2015-10-05T10:20:45-05:00 2015-06-30 521511275 RAFFA PC 1899 L STREET NW SUITE 900 WASHINGTON DC 20036 990 2014-07-01 521638207 THE CHILDREN'S INN AT NIH INC CHIL 3014965672 7 WEST DRIVE BETHESDA MD 208141509 JENNIFER LUCCA CHIEF EXECUTIVE OFFICER 3014965672 2015-10-05 1 FRANK H SMITH P00639053 2028225000 2015-10-02 2014 2016-02-25 16:41:14Z JENNIFER LUCCA 7 WEST DRIVE BETHESDA MD 208141509 22915549 0 X WWW.CHILDRENSINN.ORG X 1988 MD TO KEEP FAMILIES TOGETHER DURING ILLNESS IN A SUPPORTIVE, THERAPEUTIC, & EDUCATIONAL ENVIRONMENT. 33 33 46 220 0 0 10455676 4907520 991143 1082161 1090981 1417443 -192167 -174556 12345633 7232568 6365 17210 0 0 2783699 2978897 0 0 1068943 3542654 4616741 6332718 7612848 6012915 -380280 59666007 57746383 844104 803944 58821903 56942439 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 3087077 1082161 HOUSING - THE CHILDREN'S INN AT NIH IS A RESIDENTIAL PLACE LIKE HOME FOR SERIOUSLY ILL CHILDREN AND THEIR FAMILIES TAKING PART IN BIOMEDICAL RESEARCH STUDIES AND RECEIVING CUTTING EDGE MEDICAL TREATMENTS AT THE NATIONAL INSTITUTES OF HEALTH. THE INN ALSO OPERATES AN OFF CAMPUS PEDIATRIC HOSPITALITY HOME, THE WOODMONT HOUSE, WHICH IS LOCATED ADJACENT TO THE NIH. THE WOODMONT HOUSE IS A TRANSITIONAL HOME FOR FAMILIES ENROLLED IN RESEARCH PROTOCOLS THAT REQUIRE THEM TO BE AT THE NIH FOR MORE THAN SIX MONTHS. AS THESE PATIENTS BEGIN TO STABILIZE THEIR HEALTH, THEY NEED TO STAY CLOSE TO THE NIH TO HAVE THEIR MEDICAL PROGRESS MONITORED, BUT CAN BEGIN TO ENGAGE IN REGULAR DAILY ACTIVITIES. SINCE SUPPORTING A CHILD WITH SERIOUS MEDICAL NEEDS CAN BE COSTLY AND TIME CONSUMING, THE INN PROVIDES ALL OF ITS SERVICES TO ALL OF THE FAMILIES AT NO CHARGE. AMENITIES AND SERVICES INCLUDE, BUT ARE NOT LIMITED TO, LODGING, LAUNDRY FACILITIES, GROCERIES, SECURITY, PEST MANAGEMENT, FIRE PROTECTION, VIDEO SURVEILLANCE, FACILITY MAINTENANCE, THERAPEUTIC FAMILY PROGRAMMING AND TRANSPORTATION. BOTH HOMES ARE OPEN AND STAFFED 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS A YEAR. THE INN AND THE WOODMONT HOUSE HAVE THE CAPACITY TO HOUSE 66 FAMILIES DAILY. EACH FAMILY IS PROVIDED WITH ITS OWN SLEEPING ROOM WITH PRIVATE ADA-ACCESSIBLE BATHROOMS. DURING THE INN'S 2015 FISCAL YEAR, OVER 1,560 FAMILIES RESIDED AT THE INN AND STAYED FOR A TOTAL OF 14,314 NIGHTS. THE EXPENSE TO SUPPORT ALL OF THESE FAMILIES DURING FY2015 AMOUNTED TO $3,087,077. THE INN RECEIVED ADDITIONAL IN-KIND SUPPORT TOTALING $1,602,968 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 $22,316 OR 845 HOURS. THE TOTAL MANAGED EFFORT OF HOUSING SERVICES WAS $4,712,361. 1438365 RESIDENT SERVICES - OUR FAMILIES COME FROM ALL 50 STATES AND MORE THAN 86 COUNTRIES TO SEEK MEDICAL CARE AT THE NIH. THEY TRAVEL AT LEAST 60 MILES TO RECEIVE AROUND THE CLOCK CARE FROM 14 OF THE 27 NIH INSTITUTES. CONSEQUENTLY, THESE FAMILIES NEED A PLACE TO LIVE AND REST IN BETWEEN SPENDING EIGHT HOURS OR MORE A DAY RECEIVING MEDICAL TREATMENTS FROM THE NIH CLINICAL CENTER. THE INN PROVIDES ITS FAMILIES WITH A CARING PLACE LIKE HOME WHERE PEDIATRIC PATIENTS AND THEIR SIBLINGS CAN PLAY, LEARN AND SOCIALIZE, AND PARENTS CAN COOK, DO LAUNDRY AND SEEK MUTUAL SUPPORT FROM OTHER FAMILIES. OUR HOPE IS TO PROVIDE THESE FAMILIES WITH A SENSE OF NORMALCY AS THEY EXPERIENCE HARDSHIPS THAT COME WITH HAVING A CHILD WITH A SERIOUS OR LIFE-THREATENING ILLNESS. THE INN IS DESIGNED TO SUPPORT EVERY NEED OF A FAMILY'S DAILY LIFE. FAMILIES HAVE ACCESS TO NEWLY RENOVATED KITCHENS EQUIPPED WITH STOVETOP OVENS, PERSONAL REFRIGERATORS AND CABINETRY, COOKWARE, FLATWARE AND FULLY STOCKED PANTRIES. HOWEVER, WE UNDERSTAND THAT ATTENDING DAY LONG MEDICAL APPOINTMENTS CAN BE TIRING FOR BOTH THE CHILDREN AND THE PARENTS, SO THE INN ALSO PARTNERS WITH LOCAL BUSINESSES, ORGANIZATIONS AND COMMUNITY SUPPORTERS TO PROVIDE HOME-COOKED MEALS FOR OUR FAMILIES AT LEAST THREE NIGHTS A WEEK. THE INN ALSO PROVIDES A CONTINENTAL BREAKFAST FOR FAMILIES BEFORE THEIR APPOINTMENTS MONDAY THROUGH FRIDAY. THE MULTI-MEDIA LEARNING CENTER IS OPEN FOR CHILDREN WHO NEED TO DO HOMEWORK AND IS STAFFED BY THE EDUCATION PROGRAM COORDINATOR WHO ORGANIZES TUTORING SERVICES BETWEEN THE CHILDREN AND VOLUNTEERS. WE HAVE A BUSINESS CENTER FOR PARENTS TO CONNECT WITH THEIR EMPLOYERS, A COMPUTER LAB FOR CHILDREN TO COMMUNICATE WITH THEIR FRIENDS AND FAMILY BACK HOME, LOANER LAPTOPS AND IPADS, AND FREE WIFI SERVICE THROUGHOUT THE BUILDING. THE INN SPENT $1,438,365 IN FY2015 TO PROVIDE THESE SERVICES. IN ADDITION TO TUTORING AND COOKED MEALS, OUR DEDICATED VOLUNTEERS 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. IN TOTAL, OUR VOLUNTEERS CONTRIBUTED 7,387 HOURS DURING THE FY2015 VALUED AT $195,091. THE INN RECEIVED ADDITIONAL IN-KIND SERVICES FROM THE NIH, LOCAL BUSINESSES AND INDIVIDUALS VALUED AT $471,251. THE TOTAL MANAGED EFFORT OF OUR RESIDENT SERVICES PROGRAM WAS $2,104,707. 844250 17210 FAMILY SUPPORT - THE CHILDREN'S INN BELIEVES THAT FAMILIES PLAY A PIVOTAL ROLE IN THE HEALING OF SERIOUSLY ILL CHILDREN. TO EFFECTIVELY SUPPORT THE SOCIAL AND EMOTIONAL HEALING OF THE SICK CHILDREN WHO COME TO NIH, THE INN PROVIDES MANY THERAPEUTIC PROGRAMS FOR THE FAMILIES TO ENCOURAGE FAMILIAL BONDING, REDUCE STRESS AND ENHANCE THE OVERALL EXPERIENCE OF PARTICIPATING IN A MEDICAL RESEARCH TRIAL. ALL OF OUR THERAPEUTIC AND RECREATIONAL PROGRAMS ARE OFFERED TO OUR FAMILIES AT NO COST TO THEM. FOR THOSE FAMILIES THAT ARE ABLE, WE PROVIDE FIELD TRIPS TO TOURIST ATTRACTIONS TO NEIGHBORING CITIES OF WASHINGTON D.C. AND BALTIMORE, LOCAL MUSEUMS AND ART STUDIOS, SPORTING EVENTS, RESTAURANTS AND FAMILY FRIENDLY PERFORMANCE SHOWS. WHILE MOST PROGRAMS ENCOURAGE PARTICIPATION FOR THE WHOLE FAMILY, WE ALSO HAVE PROGRAMS DEDICATED TO PROVIDING EMOTIONAL SUPPORT WITHIN PEER GROUPS. WE HAVE A PROGRAM WHERE PARENTS CAN LEAVE THEIR CHILDREN AT AN INN SUPERVISED ACTIVITY AND ATTEND "PARENT RECEPTION." IT IS A SUPPORT GROUP FOR PARENTS MODERATED BY INN STAFF AND CHAPLAINS, WHO SPECIALIZE IN SPIRITUAL SERVICES IN HEALTHCARE SETTINGS, TO PROVIDE AN EMOTIONAL OUTLET FOR CAREGIVERS. PARENTS CAN PARTICIPATE IN WEEKLY FITNESS CLASSES TAUGHT BY CERTIFIED FITNESS TRAINERS OR USE THE INN'S EXERCISE ROOM FURNISHED WITH VARIOUS EXERCISE MACHINES, FREE WEIGHTS, YOGA MATS AND EXERCISE VIDEOS. WE HOLD AN ANNUAL CAMP PROGRAM DURING THE SUMMER MONTHS CALLED CAMP INNCREDIBLE FOR BOTH PATIENTS AND SIBLINGS. TO HELP OUR PATIENTS' SIBLINGS PROCESS THE CONDITION OF THEIR LOVED ONES THE INN HOSTS AN ANNUAL SIBLING DAY, WHICH IS A PROGRAM DEDICATED TO SIBLINGS. THE INN CELEBRATES THEIR STRENGTH IN SUPPORTING THEIR SICK SIBLINGS WHILE HELPING THEM UNDERSTAND WHAT IT'S LIKE TO BE A PATIENT. SOME OF OUR YOUNG ADULT PATIENTS BETWEEN THE AGES OF 18 AND 26 LACK THE SUPPORT OF A FAMILY UNIT. FOR THEM, WE ORGANIZE A MONTHLY OUTING TO A RESTAURANT COUPLED WITH AN ACTIVITY TO SIMULATE NORMAL YOUNG ADULT LIFE. IT ALLOWS YOUNG ADULT PATIENTS TO DEBRIEF AND CONNECT WITH ONE ANOTHER OUTSIDE THE HOSPITAL SETTING. AMONG OUR STAFF AND VOLUNTEERS, WE HAVE THE ABILITY TO SPEAK TO FAMILIES IN OVER SEVEN DIFFERENT LANGUAGES, WHICH HELPS EASE THE TRANSITION FOR FAMILIES FROM FOREIGN COUNTRIES. TO CREATE A DIVERSE AND WELCOMING ENVIRONMENT, WE ORGANIZE CULTURAL EVENTS THROUGHOUT THE YEAR TO HIGHLIGHT THE MANY DIFFERENT CULTURES REPRESENTED AT THE INN, MAKING FAMILIES FEEL MORE AT HOME WHEN THEY ARE SO FAR AWAY FROM THEIRS. WE ALSO OFFER ENGLISH LANGUAGE TUTORING TO HELP FAMILIES MAKE CONNECTIONS WITH THE LOCAL COMMUNITY. IN FY2015, THE INN OFFERED 1,335 FAMILY ACTIVITIES WITH A TOTAL PARTICIPATION OF 18,577 PATIENTS AND THEIR FAMILY MEMBERS. THE INN DEDICATED $844,250 OF ITS RESOURCES TO OFFERING FAMILY SUPPORT SERVICES AND RECEIVED ADDITIONAL IN-KIND SERVICES VALUED AT $244,372 FOR OUR FAMILY SUPPORT PROGRAMS AND OUTINGS. THE AMOUNT OF VOLUNTEER SUPPORT DONATED TO THE INN FOR FAMILY PROGRAMS TOTALED 8,974 HOURS OR $237,003. THE TOTAL MANAGED EFFORT OF OUR FAMILY SUPPORT SERVICES IS $1,325,625. 5369692 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 35 1 1 46 1 0 0 0 0 0 1 1 0 0 0 0 X 33 33 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 AL AK AR CA CT FL GA HI IL KS KY MD MA MI MN MS NH NJ NM NY NC ND OK OR PA RI SC TN UT VA WV WI X X JEAN BUERGLER 3014965672 7 WEST DRIVE BETHESDA MD 208141509 DEBORAH I DINGELL EXECUTIVE VICE CHAIR (THRU 2/06/15) 1.00 X X 0 0 0 KELVIN K WOMACK CHAIR 4.00 X X 0 0 0 COKIE ROBERTS VICE CHAIR 2.00 X X 0 0 0 TIMOTHY J ATKIN SECRETARY 2.00 X X 0 0 0 BETH MALONEY TREASURER 2.00 X X 0 0 0 DALE A ADAMS DIRECTOR 1.00 X 0 0 0 MARTHA-ANN ALITO DIRECTOR 1.00 X 0 0 0 DIANE BAKER DIRECTOR 1.00 X 0 0 0 MATT BELL PHD DIRECTOR 1.00 X 0 0 0 ABIGAIL BLUNT DIRECTOR 1.00 X 0 0 0 D CHRIS DOWNEY DIRECTOR 1.00 X 0 0 0 PEPE FIGUEROA DIRECTOR 1.00 X 0 0 0 ROBERT J FILIPPONE PHD DIRECTOR 1.00 X 0 0 0 JOHN I GALLIN MD DIRECTOR & CLINICAL ADVISOR 1.00 X 0 0 0 ED GREISSING DIRECTOR 1.00 X 0 0 0 LEE J HELMAN MD DIRECTOR & CLINICAL ADVISOR 1.00 X 0 0 0 KITTY HIGGINS DIRECTOR (THRU 12/31/14) 1.00 X 0 0 0 FREDERICK S HUMPHRIES JR DIRECTOR (THRU 11/17/14) 1.00 X 0 0 0 DIANNE KAY DIRECTOR 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 ROBERT A MCMAHON DIRECTOR 1.00 X 0 0 0 ANTHONY MORELLA ESQ DIRECTOR 1.00 X 0 0 0 EDWARD ORTON PHD DIRECTOR 1.00 X 0 0 0 HOLLY COBB PARKER DIRECTOR 1.00 X 0 0 0 PAUL F PELOSI DIRECTOR 1.00 X 0 0 0 SUSAN PENFIELD DIRECTOR 1.00 X 0 0 0 JAY C PLANALP DIRECTOR 1.00 X 0 0 0 FLORENCE W PRIOLEAU ESQ DIRECTOR 1.00 X 0 0 0 MARK J RAABE DIRECTOR 1.00 X 0 0 0 RYAN A RIEL DIRECTOR 1.00 X 0 0 0 RANDY SCHOOLS DIRECTOR 1.00 X 0 0 0 ROBERT J VOGEL DIRECTOR 1.00 X 0 0 0 DENNIS K WEBSTER DIRECTOR 1.00 X 0 0 0 LORI WIENER PHD DIRECTOR 1.00 X 0 0 0 LAUREN V WOOD MD DIRECTOR 1.00 X 0 0 0 KATHY L RUSSELL CHIEF EXEC. OFFICER (THRU 01/08/15) 40.00 X 258180 0 57674 JENNIFER LUCCA CHIEF EXECUTIVE OFFICER 40.00 X 118897 0 25169 JEAN BUERGLER SR. DIRECTOR OF FINANCE 40.00 X 100236 0 13967 FERN JENNIFER STONE CHIEF DEVELOPMENT & COMM. OFFICER 40.00 X 214875 0 21134 TAMMY PINSON CHIEF ADMINISTRATIVE OFFICER 40.00 X 101436 0 25054 793624 0 142998 5 0 1 0 CROTHALL HEALTHCARE INC 13028 COLLECTION CENTER DR CHICAGO IL 60693 CLEANING SERVICES 637211 SCOTT-LONG CONSTRUCTION INC 14170 NEWBROOK DR CHANTILLY VA 20151 CONSTRUCTION AND REPAIRS 436509 THE RITZ-CARLTON TYSONS CORNER 1700 TYSONS BLVD MCLEAN VA 22102 EVENT SERVICES 137000 CREDIT SUISSE SECURITIES (USA) LLC 11 MADISON AVE 9TH FLOOR NEW YORK NY 10010 INVESTMENT MANAGEMENT FEES 101517 4 109250 1376075 3422195 751648 4907520 PATIENT LODGING 900099 1082161 1082161 1082161 1427486 1427486 15264464 1025 15263550 11982 914 -10957 -10043 -10043 217596 1376075 406981 -189385 -189385 13180 468 12712 12712 OTHER INCOME 900099 2117 2117 2117 7232568 1094873 0 1230175 17210 17210 796253 287206 237393 271654 1688556 1162674 296352 229530 93192 68173 14721 10298 222485 162103 35209 25173 178411 108527 36123 33761 72945 72945 25931 25931 106428 106428 243847 151951 48894 43002 579656 133248 68897 377511 289976 210288 48109 31579 126924 105548 12690 8686 1536024 1417943 99072 19009 119721 91275 22572 5874 CLEANING 645594 610090 35504 SUPPLIES/EVENT SUPPORT 494566 487431 249 6886 FACILITY/EQUIP. MAINT. 222758 218815 3943 RESIDENT PROGRAMMING 111293 111293 41078 25917 9181 5980 7612848 5369692 1174213 1068943 X 203833 98932 88440 16461 11027 12377 3371439 1427985 4428899 3478933 127904 134365 20600 12600 113194 77480 14581192 4908701 10696752 9672491 40896192 42930152 59666007 57746383 633319 593341 64000 43700 146785 166903 844104 803944 X 29670922 27170395 10627665 10325116 18523316 19446928 58821903 56942439 59666007 57746383 -380280 -1499184 0 X 0 1 X 1 0 X 3896966 4865108 8084974 10455676 4907520 32210244 2258693 2441344 5236307 2917632 2276935 15130911 6155659 7306452 13321281 13373308 7184455 47341155 11020513 36320642 671268 1147057 1280004 1095345 1427486 5621160 1808 1792 6808 2164 2117 14689 52977004 6219257 0.68560 0.67130 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2010 AMOUNT: $ 1,808. 2011 AMOUNT: $ 1,792. 2012 AMOUNT: $ 6,808. 2013 AMOUNT: $ 2,164. 2014 AMOUNT: $ 2,117. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 21443338 1052789 -43918 22452209 17905349 1185581 2352408 21443338 15255571 1563194 1086584 17905349 13543539 1589530 122502 15255571 10320553 1420694 1802292 13543539 0.86620 0.13380 0 0 632517 632517 2963575 528707 2434868 7757424 2372822 5384602 3103610 1883106 1220504 124066 124066 0 9672491 DEFERRED COMPENSATION 166903 166903 X 8694045 -1499184 2553212 407449 1461477 7232568 0 7232568 10573509 2553212 407449 2960661 7612848 0 7612848 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, 2015 AND 2014, 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 407,449. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 407,449. EVENING FOR HOPE 917336 824840 92496 25952 148501 11400 49678 GALA 406210 346210 60000 17250 54010 20750 21594 3 270125 205025 65100 18874 18937 18629 1406 1593671 1376075 217596 18874 43202 221448 50779 72678 406981 -189385 1 ASSISTANCE TO THE INN'S RESIDENTS 17 17210 PART I, LINE 2: THE INN ONLY PAYS EXPENSES DIRECTLY TO GOODS AND SERVICE PROVIDERS ON BEHALF OF THE RECIPIENTS AND THEREFORE, DOES NOT NEED ANY PROCEDURES IN PLACE TO MONITOR THE USE OF GRANT FUNDS. X X X X X 0 0 0 0 0 0 0 1 0 KATHY L RUSSELL CHIEF EXEC. OFFICER (THRU 01/08/15) 238180 0 20000 0 0 0 29263 0 28411 0 315854 0 0 0 FERN JENNIFER STONE CHIEF DEVELOPMENT & COMM. OFFICER 204875 0 10000 0 0 0 13995 0 7139 0 236009 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 7 135323 FMV X SUPPLIES 449 386540 FMV X AUCTION ITEMS 328 134013 FMV X FURN. & EQUIP. 6 78886 FMV X TIMESHARE 1 10000 FMV X EVENT SUPPLIES 19 6886 FMV 0 1 0 PART I, LINE 32B: THE INN HAS A GIFT ACCEPTANCE POLICY THAT REQUIRES SPECIFIC REVIEW BY BOARD & DEVELOPMENT COMMITTEE MEMBERS FOR NON-STANDARD CONTRIBUTION. ONE NON-STANDARD CONTRIBUTION WAS RECEIVED DURING THE YEAR ENDED 6/30/15. FORM 990, PART VI, SECTION B, LINE 11 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, VOLUNTEERS, 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. THEN THEY ARE REQUIRED TO SIGN ANNUALLY. THE HR AND BUSINESS OPERATIONS OFFICER MONITORS STAFF. THE DIRECTOR OF VOLUNTEERS MONITORS VOLUNTEERS. COMMITTEE AND BOARD MEMBERS ARE MONITORED BY THE EXECUTIVE ASSISTANT. COMPLIANCE IS ENFORCED BY THE CHAIR OF THE AUDIT COMMITTEE. FORM 990, PART VI, SECTION B, LINE 15A KATHY RUSSELL--CEO FROM DECEMBER 1, 2005 THROUGH JANUARY 8, 2015 KATHY WAS HIRED DECEMBER 2005. A COMPENSATION COMMITTEE WAS APPOINTED BY THE BOARD OF DIRECTORS' CHAIR. OUTSIDE COUNSEL PARTICIPATED IN A COMMITTEE MEETING TO BRIEF THE COMMITTEE ABOUT LEGAL GUIDELINES AND LIMITATIONS. THE COMMITTEE REVIEWED GUIDESTAR NON-PROFIT COMPENSATION DATA AND TAPPED INTO COMPENSATION DATA PROVIDED BY BOARD SOURCE. THE COMMITTEE CONSIDERED LOCATIONS, ORGANIZATIONAL SIZE MEASURED BY BUDGET, TYPE OF ORGANIZATION AND SALARY DATA. THEY ALSO REVIEWED THE OFFER MADE TO THE PREVIOUS EXECUTIVE DIRECTOR 4 YEARS EARLIER. THE COMMITTEE BROUGHT THE RECOMMENDATION TO THE FULL BOARD OF DIRECTORS FOR DELIBERATION AND DECISION. THE CHAIR, WITH PARTICIPATION OF THE COMMITTEE MEMBERS, PROVIDED A DETAILED RATIONALE BEHIND THE RECOMMENDATION AND THE BOARD OF DIRECTORS VOTED UNANIMOUSLY, AFTER QUESTIONS AND DISCUSSION, TO ACCEPT THE RECOMMENDATION OF THE COMMITTEE. SINCE THEN, ANNUAL INCREASES AND ANY BONUSES HAD BEEN GIVEN, ACCORDING TO THE CONTRACT AND BASED ON MERIT. IN THE FALL OF 2010, PRIOR TO THE EXPIRATION OF THE CEO'S CONTRACT AT THE END OF NOVEMBER, THE COMPENSATION COMMITTEE REVIEWED THE CONTRACT, REVIEWED THE CEO'S TOTAL COMPENSATION PACKAGE DURING HER TENURE, REVIEWED SALARY SURVEY DATA FROM NUMEROUS SOURCES AS WELL AS BENEFITS BENCHMARKING DATA AND CONSULTED WITH OUTSIDE COUNSEL THAT SPECIALIZES IN COMPENSATION AND BENEFITS TO PROVIDE GUIDANCE AND PREPARE A NEW CONTRACT WHICH BECAME EFFECTIVE DECEMBER 1, 2010, FOLLOWING A VOTE BY THE BOARD OF DIRECTORS AT THE DECEMBER 2010 BOARD MEETING. SINCE THEN, ANNUAL INCREASES AND ANY BONUS GIVEN WERE IN ACCORDANCE WITH THE CONTRACT AND BASED ON MERIT. UPON SEPARATION, KATHY PROVIDED CONSULTING SERVICES TO THE INN FROM JANUARY 2015 THROUGH JUNE 2015. HER CONSULTING AGREEMENT WAS VOTED ON AND UNANIMOUSLY APPROVED BY THE BOARD OF DIRECTORS. FOR JENNIE LUCCA, NEW CEO HIRED EFFECTIVE JANUARY 1, 2015, THE CHAIR-APPOINTED COMPENSATION COMMITTEE AND 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. FORM 990, PART VI, SECTION C, LINE 19 THE COMPLETE FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY 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 DR BETHESDA MD 20814 521638207 HOLDING DEED TO TIME-SHARE MD 10000 THE CHILDREN'S INN AT NIH INC