2018-10-05T05:38:07-05:00 2018-06-30 521511275 RAFFA PC 1899 L STREET NW SUITE 850 WASHINGTON DC 20036 990 2017-07-01 521638207 CHILDREN'S INN AT NIH INC CHIL 3014965672 7 WEST DRIVE BETHESDA MD 20814 JENNIE LUCCA CHIEF EXECUTIVE OFFICER 3014965672 2018-10-05 1 FRANK H SMITH P00639053 2028225000 2018-10-05 207.238.152.31 2018-10-05 06:37:54 ED P 3CB9D2A336F5748FD1DDFF9B39A553C46D25FB21 1A0AE8A7BB8C6D2397DB88F111DB3F763BC2E0F7 2017 2018-06-14 16:35:46Z THE CHILDREN'S INN AT NIH INC JENNIE LUCCA 7 WEST DRIVE BETHESDA MD 20814 14368009 0 X WWW.CHILDRENSINN.ORG X 1988 MD TO KEEP FAMILIES TOGETHER DURING ILLNESS IN A SUPPORTIVE, THERAPEUTIC, & EDUCATIONAL ENVIRONMENT. 19 19 58 195 0 0 5681551 5267008 1089757 1245686 1152521 1933324 -176026 -188763 7747803 8257255 48902 49724 0 0 3353234 3552120 0 0 1308526 4526075 4805996 7928211 8407840 -180408 -150585 59577528 60612856 738361 573622 58839167 60039234 X THE CHILDREN'S INN AT NIH, INC. (THE INN) IS A PRIVATE, NONPROFIT RESIDENCE FOR FAMILIES AND THEIR CHILDREN WHO ARE PARTICIPATING IN PEDIATRIC RESEARCH AT THE NATIONAL INSTITUTES OF HEALTH'S (NIH) CLINICAL CENTER. THE INN'S MISSION IS TO FULLY AND CONSISTENTLY MEET THE NEEDS OF CHILDREN AND FAMILIES PARTICIPATING IN GROUNDBREAKING RESEARCH AT NIH, BY:- RESPONDING TO EVOLVING FAMILY SUPPORT NEEDS FROM PEDIATRIC RESEARCH AND CLINICAL CARE- PROVIDING A FREE FAMILY-CENTERED "PLACE LIKE HOME"- REDUCING THE BURDENS OF ILLNESS THROUGH THERAPEUTIC, EDUCATIONAL AND RECREATIONAL PROGRAMMING. 0 0 3745349 1245686 HOUSING - THE INN IS A HOSPITAL HOSPITALITY HOUSE FOR SERIOUSLY ILL CHILDREN AND THEIR FAMILIES WHO ARE PARTICIPATING IN BIOMEDICAL RESEARCH STUDIES AT THE NATIONAL INSTITUTES OF HEALTH (NIH). THE INN PROVIDES A WARM, WELCOMING ENVIRONMENT WHERE PEDIATRIC PATIENTS AND THEIR SIBLINGS CAN PLAY, LEARN AND SOCIALIZE, AND THEIR PARENTS CAN ENGAGE IN THE NORMAL ACTIVITIES OF DAILY LIVING SUCH AS COOKING, DOING LAUNDRY, AND SEEKING MUTUAL SUPPORT FROM OTHER FAMILIES. OUR FAMILIES COME FROM ALL 50 STATES AND MORE THAN 94 COUNTRIES AROUND THE WORLD TO RECEIVE CUTTING EDGE MEDICAL CARE FROM 15 OF THE 27 INSTITUTES AT THE NIH. WHILE AT THE INN, FAMILIES STAY IN PRIVATE SLEEPING ROOMS EQUIPPED WITH ADA-ACCESSIBLE BATHROOMS. THEY HAVE ACCESS TO COMMUNAL KITCHENS EQUIPPED WITH STOVETOP OVENS, PERSONAL REFRIGERATORS AND CABINETRY, COOKWARE, FLATWARE AND FULLY STOCKED PANTRIES. EACH QUADRANT IS EQUIPPED WITH WASHERS AND DRYERS, AND DRY-CLEANING SERVICES ARE AVAILABLE UPON REQUEST. THE INN IS STAFFED 24 HOURS A DAY, 7 DAYS A WEEK, AND HAS THE CAPACITY TO HOUSE 59 FAMILIES EACH DAY (64 INCLUDING APARTMENTS). ALL SERVICES PROVIDED TO FAMILIES ARE FREE OF CHARGE. IN ADDITION TO THE SERVICES LISTED ABOVE, THE INN PROVIDES: SECURITY, PEST MANAGEMENT, FIRE PROTECTION, VIDEO SURVEILLANCE, AND FACILITY MAINTENANCE. FAMILIES HAVE ACCESS TO A COMPUTER ROOM, LAPTOPS, IPADS, AND FREE WIFI. IN FY17, THE INN LAUNCHED AN EXTENSION OF ITS ISOLATION PROGRAM BY PROVIDED HOUSING IN TWO COMMUNITY APARTMENTS FOR PATIENTS WHO FROM TIME TO TIME REQUIRE ADDITIONAL PRECAUTIONS DUE TO INFECTIONS. FOR PEOPLE WITH HEALTHY IMMUNE SYSTEMS, THESE INFECTIONS POSE NO RISK, BUT COULD BE QUITE SERIOUS FOR PATIENTS WITH COMPROMISED IMMUNE SYSTEMS WHO STAY AT THE INN. THIS PROVIDED THE ISOLATION PATIENTS AND FAMILIES MORE INDEPENDENCE AND THE ABILITY TO PERFORM THE REGULAR FUNCTIONS OF COOKING AND LAUNDRY IN A COMFORTABLE SETTING. DUE TO THE SUCCESS OF THAT TRIAL, THE INN LEASED 3 ADDITIONAL APARTMENTS IN LATE FY18 IN DOWNTOWN BETHESDA TO PROVIDE ADDITIONAL HOUSING FOR LONG-TERM ISOLATION FAMILIES AND OVERFLOW FROM THE INN. DURING THE YEAR 17 FAMILIES STAYED IN THE APARTMENTS FOR A TOTAL OF 502 NIGHTS. IN JUNE 2017 THE INN WAS GRANTED PERMISSION TO RENOVATE AND USE FOR ADDITIONAL HOUSING AN ON-CAMPUS DUPLEX KNOWN AS QUARTERS 15B 1&2. THE DUPLEX, LOCATED DIRECTLY ACROSS FROM THE INN WILL PRIMARILY SERVE AS HOUSING FOR YOUNG ADULTS. DURING FY18, THE INN SELECTED AN ARCHITECTURAL FIRM, CALLISON RTKL, WHO WILL BE RESPONSIBLE FOR RE-DESIGNING THE SPACE.WITH THE ON-CAMPUS HOUSING OPPORTUNITY PROVIDED BY QUARTERS 15B, THE INN'S BOARD OF DIRECTORS EVALUATED OCCUPANCY TRENDS, FAMILY FEEDBACK, AND THE COST TO OPERATE AND MAINTAIN EACH FACILITY ACROSS SEVERAL FISCAL YEARS. BASED ON THIS EVALUATION, THEY MADE THE DECISION TO CLOSE AND SELL WOODMONT HOUSE WHICH HAD PREVIOUSLY BEEN USED FOR PATIENTS WITH VISITS EXTENDING BEYOND 6 MONTHS, WHO WERE IN STABLE HEALTH, BUT CONTINUED TO REQUIRE WEEKLY VISITS TO THE NIH. LOCATED ADJACENT TO THE NIH CAMPUS, WOODMONT HOUSE SERVED AS A COMMUNITY-BASED TRANSITIONAL HOUSE THAT PROVIDED ALL OF THE SAME AMENITIES OFFERED AT THE INN. THE BOARD'S DECISION WAS BASED ON THE DECLINING NUMBER OF FAMILIES NEEDING LONG-TERM HOUSING WEIGHED AGAINST THE COST OF OPERATING THE HOUSE. WOODMONT HOUSE WAS SOLD IN FEBRUARY OF 2018. DURING FISCAL YEAR 2018, 1,703 FAMILIES VISITED THE INN AND STAYED FOR A TOTAL OF 15,549 NIGHTS. THE HOUSING COSTS TO SUPPORT THESE FAMILIES AMOUNTED TO $3,745,349. THE INN RECEIVED ADDITIONAL IN-KIND SUPPORT TOTALING $1,965,416 THROUGH A PARTNERSHIP WITH THE NIH, CORPORATE SPONSORSHIPS, AND INDIVIDUAL DONATIONS. THE INN IS ALSO SUPPORTED BY A DEDICATED GROUP OF VOLUNTEERS WHOSE SERVICE HAS AN ESTIMATED VALUE OF $29,865 OR 1,086 HOURS. THE TOTAL MANAGED EFFORT OF HOUSING SERVICES WAS $5,740,630. 2044165 49724 RESIDENT SERVICES - THE INN WAS FOUNDED ON THE PHILOSOPHY THAT FAMILIES PLAY A PIVOTAL ROLE IN THE LIVES OF THEIR SICK CHILDREN. AS THEY FACE UNCERTAIN MEDICAL OUTCOMES, FAMILIES SEEK WAYS TO RELIEVE STRESS, BE TOGETHER AND CREATE LASTING MEMORIES. THEY CRAVE THE COMFORT OF NORMALCY, AND ESPECIALLY WELCOME DIVERSIONS FROM THE DAILY RIGOR OF MEDICAL TREATMENTS. THE INN'S CARING AND SUPPORTIVE ENVIRONMENT IS DESIGNED TO SUPPORT EVERY NEED OF A FAMILY'S DAILY LIFE FROM COMFORTABLE HOUSING ACCOMMODATIONS TO RECREATIONAL ACTIVITIES, GROCERIES, THERAPEUTIC FAMILY PROGRAMMING AND TRANSPORTATION. WHILE THE NIH'S CLINICAL CENTER ADDRESSES A CHILD'S MEDICAL NEEDS, THE CHILDREN'S INN ADDRESSES HIS OR HER SOCIAL, EMOTIONAL, AND EDUCATIONAL NEEDS. THE LEARNING CENTER IS A DEDICATED SPACE STAFFED BY A FULL TIME EDUCATION PROGRAM MANAGER WHO PROVIDES ASSISTANCE, INDIVIDUALIZED TUTORING, OR FACILITATES EDUCATIONAL ACTIVITIES FOR PATIENTS AND THEIR SIBLINGS. THE INN'S INNRICHMENT PROGRAM PROVIDES FINANCIAL SUPPORT FOR EDUCATIONAL AND THERAPEUTIC ACTIVITIES FOR PEDIATRIC AND YOUNG ADULT PATIENTS. IN FY18, THE INN PROVIDED 20 SCHOLARSHIPS TOTALING OVER $20,000 TO 19 RECIPIENTS. ACTIVITIES SUPPORTED INCLUDED PIANO LESSONS, COLLEGE TUITION, ACT PREP, AND GYMNASTICS. ONGOING THROUGHOUT THE YEAR, RESIDENT SERVICE INCLUDES ACTIVITIES SPECIALLY DESIGNED WITHIN PEER GROUPS, SUCH AS, "OPEN PLAYROOM" WHERE EACH AFTERNOON PARENTS CAN DROP THEIR CHILDREN OFF FOR AN HOUR OF STAFF SUPERVISED ACTIVITIES. FOR TEENS AND YOUNG ADULTS, PEER SPECIFIC ACTIVITIES ARE DESIGNED TO SIMULATE NORMAL LIFE AND ALLOW YOUNG ADULT PATIENTS TO DEBRIEF AND CONNECT WITH ONE ANOTHER OUTSIDE THE HOSPITAL SETTING. ACTIVITIES INCLUDE TRIPS TO LOCAL RESTAURANTS, EVENTS AND SHOWS, AS WELL AS OPPORTUNITIES FOR GROUP DISCUSSIONS AND THE DEVELOPMENT OF SOCIAL NETWORKS. PARENTS CAN PARTICIPATE IN A WEEKLY "CAREGIVER GATHERING" WHICH IS LED BY THE CLINICAL CENTER'S CHAPLAIN, WHO SPECIALIZES IN SPIRITUAL SERVICES IN HEALTHCARE SETTINGS, AND IS DESIGNED TO PROVIDE AN EMOTIONAL OUTLET FOR CAREGIVERS. IN FY 18, THE INN EXPANDED ITS PROGRAMMING TO INCLUDE SPECIAL NIGHTS DEDICATED TO THE CAREGIVERS. THE CAREGIVER NIGHTS PROVIDE A SPECIAL DINNER AND ACTIVITIES FOR PARENTS WHILE THEIR CHILDREN PARTICIPATE IN STAFF SUPERVISED ACTIVITIES. PARENTS ALSO HAVE ACCESS TO FITNESS CLASSES TAUGHT BY CERTIFIED TRAINERS OR USE THE INN'S EXERCISE ROOM WHICH IS FURNISHED WITH VARIOUS EXERCISE MACHINES, FREE WEIGHTS, AND YOGA MATS. RECREATIONAL ACTIVITIES FOR THE ENTIRE FAMILY INCLUDE FIELD TRIPS TO TOURIST ATTRACTIONS, LOCAL MUSEUMS AND ART STUDIOS, SPORTING EVENTS, RESTAURANTS AND FAMILY FRIENDLY PERFORMANCES. DURING THE SUMMER, SPECIAL ACTIVITIES FOR PATIENTS AND THEIR SIBLINGS INCLUDE "CAMP INNCREDIBLE", "SIBLING DAY", "TEEN RETREAT", AND "CHRISTMAS IN JULY". TO CELEBRATE THE DIVERSITY OF OUR FAMILIES AND CREATE A WELCOMING ATMOSPHERE FOR ALL, WE ORGANIZE EVENTS THROUGHOUT THE YEAR TO CELEBRATE THE MANY DIFFERENT CULTURES REPRESENTED AT THE INN. FAMILIES WITH CRITICALLY ILL CHILDREN IN TRIALS AT THE NIH SPEND MANY MONTHS AWAY FROM HOME AND WORK AND OFTEN FIND THEMSELVES IN FINANCIAL DIFFICULTY. THE INN'S EMERGENCY FUND PROVIDES SUPPORT TO ASSIST THESE FAMILIES WITH RENT AND MORTGAGE BILLS, UTILITIES AND TRAVEL COSTS. IN FY18 THE INN PROVIDED MORE THAN $27,000 IN SUPPORT TO FAMILIES. WE OFFER ENGLISH LANGUAGE TUTORING TO HELP OUR NON-ENGLISH SPEAKING FAMILIES MAKE CONNECTIONS WITH OTHER FAMILIES AND BE BETTER EQUIPPED TO NAVIGATE THE LOCAL COMMUNITY. ADDITIONALLY, SEVERAL INN STAFF ARE FLUENT IN SPANISH AND HAVE ACCESS TO TRANSLATION SERVICES THROUGH THE NIH CLINICAL CENTER. THE INN IS SUPPORTED BY A DEDICATED GROUP OF VOLUNTEERS WHO PROVIDE VITAL SUPPORT TO MAINTAIN RESIDENT SERVICES FOR OUR FAMILIES BY MANAGING THE WELCOME DESK, STOCKING THE KITCHENS, ORGANIZING IN-KIND DONATIONS, AND OFFERING INFORMATION TO FAMILIES ABOUT LOCAL CULTURAL AND TOURIST ATTRACTIONS. TO PROVIDE ADDITIONAL SUPPORT TO OUR FAMILIES, ESPECIALLY FOLLOWING A LONG DAY OF TRAVEL OR MEDICAL APPOINTMENTS, THE INN PARTNERS WITH LOCAL BUSINESSES, ORGANIZATIONS AND COMMUNITY SUPPORTERS TO PROVIDE HOME-COOKED MEALS AT LEAST 4 NIGHTS A WEEK. WE ALSO PROVIDE A CONTINENTAL BREAKFAST MONDAY THROUGH SATURDAY, AND A TWICE-MONTHLY SUNDAY BRUNCH. IN FY 2018, THE INN OFFERED MORE THAN 400 HOURS OF FAMILY ACTIVITIES. THE INN DEDICATED $2,044,165 OF ITS RESOURCES TO PROVIDE RESIDENT SERVICES. THE INN RECEIVED ADDITIONAL IN-KIND SERVICES VALUED AT $711,833 FOR RESIDENT SERVICES AND OUTINGS. THE VALUE OF VOLUNTEER SUPPORT DONATED TO THE INN FOR RESIDENT SERVICES TOTALED 15,464 HOURS OR $425,260. THE TOTAL MANAGED EFFORT OF RESIDENT SERVICES IS $3,181,258. 5789514 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 50 0 1 58 1 0 0 0 0 0 1 1 0 0 0 0 X 19 19 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 AK AL AR CA CT FL GA HI IL KS KY MA MD MI MN MS NC NH NJ NM NY OK OR PA RI SC TN UT VA WV WI X X JEAN BUERGLER 3014965672 7 WEST DRIVE BETHESDA MD 20814 TIMOTHY J ATKIN CHAIR 4.00 X X 0 0 0 BETH MALONEY VICE CHAIR 2.00 X X 0 0 0 COKIE ROBERTS SECRETARY 2.00 X X 0 0 0 MATT BELL PHD TREASURER 2.00 X X 0 0 0 LOIS APLERSTEIN DIRECTOR - AS OF 10/2017 1.00 X 0 0 0 DIANE BAKER DIRECTOR 1.00 X 0 0 0 ROBERT J FILIPPONE PHD DIRECTOR 1.00 X 0 0 0 CHRISTINE GRADY MSN PHD DIRECTOR - AS OF 10/2017 1.00 X 0 0 0 LEE J HELMAN MD DIRECTOR - UNTIL 10/2017 1.00 X 0 0 0 NEAL KATYAL DIRECTOR 1.00 X 0 0 0 BRIAN KELLY DIRECTOR 1.00 X 0 0 0 MOLLY MAHONEY MATTHEWS DIRECTOR - UNTIL 10/2017 1.00 X 0 0 0 JILL OLMSTEAD DIRECTOR 1.00 X 0 0 0 HOLLY COBB PARKER DIRECTOR - UNTIL 10/2017 1.00 X 0 0 0 SUSAN PENFIELD DIRECTOR 1.00 X 0 0 0 KRISTINE RIBAS DIRECTOR 1.00 X 0 0 0 RYAN A RIEL DIRECTOR 1.00 X 0 0 0 PORTER SHIFFLETT DIRETOR - AS OF 10/2017 1.00 X 0 0 0 CONSTANTINE STRATAKIS MD DIRECTOR - AS OF 10/2017 1.00 X 0 0 0 SCOTT VOGEL DIRECTOR 1.00 X 0 0 0 DANIEL L WEAVER CPA DIRECTOR 1.00 X 0 0 0 LORI WIENER PHD DIRECTOR - UNTIL 10/2017 1.00 X 0 0 0 KELVIN K WOMACK DIRECTOR 1.00 X 0 0 0 JENNIE LUCCA CHIEF EXECUTIVE OFFICER 40.00 X 224192 0 42170 JEAN BUERGLER SR. DIRECTOR OF FINANCE 40.00 X 114007 0 19178 FERN JENNIFER STONE CHIEF DEVELOPMENT & COMM. OFFICER 40.00 X 234767 0 30773 TAMMY PINSON CHIEF OPERATING OFFICER 40.00 X 133002 0 34773 RICHARD SAUNDERS SR. DIR. OF INFORMATION TECHNOLOGY 40.00 X 116795 0 13272 CATHY MORALES CHIEF PROGRAM & SERVICES OFFICER 40.00 X 113886 0 12690 936649 0 152856 6 0 1 0 CROTHALL HEALTHCARE 13028 COLLECTION CENTER DRIVE CHICAGO IL 60693 HOUSEKEEPING SERVICES 644627 THE RITZ CARLTON TYSONS CORNER 1700 TYSONS BOULEVARD MCLEAN VA 22102 EVENT SERVICES 182878 L&E MERIDIAN 8000 CORPORATE COURT SPRINGFIELD VA 22153 DATA MANAGEMENT 130670 3 95179 1663235 3508594 547530 5267008 PATIENT LODGING 900099 1245686 1245686 1245686 1666624 1666624 2653078 3300000 2653217 3033161 -139 266839 266700 266700 223010 1663235 421231 -198221 -198221 18595 3145 15450 15450 REWARDS 900099 5222 5222 OTHER INCOME 900099 196 196 LOSS ON DISPOSAL OF FA 900099 -11410 -11410 -5992 8257255 1245686 0 1744561 49724 49724 678968 109603 325021 244344 2205520 1421546 356090 427884 195526 128360 29896 37270 276611 197704 40223 38684 195495 107429 43923 44143 18347 18347 39002 39002 77899 77899 75812 48907 13818 13087 563598 131353 36982 395263 125689 71272 29817 24600 240697 109979 84140 46578 41963 20284 20379 1300 1647670 1506040 117638 23992 99470 74972 20346 4152 CLEANING 700103 660329 39774 0 RESIDENT PROGRAMMING 578639 578639 0 0 FACILITY/EQUIP. MAINT. 357010 347024 9986 0 SUPPLIES/EVENT SUPPORT 164871 164871 0 0 75226 61478 6519 7229 8407840 5789514 1309800 1308526 X 185679 72747 16452 96480 13906 19234 2682715 3052448 2152324 993395 131704 178332 17600 16602 87503 87736 11716932 7696312 8224168 4020620 46267608 52244489 59577528 60612856 616226 573622 61500 60635 0 738361 573622 X 25758739 27032580 10001898 7806695 23078530 25199959 58839167 60039234 59577528 60612856 -150585 1441692 -91040 0 X 0 1 X 1 0 X 10455676 4907520 4974294 5681551 5267008 31286049 2917632 2276935 2908141 2734859 2778247 13615814 13373308 7184455 7882435 8416410 8045255 44901863 7358550 37543313 1095345 1427486 1483599 1152163 1666624 6825217 2164 2117 2162 3777 196 10416 51737496 6772590 0.72560 0.73310 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2013 AMOUNT: $ 2,164. 2014 AMOUNT: $ 2,117. 2015 AMOUNT: $ 2,162. 2016 AMOUNT: $ 3,777. 2017 AMOUNT: $ 196. 26494725 928217 1452751 23520 28852173 22990935 1324137 2179653 26494725 22452850 530976 7109 22990935 21443338 1052789 -43277 22452850 17905349 1185581 2352408 21443338 0.00000 0.87340 0.12660 0 0 128421 128421 8084194 5029332 3054862 1132268 1005097 127171 2372049 1661883 710166 4020620 X 12991052 1441692 2867729 424376 4733797 8257255 0 8257255 11790985 2958769 424376 3383145 8407840 0 8407840 PART V, LINE 4: THE INN HOLDS VARIOUS PERMANENTLY RESTRICTED ENDOWMENTS, WHICH ARE DESCRIBED AS FOLLOWS: SANOFI AVENTIS LEGACY FUND - THIS FUND WAS ESTABLISHED IN 2008 TO SUPPORT THE NEEDS OF CHILDREN AND FAMILIES RECEIVING MEDICAL CARE AT THE NIH. THE MERCK COMPANY FOUNDATION FUND - THIS FUND WAS ESTABLISHED IN 1996 TO PROVIDE SUPPORT FOR FUTURE OPERATING EXPENSES OF THE INN. THE WEINBERG FOUNDATION FUND - THIS FUND WAS ESTABLISHED IN 1993 THROUGH RESTRICTED CONTRIBUTIONS FROM DONORS TO SUBSIDIZE VARIOUS PROGRAMS AND SERVICES FOR TEMPORARY RESIDENTS AND VISITORS OF THE INN. THE JOYCE A. JENKINS ENDOWMENT FUND - THIS FUND WAS ESTABLISHED IN 2006 TO SUPPORT THE NEEDS OF CHILDREN AND THEIR FAMILIES RECEIVING MEDICAL CARE AT THE NIH. GENERAL ENDOWMENT FUND - THE PURPOSE OF THIS FUND IS TO PROVIDE INVESTMENT INCOME TO BE USED FOR OPERATING EXPENSES. ROBERT JAMES FITZGERALD ENDOWMENT FUND - THIS FUND WAS ESTABLISHED IN 2008 TO PROVIDE SUPPORT FOR FUTURE OPERATING EXPENSES OF THE INN. AFCEA ENDOWMENT FUND - THIS FUND WAS ESTABLISHED IN 2008 TO ENSURE THAT CHILDREN AND THEIR FAMILIES RECEIVE THE UTMOST CARE AND COMFORT DURING THEIR STAY AT THE INN. ROSE AND HAROLD KRAMER ENDOWMENT FUND - THIS FUND WAS ESTABLISHED IN 2007 TO RAISE FUNDS TO PROVIDE SERVICES TO CHILDREN AND/OR FOR RESEARCH PURPOSES. OTHER - USED FOR DESIGNATED PURPOSE OR, IF NO SPECIAL PURPOSE WAS SPECIFIED, FOR GENERAL OPERATING EXPENSES. PART X, LINE 2: THE INN PERFORMED AN EVALUATION OF UNCERTAIN TAX POSITIONS FOR THE YEARS ENDED JUNE 30, 2018 AND 2017, AND DETERMINED THAT THERE WERE NO MATTERS THAT WOULD REQUIRE RECOGNITION IN THE FINANCIAL STATEMENTS OR THAT MAY HAVE ANY EFFECT ON ITS TAX-EXEMPT STATUS. PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 421,231. GAMING EXPENSE 3,145. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 421,231. GAMING EXPENSE 3,145. EVENING FOR HOPE 1358072 1234322 123750 13938 149225 76096 99160 CONGRESSIONAL RECEPTION 237000 215700 21300 1000 17500 2515 1231 2 291173 213213 77960 17086 13023 22063 8394 1886245 1663235 223010 17086 14938 179748 100674 108785 421231 -198221 18595 3145 0 18595 3145 3145 15450 VA MD 0 THE GROSS RECEIPTS FROM THE RAFFLE IS BELOW THE REGISTRATION REQUIREMENT THRESHOLD IN VA. THE INN IS REGISTERED IN MD. 0 0 0 0.00000 1.00000 JEAN BUERGLER 7 WEST DRIVE BETHESDA MD 20814 0 JULIE OFRECIO 475 JULIE OFRECIO IS THE INN'S CORPORATE PARTNERSHIP AND EVENTS MANAGER AND THEREFORE IS IN CHARGE OF EVENT MANAGEMENT. X 0 1 ASSISTANCE TO THE INN'S RESIDENTS 43 49724 0 PART I, LINE 2: GENERALLY, THE INN PAYS EXPENSES DIRECTLY TO GOODS AND SERVICE PROVIDERS ON BEHALF OF THE RECIPIENTS, AND THEREFORE, DOES NOT NEED TO MONITOR THE USE OF GRANT FUNDS. IF A GRANT IS MADE DIRECTLY TO A RESIDENT OR FAMILY MEMBER, THE RECEIPIENT MUST PROVIDE PROOF OF PAYMENT FOR THE GOODS OR SERVICES FOR WHICH THE GRANT WAS INTENDED. X X X X X 0 0 0 0 0 0 0 1 0 JENNIE LUCCA CHIEF EXECUTIVE OFFICER 203592 0 20600 0 0 0 21442 0 20728 0 266362 0 0 0 FERN JENNIFER STONE CHIEF DEVELOPMENT & COMM. OFFICER 215767 0 19000 0 0 0 22816 0 7957 0 265540 0 0 0 TAMMY PINSON CHIEF OPERATING OFFICER 129502 0 3500 0 0 0 14147 0 20626 0 167775 0 0 0 PART I, LINE 7 ALL BONUSES RECEIVED BY OFFICERS, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES LISTED IN FORM 990, PART VII WERE BASED ON AN APPRAISAL OF HIS/HER PERFORMANCE. X 1 5000 FMV X 11 90123 FMV X 404 135598 FMV X SUPPLIES 1218 201231 FMV X AUCTION ITEMS 247 107433 FMV X FURN. & EQUIP 1 5000 FMV X RAFFLE PRIZES 6 3145 FMV 0 1 0 PART I, COLUMN (B): PART I, COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTIONS FOR DONATED SECURITIES AS WELL AS ALL OTHER DONATIONS. PART I, LINE 32B: THE INN HAS A GIFT ACCEPTANCE POLICY THAT REQUIRES SPECIFIC REVIEW BY BOARD & DEVELOPMENT COMMITTEE MEMBERS FOR NON-STANDARD CONTRIBUTION. NO NON-STANDARD CONTRIBUTIONS WERE RECEIVED DURING THE YEAR ENDED JUNE 30, 2018. FORM 990, PART VI, SECTION B, LINE 11B THE INN HIRES AN INDEPENDENT ACCOUNTING FIRM TO PREPARE THE FEDERAL FORM 990. THE FEDERAL FORM 990 IS THEN REVIEWED BY THE AUDIT COMMITTEE. UPON APPROVAL, THE FEDERAL FORM 990 IS THEN DISTRIBUTED TO THE ENTIRE BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C ALL STAFF, COMMITTEE MEMBERS AND BOARD MEMBERS ARE REQUIRED TO SIGN THE CONFLICT OF INTEREST DECLARATION WHEN THEY INITIALLY BECOME A MEMBER OF THE INN'S TEAM AND THEN ANNUALLY, THEREAFTER. THE CHIEF OPERATING OFFICER MONITORS STAFF. COMMITTEE AND BOARD MEMBERS ARE MONITORED BY THE SPECIAL ASSISTANT TO THE CEO. COMPLIANCE IS ENFORCED BY THE CHAIR OF THE AUDIT COMMITTEE. A BOARD MEMBER WITH A DUAL INTEREST IN A PROPOSED TRANSACTION SHALL BE EXCLUDED FROM ANY DISCUSSION OR VOTE REGARDING THE MATTER EXCEPT WHEN POINTS OF CLARIFICATION ARE NEEDED. FORM 990, PART VI, SECTION B, LINE 15A JENNIE LUCCA, CEO WAS HIRED EFFECTIVE JANUARY 1, 2015. THE CHAIR APPOINTED THE COMPENSATION COMMITTEE AND THE BOARD OF DIRECTORS PARTICIPATED IN THE PROCESS TO CREATE A "REBUTTABLE PRESUMPTION". THE COMPENSATION COMMITTEE MET ON SEPTEMBER 30, 2014 AND OCTOBER 27, 2014 TO REVIEW COMPARABLE CEO COMPENSATION DATA FROM A VARIETY OF SOURCES AND TO COME TO AGREEMENT AROUND A BOARD RECOMMENDATION. ON OCTOBER 29, 2014, THE BOARD, A DISINTERESTED GROUP, MET IN CLOSED SESSION TO APPROVE A COMPENSATION PACKAGE FOR THE INCOMING CEO. THERE WAS UNANIMOUS APPROVAL BY THE BOARD, WITH THE PROCESS CONTEMPORANEOUSLY DOCUMENTED. SINCE THEN, INCREASES AND BONUSES WERE GIVEN IN ACCORDANCE WITH THE CONTRACT AND BASED ON MERIT, UPON BOARD APPROVAL. FORM 990, PART VI, SECTION C, LINE 19 THE COMPLETE FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY, AND THE FORM 1023 ARE AVAILABLE IN OUR OFFICES AND WILL BE MADE AVAILABLE TO ANYONE REQUESTING COPIES. BASIC INCOME, EXPENSE, FUNCTIONAL EXPENSE BREAKDOWN, CLASSIFICATION OF NET ASSETS, MOST RECENT FEDERAL FORM 990, MOST RECENT AUDITED FINANCIAL STATEMENTS, OUR CODE OF ETHICS AND CORE VALUES ARE AVAILABLE ON OUR WEBSITE. SEVENWEST LLC 7 WEST DRIVE BETHESDA MD 20814 521638207 HOLDING DEED TO TIME-SHARE MD 10000 THE CHILDREN'S INN AT NIH INC LIAC LLC 7 WEST DRIVE BETHESDA MD 20814 813423277 HOLDING 10% INTEREST IN LIFE IS A COUPON MD THE CHILDREN'S INN AT NIH INC