In 1994, BIRRD was converted to a Trust. TTD provides a matching grant to the Trust, equivalent to the donations it receives. A proposal for 100% exemption under the Indian Income Tax Act, for donations to BIRRD is under consideration.

BIRRD operates from a spacious hospital with a capacity of 250 beds, built at a cost of Rs. 4.5 crore. It has five operation theatres, a modern Artificial Limb Fitting Centre (that provides aids and appliances, free of cost, to physically handicapped patients) and a sophisticated Physiotherapy Department. Research is also conducted here.

BIRRD proposes to start a Total Spinal Trauma Care Centre with comprehensive rehabilitation. It also plans to introduce post graduate and graduate courses in Physiotherapy.

Currently, BIRRD is in the process of collecting data pertaining to polio-affected children in Andhra Pradesh, after which it will start screening patients at the district level. With the help of voluntary organisations, three districts have already been covered under this scheme.