2018-07-09T15:26:11-05:00 2017-08-31 861065772 Deloitte Tax LLP 111 Monument Circle Suite 4200 Indianapolis IN 462045108 990 2016-09-01 362256036 Rehabilitation Institute of Chicago REHA 3122381000 355 East Erie Street Chicago IL 60611 Jonathan M Tingstad Senior VP & CFO 3122381000 2018-07-09 1 Samantha Bokori P01057347 3174648600 2016 2022-09-23 18:48:47Z Shirley Ryan AbilityLab Joanne C Smith MD 355 East Erie Street Chicago IL 60611 459926028 0 X www.sralab.org X 1951 IL The Rehabilitation Institute of Chicago dba Shirley Ryan AbilityLab (SRAlab) is dedicated to provide the highest-quality patient care. 19 18 2293 663 7336599 1383843 117737303 58556682 215662841 226998843 16903329 54210012 777443 682264 351080916 340447801 6740744 8050567 0 0 152130033 167890234 0 49258 2922142 81677377 102003880 240548154 277993939 110532762 62453862 1109287390 1145868885 611845205 555376516 497442185 590492369 X SRAlab is dedicated to providing the highest-quality patient care through integrated research, scientific discovery, and education for the purpose of maximizing the recovery of the individuals in our care. 0 0 184064812 18454 215109774 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 $550 million, 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 27 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 2017 SRAlab treated more than 6,600 inpatients throughout its system of care and delivered over 2 million outpatient therapy units. SRAlab's facilities are staffed by approximately 2,300 medical professionals and support personnel, a dedicated team who in FY 2017 treated patients from 46 states and handled referrals from 57 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-seven consecutive years. SRAlab is one of only 2% of the nation's nearly 6,000 hospitals to have achieved three 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. 30663500 8032113 2340321 Research: 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 300 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 a record eight 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: Machines assist therapists in providing longer, more consistent and intensive therapies that track progress and improve functional performance. SRAlab is designated one of 20 NIDILRR Rehabilitation Engineering Research Centers dedicated to stroke research and the only one focused on robotics. 8069875 1461958 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 2017, SRAlab trained 41 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 58 years. In FY 2017, over three 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 and blended courses, and outreach programs. 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 2017, six physician fellows were named at SRAlab. 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. 6252032 1310084 Community Health and Education: Henry B. Betts LIFE Center: As an addition to its world renowned clinical services, SRALab opened the LIFE (Learning, Innovation, Family, Empowerment) Center in 2003 to address the range of emotional, interpersonal, physical and financial requirements for living with a disability. In response to the need for trusted resources in key areas of life, SRALab provides this state-of-the-art multimedia education center and web portal as an integrated component of patient care to support seamless and successful transitions throughout life. In FY 2017, total outreach and service efforts represented 9,026 person contacts. These included individualized patient, family, and community education programs, classes, special events, tours and a peer mentor program. The Center also offers a public computer area which provides access to Internet use and support which is now open 24/7. The Center's impact spreads globally through its website, which drew 16,323 page views per month, reflecting 5,645 unique users per month, with 195,877 page views annually from 150 countries in FY 2017. 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 36th year in FY 2017, are free of charge. The fitness program, which celebrated its 21th 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 20,428 hours in FY 2017. The Shirley Ryan Adaptive Sports and Fitness Program is considered a national leader in health promotion for people with disabilities. In FY 2017, the sports program recorded 6,908 visits by its 405 registered participants, and the fitness program recorded 30,510 visits by its 672 registered participants in addition to 8,679 class visits. A separate program for youth, the Caring for Kids program, recorded 1,477 visits by 191 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 the past five years, the program has served an average of 950 clients annually. In the last year, we placed 125 individuals in jobs and are pleased to report an average annual job retention rate of 86%. 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 2017, the Assistive Technology Programs served approximately 2,400 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. 6252032 1310084 229050219 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 X 197 0 1 2293 1 1 1 1 VI CA CJ NL 0 0 0 1 1 0 0 0 0 X 19 18 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 Brenda C Barnes 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 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 William S Wardrop Jr 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 1703383 0 257043 Edward B Case Executive VP, CFO 40.00 2.00 X 1024687 0 408528 Nancy E Paridy Sr. VP, Chief Admin. Officer 40.00 2.00 X 688574 0 76574 Peggy M Kirk Sr. VP, Clinical Operations 40.00 0.00 X 787791 0 203208 Collins Fitzpatrick MD Medical Director 40.00 0.00 X 903402 0 67043 Richard Lieber PhD Sr. VP, Research 40.00 0.00 X 995493 0 25908 Elizabeth Owens Sr. VP, Chief Marketing & Innov. 40.00 0.00 X 744074 0 16260 James Sliwa DO Chief Medical Officer 40.00 0.00 X 660662 0 38765 Michael S Marinko MD Medical Director 40.00 0.00 X 544734 0 41539 William Rymer MD PhD Former Key Employee 40.00 0.00 X 374181 0 8474 8426981 0 1143342 185 1 1 0 Power Construction Company LLC 8750 West Bryn Mawr Chicago IL 606313546 Construction Services 96861585 Cerner Corporation PO Box 959156 St Louis MO 631959156 IT Services 6925596 Northwestern University 320 East Superior Street Chicago IL 60611 Research Subcontractor 3610860 Northwestern Memorial Hospital PO Box 73690 Chicago IL 606737690 Medical Services 3345922 Crothall 1500 Liberty Ridge Drive Wayne PA 19087 Facility Care Services 3146934 79 8377788 17895276 32283618 3340921 58556682 Net Patient Revenue 622310 203546991 203546991 Affiliation Income 900099 13854083 8452000 5402083 Sponsored Research Rev 541700 2164838 2164838 Medicare GME Payment 622310 916461 916461 Tuition 900099 442474 442474 6073996 4532048 1541948 226998843 4160412 392568 3767844 103167 103167 67198 0 67198 67198 67198 168535573 118485973 50049600 50049600 50049600 313545 8377788 992254 -678709 -678709 Cafeteria Sales 900099 1090481 1090481 EHR Payments 622310 100127 100127 1190608 340447801 220222137 7336599 54332383 7632058 7632058 373812 373812 44697 44697 6716953 765918 5951035 126500832 111342941 13160352 1997539 14040847 11953804 1873103 213940 12012895 10687176 1262150 63569 8618707 7442427 1055195 121085 6484932 1393635 5082176 9121 372078 8176 363902 325721 325721 237181 237181 49258 49258 992794 992794 16931613 15572840 1254342 104431 859973 40852 819121 6071489 5117914 848193 105382 6321614 4957343 1307138 57133 7157072 6101028 903647 152397 1147976 1043016 98667 6293 488791 467556 18955 2280 6384581 15941 6368640 17682398 15900773 1781625 1259253 264046 995207 Medical Supplies 13200916 13196902 3866 148 Medicaid Provider Tax 8301392 8301392 Patient Transportation 1658953 1658953 UBI Tax 734012 688523 45489 5391141 4078496 1273079 39566 277993939 229050219 46021578 2922142 90757 403064 76888373 17795763 116842230 86922937 30684669 39162199 1612854 1975903 5291144 5619707 674565825 51895446 548645903 622670379 77711824 91352038 236189016 233332787 11666422 11651620 558824 558824 3105374 34423664 1109287390 1145868885 58610732 41658574 3714714 3462066 3075888 1939090 395811495 390682088 150632376 117634698 611845205 555376516 X 270000066 483498831 175183338 54712743 52258781 52280795 497442185 590492369 1109287390 1145868885 X 62453862 3483530 27112792 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 7517 0 1 229664 237181 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. 90198061 22014 10561102 4115774 96665403 91076133 19680 3205248 4103000 90198061 96081147 327261 -1328828 4003447 91076133 88246330 169168 11444840 3779191 96081147 82646831 158587 8939449 3498537 88246330 0.01000 0.54100 0.44900 0 0 33822439 33822439 520977259 9245920 511731339 13502907 13502907 98580778 42649526 55931252 7682442 7682442 622670379 Cash and Cash Equivalents 16473486 F Absolute Return 53537652 F Hedged Equity 18225282 F International Equity 43327645 F International Hedged Equity 11251445 F Pvt Equity, Real Assets & Contracts 25854329 F Gov. Fixed Income & Corporate Bonds 64662948 F 233332787 Accrued Pension 75146612 457 Plan Liability 14708910 SWAP Liability 13153195 Self-Insurance Reserves 9038424 Estimated Third Party Settlements Payable 4400174 Due to Affiliates (Pathways) 336155 Deferred Lease Liability 299467 Lease Incentive Obligation 286650 Other 265111 117634698 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. Included in the consolidated statements of operations and changes in net assets is the provision for current taxes of $734,000 and $279,000 for the years ended August 31, 2017 and 2016, respectively. The corporations do not have any material tax positions as of August 31, 2017 and 2016. 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 Middle East and North Africa 0 0 Program services Travel related to clinical care, education and training, and business development 34251 Europe (including Iceland and Greenland) 0 0 Program services Business development 1053 South America 0 0 Program services Business development 13498 Europe (including Iceland and Greenland) 0 0 Program services Payments for research related activities 41089 East Asia and the Pacific 0 0 Program services Payments for research related activities 430 North America 0 0 Program services Payments for research related activities 3178 0 0 0 0 0 0 93499 0 93499 Europe (Including Iceland & Greenland) Medical Research 28685 Electronic Fund/Wire Europe (Including Iceland & Greenland) Medical Research 12404 Electronic Fund/Wire 0 2 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. X X X X X X 1 Andrea McNaughton dba A McNaughton Consulting 2536 S Walter Reed Drive D Arlington VA 22206 Advisory services for planned giving 0 0 49258 -49258 49258 -49258 IL Grand Opening Gala 6542531 6376531 166000 406845 147335 10700 83707 SkyRise Chicago 1099591 1016706 82885 55653 1980 1106 110849 3 1049211 984551 64660 78177 37378 1750 56774 8691333 8377788 313545 55653 487002 185819 12450 251330 992254 -678709 1 1 1 X 250.000000000000 1 X 600.000000000000 1 1 0 1 1 905242 905242 0.00330 35875632 28230537 7645095 0.02750 403561 208957 194604 0.00070 37184435 28439494 8744941 0.03150 4971651 436835 4534816 0.01630 8069875 1461958 6607917 0.02380 1280381 873249 407132 0.00150 30663500 22023400 8640100 0.03110 44985407 24795442 20189965 0.07270 82169842 53234936 28934906 0.10420 1 783085 10067 49654859 57673512 -8018653 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 2016 with respect to its most recently conducted CHNA:In the area of Rehabilitation Health, SRAlab's clinical expertise in multiple programs and resources provided for the needs of SRAlab patients in the areas of amputation and limb deficiencies; arthritis and joint conditions; brain injuries; cancer rehabilitation; chronic pain; neurological rehabilitation; pediatric rehabilitation; prosthetics & orthotics; spinal cord injury rehabilitation; musculoskeletal rehabilitation; stroke rehabilitation; vestibular rehabilitation; and women's health rehabilitation. In tax year 2016, SRAlab completed construction of its innovative new Research Hospital, increasing the number of patient beds to 242 beds.In the area of Research and Rehabilitation Engineering, SRAlab completed construction of its innovative new Research Hospital and began operations in the new facility. The innovative design of the Research Hospital integrates research and rehabilitation medicine to truly engage in cutting edge translational research. The new Research Hospital opened in March 2017. SRAlab also continued its multiple programs of rehabilitation-related research. In tax year 2016, an attending physician at SRAlab, presented research showing that college students can take more time to recover from a concussion. The hospital announced the creation of a novel wheelchair that allows its users to move while standing up or sitting down. And a hospital researcher published a study identifying a region in the human brain that may be responsible for the "placebo effect" in pain relief. These are a few examples of research results from tax year 2016.In the area of Improved Access to Information, SRAlab's Henry B. Betts LIFE Center, a virtual and multimedia education center, was redesigned and merged into a single platform within the new SRAlab website. The new site provides a virtual education portal to access patient education and community resources with real-time updates, printing on demand and a dashboard to save favorite resources for easy access. The LIFE Center provides the community with thousands of peer-reviewed resources across key topics relevant to the life-long needs of people with physical disabilities. In FY 2017, total outreach and service efforts represented 9,061 contacts served. These contacts represent tours; programs, classes and special events; resource requests; teaching activities with patients, families, and staff; peer visits; and peer programs. The Center's impact spreads globally through its website, which drew 16,323 page views per month with 195,877 page views annually in FY 2017. 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 over thirty 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 provided high-quality support programs to the community, including a Transitions Planning Program for Adolescents, Caring for Kids, Sports & Fitness Center programming, the SRAlab Military Sports Camp, and a community aphasia program. SRAlab provided 314,964 hours of participation to participants in the Adaptive Sports Program. Nearly 980 unique individuals were impacted by programs: 438 registered program participants and more than 550 people were reached through home tournaments and community outreach initiatives. 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 Willowbrook 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 - SRAlab Wheeling DayRehab Center 5150 Capitol Drive Wheeling IL 60090 Day Rehabilitation 4 - SRAlab Pain Management Center 980 N Michigan Avenue Suite 800 Chicago IL 60610 Outpatient Rehabilitation & Physician Practice 5 - SRAlab River North - DayRehab Center 307 W Grand Avenue Chicago IL 60610 Day Rehabilitation 6 - SRAlab Northbrook OP & DayRehab Ctr 755 Skokie Boulevard Northbrook IL 60062 Day Rehabilitation & Outpatient Rehabilitation 7 - SRAlab Ravenswood - DayRehab Center 1945 W Wilson Avenue Suite 100 Chicago IL 60640 Day Rehabilitation 8 - SRAlab River Forest OP & DayRehab Ctr 420 Thatcher Avenue River Forest IL 60305 Outpatient Rehabilitation & Physician Practice 9 - SRAlab Spine and Sports Rehab Center 1030 N Clark Street Chicago IL 60610 Outpatient Rehabilitation & Physician Practice 10 - SRAlab Northbrook OP Ctr (annex) 900 Skokie Boulevard Northbrook IL 60062 Outpatient Rehabilitation & Physician Practice 11 - AMITA Health Alexian Bros Rehab Hosp 935 Beisner Road Elk Grove Village IL 60007 Physician Practice 12 - SRAlab Pelvic Health Center 430 W Erie St Suite 403 Chicago IL 60654 Outpatient Rehabilitation & Physician Practice 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 8. 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 $2,325,897.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. In FY 2017 LIFE Center web traffic averaged 16,323 page views per month with 195,877 page views annually. Total outreach and service efforts represented 9,026 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. 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 83% of SRAlab inpatients come from Chicago and its 7 surrounding counties. This represents a primary reach of 50 miles. In addition to those Chicago area patients, SRAlab staff also cared for patients from 46 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 those 65+. SRAlab continues to serve this group of people and conducts strategic planning around the needs of the "Baby Boomer" population, which is projected to have substantial growth in the Chicagoland area. 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 Access Living 115 S Chicago Chicago IL 60654 363310774 501(c)(3) 10054 Payments for research related activities Boston VA Research Institute Inc 150 South Huntington Ave 151B Boston MA 02130 043081524 501(c)(3) 7473 Payments for research related activities CARES - Chicago Association for Research & Education in Science 5000 S 5th Avenue Building One Room C303 Hines IL 60141 363334177 501(c)(3) 25294 Payments for research related activities Carnegie Mellon University 5000 Forbes Avenue Pittsburgh PA 15213 250969449 501(c)(3) 369302 Payments for research related activities Cirtec Medical LLC 101 Cooper Court Los Gatos CA 95032 208007459 80300 Payments for research related activities COAPT LLC 222 W Ontario Suite 220 Chicago IL 60654 455122988 13290 Payments for research related activities Council For Jewish Elderly dba CJE Seniorlife 3003 West Touhy Chicago IL 60645 362727597 501(c)(3) 20772 Payments for research related activities Dephy Inc 50 Terminal St Building 2 Unit 520 Boston MA 02129 474753699 16400 Payments for research related activities Edgeone Medical 455 N Campbell Avenue 2N Chicago IL 60612 455352024 57934 Payments for research related activities Henry M Jackson Foundation 6720 A Rockledge Drive Suite 100 Bethesda MD 20817 521317896 501(c)(3) 24347 Payments for research related activities Huron Consulting Group LLC 4795 Paysphere Circle Chicago IL 60674 010666453 5000 Payments for research related activities Illinois Institute Of Technology 3300 S Federal St Room 201 Chicago IL 60616 362170136 501(c)(3) 24601 Payments for research related activities Indiana University 1701 N Senate Blvd MT 300 Indianapolis IN 46202 356001673 501(c)(3) 123660 Payments for research related activities Marquette University 561 N 15th Street Milwaulee WI 53233 390806251 501(c)(3) 14060 Payments for research related activities Mary Free Bed Hospital & Rehabilitation Center 235 Wealthy St SE Grand Rapids MI 495035299 381359265 501(c)(3) 34235 Payments for research related activities Massachusetts Institute Of Technology McGovern Institute for Brain Science BLDG46-6189 Cambridge MA 02140 042103594 501(c)(3) 330496 Payments for research related activities Medical Engineering & Development Institute Inc 1330 Win Hentschel Blvd West Lafayette IN 47906 473049436 501(c)(3) 73000 Payments for research related activities Medical University Of South Carolina 19 Hagood Avenue Suite 505 Charleston SC 29425 576000722 Gov't Entity 44849 Payments for research related activities North Carolina State University 2701 Sullivan Drive Canpus Box 7514 7514 Raleigh NC 276957514 566000756 Gov't Entity 16290 Payments for research related activities Northwestern University 710 N Lakeshore Drive Chicago IL 60611 362167817 501(c)(3) 3069506 Payments for research related activities President and Fellows of Harvard College dba Harvard University 1033 Massachusetts Avenue 2nd Floor Floor Cambridge MA 02138 042103580 501(c)(3) 897517 Payments for research related activities Purdue University 401 S Grant St West Lafayette IN 479072024 356002041 501(c)(3) 17708 Payments for research related activities Regents Of The University Of California 111 Academy Way 210 Irvine CA 92697 952226406 501(c)(3) 152627 Payments for research related activities Rush University Medical Center PO Box 73952 Chicago IL 606437939 362174823 501(c)(3) 23396 Payments for research related activities Stanford University 3145 Porter Drive Palo Alto CA 94304 941156365 501(c)(3) 240369 Payments for research related activities Trustees Of Boston University 881 Commonwealth Ave Boston MA 02215 042103547 501(c)(3) 7380 Payments for research related activities Trustees Of The University Of Pennsylvania 3451 Walnut Street P221 Franklin Building Philadelphia PA 191046205 231352685 501(c)(3) 88210 Payments for research related activities University Of Alabama - Birmingham 701 20th Street South 770 Admin Bldg Birmingham AL 35294 636005396 501(c)(3) 103572 Payments for research related activities University Of California - Irvine 111 Academy Way Suite 210 Irvine CA 926971050 952540117 501(c)(3) 245390 Payments for research related activities University Of Colorado - Boulder 3100 Main St Boulder CO 803090572 846049811 501(c)(3) 151368 Payments for research related activities University Of Illinois 1305 W Green St Urbana IL 61801 376006007 501(c)(3) 597027 Payments for research related activities University Of Notre Dame 731 Grace Hall Notre Dame IN 46556 350868188 501(c)(3) 31511 Payments for research related activities University Of Wisconsin - Madison 1300 University Avenue Madison WI 53706 396006492 Gov't Entity 288798 Payments for research related activities Vanderbilt University 2301 Vanderbilt Place PMB 401810 Nashville TN 37240 620476822 501(c)(3) 394648 Payments for research related activities 29 5 Stipends/Honorariums 26 16250 Research - Professional Services 23 309680 Subject Reimbursements 1389 47882 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 1091770 0 579857 0 31756 0 224667 0 32376 0 1960426 0 0 0 Edward B Case Executive VP, CFO 658322 0 336647 0 29718 0 384436 0 24092 0 1433215 0 0 0 Nancy E Paridy Sr. VP, Chief Admin. Officer 466378 0 212429 0 9767 0 68712 0 7862 0 765148 0 0 0 Peggy M Kirk Sr. VP, Clinical Operations 534328 0 243401 0 10062 0 177300 0 25908 0 990999 0 0 0 Collins Fitzpatrick MD Medical Director 822621 0 77271 0 3510 0 43000 0 24043 0 970445 0 0 0 Richard Lieber PhD Sr. VP, Research 680523 0 299526 0 15444 0 0 0 25908 0 1021401 0 0 0 Elizabeth Owens Sr. VP, Chief Marketing & Innov. 504715 0 229297 0 10062 0 0 0 16260 0 760334 0 0 0 James Sliwa DO Chief Medical Officer 448242 0 199027 0 13393 0 18000 0 20765 0 699427 0 0 0 Michael S Marinko MD Medical Director 502285 0 0 0 42449 0 17000 0 24539 0 586273 0 0 0 William Rymer MD PhD Former Key Employee 343874 0 0 0 30307 0 0 0 8474 0 382655 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. No supplemental non-qualified plan payments were made during the year to any listed persons in Part VII. 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, patient satisfaction scores, 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 275090000 398962831 20766358 2577151 327613148 48006174 2017 1 0 0 1 B 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 1 0 0 1 0 0 1 0 B 0 1 0 0 1 0 0 0 0 A 0 B 0 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. See Part V See Part V 1576975 See Part V 0 See Part V See Part V 444466 See Part V 0 See Part V See Part V 213930 See Part V 0 See Part V See Part V 3146934 See Part V 0 See Part V See Part V 212467 See Part V 0 See Part V See Part V 1230770 See Part V 0 See Part V See Part V 392768 See Part V 0 See Part V See Part V 96861585 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 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: Architects 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: 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: Rent for office space 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: Pre-developer 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: Equipment purchase 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:All transactions between SRAlab and the organization were done at arms-length and for fair market value. X 30 3340921 Cost or selling price 0 0 1 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 22,350,740. Interest Rate Swap 4,762,052. 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 0 Pathways Foundation Q 2716785 Book Value