2014-10-02T11:11:50-05:00 2014-06-30 521511275 RAFFA PC 1899 L STREET NW SUITE 900 WASHINGTON DC 20036 990 2013-07-01 521638207 THE CHILDREN'S INN AT NIH INC CHIL 3014965672 7 WEST DRIVE BETHESDA MD 208141509 KATHY L RUSSELL CHIEF EXECUTIVE OFFICER 3014965672 2014-10-02 1 FRANK H SMITH P00639053 2028225000 2014-10-02 2013 2015-11-30 17:44:51Z KATHY L RUSSELL 7 WEST DRIVE BETHESDA MD 208141509 13727861 0 X WWW.CHILDRENSINN.ORG X 1988 MD TO KEEP FAMILIES TOGETHER DURING ILLNESS IN A SUPPORTIVE, THERAPEUTIC, & EDUCATIONAL ENVIRONMENT. 35 35 48 201 0 0 8084974 10455676 928967 991143 2652607 1090981 91862 -192167 11758410 12345633 7114 6365 0 0 2617103 2783699 0 0 958868 2105971 3542654 4730188 6332718 7028222 6012915 49218766 59666007 572384 844104 48646382 58821903 X THE CHILDREN'S INN AT NIH (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 CLINICAL CENTER. THE INN ENHANCES THE OPPORTUNITIES FOR GROUNDBREAKING MEDICAL DISCOVERIES BY PROVIDING A FREE "PLACE LIKE HOME" THAT REDUCES THE BURDENS OF ILLNESS THROUGH A SUPPORTIVE ENVIRONMENT INCLUDING THERAPEUTIC, EDUCATIONAL AND RECREATIONAL PROGRAMMING. 0 0 2407217 991143 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 2014 FISCAL YEAR, OVER 1,500 FAMILIES RESIDED AT THE INN AND STAYED FOR A TOTAL OF 13,287 NIGHTS. THE EXPENSE TO SUPPORT ALL OF THESE FAMILIES DURING FY2014 AMOUNTED TO $2,407,217. THE INN RECEIVED ADDITIONAL IN-KIND SUPPORT TOTALING $1,686,393 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 $21,921 OR 862 HOURS. THE TOTAL MANAGED EFFORT OF HOUSING SERVICES WAS $4,115,531. 1250516 RESIDENT SERVICES - OUR FAMILIES COME FROM ALL 50 STATES AND MORE THAN 80 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 FREE WIFI SERVICE THROUGHOUT THE BUILDING. THE INN SPENT $1,250,516 IN FY2014 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 7,219 HOURS DURING THE FY2014 VALUED AT $183,579. THE INN RECEIVED A TOTAL OF IN-KIND GOODS AND SERVICES FROM THE NIH, LOCAL BUSINESSES AND INDIVIDUAL DONATIONS VALUED AT $481,202. THE TOTAL MANAGED EFFORT OF OUR RESIDENT SERVICES PROGRAM WAS $1,915,297. 883045 6365 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 INNS 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 HOST 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 FY2014, THE INN OFFERED 1,030 FAMILY ACTIVITIES WITH A TOTAL PARTICIPATION OF 16,431 PATIENTS AND THEIR FAMILY MEMBERS. THE INN DEDICATED $883,045 OF ITS RESOURCES TO OFFERING FAMILY SUPPORT SERVICES AND RECEIVED $13,226 OF IN-KIND DONATIONS FOR OUR FAMILY SUPPORT PROGRAMS AND OUTINGS. THE AMOUNT OF VOLUNTEER SUPPORT DONATED TO THE INN FOR FAMILY PROGRAMS TOTALED 9,799 HOURS OR $249,188. THE TOTAL MANAGED EFFORT OF OUR FAMILY SUPPORT SERVICES IS $1,145,459. 4540778 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 0 0 0 0 0 1 37 1 1 48 1 0 0 0 0 0 1 1 0 0 0 0 X 35 35 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 WA WV WI X X JEAN BUERGLER 3014965672 7 WEST DRIVE BETHESDA MD 208141509 LEE J HELMAN MD CHAIR & CLINICAL ADVISOR 4.00 X X 0 0 0 DEBORAH I DINGELL EXECUTIVE VICE CHAIR 1.00 X X 0 0 0 KELVIN K WOMACK VICE CHAIR 2.00 X X 0 0 0 COKIE ROBERTS SECRETARY 2.00 X X 0 0 0 TIMOTHY J ATKIN 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 LINDA K BERDINE DIRECTOR - UNTIL AUG 2013 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 JOHN I GALLIN MD DIRECTOR & CLINICAL ADVISOR 1.00 X 0 0 0 ED GREISSING DIRECTOR 1.00 X 0 0 0 KITTY HIGGINS DIRECTOR 1.00 X 0 0 0 FREDERICK S HUMPHRIES JR DIRECTOR 1.00 X 0 0 0 DIANNE G KAY DIRECTOR 1.00 X 0 0 0 MOLLY MAHONEY MATTHEWS DIRECTOR 1.00 X 0 0 0 BETH MALONEY DIRECTOR 1.00 X 0 0 0 ROBERT A MCMAHON DIRECTOR 1.00 X 0 0 0 ANTHONY C 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 EXECUTIVE OFFICER 40.00 X 234475 0 53196 JEAN BUERGLER DIRECTOR OF FINANCE 40.00 X 95926 0 12420 FERN JENNIFER STONE DIRECTOR OF DEVELOPMENT & PR 40.00 X 204609 0 25275 JENNIFER LUCCA DIR. OF RESIDENT SERVICES & PROGRAM 40.00 X 121796 0 19609 656806 0 110500 3 0 1 0 SCOTT-LONG CONSTRUCTION INC 14170 NEWBROOK DRIVE CHANTILLY VA 20151 CONSTRUCTION CONTRACTORS 998223 ABLE SERVICE CONTRACTORS INC 13505 DULLES TECH DR 2 HERNDON VA 20171 CLEANING SERVICE 334824 GENESIS SECURITY SYSTEMS LLC 20310 SENECA MEADOWS PARKWAY STE A GERMANTOWN MD 20876 SECURITY SERVICE 269831 CROTHALL HEALTHCARE INC 13028 COLLECTION CENTER DRIVE CHICAGO IL 60693 CLEANING SERVICE 125782 4 102088 1392685 8960903 1500933 10455676 PATIENT LODGING 900099 991143 991143 991143 1095345 1095345 966750 971114 -4364 -4364 -4364 224000 1392685 411009 -187009 -187009 7800 105 7695 7695 OTHER INCOME 900099 2164 2164 LOSS ON F/A DISPOSAL 900099 -15017 -15017 -12853 12345633 991143 0 898814 6365 6365 649211 233087 176540 239584 1682328 1198315 254456 229557 104468 78021 13766 12681 197301 149192 26066 22043 150391 95494 26004 28893 35048 35048 24746 24746 97482 97482 32571 17986 8997 5588 436777 108226 28478 300073 215409 174366 24435 16608 113752 98137 8923 6692 1050676 987437 54205 9034 104842 86863 13952 4027 CLEANING 570868 539312 31556 SUPPLIES/EVENT SUPPORT 406059 323116 82943 FACILITY/EQUIP. MAINT. 251818 247981 3837 RESIDENT PROGRAMMING 115600 115600 87006 81280 4581 1145 6332718 4540778 833072 958868 X 180675 94985 12950 72740 6377 11027 4383226 3371439 788628 4428899 187708 127904 9160 20600 113607 113194 14178851 3482099 9998030 10696752 33732030 40896192 49218766 59666007 542134 633319 30250 64000 0 146785 572384 844104 X 26188453 29670922 7100571 10627665 15357358 18523316 48646382 58821903 49218766 59666007 6012915 4162606 0 X 0 1 X 1 0 X 3261764 3896966 4865108 8084974 10455676 30564488 2234574 2258693 2441344 5236307 2917632 15088550 5496338 6155659 7306452 13321281 13373308 45653038 11571016 34082022 906829 671268 1147057 1280004 1095345 5100503 2684 1808 1792 6808 2164 15256 50768797 5950807 0.67130 0.69180 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2009 AMOUNT: $ 2,684. 2010 AMOUNT: $ 1,808. 2011 AMOUNT: $ 1,792. 2012 AMOUNT: $ 6,808. 2013 AMOUNT: $ 2,164. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 17905349 1185581 2352408 21443338 15255571 1563194 1086584 17905349 13543539 1589530 122502 15255571 10320553 1420694 1802292 13543539 7960667 1243665 1116221 10320553 0.86380 0.13620 0 0 622517 622517 2886733 421314 2465419 7551857 1293127 6258730 2993678 1643592 1350086 124066 124066 0 10696752 DEFERRED COMPENSATION 146785 146785 X 19235560 4162606 2316207 411114 6889927 12345633 0 12345633 9060039 2316207 411114 2727321 6332718 0 6332718 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, 2014 AND 2013, 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 411,114. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 411,114. EVENING FOR HOPE 975352 902552 72800 2404 134852 62393 39022 GALA 431500 375100 56400 17250 56465 3000 37472 2 209833 115033 94800 17634 7520 9800 21290 1907 1616685 1392685 224000 17634 27174 201117 86683 78401 411009 -187009 1 ASSISTANCE TO THE INN'S RESIDENTS 23 6365 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 EXECUTIVE OFFICER 214475 0 20000 0 0 0 27763 0 25433 0 287671 0 0 0 FERN JENNIFER STONE DIRECTOR OF DEVELOPMENT & PR 197109 0 7500 0 0 0 14282 0 10993 0 229884 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 3 67005 FMV X CAPITALIZED I 13 870219 FMV X SUPPLIES 480 323116 FMV X AUCTION ITEMS 180 157650 FMV X EVENT SUPPORT 5 82943 FMV 0 1 0 PART I, COLUMN (B): CAPITALIZED IMPROVEMENTS, COMPUTERS, FURNITURE & FIXTURES 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 THE CURRENT CEO 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 ARE IN ACCORDANCE WITH THE CONTRACT AND BASED ON MERIT. 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.