000 1215878 389333 826545 19740228 15135478 4541215 63535 3092842 2808430 249144 35268 9090261 7885707 1135742 68812 14450946 13348916 1004463 97567 9029044 7939589 1074569 14886 2209876 2124283 43300 42293 909368 768544 130093 10731 10515844 8319848 2165457 30539 28892935 24774765 4033410 84760 7899279 7899279 Medical Supplies 20829295 20663865 165184 246 Medicaid Provider Tax 15614583 15614583 Contract Labor 3008097 2759428 248669 UBI & Excise Tax 1438786 922547 516239 4790189 4238122 474019 78048 454060970 393421902 57816409 2822660 827614 682723 8820969 6092681 43405539 34335345 41013363 42403128 0 0 0 0 2467317 2322668 3775899 3890010 754232190 250051774 524989006 504180416 257840783 305786221 346262443 370956462 12543090 10967380 25000884 37037041 1266946907 1318654075 49166482 57014415 8128901 5559899 10685481 7373167 264302862 256234746 0 0 75021160 73070194 407304886 399252421 X 637175489 689867186 222466532 229534468 859642021 919401654 1266946907 1318654075 X 27323976 19866242 12569415 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 229103 229103 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY SRALAB LOBBIES FEDERAL AND STATE GOVERNMENT ON ISSUES RELATED TO HEALTHCARE PROVIDER ISSUES, INCLUDING BUT NOT LIMITED TO MEDICARE, MEDICAID AND OTHER GOVERNMENT HEALTH CARE PROGRAMS, AS WELL AS OTHER REHABILITATION AND RESEARCH FOCUSED ISSUES. THE MAJORITY OF LOBBYING EXPENSES, ARE PAID TO THIRD PARTY LOBBYING FIRMS. ADDITIONALLY, A PERCENTAGE OF THE TOTAL DUES FOR THE ILLINOIS HOSPITAL ASSOCIATION GOES TOWARD LOBBYING EFFORTS. Lastly, a portion reasonable expenses related to business travel to conduct lobby efforts. SRALAB DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE. 132388739 1010000 13017069 5170648 141245160 112034411 5005000 20628479 5279151 132388739 106818946 0 10358572 5143107 112034411 131142076 1501050 -20696834 5127346 106818946 109390922 5881 26426874 4681601 131142076 0.0384 0.4489 0.5127 false false 32333425 32333425 548462543 130459537 418003006 27376315 17733415 9642900 140943965 101858822 39085143 5115942 5115942 504180416 Closely-held equity interests Financial derivatives Cash and Cash Equivalents 30267304 F Absolute Return 53059288 F Hedged Equity 51546497 F International Equity 69163827 F International Hedged Equity 70618814 F Pvt Equity, Real Assets & Contracts 96300732 F 370956462 Federal Income Taxes Self-Insurance Reserves 11800963 Estimated Third Party Settlements Payable 16329205 Due to Affiliates (Pathways) 1165011 Accrued Pension 457 Plan Liability 22730045 SWAP Liability 3170212 Bond Issuance Fee + Annuity Liability 43178 Lease Liability 16994113 Medicare Advance Capital Lease Liability - LT 837467 Cloud Computing Contract Payable - LT LT DEFERRED FICA 73070194 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part VI, Line 1c Depreciation for leasehold improvements is included in the same general ledger account as building depreciation. There is related depreciation for leasehold improvements, but it cannot be bifurcated for Form 990 purposes. Schedule D, Part V, Line 4 Intended uses of endowment funds The intended use for each of the SRAlab endowment funds is established by the donor. The majority of the endowment funds are used to support medical education, clinical care, free care, research, medical leadership, fellowships, and the SRAlab Academy. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote RII, the Shirley Ryan AbilityLab, and Pathways are not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code (the "Code") and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Despite the general exemption from income taxes, RII and the Shirley Ryan AbilityLab are subject to federal and state income taxes at corporate rates on unrelated business income. Included in the consolidated statements of operations and changes in net assets is the provision for current taxes of $1,430,000 and $1,329,000 for the years ended August 31, 2025 and 2024, respectively. The corporations do not have any material tax positions as of August 31, 2025 and 2024. true Central America and the Caribbean 0 0 Program Services,Conference Travel Medical / Research Conferences and Clinical Consultations 2772 East Asia and the Pacific 0 0 Program Services,Conference Travel Medical / Research Conferences and Clinical Consultations 17452 Europe (Including Iceland and Greenland) 0 0 Program Services,Conference Travel Medical / Research Conferences and Clinical Consultations 201536 Middle East and North Africa 0 0 Program Services,Conference Travel Medical / Research Conferences and Clinical Consultations 531348 North America (Canada & Mexico only) 0 0 Program Services,Conference Travel Medical / Research Conferences and Clinical Consultations 23673 South Asia 0 0 Program Services,Conference Travel Medical / Research Conferences and Clinical Consultations 28432 East Asia and the Pacific 0 0 Program Services,Grantmaking Payments to Research Related Subcontractors 61289 Europe (Including Iceland and Greenland) 0 0 Program Services,Grantmaking Payments to Research Related Subcontractors 840165 North America (Canada & Mexico only) 0 0 Program Services,Grantmaking Payments to Research Related Subcontractors 287857 0 0 0 0 0 0 1994524 0 1994524 Europe (Including Iceland and Greenland) Payments for research study related activities 13666 Wire Transfer North America (Canada & Mexico only) Payments for research study related activities 17071 Wire Transfer Europe (Including Iceland and Greenland) Payments for research study related activities 20000 Wire Transfer Europe (Including Iceland and Greenland) Payments for research study related activities 33910 Wire Transfer North America (Canada & Mexico only) Payments for research study related activities 38691 Wire Transfer Europe (Including Iceland and Greenland) Payments for research study related activities 46715 Wire Transfer Europe (Including Iceland and Greenland) Payments for research study related activities 59493 Wire Transfer East Asia and the Pacific Payments for research study related activities 61289 Wire Transfer Europe (Including Iceland and Greenland) Payments for research study related activities 99336 Wire Transfer North America (Canada & Mexico only) Payments for research study related activities 232095 Wire Transfer Europe (Including Iceland and Greenland) Payments for research study related activities 262970 Wire Transfer Europe (Including Iceland and Greenland) Payments for research study related activities 304075 Wire Transfer 0 12 true false true true true true Schedule F, Part I, Line 2 Procedures for monitoring use of grant funds Each research grant is assigned a Principal Investigator (PI) as well as a Research Administrator (RA). Grant expenditures charged to each grant are approved/reviewed by the respective PI and or RA to ensure allowability. In addition, compliance (A-133) audits are performed by an independent audit firm each year. Program services as detailed in Schedule F, Part I, are derived from our Global Services and other foreign designated cost centers. SRALab credit cards were also reviewed for foreign transactions, and where applicable, those transactions were included. Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Accrual; EAST ASIA AND THE PACIFIC-Accrual; EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual; MIDDLE EAST AND NORTH AFRICA-Accrual; NORTH AMERICA (CANADA & MEXICO ONLY)-Accrual; SOUTH ASIA-Accrual X X X X X X X true PJH & associates Inc 205 West Wacker Drive Chicago IL 60606 Advisory Services for Event Giving false 214267 90000 124267 214267 90000 124267 AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Spark! 4285344 4070234 215110 0 0 12050 136174 243518 187710 SkyRise Chicago 1151649 1043576 108073 0 0 0 0 0 181075 2 402127 387727 14400 0 0 0 22639 0 51944 5839120 5501537 337583 0 0 12050 158813 243518 420729 835110 -497527 true true X true X 250 true X 600 true true false true true 204863 204863 0.00045 63641199 49292605 14348594 0.03160 678577 678577 0.00149 0 0 64524639 49292605 15232034 0.03355 5370603 619829 4750774 0.01046 11338029 1927007 9411022 0.02073 691101 448672 242429 0.00053 50313298 36763034 13550264 0.02984 0 0.0 0 0 67713031 39758542 27954489 0.06157 0 0 132237670 89051147 43186523 0.09511 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 0 0 48666213 66537612 -17871399 X true true 1 1 Shirley Ryan AbilityLab 355 East Erie Street Chicago IL 60611 www.sralab.org 0001958 X X X Physical Rehabilitation Shirley Ryan AbilityLab 1 false false true X X X X X X X X X 24 true false false true X https://www.sralab.org/community-health-needs-assessment X true 24 true https://www.sralab.org/community-health-needs-assessment false true X 250.0 600.0 X X X X X true true X X X true X https://www.sralab.org/charity-care-financial-assistance X https://www.sralab.org/charity-care-financial-assistance X https://www.sralab.org/charity-care-financial-assistance X X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E YES, THE SIGNIFICANT HEALTH NEEDS WERE PRIORITIZED BASED ON ANALYSIS OF PATIENT DATA, COMMUNITY INPUT (INCLUDING A FOCUS GROUP OF COMMUNITY REPRESENTATIVES), AND REVIEW OF STATE, LOCAL, AND NATIONAL HEALTH DATA AND LITERATURE, AS DESCRIBED IN THE CHNA. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Shirley Ryan AbilityLab. As part of developing its 2025 Community Health Needs Assessment ("CHNA"), and in order to assess the significant health needs of its community, Shirley Ryan AbilityLab invited a number of leaders from the health community to participate in a focus group. These leaders included persons with special knowledge or experience in public health; federal, state or local health departments; or agencies with current data or other information relevant to the health needs of the community. Participants included representatives or members of the following populations: medically underserved, low income, minority and chronic disease. Shirley Ryan AbilityLab is grateful for the discussion and input provided by representatives from the following organizations and populations: *Salute, Inc. *Shirley Ryan AbilityLab Adaptive Sports Participant with Bilateral Lower extremity Amputation *Shirley Ryan AbilityLab LIFE Center Peer Mentor and Stroke Survivor *Shirley Ryan AbilityLab Parkinson's Disease and Movement Disorders Program and Fitness Center Participant *State of Illinois Department of Transportation Disabilities Division Representative and United Spinal Association of Illinois Board Member The Shirley Ryan AbilityLab group discussion focused on rehabilitation health needs of people with physical disabilities, as well as access to information and care, research and clinical trials, education and training, and support programs. A detailed description of the participants invited by Shirley Ryan AbilityLab to participate in the Assessment focus group is included in Appendix A of the CHNA. In order to identify the significant community health needs, Shirley Ryan AbilityLab analyzed information obtained in the Assessment process. Focus group participants were asked to consider the significant rehabilitation needs of their respective communities, which also factored into the Assessment. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Shirley Ryan AbilityLab. SHIRLEY RYAN ABILITYLAB COMPLETED ITS MOST RECENT THREE-YEAR COMMUNITY HEALTH NEEDS ASSESSMENT ("ASSESSMENT") DURING FISCAL YEAR 2025 ("FY25"). AS A RESULT OF THE INPUT RECIEVED FROM, including a focus group of community representatives, the organization identified four areas of community health needs ("priority areas"): 1. INCREASED AWARENESS OF REHABILITATION HEALTH 2. INCREASED QUALITY-OF-LIFE PROGRAMS AT OFFSITE LOCATIONS 3. INCLUSION OF YOUTH WITH PHYSICAL DISABILITIES IN SPORTS AND FITNESS PROGRAMS 4. EARLY IDENTIFICATION OF DISABILITY IN INFANTS AND YOUNG CHILDREN Shirley Ryan AbilityLab is addressing all significant health needs identified in the CHNA, and no needs were excluded from implementation efforts. Regarding increased awareness of rehabilitation health, Shirley Ryan AbilityLab plans to fulfill that need by providing patient and community resources; leading research activities that expand knowledge and advancements in rehabilitation; offering educational opportunities for current and future rehabilitation professionals; and expanding its reach to bring rehabilitation care and awareness to new patients in new geographies. Shirley Ryan AbilityLab provides a vast amount of resources, education and support to the broader community - which includes prospective/current patients, patients' family members, caregivers, rehabilitation professionals, healthcare providers and community partners. Media outlets from around the world regularly seek input from Shirley Ryan AbilityLab experts. In the last year alone, Shirley Ryan AbilityLab has been featured in more than 1,325 stories across local, national and international print, web and broadcast outlets, amounting to more than 6.4 billion media impressions. As of FY25, Shirley Ryan AbilityLab has grown its social media audience to nearly 112,000 across various platforms (Facebook, Instagram, LinkedIn, TikTok, YouTube, etc.). Each year, Shirley Ryan AbilityLab's website, sralab.org, receives nearly 8 million pageviews as the community searches for general information about rehabilitation health and about the hospital's programs, services, sites of care and conditions treated. Shirley Ryan AbilityLab's growing portfolio of email newsletters delivers the hospital's timely and relevant information and stories to different audiences. Shirley Ryan AbilityLab's Henry B. Betts, MD, LIFE Center is also an important resource for supporting current/former patients and the community at large. In FY25 the LIFE Center engaged in 3,808 teaching activities that include programs, classes, and special events with patients and families and conducted 1,109 peer mentor interactions. In that same year, individuals in 188 countries accessed the LIFE Center's online resources. Regarding increased quality-of-life programs at offsite locations, in addition to its 262-bed flagship hospital in Chicago, Shirley Ryan AbilityLab offers more than 30 additional sites of care - including inpatient, day rehabilitation ("DayRehab") and outpatient locations - and treats more than 50,000 patients annually from across the United States and around the world. Several quality-of-life programs are offered at outpatient and DayRehab locations throughout Chicago and the suburbs. Specifically, these include adaptive sports; assistive technology; charity care and financial assistance; ethics program; patient and family housing (Streeterville); vocational rehabilitation; and access to the LIFE Center's offerings. Through educational programs and support groups, Shirley Ryan AbilityLab strives to create meaningful connections among patients and community members experiencing similar conditions. For those with chronic or degenerative conditions like Parkinson's disease or other movement disorders, having access to these opportunities close to home enables convenient participation and fosters community connection. Shirley Ryan AbilityLab operates Chicago's largest and most comprehensive adaptive sports program, providing sports and recreational activities to more than 450 adults and kids who have a primary physical impairment. Adaptive sports offerings include archery, boccia, golf, hand cycling, rock climbing, rugby, sailing, scuba, sled hockey, swimming, wheelchair basketball and wheelchair softball. Shirley Ryan AbilityLab collaborates with many adaptive sports providers throughout Chicagoland and Illinois to host sports experience days in the community for everyone to display their ability. For example, in FY25, 686 patients participated in a variety of adaptive sports at offsite locations across Chicago and the suburbs, where they used adaptive sports equipment to enhance their skills. As interest in adaptive sports continues to grow, Shirley Ryan AbilityLab's goal is to increase visibility for these programs over the next few years. Specifically: Shirley Ryan AbilityLab's adaptive sports and marketing teams have created a guide listing all programs offered throughout the year, which is published online and distributed to all Shirley Ryan AbilityLab sites of care. The guide is also linked through the monthly Adaptive Sports & Fitness Updates newsletter that reaches approximately 600 current and prospective participants. Digital signage at Shirley Ryan AbilityLab displays information regarding adaptive sports programs. Shirley Ryan AbilityLab will continue to collaborate with local support groups and advocacy agencies, such as the United Spinal Association and Access Living, to raise awareness for these programs. Regarding inclusion of youth with physical disabilities in sports and fitness programs, Shirley Ryan AbilityLab will continue to grow and add programming tailored for children and adolescents. One of the cornerstones of Shirley Ryan AbilityLab's youth offerings is the Tengelsen Family Foundation Sports for Kids Program, which offers adaptive sports and recreational opportunities year-round, including competitive team sports, camps and weekend programs. For instance, the Sports for Kids Summer Camp - held in partnership with the Chicago Park District - is a one-week experience for young people between the ages of 6 and 21 who have a primary physical impairment and exhibit independence in their daily living skills. The camp offers a wide range of opportunities, such as archery, cycling, rock climbing, sailing and wheelchair softball (sponsored by the Chicago Cubs). In FY25, 53 young people participated in Shirley Ryan AbilityLab's sports camps. During the school year, on nonattendance days, indoor and outdoor youth programs are offered through Sports for Kids for children who live in the city of Chicago. Programs include activities such as sled hockey, rock climbing and special field trips; free lunch; and transportation to and from home to make participation more convenient. Sports for Kids programs are offered free of charge. Shirley Ryan AbilityLab partners with caseworkers and therapists in Chicago Public Schools to help them understand how to refer children to the hospital's youth programming, with hopes to grow the program going forward. Of note, Sports for Kids boasts a 100% high school graduation rate among its participants, with some receiving full scholarships to college - a true testament to the continued value and impact of this program. Regarding early identification of disability in infants and young children, the early detection of chronic conditions, as well as early intervention with developmentally appropriate therapies, is critical for improving outcomes in children and for equipping kids and their families with the right tools for community integration. Shirley Ryan AbilityLab will continue to make demonstrable progress in the early identification of disability in infants and young children. Shirley Ryan AbilityLab has established a Cerebral Palsy Center of Excellence, designed to meet the comprehensive needs of pediatric patients with CP as well as their families. Within the center, Shirley Ryan AbilityLab's Early Motor Development Clinic plays a critical role in facilitating the hospital's early identification and diagnosis of CP. Dedicated to supporting infants and toddlers experiencing motor delays or developmental challenges, the clinic offers collaborative, interdisciplinary rehabilitation evaluations - for developmental screening, early identification of motor delays and appropriate referrals for infants and toddlers. Additionally, Shirley Ryan AbilityLab is leading a multi-million-dollar, multidisciplinary, years-long research effort that represents the largest longitudinal study of human infant motor development and movement ever performed and its findings are poised to revolutionize standard practice in pediatrics. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - Shirley Ryan AbilityLab. The admission consent forms at all facilities explain that financial assistance is available. These forms provide contact information, including a phone number, for obtaining financial assistance and information regarding alternative payment options. In addition, the forms direct patients to online resources, stating that financial assistance information is available at www.sralab.org/charity-care-financial-assistance. 9 SRAlab Burr Ridge OP & DayRehab Ctr 7600 County Line Road Burr Ridge IL 60527 Day Rehabilitation & Outpatient Rehabilitation Streeterville DayRehab Center 345 E Superior Floors 12 13 Chicago IL 60611 Day Rehabilitation SRAlab Homewood - DayRehab Center 19260 S Halsted Homewood IL 60430 Day Rehabilitation & Physician Practice SRALAB Arlington Heights DayRehab Center 3215 N Wilke Rd Arlington Heights IL 60004 Day Rehabilitation Glenview Pediatric & DayRehab Center 2591 Compass Road Suite 100 Glenview IL 60026 Outpatient Rehabilitation, Day Rehabilitation & Physician Practice SRAlab Northbrook OP Ctr (annex) 900 N Skokie Blvd Northbrook IL 60062 Outpatient Rehabilitation & Physician Practice AMITA HEALTH ALEXIAN BROS ELK GROVE 935 BEISNER ROAD ELK GROVE VILLAGE IL 60007 PHYSICIAN PRACTICE Adaptive Sports & Fitness Center 541 N Fairbanks Court Mezzanine Chicago IL 60611 Outpatient Vocational Rehabilitation Center 345 E Superior Street 12th floor Chicago IL 60611 Specialized Services Schedule H, Part I, Line 7g Subsidized Health Services NO COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC ARE INCLUDED ON LINE 7G. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE FINANCIAL ASSISTANCE AND MEANS -TESTED GOVERNMENT PROGRAMS, LINE 7A THROUGH 7C, EXPENSE IS CALCULATED BY MULTIPLYING CHARGES IN EACH CATEGORY BY THE MEDICARE COST REPORT COST TO CHARGE RATIO FOR FY 2025. THE OTHER BENEFITS, LINE 7E THROUGH 7H, EXPENSE IS CALCULATED USING BOTH DIRECT AND INDIRECT COST FOR EACH CATEGORY. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount FOR FINANCIAL STATEMENT PURPOSES, SRALAB HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE. Schedule H, Part III, Line 3 Bad Debt Expense Methodology On Schedule H, Part III, Line 3 no amount was included for SRAlab for bad debt expense attributable to patients eligible under the SRAlab financial assistance policy. SRAlab's Presumptive Eligibility Policy sets forth the presumptive eligibility criteria by which a patient's financial need is determined and used by SRAlab to deem a patient eligible for hospital financial assistance without further scrutiny by SRAlab. Charity care may be provided to patients who are either uninsured or underinsured who do not have the financial resources to pay their SRAlab bill and who meet income and other guidelines specified by SRAlab. As soon as the need for financial assistance is identified, SRAlab provides the patient or Guarantor with a Program application. Patient Financial Services will review all patient accounts with self-pay balances and determine presumptive eligibility after review of the patient's Charity Application and prior to sending the patient a bill requesting payment. Patient Financial Services may use third-party reporting to determine presumptive eligibility of a patient if the patient has not timely returned a completed Charity Application. If a patient is presumed eligible, their balances will not be written off to bad debt. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote The organization is part of the Rehabilitation Institute, Inc. and Affiliates' consolidated audit in which the footnote that discusses the bad debt expense is located on page 10. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs The hospital continually strives to provide excellent patient care in the most cost-effective fashion. Nonetheless, the Medicare program, in many cases, does not provide payment that covers the full cost of the care provided. The IRS does not classify this shortfall in Medicare payments as Community Benefit. However, we believe it is an important contribution made by the hospital to the health and well-being of the community. If the Medicare program did not exist, many Medicare patients would be eligible for financial assistance or other means-tested government programs. Further, by absorbing this shortfall and providing care below cost to these individuals, the hospital is relieving the burden of government. Accordingly, this shortfall restricts the hospital's ability to make funds available to provide for financial assistance and other Community Benefit. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance SRALAB'S COLLECTION POLICY REQUIRES THAT, BEFORE ANY EXTRAORDINARY COLLECTION ACTIVITY IS TAKEN, AT LEAST 120 DAYS HAVE PASSED SINCE THE PATIENT'S FIRST POST-DISCHARGE BILLING STATEMENT AND THAT THE PATIENT HAS BEEN GIVEN ADEQUATE NOTICE REGARDING AND OPPORTUNITY TO APPLY FOR FINANCIAL ASSISTANCE. MOREOVER, THE POLICY REQUIRES THAT THE EXECUTIVE DIRECTOR OF REVENUE CYCLE/DESIGNEE VERIFY THAT THESE AND ALL OTHER STATUTORY PRECONDITIONS TO COLLECTION ACTIVITY HAVE BEEN MET BEFORE ANY COLLECTION ACTIVITY IS INITIATED. THE POLICY FURTHER REQUIRES THAT IF SRALAB RECEIVES A FINANCIAL ASSISTANCE APPLICATION WHILE COLLECTION ACTIVITY IS ONGOING, IT WILL SUSPEND SUCH ACTIVITY (AND REQUIRE ANY RETAINED COLLECTION AGENCIES ACTING ON ITS BEHALF TO SUSPEND SUCH ACTIVITY) SO THAT A DETERMINATION OF FINANCIAL ASSISTANCE ELIGIBILITY CAN BE MADE; IF IT IS DETERMINED THAT THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE, COLLECTION ACTIVITY WILL BE CEASED AND ANY APPLICABLE REFUNDS/REVERSALS WILL BE MADE. Schedule H, Part V, Section B, Line 16a FAP website - Shirley Ryan AbilityLab: Line 16a URL: https://www.sralab.org/charity-care-financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - Shirley Ryan AbilityLab: Line 16b URL: https://www.sralab.org/charity-care-financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Shirley Ryan AbilityLab: Line 16c URL: https://www.sralab.org/charity-care-financial-assistance; Schedule H, Part VI, Line 2 Needs assessment Shirley Ryan AbilityLab assesses the health care needs of its community on an ongoing basis through a combination of formal Community Health Needs Assessments ("CHNAs") and continuous feedback obtained through its programs, services and patient interactions. In addition to the formal CHNA process conducted every three years, the organization evaluates community needs through direct engagement with patients, families and community members across its clinical, educational and outreach activities. The needs of SRAlab's community are assessed on an ongoing basis as part of its routine operations and in accordance with IRS regulations relating to the Community Health Needs Assessment (CHNA). A formal assessment is performed periodically related to the CHNA. SRAlab's Henry B. Betts LIFE Center is a virtual and multimedia education center providing patient education and consumer health information for patients, families, staff and the community. Everything in the collection relates in some way to people living with a wide range of cognitive and physical impairments, chronic conditions or diseases affecting function. The website enables individuals across the globe to have access to current, peer-reviewed patient education and consumer health resources with real-time updates, printing on demand and a dashboard to save favorite resources for easy access. Resources such as the LIFE Center help individuals and their families navigate the intricacies of health care and minimize the complexity of relevant health information. Having access to information empowers people to partner with their health care team in order to make the best choices for themselves, their families and engage in life-long learning. The LIFE Center's resources are organized according to eight topic areas: Medical Information and Care, Caregiving and Equipment, Housing and Transportation, Education and Employment, Support and Wellness, Recreation and Leisure, Finance and Law and Inspiration and Hope. LIFE Center web traffic in FY 2025 averaged 14,248 page views per month, with 170,970 page views annually, across 189 countries. In FY 2025, total outreach and service efforts apart from web activity were 7,972 person contacts served which includes programs, classes, special events, resource requests, teaching activities, peer mentoring events, and tours for patients, families, staff and the community. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance SRAlab ensures that each registration/admission location contains signage (in English and other predominant languages of the SRAlab patient population) notifying patients that financial assistance is available to qualified individuals. This notice is also posted on SRAlab's website (www.sralab.org), along with SRAlab's Financial Assistance Program process and application. Information regarding the Financial Assistance Program and the application is available in each SRAlab registration/admission location. Furthermore, a summary of this information is provided as part of the intake process. The information regarding financial assistance also appears on every self pay statement sent to our patients. In addition, when SRAlab care managers are involved in the patient's care, the care manager informs and assists the patients in enrolling in appropriate entitlement programs. Schedule H, Part VI, Line 4 Community information As a specialty hospital, SRAlab defines the patients it serves broadly as the disabled community throughout the state of Illinois, the United States and around the world. Due to SRAlab's unique services and its reputation as the leader in rehabilitation medicine, many patients will travel long distances for care. Approximately 80% of SRAlab inpatients come from Chicago and its 8 surrounding counties. This represents a primary reach of approximately 60 miles. Approximately 20% of the population for whom poverty status is determined in Chicago live below the poverty line. (Source: https://datausa.io/profile/geo/chicago-il). Percentage of hospital's patients who are uninsured or Medicaid is 20% within Cook County; where SRAlab is located, there are 24 Medically under-served areas for Primary Care. (Source: https:// data.hrsa.gov/tools/shortage-area/mua-find). Within the city of Chicago, there are approximately 25 hospitals serving approximately 3 million people. In addition, to Chicago area patients, SRAlab also cared for patients from 40 states and handled referrals from 50 countries. SRAlab continues to increase its outreach and has impacted the lives of individuals in North, Central and South America; Europe; Africa; Asia (predominately the Middle East); and Australia. The largest users of rehabilitation medicine are those over the age of 65. However, SRAlab continues to serve patients of all ages, including pediatrics. In addition, SRAlab conducts strategic planning around patients of varying ages. Schedule H, Part VI, Line 5 Promotion of community health SRAlab's governing body is chiefly comprised of persons who reside in the organization's primary service area who are neither employees nor independent contractors of the organization, nor family members thereof. SRAlab, extends medical staff privileges to qualified physicians. SRAlab provides a number of services that generally do not generate revenue, solely for the purposes of improving the health and quality of life for our community. These services include: research to improve patient outcomes; educational resources on living with a disability available to anyone through the Internet; vocational training and placement services; support groups to assist in psychological adjustment; fitness and sports training program to promote physical activity and case management for high risk patients discharged to the community. Any surplus funds are applied to patient care, education and research as highlighted in greater detail within part III of the Form 990. Surplus funds are allocated during the annual budget process, which includes Board approval. Schedule H, Part VI, Line 6 Affiliated health care system SRAlab holds a 49% ownership interest in Alexian Rehabilitation Services,LLC (a two-member limited liability company) that provides the full continuum of rehabilitation services provided at various Ascension Health System facilities. Schedule H, Part VI, Line 7 State filing of community benefit report IL true Access Living Of Metropolitan Chicago 115 West Chicago Ave Chicago IL 60654 363310774 501(c)(3) 94997 Payments for research study related activities & Operational support Acutrans 9525 S 79TH AVE HICKORY HILLS IL 60457 364138820 N/A 12992 Payments for research study related activities Advancing States Inc 241 18TH STREET S ARLINGTON VA 22202 396095459 501(C)(3) 37824 Payments for research study related activities Ann & Robert H Lurie Children's Hospital of Chicago 225 East Chicago Ave Box 2 CHICAGO IL 60611 362170833 501(c)(3) 805151 Payments for research study related activities Baylor Research Institute Dba Baylor Scott & White Research Institute 3434 Live Oak Street Dallas TX 75204 751921898 501(c)(3) 341308 Payments for research study related activities Berkeley Research Group Llc PO BOX 676158 Dallas TX 752676158 271451273 N/A 677082 Payments for research study related activities Chicago Association For 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Entity 55756 Payments for research study related activities University Of Illinois 135 W Green St Urbana IL 61801 376000511 Government Entity 974179 Payments for research study related activities University Of South Florida PO Box 737443 Dallas TX 753737443 593102112 Government Entity 31829 Payments for research study related activities University Of Southern California 35 South Figueroa St Los Angeles CA 900898001 951642394 501(c)(3) 43222 Payments for research study related activities University Of Utah 201 S Presidents Circle Salt Lake City UT 84112 876000525 Government Entity 56825 Payments for research study related activities University Of Washington 3917 UNIVERSITY WAY NE Seattle WA 981051122 916001537 Government Entity 71095 Payments for research study related activities Virginia Commonwealth University 8 E Leigh St Box 98568 Richmond VA 232980568 546001758 Government Entity 18567 Payments for research study related activities Childerguild 1900 Silver Cross Blvd New Lenox IL 60451 366132746 501(c)(3) 5200 Operational Support National Women's History Museum 800 Connecticut Ave NW Washington DC 20006 541801426 501(c)(3) 10000 Operational Support American Heart Association PO Box 5028 Boon IA 50950 135613797 501(c)(3) 10000 Operational Support 37 13 Research - Professional fees & Purchased Services 103 315561 Subject Reimbursements 8114 406847 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds OVERSIGHT IS PROVIDED BY EXECUTIVE LEADERSHIP, SUPPORTED BY THE RESEARCH ADMINISTRATION DEPARTMENT WHERE ACTIVE INTERACTION WITH PRINCIPAL INVESTIGATORS IS MAINTAINED. MONITORING IS DONE THROUGH CONTINUED RELATIONSHIPS WITH GRANTEE ORGANIZATIONS or INDIVIDUALS, WHETHER BY MEMBERSHIP OR COMMUNITY LIAISON. FOR RESEARCH GRANTS, EACH GRANT IS ASSIGNED A PRINCIPAL INVESTIGATOR (PI) AS WELL AS A RESEARCH ASSISTANT (RA). GRANT EXPENDITURES CHARGED TO EACH GRANT ARE APPROVED/REVIEWED BY THE RESPECTIVE PI AND/OR RA TO ENSURE ALLOWABILITY. IN ADDITION, COMPLIANCE (A-133) AS WELL AS FINANCIAL AUDITS ARE PERFORMED BY AN INDEPENDENT AUDIT FIRM EACH YEAR. X X true true X X X X false true false false false false false false false Peggy M Kirk Former President, CEO 63890 0 0 0 2437921 0 0 0 1818 0 2503629 0 1385244 0 Pablo Celnik MD Chief Executive Officer 1247882 0 875000 0 7740 0 53334 0 46337 0 2230293 0 0 0 Nancy E Paridy President, Chief Administrative Officer 853943 0 591000 0 38444 0 1039089 0 28929 0 2551405 0 0 0 Jonathan M Tingstad SVP, Chief Financial Officer 770126 0 400500 0 30740 0 87652 0 50948 0 1339966 0 0 0 Laura L Ferrio SVP, Chief Operating Officer 665454 0 408600 0 34880 0 85240 0 34041 0 1228215 0 0 0 Richard Lieber PhD SVP of Research, Chief Scientific Officer 754138 0 382000 0 52718 0 78986 0 29221 0 1297063 0 0 0 Elizabeth Owens SVP, Chief Marketing and Innovation Officer 648579 0 429500 0 52718 0 83200 0 28045 0 1242042 0 0 0 James Sliwa DO Chief Medical Officer 647148 0 336219 0 48204 0 187623 0 30705 0 1249899 0 0 0 David J Weiss Medical Director 196107 0 449712 0 30740 0 58141 0 31038 0 765738 0 0 0 Dan O'Mahoney SVP, Chief Information Officer 370261 0 195000 0 11160 0 51008 0 41311 0 668740 0 0 0 Schedule J, Part I, Line 1a First-class or charter travel Certain employees traveled first class for SRAlab related business in FY 2025. Individuals who received this benefit during the year include: Dr. Pablo Celnik, Chief Executive Officer Laura Ferrio, SVP, Chief Operating Officer Richard Leiber, SVP, Chief Scientific Officer This travel benefit was not treated as taxable compensation. Schedule J, Part I, Line 1a Travel for companions SRAlab covered companion travel for certain employees during FY 2025. Individuals who received this benefit during the year include: Dr. Pablo Celnik, Chief Executive Officer This travel benefit was not treated as taxable compensation. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Eligible executives participate in various non-qualified deferred compensation plans organized under code section 457(F). The exact purpose of each plan varies, but they include: compensation limitation make-up plans, voluntary deferral plans, deferral of a portion of incentive bonus type plans, etc. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. The following listed person(s) participated in the 457(F) plan and received plan payments as follows: Peggy M. Kirk - $2,032,456 THE FOLLOWING INTERESTED PERSONS CONSTRUCTIVELY RECEIVED DEFERRALS TO THE 457(F) PLAN IN CY 2024 THESE DEFERRALS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). NANCY E. PARIDY - $896,496 JONATHAN TINGSTAD - $19,936 ELIZABETH OWENS - $15,300 RICHARD LIEBER, PH.D. - $24,416 LAURA FERRIO - $5,556 DAVID WEISS - $56 Schedule J, Part I, Line 7 NON-FIXED PAYMENTS Executive leadership participate in a variable incentive compensation plan. Amounts are a percent of base salary. Certain financial and quality triggers need to be met, and then the percent awards are determined by institutional financial performance, quality indicators, and individual performance metrics. BY DEFINITION, THESE ARE NOT CONSIDERED TO BE NON-FIXED PAYMENTS, AS DEFINED BY THE INSTRUCTIONS TO SCHEDULE J OF THE FORM 990, HOWEVER, THE ORGANIZATION IS DISCLOSING THIS INFORMATION IN AN EFFORT TO BE TRANSPARENT IN ITS COMPENSATION PRACTICES. A Illinois Finance Authority 861091967 000000000 2016-12-01 274055000 Refund of Series 2013B-E bonds issued 7/11/2013 false false false B Illinois Finance Authority 861091967 45204FPG4 2023-04-03 84061709 Defeasance of 2013A bond series issued 7/11/2013 true false false A 88385000 0 274055000 0 0 0 1055000 0 0 0 273000000 0 2017 true false true true B 6135000 82262512 84061709 0 0 0 827180 0 0 0 83234529 0 2023 true false true true A false false true true true true 0.0 0.0 0.0 false false 0 false true B false false true true true true 0.0 0.0 0.0 false false 0 false true A false false false true true false 0 false false false 0 false false true B false true false false false false 0 false false false 0 false false true A false B false Schedule K, Part III, Line 9 Part IV, Line 7, and Part V The organization does not have written compliance procedures. However, we are aware of each of these requirements (section 1.141-12 self-remediation procedures, arbitrage restrictions, VCAP), and we will seek professional assistance at the appropriate time, as necessary. Schedule K, Part IV, Line 2c COLUMN A Issuer name: Illinois Finance Authority The calculation for computing no rebate due was performed on 06/07/2021 Substantial Contributor Substantial Contributor 114855 Pharmaceutical Goods & Services false Substantial Contributor Substantial Contributor 791926 Consulting & Risk Services false Substantial Contributor Substantial Contributor 640205 Legal Services false Substantial Contributor Substantial Contributor 653960 Legal Services false Substantial Contributor Substantial Contributor 1927080 Insurance & Risk Services false Substantial Contributor Substantial Contributor 389579 Pharmaceutical Goods & Services false Substantial Contributor Substantial Contributor 603390 Electrical Services false Substantial Contributor Substantial Contributor 370795 Industrial Supplies false Substantial Contributor Substantial Contributor 437963 Parking Facility & Management Services false Substantial Contributor Substantial Contributor 495609 Construction Services false Substantial Contributor Substantial Contributor 802940 Research study related services false Substantial Contributor Substantial Contributor 149469 Industrial Supplies false SRALAB Employee Relative of Board Member 72630 Wages false Schedule L, Part V Business Transactions Involving Interested Persons: All transactions between SRAlab and interested persons were done at arms-length and at fair market value. X 3743 Market value 8 460807 Market value 8 6780 Market value X Gift Certficates 3 999 Market value X Entertainment 15 8851 Market value X Hotel Accomodations 2 1850 Market value 0 false true false Schedule M, Part I Explanations of reporting method for number of contributions Other - Gift Certficates The number in Column (b) refers to the number of contributions. Other - Entertainment The number in Column (b) refers to the number of contributions. Other - Hotel Accomodations The number in Column (b) refers to the number of contributions. Food inventory - Food / Spirits The number in Column (b) refers to the number of contributions. Clothing and household goods - Clothing and household goods The number in Column (b) refers to the number of items received Securities - Publicly traded - The number in Column (b) refers to the number of contributions. Form 990, Part III, Line 4d Description of other program services (Expenses $ 6,061,704 including grants of $)(Revenue $ 1,068,501) SRAlab's Henry B. Betts LIFE Center is a virtual and multimedia education center providing patient education and consumer health information for patients, families, staff and the community. Everything in the collection relates in some way to people living with a wide range of cognitive and physical impairments, chronic conditions or diseases affecting function. The website enables individuals across the globe to have access to current, peer-reviewed patient education and consumer health resources with real-time updates, printing on demand and a dashboard to save favorite resources for easy access. Resources such as the LIFE Center help individuals, and their families navigate the intricacies of health care and minimize the complexity of relevant health information. Having access to information empowers people to partner with their health care team to make the best choices for themselves, their families and engage in life-long learning. The LIFE Center's resources are organized according to eight topic areas: Medical Information and Care, Caregiving and Equipment, Housing and Transportation, Education and Employment, Support and Wellness, Recreation and Leisure, Finance and Law and Inspiration and Hope. LIFE Center web traffic in FY 2025 averaged 14,248 page views per month, with 170,970 page views annually, across 189 countries. In FY 2025, total outreach and service efforts apart from web activity were 7,972 person contacts served which includes programs, classes, special events, resource requests, teaching activities, peer mentoring events, and tours for patients, families, staff and the community. Sports and Fitness Program: The SRAlab Adaptive Sports and Fitness Program provides wellness opportunities to people with physical disabilities through sports and recreation as well as an accessible fitness center. All services offered in the adaptive sports program, which marked its 44th year in FY 2025, are free of charge. The fitness programs, which celebrated its 29th anniversary, provide access to a 1-on-1 functional fitness activities and group fitness classes that operate five days a week between the hours of 6am to 6pm for a nominal participation fee. The sports and fitness program is funded primarily by grants and generous community donations and is operated by thirteen full time equivalent staff. Additionally, volunteers logged nearly 8500 hours in FY 2025. The Shirley Ryan Adaptive Sports and Fitness Program is considered a national leader in health promotion for people with disabilities. In FY 2025 we continued to expand programming, developing new initiatives to promote wellness opportunities for persons living with disabilities. The functional fitness program continues to provide services virtually, as well as, in person recording 8,456 one-on-one visits and welcomed 260 new participants ranging from age 12 to 96 in FY 2025. In addition, there were nearly 8,000 group class visits, held in person and virtually across three different sites. The sports program recorded over 6300 by 550 registered participants while the Tengelsen Family Foundation Sports for Kids program recorded more than 820 visits by 135 Chicago area children with disabilities. Adaptive Sports and Fitness programs continue to develop community partnerships and collaborations that open doors for people living with a disability to lead an active healthy lifestyle Vocational Rehabilitation Program: Beginning a career or returning to work following an illness or injury is important to a patient's financial security and emotional well-being. It can contribute to the achievement of a productive, independent and fulfilling life. For more than 50 years, the SRAlab has been providing comprehensive vocational rehabilitation services tailored to meet the needs of each client. Services include initial assessment, vocational counseling and guidance, diagnostic evaluation, work trial assessments, job analysis, return-to-work evaluations, job placement, resume writing, job interview workshops and internship coordination. The SRAlab covers the cost of initial assessments, which are not covered by most third-party payers. Patients receive vocational services at nine SRAlab facilities or via telehealth, ensuring that employment assistance is closely tied to community reintegration. During FY 2025 the program served 692 clients. In the last year, we placed 52 individuals in jobs. Assistive Technology Programs: The Technology Center and the Wheelchair & Seating center, comprise SRAlab's Assistive Technology Programs. In FY 2025, the Assistive Technology Programs served approximately 5,024 unique patients. The SRAlab Technology Center provides computer access training, smartphone/tablet access, augmentative communication evaluations/treatment, and electronic aids to daily living, including recommendations for home automation and modifications, for people with different or changing abilities. Occupational therapists and speech language pathologists evaluate and recommend equipment for each individual's needs. Through a lending library, or support from manufacturers facilitated by Technology Center staff, patients can try items before purchasing them or borrow them for short-term use due to changing needs. Staff members speak to universities, schools, organizations for people with disabilities, senior centers and the general public. We also provide continuing education lectures in assistive technology through assistive tech conferences and the SRALAB Academy. The center provides 1 to 2 home visits if the client can no longer come to SRALab following their evaluation. We have also integrated the use of telehealth appointments. Staff recommend applying for SRALab charity funds if Patients' insurance is maxed out. The Technology Center served a total of 1488 clients representing 647 inpatients, 365 Day Rehab clients, and 476 outpatients in the past fiscal year. Rehabilitation Engineering: The Rehabilitation Engineering program pairs an experienced OT with other allied health clinicians to provide consultation, evaluation, and design of individual solutions to aid persons with different abilities to complete activities of daily living with increased independence at home, work, and in the community. The Rehabilitation Engineering OT has access to fabrication materials and equipment embedded within the Prosthetics and Orthotics lab. Rehabilitation Engineering involves fabricating custom equipment and modifying commercially available equipment and objects to create unique, individualized solutions to help patients navigate obstacles encountered in daily life. SRAlab provides free care for services and products fabricated through the Rehabilitation Engineering program. SRAlab also partners with Northwestern University's engineering design program to provide real-life design experience to students. The Wheelchair & Seating Center staff evaluate and make recommendations for complex wheelchairs and customized seating systems for patients with significant mobility and postural needs. This includes manual wheelchairs; powered wheelchairs; custom-made and customized seat and back cushions to relieve pressure, prevent pressure sores, and maintain posture; alternative drive controls like sip and puff and head array systems; that help clients maintain or increase their mobility and independence, at home, work, or in the community. During FY25 the Wheelchair & Seating Center continued to use telehealth appointments to serve our patients that were unable to attend an in-person appointment. We had 3536 patient visits, including 974 inpatient visits and 2,562 outpatient visits this past fiscal year. Form 990, Part VI, Line 1a THE BYLAWS ALLOW FOR FOUR STANDING COMMITTEES: (i) COMPENSATION AND LEADERSHIP DEVELOPMENT; (ii) FINANCE & AUDIT; (iii) TRANSLATIONAL MEDICINE; AND (iv) INVESTMENT. AN ADVISORY COMMITTEE CONSISTING OF ALL FORMER BOARD CHAIRS SHALL ALSO CONSTITUTE A STANDING COMMITTEE. ADVISORY COMMITTEE MEMBERS PARTICIPATE IN FUNDRAISING ACTIVITIES AND UNDERTAKE SPECIAL ASSIGNMENTS. THE FINANCE AND AUDIT COMMITTEE HAS FINANCIAL OVERSIGHT RESPONSIBILITIES AND CORPORATE INTEGRITY OVERSIGHT. THE INVESTMENT COMMITTEE IS RESPONSIBLE FOR THE MANAGEMENT OF FUNDS AND OVERSEES INVESTMENT POLICY. THE TRANSLATIONAL MEDICINE COMMITTEE IS RESPONSIBLE FOR OVERSIGHT OF TRANSFORMATION OF CLINICAL CARE AND PRACTICE. COMPENSATION AND LEADERSHIP COMMITTEE IS RESPONSIBLE FOR RECOMMENDING COMPENSATION POLICIES AND PROGRAMS AS WELL AS LEADERSHIP AND SUCCESSION PLANNING. IN ADDITION, SPECIAL COMMITTEES MAY BE APPOINTED AS CIRCUMSTANCES WARRANT. Form 990, Part VI, Line 3 Delegation of management duties Crothall Services Group managed our facilities and housekeeping services; Morrison Management Specialists managed our food services, and Pharmacy Systems, Inc. managed our pharmacy. No officers, directors, trustees, or key employees (current or former) received compensation from any of these companies. Form 990, Part VI, Line 6 Classes of members or stockholders Rehabilitation Institute, Inc. (RII) is the sole corporate member of SRAlab. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body As the sole corporate member of SRALAB, RII has the following rights, with respect to the organization's governing body: -Appoint all the Directors of the Corporation. -Nominate to the Corporation's Board of Directors all candidates for selection as well as the Corporation's Chairman, Vice Chair(s) and President & Chief Executive Officer. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders As the sole corporate member of the organization, RII shall have powers and voting rights to do the following: (a) appoint all the Directors of the Corporation. (b) Nominate to the Corporation's Board of Directors all candidates for selection as the Corporation's Chairman, Vice Chair(s) and President & Chief Executive Officer. (c) Approve expressly all amendments to the Corporation's articles of incorporation and Bylaws. (d) Approve each annual budget and long-range plan of the Corporation. (e) Approve each annual list of proposed donors and amounts of donations or grants not included in the annual budget, and make proposals to deviate therefrom throughout each year in excess of $50,000. (f) Approve any contract or loan obligating the Corporation to expend or repay an amount in excess of $250,000 which was not included in a previously approved annual budget, shall be subject to Member approval. (g) Approve all plans of merger, consolidation, or voluntary dissolution and the creation of any subsidiary organization. (h) Approve the sale, lease, exchange, mortgage, pledge or other disposition of all or substantially all, the property and assets of the Corporation. Form 990, Part VI, Line 11b Review of form 990 by governing body First, the Form 990 is prepared internally. Then, a third party tax preparer reviews the Form 990 in its entirety and presents their results to the finance and audit committee . Next, it is reviewed internally by executive leadership. Finally, it is presented electronically to the full Board. Form 990, Part VI, Line 12c Conflict of interest policy All newly hired employees are required to complete a conflict of interest disclosure form at the time of new-employee orientation. In addition, all employees are required to complete such a form on an annual basis. Directors and Officers complete a Conflict of Interest Questionnaire on an annual basis. THE COMPLIANCE DEPARTMENT REVIEWS ALL DISCLOSURES. THIS DEPARTMENT DETERMINES IF A CONFLICT OF INTEREST EXISTS. IF ONE EXISTS, IT IS DISCUSSED WITH VICE PRESIDENTS AND MANAGED BY THE COMPLIANCE DEPARTMENT. ADDITIONALLY, THIS INFORMATION IS SUMMARIZED AND SHARED WITH THE FINANCE AND AUDIT COMMITTEES OF THE BOARD OF DIRECTORS. Form 990, Part VI, Line 15a Process to establish compensation of top management official The Compensation and Leadership Development Committee of the Board has authority to approve total compensation for the CEO, officers, and key employees; an independent consultant specializing in the field of executive compensation and benefits is hired by the Compensation and Leadership Development Committee of the Board to review and provide an opinion about the executive compensation; namely, that it is fair, reasonable and market appropriate. During the annual review and approval of the total compensation, documentation of the decision related to total compensation for the CEO, officers, and key employees was recorded in the minutes. The individuals involved were not present when their compensation was decided. SRAlab, acting through its Compensation and Leadership Development Committee of the Board, performed all of the above procedures to obtain the rebuttable presumption respecting compensation arrangements (per IRC Section 4958). The process for reviewing and approving compensation is undertaken annually and was last performed in Nov of the tax period covered by this return. Form 990, Part VI, Line 15b Process to establish compensation of other employees See narrative for Line 15a Form 990, Part VI, Line 19 Required documents available to the public The Governing documents, conflict of interest policy and financial statements are made available to the public upon request after thorough consideration for their use. Form 990, Part VIII, Line 2f Other Program Service Revenue - Total Revenue: 5953747, Related or Exempt Function Revenue: 5953747, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Pension Adjustment - 12529477; Interest Rate Swap - 432557; Pledge Writeoff & Other Adjustments - -392619; Total - 12569415; Schedule H, Part V, Section B, Line 11 HOW HOSPITAL FACILITY IS ADDRESSING NEEDS IDENTIFIED IN CHNA This research project is a big-data, high-tech study that has never before been attempted. It is emblematic of Shirley Ryan AbilityLab's vision for the future - to tailor personalized care for the best outcomes. Shirley Ryan AbilityLab's partner organization, Pathways.org, is committed to equipping parents and physicians with resources to strengthen infants' motor, sensory and communication development while also building awareness about the importance of early intervention and detection. In fact, Pathways.org continues to provide free, trusted resources to parents and clinicians around the world - a mission that already has resulted in a staggering 70 million+ video views. As Pathways.org's reach continues to grow, Shirley Ryan AbilityLab is committed to investing in its evolution as it advances ability for even more children. Medical Services SRALAB 355 East Erie Street Chicago IL 60611 911999919 Physician Practice Billing and Collections IL 0 0 Shirley Ryan Abilitylab Rehabilitation Institute Inc 355 East Erie Street Chicago IL 60611 363310838 Parent IL 501(c)(3) Type II NA false Pathways Foundation 355 East Erie Street Chicago IL 60611 522456469 Rehabilitation Services IL 501(c)(3) Type I Rehabilitation Institute of Chicago dba Shirley Ryan AbilityLab true Rehabilitation Institute of Chicago Medical Rehabilitation Enterprises 355 East Erie Street Chicago IL 60611 363428852 Inactive IL Rehabilitation Institute Inc (RII) C Corporation 0 0 0 false false false false false false false false false false false false false false true true false true false false PATHWAYS FOUNDATION Q 1799168 Book Value PATHWAYS FOUNDATION N 249204 Book Value