In 2003, the Craig H. Neilsen Foundation awarded its first grants—four grants to be exact. Three programmatic grants totaling just under $50,000 and one research grant for approximately $200,000. Our goal was to advance spinal cord injury (SCI) research and increase access to programming for those living with SCI. Fast forward 20 years, and at the end of 2022, the Foundation has awarded just under 2,300 grants with a total contribution to the world of SCI of over $355 million.