2023-07-12T17:30:19+00:00 2022-08-31 350921680 CROWE LLP 225 West Wacker Drive Suite 2600 Chicago IL 606061224 990 2021-09-01 362256036 Rehabilitation Institute of Chicago REHA 3122381000 355 East Erie Street Chicago IL 60611 Jonathan M Tingstad Senior VP/CFO 2023-07-12 true Jonathan M Tingstad 999009999 Mallory Fairless P01321579 3128997000 2021 2023-04-26 12:10:37Z Shirley Ryan AbilityLab Peggy Kirk President and CEO 355 East Erie Street Chicago IL 60611 564809352 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. 20 17 2981 684 8804043 2224189 41697577 66416483 297774258 320155413 20789820 18610676 2362021 2464592 362623676 407647164 5521050 6412574 0 216074095 233057779 90000 90000 1964355 125319861 131173980 347005006 370734333 15618670 36912831 1284760525 1156036335 552299610 462899986 732460915 693136349 X SRAlab is dedicated to providing the best patient outcomes through the highest-quality clinical care, translational research, scientific discovery and education. false false 270653365 0 303698216 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 2022 SRAlab's system of care included a 262-bed hospital and numerous outpatient programs, located at 355 East Erie Street in Chicago, Illinois, as well as several other facilities and partnerships throughout the Chicagoland area. 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 get patients the best possible outcome. Day rehabilitation therapy program is similar to inpatient in that it consists of an interdisciplinary approach for individuals. However, patients in DayRehab no longer require the 24-hour nursing services provided in an inpatient setting. 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 2022 we continued to serve patients safely through the ongoing pandemic. Inpatient admissions remained consistent with the prior year. Both the outpatient and DayRehab program grew well over 10%. We continue to serve patients from all around the country and world. Since inception SRAlab's has work 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. This year we launched a ventilator weaning program for patients with a Spinal Cord Injury. We successfully weaned 90% of the patients eligible for the program and decreased the number of days from onset of injury to onset of rehabilitation services by half, resulting in far better outcomes, fewer complications, and an overall lower cost of total care. We also launched a number of novel interventions including incorporating neuro stimulation or hypoxemia combined with exercise. The results have been very promising. Today SRAlab offers the ability for patients to participate in clinical trials at the same time they are receiving their established treatment plan. It is the mission of SRAlab to not only focus on our patients but to also elevate the entire rehabilitation field. In FY 2022 SRAlab clinicians, physicians and researchers shared over 120 presentations to various professional audiences as well as published over 50 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 including vocational rehabilitation, virtual education and resources available to all members of the disabled community around the world, and adaptive sports and fitness services for children and adults. Finally, SRAlab continued efforts related to Diversity, Inclusion and Equity initiative by developing steering committee representing the diverse nature of our patients and staff. Some completed activities include ongoing education for our staff, broadening recruitment efforts to reach a more diverse audience and developing and implementing a career path for entry level employees to advance their careers 27833400 6412574 5989819 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 2022, the Research Program had approximately 150 research projects underway, funded by more than $152 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 six federal research designations to develop cutting-edge solutions for patients. Biologics Lab and Aphasia Research Integration: We have begun to integrate our biologics laboratory with the rest of the hospital in the aphasia research program. We are now genetically sequencing patients in the stroke rehabilitation program to understand the genetic basis (if any) for response to therapy. This work was funded by NIDILRR. The NIDILRR-funded center is especially for patients with hemispheric stroke - the most debilitating kind. Manipulation and Mobility Technologies: A NIDILRR-funded Rehabilitation Engineering Research Center award to fund six new projects researching innovations that are directly useful for patients, especially those who have experienced limb-loss or stroke. Projects include body-powered hand prostheses, use of powered exoskeleton for after-stroke patients, and a new wheelchair to allow both sitting and standing. Research will include both technology development and clinical testing. Health and Function in Physical Disability: This Rehabilitation and Training Center, funded by NIDILRR, was created to develop, evaluate, and implement methods to promote optimal health and function of people with physical disabilities. Through a variety of research, training and dissemination activities, we expect to gain a more comprehensive understanding of the efficacy and value of various interventions for achieving and maintaining health and function for people with a disability. Spinal Cord Injury Research: SRAlab operates the Midwest Regional Spinal Cord Injury Care System as designated by NIDILRR. One of only 14 SCI Model Systems nationwide, SRAlab advances spinal cord care through clinical research that identifies new standards of care for the industry. It leads multiple independent and collaborative research projects exploring walking therapy technologies that deliver the most effective treatment to advance ability. We have also added a sophisticated neurophysiological testing division that is dedicated to the measurement and treatment of our inpatient Spinal Cord Injured patients. Engineering Research: This project established a NIDILRR-funded Rehabilitation Engineering Research Center, Collaborative Machines Enhancing Therapies (COMET), focusing on advancing technologies that work in partnership with patients and clinicians to enhance gait and dexterity outcomes for individuals with stroke and spinal cord injury (SCI) and other people with disabilities in a real-life rehabilitation setting. This project is based at SRAlab and leads four other major research universities around the United States. Wearable and Mobile Sensors: This center established the, "Center for Smart Use of Technologies to Assess Real World Outcomes" known as (CSTAR). This center serves as a national resource for rehabilitation professionals attempting to measure patient function in objective manners outside of the traditional clinical environment. Our partnership allows us to leverage the collective experience of our clinicians, scientists, engineers, and patients to provide the expertise, instruction, and mentoring to support the smart use of technology. Rapid Non-Invasive Screening for Covid-19: Controlling the spread of the COVID-19 pandemic largely depends on scaling up the testing infrastructure for identifying infected individuals. This project establishes a novel paradigm based on recording the physiological responses elicited by a short (~2 minutes) sequence of activities (i.e. "snapshot"), to detect symptoms associated with COVID-19. We are employing a novel body-conforming soft wearable sensor placed on the suprasternal notch to capture data on physical activity, cardio-respiratory function, and cough sounds. Early results, although preliminary, suggest that a sensor-based snapshot paradigm may be a promising approach for non-invasive and repeatable testing to alert individuals that need further screening. 9793512 0 1611651 Medical Education: The Department of Physical Medicine and Rehabilitation at Northwestern University's Feinberg School of Medicine (Dept of PMR) 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 PMR, taught by SRAlab physicians who are experts in this special, In FY 2022 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 additional 50 medical students from other medical school nationally that rotate with us. Fellowships: SRAlab offers 6 physician sub-specialty fellowships, funded primarily by donations, in Sports Medicine, Pain Medicine, Pediatric Rehabilitation, Brain Injury Rehabilitation, Spinal Cord Injury Rehabilitation and Parkinsons/Movement Disorders. In FY 2022, 14 physician fellows were named at SRAlab, 2 in spinal cord medicine, 4 in sports medicine, 3 in pediatric rehabilitation, 2 in Brain injury, 2 in pain medicine, and 1 in Parkinsons/Movement Disorders. SRAlab also supports residencies for therapists, nurses and other non-physicians. Prosthetics and Orthotics (PO) Residency: Each year, SRAlab's Prosthetics and Orthotics Clinical Center (POCC) selects three prosthetist and three orthotist residents for these highly sought after positions. The orthotics residency is a 12-month program and the prosthetics residency is an 18-month program to allow additional hands-on experience in research through our Center for Bionic Medicine. Through these training programs, PO residents are mentored by SRAlab's certified, licensed professionals and get exposure to a variety of clinical presentations and pathologies, clinical evaluation, prescription recommendation, documentation, the actual fabrication of devices, and formal research. The Academy has offered continuing education aimed at helping rehabilitation professionals stay at the forefront of their field since 1954. In FY 2022, over six thousand students participated in academy programs which are taught by interdisciplinary teams of recognized specialists from SRAlab and visiting experts from around the world. These programs were offered in a variety of formats including webinars, courses, and workshops, exclusively delivered online in response to the COVID-19 pandemic. In addition, we expanded our outreach to international participants who were able to participate in asynchronous and live programming that fit with their time zone. In 2021, we became a provider of AMA PRA Category 1 Credit (trademarked) which is the recognized accreditation for physicians, advanced practice nurses, and physician assistants. We offered over 15 activities with this new designation. 5822326 0 584435 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 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 web traffic in FY 2022 averaged 12,113 page views per month with 145,353 page views annually from more than 174 countries. This past year, the highest international web activity occurred in the United States, United Kingdom, Australia, Canada, Philippines, India, and Malaysia. In FY 2022, total outreach and service efforts represented 6,312 person contacts served which includes programs, classes, special events, resource requests, teaching activities 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 a full-service accessible health club. All services offered in the adaptive sports program, which marked its 41st year in FY 2022, are free of charge. The fitness program, which celebrated its 26th anniversary, provides access to a health club that operates from 6:15 am to 7 pm five days per week for a nominal annual fee. The sports and fitness program is funded primarily by grants and generous community donations and is operated by eleven full time equivalent staff. Additionally, volunteers logged nearly 7000 hours in FY 2022. The Shirley Ryan Adaptive Sports and Fitness Program is considered a national leader in health promotion for people with disabilities. In FY 2022 we continued to expand programming, after almost a year of limited programming due to the pandemic. Safely redeveloping programs has continued to move along slow but safely. The sports program recorded over 2800 visits by 150+ registered participants, and the fitness program continues to provided services virtually, as well as, in person recording 6,150 one-on-one visits by its 200 registered participants in addition to 458 class visits, classes are held in person and virtually. A separate program for youth, the Tengelsen Family Foundation Sports for Kids program, recorded 295 visits by 63 Chicago area children with disabilities. 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 2022 the program served 954 clients. In the last year, we placed 56 individuals in jobs. We continue to provide no cost GED program for patients with spinal cord injuries to our list of services. Assistive Technology Programs: The Technology Center and the Wheelchair Seating Center, comprise SRAlab's Assistive Technology Programs. In FY 2022, the Assistive Technology Programs served approximately 2,300 unique patients. The SRAlab Technology Center provides computer access training, augmentative communication evaluations/treatment, and electronic aids to daily living, including recommendations for home automation and modifications, for people with different abilities. Occupational therapists and speech language pathologists evaluate and recommend equipment for each individual's needs. Through a lending library, patients can try some 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. 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 over the past year. Staff recommend applying for SRALab charity funds if Patient is in need. The Technology Center served a total of 1349 clients representing 588 inpatients, 328 Day Rehab clients, and 433 outpatients in the past fiscal year. Rehabilitation Engineering staff collaborate with 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 team fabricates custom equipment and modifies 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, and provides real-life design experience to students through Northwestern University's engineering design program. 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 FY22 the Wheelchair Seating Center continued to use telehealth appointments to serve our patients that were unable to attend an in person appointment. We served a total of 995 patients, including 364 inpatients and 630 outpatients this past fiscal year. 5822326 584435 314102603 true true false true 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 true false false false false false false true true false true false false false true true true true false false true 173 0 true 2981 true true true false false false false true true false false false false true false X 20 17 false true false false true true true true true false false true true true true true true true true false IL IN X Jonathan M Tingstad 3122381000 355 East Erie Street Chicago IL 60611 Joanne C Smith MD President, CEO (Through 9/6/21) 40.0 2.0 X X 3327644 0 639320 M Jude Reyes Chairman 1.0 2.0 X X 0 0 0 Nancy E Paridy President, Chief Administrative Officer (Beginning 9/29/21) 40.0 2.0 X X 1190498 0 280419 Peggy M Kirk President, CEO (Beginning 9/29/2021) 40.0 2.0 X X 1305632 0 406011 Christopher Gust Director 1.0 1.0 X 0 0 0 Dan K Webb Director 1.0 1.0 X 0 0 0 James H Litinsky 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 (Beginning 5/19/22) 1.0 1.0 X 0 0 0 Sheli Rosenberg Director 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 E Lowry Jr Director 1.0 1.0 X 0 0 0 William J Cernugel Director 1.0 1.0 X 0 0 0 Daniel D Dolan Jr Vice Chairman 1.0 1.0 X 0 0 0 Jonathan M Tingstad SVP, Chief Financial Officer 40.0 2.0 X 1062021 0 92083 Michael P Krasney Vice Chairman 1.0 1.0 X 0 0 0 Thomas A Reynolds III Vice Chairman 1.0 1.0 X 0 0 0 Collins Fitzpatrick MD Medical Director (Through 11/1/21) 40.0 0.0 X 1668736 0 88244 Elizabeth Owens SVP, Chief Marketing and Innovation Officer 40.0 0.0 X 885219 0 73095 James Sliwa DO Chief Medical Officer 40.0 0.0 X 809061 0 20211 Richard Lieber PhD SVP of Research, Chief Scientific Officer 40.0 0.0 X 1037922 0 81811 Stacy Fuller McCarty Attending Physician 40.0 0.0 X 573558 0 79504 11860291 0 1760698 345 false true false CERNER CORPORATION PO BOX 959156 ST LOUIS MO 631959156 IT Services 4235826 CROTHALL FACILITIES MANAGEMENT 1500 LIBERTY RIDGE DR WAYNE PA 19087 Facility Care Services 4206286 NORTHWESTERN UNIVERSITY ABBOTT HALL / TRANSPORTATION PARK CHICAGO IL 60611 Research Serices 3659373 MCGAW MEDICAL CENTER NORTHWESTERN UNIVERSITY CHICAGO IL 606110402 Medical Services 3258518 MORRISON MANAGEMENT SPECIALISTS INC 5801 PEACHTREE DUNWOODY RD ATLANTA GA 303421503 Food Services 2112075 69 0 0 4702345 0 18929731 42784407 676938 66416483 Net Patient Revenue 621990 282371813 282371813 Affiliation Income 900099 22086121 15886700 6199421 Sponsored Research Rev 541700 4142436 4142436 Medicare GME Payment 622310 1062435 1062435 Consulting 900099 5795212 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95078 13 Medicaid Provider Tax 8899178 8899178 0 0 Patient Transportation 102258 102258 0 0 UBI Excise Tax 1120361 763825 356536 0 3741289 5913987 -2254135 81437 370734333 314102603 54667375 1964355 144306 444358 16708784 15974882 14696919 29877779 33878362 38168140 0 0 0 0 2351988 2789577 4243342 8752718 736447342 180872421 577425204 555574921 290373035 199872906 307244151 270561582 13080377 12094563 558824 0 24055233 21924909 1284760525 1156036335 47686960 49569356 7210855 5766031 4339327 9244005 331018351 297342581 0 0 0 0 0 162044117 100978013 552299610 462899986 X 550867688 511544026 181593227 181592323 0 0 0 732460915 693136349 1284760525 1156036335 X 36912831 -100997552 24760155 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 241767 241767 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 COVID-RELATED ISSUES AND OTHER REHABILITATION FOCUSED ISSUES. THE MAJORITY OF LOBBYING EXPENSES, $228,000 ARE PAID TO THIRD PARTY LOBBYING FIRMS. ADDITIONALLY, A PERCENTAGE OF THE TOTAL DUES FOR THE ILLINOIS HOSPITAL ASSOCIATION (37% IN FISCAL YEAR 2022) GOES TOWARD LOBBYING EFFORTS, WHICH AMOUNTS TO $13,767. 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. 131142076 1501050 -20696834 5127346 106818946 109390922 5881 26426874 4681601 131142076 103561767 11061 10290557 4472463 109390922 102581910 2574460 2668502 4263105 103561767 96665403 3848140 6282143 4213776 102581910 0.0416 0.5373 0.4211 false false 32336315 32336315 546176947 92309155 453867792 24133141 0 24133141 132936022 88563266 44372756 864917 864917 555574921 Cash and Cash Equivalents 5154880 F Absolute Return 75012421 F Hedged Equity 44172148 F International Equity 52741560 F International Hedged Equity 33830002 F Pvt Equity, Real Assets Contracts 59650571 F 270561582 Self-Insurance Reserves 7771412 Estimated Third Party Settlements Payable 10670156 Due to Affiliates (Pathways) 1092401 Accrued Pension 32825095 457 Plan Liability 16990436 SWAP Liability 5962261 Bond Issuance Fee + Annuity Liability 70846 Lease Liability 22378401 Medicare Advance 37167 Capital Lease Liability - LT 803848 Cloud Computing Contract Payable - LT 2375990 LT DEFERRED FICA 100978013 X 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 $1,128,000 and $1,520,000 for the years ended August 31, 2022 and 2021, respectively. The corporations do not have any material tax positions as of August 31, 2022 and 2021. true Europe (Including Iceland and Greenland) 0 0 Grantmaking 157934 North America (Canada Mexico only) 0 0 Grantmaking 54109 East Asia and the Pacific 0 0 Conference Travel 256 Europe (Including Iceland and Greenland) 0 0 Speaking engagements,Conference Travel 168221 Middle East and North Africa 0 0 Program Services,Business Development Travel related to clinical care, education and training, and business development. 271617 North America (Canada Mexico only) 0 0 Speaking engagements,Conference Travel 15914 0 0 0 0 0 0 668051 0 668051 Europe (Including Iceland and Greenland) Payments for research study related activities 157934 Wire transfer 0 N/A N/A North America (Canada Mexico only) Payments for research study related activities 54109 Wire transfer 0 N/A N/A 0 2 true false false 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 EAST ASIA AND THE PACIFIC-Accrual; EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual; MIDDLE EAST AND NORTH AFRICA-Accrual; NORTH AMERICA (CANADA MEXICO ONLY)-Accrual Schedule F, Part II, Line 1 Method used to account for expenditures on org's financial statements EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual; NORTH AMERICA (CANADA MEXICO ONLY)-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 177369 90000 87369 177369 90000 87369 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! 3547373 3547373 0 0 0 0 0 10000 130736 SkyRise Chicago 863486 844951 18535 0 0 0 0 0 102320 2 361674 310021 51653 0 0 0 2579 0 25736 4772533 4702345 70188 0 0 0 2579 10000 258792 271371 -201183 true true X true X 250 true X 600 true true false true true 642735 0 642735 0.0017 52788879 36861341 15927538 0.0430 626299 0 626299 0.0017 0 0 54057913 36861341 17196572 0.0464 5370603 241469 5129134 0.0138 9793512 1611651 8181861 0.0221 451724 342966 108758 0.0003 38508900 27822400 10686500 0.0288 0 0 0 0.0 0 0 54124739 30018486 24106253 0.0650 0 0 108182652 66879827 41302825 0.1114 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 66638303 75344923 -8706620 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 21 true false false true X https://www.sralab.org/community-health-needs-assessment X true 22 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 are a prioritized focus by the organization which is identified through the CHNA assessment and program. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Shirley Ryan AbilityLab. Shirley Ryan AbilityLab hosted a focus group in which leaders from the health community were invited to share their thoughts about how Shirley Ryan AbilityLab can assist in addressing the current, significant health needs of the community. These leaders included: persons with special knowledge or expertise in public health; representatives from federal, state or local health departments; representatives of agencies with current data or other information relevant to the health needs of the community; representatives or members of medically under-served, low-income, and minority populations; and representatives of populations with chronic disease needs. Shirley Ryan AbilityLab is grateful for the discussion and input provided by the following focus group participants: * Brain Injury Association of Illinois * Illinois Department of Human Services ("DHS") - Division of Rehabilitation Services * Participant / Patient Parkinson's Disease Movement Disorder * Spinal Cord Injury Association of Illinois * Shirley Ryan AbilityLab Peer Mentor Program Due to health and safety concerns related to COVID, the focus group meeting was held by video conference on June 8, 2022. Group discussion focused on rehabilitation health needs of people with physical disabilities, access to information and care, research and clinical trials, education and training, and support programs. A detailed description of the participating organizations can be found in Appendix A. Focus group participants were asked to consider the significant rehabilitation health needs of their respective communities, and Shirley Ryan AbilityLab took their feedback into account when completing the oranization's CHNA. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Shirley Ryan AbilityLab. Shirley Ryan AbilityLab conducted its fourth Community Health Needs Assessment ("CHNA or "Assessment") during its tax year 2021 and adopted the CHNA during its tax year 2022 (2022 CHNA). Tax year 2021 covered the period from September 1, 2021, through August 31, 2022, and is also referred to herein as FY2022. SRAlab identified the following four significant health needs in its 2022 CHNA: access to rehabilitation health, rehabilitation research, education regarding Shirley Ryan AbilityLab's resources, and post-discharge support programs. All significant health needs identified in the CHNA are being addressed. Regarding access to rehabilitation health, previous Assessments identified a need for increased access to rehabilitation health given the increasing incidence of conditions that cause cognitive and physical disabilities, specifically in the areas of stroke, spinal cord injury, brain injury, neuromusculoskeletal conditions, pediatrics and cancer. Prior to SRAlab's expansions in 2017 and 2019, SRAlab was capacity constrained by primarily semi-private rooms, gender-mix issues and infection control, but as a result of these expansions, capacity constraints affecting access have been resolved. With a current capacity at its flagship hospital of 262 private rooms, and despite COVID-19, SRAlab maintained and even slightly exceeded pre-COVID-19 admission rates. Currently, the average daily census is about 215 patients, but often reaches a census of 230 or more. SRAlab has also continued to increase access to care in the outpatient and DayRehab settings as well. DayRehab is a community-based program ranging from three hours of therapy per day, two days a week, to six hours of therapy per day, five days a week. SRAlab has relocated and upgraded certain DayRehab clinics, resulting in improved access to care and further supporting patients' rehabilitation health needs. Between 2018 and 2022, DayRehab cared for 23% more patients than were cared for in the previous four-year period, all as we continued to help our patients navigate their new functional abilities and medical needs in the midst of an unprecedented public health emergency. In Fiscal Year 2022, SRAlab provided approximately 20,000 telehealth and remote services with physicians, physical therapists, occupational therapists, psychologists, and speech language pathologists across all outpatient sites. SRAlab collaborates with, and will continue to collaborate with, public and private entities worldwide in conducting rehabilitation research. SRAlab is the sole academic and clinical partner of the Department of Physical Medicine Rehabilitation at Northwestern University Feinberg School of Medicine. This relationship provides an academic framework that supports SRAlab's ongoing research efforts by recruiting joint faculty and partnering on programs of mutual interest. A range of researchers are supported through this partnership, including post-doctoral researchers, pre-doctoral research graduates, physicians, residents, and other clinical fellows. In FY2022, focus areas for rehabilitation research included the use of portable sensors to monitor patient activity and response to therapy, measurement of brain network activity in chronic pain patients, and measurement of neuromuscular tissue properties in neuromuscular disease. The research conducted at SRAlab ranges from cognitive behavior and decision making to epigenetic modification of stem cells in muscle contractures. Of particular note is that measurement of brain activity for research purposes is accomplished using a research-grade magnetic resonance imaging ("MRI") scanner with a field strength (3.0 Tesla) that is twice that of the typical MRI scanner (1.5 Tesla). In addition, SRAlab's biologics lab is housed within the hospital and contains specialized facilities to perform cell culture, biochemical, biophysical, molecular and genetic studies of tissues (blood, saliva, joint fluid, muscle) obtained from SRAlab patients. Education regarding SRAlab's resources is conducted mainly, but not exclusively, through its Henry B. Betts LIFE Center ("LIFE Center"), a multimedia education center and virtual web portal, that provides access to patient education and consumer health information that is peer-reviewed and best-practice. The LIFE Center's mission is to provide opportunities for Learning, Innovation, Family, and Empowerment for the populations SRAlab serves, their families, and the community. Providing resource assistance and referral information to patients, families, staff, and the community remains the cornerstone of LIFE Center service. The LIFE Center receives and responds to thousands of resource requests from across the globe, illustrating not only the community's awareness of the LIFE Center, but also the value it provides. Resource requests are submitted to the LIFE Center in-person as well as by phone, e-mail, and mail. In Fiscal Year 2022, total outreach and service efforts represented 6,312 person contacts. Services provided included individualized patient, family and community education programs - in person or virtual, virtual classes, virtual special events, and a peer-mentor program - in person or virtual. LIFE Center web traffic in Fiscal Year 2022 averaged 12,113 page views per month, or 145,353 page views annually, with visits from more than 174 countries. SRAlab continually engages in active media relations outreach and in Fiscal Year 2022, more than 11.6 million media exposures were secured. Annually, SRAlab produces approximately 100 videos that focus on patient outcomes, clinical services, and research. SRAlab also maintains a robust social media presence. The fourth area of focus in the 2022 CHNA is post-discharge support programs, where the Assessment identified the continuing need for support programming. In particular, (i) support for helping patients and families manage expectations upon returning home; and (ii) developing clinical community links and formalizing communication with existing community support groups. SRAlab has, and will continue to have, numerous programs to assist patients with transitioning back to their homes and communities. SRAlab also has programs intended to help patients' families and other members of the community, regardless of whether they have been SRAlab patients. These programs include, but are not limited to, intensive Aphasia therapy, vocational rehabilitation, graduate equivalency degree classes, adaptive sports and functional fitness along with therapeutic recreation provided by experts in exercise physiology, peer mentors and support groups for caregivers. In addition to these programs, SRAlab will maintain a position in its Care Management department that is partially dedicated to working with post-discharge patients. This position provides assistance to discharged patients in areas such as nursing home placement, Durable Medical Equipment ("DME") follow up, management of transportation issues, medication management, home aide referrals, outpatient appointments, DayRehab, and transitions to home health. SRAlab intends to continue these support services at little to no cost for patients and participants. 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 include a contact and phone number for obtaining financial assistance and alternative payment options. Additionally, they state that financial assistance information can be found online at: www.sralab.org/charity-care-financial-assistance. 9 AMITA HEALTH ALEXIAN BROS ELK GROVE 935 BEISNER ROAD ELK GROVE VILLAGE IL 60007 PHYSICIAN PRACTICE 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 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 2021. 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, SRAL 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 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 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 web traffic in FY 2022 averaged 12,113 page views per month with 145,353 page views annually from more than 174 countries. This past year, the highest international web activity occurred in the United States, Australia, Canada, Philippines, India and Malaysia. In FY 2022, total outreach and service efforts represented 6,312 person contacts served which includes programs, classes, special events, resource requests, teaching activities and tours for patients, families, staff and the community. SRAlab monitors and adapts to the needs of its community on an ongoing basis as part of its routine operations. 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 7 State filing of community benefit report IL true Parkinson's Foundation Inc 200 SE 1st Street No 800 Miami FL 33131 131866796 501(c)(3) 5000 Operational Support The Magnificent Mile Association 625 N Michigan Ave Chicago IL 60611 362119989 501(c)(6) 5150 Operational Support Silver Cross Foundation 41 Whisper creek Drive New Lenox IL 60451 363185350 501(c)(3) 6000 Operational Support The Ohio State University PO Box 772398 Detroit MI 482772398 316025986 501(c)(3) 7220 Payments for research study related activities Amita Health 630 E Jefferson St Rockford IL 61107 472360513 501(c)(3) 7500 Operational Support Mayo Clinic 200 First Street SW Rochester MN 55905 416011702 501(c)(3) 8000 Payments for research study related activities Advancing States Inc 241 18th Street Suite 403 Arlington VA 22202 396095459 501(c)(3) 10000 Payments for research study related activities University Of Illinois Foundation 1305 W Green Street Urbana IL 618012962 376006007 501(c)(3) 10000 Operational Support Marquette University 561 N 15th Street SHC 346 Milwaukee WI 53233 390806251 501(c)(3) 10583 Payments for research study related activities Indiana University 400 E 7th Street Bloomington IN 47405 356001673 Government Entity 12993 Payments for research study related activities Health Tech Pal Corp 1930 Marlton Pike East Suite Q37 Cherry Hill NJ 08003 464086450 NA 13510 Payments for research study related activities Medical Engineering Development Institute Inc 1330 Win Hentschel Blvd West Lafayette IN 47906 473049436 N/A 14070 Payments for research study related activities President And Fellows Of Harvard College Dba Harvard University 1033 Massachusetts Ave 2nd floor Cambridge MA 02138 042103580 501(c)(3) 14687 Payments for research study related activities New York University PO Box 5166 New York NY 10087 135562308 501(c)(3) 22396 Payments for research study related activities University Of Houston 4800 Calhoun Rd Houston TX 77004 746001399 GOVERNMENT ENTITY 22682 Payments for research study related activities University Of Massachusetts 333 South Street Suite 450 Shrewsbury MA 01545 043167352 Government Entity 25476 Payments for research study related activities University Of Alabama - Birmingham 701 20th Street South 770 Admin Bl Birmingham AL 35294 636005396 Government Entity 26042 Payments for research study related activities Virginia Commonwealth University 800 E Leigh St Suite 3200 Box 9805 Richmond VA 232980568 546001758 Government Entity 30304 Payments for research study related activities Access Living Of Metropolitan Chicago 115 West Chicago Ave Chicago IL 60654 363310774 501(c)(3) 30804 Operational Support Virginia Polytechnic Institute State University 200 Turner Street NW Suite 3300 North End Center MC0312 Blacksburg VA 24061 546001805 Government Entity 31623 Payments for research study related activities Board Of Trustees Of Michigan State University 360 Administration Building East Lansing MI 48824 386005984 501(c)(3) 32195 Payments for research study related activities Henry M Jackson Foundation 6720 A Rockledge Drive Suite 100 Bethesda MD 20817 521317896 501(c)(3) 33656 Payments for research study related activities University Of Miami 1400 NW 10th Avenue Miami FL 33136 590624458 501(c)(3) 37076 Payments for research study related activities HCBS Strategies Incorporated 222 Ridgewood Rd Baltimore MD 21210 200958373 NA 37438 Payments for research study related activities University Of North Texas 1155 Union Circle 311277 Denton TX 762035017 756002149 Government Entity 39025 Payments for research study related activities University Of Notre Dame 731 Grace Hall Notre Dame IN 46556 350868188 501(c)(3) 46803 Payments for research study related activities Mary Free Bed Hospital Rehabilitation Center 235 Wealthy St SE Grand Rapids MI 495035299 381359265 501(c)(3) 49556 Payments for research study related activities North Carolina State University 2701 Sullivan Drive Campus Box 751 Raleigh NC 276957514 566000756 Government Entity 73556 Payments for research study related activities NAMSA (North American Science Association) 6750 Wales Road Northwood OH 43619 341020232 NA 74288 Payments for research study related activities University Of Southern California 3500 South Figueroa St Suite 102 Los Angeles CA 900898001 951642394 501(c)(3) 97948 Payments for research study related activities Northcentral University 8667 E Hartford Drive Suite 100 Scottsdale AZ 85255 900171867 501(c)(3) 131617 Payments for research study related activities Research Triangle Institute 3040 East Cornwallis Road PO Box Research Triangle Park NC 277092194 560686338 501(c)(3) 133101 Payments for research study related activities Kessler Foundation 120 Eagle Rock Ave East Hanover NJ 079363147 311562134 501(c)(3) 143298 Payments for research study related activities Center For Veterans Research And Education 1 Veterans Drive Suite 3M Minneapolis MN 55417 411652941 501(c)(3) 192332 Payments for research study related activities Cirtec Medical Lyc 101 Cooper Court Los Gatos CA 95032 208007459 NA 263964 Payments for research study related activities Regents of the University Of California Irvine 141 Innovation Suite 250 Irvine CA 926977600 952226406 Government Entity 284703 Payments for research study related activities Ann Robert H Lurie Children's Hospital 225 E Chicago Ave Box 268 Chicago IL 606112605 362170833 501(c)(3) 328456 Payments for research study related activities University Of Colorado-Boulder 3100 Main St Boulder CO 803090572 846000555 Government Entity 331750 Payments for research study related activities University Of Washington 3917 University Way NE Seattle WA 981051122 916001537 Government Entity 402481 Payments for research study related activities University Of Illinois 1305 W Green St Urbana IL 61801 376000511 Government Entity 940919 Payments for research study related activities Northwestern University 710 N Lakeshore Drive Chicago IL 60611 362167817 501(c)(3) 1796607 Payments for research study related activities 35 6 Stipends/Honorariums 31 27633 Research - Professional 40 95925 Subject Reimbursements 7224 292164 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 false true X X X X false true false false false false false true false Joanne C Smith MD President, CEO (Through 9/6/21) 1228193 0 666667 0 1432784 0 467350 0 171970 0 3966964 0 603678 0 Peggy M Kirk President, CEO (Beginning 9/29/2021) 720188 0 570000 0 15444 0 385800 0 20211 0 1711643 0 0 0 Nancy E Paridy President, Chief Administrative Officer (Beginning 9/29/21) 640054 0 535000 0 15444 0 261800 0 18619 0 1470917 0 0 0 Jonathan M Tingstad SVP, Chief Financial Officer 627251 0 286000 0 148770 0 59200 0 32883 0 1154104 0 139166 0 Collins Fitzpatrick MD Medical Director (Through 11/1/21) 906494 0 0 0 762242 0 62825 0 25419 0 1756980 0 0 0 Richard Lieber PhD SVP of Research, Chief Scientific Officer 694204 0 314000 0 29718 0 61600 0 20211 0 1119733 0 0 0 Elizabeth Owens SVP, Chief Marketing and Innovation Officer 599775 0 270000 0 15444 0 53700 0 19395 0 958314 0 0 0 James Sliwa DO Chief Medical Officer 532343 0 247000 0 29718 0 0 0 20211 0 829272 0 0 0 Stacy Fuller McCarty Attending Physician 553699 0 15000 0 4859 0 46621 0 32883 0 653062 0 0 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments Gross-up Payments: The organization provides additional disability insurance for the Chief Executive Officer (CEO). The CEO purchases the policy and then is reimbursed by the organization. The amount is grossed up to cover applicable taxes. Schedule J, Part I, Line 1b Written policy regarding payment or reimbursement of expenses The organization does not have a written policy regarding the gross up payments made to cover applicable taxes on the CEO's additional disability insurance. Reimbursements are made pursuant to an agreement. 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: Joanne C. Smith, M.D. - 603,678 Nancy E. Paridy - $0 Peggy M. Kirk - $0 Jonathan Tingstad - $139,166 Elizabeth Owens - $0 Richard Lieber, Ph.D. - $0 James Sliwa, D.O. - $0 Collins Fitzpatrick, M.D. - $0 THE FOLLOWING INTERESTED PERSONS CONSTRUCTIVELY RECEIVED DEFERRALS TO THE 457(F) plan IN 2021 THESE DEFERRALS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). JOANNE C. SMITH, M.D. - $457,600 NANCY E. PARIDY - $216,300 PEGGY M. KIRK - $340,300 JONATHAN TINGSTAD - $13,700 ELIZABETH OWENS - $10,200 RICHARD LIEBER, PH.D. - $16,100 JAMES SLIWA, D.O. - $0 COLLINS FITZPATRICK, M.D. - $22,200 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 45203HTC6 2013-07-11 398898603 Refund of bonds issued 11/22/2005 and 2/10/2009 fund construction of Shirley Ryan Ability Lab. false false false B Illinois Finance Authority 861091967 000000000 2016-12-01 274055000 Refund of Series 2013B-E bonds issued 7/11/2013 false false false A 314355000 398962831 16100741 3066076 327613148 52182866 2017 true false true true B 53345000 274055000 1055000 273000000 2017 true false true true A false false true true true true 0.0 0.0 0.0 false false true B false false true true true true 0.0 0.0 0.0 false false true A false false false true false false false true true B false false false true true false false false true A false B false Schedule K, Part I, Column (c) Bond A The CUSIP shown here, 45203HTC6, is for the latest maturity of the Series A bonds. The issue as a whole also consists of Series B through E bonds which were scheduled to mature later than Series A), none of which bear CUSIP numbers. Schedule K, Part III Column (A) This section is completed with respect to the new money portion of the bonds, the refunded debt issued 12/10/2009 (which was related to the land for the new building project) and the portion that refunded debt issued 11/22/2005. 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 II, Line 3 Proceeds of Issue Such amounts were appropriately yield restricted. Differences between the issue price (Part I) and total proceeds (Part II, Line 3) are due to investment earnings. Schedule K, Part III Column (B) These bonds refunded a portion of the bonds reported in column (A); Private Business Use reporting for this issue is essentially identical to that for the column (A) bonds. Schedule K, Part IV, Line 2c COLUMN A Issuer name: Illinois Finance Authority The calculation for computing no rebate due was performed on 08/10/2018 Schedule K, Part IV, Line 2c COLUMN B Issuer name: Illinois Finance Authority The calculation for computing no rebate due was performed on 06/07/2021 Substantial Contributor Substantial Contributor 919809 Consulting Risk Services false Substantial Contributor Substantial Contributor 1610947 Banking Services false Substantial Contributor Substantial Contributor 325720 Pharmaceutical Goods Services false Substantial Contributor Substantial Contributor 4987391 Construction Services false Substantial Contributor Substantial Contributor 593734 Healthcare Services false Substantial Contributor Substantial Contributor 245500 Audit Services false OfficerBoard Member Substantial Contributor Relative of Board Member 4583333 Supplemental Benefits (for Deceased Spouse) false Substantial Contributor Substantial Contributor 119636 Equipment / Supplies false SRALAB Employee Relative of Board Member 64047 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 645 Market value X 17 668510 Market value X Gift Certficates 16 1952 Market value X Event Tickets 3 555 Market value X Entertainment 4 776 Market value X Hotel / Home accomodations 1 4500 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. Clothing and household goods - The number in Column (b) refers to the number of contributions. 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 $ 5,822,326 including grants of $ 0)(Revenue $ 584,435) 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 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 web traffic in FY 2022 averaged 12,113 page views per month with 145,353 page views annually from more than 174 countries. This past year, the highest international web activity occurred in the United States, United Kingdom, Australia, Canada, Philippines, India, and Malaysia. In FY 2022, total outreach and service efforts represented 6,312 person contacts served which includes programs, classes, special events, resource requests, teaching activities 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 a full-service accessible health club. All services offered in the adaptive sports program, which marked its 41st year in FY 2022, are free of charge. The fitness program, which celebrated its 26th anniversary, provides access to a health club that operates from 6:15 am to 7 pm five days per week for a nominal annual fee. The sports and fitness program is funded primarily by grants and generous community donations and is operated by eleven full time equivalent staff. Additionally, volunteers logged nearly 7000 hours in FY 2022. The Shirley Ryan Adaptive Sports and Fitness Program is considered a national leader in health promotion for people with disabilities. In FY 2022 we continued to expand programming, after almost a year of limited programming due to the pandemic. Safely redeveloping programs has continued to move along slow but safely. The sports program recorded over 2800 visits by 150+ registered participants, and the fitness program continues to provided services virtually, as well as, in person recording 6,150 one-on-one visits by its 200 registered participants in addition to 458 class visits, classes are held in person and virtually. A separate program for youth, the Tengelsen Family Foundation Sports for Kids program, recorded 295 visits by 63 Chicago area children with disabilities. 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 2022 the program served 954 clients. In the last year, we placed 56 individuals in jobs. We continue to provide no cost GED program for patients with spinal cord injuries to our list of services. Assistive Technology Programs: The Technology Center and the Wheelchair Seating Center, comprise SRAlab's Assistive Technology Programs. In FY 2022, the Assistive Technology Programs served approximately 2,300 unique patients. The SRAlab Technology Center provides computer access training, augmentative communication evaluations/treatment, and electronic aids to daily living, including recommendations for home automation and modifications, for people with different abilities. Occupational therapists and speech language pathologists evaluate and recommend equipment for each individual's needs. Through a lending library, patients can try some 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. 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 over the past year. Staff recommend applying for SRALab charity funds if Patient is in need. The Technology Center served a total of 1349 clients representing 588 inpatients, 328 Day Rehab clients, and 433 outpatients in the past fiscal year. Rehabilitation Engineering staff collaborate with 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 team fabricates custom equipment and modifies 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, and provides real-life design experience to students through Northwestern University's engineering design program. 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 FY22 the Wheelchair Seating Center continued to use telehealth appointments to serve our patients that were unable to attend an in person appointment. We served a total of 995 patients, including 364 inpatients and 630 outpatients 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 Other Revenue - Total Revenue: 4697396, Related or Exempt Function Revenue: 4697396, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Pension Adjustment - 16871072; Interest Rate Swap - 7889083; 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) 10 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 1114600 Book Value PATHWAYS FOUNDATION N 166020 Book Value