2013-10-03T12:33:29-05:00 2013-06-30 521511275 RAFFA PC 1899 L STREET NW SUITE 900 WASHINGTON DC 20036 990 2012-07-01 521638207 THE CHILDREN'S INN AT NIH INC CHIL 3014965672 7 WEST DRIVE BETHESDA MD 208141509 KATHY L RUSSELL 3014965672 2013-10-03 1 FRANK H SMITH P00639053 2028225000 2013-10-03 2012 2016-02-25 16:41:14Z KATHY L RUSSELL 7 WEST DRIVE BETHESDA MD 208141509 45410062 0 X WWW.CHILDRENSINN.ORG X 1988 MD TO KEEP FAMILIES TOGETHER DURING ILLNESS IN A SUPPORTIVE, THERAPEUTIC, & EDUCATIONAL ENVIRONMENT. 33 33 50 228 0 0 4865108 8084974 989734 928967 1336565 2652607 23967 91862 7215374 11758410 5472 7114 0 0 2533238 2617103 0 0 778672 1977243 2105971 4515953 4730188 2699421 7028222 42819517 49218766 668589 572384 42150928 48646382 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 1689647 928967 HOUSING - THE INN PROVIDES A RESIDENCE FOR PEDIATRIC PATIENTS WHO ARE RECEIVING TREATMENTS FOR SERIOUS AND LIFE-THREATENING ILLNESSES AT THE NATIONAL INSTITUTES OF HEALTH, AND THEIR FAMILIES. EACH FAMILY HAS THEIR OWN SLEEPING ROOM WITH PRIVATE ADA-ACCESSIBLE BATHS, INTERNET, PHONE, AND FIOS TV SERVICES. THE FACILITY IS MAINTAINED BY OPERATIONS, MAINTENANCE, FACILITY AND HOUSEKEEPING STAFF AND VOLUNTEERS. OVER 1,566 FAMILIES RESIDED AT THE INN IN FY13. THEY STAYED FOR A TOTAL OF 12,801 NIGHTS. THE INN'S EXPENSE TO SUPPORT THESE EFFORTS AMOUNTED TO $1,689,647 IN FY13. ADDITIONAL IN-KIND SUPPORT IN THE AMOUNT OF $1,731,149 WAS PROVIDED THROUGH OUR PARTNERSHIP WITH THE NATIONAL INSTITUTES OF HEALTH AND OTHER LOCAL BUSINESSES AND INDIVIDUALS. FOR EXAMPLE, THESE SERVICES INCLUDED THE VALUE OF RENT, UTILITIES, MAINTENANCE, LAUNDRY SERVICE, SECURITY, PEST MANAGEMENT, AND FIRE PROTECTION SERVICE. THE VALUE OF SERVICES PROVIDED BY A DEDICATED GROUP OF VOLUNTEERS IS ESTIMATED TO BE WORTH $9,318 (468 HOURS.) THE TOTAL MANAGED EFFORT OF OUR FAMILY HOUSING SERVICES WAS $3,430,114. 1029047 RESIDENT SERVICES - THE INN IS A CARING "PLACE LIKE HOME" WHERE CHILDREN CAN BE CHILDREN INSTEAD OF PATIENTS-WHERE THEY CAN PLAY, RELAX WITH THEIR FAMILIES, AND KEEP A SENSE OF NORMALCY. RESIDENT SERVICES AT THE INN ARE DESIGNED TO: 1) SUPPORT FAMILIES IN THEIR NATURAL CARE-GIVING ROLES, WHILE PROMOTING PATTERNS OF LIVING IN COMMUNITIES, 2) HELP REDUCE STRESS AND FACILITATE MUTUAL SUPPORT AMONG FAMILIES. THE INN PROVIDES COMMUNITY KITCHENS AND DINING FACILITIES, COMFORTABLE LIVING AND GATHERING AREAS BOTH INDOORS AND OUT, AN ARTS & CRAFTS STUDIO, PLAYROOMS FOR CHILDREN OF VARYING AGES, A BUSINESS CENTER TO ENABLE PARENTS TO COMMUNICATE WITH THEIR EMPLOYERS AND CLIENTS, A COMPUTER ROOM FOR CHILDREN TO PLAY GAMES AND COMMUNICATE WITH THEIR FAMILY AND FRIENDS BACK HOME, FREE WI-FI SERVICE AND LOANER LAP-TOPS, A MULTI-MEDIA LEARNING CENTER PROVIDING EDUCATIONAL PROGRAMS FOR BOTH PATIENTS AND SIBLINGS, A FITNESS ROOM, AND OUTDOOR PLAY EQUIPMENT. VOLUNTEERS WORK SIDE BY SIDE WITH THE INN'S FULL AND PART-TIME RESIDENT SERVICES STAFF TO PROVIDE REGISTRATION AND ORIENTATION TO FAMILIES, ALONG WITH INFORMATION ABOUT DAILY FAMILY ACTIVITIES, LOCAL CULTURAL AND TOURIST ATTRACTIONS, AND TRANSPORTATION SERVICES. IN ADDITION TO THE $1,029,047 WE SPENT TO PROVIDE THESE SERVICES, ONCE AGAIN THE NIH AS WELL AS BUSINESSES AND INDIVIDUALS PROVIDED IN-KIND GOODS AND SERVICES VALUED AT $610,039. ADDITIONALLY, VOLUNTEERS PROVIDED VITAL SERVICES MANAGING THE WELCOME DESK, STOCKING LINENS, PANTRY ITEMS, AND PERSONAL CARE PRODUCTS, RUNNING ERRANDS, KEEPING THE LIBRARY BOOKS AND DVDS ORGANIZED, THE COMPUTERS AND PRINTERS OPERATING, THE TOYS, GAMES, AND ATHLETIC EQUIPMENT CLEAN, ORGANIZED AND READY TO ENTERTAIN THE NEXT CHILD. VOLUNTEERS CONTRIBUTED 6,504 HOURS DURING THE YEAR VALUED AT $145,983 TO ENHANCE OUR RESIDENT SERVICES PROGRAM. THE TOTAL MANAGED EFFORT OF OUR RESIDENT SERVICES PROGRAM WAS $1,785,069. 562513 7114 FAMILY SUPPORT - THE OVERRIDING PHILOSOPHY AT THE INN IS THAT FAMILIES PLAY A VITAL ROLE IN THE LIVES OF SICK CHILDREN. TO SUPPORT A CHILD EFFECTIVELY, THE INN'S TEAM MUST SUPPORT THE CHILD AND FAMILY AS ONE. FAMILY SUPPORT SERVICES AT THE INN OFFER OPPORTUNITIES FOR FUN, CREATIVITY, THERAPEUTIC SUPPORT, AND ADVENTURE. FAVORITE FAMILY ACTIVITIES INCLUDE TUESDAY NIGHT BINGO, TRIPS TO LOCAL RESTAURANTS, ARTS PROGRAMS, HOLIDAY PARTIES, CONCERTS, CAMP INCREDIBLE, SPIRITUAL WELLNESS PROGRAMS, ENGLISH LANGUAGE INSTRUCTION AND SOCIAL ACTIVITIES FOR OUR INTERNATIONAL RESIDENTS, LIBRARY PROGRAMS, EXERCISE CLASSES, AND FAMILY SUPPERS SPONSORED BY LOCAL COMMUNITY GROUPS. TEENS AT THE INN HAVE THE OPPORTUNITY TO MEET NEW FRIENDS AND WORK THROUGH ISSUES RELATED TO THEIR ILLNESS IN A SUPPORTIVE ENVIRONMENT. PARENTS APPRECIATE THE TRIPS TO THE GROCERY STORE AND SHOPPING MALL, AND THE CHANCE TO TAKE IN A MOVIE OR CULTURAL EVENT WITH TICKETS DONATED BY THOUGHTFUL COMMUNITY MEMBERS. STAFF AND VOLUNTEERS AT THE INN SPEAK MULTIPLE LANGUAGES TO HELP EASE THE TRANSITION FOR FAMILIES FROM FOREIGN COUNTRIES, AND TO ENSURE THAT ALL FAMILIES WHO WISH TO PARTICIPATE IN COMMUNITY ACTIVITIES ARE INCLUDED. IN FY13 WE OFFERED 1,043 SPECIAL ACTIVITIES (A 16% INCREASE) WITH 13,948 ATTENDING (A 6% INCREASE). THE INN RESIDENTS HAIL FROM ALL 50 STATES AND FROM 84 FOREIGN COUNTRIES. WHEN WE ADD THE VALUE OF 7,057 HOURS OF VOLUNTEER TIME, VALUED AT $155,302, TO THE $562,513 WE SPENT, AND THE $206,776 PROVIDED THROUGH IN-KIND DONATIONS, THE TOTAL MANAGED EFFORT OF OUR FAMILY SUPPORT SERVICES IS $924,591. 3281207 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 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 29 0 1 50 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 AZ AR CA CT FL GA HI IL KS KY ME 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 4.00 X X 0 0 0 DEBORAH I DINGELL 1.00 X X 0 0 0 KELVIN K WOMACK 2.00 X X 0 0 0 COKIE ROBERTS 2.00 X X 0 0 0 TIMOTHY J ATKIN 2.00 X X 0 0 0 DALE A ADAMS 1.00 X 0 0 0 MARTHA-ANN ALITO 1.00 X 0 0 0 DIANE BAKER 1.00 X 0 0 0 LINDA K BERDINE 1.00 X 0 0 0 ABIGAIL BLUNT 1.00 X 0 0 0 D CHRIS DOWNEY 1.00 X 0 0 0 PEPE FIGUEROA 1.00 X 0 0 0 JOHN I GALLIN MD 1.00 X 0 0 0 ED GREISSING 1.00 X 0 0 0 KITTY HIGGINS 1.00 X 0 0 0 FREDERICK S HUMPHRIES JR 1.00 X 0 0 0 DIANNE G KAY 1.00 X 0 0 0 MOLLY MAHONEY MATTHEWS 1.00 X 0 0 0 BETH MALONY 1.00 X 0 0 0 ROBERT A MCMAHON 1.00 X 0 0 0 ANTHONY C MORELLA ESQ 1.00 X 0 0 0 EDWARD ORTON PHD 1.00 X 0 0 0 HOLLY COBB PARKER 1.00 X 0 0 0 PAUL F PELOSI 1.00 X 0 0 0 JAY C PLANALP 1.00 X 0 0 0 FLORENCE W PRIOLEAU ESQ 1.00 X 0 0 0 MARK J RAABE 1.00 X 0 0 0 RYAN A RIEL 1.00 X 0 0 0 RANDY SCHOOLS 1.00 X 0 0 0 ROBERT J VOGEL 1.00 X 0 0 0 DENNIS WEBSTER 1.00 X 0 0 0 LORI WIENER PHD 1.00 X 0 0 0 LAUREN V WOOD MD 1.00 X 0 0 0 KATHY L RUSSELL 40.00 X 229161 0 53105 JEAN BUERGLER 40.00 X 90556 0 12309 FERN STONE 40.00 X 199656 0 25126 JENNIFER LUCCA 40.00 X 116821 0 19062 636194 0 109602 3 0 1 0 SCOTT-LONG CONSTRUCTION INC 14170 NEWBROOK DRIVE CHANTILLY VA 20151 CONSTRUCTION CONTRACTORS 724765 ABLE SERVICE CONTRACTORS INC 13505 DULLES TECH DR 2 HERNDON VA 20171 CLEANING SERVICE 353593 CHUGACH WORLD SERVICES INC 3800 CENTERPOINT DR 700 ANCHORAGE AK 99503 CONSTRUCTION CONTRACTORS 181040 3 101743 1179856 6803375 3575449 8084974 PATIENT LODGING 900099 928967 928967 928967 1280004 1280004 34857772 2080 33477952 9297 1379820 -7217 1372603 1372603 249457 1179856 164403 85054 85054 OTHER INCOME 900099 6808 6808 6808 11758410 928967 0 2744469 7114 7114 619297 221236 166934 231127 1595764 1153279 238087 204398 98745 75303 13033 10409 158151 122702 19637 15812 145146 93869 24946 26331 16452 16452 23981 23981 30111 30111 24527 22088 444 1995 363968 81260 26736 255972 102556 67323 20802 14431 111791 97559 8133 6099 524556 475163 41793 7600 93061 80157 10976 1928 CLEANING 362067 342068 19999 FACILITY 180548 177748 2800 FAMILY PROGRAMMING 87232 87232 GUEST SUPPLIES & EXP. 73164 73164 111957 103942 5445 2570 4730188 3281207 670309 778672 X 160907 70015 14957 75935 1882502 6377 2949106 4383226 1142524 788628 203404 187708 14265 9160 94174 113607 12546098 2548068 5312557 9998030 14329327 33732030 16891658 42819517 49218766 601589 542134 67000 30250 668589 572384 X 22073058 26188453 6521580 7100571 13556290 15357358 42150928 48646382 42819517 49218766 7028222 -532768 0 X 0 1 X 1 0 X 4516885 3261764 3896966 4865108 8084974 24625697 2841131 2234574 2258693 2441344 5236307 15012049 7358016 5496338 6155659 7306452 13321281 39637746 7868123 31769623 2217527 906829 671268 1147057 1280004 6222685 49187 2684 1808 1792 6808 62279 45922710 5596676 0.69180 0.65990 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 15255571 1563194 1086584 17905349 13543539 1589530 122502 15255571 10320553 1420694 1802292 13543539 7960667 1243665 1116221 10320553 7041355 2191069 -1271757 7960667 0.85770 0.14230 0 0 694654 694654 6303098 313920 5989178 2975081 648440 2326641 2449199 1461642 987557 124066 124066 0 9998030 X 14120402 -532768 2730357 164403 2361992 11758410 0 11758410 7624948 2730357 164403 2894760 4730188 0 4730188 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: AS DICTATED BY THE DONOR, THE PROCEEDS, OR PARTS THEREOF, WILL BE USED FOR THE DESIGNATED PURPOSE OR, IF NO SPECIAL PURPOSE WAS SPECIFIED, FOR GENERAL OPERATING EXPENSES. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE INN PERFORMED AN EVALUATION OF UNCERTAIN TAX POSITIONS FOR THE YEAR ENDED JUNE 30, 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 164,403. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 164,403. AFCEA AUCTION 837415 687915 149500 9865 GALA 389500 343000 46500 342 56759 15553 9973 3 202398 148941 53457 1871 5862 27604 18486 18088 1429313 1179856 249457 1871 6204 84363 34039 37926 164403 85054 1 ASSISTANCE TO THE INN'S RESIDENTS 15 6679 435 FMV MINI-IPAD PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, 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 204161 0 25000 0 0 0 27745 0 25360 0 282266 0 0 0 FERN STONE 192156 0 7500 0 0 0 14164 0 10962 0 224782 0 0 0 PART I, LINE 7 ALL BONUSES RECEIVED BY OFFICERS, KEY EMPLOYEES AND HIGHEST PAID EMPLOYEES LISTED IN FORM 990, PART VII WERE BASED ON AN APPRAISAL OF HIS/HER PERFORMANCE. X 3 29209 FMV X AUCTION ITEMS 162 53012 FMV X SUPPLIES 433 310888 FMV X CAPITALIZED IMPROV., COMPUTERS, FURN & FIXTURURES 10 3182340 FMV 0 1 0 METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS: 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 HAVE BEEN GIVEN, ACCORDING TO THE CONTRACT. 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. 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 STATMENTS, OUR CODE OF ETHICS AND CORE VALUES ARE AVAILABLE ON OUR WEBSITE.