TY 2022 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) MARCUS SCHABACKER MD PHD...................................................................... PRESIDENT/CEO	40.00 ................. 2.00	X	X			994,872	51,439
(2) RICHARD ARONS SCD...................................................................... TRUSTEE, CHAIR, CHAIR OF EXEC. COMM	2.00 ................. 0.00	X	X			0	0
(3) DAVID MAYER PHD...................................................................... TRUSTEE, VICE CHAIR	2.00 ................. 0.00	X	X			0	0
(4) ROBERT M CRANE...................................................................... TRUSTEE, CHR - AUDIT/COMPLIANCE COMM	2.00 ................. 0.00	X	X			0	0
(5) KAREN FISHER...................................................................... TRUSTEE, CHR - NOM./BOARD DEV. COMM	2.00 ................. 0.00	X	X			0	0
(6) CARY GREEN...................................................................... TRUSTEE, CHR - COMPENSATION COMM	2.00 ................. 0.00	X	X			0	0
(7) DANIEL HUANG...................................................................... TRUSTEE, INT TREAS., CHR - FIN. COMM	2.00 ................. 0.00	X	X			0	0
(8) CHRISTINA JIMENEZ...................................................................... TRUSTEE, SECRETARY	2.00 ................. 0.00	X	X			0	0
(9) PETER CATALANO...................................................................... CHIEF FINANCIAL OFFICER	40.00 ................. 2.00		X			569,934	46,593
(10) RANDAL WHITE...................................................................... CHIEF LEGAL OFFICER	25.00 ................. 2.00		X			372,140	46,880
(11) DHEERENDRA KOMMALA...................................................................... CHIEF MEDICAL OFFICER	40.00 ................. 2.00			X		763,603	25,209
(12) STUART MORRIS HIPKINS...................................................................... CHIEF SOLUTIONS OFFICER	40.00 ................. 0.00			X		500,720	48,537
(13) SCOTT FRASER...................................................................... CIO (THRU 7/29/22)	62.00 ................. 0.00			X		396,931	32,788
(14) BEVIN O'NEIL...................................................................... CHIEF STRATEGY OFFICER	40.00 ................. 0.00			X		309,500	13,168
(15) THERESA TAVERNIER...................................................................... CHIEF HR OFFICER (THRU 3/25/22)	40.00 ................. 0.00			X		253,638	10,395
(16) LEA RUBINI...................................................................... CHIEF HR OFFICER (AS OF 1/24/22)	40.00 ................. 0.00			X		187,862	41,922
(17) JAMES ROBERTSON...................................................................... VP, SALES - PROVIDER SOLUTIONS	40.00 ................. 0.00				X	457,460	12,824

(A) Name and business address	(B) Description of services	(C) Compensation
RANDSTAD TECHNOLOGIES LLC PO BOX 847872 DALLAS,TX75284	PROFESSIONAL CONSULTING	1,364,183
EMPLOYER SERVICES CORP 20 PINEVIEW DR AMHERST,NY14228	PROFESSIONAL CONSULTING	326,596
COGNIZANT TECHNOLOGIES SOLUTIONS 24721 NETWORK PLACE CHICAGO,IL60673	PROFESSIONAL CONSULTING	274,730
HOGAN LOVELLS US LLP LOCKBOX 715890 PHILADELPHIA,PA19171	PROFESSIONAL CONSULTING	246,642
SUMMIT 58 LLC 5775 POPPY WAY GOLDEN,CO80403	PROFESSIONAL CONSULTING	221,830
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 20

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

Name of the organization

EMERGENCY CARE RESEARCH INSTITUTE

Employer identification number

23-1662091

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2022

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2022 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2022. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2021. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2022

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .	1,672,708	2,526,477	1,457,732	8,999,400	15,000	14,671,317
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose	61,688,583	64,354,671	67,090,029	71,463,608	74,605,598	339,202,489
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5	63,361,291	66,881,148	68,547,761	80,463,008	74,620,598	353,873,806
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons						0
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.	15,341,920	16,678,203	14,654,555	15,210,182	14,578,260	76,463,120
c	Add lines 7a and 7b..	15,341,920	16,678,203	14,654,555	15,210,182	14,578,260	76,463,120
8	Public support. (Subtract line 7c from line 6.)						277,410,686

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
9	Amounts from line 6...	63,361,291	66,881,148	68,547,761	80,463,008	74,620,598	353,873,806
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..	712,576	736,966	681,554	884,506	879,862	3,895,464
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.	712,576	736,966	681,554	884,506	879,862	3,895,464
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..	27,599	305,966				333,565
13	Total support. (Add lines 9, 10c, 11, and 12.)..	64,101,466	67,924,080	69,229,315	81,347,514	75,500,460	358,102,835

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2022 (line 8, column (f) divided by line 13, column (f)) .........

77.470 %

Public support percentage from 2021 Schedule A, Part III, line 15 ...............

76.550 %

Section D. Computation of Investment Income Percentage

Investment income percentage for 2022 (line 10c, column (f) divided by line 13, column (f)) ......

1.090 %

Investment income percentage from 2021 Schedule A, Part III, line 17 .............

1.070 %

19a

33 1/3% support tests-2022. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2021. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2022

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2022

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2022

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2022

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2022 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2022	(iii) Distributable Amount for 2022
1 Distributable amount for 2022 from Section C, line 6
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2022:
a From 2017.......
b From 2018.......
c From 2019.......
d From 2020.......
e From 2021.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2022 distributable amount
i Carryover from 2017 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2022 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2022 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2022, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2022. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2023. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2018.....
b Excess from 2019.....
c Excess from 2020.....
d Excess from 2021.....
e Excess from 2022.....

Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2022

Name of the organization

EMERGENCY CARE RESEARCH INSTITUTE

Employer identification number

23-1662091

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (2022)

Schedule B (Form 990) (2022) Page 2

Name of organization EMERGENCY CARE RESEARCH INSTITUTE

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2022)

Schedule B (Form 990) (2022)

Page 3

Name of organization EMERGENCY CARE RESEARCH INSTITUTE		Employer identification number 23-1662091

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2022)

Schedule B (Form 990) (2022)

Page 4


Name of organization EMERGENCY CARE RESEARCH INSTITUTE			Employer identification number 23-1662091
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2022)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

EMERGENCY CARE RESEARCH INSTITUTE

Employer identification number

23-1662091

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2021

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	3,509,209		3,509,209
b	Buildings ....	15,906,567	4,487,901	11,418,666
c	Leasehold improvements	1,297,221	331,981	965,240
d	Equipment ....	9,841,701	7,674,839	2,166,862
e	Other .....
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				18,059,977

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)DUE FROM AFFILIATES				354,446
(2)INTEREST RATE SWAP				992,590
(3)CAPITALIZED LABOR				3,418,243
(4)RIGHT OF USE ASSET				52,649
(5)DEFERRED COMPENSATION				989,288
(6)OTHER ASSETS				207,050
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				6,014,266

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	1,349,644
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2021

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

PART X, LINE 2:

INCOME TAXES: ECRI IS GENERALLY EXEMPT FROM FEDERAL INCOME TAXES UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). ECRI QUALIFIES FOR CHARITABLE CONTRIBUTION DEDUCTIONS AND HAVE BEEN CLASSIFIED AS ORGANIZATIONS THAT IS NOT A PRIVATE FOUNDATION. INCOME WHICH IS NOT RELATED TO EXEMPT PURPOSES, LESS APPLICABLE DEDUCTIONS, IS SUBJECT TO FEDERAL AND STATE CORPORATE INCOME TAXES. ECRI DID NOT HAVE ANY SIGNIFICANT NET UNRELATED BUSINESS INCOME FOR THE YEARS ENDED DECEMBER 31, 2022 AND 2021. MANAGEMENT EVALUATED ECRI'S TAX POSITIONS AND CONCLUDED THAT ECRI HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS. ECRI FILES INCOME TAX RETURNS IN THE U.S. FEDERAL JURISDICTION. GENERALLY, ECRI IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2019.

Schedule D (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization
EMERGENCY CARE RESEARCH INSTITUTE

Employer identification number

23-1662091

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in the region	(d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in the region	(f) Total expenditures for and investments in the region
	EUROPE (INCLUDING ICELAND & GREENLAND)	2	6	PROGRAM SERVICES	OFFICE IS MAINTAINED IN ENGLAND	1,471,161
	MIDDLE EAST AND NORTH AFRICA	1	1	PROGRAM SERVICES	SALESPERSON / AGENCY RELATIONSHIP	169,499















3a	Sub-total ....	3	7			1,640,660
b	Total from continuation sheets to Part I ...	0	0			0
c	Totals (add lines 3a and 3b)	3	7			1,640,660

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2022

Schedule F (Form 990) 2022

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of noncash assistance	(h) Description of noncash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2022

Schedule F (Form 990) 2022Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of noncash assistance	(g) Description of noncash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2022

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2022

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.

ReturnReference	Explanation
PART III ACCOUNTING METHOD:
SCHEDULE F, PART 1, LINE 3:	AN OFFICE IS MAINTAINED IN ENGLAND IN ORDER TO PROVIDE PUBLICATIONS, REPORTS, AND OTHER HEALTHCARE INFORMATION, TECHNICAL ASSISTANCE SERVICES, AND EDUCATIONAL PROGRAMS, ALL IN SUPPORT OF THE INSTITUTE'S MISSION (SEE FORM 990, PART 1, LINE 1) IN EUROPE AND ELSEWHERE OUTSIDE THE UNITED STATES. ECRI HAS A SALES AGENCY AGREEMENT WITH A COMPANY IN DUBAI, UAE IN ORDER TO PROVIDE PUBLICATIONS, REPORTS, AND OTHER HEALTHCARE INFORMATION, TECHNICAL ASSISTANCE SERVICES, AND EDUCATION PROGRAMS, ALL IN SUPPORT OF THE INSTITUTE'S MISSION (SEE FORM 990, PART 1, LINE 1) IN THE MIDDLE EAST. AS REPORTED IN SCHEDULE R, ECRI HAS AN AFFILIATE INCORPORATED IN MALAYSIA CALLED ECRI BERHAD. ECRI BERHAD IS MAINTAINED IN ORDER TO PROVIDE PUBLICATIONS, REPORTS, AND OTHER HEALTHCARE INFORMATION, TECHNICAL ASSISTANCE SERVICES, AND EDUCATIONAL PROGRAMS, ALL IN SUPPORT OF THE INSTITUTE'S MISSION (SEE FORM 990, PART 1, LINE 1) IN EAST ASIA/ THE PACIFIC AND ELSEWHERE OUTSIDE THE UNITED STATES.

Schedule F (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

EMERGENCY CARE RESEARCH INSTITUTE

Employer identification number

23-1662091

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Yes

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2022

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1MARCUS SCHABACKER MD PHD PRESIDENT/CEO	(i) (ii)	786,270 ------------- 0	203,700 ------------- 0	4,902 ------------- 0	12,200 ------------- 0	39,239 ------------- 0	1,046,311 ------------- 0	0 ------------- 0
2DHEERENDRA KOMMALA CHIEF MEDICAL OFFICER	(i) (ii)	440,368 ------------- 0	320,613 ------------- 0	2,622 ------------- 0	12,200 ------------- 0	13,009 ------------- 0	788,812 ------------- 0	0 ------------- 0
3PETER CATALANO CHIEF FINANCIAL OFFICER	(i) (ii)	343,039 ------------- 0	222,633 ------------- 0	4,262 ------------- 0	12,200 ------------- 0	34,393 ------------- 0	616,527 ------------- 0	0 ------------- 0
4STUART MORRIS HIPKINS CHIEF SOLUTIONS OFFICER	(i) (ii)	498,753 ------------- 0	0 ------------- 0	1,967 ------------- 0	12,200 ------------- 0	36,337 ------------- 0	549,257 ------------- 0	0 ------------- 0
5JAMES ROBERTSON VP, SALES - PROVIDER SOLUTIONS	(i) (ii)	439,269 ------------- 0	0 ------------- 0	18,191 ------------- 0	12,200 ------------- 0	624 ------------- 0	470,284 ------------- 0	0 ------------- 0
6SCOTT FRASER CIO (THRU 7/29/22)	(i) (ii)	195,456 ------------- 0	200,303 ------------- 0	1,172 ------------- 0	12,200 ------------- 0	20,588 ------------- 0	429,719 ------------- 0	0 ------------- 0
7ANDREW FURMAN VP - CLINICAL EVIDENCE & SAFETY SOL.	(i) (ii)	327,024 ------------- 0	45,630 ------------- 0	1,418 ------------- 0	12,200 ------------- 0	35,175 ------------- 0	421,447 ------------- 0	0 ------------- 0
8RANDAL WHITE CHIEF LEGAL OFFICER	(i) (ii)	285,883 ------------- 0	86,257 ------------- 0	0 ------------- 0	12,200 ------------- 0	34,680 ------------- 0	419,020 ------------- 0	0 ------------- 0
9DAVID SPELTA SR ACCOUNT EXECUTIVE	(i) (ii)	362,794 ------------- 0	6,000 ------------- 0	585 ------------- 0	12,200 ------------- 0	34,030 ------------- 0	415,609 ------------- 0	0 ------------- 0
10MICHAEL ARGENTIERI VP - TRANSITION & BUSINESS SUPPORT	(i) (ii)	313,975 ------------- 0	41,812 ------------- 0	16,927 ------------- 0	0 ------------- 0	29,937 ------------- 0	402,651 ------------- 0	0 ------------- 0
11JOSEPH MUIR SR ACCOUNT EXECUTIVE, MANUFACTURERS	(i) (ii)	339,009 ------------- 0	10,250 ------------- 0	1,832 ------------- 0	12,200 ------------- 0	15,930 ------------- 0	379,221 ------------- 0	0 ------------- 0
12BEVIN O'NEIL CHIEF STRATEGY OFFICER	(i) (ii)	252,640 ------------- 0	55,824 ------------- 0	1,036 ------------- 0	12,200 ------------- 0	968 ------------- 0	322,668 ------------- 0	0 ------------- 0
13THERESA TAVERNIER CHIEF HR OFFICER (THRU 3/25/22)	(i) (ii)	82,507 ------------- 0	170,682 ------------- 0	449 ------------- 0	10,128 ------------- 0	267 ------------- 0	264,033 ------------- 0	0 ------------- 0
14LEA RUBINI CHIEF HR OFFICER (AS OF 1/24/22)	(i) (ii)	187,434 ------------- 0	0 ------------- 0	428 ------------- 0	7,894 ------------- 0	34,028 ------------- 0	229,784 ------------- 0	0 ------------- 0
15ANTHONY MONTAGNOLO MS COO	(i) (ii)	0 ------------- 0	0 ------------- 0	115,504 ------------- 0	0 ------------- 0	6,340 ------------- 0	121,844 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2022

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference

Explanation

PART I, LINES 4A-B

ANTHONY MONTAGNOLO, CHIEF OPERATING OFFICER, RECEIVED A SEVERANCE PAYMENT OF $115,777 IN 2022. EMPLOYEES WHO PARTICIPATED IN A 457(F) PLAN IN 2022 ARE: MARCUS SCHABACKER, DHEERENDRA KOMMALA, PETER CATALANO, SCOTT FRASER, ANDREA VANDEVEN, THERESA TAVERNIER, AND RANDAL WHITE.

PART I, LINE 5

IN ORDER TO ACCOMPLISH ITS MISSION TO IMPROVE PUBLIC HEALTH AND SAFETY, IT IS NECESSARY TO HIRE, MOTIVATE AND RETAIN QUALIFIED EMPLOYEES PRIMARILY RESPONSIBLE FOR BUSINESS DEVELOPMENT. THESE POSITIONS REQUIRE EXTENSIVE KNOWLEDGE OF HEALTHCARE ISSUES AND INSTITUTE CAPABILITIES, THE ABILITY TO EFFECTIVELY COMMUNICATE WITH HEALTHCARE PROFESSIONALS AT ALL LEVELS, AND OTHER CRITICAL SKILLS. FOR THE POSITIONS, THE ORGANIZATION PROVIDES A BASE SALARY COMBINED WITH A PAY COMPONENT WHICH IS CONTINGENT ON REVENUES FOR SELECTED ACTIVITIES IN ORDER TO REWARD REVENUE GENERATION FOR BUSINESS DEVELOPMENT WHILE ENSURING THAT A PORTION OF COMPENSATION IS AT RISK.

Schedule J (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

EMERGENCY CARE RESEARCH INSTITUTE

Employer identification number

23-1662091

Return Reference	Explanation
FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:	ECRI IS AN INDEPENDENT NONPROFIT ORGANIZATION WHOSE MISSION IS TO ADVANCE EFFECTIVE, EVIDENCE-BASED HEALTHCARE GLOBALLY. OUR GOAL IS TO BE THE WORLD'S MOST TRUSTED, INDEPENDENT ORGANIZATION PROVIDING HEALTHCARE STAKEHOLDERS CRITICAL RESEARCH, SCIENTIFIC-BASED INSIGHTS, ACTIONABLE RECOMMENDATIONS, EDUCATION AND CONSULTATION TO ENSURE HEALTHCARE PRACTITIONERS ARE ADMINISTERING SAFE, COST-EFFECTIVE CARE IN ALL HEALTHCARE DELIVERY SETTINGS. ECRI'S STRATEGY FOR ACHIEVING OUR MISSION AND GOALS INCLUDES: 1. CONDUCTING INVESTIGATIONS AND STUDIES THAT IDENTIFY, DEVELOP, ASSESS, AND VERIFY EVIDENCE ABOUT THE QUALITY, SAFETY, AND COST EFFECTIVENESS OF HEALTHCARE TECHNOLOGIES, PRACTICES, AND FACILITIES. 2. DISSEMINATING INFORMATION, JUDGMENT, GUIDANCE, AND RESEARCH CONCLUSIONS THROUGH MEMBERSHIP PROGRAMS, PUBLICATIONS, EDUCATIONAL PROGRAMS, AND CONSULTATION. 3. DEVELOPING INFORMATION TOOLS FOR BUYERS AND USERS OF HEALTHCARE TECHNOLOGY AND SERVICES THAT MAKE INFORMED DECISION-MAKING POSSIBLE. 4. ESTABLISHING POLICIES TO ENSURE AN INTERNAL CULTURE OF SAFETY, OBJECTIVITY AND INTEGRITY. 5. COLLECTING, ORGANIZING, AND DISSEMINATING OBJECTIVE, TECHNICALLY ACCURATE INFORMATION THAT PREVENTS INJURY AND ILLNESS AND BENEFITS PATIENT CARE. 6. REMAINING INDEPENDENT AND UNBIASED REGARDING HEALTHCARE PRODUCTS AND PRACTICES ENABLING HEALTHCARE ORGANIZATIONS TO IMPROVE QUALITY, REDUCE COST AND ACHIEVE THE BEST PATIENT OUTCOMES.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS PREPARED BY THE CONTROLLER WITH INPUT FROM OTHERS AS NEEDED, INCLUDING AN INDEPENDENT ACCOUNTING FIRMS REVIEW. A DRAFT OF THE COMPLETED FORM 990 IS REVIEWED BY THE VICE PRESIDENT OF FINANCE. THEREAFTER, THE PRELIMINARY FORM 990 IS SENT TO EACH OFFICER AND TRUSTEE FOR THEIR REVIEW AND COMMENTS, AND ALL QUESTIONS AND COMMENTS ARE RESPONDED TO. IN ADDITION, THE FORM 990 IS REVIEWED AND DISCUSSED WITH THE GOVERNING BOARD'S AUDIT AND COMPLIANCE COMMITTEE AND THEREAFTER WITH THE TRUSTEES. AFTER THE ABOVE-DESCRIBED REVIEWS AND DISCUSSIONS, THE FINAL FORM 990 IS SIGNED AND FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	ALL STAFF RECEIVE A CODE OF CONDUCT AND BUSINESS ETHICS MANUAL THAT SETS FORTH ECRI'S PRINCIPLES, MISSION, GOALS, CONFLICT OF INTEREST RULES, AND OTHER MATTERS RELATED TO QUALITY AND ACCOUNTABILITY. THE BOARD OF TRUSTEES HAS ESTABLISHED THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND REQUIRES THAT EACH EMPLOYEE ANNUALLY RESPONDS TO A QUESTIONNAIRE WITH A CERTIFICATION THAT THERE IS NO CONFLICT OF INTEREST THAT HAS NOT BEEN DISCLOSED AND APPROPRIATELY ADJUDICATED. THE BOARD OF TRUSTEES HAS DIRECTED THE CONFLICT OF INTEREST COMMITTEE TO REVIEW EACH CERTIFICATION AND TO ENSURE ADHERENCE WITH THIS POLICY. THE ORGANIZATION ALSO MAINTAINS A HOTLINE NUMBER FOR STAFF TO REPORT POSSIBLE ETHICAL VIOLATIONS OR FRAUDULENT CONDUCT. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ALSO REQUIRES THAT INSTANCES THAT MIGHT OCCUR DURING THE YEAR AND WOULD REQUIRE DISCLOSURE UNDER THE POLICY BE PROMPTLY REPORTED TO THE CONFLICT OF INTEREST COMMITTEE FOR THEIR REVIEW AND ADJUDICATION. THE BOARD OF TRUSTEES TAKES APPROPRIATE ACTION IF THERE IS ANY NON-COMPLIANCE WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY.
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION FOR THE PRESIDENT AND CHIEF EXECUTIVE OFFICER IS SUBJECT TO THE REVIEW AND APPROVAL OF THE BOARD OF TRUSTEES, MEETING IN EXECUTIVE SESSION WITH NO INVOLVEMENT BY PERSONS HAVING A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENTS AT ISSUE. THE COMPENSATION COMMITTEE OF THE BOARD, WHICH IS SOLELY COMPRISED OF INDEPENDENT TRUSTEES, REVIEWS AND ANALYZES PERFORMANCE AND COMPARABILITY DATA AND MAKES A RECOMMENDATION TO THE FULL BOARD. THE PROCESS INCLUDES THE USE OF DATA AS TO COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. THERE IS CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO THE DELIBERATIONS AND DECISIONS REGARDING SUCH COMPENSATION ARRANGEMENTS. THE ORGANIZATION'S PROCESS INVOLVES DATA FROM COMPENSATION SURVEYS, THE USE OF AN INDEPENDENT COMPENSATION CONSULTANT, AND OTHER SOURCES OF COMPARABILITY DATA. COMPENSATION FOR OTHER "DISQUALIFIED PERSONS" IS DETERMINED BY THE COMPENSATION COMMITTEE OF THE BOARD. THE PROCESS INCLUDES THE USE OF DATA AS TO COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. PERTINENT INFORMATION AND OTHER SUBSTANTIATION OF THE DELIBERATIONS AND DECISIONS ARE DOCUMENTED. THE ORGANIZATION'S PROCESS INVOLVES DATA FROM COMPENSATION SURVEYS, THE USE OF AN INDEPENDENT COMPENSATION CONSULTANT, AND OTHER SOURCES OF COMPARABILITY DATA. THE PRESIDENT AND CHIEF EXECUTIVE OFFICER AND OTHER TOP MANAGERS REVIEW THE COMPENSATION FOR KEY EMPLOYEES WHO ARE NOT "DISQUALIFIED PERSONS". THE ORGANIZATION ALSO USES ITS HUMAN RESOURCES DEPARTMENT TO REVIEW COMPENSATION AND SALARY INCREASES BASED ON SALARY SURVEY DATA AND COMPENSATION DATA FOR COMPARABLE ORGANIZATIONS AND JOB FUNCTIONS.
FORM 990, PART VI, SECTION C, LINE 19	BOTH THE CHIEF FINANCIAL OFFICER AND CHIEF LEGAL OFFICER ARE RESPONSIBLE FOR MAKING ECRI'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS AND OTHER DOCUMENTS (ECRI INSTITUTE'S "PUBLIC FILE") AVAILABLE TO THE PUBLIC FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). THIS IS ACCOMPLISHED BY ANNOUNCING THE AVAILABILITY OF THE PUBLIC FILE AND THE PROCESS BY WHICH IT MAY BE INSPECTED OR COPIES OBTAINED, SUCH ANNOUNCEMENT BEING POSTED ON ECRI'S WEBSITE AND BEING POSTED IN A PUBLIC AREA OF ITS FACILITIES. THE ORGANIZATION'S FORM 990 IS ALSO PUBLICLY AVAILABLE AT WWW.GUIDESTAR.ORG.
FORM 990, PART XI, LINE 9:	LOSS ON INVESTMENT IN ISMP -414,985. CHANGE IN VALUE OF INTEREST RATE SWAP 1,027,220.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

EMERGENCY CARE RESEARCH INSTITUTE

Employer identification number

23-1662091

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)INSTITUTE FOR SAFE MEDICATION PRACTICES 200 LAKESIDE DRIVE SUITE 200 HORSHAM,PA19044 23-2757559	IMPROVE HEALTHCARE	PA	501(C)(3)	LINE 10	EMERGENCY CARE RESEARCH INSTITUTE	Yes
(2)ECRI LABORATORIES 5200 BUTLER PIKE PLYMOUTH MEETING,PA19462 23-2053202	INACTIVE	PA	501(C)(3)	INACTIVE	EMERGENCY CARE RESEARCH INSTITUTE	Yes
(3)ECRI SHARED SERVICES 5200 BUTLER PIKE PLYMOUTH MEETING,PA19462 23-2056173	INACTIVE	PA	501(C)(3)	INACTIVE	EMERGENCY CARE RESEARCH INSTITUTE	Yes
(4)WHITEMARSH INSTITUTE 5200 BUTLER PIKE PLYMOUTH MEETING,PA19462 23-2996964	INACTIVE	PA	501(C)(3)	INACTIVE	EMERGENCY CARE RESEARCH INSTITUTE	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2021

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) CENTER FOR ACCESSIBLE TRANSPORTATION AND ASSISTIVE TECHNOLOGY 5200 BUTLER PIKE PLYMOUTH MEETING,PA19462 23-2705995	INACTIVE	PA	EMERGENCY CARE RESEARCH INSTITUTE	C			100.000 %		No
(2) ECRI BHD 11 3 10 JALAN 3 109F DANAU BUSINESS TAMAN DANAU,KUALA LUMPUR MY	IMPROVE HEALTHCARE	MY	EMERGENCY CARE RESEARCH INSTITUTE	C			100.000 %		No
(3) ECRI INC 5200 BUTLER PIKE PLYMOUTH MEETING,PA19462 23-2082955	INACTIVE	PA	EMERGENCY CARE RESEARCH INSTITUTE	C			100.000 %		No
(4) ECRI MEA INC 5200 BUTLER PIKE PLYMOUTH MEETING,PA19462 85-3562970	ACTIVE	PA	EMERGENCY CARE RESEARCH INSTITUTE	C			100.000 %		No
(5) NATIONAL SAFETY TECHNOLOGIES 5200 BUTLER PIKE PLYMOUTH MEETING,PA19462 23-2491329	INACTIVE	PA	EMERGENCY CARE RESEARCH INSTITUTE	C			100.000 %		No
(6) MED SAFETY BOARD INC 5200 BUTLER PIKE PLYMOUTH MEETING,PA19462 23-2948087	PRODUCT EVALUATION OF PHARMACEUTICALS	PA	INSTITUTE FOR SAFE MEDICATION PRACTICES	C					No

Schedule R (Form 990) 2021

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) ECRI BHD	L	615,370	ACTUAL COSTS
(2) ECRI MEA	R	169,499	ACTUAL COSTS

Schedule R (Form 990) 2021

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2021

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference

Explanation

SCHEDULE R, PART V, LINE 1L:

ECRI INSTITUTE INCURS COSTS FOR DEVELOPING, PRINTING AND DISTRIBUTING PUBLICATIONS AND OTHER INFORMATION FOR THE BENEFIT OF ECRI BHD, AN AFFILIATE INCORPORATED IN MALAYSIA. ECRI INSTITUTE ALSO INCURS COSTS FOR TECHNICAL ASSISTANCE AND ADMINISTRATIVE SUPPORT PROVIDED TO ECRI BHD. THE FAIR VALUE OF SUCH COSTS IS DETERMINED AT AN ARMS-LENGTH BASIS, AND IS REIMBURSED TO ECRI INSTITUTE BY ECRI BHD. IN 2022, THE PAYMENT RECEIVED BY ECRI INSTITUTE FOR SUCH CHARGES WAS $615,370, APPROXIMATELY 0.78% OF ECRI INSTITUTE'S TOTAL EXPENSES. 100% OF THIS AMOUNT IS RELATED TO THE SAME EXEMPT PURPOSE AS THAT FOR THE CONTROLLING ENTITY, ECRI INSTITUTE, AND IS NOT UNRELATED BUSINESS INCOME. SINCE PAYMENT IS REIMBURSEMENT OF ACTUAL COSTS INCURRED BY THE CONTROLLING ENTITY, ECRI INSTITUTE, THERE IS NO NET INCOME FROM THIS TRANSACTION.

Schedule R (Form 990) 2021

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: ECRI IS ORGANIZED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES WITHIN THE MEANING OF IRC SECTION 501(C)(3). ECRI'S MISSION IS ADVANCING EFFECTIVE, EVIDENCE-BASED HEALTHCARE GLOBALLY. ECRI'S MISSION IS ACCOMPLISHED THROUGH ITS PUBLISHING, MEMBERSHIP AND INFORMATION PROGRAMS, TECHNICAL ASSISTANCE AND CONSULTING PROGRAMS, AND EDUCATIONAL PROGRAMS.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	8
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	7
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	536
6	Total number of volunteers (estimate if necessary) .............	6	7
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	8,999,400	15,000
9	Program service revenue (Part VIII, line 2g) .........	71,463,608	74,605,598
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	4,420,483	607,492
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	0	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	84,883,491	75,228,090
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	56,514,492	60,565,695
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 358,429
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	14,173,714	18,756,818
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	70,688,206	79,322,513
19	Revenue less expenses. Subtract line 18 from line 12.......	14,195,285	-4,094,423
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	110,680,492	93,846,011
21	Total liabilities (Part X, line 26).............	55,347,503	50,128,784
22	Net assets or fund balances. Subtract line 21 from line 20.....	55,332,989	43,717,227

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 35,210,791 including grants of $ ) (Revenue $ 54,322,691 )
	RESEARCH AND EVALUATION PROGRAMS, MEMBERSHIPS, PUBLICATIONS AND INFORMATION:ECRI'S APPLIED RESEARCH AND EVALUATION, MEMBERSHIPS, AND PUBLICATIONS ALL FOCUS ON IMPROVING HEALTHCARE SAFETY, QUALITY, AND COST-EFFECTIVENESS IN SETTINGS ACROSS THE CONTINUUM OF CARE, FROM ACUTE CARE TO AMBULATORY CARE TO LONG-TERM CARE AND HOME CARE. THESE PROGRAMS ARE USED BY HOSPITALS AND HEALTHCARE PROVIDERS, POLICYMAKERS, PAYERS, THE PUBLIC, GOVERNMENT AGENCIES, AND OTHERS IN THE HEALTHCARE COMMUNITY TO IMPROVE PATIENT CARE. THROUGH THESE PROGRAMS, ECRI DISSEMINATES THE RESULTS OF ITS INTERNALLY CONDUCTED RESEARCH AND EVALUATION, OF INFORMATION AND EXPERIENCE OBTAINED THROUGH TECHNICAL ASSISTANCE SERVICES AND OTHER ACTIVITIES, AND OF INFORMATION GATHERED FROM MANY OTHER SOURCES. ECRI CONDUCTS STUDIES AND DISSEMINATES INFORMATION AND TOOLS THAT PROTECT THE PUBLIC FROM UNSAFE AND INEFFECTIVE MEDICAL TECHNOLOGIES AND PRACTICES; IMPROVES PATIENT SAFETY BY PREVENTING MEDICAL ERRORS, PATIENT ACCIDENTS, INJURIES, AND DEATH; ASSESSES THE EFFECTIVENESS OF DRUGS, DEVICES, PROCEDURES, AND PRACTICES; AND REDUCES COSTS FOR HEALTHCARE PROVIDERS AND PAYORS. EACH YEAR, ECRI DISSEMINATES HUNDREDS OF GUIDANCE ARTICLES, ALERTS, AND ADVISORIES THAT FOCUS ON WAYS TO IMPROVE THE QUALITY, SAFETY, AND COST EFFECTIVENESS OF HEALTHCARE. EACH YEAR, ECRI PUBLISHES MONOGRAPHS ON THE TOP 10 HEALTH TECHNOLOGY HAZARDS AND TOP 10 PATIENT SAFETY CONCERNS TO WHICH HEALTHCARE PROVIDERS SHOULD BE PAYING THE MOST ATTENTION, ALONG WITH RECOMMENDATIONS FOR ALLEVIATING RISKS, AS WELL AS OTHER WHITE PAPERS WITH IMPORTANT SAFETY INFORMATION AVAILABLE TO THE PUBLIC. ECRI'S WORK IS INTERNATIONAL IN SCOPE AND REQUIRES HIGHLY SPECIALIZED KNOWLEDGE AND EXPERTISE. TO HELP ENSURE THE SAFETY OF PATIENT CARE AND HEALTHCARE TECHNOLOGY, ECRI INDEPENDENTLY INVESTIGATES SAFETY ACCIDENTS; PUBLISHES PRODUCT AND SAFETY ALERTS; COLLECTS, AGGREGATES AND ANALYZES ADVERSE PATIENT SAFETY EVENT DATA AND COST DATA FROM HOSPITALS AND HEALTHCARE PROVIDERS; DISSEMINATES LESSONS LEARNED; INDEPENDENTLY EVALUATES AND VERIFIES THE EVIDENCE ON THE EFFECTIVENESS OF MEDICAL PROCEDURES AND TECHNOLOGIES; AND PROVIDES VIRTUAL AND ONSITE ASSISTANCE ON HAZARDS AND SAFETY IMPROVEMENT. ECRI MAINTAINS SEVERAL OF THE LARGEST DATABASES ON MEDICAL DEVICE HAZARDS AND RECALLS AND PRICES, WHICH COVERS THOUSANDS OF PRODUCTS RANGING FROM A SIMPLE THERMOMETER TO COMPLEX, SOPHISTICATED LIFE SUPPORT EQUIPMENT. ECRI'S EVALUATION PROGRAM CONDUCTS HANDS-ON LABORATORY TESTING TO EVALUATE THE SAFETY AND EFFICACY OF MEDICAL DEVICES THAT ARE ON THE MARKET. IT COVERS ALL TYPES OF DIAGNOSTIC AND THERAPEUTIC MEDICAL PRODUCTS, FROM MAMMOGRAPHY UNITS TO SURGICAL LASERS TO NEEDLE STICK PREVENTION DEVICES. THIS PROGRAM ENABLES ECRI TO DISSEMINATE INFORMATION ON PRODUCTS, THEIR SAFE IMPLEMENTATION AND USE, AND THEIR COST. ECRI DEVELOPED AND MAINTAINS A GLOBAL CLASSIFICATION SYSTEM FOR INDEXING MEDICAL DEVICES USED BY HEALTHCARE ORGANIZATIONS AND GOVERNMENT REGULATORY SYSTEMS WORLDWIDE AND IS A FRAMEWORK FOR TRACKING HAZARD AND RECALL INFORMATION. EACH YEAR, ECRI HOLDS SCORES OF MEETINGS, WORKSHOPS, WEBINARS, AND AUDIO CONFERENCES ADDRESSING BEST PRACTICES, PATIENT SAFETY, EVALUATION OF EVIDENCE, AND THE IMPLEMENTATION AND USE OF MEDICAL TECHNOLOGY AND HEALTH SERVICES. ECRI PROVIDES A UNIQUE EDUCATIONAL CERTIFICATION PROGRAM AND CREDENTIAL FOR HEALTHCARE SAFETY AND ENVIRONMENTAL OFFICERS. ECRI SUPPORTS FEDERALLY QUALIFIED HEALTH CENTERS IN THE PROVISION OF SAFE, HIGH-QUALITY CARE TO VULNERABLE POPULATIONS THROUGH ITS PUBLICATIONS, CONTINUING EDUCATION PROGRAMS, AND DEDICATED SUPPORT STAFF.

4b	(Code: ) (Expenses $ 14,148,591 including grants of $ ) (Revenue $ 20,282,907 )
	TECHNICAL ASSISTANCE PROGRAMS: ECRI PROMOTES IMPROVED METHODS OF PATIENT CARE BY PROVIDING THE HEALTHCARE COMMUNITY AND FEDERAL AND STATE AGENCIES WITH A WIDE RANGE OF TECHNICAL ASSISTANCE ON SAFETY, QUALITY IMPROVEMENT, AND COST-EFFECTIVENESS. ECRI'S TECHNICAL ASSISTANCE PROGRAMS INCLUDE PROVIDING INFORMATION TOOLS AND SUPPORT FOR THE BUYERS AND USERS OF HEALTHCARE TECHNOLOGY;; INVESTIGATING AND ANALYZING ACCIDENTS AND EVENTS INVOLVING PATIENT SAFETY; PROVIDING ASSESSMENT AND EVALUATION OF HEALTHCARE SAFETY AND QUALITY; PROVIDING EVIDENCE-BASED RESEARCH AND EFFECTIVENESS REPORTS TO GOVERNMENT AGENCIES; CONDUCTING HANDS-ON LABORATORY TESTING TO EVALUATE THE SAFETY AND EFFICACY OF MEDICAL DEVICES THAT ARE ON THE MARKET; DESIGNING AND MAINTAINING A REPOSITORY OF CRITICAL CLINICAL GUIDELINES; DESIGNING AND MAINTAINING PATIENT SAFETY REPORTING AND ANALYSIS PROGRAMS; AND RUNNING A FEDERALLY DESIGNATED PATIENT SAFETY ORGANIZATION (PSO). ECRI TAKES REPORTS ON MEDICAL DEVICE PROBLEMS FROM ANY MEMBER OF THE PUBLIC, ANALYZES THE PROBLEMS, AND DISSEMINATES RECOMMENDATIONS TO THE PUBLIC FOR SAFE PRACTICES. THE FORM FOR SUBMITTING REPORTS IS PUBLICLY AVAILABLE. INFORMATION AND EXPERIENCE OBTAINED THROUGH SUCH ACTIVITIES ARE USED EXTENSIVELY IN ECRI'S PUBLICATIONS FOR THE HEALTHCARE COMMUNITY, THEREBY PROMOTING AND MAKING POSSIBLE IMPROVED METHODS OF PATIENT CARE FOR THE BENEFIT OF PUBLIC HEALTH.

4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses49,359,382

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)			(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) ANDREW FURMAN........................................................................ VP - CLINICAL EVIDENCE & SAFETY SOL.	51.00 .......................0.00	X		374,072	0	47,375
(19) DAVID SPELTA........................................................................ SR ACCOUNT EXECUTIVE	40.00 .......................0.00	X		369,379	0	46,230
(20) MICHAEL ARGENTIERI........................................................................ VP - TRANSITION & BUSINESS SUPPORT	47.00 .......................0.00	X		372,714	0	29,937
(21) JOSEPH MUIR........................................................................ SR ACCOUNT EXECUTIVE, MANUFACTURERS	45.00 .......................0.00	X		351,091	0	28,130
(22) ANTHONY MONTAGNOLO MS........................................................................ COO	0.00 .......................0.00		X	115,504	0	6,340

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	6,389,420	0	487,767

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	15,000

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		15,000

		Business Code
2a	MEMBERSHIP, PUBLICATIONS	900099	54,322,691	54,322,691
b	TECHNICAL ASSISTANCE	541900	20,282,907	20,282,907
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		74,605,598

3 Investment income (including dividends, interest, and othersimilar amounts) ......			879,862			879,862
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents			6a
b	Less: rental expenses			6b
c	Rental income or (loss)			6c
d	Net rental income or (loss).......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		15,411,087	7a
b	Less: cost or other basis and sales expenses		15,683,457	7b
c	Gain or (loss)		-272,370	7c
d	Net gain or (loss).........			-272,370			-272,370
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See instructions.....			75,228,090	74,605,598	0	607,492

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	4,464,704	1,073,103	3,391,601
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	44,821,531	30,623,492	14,022,610	175,429
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	1,788,436	1,159,723	628,713
9	Other employee benefits .......	5,887,292	3,817,653	2,069,639
10	Payroll taxes ...........	3,603,732	2,336,863	1,266,869
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	729,219	23,947	705,272
c	Accounting ...........	96,194		96,194
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	7,919,409	5,227,624	2,508,785	183,000
12	Advertising and promotion ....	361,938	15,557	346,381
13	Office expenses .......
14	Information technology ......	2,893,841	1,325,952	1,567,889
15	Royalties ..
16	Occupancy ...........	648,519	142,130	506,389
17	Travel ............	616,565	305,851	310,714
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	104,942	22,202	82,740
20	Interest ...........	249,335		249,335
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	2,083,240	1,724,926	358,314
23	Insurance ...	427,414	333,295	94,119
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	RECRUITING AND TRAINING	724,849	122,723	602,126
b	DUES AND SUBSCRIPTIONS	545,860	463,189	82,671
c	ADMINISTRATIVE FEES	371,849	370,929	920
d	PROVISIONS OF UNCOLLECT	192,000		192,000
e	All other expenses	791,644	270,223	521,421
25	Total functional expenses. Add lines 1 through 24e	79,322,513	49,359,382	29,604,702	358,429
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........				1
2	Savings and temporary cash investments .........			9,380,090	2	3,647,291
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			19,670,776	4	19,951,988
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7	720,000
8	Inventories for sale or use ............				8
9	Prepaid expenses and deferred charges ......			1,054,288	9	1,248,802
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	30,554,698
b	Less: accumulated depreciation	10b	12,494,721	17,770,160	10c	18,059,977
11	Investments—publicly traded securities .			55,648,594	11	42,610,646
12	Investments—other securities. See Part IV, line 11 .....			2,008,026	12	1,593,041
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			5,148,558	15	6,014,266
16	Total assets. Add lines 1 through 15 (must equal line 33)...			110,680,492	16	93,846,011

17	Accounts payable and accrued expenses .....	10,292,340	17	6,064,654
18	Grants payable ...	107,707	18	107,707
19	Deferred revenue .........	31,481,263	19	33,085,526
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	11,968,115	23	9,521,253
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	1,498,078	25	1,349,644
26	Total liabilities. Add lines 17 through 25..	55,347,503	26	50,128,784

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	55,332,989	27	43,702,227
28	Net assets with donor restrictions ...........		28	15,000
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	55,332,989	32	43,717,227
33	Total liabilities and net assets/fund balances ........	110,680,492	33	93,846,011

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No