2017-10-12T07:14:27-05:00 2017-06-30 521511275 RAFFA PC 1899 L STREET NW SUITE 850 WASHINGTON DC 20036 990 2016-07-01 521638207 CHILDREN'S INN AT NIH INC CHIL 3014965672 7 WEST DRIVE BETHESDA MD 208141509 JENNIE LUCCA CHIEF EXECUTIVE OFFICER 3014965672 2017-10-12 1 FRANK H SMITH P00639053 2028225000 2017-10-12 207.238.152.33 2017-10-12 08:14:11 ED P 248DEB9EEDB6BAD9CF18FF838D0EF823C1BE4C2C DAB48F1DB241BD34F7C51364F39BEF4B5B3312C9 2016 2021-01-29 14:40:06Z THE CHILDREN'S INN AT NIH INC JENNIE LUCCA 7 WEST DRIVE BETHESDA MD 208141509 16717755 0 X WWW.CHILDRENSINN.ORG X 1988 MD TO KEEP FAMILIES TOGETHER DURING ILLNESS IN A SUPPORTIVE, THERAPEUTIC, & EDUCATIONAL ENVIRONMENT. 19 19 51 222 0 0 4974294 5681551 1197350 1089757 1515583 1152521 -202990 -176026 7484237 7747803 9879 48902 0 0 3215149 3353234 0 0 1152694 4267059 4526075 7492087 7928211 -7850 -180408 56349519 59577528 705771 738361 55643748 58839167 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:O RESPONDING TO EVOLVING FAMILY SUPPORT NEEDS FROM PEDIATRIC RESEARCH AND CLINICAL CAREO PROVIDING A FREE FAMILY-CENTERED "PLACE LIKE HOME"O REDUCING THE BURDENS OF ILLNESS THROUGH THERAPEUTIC, EDUCATIONAL AND RECREATIONAL PROGRAMMING. 0 0 4974200 0 1089757 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. FOR PATIENTS WITH VISITS EXTENDING BEYOND 6 MONTHS, WHO ARE IN STABLE HEALTH, BUT CONTINUE TO REQUIRE WEEKLY VISITS TO THE NIH, THE INN OPERATES WOODMONT HOUSE. LOCATED ADJACENT TO THE NIH CAMPUS, WOODMONT HOUSE IS A COMMUNITY-BASED TRANSITIONAL HOUSE THAT PROVIDES ALL OF THE SAME AMENITIES OFFERED AT THE INN. BOTH THE INN AND WOODMONT HOUSE ARE STAFFED 24 HOURS A DAY, 7 DAYS A WEEK, AND HAVE THE CAPACITY TO HOUSE 66 FAMILIES DAILY. ALL SERVICES PROVIDED TO FAMILIES IN EITHER LOCATION ARE FREE OF CHARGE. IN ADDITION TO THE SERVICES LISTED ABOVE, THE INN AND WOODMONT HOUSE ALSO PROVIDE: GROCERIES, SECURITY, PEST MANAGEMENT, FIRE PROTECTION, VIDEO SURVEILLANCE, FACILITY MAINTENANCE, THERAPEUTIC FAMILY PROGRAMMING, AND TRANSPORTATION. FAMILIES HAVE ACCESS TO A BUSINESS CENTER, A COMPUTER ROOM, LAPTOPS, IPADS, AND FREE WIFI SERVICE THROUGHOUT EACH BUILDING. 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. DURING THE YEAR, 8 FAMILIES STAYED IN THE APARTMENTS. DURING FISCAL YEAR 2017, 1,717 FAMILIES VISITED THE INN AND STAYED FOR A TOTAL OF 13,743 NIGHTS. THE HOUSING COSTS TO SUPPORT THESE FAMILIES AMOUNTED TO $3,042,443. THE INN RECEIVED ADDITIONAL IN-KIND SUPPORT TOTALING $1,931,757 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 $32,898 OR 1,228 HOURS. THE TOTAL MANAGED EFFORT OF HOUSING SERVICES WAS $5,070,098. 472778 48902 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. 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. ONGOING THROUGHOUT THE YEAR, PROGRAMMING INCLUDES ACTIVITIES SPECIALLY DESIGNED WITHIN PEER GROUPS, SUCH AS, "OPEN PLAYROOM" WHERE EACH AFTERNOON PARENTS CAN DROP THEIR KIDS 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. 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. 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. ADDITIONAL MEALS PROVIDED INCLUDE A CONTINENTAL BREAKFAST FOR FAMILIES MONDAY THROUGH SATURDAY, AND A TWICE-MONTHLY SUNDAY BRUNCH. IN FY 2017, THE INN OFFERED 1,305 FAMILY ACTIVITIES. THE INN DEDICATED $2,404,533 OF ITS RESOURCES TO OFFERING FAMILY SUPPORT SERVICES AND RECEIVED ADDITIONAL IN-KIND SERVICES VALUED AT $708,816 FOR OUR FAMILY SUPPORT PROGRAMS AND OUTINGS. THE AMOUNT OF VOLUNTEER SUPPORT DONATED TO THE INN FOR RESIDENT SERVICES AND FAMILY PROGRAMS TOTALED 17,089 HOURS OR $457,814. THE TOTAL MANAGED EFFORT OF OUR FAMILY SUPPORT SERVICES IS $3,571,163. 5446978 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 46 0 1 51 1 0 0 0 0 0 1 1 0 0 0 0 X 19 19 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 AL AR CA CT FL GA HI IL KS KY MA MD MI MN MS NH NJ NM NY OK OR PA RI SC TN UT VA WV WI CO NC X X JEAN BUERGLER 3014965672 7 WEST DRIVE BETHESDA MD 208141509 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 MARTHA-ANN ALITO DIRECTOR - UNTIL 10/2016 1.00 X 0 0 0 DIANE BAKER DIRECTOR 1.00 X 0 0 0 ABIGAIL BLUNT DIRECTOR - UNTIL 10/2016 1.00 X 0 0 0 PEPE FIGUEROA DIRECTOR - UNTIL 10/2016 1.00 X 0 0 0 ROBERT J FILIPPONE PHD DIRECTOR 1.00 X 0 0 0 JOHN I GALLIN MD DIR. & CLINICAL ADV. - UNTIL 10/2016 1.00 X 0 0 0 ED GREISSING DIRECTOR - UNTIL 10/2016 1.00 X 0 0 0 LEE J HELMAN MD DIRECTOR & CLINICAL ADVISOR 1.00 X 0 0 0 NEAL KATYAL DIRECTOR 1.00 X 0 0 0 DIANNE KAY DIRECTOR - UNTIL 10/2016 1.00 X 0 0 0 BRIAN KELLY DIRECTOR 1.00 X 0 0 0 MOLLY MAHONEY MATTHEWS DIRECTOR 1.00 X 0 0 0 ANTHONY MORELLA ESQ DIRECTOR - UNTIL 10/2016 1.00 X 0 0 0 JILL OLMSTEAD DIRECTOR 1.00 X 0 0 0 EDWARD ORTON PHD DIRECTOR - UNTIL 10/2016 1.00 X 0 0 0 HOLLY COBB PARKER DIRECTOR 1.00 X 0 0 0 PAUL F PELOSI DIRECTOR - UNTIL 10/2016 1.00 X 0 0 0 SUSAN PENFIELD DIRECTOR 1.00 X 0 0 0 JAY C PLANALP DIRECTOR - UNTIL 10/2016 1.00 X 0 0 0 MARK J RAABE DIRECTOR - UNTIL 10/2016 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 RANDY SCHOOLS DIRECTOR - UNTIL 10/2016 1.00 X 0 0 0 ROBERT J VOGEL DIRECTOR - UNTIL 10/2016 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 DENNIS K WEBSTER DIRECTOR - UNTIL 10/2016 1.00 X 0 0 0 LORI WIENER PHD DIRECTOR 1.00 X 0 0 0 KELVIN K WOMACK DIRECTOR 1.00 X 0 0 0 LAUREN V WOOD MD DIRECTOR - UNTIL 10/2016 1.00 X 0 0 0 JENNIE LUCCA CHIEF EXECUTIVE OFFICER 40.00 X 224639 0 40623 JEAN BUERGLER SR. DIRECTOR OF FINANCE 40.00 X 111844 0 17752 FERN JENNIFER STONE CHIEF DEVELOPMENT & COMM. OFFICER 40.00 X 223947 0 30039 TAMMY PINSON CHIEF ADMINISTRATIVE OFFICER 40.00 X 130423 0 34251 CATHY MORALES CHIEF PROGRAM & SERVICES OFFICER 40.00 X 112678 0 12216 RICHARD SAUNDERS SR. DIR. OF INFORMATION TECHNOLOGY 40.00 X 111288 0 12355 914819 0 147236 6 0 1 0 CROTHALL HEALTHCARE 1500 LIBERTY RIDGE DRIVE SUITE 210 WAYNE PA 19087 HOUSEKEEPING SERVICES 663122 GENESIS SECURITY LLC 20310 SENECA MEADOWS PKWY A GERMANTOWN MD 20876 SECURITY SERVICES 217684 MARRIOT BUSINESS SERVICES PO BOX 403003 ATLANTA GA 30384 EVENT SERVICES 175425 L&E MERIDIAN 8000 CORPORATE COURT SPRINGFIELD VA 22153 DATA MANAGEMENT 118910 PBI INC 115 WEST DRIVE SUITE 301 ANNAPOLIS MD 21401 FURNITURE AND FLOORING 117364 5 123640 1632358 3925553 646794 5681551 PATIENT LODGING 900099 1089757 1089757 1089757 1152163 1152163 8600535 8600177 358 358 358 218860 1632358 367325 -148465 -148465 16010 2450 13560 13560 OTHER INCOME 900099 3777 3777 DISPOSAL- FIXED ASSETS 900099 -44898 -44898 -41121 7747803 1089757 0 976495 47486 47486 1416 1416 656040 104635 317007 234398 2108119 1288497 419598 400024 182776 116279 33673 32824 226991 154565 40376 32050 179308 95317 44920 39071 16555 16555 27735 27735 89883 89883 199414 111376 50403 37635 475030 141199 36099 297732 107261 65010 26168 16083 231206 185872 27101 18233 34568 26326 4877 3365 1695000 1542991 121607 30402 102378 74562 22553 5263 CLEANING 681258 643661 37597 RESIDENT PROGRAMMING 452532 452532 FACILITY/EQUIP. MAINT. 213966 209285 4681 SUPPLIES/EVENT SUPPORT 117169 117169 82120 68800 7706 5614 7928211 5446978 1328539 1152694 X 222181 122665 20075 79441 13107 13906 2563001 2682715 2319704 2152324 138917 131704 8735 17600 78935 87503 15453039 7228871 9324810 8224168 41902310 46267608 56349519 59577528 586764 616226 0 61500 119007 60635 705771 738361 X 25464139 25758739 10292950 10001898 19886659 23078530 55643748 58839167 56349519 59577528 -180408 3410490 -34663 0 X 0 1 X 1 0 X 8084974 10455676 4907520 4974294 5681551 34104015 5236307 2917632 2276935 2908141 2734859 16073874 13321281 13373308 7184455 7882435 8416410 50177889 8660210 41517679 1280004 1095345 1427486 1483599 1152163 6438597 6808 2164 2117 2162 3777 17028 56633514 6463723 0.73310 0.70610 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2012 AMOUNT: $ 6,808. 2013 AMOUNT: $ 2,164. 2014 AMOUNT: $ 2,117. 2015 AMOUNT: $ 2,162. 2016 AMOUNT: $ 3,777. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 22990935 1324137 2179582 26494654 22452850 530976 7109 22990935 21443338 1052789 -43277 22452850 17905349 1185581 2352408 21443338 15255571 1563194 1086584 17905349 0.87180 0.12820 0 0 622517 622517 2814596 716864 2097732 8269724 3973230 4296494 1195549 930141 265408 2550653 1608636 942017 8224168 DEFERRED COMPENSATION 60635 60635 X 14366030 3410490 2837962 369775 6618227 7747803 0 7747803 11170611 2872625 369775 3242400 7928211 0 7928211 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, 2017 AND 2016, 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 367,325. GAMING EXPENSE 2,450. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 367,325. GAMING EXPENSE 2,450. EVENING FOR HOPE 1313988 1196688 117300 38831 136989 38078 73292 CONGRESSIONAL RECEPTION 234000 212700 21300 14250 2265 1258 2 303230 222970 80260 18925 13040 22850 7547 1851218 1632358 218860 18925 38831 164279 63193 82097 367325 -148465 16010 2450 0 16010 2450 2450 13560 VA MD 0 THE GROSS RECEIPTS FROM THE RAFFLE IS BELOW THE REGISTRATION REQUIREMENT THRESHOLD. 0 0 0 0.00000 1.00000 JEAN BUERGLER 7 WEST DRIVE BETHESDA MD 20814 0 JULIE OFRECIO 455 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 37 47486 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 193639 0 31000 0 0 0 20745 0 19878 0 265262 0 0 0 FERN JENNIFER STONE CHIEF DEVELOPMENT & COMM. OFFICER 212947 0 11000 0 0 0 21955 0 8084 0 253986 0 0 0 TAMMY PINSON CHIEF ADMINISTRATIVE OFFICER 124423 0 6000 0 0 0 13472 0 20779 0 164674 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 8 124896 FMV X 357 127381 FMV X AUCTION ITEMS 303 170792 FMV X SUPPLIES 727 169243 FMV X FURN. & EQUIP 4 51230 FMV X EVENT SUPPORT 4 2450 FMV X HR SOFTWARE 2 802 FMV 1 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 CONTRIBUTION WAS RECEIVED DURING THE YEAR ENDED JUNE 30, 2017. FORM 990, PART VI, SECTION A, LINE 2 BOARD MEMBERS, SCOTT VOGEL AND ROBERT VOGEL, HAVE A FAMILY RELATIONSHIP. 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 ADMINISTRATIVE OFFICER MONITORS STAFF. COMMITTEE AND BOARD MEMBERS ARE MONITORED BY THE EXECUTIVE ASSISTANT. 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 0 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 0 0 THE CHILDREN'S INN AT NIH INC