2019-07-01T14:15:52-05:00 2018-08-31 861065772 Deloitte Tax LLP 111 Monument Circle Suite 4200 Indianapolis IN 462045108 990 2017-09-01 362256036 Rehabilitation Institute of Chicago REHA 3122381000 355 East Erie Street Chicago IL 60611 Jonathan M Tingstad Senior VP & CFO 3122381000 2019-07-01 1 Samantha Bokori P01057347 3174648600 12.203.115.26 2019-07-01 13:59:06 ED P 829CFAD61BE1472F5C9783C6C5344F7F92BC6B75 5D794220C68C161820A811785299AFD302F4C684 2017 2019-02-21 02:37:17Z Shirley Ryan AbilityLab Joanne C Smith MD 355 East Erie Street Chicago IL 60611 385257442 0 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. 16 15 2595 1498 3580493 1731369 58556682 35766892 226998843 259130667 54210012 15923247 682264 5090619 340447801 315911425 8050567 4335469 0 0 167890234 183618375 49258 0 2084251 102003880 125257445 277993939 313211289 62453862 2700136 1145868885 1137757029 555376516 523433511 590492369 614323518 X SRAlab is dedicated to providing the best patient outcomes through the highest-quality clinical care, translational research, scientific discovery and education. 0 0 210559051 21500 256635187 Clinical Care: The SRAlab was founded in 1951 as the Rehabilitation Institute of Chicago, an Illinois not-for-profit corporation. In March 2017, the Rehabilitation Institute of Chicago housing 182 beds moved to a new building with 242 licensed beds, and became the SRAlab. This move brought not only a physical change of address but a whole new model to the field of rehabilitation. Upon opening in March 2017, the 1.2-million-square-foot SRAlab became the first-ever "translational" 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 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 for 28 years by U.S. News & World Report - a record for any U.S. hospital. SRAlab also is the nation's largest rehabilitation research enterprise, advancing the field globally through innovation of the most advanced treatments and technologies. SRAlab is the only rehabilitation hospital in the nation to hold a record eight federally designated research programs in the areas of computers and robots in therapy, mobility technologies, health and function in disabilities, neurologic rehabilitation, spinal cord injury, rehabilitation engineering, patient outcomes, and pediatric orthopedics. SRAlab's Care Quality and Delivery Highlights:As of March 2017 SRAlab's system of care included a 242 bed hospital and outpatient facility, located at 355 East Erie Street in Chicago, Illinois, as well as a number of other facilities and joint ventures. The Corporation offers a comprehensive range of inpatient, day rehabilitation and outpatient services throughout the System. Inpatient rehabilitation services are provided using a multidisciplinary approach. Day treatment rehabilitation consists of a multidisciplinary approach for individuals no longer requiring 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 2018 SRAlab treated more than 6,800 inpatients throughout its system of care and delivered approximately 1.9 million outpatient therapy units. SRAlab's facilities are staffed by approximately 2,400 medical professionals and support personnel, a dedicated team who in FY 2018 treated patients from 48 states as well as the District of Columbia and handled referrals from 52 countries. Each patient at SRAlab is assigned a personalized (coordinated interprofessional) care team consisting of the field's most well-trained rehabilitation doctors, nurses, therapists, care managers clinical specialists and researchers. No other specialty hospital in the nation has a more experienced track record of being rated #1 for twenty-eight consecutive years. SRAlab is one of the 3.7% of the nation's nearly 6,000 hospitals to have achieved three or more consecutive Magnet designations for nursing excellence from the American Nurses Credentialing Center (ANCC) and the first free-standing acute inpatient rehabilitation hospital to have this distinction. 29984400 4313969 2028801 Research Program: SRALab's Research Program is the world's largest physical rehabilitation research enterprise in pursuit of clinical advancement through scientific discovery. The Research Program has at any given time approximately 150 research projects underway, funded by more than $100 million in 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 five federal research designations to develop cutting-edge solutions for patients.Computers and Robots in Therapy: An internationally acclaimed NIDILRR-funded center especially for patients with hemispheric stroke - the most debilitating kind. Seven studies address two elemental questions: When is the optimal time to use robotic and computer-based systems during therapy, and how do therapists best interact with robotic devices during therapy, often with minimal hands-on treatment coming from the clinician? Training of undergraduate rehabilitation engineers is included.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.Engineering Research: This project establishes a new NIDILLR-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. 9297090 147231 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 2018, SRAlab trained 53 residents. The SRAlab medical education program also provides opportunities for first-year medical students to meet regularly with patients from SRAlab's spinal cord injury, general rehabilitation, or pediatric program to gain patients' insights on recovery and needs for independent living.Academy: The Academy has offered continuing education courses aimed at helping healthcare professionals stay at the forefront of their field for 59 years. In FY 2018, over four thousand students participated in academy programs which are taught by interdisciplinary teams of recognized specialists from SRAlab and visiting experts from across the country and around the world. These courses were offered in a variety of formats including webinars, on-site courses, outreach programs and our first-ever online series and podcast.Fellowships: SRAlab offers physician fellowships, funded primarily by donations, in pediatric rehabilitation, musculoskeletal sports and spine medicine, spinal cord injury, pain management, and traumatic brain injury. In FY 2018, 7 physician fellows were named at SRAlab, 1 in spinal cord medicine, 2 in sports medicine, 2 in pediatric rehabilitation, 1 in Brain injury and 1 in pain medicine. SRAlab also supports fellowships for therapists, nurses and other non-physicians. Prosthetics and Orthotics (P&O) 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, P&O 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. 5598671 785682 Community Health & Education: 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 2018 averaged 19,093 page views per month with 229,127 page views annually from more than 190 countries. The 9,666 unique users each month were reflective of a steady increase in this area with 86% new to the site visiting almost 230 thousand pages. Overall growth trajectory for the LIFE Center traffic continues to be strong, going from an average of 187 visitors per day in September 2017 to more than 452 visitors per day in August 2018. This past year, the highest international web activity occurred in the United Kingdom, Australia, Canada, India, Philippines, South Africa, Malaysia, Russia, Ireland and Singapore. In FY 2018, total outreach and service efforts represented 10,168 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 37th year in FY 2018, are free of charge. The fitness program, which celebrated its 22nd 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 ten and one half full time equivalent staff. Additionally, volunteers logged nearly 11,877 hours in FY 2018. The Shirley Ryan Adaptive Sports and Fitness Program is considered a national leader in health promotion for people with disabilities. In FY 2018, the sports program recorded 6,696 visits by its 344 registered participants, and the fitness program recorded 30,372 visits by its 722 registered participants in addition to 7,556 class visits. A separate program for youth, the Caring for Kids program, recorded 1,557 visits by 190 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, 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, ensuring that employment assistance is closely tied to community reintegration. During FY 2018 the program served 1,007 clients. In the last year, we placed 95 individuals in jobs and are pleased to report an average annual job retention rate of 83%. 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, Rehabilitation Engineering, and the Wheelchair & Seating Center, comprise SRAlab's Assistive Technology Programs. In FY 2018, the Assistive Technology Programs served approximately 2,200 unique patients.The SRAlab Technology Center provides computer access training, augmentative communication devices 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 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 free service, school and home visits to clients who are unable to come to SRAlab.Rehabilitation Engineering staff provide consultation, evaluation, design and technical expertise to customize commercially available products that aid persons with different abilities to complete of activities of daily living, at home, work, and in the community, with increased independence. The team also fabricates custom equipment to create unique, individualized solutions to help patients navigate obstacles encountered in daily life. SRAlab provides free care for services or products, and provides hands-on experiences 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; and other durable medical equipment that help clients maintain or increase their mobility and independence, at home, work, or in the community. 5598671 785682 255439212 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 1 1 0 1 1 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 0 1 199 0 1 2595 1 1 1 0 0 0 0 1 1 0 0 0 0 X 16 15 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 IL IN X Jonathan M Tingstad 3122381000 355 East Erie Street Chicago IL 60611 M Jude Reyes Chairman 1.00 2.00 X 0 0 0 Michael P Krasny Vice Chairman 1.00 1.00 X 0 0 0 Thomas A Reynolds III Vice Chairman 1.00 1.00 X 0 0 0 Wayne R Andersen Director 1.00 1.00 X 0 0 0 William J Cernugel Director 1.00 1.00 X 0 0 0 Robert O Delaney Jr Director 1.00 1.00 X 0 0 0 Daniel D Dolan Jr Director 1.00 1.00 X 0 0 0 Christopher L Gust Director 1.00 1.00 X 0 0 0 Michael L Keiser Director 1.00 1.00 X 0 0 0 James H Litinsky Director 1.00 1.00 X 0 0 0 William E Lowry Jr Director 1.00 1.00 X 0 0 0 David D Olson Director (Thru 11/16/17) 1.00 1.00 X 0 0 0 Sheli Rosenberg Director 1.00 1.00 X 0 0 0 Shirley Welsh Ryan Director 1.00 2.00 X 0 0 0 Mark Stephen Director 1.00 1.00 X 0 0 0 Linda Wolf Director 1.00 1.00 X 0 0 0 Joanne C Smith MD President, CEO 40.00 2.00 X X 3999253 0 352213 Edward B Case Executive VP, CFO (Thru 11/16/17) 40.00 2.00 X 2462461 0 1410313 Jonathan M Tingstad Senior VP, CFO (Begin 11/16/17) 40.00 2.00 X 168049 0 2315 Nancy E Paridy Sr. VP, Chief Admin. Officer 40.00 2.00 X 986994 0 63786 Peggy M Kirk Sr. VP, Clinical Operations 40.00 0.00 X 1591047 0 110512 Richard Lieber PhD Sr. VP, Research 40.00 0.00 X 1037365 0 27834 Elizabeth Owens Sr. VP, Chief Marketing & Innov. 40.00 0.00 X 872167 0 16435 James Sliwa DO Chief Medical Officer 40.00 0.00 X 1324112 0 219131 Collins Fitzpatrick MD Medical Director 40.00 0.00 X 1051787 0 41556 Steven Nussbaum MD Medical Director 40.00 0.00 X 550974 0 34873 William Rymer MD PhD Former Key Employee 40.00 0.00 X 374204 0 8792 14418413 0 2287760 204 1 1 0 Power Construction Company LLC 8750 West Bryn Mawr Chicago IL 606313546 Construction Services 35211672 Cerner Corporation PO BOX 959156 St Louis MO 631959156 IT Services 7293377 Crothall 1500 Liberty Ridge Drive Wayne PA 19087 Facility Care Services 4563895 Northwestern University 320 East Superior Street Chicago IL 60611 Research Subcontractor 4386384 McGaw Medical Center 240 E Huron Street Chicago IL 60611 Medical Services 2877305 88 3495602 15213581 17057709 1015880 35766892 Net Patient Revenue 621990 240229456 240229456 Affiliation Income 900099 11949874 9558156 2391718 Sponsored Research Rev 541700 1881317 1881317 Medicare GME Payment 622310 910182 910182 Cerner Clinical Collab 900099 766557 766557 3393281 3393281 259130667 4498639 129400 4369239 82834 82834 45908 0 45908 45908 45908 80120259 68695651 11424608 11424608 11424608 211585 3495602 650366 -438781 -438781 Consulting 900099 2187500 1128125 1059375 Parking 900099 1610525 1610525 Cafeteria Sales 900099 1529239 1529239 73394 73394 5400658 315911425 259596901 3580493 16967139 3747498 3747498 409762 409762 178209 178209 11200625 708921 10491704 141482725 126661442 13413481 1407802 7436021 6311050 1055000 69971 13710940 13489127 71346 150467 9788064 8540240 1155429 92395 5327133 2213827 3076940 36366 1037510 9745 1027765 355702 355702 239892 239892 1164669 1164669 17779664 16471509 1263944 44211 2821141 89782 2730134 1225 7264533 6332585 807527 124421 6911813 5419471 1461728 30614 7836908 7551266 285642 1166905 981751 170702 14452 563702 523758 33806 6138 14014613 85316 13929297 28050255 26539435 1510820 -214652 71470 -286122 Medical Supplies 15594523 15592247 2276 Medicaid Provider Tax 8390354 8390354 Patient Transportation 1928462 1928462 UBI Tax 792875 754009 38866 4231443 2437976 1687278 106189 313211289 255439212 55687826 2084251 403064 658749 17795763 14916586 86922937 60354609 39162199 37986830 1975903 1898475 5619707 4504534 699143236 77955580 622670379 621187656 91352038 95105493 233332787 260454785 11651620 11491472 558824 558824 34423664 28639016 1145868885 1137757029 41658574 36018095 3462066 3423834 1939090 2052759 390682088 383107044 117634698 98831779 555376516 523433511 X 483498831 474193775 54712743 84000808 52280795 56128935 590492369 614323518 1145868885 1137757029 X 2700136 3057937 18073076 X 0 1 X 1 1 1 X 0 0 0 0 0 0 1 7781 0 1 232111 239892 0 Part II-B, Line 1: SRAlab lobbies Federal and State government on issues related to Medicare, Medicaid and other government health care programs related to the rehabilitation field. Most of the lobbying expenses are to third party lobbying firms as well as the Illinois Hospital Association and the American Medical Rehabilitation Providers Association. 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. 96665403 3848140 6282143 4213776 102581910 90198061 22014 10561102 4115774 96665403 91076133 19680 3205248 4103000 90198061 96081147 327261 -1328828 4003447 91076133 88246330 169168 11444840 3779191 96081147 0.01000 0.54700 0.44300 0 0 33912652 33912652 531265836 24054457 507211379 18429423 18429423 110204968 53901123 56303845 5330357 5330357 621187656 Cash and Cash Equivalents 23677963 F Absolute Return 58465646 F Hedged Equity 18853300 F International Equity 49528329 F International Hedged Equity 4519021 F Pvt Equity, Real Assets & Contracts 30507028 F Gov. Fixed Income & Corporate Bonds 74903498 F 260454785 Self-Insurance Reserves 7151446 Estimated Third Party Settlements Payable 6513370 Due to Affiliates (Pathways) 1400536 Accrued Pension 56364238 457 Plan Liability 15395621 SWAP Liability 8816155 Deferred Lease Liability 1023826 Lease Incentive Obligation 2052617 Other 113970 98831779 X Part V, Line 4: 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. Part X, Line 2: 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. In fiscal year 2018, the Corporation is also subject to the 2018 Tax Cuts and Jobs Act, generating various other taxes. Included in the consolidated statements of operation and changes in net assets is the provision for current taxes of $793,000 and $734,000 for the years ended August 31,2018 and 2017, respectively. The corporations do not have any material tax positions as of August 31, 2018 and 2017. 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. 1 South America 0 0 Program services Business Development 4479 Middle East and North Africa 0 0 Program services Travel related to clinical care, education and training, and business development 64195 North America 0 0 Program services Business Development 2299 Europe (including Iceland and Greenland) 0 0 Sending agents of the organization to attend and speak at seminars and conferences. 29565 Europe (including Iceland and Greenland) 0 0 Program services Payments for research related activities 178209 East Asia & the Pacific 0 0 Program services Business Development 11229 0 0 0 0 0 0 289976 0 289976 Europe (including Iceland and Greenland) Medical Research 174779 Electronic fund/wire transfer 0 1 1 0 0 1 1 1 Part I, Line 2: 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 above 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. Part I, line 3: The expenditures reported in Column (f) were determined using the accrual method of accounting. X X X X X X 1 Andrea McNaughton dba A McNaughton Consulting 2536 S Walter Reed Drive Arlington VA 22206 Advisory Services for planned giving 0 0 36225 -36225 36225 -36225 Spark 2442740 2340900 101840 2896 87095 354112 Skyrise Chicago 1104822 1016852 87970 34183 5876 137794 1 159625 137850 21775 5964 22446 3707187 3495602 211585 37079 87095 11840 514352 650366 -438781 1 1 1 X 250.000000000000 1 X 600.000000000000 1 1 0 1 1 725018 725018 0.00230 39342033 29364449 9977584 0.03190 405595 209314 196281 0.00060 40472646 29573763 10898883 0.03480 4926523 473512 4453011 0.01420 9297090 1472331 7824759 0.02500 672148 312170 359978 0.00110 29984400 18916200 11068200 0.03530 44880161 21174213 23705948 0.07560 85352807 50747976 34604831 0.11040 1 657162 17102 58876998 67594749 -8717751 X 1 1 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 0 0 1 X X X X X X X X X 15 1 0 0 1 X https://www.sralab.org/community-health-needs-assessment 1 15 0 1 0 1 X 250.000000000000 600.000000000000 X X X X X 1 1 X X X 1 X See Part V, Section C X See Part V, Section C X See Part V, Section C X X X X X X X 1 X 0 X X X X 1 X 0 0 Shirley Ryan AbilityLab Part V, Section B, Line 5: SRAlab intentionally sought input from a wide variety of stakeholders who serve and represent the interests of medically underserved, low-income, and minority populations in the community. In May 2016, SRAlab hosted a focus group with leaders of the health community, as part of its effort developing the Assessment. Focus group participants included persons with special knowledge or expertise in public health, represented federal, state or local health departments, or agencies with current data or other information relevant to the health needs of the community. Participants also included leaders, representatives, or members of medically underserved, low-income, and minority populations and populations with chronic disease needs. Participants came from the following organizations:- Chicago Mayor's Office for Persons with Disability- Illinois DHS - Division of Rehabilitation Services- EOA Consulting, LLC- Chicago Transit Authority- Chicago Park District- Extended Home Living Services- Brain Injury Association of Illinois- Spinal Cord Injury Association of Illinois- Parkinson's Disease & Movement Disorder Center at Northwestern University- Gridiron Alliance- SRAlab Peer Mentor Program The external focus group was held at SRAlab and lasted over two hours. 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. SRAlab also received comments from other community members who were unable to attend the focus group. Moreover, representatives from SRAlab spoke with representatives of the Illinois Department of Public Health (IDPH) in April 2016 for IDPH's input on the significant health needs of the community. Shirley Ryan AbilityLab Part V, Section B, Line 11: SRAlab conducted and adopted its second Community Health Needs Assessment during tax year 2015 and identified the following significant health needs: Rehabilitation Health, Research and Rehabilitation Engineering, Improved Access to Information, Education and Training, and Support Programs.All significant health needs identified in SRAlab's most recently conducted CHNA are being addressed. SRAlab did take the following actions during tax year 2017 with respect to its most recently conducted CHNA:In the area of Rehabilitation Health, SRAlab continued to serve an array of patients with rehabilitation needs. These included patients with amputations and other limb deficiencies, neuro-musculoskeletal injuries, brain injuries, spinal cord injuries, stroke rehabilitation, and cancer rehabilitation, both from an adult and pediatric perspective. SRAlab treated patients to improve and eliminate the effects of injury, disease, and debilitating health conditions, continuing its work toward the vision of its new flagship hospital, opened in March 2017, of advancing patient outcomes through the integration of research and clinical care. In addition to this work at the flagship hospital, FY 2018 brought significant improvement to the facilities and access for the DayRehab programs located throughout the Chicagoland area. DayRehab is a community-based program ranging from three hours of therapy per day, two or three days per week, to six hours of therapy per day, five days per week. SRAlab's existing sites were at capacity. In FY 2018, SRAlab opened three new expanded programs serving the city of Chicago, the western suburbs and the northern suburbs, improving access and extending the new standards of care emanating from the new flagship hospital to the day rehabilitation setting.In the area of Research and Rehabilitation Engineering, SRAlab completed construction of its innovative new Research Hospital and began operations in the new facility in March of 2017. The innovative design of the Research Hospital integrates research and rehabilitation medicine to truly engage in cutting edge translational research. SRAlab continues its multiple programs of rehabilitation-related research. In tax year 2017, researchers at SRAlab demonstrated that the stem cell population in muscles from children with cerebral palsy is severely depleted, which may be a cause of contractures. Based on that study, they identified several potential drugs that may be useable in treating cerebral palsy that have never been used before. Additionally, our investigators have used small sensor devices to measure the tremor of patients with Parkinson's disease and can now both predict needed changes in medication and even notify patients when their walking pattern is becoming unstable, and they are at risk of falling. Another project incorporates the technology of self-parking cars into a power wheelchair. The individual operating the chair need not have quick or complete responses in order to safely and effectively navigate the wheelchair. In the area of Improved Access to Information, the Henry B. Betts LIFE Center, a virtual and multimedia education center providing patient education and consumer health information for patients, families, staff and the community, increased its users from an average of 187 visitors per day in September 2017 to more than 452 visitors per day in August 2018. 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 2018 averaged 19,093 page views per month with 229,127 page views annually from more than 190 countries. The 9,666 unique users each month were reflective of a steady increase in this area with 86% new to the site. In FY 2018, total outreach and service efforts increased 12% over FY 2017, and represented 10,168 person contacts served through programs, classes, special events, resource requests, teaching activities and tours for patients, families, staff and the community.In the area of Education and Training, SRAlab as the Northwestern Feinberg School of Medicine's Department of Physical Medicine and Rehabilitation physiatry residency program, continued to support the education needs of PM&R physicians. SRAlab also continued its robust educational programming for allied health, patients, and their families in the community. SRAlab held nearly fifty grand rounds educational presentations for physicians on a number of topics, including care for stroke patients, spinal cord injury patients, pain, research, chronic pain, and others.In the area of Support Programs, SRAlab provides high-quality supportive programs to the community. This includes its Adaptive Sports Program, comprised of Transitions Planning Program for Adolescents, Caring for Kids, Sports & Fitness Center programming, and the SRAlab Military Sports Camp. Other programs include vocational rehabilitation and a community aphasia program. In FY 2018, SRAlab provided 401,080 hours of participation to more than 1,200 participants in the Adaptive Sports Program. As part of its vocational rehabilitation program, for the first time SRAlab offered no-cost and accessible GED classes at its downtown Chicago location (541 N. Fairbanks). This program is offered to any individual with a spinal cord injury (SCI) who is looking to earn his or her GED. Unlike other GED programs, the SRAlab vocational facility is an accessible location, and the computer lab is equipped with assistive technology. Shirley Ryan AbilityLab Part V, Section B, Line 16j: 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. Shirley Ryan AbilityLab: Part V, Section B, Line 16a: The financial assistance policy (FAP) was widely available at the following URL: https://www.sralab.org/charity-care-financial-assistance Shirley Ryan AbilityLab: Part V, Section B, Line 16b: The FAP application form was widely available at the following URL: https://www.sralab.org/charity-care-financial-assistance Shirley Ryan AbilityLab: Part V, Section B, Line 16c: A plain language summary was widely available at the following URL: https://www.sralab.org/charity-care-financial-assistance 12 1 - SRAlab Burr Ridge OP & DayRehab Ctr 6705 Kingery Highway Willowbrook IL 60527 Day Rehabilitation & Outpatient Rehabilitation 2 - SRAlab Homewood - DayRehab Center 1055 W 175th Street Suite 101 Homewood IL 60430 Day Rehabilitation & Physician Practice 3 - Streeterville DayRehab Center 345 E Superior Chicago IL 60611 Day Rehabilitation 4 - SRAlab Wheeling DayRehab Center 5150 Capitol Drive Wheeling IL 60090 Day Rehabilitation 5 - SRAlab Pain Management Center 345 E Superior Chicago IL 60611 Day Rehabilitation & Physician Practice 6 - SRAlab Northbrook OP & DayRehab Ctr 755 Skokie Boulevard Northbrook IL 60662 Day Rehabilitation & Outpatient Rehabilitation 7 - SRAlab River Forest OP & DayRehab Ctr 420 Thatcher Avenue Chicago IL 60305 Outpatient Rehabilitation & Physician Practice 8 - SRAlab OP Northbrook Ctr (annex) 900 N Skokie Boulevard Northbrook IL 60062 Outpatient Rehabilitation & Physician Practice 9 - SRAlab River North - DayRehab Center 307 W Grand Avenue Chicago IL 60610 Day Rehabilitation 10 - Glenview Pediatric & DayRehab Center 2591 Compass Road Glenview IL 60026 Outpatient Rehabilitation & Day Rehabilitation 11 - AMITA Health Alexian Bros Elk Grove 935 Beisner Road Elk Grove Village IL 60007 Physician Practice 12 - SRAlab Ravenswood - DayRehab Center 1945 W Wilson Avenue Suite 100 Chicago IL 60640 Day Rehabilitation Part I, Line 7: The best available data was used to calculate the cost amounts reported. The Medicare cost report was the source used where a program category was separately identifiable. In other cases the internal cost allocation model was used as the source of the cost. The Medicare cost report cost to charge ratio was used to determine the cost of charity and bad debt. Part III, Line 2: The bad debt expense was estimated by multiplying the cost to charge ratio from Worksheet C of the Medicare cost report times the provision for bad debt for the year. Part III, Line 3: Amounts have been reported on Schedule H, Part III, Line 3 for SRAlab joint ventures to estimate the amount of bad debt expense attributable to patients eligible under these organizations' financial assistance policies. Southern Illinois Hospital (SIH) provided the SRAlab share amounts for bad debt at cost and bad debt at cost attributable to patients eligible under the SIH financial assistance policy. Alexian Brothers Medical Center (ABMC) and Illinois Masonic Medical Center (IMMC) provided financial statements for SRAlab to determine the amounts for bad debt. Bad debt at cost attributable to patients eligible under the ABMC and IMMC financial assistance policies was estimated by 1) using the ABMC and IMMC Schedule H's to calculate a ratio of bad debt at cost attributable to patients eligible under their respective financial assistance policies over their bad debt at cost, and 2) applying this ratio to the bad debt that SRAlab has determined from the financial statements of ABMC and IMMC.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. Part III, Line 4: 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. Part III, Line 8: The portion of our Medicare shortfall reported on Part III, Line 7 which relates to patients that are dual eligible for both Medicare and Medicaid should be treated as community benefit consistent with our State of Illinois Annual Non Profit Hospital Community Benefits Plan Report. The amount on Line 7 related to these dual eligible patients is $2,182,752.The cost to charge ratio from Worksheet C of the Medicare cost report times the Medicare gross charges from the cost report less GME payments was used to determine Medicare allowable cost. Part III, Line 9b: 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 pre-conditions 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. Part VI, Line 2: The needs of SRAlab's community are assessed on an ongoing basis as part of our routine operations and in accordance with IRS regulations relating to the Community Health Needs Assessment. A formal assessment is performed periodically related to the community health needs assessment. SRAlab receives input from our community through patient feedback programs, community support groups and through our clinicians and physicians who are interacting with patients every day. The SRAlab Henry B. Betts LIFE Center provides education and support for the disabled community regardless if they receive services from SRAlab or not. LIFE web traffic in FY 2018 averaged 19,093 page views per month with 229,127 page views annually. Total outreach and service efforts represented 9,666 person contacts. This included individualized teaching sessions with patients, families, staff, and visitors, as well as a wide variety of education programs, support groups, special events, and tours with prospective patients and families. Through this connection we are able to collect and track the resource needs of our community. We also have a number of disabled members on our governing and auxiliary boards. These individuals help guide the mission, vision and services at SRAlab.In 2016, SRAlab undertook a formal process which included review of medical literature relating to significant rehabilitation needs, a community focus group, and a review of historical patient characteristics in order to assess and develop its FY 2016 Community Health Needs Assessment. SRAlab is in the process of conducting its FY 2019 Community Health Needs Assessment. Part VI, Line 3: 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. 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. Part VI, Line 4: 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 79% of SRAlab inpatients come from Chicago and its 7 surrounding counties. This represents a primary reach of approximately 50 miles. In addition to those Chicago area patients, SRAlab also cared for patients from 48 states and handled referrals from 57 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 45-64 years of age and older. However, SRAlab continues to serve this group of people and conducts strategic planning around patients of varying ages. Part VI, Line 5: 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 used to support these non-revenue patient centered activities as well as develop programs, sponsor research and improve facilities. Part VI, Line 7, Reports Filed With States IL 1 CARES - Chicago Association for Research & Education in Science 5000 S 5th Avenue Building One Room C303 Hines IL 60141 363334177 501(c)(3) 18017 Payments for research related activities Carnegie Mellon University 5000 Forbes Avenue Pittsburgh PA 15213 250969449 501(c)(3) 178597 Payments for research related activities Center For Veterans Research And Education 1 Veterans Drive Suite 3M Minneapolis MN 55417 411652941 501(c)(3) 62654 Payments for research related activities Cirtec Medical LLC 101 Cooper Court Los Gatos CA 95032 208007459 148705 Payments for research related activities COAPT LLC 222 W Ontario Suite 220 Chicago IL 60654 455122988 17591 Payments for research related activities Craig Hospital 3425 South Clarkson Street Englewood CO 80113 237352287 501(c)(3) 10000 Payments for research related activities Dephy Inc 50 Terminal St Building 2 Unit 520 Boston MA 02129 474753699 7800 Payments for research related activities DHM Chicago Hotel LP 160 E Huron Street Chicago IL 60611 208025891 14819 Payments for research related activities Henry M Jackson Foundation 6720 A Rockledge Drive Suite 100 Bethesda MD 20817 521317896 501(c)(3) 43011 Payments for research related activities Indiana University 1701 N Senate Blvd MT 300 Indianapolis IN 46202 356001673 501(c)(3) 293005 Payments for research related activities Junior Achievement Of Chicago 651 W Washington Boulevard Chicago IL 60661 362170141 501(c)(3) 7750 Fundraising Event - Operational support Mary Free Bed Hospital & Rehabilitation Center 235 Wealthy Street SE Grand Rapids MI 495035299 381359265 501(c)(3) 120482 Payments for research related activities Massachusetts Institute Of Technology McGovern Institute for Brain Science BLDG46-6189 Cambridge MA 02140 042103594 501(c)(3) 31890 Payments for research related activities Medical Engineering & Development Institute Inc 1330 Win Hentschel Boulevard West Lafayette IN 47906 473049436 501(c)(3) 25000 Payments for research related activities Medical University Of South Carolina 19 Hagood Ave Suite 505 Charleston SC 29425 576000722 Gov't Entity 32757 Payments for research related activities North Carolina State University 2701 Sullivan Drive Campus Box 7514 7514 Raleigh NC 276957514 566000756 Gov't Entity 60153 Payments for research related activities Northwestern University 710 N Lakeshore Drive Chicago IL 60611 362167817 501(c)(3) 1585840 Payments for research related activities Pathways Foundation 2591 Compass 100 Glenview IL 60026 363677342 501(c)(3) 8500 Fundraising event - Operational Support President And Fellows Of Harvard College DBA Harvard University 1033 Massachusetts Ave 2nd floor Cambridge MA 02138 042103580 501(c)(3) 19303 Payments for research related activities Purdue University 401 S Grant St West Lafayette IN 479072024 356002041 501(c)(3) 66401 Payments for research related activities Regents Of The University Of California 111 Academy Way 210 Irvine CA 92697 952226406 501(c)(3) 29168 Payments for research related activities Regents Of The University Of Michigan 3003 South State Street 2050 Wolverine Tower 1080 Ann Arbor MA 48109 386006309 501(c)(3) 123121 Payments for research related activities Southern Illinois Hospital Services - SIH Foundation 1239 E Main Street PO3988 Carbondale IL 629023988 370618939 501(c)(3) 5250 Operational support - Sponsor Stanford University 3145 Porter Drive Palo Alto CA 94304 941156365 501(c)(3) 20483 Payments for research related activities The General Hospital Corporation DBA Mass General Hospital 55 Fruit Street Boston MA 02114 041564655 501(c)(3) 16452 Payments for research related activities The Metis Foundation 300 Convent Street Suite 1330 San Antonio TX 78205 472219464 501(c)(3) 31681 Payments for research related activities Trustees Of The University Of Pennsylvania 3451 Walnut Street P221 Franklin Building Philadelphia PA 191046205 231352685 501(c)(3) 8047 Payments for research related activities University Of Alabama - Birmingham 701 20th Street South 770 Admin Bldg Birmingham AL 35294 636005396 501(c)(3) 48241 Payments for research related activities University Of California - Irvine 111 Academy Way Suite 210 Irvine CA 926971050 952540117 501(c)(3) 58278 Payments for research related activities University Of Colorado - Boulder 3100 Main St Boulder CO 803090572 846049811 501(c)(3) 50669 Payments for research related activities University Of Illinois 1305 W Green St Urbana IL 61801 376006007 Gov't Entity 361704 Payments for research related activities University of Miami 1400 NW 10th Avenue Miami FL 33136 590624458 501(c)(3) 19907 Payments for research related activities University Of Wisconsin - Madison 1300 University Ave Madison WI 53706 396006492 501(c)(3) 19161 Payments for research related activities Vanderbilt University 2301 Vanderbilt Place PMB 401810 Nashville TN 37240 620476822 501(c)(3) 195855 Payments for research related activities West Side Institute For Science And Education 820 S Damen Ave 151 Chicago IL 606123728 363712391 501(c)(3) 7206 Payments for research related activities 31 4 Stipends/Honorariums 31 26250 Research - Professional Services 31 160648 Subject Reimbursements 6197 222864 Part I, Line 2: 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, 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 0 1 X X X X 0 1 0 0 0 0 0 1 0 Joanne C Smith MD President, CEO 1066998 0 1464790 0 1467465 0 207438 0 144775 0 4351466 0 1435574 0 Edward B Case Executive VP, CFO (Thru 11/16/17) 697140 0 1002896 0 762425 0 1386376 0 23937 0 3872774 0 732707 0 Jonathan M Tingstad Senior VP, CFO (Begin 11/16/17) 158859 0 0 0 9190 0 0 0 2315 0 170364 0 0 0 Nancy E Paridy Sr. VP, Chief Admin. Officer 495911 0 365600 0 125483 0 37234 0 26552 0 1050780 0 115421 0 Peggy M Kirk Sr. VP, Clinical Operations 584988 0 404760 0 601299 0 82678 0 27834 0 1701559 0 591237 0 Richard Lieber PhD Sr. VP, Research 612319 0 409602 0 15444 0 0 0 27834 0 1065199 0 0 0 Elizabeth Owens Sr. VP, Chief Marketing & Innov. 492105 0 370000 0 10062 0 0 0 16435 0 888602 0 0 0 James Sliwa DO Chief Medical Officer 459535 0 336296 0 528281 0 202138 0 16993 0 1543243 0 498563 0 Collins Fitzpatrick MD Medical Director 888982 0 83958 0 78847 0 16473 0 25083 0 1093343 0 75337 0 Steven Nussbaum MD Medical Director 378818 0 37847 0 134309 0 7226 0 27647 0 585847 0 0 0 William Rymer MD PhD Former Key Employee 343897 0 0 0 30307 0 0 0 8792 0 382996 0 0 0 Part I, Line 1a Gross-up Payments: The organization provides additional disability insurance for the Chief Executive Officer. The CEO purchases the policy and then is reimbursed by the organization. The amount is grossed up to cover applicable taxes. Part I, Line 1b The organization does not have a written policy. Reimbursements are made pursuant to an agreement. Part I, Line 4b 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 individuals received a current year distribution: Joanne C. Smith, M.D. - $1,435,574 Edward B. Case - $732,707 Nancy E. Paridy - $115,421 Peggy M. Kirk - $591,237 James Sliwa, D.O. - $498,563 Collins Fitzpatrick, M.D. - $75,337 Steven Nussbaum, M.D. - $127,828 Part I, Line 7 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. A Illinois Finance Authority 861091967 45203HTC6 2013-07-11 398898603 Refund of bonds issued 11/22/2005 and 12/10/2009 0 0 0 B Illinois Finance Authority 861091967 000000000 2016-12-01 274055000 Refund of Series 2013B-E bonds issued 7/11/2013 0 0 0 A 277285000 398962831 20766358 2577151 327613148 48006174 2017 1 0 1 1 B 5325000 274055000 1055000 273000000 1 0 1 1 A 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 0 B 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 1 1 0 0 1 0 B 0 1 0 0 1 0 0 0 0 A 0 B 0 Date Rebate Computation Performed Issuer Name: Illinois Finance Authority Date the Rebate Computation was Performed: 08/10/2018 Part I, Bond Issues, Bond A: (a) Issuer Name: Illinois Finance Authority, (f) Description of Purpose: Refund bonds issued 11/22/2005 and 12/10/2009; build new research hospital. Part I, Bond Issues, Bond B: (a) Issuer Name: Illinois Finance Authority (f) Description of Purpose: Refund of Series 2013B-E bonds issued 7/11/2013. 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. Part I, Column (c), Bond B: There is no CUSIP number. 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. 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. 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 issues (section 1.141-12 self-remediation procedures, arbitrage restrictions, VCAP), and we will seek professional assistance at the appropriate time, as necessary. Part IV, Column (A), Line 6: 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. 0 See Part V See Part V 35211672 See Part V 0 See Part V See Part V 216381 See Part V 0 See Part V See Part V 1632304 See Part V 0 See Part V See Part V 4563895 See Part V 0 See Part V See Part V 261350 See Part V 0 See Part V See Part V 215625 See Part V 0 See Part V See Part V 599998 See Part V 0 Schedule L, Part IV: Business Transactions Involving Interested Persons:(a) Name of Person: Substantial Contributor(b) Relationship Between Interested Person and the Organization: Substantial Contributor(d) Description of Transaction: Construction Services Schedule L, Part IV: Business Transactions Involving Interested Persons:(a) Name of Person: Substantial Contributor(b) Relationship Between Interested Person and the Organization: Substantial Contributor(d) Description of Transaction: Actuarial Services Schedule L, Part IV: Business Transactions Involving Interested Persons:(a) Name of Person: Substantial Contributor(b) Relationship Between Interested Person and the Organization: Substantial Contributor(d) Description of Transaction: Construction Project Manager Schedule L, Part IV: Business Transactions Involving Interested Persons:(a) Name of Person: Substantial Contributor(b) Relationship Between Interested Person and the Organization: Substantial Contributor(d) Description of Transaction: Contractor Services Schedule L, Part IV: Business Transactions Involving Interested Persons:(a) Name of Person: Substantial Contributor(b) Relationship Between Interested Person and the Organization: Substantial Contributor(d) Description of Transaction: Architectural Fees Schedule L, Part IV: Business Transactions Involving Interested Persons:(a) Name of Person: Substantial Contributor(b) Relationship Between Interested Person and the Organization: Substantial Contributor(d) Description of Transaction: Pension and Actuarial Services Schedule L, Part IV: Business Transactions Involving Interested Persons:(a) Name of Person: Substantial Contributor(b) Relationship Between Interested Person and the Organization: Substantial Contributor(d) Description of Transaction: Developer Management Fees related to new hospital Schedule L, Part IV: Business Transactions Involving Interested Persons:All transactions between SRAlab and the organization were done at arms-length and for fair market value. X 34 975880 Cost or Selling Price X Rolex Watches 4 40000 Cost or Selling Pric 0 0 0 1 Part I, Column (b): The number in Column (b) refers to the number of contributions. Part I, Line 32b: Gifts of stock are processed by a third party which has an immediate sell order for all stock gifts received. Form 990, Part VI, Section A, line 3 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, Section A, line 6 Rehabilitation Institute, Inc. (RII) is the sole corporate member of SRAlab. Form 990, Part VI, Section A, line 7a RII has the ability to elect members of the governing body. Form 990, Part VI, Section A, line 7b RII is the sole member with the sole voting rights to do the following: appoint SRAlab board members; approve amendments to the articles of incorporation and bylaws; approve corporation annual budget and long-range plan; approve those contracts and loans in excess of $250,000 not included in previously approved budget; approve any merger, consolidation, voluntary dissolution or creation of any subsidiary; and approve the sale, lease, exchange, mortgage, pledge or other disposition of all or substantially all of the corporation assets. Form 990, Part VI, Section B, line 11b Data for the Form 990 is prepared internally, and a third party tax preparer then prepares the Form 990. It is then reviewed internally and presented electronically first to the Finance and Audit Committee of the Board and then distributed electronically to the full Board. Form 990, Part VI, Section B, line 12c 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. Form 990, Part VI, Section B, line 15 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). Form 990, Part VI, Section C, line 19 SRAlab does not routinely make documents available to the general public, but the conflict of interest policy and financial statements are made available to the public on an as needed basis after thorough consideration for the use. Form 990, Part XI, line 9: Pension Adjustment 13,359,718. Interest Rate Swap 4,337,040. Transfer of Net Assets from Pathways Foundation 376,318. Medical Services SRALAB 355 East Erie Street Chicago IL 60611 911999919 Physician Practice Billing and Collections IL 0 0 N/A Rehabilitation Institute Inc 355 East Erie Street Chicago IL 60611 363310838 Parent IL 501(c)(3) 12b, II N/A 0 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 1 Rehabilitation Institute of Chicago Enterprises 355 East Erie Street Chicago IL 60611 363428852 Medical Products/Medical Services IL Rehabilitation Institute Inc C 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 Pathways Foundation Q 781663 Book value Pathways Foundation S 376318 Book value