2020-07-09T14:00:37-05:00 2019-08-31 350921680 CROWE LLP 225 West Wacker Drive Suite 2600 Chicago IL 606061224 990 2018-09-01 362256036 Rehabilitation Institute of Chicago REHA 3122381000 355 East Erie Street Chicago IL 60611 Jonathan M Tingstad Senior VP & CFO 2020-07-09 true Nicole Bencik P00756195 3128997000 2018 2020-09-23 17:36:50Z Shirley Ryan AbilityLab Dr Joanne Smith President & CEO 355 East Erie Street Chicago IL 60611 440626747 false X www.sralab.org X 1951 IL The Rehabilitation Institute of Chicago DBA Shirley Ryan AbilityLab (SRAlab) is dedicated to providing the best patient outcomes through the highest-quality clinical care, translational research, scientific discovery and education. 17 16 2626 903 5880557 2310215 35766892 41104126 259130667 275431432 15923247 8094256 5090619 10756565 315911425 335386379 4335469 4561207 0 0 183618375 195611024 0 0 2656090 125257445 127117051 313211289 327289282 2700136 8097097 1137757029 1119350954 523433511 550259871 614323518 569091083 X SRAlab is dedicated to providing the best patient outcomes through the highest-quality clinical care, translational research, scientific discovery and education. false false 234170957 37738 274007802 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 NSTITUTE 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 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 for 29 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: 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 2019 SRAlab treated more than 6,800 inpatients throughout its system of care and delivered approximately 2.0 million outpatient therapy units. SRAlab's facilities are staffed by approximately 2,600 medical professionals and support personnel, a dedicated team who in FY 2019 treated patients from 47 states as well as the District of Columbia and handled referrals from 43 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-nine 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. 30575400 4523469 2088927 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. 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. 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 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. 9631888 0 1493711 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 2019, 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. Fellowships: SRAlab offers 5 physician sub-specialty fellowships, funded primarily by donations, in Sports Medicine, Pain Medicine, Pediatric Rehabilitation, Traumatic Brain Injury Rehabilitation, and Spinal Cord Injury Rehabilitation. In FY 2019, 13 physician fellows were named at SRAlab, 2 in spinal cord medicine, 4 in sports medicine, 3 in pediatric rehabilitation, 2 in Brain injury and 2 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. Academy: The Academy has offered continuing education courses aimed at helping healthcare professionals stay at the forefront of their field for 60 years. In FY 2019, five 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 courses were offered in a variety of formats including webinars, on-site and online courses, outreach programs and podcasts. This year, the Academy also developed and rolled out training to an international rehabilitation hospital that was introducing this level of care for the first time in their country. 5906468 0 714423 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 2019 averaged 28,723 page views per month with 344,686 page views annually from more than 200 countries. The 15,809 unique users each month were reflective of a 64% increase from FY 2018. This past year, the highest international web activity occurred in the United Kingdom, Australia, Canada, India, Philippines, South Africa, Ireland, Malaysia and Singapore. In FY 2019, total outreach and service efforts represented 9,953 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 38th year in FY 2019, are free of charge. The fitness program, which celebrated its 23rd 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 10,200 hours in FY 2019. The Shirley Ryan Adaptive Sports and Fitness Program is considered a national leader in health promotion for people with disabilities. In FY 2019, the sports program recorded 7,993 visits by its 367 registered participants, and the fitness program recorded 29,050 visits by its 752 registered participants in addition to 7,461 class visits. A separate program for youth, the Caring for Kids program, recorded 1,404 visits by 200 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 2019 the program served 994 clients. In the last year, we placed 62 individuals in jobs and are pleased to report an average annual job retention rate of 89%. We continue to provide no cost GED program for patients with spinal cord injuries to our list of services. 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. 5906468 714423 280284713 true true false true false false false false true true true false false true true false true false true true true true false true false true true true true true true true false false false false false false true false true true false false false true true true true false false true X 223 0 true 2626 true true true false false false false true true true false false false true false X 17 16 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 40.0 2.0 X X 3236965 0 325953 M Jude Reyes Chairman 1.0 2.0 X X 0 0 0 Thomas A Reynolds III Vice Chairman 1.0 1.0 X X 0 0 0 Michael P Krasny Vice Chairman 1.0 1.0 X X 0 0 0 William J Cernugel Director 1.0 1.0 X 0 0 0 William E Lowry Jr Director 1.0 1.0 X 0 0 0 Wayne R Andersen Director 1.0 1.0 X 0 0 0 Shirley W Ryan Director 1.0 2.0 X 0 0 0 Sheli Rosenberg Director 1.0 1.0 X 0 0 0 Robert O Delaney Jr Director 1.0 1.0 X 0 0 0 Michael L Keiser Director 1.0 1.0 X 0 0 0 Mark F Stephan Director 1.0 1.0 X 0 0 0 Linda S Wolf Director 1.0 1.0 X 0 0 0 James H Litinsky Director 1.0 1.0 X 0 0 0 Daniel D Dolan Jr Director 1.0 1.0 X 0 0 0 Dan K Webb Director 1.0 1.0 X 0 0 0 Christopher Gust Director 1.0 1.0 X 0 0 0 Nancy E Paridy SVP, Chief Administrative Officer, Secretary 40.0 2.0 X 986167 0 82840 Jonathan Myer Tingstad SVP, Chief Financial Officer, Treasurer 40.0 2.0 X 801282 0 46969 Elizabeth Owens SVP,Chief Marketing and Innovation Officer 40.0 0.0 X 997897 0 118414 Peggy M Kirk SVP, Chief Operating Officer 40.0 0.0 X 1138463 0 151154 Richard Lieber PhD SVP of Research, Chief Scientific Officer 40.0 0.0 X 1132592 0 140931 Collins Fitzpatrick MD Medical Director 40.0 0.0 X 985312 0 27565 James Sliwa DO Chief Medical Officer 40.0 0.0 X 892296 0 16984 Stacy Fuller McCarty Attending Physician 40.0 0.0 X 496794 0 30469 David Chen Medical Director 40.0 0.0 X 495697 0 35413 Keith Lawrence Burchill Attending Physician 40.0 0.0 X 474865 0 26985 Edward B Case Executive VP, CFO 40.0 0.0 X 1760572 0 0 13398902 0 1003677 213 true true false KRUSINSKI CONSTRUCTION COMPANY 2107 SWIFT DRIVE OAK BROOK IL 60523 Construction Services 7123328 POWER CONSTRUCTION COMPANY LLC 8750 W BRYN MAWR CHICAGO IL 606313546 Construction Services 5081454 CROTHALL 1500 LIBERTY RIDGE DR WAYNE PA 19087 Facility Care Services 4402587 CERNER CORPORATION PO BOX 959156 ST LOUIS MO 631959156 IT Services 3730405 MCGAW MEDICAL CENTER NORTHWESTERN UNIVERSITY CHICAGO IL 606110402 Medical Services 3081365 89 X 4764243 14498434 21841449 2719200 41104126 Net Patient Revenue 621990 256403967 256403967 Affiliation Income 900099 12294760 9014418 3280342 Sponsored Research Rev 541700 1843559 1843559 Medicare GME Payment 622310 945716 945716 Cerner Clinical Collab 622310 842645 842645 3100785 3100785 0 0 275431432 4952352 688007 4264345 155829 155829 46202 0 46202 0 46202 46202 106505550 1197156 103846688 714114 2658862 483042 3141904 3141904 244139 4764243 679566 -435427 0 -435427 0 0 0 0 0 0 Consulting 900099 8019779 6107571 1912208 Parking 900099 1435485 1435485 Cafeteria Sales 900099 1534697 1534697 0 0 0 0 10989961 335386379 278304863 5880557 10096833 4169720 4169720 267487 267487 124000 124000 0 0 9159627 2311692 6836772 11163 1797283 1797283 150141211 138273367 10176661 1691183 7461969 6862113 515107 84749 16556250 14589762 1787541 178947 10494684 9491497 889568 113619 4459284 3612354 840492 6438 680163 6919 673244 0 346190 0 346190 0 169396 0 169396 0 0 0 1036085 0 1036085 0 19265448 13707031 5475348 83069 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-55802470 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 5722 false true 181518 187240 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY SRALAB LOBBIES FEDERAL AND STATE GOVERNMENT ON ISSUES RELATED TO MEDICARE, MEDICAID AND OTHER GOVERNMENT HEALTH CARE PROGRAMS RELATED TO THE REHABILITATION FIELD. THE COSTS RELATED TO THIS ACTIVITY AMOUNTS TO $5,722. THE MAJORITY OF LOBBYING EXPENSES, $163,674, ARE PAID TO THIRD PARTY LOBBYING FIRMS. ADDITIONALLY, A PERCENTAGE OF THE TOTAL DUES FOR THE ILLINOIS HOSPITAL ASSOCIATION (39% IN CALENDAR YEAR 2018; 37% IN CALENDAR YEAR 2019) AND AMERICAN MEDICAL REHABILITIATION PROVIDERS ASSOCIATION(36% IN CALENDAR YEAR 2018; SRALAB WAS NOT A MEMBER IN 2019) GOES TOWARD LOBBYING EFFORTS, WHICH AMOUNTS TO $17,844. 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. 102581910 2574460 2668502 4263105 103561767 96665403 3848140 6282143 4213776 102581910 90198061 22014 10561102 4115774 96665403 91076133 19680 3205248 4103000 90198061 96081147 327261 -1328828 4003447 91076133 0.0419 0.4186 0.5395 false false 32336315 32336315 531451374 39609108 491842266 17613264 0 17613264 117415644 63023536 54392108 7640521 0 7640521 603824474 Cash and Cash Equivalents 20052303 F Absolute Return 62230001 F Hedged Equity 25673154 F International Equity 48506979 F International Hedged Equity 4708510 F Pvt Equity, Real Assets & Contracts 29353439 F 190524386 Self-Insurance Reserves 7185540 Estimated Third Party Settlements Payable 8650043 Due to Affiliates (Pathways) 1195256 Accrued Pension 100726966 457 Plan Liability 15150613 SWAP Liability 15565540 Deferred Lease Liability 1697256 Lease Incentive Obligation 1905334 Bond Issuance Fee + Annuity Liability 101618 152178166 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. In fiscal year 2019, the Corporation is also subject to the 2018 Tax Cuts and Jobs Act, generating various other taxes. Included in the consolidated statements of operations and changes in net assets is the provision for current taxes of $1,630,000 and $793,000 for the years ended August 31, 2019 and 2018, respectively. The corporations do not have any material tax positions as of August 31, 2019 and 2018. true Middle East and North Africa 0 0 Program Services Travel related to clinical care, education and training, and business development. 474897 North America (Canada & Mexico only) 0 0 Program Services Business Development 38398 Europe (Including Iceland and Greenland) 0 0 Speaking engagements,Conference Travel 94940 Europe (Including Iceland and Greenland) 0 0 Program Services Payments for Medical research related activities. 35000 East Asia and the Pacific 0 0 Program Services Business Development 17518 Europe (Including Iceland and Greenland) 0 1 Grantmaking 89000 Europe (Including Iceland and Greenland) ,Air Travel, related to Employee Recruitment 3200 0 1 0 0 0 1 752953 0 752953 Europe (Including Iceland and Greenland) Medical Research 35000 Electronic Fund/Wire Transfer 0 1 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 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. 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 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. Spark! 3131587 2995737 135850 0 0 0 88076 0 368147 SkyRise Chicago 1218016 1157061 60955 0 1429 2533 0 0 133986 3 658779 611445 47334 0 223 3500 20671 800 60201 5008382 4764243 244139 0 1652 6033 108747 800 562334 679566 -435427 true true X true X 250 true X 600 true true false true true 423637 0 423637 0.0013 41430290 30304225 11126065 0.0340 416435 207702 208733 0.0006 0 0 42270362 30511927 11758435 0.0359 5289942 473948 4815994 0.0147 9631888 1493711 8138177 0.0249 616526 240475 376051 0.0011 30575400 19331300 11244100 0.0344 0 0 0 0.0 0 0 46113756 21539434 24574322 0.0751 0 0 88384118 52051361 36332757 0.1110 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 1715631 13978 61171739 74952938 -13781199 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 18 true false false true X https://www.sralab.org/community-health-needs-assessment X true 18 false true 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 See Part V, Section C 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. FACILITY NAME: SHIRLEY RYAN ABILITYLAB As part of developing its 2019 Community Health Needs Assessment, and, in order to assess the significant health needs of its community, Shirley Ryan AbilityLab invited a number of leaders of the health community to participate in a Focus Group. These leaders included persons with special knowledge or expertise in public health, federal, state or local health departments, or agencies with current data or other information relevant to the health needs of the community. Participants included leaders, representatives or members of medically underserved, low-income and minority populations, and populations with chronic disease needs. Shirley Ryan AbilityLab is grateful for the discussion and input provided by the following Focus Group participants: -Access Living -Brain Injury Association of Illinois -Chicago Park District -EOA Consulting, LLC. -Illinois DHS - Division of Rehabilitation Services -Open Doors (Consultant) -Parkinson's Disease & Movement Disorder Center, Northwestern University -Sliding Board Productions, Inc. -Spinal Cord Injury Association of Illinois -Shirley Ryan AbilityLab Peer Mentor Program *Indicates an organization that represents the medically underserved, low-income, or minority populations. The Focus Group meeting was held on May 21, 2019, at Shirley Ryan AbilityLab. 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. In order to identify the significant community health needs, Shirley Ryan AbilityLab analyzed the information obtained in the Assessment process. Focus Group participants were asked to consider the significant rehabilitation health needs of their respective communities. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Shirley Ryan AbilityLab. FACILITY NAME: SHIRLEY RYAN ABILITYLAB DESCRIPTION: SRALAB CONDUCTED AND ADOPTED ITS SECOND COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING TAX YEAR 2015 AND IDENTIFIED THE FOLLOWING FIVE 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 THIS CHNA ARE BEING ADDRESSED. SRALAB TOOK THE FOLLOWING ACTIONS DURING TAX YEAR 2018 WITH RESPECT TO THE 2015 CHNA. IN TAX YEAR 2018, SRALAB CONDUCTED ITS THIRD CHNA. IN THE AREA OF REHABILITATION HEALTH, SRALAB CONTINUED TO SERVE AN ARRAY OF PATIENTS WITH REHABILITATION NEEDS TO IMPROVE AND ELIMINATE THE EFFECTS OF INJURY, DISEASE, AND DEBILITATING HEALTH CONDITIONS. THE PATIENTS TREATED INCLUDED ADULT AND PEDIATRIC PATIENTS WITH AMPUTATIONS AND OTHER LIMB DEFICIENCIES, NEURO MUSCULOSKELETAL INJURIES, BRAIN INJURIES, SPINAL CORD INJURIES, STROKE REHABILITATION, AND CANCER REHABILITATION. IN MARCH 2017, THE NEW FLAGSHIP HOSPITAL OPENED, ALLOWING SRALAB TO CONTINUE ITS WORK TOWARD THE VISION OF ADVANCING PATIENT OUTCOMES THROUGH THE INTEGRATION OF RESEARCH AND CLINICAL CARE. IN ADDITION TO THIS WORK AT THE FLAGSHIP HOSPITAL, FY 2019 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 DAYS A WEEK, TO SIX HOURS OF THERAPY PER DAY, FIVE DAYS A WEEK. SRALAB'S EXISTING SITES WERE AT CAPACITY. IN FY 2019, SRALAB BEGAN WORK TO RELOCATE ITS HOMEWOOD DAYREHAB CLINIC, WITH THE GOAL OF IMPROVING ACCESS AND EXTENDING THE STANDARDS OF CARE EMANATING FROM THE NEW FLAGSHIP HOSPITAL TO THE DAYREHAB SETTING. THE RELOCATION WAS COMPLETED AND THE NEW FACILITY OPENED IN OCTOBER 2019. ALSO IN FY2019, WE BEGAN THE WORK OF RELOCATING THE WHEELING DAYREHAB TO ARLINGTON HEIGHTS. ONCE OPENED, THIS WILL FURTHER SUPPORT THE REHABILITATION HEALTH NEEDS OF OUR PATIENTS. IN TAX YEAR 2018, RESEARCHERS AT SRALAB TESTED AN FDA-APPROVED DRUG ON STEM CELLS FROM CHILDREN WITH CEREBRAL PALSY. THEY SHOWED THAT THIS DRUG "RESCUES" THE PROBLEMS WITH THE CELLS THAT MAY CAUSE CONTRACTURE. THIS LEADS TO A COMPLETELY NEW AREA OF RESEARCH OF "DRUG REPURPOSING" THAT MAY ALLOW FDA-APPROVED DRUGS TO BE APPLIED TO OUR PATIENTS, MUCH FASTER THAN THE NORMAL DISCOVERY/TRANSLATION CYCLE. ADDITIONALLY, OUR INVESTIGATORS HAVE CREATED A SENSOR-BASED METHOD TO TEST FOR SLEEP QUALITY. BECAUSE SLEEP IS SUCH A CRITICAL ASPECT OF RECOVERY, WE ANTICIPATE DEPLOYING THIS TECHNOLOGY THROUGHOUT THE HOSPITAL. FINALLY, WE HAVE APPLIED A NOVEL DEVICE THAT DELIVERS ELECTRICAL CURRENT TO THE SPINAL CORD OF STROKE PATIENTS THROUGH THE SKIN. THIS "ELECTROTHERAPY" HAS BEEN SHOWN IN OUR PILOT STUDY TO IMPROVE THE SPEED, SYMMETRY AND EFFICIENCY OF WALKING, EVEN IN PATIENTS WHO HAD STROKES OVER 10 YEARS AGO. IN THE AREA OF IMPROVED ACCESS TO INFORMATION 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 2019 AVERAGED 28,723 PAGE VIEWS PER MONTH WITH 344,686 PAGE VIEWS ANNUALLY FROM MORE THAN 200 COUNTRIES. THE 15,809 UNIQUE USERS EACH MONTH WERE REFLECTIVE OF A 64% INCREASE. THIS PAST YEAR, THE HIGHEST INTERNATIONAL WEB ACTIVITY OCCURRED IN THE UNITED KINGDOM, AUSTRALIA, CANADA, INDIA, PHILIPPINES, SOUTH AFRICA, IRELAND, MALAYSIA AND SINGAPORE. IN FY 2019, TOTAL OUTREACH AND SERVICE EFFORTS REPRESENTED 9,953 PERSON CONTACTS SERVED WHICH INCLUDES 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 SERVING 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, WHICH IS COMPRISED OF TRANSITION PLANNING PROGRAMS FOR ADOLESCENTS, CARING FOR KIDS, SPORTS & FITNESS CENTER PROGRAMMING, AND THE SRALAB MILITARY SPORTS CAMP. OTHER PROGRAMS OFFERED INCLUDE VOCATIONAL REHABILITATION AND A COMMUNITY APHASIA PROGRAM. IN FY 2019, SRALAB PROVIDED 394,350 HOURS OF PARTICIPATION TO MORE THAN 1,200 PARTICIPANTS IN THE ADAPTIVE SPORTS PROGRAM. AS PART OF ITS VOCATIONAL REHABILITATION PROGRAM, SRALAB CONTINUED TO OFFER 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 A GED. UNLIKE OTHER GED PROGRAMS, THE SRALAB VOCATIONAL FACILITY IS AN ACCESSIBLE LOCATION, AND THE COMPUTER LAB IS EQUIPPED WITH ASSISTIVE TECHNOLOGY. 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 SRAlab Burr Ridge OP & DayRehab Ctr 7600 County Line Road Burr Ridge IL 60527 Day Rehabilitation & Outpatient Rehabilitation Streeterville DayRehab Center 345 E Superior Chicago IL 60611 Day Rehabilitation SRAlab Homewood - DayRehab Center 1055 W 175th Street Suite 101 Homewood IL 60430 Day Rehabilitation & Physician Practice SRALAB Wheeling DayRehab Center 5150 Capitol Drive Wheeling IL 60090 Day Rehabilitation Glenview Pediatric & DayRehab Center 2591 Compass Road Suite 100 Glenview IL 60026 Outpatient Rehabilitation, Day Rehabilitation & Physician Practice SRAlab Pain Management Center 345 E Superior Chicago IL 60611 Day Rehabilitation & Physician Practice SRAlab Northbrook OP Ctr (annex) 900 N Skokie Blvd Northbrook IL 60062 Outpatient Rehabilitation & Physician Practice AMITA Health Alexian Bros Elk Grove 935 Beisner Road Elk Grove Village IL 60007 Physician Practice SRAlab River Forest OP & DayRehab Ctr 420 Thatcher Avenue Chicago IL 60355 Outpatient Rehabilitation & Physician Practice 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 2019. 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 The bad debt expense was estimated by multiplying the cost to charge ratio from Worksheet C of the Medicare cost report times the patient bad debt write-offs for the year. These amounts are actual write-offs by Patient Financial Services after applying any discounts and payments to the patient account. Schedule H, Part III, Line 3 Bad Debt Expense Methodology 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. 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 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. 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: See Part V, Section C; 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 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 tax year 2018 averaged 28,723 page views per month with 344,686 page views annually from more than 200 countries. Total outreach and service efforts represented 15,809 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 tax year 2018, 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 tax year 2018 Community Health Needs Assessment. 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 7 surrounding counties. This represents a primary reach of approximately 60 miles. Approximately 20.6% 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 14% 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 30 hospitals serving approximately 3 million people. In addition, to Chicago area patients, SRAlab also cared for patients from 39 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. 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 DHM Chicago Hotel LP 160 E Huron ST Chicago IL 60611 208025891 NA 7040 Payments for research study 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 study related activities The General Hospital Corporation DBA Mass General Hospital 55 Fruit Street Boston MA 02114 041564655 501(c)(3) 8208 Payments for research study related activities COAPT LLC 222 W Ontario Suite 220 Chicago IL 60654 455122988 NA 8836 Payments for research study related activities Medical Engineering & Development Institute Inc 1330 Win Hentschel Blvd West Lafayette IN 47906 473049436 501(c)(3) 9000 Payments for research study related activities Marquette University 561 N 15th Street SHC 346 Milwaukee WI 53233 390806251 501(c)(3) 10650 Payments for research study related activities Purdue University 401 S Grant St West Lafayette IN 479072024 356002041 501(c)(3) 14874 Payments for research study related activities Carnegie Mellon University 5000 Forbes Ave Pittsburgh PA 15213 250969449 501(c)(3) 18125 Payments for research study related activities Loyola University Chicago 820 N Michigan Ave Chicago IL 60611 361408475 501(c)(3) 19513 Payments for research study related activities University Of Notre Dame 731 Grace Hall Notre Dame IN 46556 350868188 501(c)(3) 20129 Payments for research study related activities University Of Colorado-Boulder 3100 Main St Boulder CO 803090572 846049811 501(c)(3) 30504 Payments for research study related activities North Carolina State University 2701 Sullivan Drive Campus Box 7514 Raleigh NC 276957514 566000756 Government Entity 32048 Payments for research study related activities Medical University Of South Carolina 19 Hagood Ave - Suite 505 Charleston SC 29425 576000722 Government Entity 37999 Payments for research study related activities Center For Veterans Research And Education 1 Veterans Drive Suite 3M Minneapolis MN 55417 411652941 501(c)(3) 54885 Payments for research study related activities James Madison University 738 S Mason Street Harrisonburg VA 22807 546001756 Government Entity 57687 Payments for research study related activities Shepherd Center 2020 Peachtree Rd NW Atlanta GA 30309 510141601 501(c)(3) 58713 Payments for research study related activities University Of Washington 3917 University Way NE Seattle WA 981051122 916001537 Government Entity 60733 Payments for research study related activities Mary Free Bed Hospital & Rehabilitation Center 235 Wealthy St SE Grand Rapids MI 495035299 381359265 501(c)(3) 77348 Payments for research study related activities University Of California Irvine 111 Academy Way Suite 210 Irvine CA 926971050 952540117 501(c)(3) 79160 Payments for research study related activities CARES- Chicago Association for Research & Education in Science 5000 S 5th Ave Bldg One Room C303 Hines IL 60141 363334177 501(c)(3) 79249 Payments for research study related activities Vanderbilt University PMB 401591 Nashville TN 372401591 620476822 501(c)(3) 94235 Payments for research study related activities Northwestern Memorial Hospital 251 E Huron Chicago IL 60611 360960170 501(c)(3) 114737 Payments for research study related activities University of Miami 1400 NW 10th Avenue Miami FL 33136 590624458 501(c)(3) 119201 Payments for research study related activities Henry M Jackson Foundation 6720 A Rockledge Drive Suite 100 Bethesda MD 20817 521317896 501(c)(3) 160543 Payments for research study related activities Indiana University 400 E 7th Street Bloomington IN 47405 356001673 Government Entity 236565 Payments for research study related activities Kessler Foundation 120 Eagle Rock Ave East Hanover NJ 079363147 311562134 501(c)(3) 238378 Payments for research study related activities Cirtec Medical LLC 101 Cooper Court Los Gatos CA 95032 208007459 NA 321765 Payments for research study related activities University Of Illinois 1305 W Green St Urbana IL 61801 376000511 Government Entity 455606 Payments for research study related activities Northwestern University 710 N Lakeshore Dr Chicago IL 60611 362167817 501(c)(3) 1690584 Payments for research study related activities Brain Research Foundation 111 W Washington St 1460 Chicago IL 60602 362477928 501(c)(3) 5000 Operational Support Parkinson's Foundation 200 SE 1st Street Suite 800 Miami FL 33131 131866796 501(c)(3) 5000 Operational Support SIH Foundation 1239 East Main Street PO Box 3988 Carbondale IL 629013988 271933790 501(c)(3) 5410 Operational Support 29 3 Stipends/Honorariums 3 7857 Research - Professional Services 23 53669 Subject Reimbursements 6082 205961 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 1115456 0 2090099 0 31410 0 183793 0 142160 0 3562918 0 0 0 Nancy E Paridy SVP, Chief Administrative Officer, Secretary 530374 0 445731 0 10062 0 67175 0 15665 0 1069007 0 0 0 Jonathan Myer Tingstad SVP, Chief Financial Officer, Treasurer 539996 0 196081 0 65205 0 16500 0 30469 0 848251 0 0 0 Elizabeth Owens SVP,Chief Marketing and Innovation Officer 548724 0 433729 0 15444 0 101988 0 16426 0 1116311 0 0 0 Peggy M Kirk SVP, Chief Operating Officer 649534 0 473485 0 15444 0 126906 0 24248 0 1289617 0 0 0 Richard Lieber PhD SVP of Research, Chief Scientific Officer 653369 0 463779 0 15444 0 118469 0 22462 0 1273523 0 0 0 Collins Fitzpatrick MD Medical Director 896313 0 85489 0 3510 0 25841 0 1724 0 1012877 0 0 0 James Sliwa DO Chief Medical Officer 459163 0 403415 0 29718 0 0 0 16984 0 909280 0 0 0 Stacy Fuller McCarty Attending Physician 446384 0 45845 0 4565 0 0 0 30469 0 527263 0 0 0 David Chen Medical Director 445146 0 42509 0 8042 0 18429 0 16984 0 531110 0 0 0 Keith Lawrence Burchill Attending Physician 396897 0 74032 0 3936 0 18135 0 8850 0 501850 0 0 0 Edward B Case Executive VP, CFO 13238 0 0 0 1747334 0 0 0 0 0 1760572 0 1737301 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. 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. 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) received a current year distribution: Edward B. Case - $1,737,301 The following listed person(s) participated in the 457(f) plan but did not receive any plan payments in calendar year 2018: Joanne C. Smith, M.D. Nancy E. Paridy. Jonathan Tingstad Peggy M. Kirk Elizabeth Owens Richard Lieber, Ph.D. James Sliwa, D.O. David Chen, M.D. Collins Fitzpatrick, M.D. 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. A Illinois Finance Authority 861091967 45203HTC6 2013-07-11 398898603 Refund of bonds issued 11/22/2005 and 12/10/2009 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 306730000 398962831 20766358 2577151 327613148 48006174 2017 true false true true B 10820000 274055000 1055000 273000000 true false true true A false false true true true true 0.0 0.0 0.0 false false false B false false true true true true 0.0 0.0 0.0 false false false A false false false true false false false true false B false true false false true false false false false A false B false Schedule K, Part I, Column (a) (f) Description of Purpose: Refund bonds issued 11/22/2005 and 12/10/2009; build new research and rehabilitation hospital. Schedule K, Part I, Column (b) (f) Description of Purpose: Refund of Series 2013B-E bonds issued 7/11/2013. 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 I, Column (c) Bond B: There is no CUSIP number. 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 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 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. Schedule K, Part II, Line 3 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 IV, Line 2c COLUMN A Issuer name: Illinois Finance Authority The calculation for computing no rebate due was performed on 08/10/2018 AMV Consulting Entity 100% owned by Former CFO 244992 Consulting Services false Substantial Contributor Substantial Contributor 435041 Actuarial Services false Substantial Contributor Substantial Contributor 360621 Risk Services false Substantial Contributor Substantial Contributor 944414 Banking Services false Substantial Contributor Substantial Contributor 325000 Audit and Consulting Services false Substantial Contributor Substantial Contributor 116244 Tax Consulting Services false Substantial Contributor Substantial Contributor 556650 Legal Services false Substantial Contributor Substantial Contributor 676561 Hospital Equipment false Substantial Contributor Substantial Contributor 2284932 Construction Services false Substantial Contributor Substantial Contributor 237154 Banking Services false Substantial Contributor Substantial Contributor 1765125 Construction Services false Substantial Contributor Substantial Contributor 102310 Medical Waste Services false Schedule L, Part V Business Transactions Involving Interested Persons: All transactions between SRAlab and the organization were done at arms-length and at fair market value. X 39 2669200 Market value X Travel Certificates 1 50000 Market value 0 false true false Schedule M, Part I Explanations of reporting method for number of contributions Securities - Publicly traded - Securities - Publicly traded The number in Column (b) refers to the number of contributions. Other - Travel Certificates The number in Column (b) refers to the number of contributions. Form 990, Part III, Line 4d Description of other program services (Expenses $ 5,906,468 including grants of $ 0)(Revenue $ 714,423) 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 2019 averaged 28,723 page views per month with 344,686 page views annually from more than 200 countries. The 15,809 unique users each month were reflective of a 64% increase from FY 2018. This past year, the highest international web activity occurred in the United Kingdom, Australia, Canada, India, Philippines, South Africa, Ireland, Malaysia and Singapore. In FY 2019, total outreach and service efforts represented 9,953 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 38th year in FY 2019, are free of charge. The fitness program, which celebrated its 23rd 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 10,200 hours in FY 2019. The Shirley Ryan Adaptive Sports and Fitness Program is considered a national leader in health promotion for people with disabilities. In FY 2019, the sports program recorded 7,993 visits by its 367 registered participants, and the fitness program recorded 29,050 visits by its 752 registered participants in addition to 7,461 class visits. A separate program for youth, the Caring for Kids program, recorded 1,404 visits by 200 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 2019 the program served 994 clients. In the last year, we placed 62 individuals in jobs and are pleased to report an average annual job retention rate of 89%. We continue to provide no cost GED program for patients with spinal cord injuries to our list of services. 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. Form 990, Part V, Line 15 SRALAB DETERMINED THAT THE PRESIDENT/CEO 'S REMUNERATION WAS SUBJECT TO TAX IN THE AMOUNT OF $50,857.00 PURSUANT TO SECTION 4960 OF THE INTERNAL REVENUE CODE . 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. 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 SUMMARIZE 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 the narrative for Line 15a Form 990, Part VI, Line 19 Required documents available to the public The 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 Program Svc Revenue - Total Revenue: 3149773, Related or Exempt Function Revenue: 3149773, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; EHR - Total Revenue: -48988, Related or Exempt Function Revenue: -48988, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Pension Adjustment - -49053085; Interest Rate Swap - -6749385; Medical Services SRALAB 355 East Erie Street Chicago IL 60611 911999919 Physician Practice Billing and Collections IL 0 0 NA 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 Advocate Illinois Masonic Medical Center 836 W Wellington Ave Chicago IL 60657 201202192 Medical Services IL Rehabilitation Institute of Chicago DBA Shirley Ryan AbilityLab Related 10321 26677 false 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 false false false false false false false false false false false false false false true false false true false false PATHWAYS FOUNDATION Q 1129636 Book Value PATHWAYS FOUNDATION N 136698 Book Value