5 ANNUAL FINANCIAL REPORT PURSUANT TO SECTION 91.5(b) OF THE NEW YORK STATE CODE OF RULES & REGULATIONS FOR CHARITABLE ORGANIZATIONS For the fiscal year ended December 31, 2006 CHILDREN’S TUMOR FOUNDATION, INC. (Exact name of registrant as specified in its articles of incorporation) New York (State of incorporation or organization) 13-2298956 (I.R.S. Employer Identification No.) 95 Pine Street, 16th Floor New York, NY (Address of principal executive offices) 10005 (Zip Code) Registrant’s telephone number, including area code: (212) 344-6633 Registrant’s website: www.ctf.org Documents Incorporated by Reference Portions of the registrant’s IRS 990 for the fiscal year ending 12/31/2006 are incorporated by reference into Part III hereof. TABLE OF CONTENTS Item Description Page 7. 8. PART I Business............................................................................................................................................................................. Mission Statement and History.......................................................................................................................................... Programs............................................................................................................................................................................ Employees ......................................................................................................................................................................... Properties........................................................................................................................................................................... Legal Proceedings ............................................................................................................................................................. PART II Selected Financial Data ..................................................................................................................................................... Management’s Discussion and Analysis of Financial Condition and Results of Operations ............................................ 2006 Significant Developments......................................................................................................................................... Explanation of Key Metrics and other items ..................................................................................................................... Liquidity and Capital Resources........................................................................................................................................ Controls and Procedures.................................................................................................................................................... 8 9 9 11 12 12 9. 10. 11. PART III Directors and Executive Officers ...................................................................................................................................... Corporate Governance....................................................................................................................................................... Principal Accountant Fees and Services............................................................................................................................ 13 14 15 12. 13. PART IV Signatures .......................................................................................................................................................................... Audited Financial Statements ............................................................................................................................................ 16 17 1. A. B. 2. 3. 4. 5. 6. A. B. 2 2 3 7 7 7 PART I Item 1. BUSINESS A. MISSION STATEMENT The Children's Tumor Foundation is a non-profit 501(c)(3) medical research foundation, dedicated to improving the health and well being of individuals and families affected by neurofibromatosis (NF). The mission of The Children's Tumor Foundation is to: • Encourage and support research and the development of treatments and cures for neurofibromatosis types 1 and 2, Schwannomatosis and related disorders (hereafter collectively referred to as "NF"); • Support persons with NF, their families and caregivers by providing thorough, accurate, current and readily accessible information; • Assist in the development of clinical centers, best practices and other patient support mechanisms (but not including direct medical care) to create better access to quality healthcare for affected individuals; and, • Expand public awareness of NF to promote earlier and accurate diagnoses by the medical community, increase the non-affected population's understanding of the challenges facing persons with NF, and encourage financial and other forms of support from public and private sources. History We were founded in 1978 by Dr. Allan Rubenstein, a neurologist with an interest in neurofibromatosis, Lynne Courtemache Shapiro, a Registered Nurse who has NF1, and Joel Hirschstritt, Esq., who agreed to assist them on a pro bono basis to establish the Foundation in New York City. Dr. Rubenstein served on our Board of Directors and as Chairman of our Medical Affairs Committee since their inception until 2003. He continues his clinical practice, and is the founder, President & CEO of NexGenix Pharmaceuticals, a biotechnology company engaged in drug development for NF. In recognition of his long and distinguished service, he has been named Director of Medical Affairs, Emeritus. Selected Milestones: 1980 - Established our Research Advisory Board (RAB). 1984 - Launched first NF research program in the world and awards our first research grants. 1985 - Convened the first major international NF scientific conference. 1987 - NF diagnostic criteria, nomenclature and management guidelines for NF1 and NF2 are established by NIH Consensus Conference convened at the request of the Foundation. - First mouse model for NF created. 1990 - The NF1 gene and neurofibromin, the gene product it encodes, are discovered. 1993 - The NF2 gene and merlin/schwannomin, its gene product, are discovered. 1994 - Our website, originally www.nf.org, now www.ctf.org, is launched. 1997 - NF International Summer Camp for teens is launched. 2000 - Development of new and powerful mouse models for NF allowing gene deletion in specific tissues. 2004 - Funded the establishment of The NF Project to investigate the effectiveness of existing drugs in treating NF. - Research Advisory Board formally recognized Schwannomatosis as the third form of NF. 2005 - Hired first Chief Scientific Officer for research and clinical programs. 2006 - Established Drug Discovery Initiative and pilot program for NF Clinic Network. Originally incorporated under the name The National Neurofibromatosis Foundation, after several years of study the Board of Directors voted in 2004 to change our name to The Children’s Tumor Foundation, effective January 1, 2005. 2 “The Children’s Tumor Foundation,” “The National Neurofibromatosis Foundation,” “Racing for Research”, “Racing4Research” and “NF Marathon Team” are trademarks or service marks of The Children’s Tumor Foundation, Inc. B. PROGRAMS Research Program: The Foundation is the largest non-government source of NF research funding. We provide external funding primarily through three grant mechanisms: a. The Young Investigator Award (YIA). The YIAs have been our cornerstone grant since their inception in 1985. Offering up to $90,000 over two years, they are open to pre- and postdoctoral scientists investigating novel ideas in basic, translational and clinical research in NF. In addition to the high quality of science and the many discoveries made through this program, it encourages young scientists to pursue careers in NF research. Many of the senior researchers in NF today were recipients of our YIAs early in their careers. Discoveries made through the YIA program are often pursued with follow-on grants from larger funding sources such as the National Institutes of Health and the Congressionally Directed Medical Research Program. The YIA program is advertised in major scientific journals in the fourth quarter of each year. Applications are due by March 31. Our Research Advisory Board (RAB) peer reviews the applications and makes recommendations for funding to the Board of Directors. Awards are announced at The NF Conference held in early June. b. Drug Discovery Initiative (DDI). The DDI is a new program that was initiated in 2006 to fill a gap in NF research identified by advisory Boards. Pharmaceutical companies are more likely to invest in NF research if there is preclinical data available. The DDI funds & facilitates preclinical screening to develop this data with two components: Grants of $10,000 for in vitro screens and $25,000 for in vivo screens of candidate NF therapeutics. In addition, the DDI program includes an online Toolbox hosted on our website. It is a condition of funding that researchers make their tools (candidate drugs, animal models, cell lines etc.) publicly available for collaboration with other researchers. c. Children's Tumor Foundation NF Clinic Network (CTF-NFCN). This is a new program that completed its pilot phase in 2006 and is being rolled out broadly in 2007. We have long been active in clinical matters, but in 2005 began to address the need for national guidelines for NF clinical care in the US. Our Clinical Care Advisory Board (CCAB) has developed NF Clinic Guidelines that recommend what types and level of care an individual should expect to receive when visiting an NF Clinic. NF Clinics adopting these guidelines may apply to become members of the CTF-NFCN. This program is intended to standardize and improve NF clinical care nationally across the US. Members of the CTF-NFCN are expected to submit data to the NF Database, the Foundation's NF patient registry, and all NF clinics are encouraged to contribute to this valuable resource which can be used for clinical trials & research. Members are also eligible for the CTF Clinic Coordinator program, which will support a part or full-time coordinator for the clinic with funds that have been raised locally by our Chapters and Affiliates. d. The NF Conference. In 1985, we convened the first ever scientific meeting focusing on neurofibromatosis. This meeting has grown into the preeminent annual meeting of NF scientists and clinicians worldwide. In 2006 the meeting was held from June 4-7 in Aspen Colorado, and was attended by over 180 researchers from 11 different countries. The NF Conference is a major part of our efforts to encourage research and foster collaboration in the scientific community. In addition to these programs, when our advisory boards identify a specific area that requires research we may issue contract awards. There were no new contract awards made in 2006 as our focus is on building the DDI and NFCN programs. Two previous contract awards (3D Imaging and Schwannomatosis) were completed in 2006. 3 Our research programs benefit through the pro bono participation of dedicated researchers and clinicians on our advisory boards. Our Research Advisory Board (RAB) is comprised of scientists involved in basic, translational and clinical research in the NF and cancer fields, as well as selected consumer representatives. The RAB serves as our peer review panel for all grants, and works with our Clinical Care Advisory Board in advising us on program development and major issues in NF research. Research Advisory Board 2007 Members Margaret Wallace, Ph.D. Co-Chair Andrea McClatchey, Ph.D. Co-Chair Cristina Fernandez-Valle, Ph.D. Bruce Korf, MD, Ph.D. Cynthia M. Hingtgen, MD, PhD David Viskochil, MD, Ph.D. Stuart A. Aaronson, M.D. Maria T. Acosta, MD Dusica Babovic-Vuksanovic, MD Andre Bernards, Ph.D. Adrienne D. Cox, Ph.D. Florent Elefteriou, Ph.D. Rick Fehon Ph.D. David A. Ingram, MD Joseph Kissil, Ph.D. Dimitra Mangoura, MD, Ph.D. Shyra Miller, Ph.D. Michael J. Fisher, MD Vijaya Ramesh, Ph.D. Karlyne Reilly, Ph.D. David Stevenson, MD Sheila M. Thomas, Ph.D. James H. Tonsgard, MD Anat Stemmer-Rachamimov, MD Kristine S. Vogel, Ph.D. Yuan Zhu, Ph.D. David H. Gutmann, MD, Ph. D. Sara A. Courtneidge, Ph.D. Jay Gibbs, Ph.D. Frank McCormick, Ph.D., FRS Kevin Shannon, MD Brigitte C. Widemann, MD Gideon E. Bollag, Ph.D. Karen Cichowski, Ph.D. D. W Clapp, MD, Ph.D. Channing J. Der, Ph.D. Janet M Hock, BDS, Ph.D. Michael J. Morin, Ph.D. Kathy Warren, Ph.D. Peter Phillips, MD David Stokoe, Ph.D. Our Clinical Care Advisory Board is comprised of physicians who are specialists in NF and its complications, and regularly see NF patients for primary and secondary care. They serve as a peer review panel for the CTF-NFCN, and as writers and editors for the clinical information we publish on our website and in our brochures. Clinical Care Advisory Board 2007 Members David Viskochil, MD Ph.D. Co-Chair David Gutmann, MD Ph.D. Co-Chair Robert Miyamoto. Ph.D. Jan M. Friedman, MD, Ph.D. Bruce R. Korf, MD, Ph.D. Scott R. Plotkin, MD, Ph.D. Tena Rosser, MD Elizabeth K. Schorry, MD William H. Slattery III, MD In addition to our external grants we sponsor various research and clinical meetings throughout the year. The most prominent of these is The NF Conference, which we founded in 1985 as The NNFF Consortium for the Molecular Biology of NF1, NF2 & Schwannomatosis. Held annually since 1992, the Conference has grown into the preeminent worldwide meeting on NF research, with over 180 scientists and doctors from 11 different countries attending in 2006. Our research staff also hosts satellite meetings and staffs booths throughout the year at various scientific meetings, including The American Society of Human Genetics, Society for Neuroscience, BIO 2006, American Association of Cancer Research and others. Public Education and Awareness: We employ a variety of methods to communicate with our constituents and the general public to improve the knowledge and understanding of NF, and to distribute current information on research. a. Website: The Foundation was one of the earliest non-profits to establish a website (1994) and we continue to enhance the content and ease of use. Our site receives over 60,000 sessions per month and serves multiple constituencies. The research area provides online application for our grant programs; hosts our DDI Toolbox (see 4 research section) and is updated daily with the latest research news. NF patients and families access the site regularly for up to date clinical information, locating an NF doctor, and for support services through our discussion board (over 200,000 postings). Potential donors, Foundations and other grant making organizations visit the site to perform due diligence before making their decisions. Our Annual Reports, audited financial statements and IRS filings are available for download from our website. b. Newsletter: The Neurofibromatosis News is our quarterly print newsletter. Produced in house, the newsletter contains research updates, clinical trial announcements, patient stories, event coverage from our Chapters and Affiliates nationwide, fundraising updates and other program information. Our newsletter is a major driver of traffic to our website, where readers can obtain more information and greater detail on issues covered in print. c. Email Updates: The NF Research E-Newsblast is a bi-monthly one-page email newsletter that is written and edited by our research staff. The original audience was the research community, but due to demand we now distribute it to our lay constituents as well. The primary objectives of the Newsblast are to distribute new findings in NF research as widely and quickly as possible, and to publicize grant opportunities, both our own and others such as the National Institutes of Health and the Congressionally Directed Medical Research Program. d. Public Relations: We actively promote personal stories of NF to media outlets, issue news releases on items of interest to the general public, and produce and distribute public service announcements to radio and TV stations nationwide. Several years ago we initiated a campaign to enhance the visibility of May being declared NF Awareness Month, and continue to grow this effort. Patient Support: through: In addition to the services we provide to the NF community listed above, we actively support patients a. Information Brochures: We publish over fourteen brochures on the various complications of NF. These brochures include one written to address questions arising from an initial diagnosis, age specific brochures, and others that address specific complications of NF (learning disabilities, mosaisim, etc.). All of our brochures are currently being updated by our Clinical Care Advisory Board, with completion expected by summer of 2007. b. The NF Handbook: While written pro bono by Dr. Allan Rubenstein and Dr. Bruce Korf, we funded the production and printing of The NF Handbook, which is available for sale through us as well as Thieme.com, Amazon.com and other booksellers. We own the copyright to the book and published the 2nd Edition in 2005. The book is a valuable resource to the clinical community and we plan to continue to update it on a five-year cycle. c. Support Group Meetings & Medical Symposia: Our Chapters and Affiliates are actively involved in setting up support group meetings and symposia in their local communities. Information on activity by state can be found on our website on the activities by state page. We support local efforts in hosting these meetings by distributing invitations, fostering collaborations, printing and fulfillment services, and securing doctors and researchers to appear to make presentations. d. NF International Summer Camp: For over 10 years we have hosted a camp for teenagers with NF. We contract with Camp Kostopoulous, a special needs camp with trained counselors located in Emmigration Canyon Utah. Camp K offers a truly western camp experience with horseback riding, fishing, canoeing, arts and crafts, high and low ropes courses and a variety of other activities. For many campers it is their first chance to meet other kids with NF. We have a scholarship program for those in financial need, and no camper is ever denied admission due to finances. Chapters & Affiliates: Chapters are regional organizations that have formed a local board and signed a Chapter agreement with us. Affiliate status is extended to individuals who want to support the Foundation in their region (but are not working with a local board) and sign an Affiliate agreement with us. 5 We support our Chapters and Affiliates with a variety of resources to assist them in their efforts. These include: fundraising support, design and printing services, mailing and fulfillment, and other services as required. Funds raised through our Chapters and Affiliates are deposited in our main deposit account at our national office. In addition, our donor database and acknowledgement letters are managed by our national office staff. Our Chapters and Affiliates have been a major part of the success of the Foundation in all program areas. We expect their role to continue to grow in the coming years, particularly in connection with our new NF Clinic Network Program. We have Chapters and Affiliates located in the following states: Alabama Alaska Arizona Arkansas California Colorado Connecticut(NNE & Tri-State Chapters) Florida Georgia Idaho Illinois Indiana Iowa Kansas Louisiana Maine (NNE Chapter) Massachusetts (NNE Chapter) Michigan Maryland (DC, MD, VA Chapter) Missouri Nebraska Nevada New Hampshire (NNE Chapter) New Jersey (Tri-State Chapter) New York (Tri-State Chapter) North Carolina Ohio Oregon Pennsylvania Rhode Island (NNE Chapter) Tennessee Utah Washington Wisconsin Wyoming The NF Marathon Team: Begun in 2000, this is a national program that touches our three primary program groups: fundraising for research, increasing public awareness and patient support. Our Marathon staff markets the program nationally and signs up runners who agree to fundraise on our behalf. The team is open to all levels, from competitive runners with sub 3-hour times, to recreational runners looking to challenge themselves. Promotions, ranging from apparel to hotel and airfare, are offered upon attainment of certain fundraising goals. One of the highlights of our team’s events is the pre-race pasta dinner, where runners, volunteers and their families can meet informally and share experiences. Our team staff attended 16 marathons in 2006. 389 runners ran on our behalf, raising over $900,000. All of the net income from the NF Marathon Team is restricted to NF research. While an important fundraising program, The NF Marathon Team is also a large part of our public education and patient support programs. We have had success in getting TV coverage of our runners and their personal stories in local markets, leading to increased awareness of NF and the Foundation within the general population. Additionally, the infrastructure, planning and training we foster provide an outlet for NF patients, their families and unaffiliated runners to challenge themselves physically, and to network with others in a supportive environment. Development: We raise funds through a variety of events, campaigns and programs: a. Special Events: Our Tri-State (NY, NJ & CT) and Northern New England (MA, NH, VT, RI, & ME) Chapters hold Gala Dinners each fall. The NY Gala Dinner is our largest single event, raising over $800,000 in 2006. Our Chapters and Affiliates host events nationwide throughout the year, including golf tournaments, auctions, racquetball tournaments, casino nights (where licensed) and concerts. b. Grant Applications: We apply to a variety of grant making organizations for support of our programs. As research is our primary expense, most of our applications are focused on funding our Young Investigator Awards and our Drug Discovery Initiative. A listing of foundation support can be found in our annual report. c. Tea Party Program: This program was developed to assist supporters who desired a formal mechanism to support the Foundation with a small to medium scale event. We provide invitations and collateral materials as part of a kit to supply supporters with all of the items needed to host a tea party to benefit the Foundation. 6 d. Individual Gifts: Our development staff regularly visits and communicates with potential and existing donors to solicit their support for our programs. We believe that our governance policies, advisory boards, peer review process, grant reporting and accomplishments are major factors in attracting new and continuing support from individuals, corporations and foundations. e. Workplace Giving Campaigns: We are national members of United Way and Community Health Charities, and are regional members in selected local campaigns. Our staff and volunteers through our Chapters and Affiliates actively seek to participate in local marketing campaigns hosted by the United Way and Community Health Charities to increase workplace giving. Advocacy: In 1991 the Foundation began to work with our donors and constituents nationwide to actively lobby for increased federal funding for NF research. Through our efforts, in 1996 NF was added as an individual program to the Congressionally Directed Medical Research Program (CDMRP). While we have funded science that has led to the discovery of genes for NF1 and NF2, animal model development, and many other basic and clinical advances, much of this would not have been possible without larger, sustained funding provided by the CDMRP and The National Institutes of Health (NIH). In 1997 we hired Patton Boggs in Washington DC to serve as our legal counsel and lobbying firm. We continue to work with them to preserve these federal programs. Our lobbying campaign includes letter writing campaigns by our constituents; invitations to our events and symposia nationwide; newsletter articles; and personal visits with legislators and their staffs. The NF Coalition was formed several years ago by a group of local organizations to lobby for NF Research. While we are not a member of the Coalition, we work with them on strategy to coordinate our efforts. Item 2. EMPLOYEES As of December 31, 2006, we had 20 employees. Our employees are offered participation in our group health insurance plan, and receive other standard benefits including disability and life insurance. In addition, all employees are eligible after six months of employment to participate in our 401K plan. After one year of employment the Foundation will contribute 3% of their salary to the plan, which is immediately vested. Item 3. PROPERTIES Our national office is located at 95 Pine Street, 16th Floor, NY NY, where we lease 4,000 square feet of office space under a lease expiring in May 2009. In addition, we lease field offices for our regional offices in Los Angeles and Boston. Item 4. LEGAL PROCEEDINGS None 7 PART II Item 5. SELECTED FINANCIAL DATA In 2004 the Board of Directors voted to change our fiscal year from September 30 to December 31. We produced audited financial statements and filed an IRS 990 for the three-month period ending December 31, 2004. For comparison purposes, the selected consolidated financial data for the three most recent 12-month fiscal years are included below. This data has been derived from, and is qualified by reference to our Audited Financial Statements. Certain prior period amounts have been reclassified to conform to the current year presentation. This data should be read in conjunction with our Audited Financial Statements and related footnotes and “Management’s Discussion and Analysis of Financial Condition and Results of Operations” included elsewhere in this report. See further discussion under Item 7. – “Explanation of Key Metrics and Other Items.” 12/31/06 12/31/05 9/30/04 $2,500,146 447,435 6,050 119,806 130,320 6,034 1,156,805 $4,366,596 $2,453,153 277,255 $1,899,775 324,336 111,248 0 132,355 760,411 $3,734,422 122,578 0 82,201 959,620 $3,388,510 Expenses Research & Medical Programs Public Education & Patient Support Total Program Expenses 2,373,112 930,542 3,303,654 1,671,109 1,165,972 2,837,081 2,002,085 962,645 2,964,730 Management & General Expenses Fundraising Expenses Total Supporting Services TOTAL EXPENSES 381,075 644,323 1,025,398 4,329,052 230,727 612,223 842,950 3,680,031 343,497 925,157 1,268,654 4,233,384 37,544 54,391 (844,874) 90,984 11,029 181,225 283,238 69,492 1,077 48,892 119,461 69,042 (34,317) 187,903 222,628 320,782 2,936,348 3,257,130 173,852 2,762,496 2,936,348 (622,246) 3,235,022 2,612,776 Revenues Individual Contributions Corporations & Foundations Membership United Way/NVHA/CFC Gifts in Kind Other Income Special Event Rev, net of direct benefit to donor TOTAL REVENUES Change in Net Assets Before Investments Investments Interest & Dividends Gain/(Loss) on Sales of Assets Unrealized Gain/(Loss) TOTAL INVESTMENT GAIN/(LOSS) INCREASE (DECREASE) IN NET ASSETS Beginning Net Assets Ending Net Assets 8 Item 6. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS EXECUTIVE SUMMARY Overview During 2006 we continued to expand on the growth initiatives put in place in 2005. The major components of our revenue growth in 2006 were the success of our annual Gala Dinner in NYC and The NF Marathon Team. These increases were made in part by our Chapters and Affiliates, as we saw increased activity in their local events and participation in our national fundraising programs. Direct mail and workplace giving campaigns (United Way and Community Health Charities) saw modest increases in 2006. A. 2006 Significant Developments Research: Young Investigator Awards: We received 34 applications in 2006. After our Research Advisory Board peer reviewed the proposals, nine were selected for funding. Given the two-year length of the YIAs, publications resulting from this research are generally made 2-3 years after our award. Of the seven awards made in 2004, six resulted in published papers in 2006. One 2004 YIA was terminated early due to the researcher leaving the institution. As of April 18, 2007, we have received 42 applications that are currently in peer review. Drug Discovery Initiative: We received 16 applications for the inaugural round of this program in August of 2006. Five were selected and funds were released in October. We announced a second round of DDI funding in December 2006 and received 18 applications by the January 31, 2007 deadline. We anticipate funding up to five of these proposals and to announce the results in May 2007. NF Clinic Network: We established a pilot program for this new initiative with four hospitals. Our Clinical Care Advisory Board completed the development of NF Clinic guidelines in early 2007. We are now actively publicizing the network to over 600 hospitals nationwide. Adoption of the guidelines and membership in the Network make clinics eligible for funding of up to $40,000 per year for NF Clinic Coordinator salary support. The availability of these funds is subject our ability to raise them locally through our Chapters and Affiliates. Contract Grants: We completed the funding of two contract grants in 2006: The Schwannomatosis Award ($100k/1 year) and the Digital Imaging Project ($240,000/3 years). The Digital Imaging Project developed software to perform 3D imaging of NF tumors to enable volumetric measurement from MRI slides. We will be working to distribute this technology to NF clinicians and radiologists in 2007 and 2008. The project can be viewed at www.nftumormetrics.org. No new contract grants were made in 2006. The NF Landscape: To better understand the history of NF research and assist us in determining our priorities for the future, our Chief Scientific Officer, Dr. Kim Hunter-Schaedle and her staff compiled available public information on NF research and published The NF Landscape. Covering from 1996 to 2006, this 174 page document tracks NF research funding by source (NIH, CDMRP, etc.), type of research (basic, translational, clinical etc.), type of NF, institution and a variety of other variables. Strategic Plan: At the direction of our Board, we began to work on a strategic plan for research. We hosted a 2-day meeting in August attended by members of our Board of Directors and Research and Clinical Care Advisory Boards as well as representatives from the National Institutes of Health, Congressionally Directed Medical Research Program, NF Inc., Juvenile Diabetes Research Foundation and the Spinal Muscular Atrophy Foundation. This planning process reviewed our existing programs, identified gaps in research that we could fill, established spending caps for specific programs, and developed a road map for investing incremental dollars. Copies of our research plan, and The NF Landscape, are available by request from Dr. Hunter-Schaedle. 9 NF2 & Schwannomatosis: While it is our objective to encourage more research into all forms and complications of NF, we are developing initiatives to increase the quantity of research into NF2 and Schwannomatosis, the two rarer, but in many cases more debilitating forms of NF. These initiatives include increased presence at neurology and oncology conferences and meetings, outreach to researchers working in related fields, and marketing the transparency and openness of our grant mechanisms to a wider audience. We will measure our success in this area by the increase in applications we receive to our programs and others for NF2 and Schwannomatosis, and by closely tracking publications and other media. Public Education & Patient Support: Brochures and Pamphlets: We publish 13 brochures and pamphlets on a variety of NF topics. Our Clinical Care Advisory Board has reviewed our existing print information and began the process to updating, rewriting and consolidating our brochures. Several new brochures are being developed for new topic areas. We expect to complete this process in 2007. After the publication of the English versions we will begin working to translate these materials into other languages. Website: We installed a content management system to facilitate faster updates and enhance multimedia capabilities. In 2007 we plan to incorporate flash technology and other improvements to further improve navigation and ease of use. Our privacy policy was reviewed and approved, and is posted prominently on our site. As a health care foundation, we are particularly focused on protecting the privacy of visitors to our site. Newsletters (Print & Email): Our research staff developed a bi-monthly email newsletter, The NF Research ENewsblast, for distribution to the research community. The primary focus of this newsletter is to distribute published results more broadly, and to enhance the marketing of available grant opportunities, both our own and those of others. Due to demand we have expanded the distribution of this to our donor base as well. Our print newsletter distribution was increased to 28,000 per quarter. Chapters and Affiliates: NF Clinic Network: Four of our Chapters (Los Angeles, Denver, Seattle and St. Louis) were instrumental in funding the pilot phase of The NF Clinic Network. Hospitals in these cities were awarded between $20,000 and $40,000 to support the hiring of an NF Clinic Administrator. We are rolling out this program nationwide and look forward to continuing to work with our local representatives to grow this network. PSA Campaign: In 2005 Harold Ramis, our Honorary Director, wrote, filmed and produced a television public service announcement for the Foundation. The PSA campaign that was begun in 2005 was completed in August of 2006. Over the one-year period Nielson tracking data shows that our PSA received over 14,000 airplays on over 100 broadcast and cable networks. The estimated value of this airtime was in excess of $4,000,000. We have not recorded the value of this airtime as gift in kind revenue. Local Programs: We rely on our Chapters and Affiliates to meet the needs of their local communities with our support. In most cases this includes the hosting of NF symposia, patient support meetings, and a variety of other mechanisms to address the needs of their communities. More information on each Chapters and Affiliates activities can be found on the state pages of our website. B. Explanation of Key Metrics and other items We monitor our financial health with the many accounting measurements common to all businesses, i.e. revenue and expense growth, current ratio, long-term commitments etc. We measure our efficiency by using non-profit industry ratios such as fundraising, program and management expense ratios. All numbers used in the calculations below are from our audited financial statements beginning on page 17. Fundraising Expense Ratio: Program Expense Ratio: 14.8% 75.7% (Fundraising Expenses/Total Public Support and Revenue) (Program Expenses/ Total Public Support and Revenue) 10 Overhead Ratio: Revenue Growth yr/yr Program Growth yr/yr 8.72% 16.9% 16.4% (Management & Admin Expenses / Total Public Support and Revenue) As we continue to grow we expect to benefit from economies of scale in fundraising and administration expenses. Our budget for 2007 calls for fundraising to remain in the 14-15% range, and for our overhead ratio to decline to 7%. Business Overview: We are a tax exempt 501(c)(3) non-profit foundation that raises money to fund research; support NF Clinics; increase public education and awareness; and provide patient support (but not individual financial support) for those who are affected by neurofibromatosis. We prepare our financial statements on the accrual basis of accounting in accordance with United States generally accepted accounting principles for not-for-profit organizations. Revenue Recognition: Under Financial Accounting Standard No. 116, Accounting for Contributions Received and Contributions Made, we distinguish contributions received as either unrestricted, temporarily restricted, or permanently restricted. There were no permanently restricted gifts recorded in 2006. Temporarily restricted gifts are those with donor imposed stipulations that will be met with either our actions or the passage of time. When a temporary restriction is satisfied, for example our funding of a research grant, or our hosting of an event, these gifts are reclassified to unrestricted. We record unconditional pledges to give as revenue in the period received only when we have sufficient written documentation to support this determination. We actively encourage our donors to include corporate matching gift program forms when available. Given our history and experience, we assume a very high likelihood of receiving these matching gifts. Accordingly, under FAS 116, when we receive a matching gift form with a donation, we book these matching gifts as pledge revenue in the period when the form is received. Our pledge receivable balance at 12/31/06 was $6,605. While our revenue recognition policy does not require the exercise of significant judgment or the use of significant estimates, we believe that our policy is significant as revenue is a key component of our results of operations. Expense Recognition: We record expenses when an invoice has been submitted and approved according to our internal control procedures. Research grants we make that require us to make payments in future years are fully expensed in the year awarded when evidenced by our written commitment to fulfill the grant terms. For research grants we make that are not evidenced by this commitment, or are made on a best efforts basis, expense is recorded in the period the payment is made. As an example, our YIAs are fully expensed in the year they are awarded; our clinical grants and DDIs are fully expensed when the payments to the institutions are made. Allowance for Doubtful Accounts: We consider all pledges to be fully collectible and have not established a provision for doubtful accounts. If a pledge becomes uncollectible, the amount will be charged to operations when that determination is made. Depreciation of Property, Plant and Equipment: Our business is not capital intensive. Our largest capital expenses are for computers, office equipment and telecommunications equipment. We believe our furniture and equipment to be in good working order and anticipate no material capital expenses for 2007. Amortization of Intangible Assets: We record our trademarks, service marks and urls at historical cost and amortize them using the straight-line method based on an estimated useful life of 12 to 20 years. Item 7. LIQUIDITY AND CAPITAL RESOURCES Our ongoing capital resources depend on several factors, including our existing cash and cash equivalents balances, and cash flows generated by our fundraising efforts and investment income. 11 Liquidity: As of December 31, 2006, our current assets were $631,745; current expenses were $499,061 (including 2007 grants payable of $289,623); and our net working capital was $132,684. Capital Resources: Our fund functioning as an endowment (FFE) is designated by our Board of Directors as restricted funds. Withdrawals from the FFE require written approval from our Fiscal Affairs and Audit Committee. No funds from the FFE were released by the Board in 2006. The assets in the FFE totaled $2,804,962 at 12/31/06. The investment of the FFE is governed by our Investment Policy Committee. See footnote 5 of our audited financial statements for our current investment allocation. Item 8. CONTROLS AND PROCEDURES Evaluation of Disclosure Controls and Procedures: We maintain disclosure controls and procedures that are designed to ensure that information required to be disclosed in the reports that we file or submit to New York, where we are incorporated, and other states to maintain our registrations, and to the Internal Revenue Service is recorded, processed, summarized and reported within the time periods required by the various governing bodies. In 2006 we performed an evaluation of the effectiveness of the design and operation of our disclosure controls and procedures. This was carried out under the supervision and with the participation of our management team, including our President and Director of Finance and Administration. As of the date of such evaluation, our President and Director of Finance and Administration affirm that the design and operation of our disclosure controls and procedures were effective. Changes in Internal Control over Financial Reporting: There have been no changes in our internal control over financial reporting during the most recently completed fiscal quarter that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting. In 2006, as part of our review and evaluation of our internal controls and procedures, we were assisted by two organizations: The Wortzman Companies; and ALG Computer Consulting and Training, who agreed to serve on a pro bono basis. Their findings resulted in no material changes to our internal control procedures, but have identified some areas that to adhere to best practices require us to update and enhance our documentation. We have presented these findings to our Board of Directors, along with a plan to remediate them in 2007. 12 PART III Item 9. DIRECTORS AND EXECUTIVE OFFICERS Directors Per our bylaws, none of our directors are compensated for their services. As of April 18, 2007 the following people served on our Board of Directors: Suzanne Earle, Chairwoman Farah M. Walters, Treasurer Joel Cohen Patricia L. Francy James. F. Gusella, PhD. Rick D. Jaffa Bruce Korf, M.D., Ph.D. John Risner Tara Skirzenski Peggy Wallace, Ph.D. St. Petersburg, FL Shaker Heights, OH New York, NY New York, NY Charlestown, MA Palisades, CA Birmingham, AL Larchmont, NY Mendham, NJ Gainesville, FL Nate Walker, Vice-Chairman Encino, CA Carolyn Setlow, Secretary New York, NY Mark Ebel Denver, CO Daniel B. Gilbert Livonia, MI Richard Horvitz, Chairman Emeritus Mayfield Heights, OH Alfred R. Kahn New York, NY Jason Pontin Cambridge, MA Robert Schaffer Detroit, MI Stuart Match Suna New York, NY David Viskochil, M.D., Ph.D. Salt Lake City, UT Salt Lake City, UT Boston, MA Harold Ramis Doris Schnuck Honorary Directors: The Honorable Jake Garn Alan H. Robbins, M.D. Highland Park, IL St. Louis, MO The standing committees of the Board of Directors are: Fiscal Affairs & Audit Investment Leadership Development Executive Committee Medical Liaison Personnel Public Awareness & Education Volunteer Relations Development Government Affairs Planning Organization Integrity& Legal Affairs Executive Officers The following people were serving as our executive officers as of April 18, 2007. There is no familial relationship between any of our executive officers or between any of these officers and any of our directors. John W. Risner, 47, has been the President of The Children’s Tumor Foundation since July 1, 2005. He served as our Executive Director from April 2004 – June 2005 and had previously served as Treasurer and member of our Board of Directors since June of 2002. From 1997 to 2002 Mr. Risner served as Senior Vice President and Portfolio Manager of AIG/SunAmerica Investment Management, specializing in high yield and convertible bonds. From 1991 – 1997 Mr. Risner was Senior Portfolio Manager at Value Line Asset Management. Mr. Risner holds a B.S. from the University of Maryland, an MBA from Fordham University and is a Chartered Financial Analyst. He is a member of the Board of Directors and Audit Committee of NII Holdings, a cellular company with service in Latin America and has previously served on the Board of UGC Europe and Airgate PCS. Kim Hunter-Schaedle, Ph.D., 42, has been the Chief Scientific Officer of The Children’s Tumor Foundation since August 2005. Dr. Hunter-Schaedle has a B.Sc. (Hons) from St. Andrew's University, Scotland and a Ph.D. in Neuroscience from the University of London. She has served on the scientific staff of St. George's Hospital Medical School, University of London; The Rockefeller University, New York; and Ontogeny, Inc. (now Curis, Inc.) in Cambridge, MA. Dr. Hunter-Schaedle spent four years with the Juvenile Diabetes Research Foundation, where she established and directed and industry liaison and funding program. She has also served on the staff of Science & Technology Ventures, the technology transfer and licensing office of Columbia University. 13 Thomas M. Malone, 34, has been the Director of Finance & Administration of The Children’s Tumor Foundation since May 2006. Mr. Malone holds a Master of Public Administration from New York University, and a Bachelor of Arts in Economics from the State University of New York at Albany. He previously served as Director of Finance and Administration at Mount Sinai Medical Center, Department of Human Genetics, in New York City. Prior to Mount Sinai, Mr. Malone serve as Director-Office of Budget and Finance at Columbia University in New York City, and as Director of Finance and Administration in the Department of Genetics at the University of Alabama at Birmingham. George T. Orfanakos, 38, has been Vice President for development of The Children’s Tumor Foundation since May 2006. Mr. Orfanakos holds a Bachelor of Arts in Humanities, Hellenic College, a Master of Divinity from Holy Cross Greek Orthodox School of Theology in Brookline, MA, and was ordained as a Greek Orthodox Priest. He previously served as Executive Director of Saint George Greek Orthodox Church in Clifton NJ, where he was responsible for the ministry, fundraising, counseling and administration of this 4,500 member parish. Item 10. CORPORATE GOVERNANCE Our business and affairs are managed under the direction of the Board of Directors in accordance with the New York Non Profit Corporation Law and our Restated Certificate of Incorporation and Amended and Restated Bylaws. Members of the Board of Directors are kept informed of our business through discussions with management, by reviewing materials provided to them, and by participating in meetings of the Board of Directors and its committees. The Board of Directors and staff are committed to the highest standards of governance and transparency in all of our programs, financial reporting and relations with our constituents. This has been recognized by our earning the Better Business Bureau’s Wise Giving Alliance Seal of Approval, demonstrating our commitment to meeting the extensive standards of America’s most experienced charity evaluator. The corporate governance practices that we follow are summarized below. Conflict of Interest Policy The Board of Directors has approved a Conflict of Interest policy for our directors and executive officers. Our staff also signs our personnel policies and procedures handbook. These policies address such topics as protection and proper use of our assets, compliance with applicable laws and regulations, accuracy and preservation of records, accounting and financial reporting, and conflicts of interest. A current copy of our Conflict of Interest policy may be obtained by writing to our Director of Finance & Administration at the Children's Tumor Foundation, 95 Pine Street, 16th Floor, NY NY 10005. Related Party Transactions None Board and Committee Meetings Our Board meets in person three times per year. In 2006 these meetings were held on February 11 in Cleveland Ohio, June 3 in Aspen CO (in connection with The NF Conference research meeting), and September 16 in New York City. A quorum was present at each meeting. In addition to attending meetings, directors also fulfill their responsibilities by attending, in person or telephonically, sessions at which they are briefed about the status of particular matters and by review of our reports to directors. The standing committees of the Board generally meet at least four times per year. Meetings that do not occur in connection with our full Board meetings are usually held telephonically. Fiscal Affairs & Audit Committee The Fiscal Affairs & Audit Committee assists the Board of Directors in its oversight of the quality and integrity of our financial statements and related disclosures for our accounting, auditing, and reporting practices. The Fiscal Affairs & Audit 14 Committee’s role includes discussing with management our processes to manage our business, and for compliance with applicable legal, ethical, and regulatory requirements. The Committee is responsible for the appointment, replacement, compensation, and oversight of the independent registered public accounting firm engaged to audit our financial statements Executive Sessions of the Board It is the practice of our Board of Directors to have executive sessions where non-employee directors meet on an informal basis at the beginning or end of each regularly scheduled meeting of the Board of Directors. During these executive sessions, directors can meet with and question our employees outside the presence of employee directors or management. Communications with the Board of Directors Constituents may communicate directly with the Board of Directors. Given our volume of donations, our internal control procedures require two people to open our mail. Communication intended solely for the Board of Directors should be prominently marked “Confidential” on the outside of the envelope. The communication will not be opened, but rather will be forwarded unopened to the intended recipient. Letters not addressed to any individual member will be forwarded to our Chairwoman. Letters to the Board of Directors should be sent in care of to: Thomas Malone, Director of Finance & Administration Children's Tumor Foundation 95 Pine Street, 16th Floor NY NY 10005 Item 11. PRINCIPAL ACCOUNTANT FEES AND SERVICES The aggregate amount of fees billed to us by Cusack & Co. for professional services rendered in connection with the audit of our annual financial statements and preparation of our IRS 990 filings for the fiscal years ended December 31, 2006 and December 31, 2005 were $27,325 and $22,785 respectively. 15 PART IV Item 12. SIGNATURES Pursuant to the requirements of Section 91.5(b) of the New York State Code of Rules and Regulations for Charitable Organizations, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized. CHILDREN’S TUMOR FOUNDATION INC. By: /s/ THOMAS M. MALONE Thomas M. Malone Director of Finance and Administration (On behalf of the registrant and as Principal Accounting Officer) This report has been signed below by the following persons on behalf of the registrant and in the capacities indicated on May 27, 2007. Signature Title /s/ JOHN W. RISNER John W. Risner President /s/ THOMAS M. MALONE Thomas M. Malone Director of Finance and Administration (Principal Accounting Officer) CHILDREN’S TUMOR FOUNDATION, INC. INDEX TO CONSOLIDATED FINANCIAL STATEMENTS AND FINANCIAL STATEMENT SCHEDULE REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM.................................................................. CONSOLIDATED FINANCIAL STATEMENTS Statement of Financial Position — As of December 31, 2006 and 2005 ........................................................................................ Statement of Activities and Changes in Net Assets — For the Years Ended December 31, 2006 & December 31, 2005 ............. Statement of Functional Expenses – For the Year Ended December 31, 2006 .............................................................................. Statement of Functional Expenses – For the Year Ended December 31, 2005 .............................................................................. Statement of Cash Flows — For the Years Ended December 31, 2006 and 2005 .......................................................................... Notes to Financial Statements.......................................................................................................................................................... 16 17 18 19 20 20 21 22 CUSACK & COMPANY Certified Public Accountants LLC JOSEPH D. BATTAGLIA, CPA KENNETH B. CLAFLIN, CPA PAUL A. CUDA, CPA JAMES M. CUSACK, CPA JASON D. MARRA, CPA JOHN A. CRISCONE TERRENCE P. GILLOOLEY JOHN J. TAFILOWSKI KIMBERLY A. URQUHART 7 AIRPORT PARK BOULEVARD LATHAM, NEW YORK 12110 (518) 786-3550 FAX (518) 786-1538 E-MAIL ADDRESS: CUSACKCO@NYCAP.RR.COM WWW.CUSACKCPA.COM CLIFTON PARK/HALFMOON (518) 644-7063 MEMBERS OF : AMERICAN INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS AND NEW YORK STATE SOCIETY OF CERTIFIED PUBLIC ACCOUNTANTS INDEPENDENT AUDITOR’S REPORT Board of Directors Children’s Tumor Foundation, Inc. New York, New York 10005 We have audited the accompanying statements of financial position of Children’s Tumor Foundation, Inc. as of December 31, 2006 and 2005, and the related statements of activities and change in net assets, functional expenses, and cash flows for the years then ended. These financial statements are the responsibility of the Foundation's management. Our responsibility is to express an opinion on these financial statements based on our audits. We conducted our audits in accordance with auditing standards generally accepted in the United States of America. Those standards require that we plan and perform the audits to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion. In our opinion, the financial statements referred to above present fairly, in all material respects, the financial position of Children’s Tumor Foundation, Inc. as of December 31, 2006 and 2005, and the change in its net assets, functional expenses and cash for the years then ended, in conformity with accounting principles generally accepted in the United States of America. CUSACK & COMPANY, CPA’S LLC Latham, New York March 21, 2007 17 CHILDREN’S TUMOR FOUNDATION, INC. STATEMENTS OF FINANCIAL POSITION DECEMBER 31, 2006 AND 2005 ASSETS 2006 Current Assets Cash and Cash Equivalents Pledges and Other Receivables Prepaid Expenses Total Current Assets $ 569,762 6,605 55,378 631,745 2005 $ 333,553 59,636 20,046 413,235 69,309 70,448 3,034,663 125,000 6,948 19,562 3,186,173 2,740,172 9,348 18,637 2,768,157 $ 3,887,227 $ 3,251,840 $ $ Furniture and Equipment, Net Other Assets Investments Land Intangible Assets, Net Security Deposit Total Other Assets Total Assets LIABILITIES AND NET ASSETS Current Liabilities Accounts Payable Grants Payable Accrued Vacation Rent Payable Capital Lease Obligation Total Current Liabilities 14,585 289,625 10,979 2,717 317,906 34,238 80,000 6,584 2,717 10,796 134,335 Long-Term Liabilities Grants Payable Rent Payable Assets Held in Trust Total Long-Term Liabilities 133,750 4,754 173,687 312,191 7,470 173,687 181,157 Total Liabilities 630,097 315,492 390,734 2,804,962 3,195,696 61,434 3,257,130 111,651 2,525,944 2,637,595 298,753 2,936,348 $ 3,887,227 $ 3,251,840 Net Assets Unrestricted Undesignated Board Designated Total Unrestricted Temporarily Restricted Total Net Assets Total Liabilities and Net Assets 18 See accompanying notes and independent auditor’s report. 2 CHILDREN’S TUMOR FOUNDATION, INC. STATEMENTS OF ACTIVITIES AND CHANGE IN NET ASSETS FOR THE YEARS ENDED DECEMBER 31, 2006 AND 2005 Unrestricted Public Support, Reclassifications and Revenue Contributions Membership Corporations and Foundations United Way/CHC Gifts-in-Kind Other Income Assets Released from Restrictions Total Contributions Special Event Revenue Special Event Revenue - Gross Less: Direct Benefit to Donors Net Special Event Revenue Total Public Support, Revenue and Reclassifications Expenses Program Expenses Research and Medical Programs Public Education and Patient Support Services Total Program Expenses Supporting Services Management and General Fundraising Total Supporting Services Total Expenses Change in Net Assets Before Investment Income $ 2,396,571 6,050 225,802 119,806 130,320 6,034 562,527 3,447,110 103,575 221,633 (562,527) (237,319) - 4,603,915 (237,319) Total $ 2,500,146 6,050 447,435 119,806 130,320 6,034 3,209,791 Unrestricted $ 1,501,702 180,432 111,248 132,355 1,156,525 3,082,262 1,350,296 (193,491) 1,156,805 1,052,187 (291,776) 760,411 4,366,596 3,842,673 2005 Temporarily Restricted $ 951,451 96,823 (1,156,525) (108,251) (108,251) Total $ 2,453,153 277,255 111,248 132,355 2,974,011 1,052,187 (291,776) 760,411 3,734,422 2,373,112 930,542 3,303,654 - 2,373,112 930,542 3,303,654 1,671,109 1,165,972 2,837,081 - 1,671,109 1,165,972 2,837,081 381,075 644,323 1,025,398 - 381,075 644,323 1,025,398 230,727 612,223 842,950 - 230,727 612,223 842,950 4,329,052 - 4,329,052 3,680,031 - 3,680,031 37,544 162,642 90,984 11,029 181,225 283,238 69,492 1,077 48,892 119,461 320,782 282,103 298,753 2,936,348 2,355,492 61,434 $ 3,257,130 $ 2,637,595 274,863 90,984 11,029 181,225 283,238 Change in Net Assets after Investment Income 558,101 Net Assets, End of Period $ 1,350,296 (193,491) 1,156,805 Investment Income Interest and Dividends Gain (Loss) on Sale of Assets Unrealized Gain (Loss) on Investments Total Investment Income Net Assets, Beginning of Period 2006 Temporarily Restricted (237,319) (237,319) 2,637,595 $ 3,195,696 $ (108,251) (108,251) $ 54,391 69,492 1,077 48,892 119,461 173,852 407,004 2,762,496 298,753 $ 2,936,348 19 See accompanying notes and independent auditor’s report. 3 CHILDREN’S TUMOR FOUNDATION, INC. STATEMENT OF FUNCTIONAL EXPENSES FOR THE YEAR ENDED DECEMBER 31, 2006 Research and Medical Programs Grant Contribution Awards Salary and Benefits Advocacy Occupancy Printing Postage/Shipping Supplies Travel Conferences/Meetings/Events Camp Insurance IT Related Professional Fees Auditing and Legal Dues and Other Fees Telephone Equipment Rental and Maintenance Other Expenses Depreciation and Amortization Public Education Management and Patient and Support Services General Fund Raising Total $ 1,253,840 533,736 156,000 56,437 16,044 18,456 6,253 60,046 163,958 8,776 26,916 600 8,889 17,654 19,406 14,369 11,732 $ 439,092 45,082 85,793 37,585 6,479 48,177 73,181 47,613 6,545 24,396 25,029 1,464 4,967 14,976 5,164 56,250 8,749 $ 192,080 20,050 1,901 2,333 344 2,527 10,023 3,125 17,378 14,447 27,325 48,936 6,205 2,465 27,760 4,176 $ 304,689 30,320 35,836 30,991 6,092 19,616 87,302 3,650 14,029 64,621 5,378 12,493 3,980 20,447 4,879 $ 1,253,840 1,469,597 156,000 151,889 139,574 89,365 19,168 130,366 334,464 47,613 22,096 82,719 104,697 28,789 68,170 51,328 31,015 118,826 29,536 $ 2,373,112 $ 930,542 $ 381,075 $ 644,323 $ 4,329,052 20 See accompanying notes and independent auditor's report. See accompanying noes and independent auditor’s report. 4 CHILDREN’S TUMOR FOUNDATION, INC. STATEMENT OF FUNCTIONAL EXPENSES FOR THE YEAR ENDED DECEMBER 31, 2005 Research and Medical Programs Grant Awards Salary and Benefits Advocacy Occupancy Printing Postage/Shipping Supplies Travel Conference/Meetings/Events Camp Insurance IT Related Professional Fees Auditing and Legal Dues and Other Fees Telephone Equipment Rental and Maintenance Other Expenses Depreciation and Amortization $ 537,750 637,513 132,696 50,064 29,914 29,869 5,761 33,762 94,770 5,485 21,027 17,921 7,944 10,023 12,578 8,454 20,625 14,953 $ 1,671,109 Public Education and Patient Support Services $ Management and General Fund Raising Total 657,655 47,505 103,118 32,814 6,269 40,514 86,005 42,487 5,007 21,692 24,218 8,195 8,837 17,644 8,721 44,652 10,639 $ 165,071 12,435 9,486 7,989 1,525 3,054 1,337 5,445 984 2,057 6,733 3,851 2,189 5,309 3,262 $ 368,234 27,740 7,515 17,821 3,389 22,186 63,432 2,984 12,146 12,881 4,589 34,468 8,593 4,883 14,086 7,276 $ 537,750 1,828,473 132,696 137,744 150,033 88,493 16,944 96,462 247,261 42,487 14,813 60,310 56,004 22,785 60,061 42,666 24,247 84,672 36,130 $ 1,165,972 $ 230,727 $ 612,223 $ 3,680,031 21 See accompanying notes and independent auditor's report. See accompanying noes and independent auditor’s report. 5 CHILDREN’S TUMOR FOUNDATION, INC. STATEMENTS OF CASH FLOWS FOR THE YEARS ENDED DECEMBER 31, 2006 AND 2005 2006 2005 Cash Flows Provided by (Used in) Operating Activities $ Increase in Net Assets Changes Due to Operating Activities Depreciation and Amortization Realized Gains on Investments Unrealized Holding Gain on Investments Direct Reinvestment of Investment Income Rent Subsidy Donation of Land Changes in Operating Assets: (Increase) Decrease in Assets Pledges and Other Receivables Prepaid Expenses Security Deposit Changes in Operating Liabilities: (Increase) Decrease in Liabilities Accounts Payable and Accrued Expenses Grants Payable Accrued Vacation Net Cash Provided by Operating Activities 320,782 $ 173,852 29,536 (11,308) (181,225) (78,924) (2,717) (125,000) 36,130 (1,077) (48,892) (61,661) (2,717) - 53,031 (35,332) (925) 8,056 11,859 700 (19,653) 343,375 4,395 (26,855) (45,500) (35,810) 296,035 8,085 Cash Flows Provided by Investing Activities Proceeds from Sale of Investments Purchase of Investments Purchase of Furniture and Equipment 492,007 (515,041) (25,996) 453,936 (382,847) (1,698) (49,030) 69,391 Capital Lease Repayments (10,796) (11,778) Net Increase in Cash and Cash Equivalents 236,209 65,698 Cash and Cash Equivalents at Beginning of Year 333,553 267,855 Net Cash Provided by (Used In) Investing Activities Cash Flows Provided by Financing Activities Cash and Cash Equivalents at End of Year $ 569,762 $ 333,553 22 See accompanying notes and independent auditor's report. See accompanying noes and independent auditor’s report. 6 CHILDREN’S TUMOR FOUNDATION, INC. NOTES TO FINANCIAL STATEMENTS DECEMBER 31, 2006 AND 2005 1. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES Organization The Children’s Tumor Foundation, Inc. (formerly known as the National Neurofibromatosis Foundation, Inc.) was incorporated in 1978 in accordance with New York State Not-For-Profit Corporation Law. The Foundation was formed to sponsor scientific research aimed at finding the cause and effective treatment for neurofibromatosis; to promote the development of diagnostic procedures and assist in the development of clinical centers in the United States; to develop programs that will increase public awareness of neurofibromatosis; and to assist patients and their families with accurate and comprehensive information about neurofibromatosis, including support groups and referrals to qualified physicians and health-care facilities. Basis of Presentation The accompanying financial statements have been prepared on the accrual basis of accounting in accordance with United States generally accepted accounting principles for not-for-profit organizations. Under these provisions, net assets and revenues, gains, and losses are classified based on the existence or absence of donor-imposed restrictions. Expenses are classified as unrestricted. Accordingly, net assets of the Foundation and changes therein are classified and reported as follows: Unrestricted net assets - Net assets that are not subject to donor-imposed stipulations. Unrestricted net assets may be designated for specific purposes by action of the Board of Directors. Board of Directors designated restricted for mission - Unrestricted net assets that cannot be released without the vote of the Board. Temporarily restricted net assets - Net assets subject to donor-imposed stipulations that will be met either by actions of the Foundation and/or the passage of time. When a restriction is satisfied or expires, temporarily restricted net assets are reclassified to unrestricted net assets and reported in the statement of activities as net assets released from restrictions. Donor-restricted contributions whose restrictions are met in the same reporting period are also reported as temporarily restricted support. Permanently restricted net assets - Net assets subject to donor-imposed stipulations that they be maintained permanently by the Foundation. Generally, the donors of these assets permit the Foundation to use all or part of the income earned on related investments for general or specific purposes. 23 See independent auditor’s report. 7 CHILDREN’S TUMOR FOUNDATION, INC. NOTES TO FINANCIAL STATEMENTS (CONTINUED) DECEMBER 31, 2006 AND 2005 1. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED) Support and Expenses Contributions received and unconditional promises to give are measured at their fair values and are reported as an increase in unrestricted net assets. The Foundation reports gifts of goods and equipment as unrestricted support unless explicit donor stipulations specify how the donated assets must be used. Gifts of long-lived assets with explicit restrictions that specify how the assets are to be used and gifts of cash or other assets that must be used to acquire long-lived assets are reported as restricted support. Absent explicit donor stipulations about how long those long-lived assets must be maintained, the Foundation reports expirations of donor restrictions when the donated or acquired long-lived assets are placed in service. Expenses are recorded when incurred in accordance with the accrual basis of accounting. Furniture, Equipment and Depreciation Furniture and equipment are reflected at cost, with depreciation provided on a straight-line basis over estimated useful lives of five to seven years. The cost of maintenance and repairs is charged to expense as incurred; significant renewals and betterments are capitalized. Land is reported at cost. Receivables The Foundation considers accounts and pledges receivable to be fully collectible and, accordingly, no allowance for doubtful accounts has been established. If accounts become uncollectible, they will be charged to operations when that determination is made. Contributed Services and Goods The Foundation pays for services requiring specific expertise; however, many individuals volunteer their time and perform a variety of tasks that assist the Foundation with specific program areas, campaign solicitations and fund raising events. The Foundation estimates that it receives more than 20,000 volunteer hours per year. Significant materials and other assets received as donations are recorded and reflected in the accompanying financial statements at their fair values at the date of receipt. Promises to Give As of December 31, 2006 and 2005, contributors to the Foundation have not made any conditional promises to give for restricted research and public education purposes. In addition, there are no verbal unconditional promises to give as of December 31, 2006 and 2005. 24 See independent auditor’s report. 8 CHILDREN’S TUMOR FOUNDATION, INC. NOTES TO FINANCIAL STATEMENTS (CONTINUED) DECEMBER 31, 2006 AND 2005 1. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED) Functional Allocation of Expense The costs of providing the various programs, fund raising and other activities have been summarized on a functional basis in the statement of functional expense. Accordingly, certain costs have been allocated among the program and fund raising activities benefitted. The Foundation does not have a staff primarily involved in administrative or managerial activities as the majority of staff is involved in the development and delivery of programs. Accordingly, a majority of the Foundation's salaries and benefits are attributed to various program activities. The allocation of salaries and benefits is primarily based on time studies. Investments Investments of marketable debt and equity securities are carried at market values. Non marketable assets are valued $125,000. Tax-Exempt Status The Foundation is a non-profit corporation and is exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code. It has been designated as a publicly supported organization which is not a private foundation under Code Section 509(a). Grants, Awards and Fellowships The Foundation approves research and fellowship contribution awards subject to periodic internal peer reviews of performance. These contributions generally are payable in installments over a period of two or three years, upon the approval and acceptance of periodic progress reports provided to the Foundation by award recipients. Grants are fully accrued once the recipients accept the contribution award. Grants and fellowships are subject to automatic forfeiture if award recipients do not comply with award stipulations. Estimates The preparation of financial statements in conformity with accounting principles generally accepted in the United States of America requires management to make estimates and assumptions that affect certain reported amounts and disclosures. Actual results could differ from these estimates. 2. REPORTING ENTITY The Foundation's By-Laws provide for the reporting entity to include a number of affiliates and chapters. These financial statements include the operating results of the Foundation’s national office and chapters/affiliates located throughout the United States. 25 See independent auditor’s report. 9 CHILDREN’S TUMOR FOUNDATION, INC. NOTES TO FINANCIAL STATEMENTS (CONTINUED) DECEMBER 31, 2006 AND 2005 2. REPORTING ENTITY (CONTINUED) The following is a list of chapters and affiliates included in the financial statements. Maryland (DC, MD, VA Chapter) Missouri Nebraska Nevada New Hampshire (NNE Chapter) New Jersey (Tri-State Chapter) New York (Tri-State Chapter) North Carolina Ohio Oregon Pennsylvania Rhode Island (NNE Chapter) Tennessee Utah Washington Wisconsin Wyoming Alabama Alaska Arizona Arkansas California Colorado Connecticut (NNE & Tri-State Chapters Florida Georgia Idaho Illinois Indiana Iowa Kansas Louisiana Maine (NNE Chapter) Massachusetts (NNE Chapter) Michigan 3. CASH EQUIVALENTS It is the policy of the Board of Directors to review its plans for future cash flow from time to time and designate appropriate sums to be available during temporary cash flow reductions. Cash equivalents consist of highly liquid investments with an initial maturity of three months or less. Fair value approximates carrying amounts. 4. PLEDGES AND OTHER RECEIVABLES Individual pledges due to the Foundation total $6,605 and $59,636 at December 31, 2006 and 2005, respectively. 5. INVESTMENTS Investments are recorded at market value. The value assigned to investments received by gift is the market value at the date of donation. The Board of Directors has approved the following investment policy for marketable securities held in the Fund Functioning as an Endowment (FFE): Assets held in the FFE shall be managed to the following broad market indexes and portfolio allocation: 40% - Total Stock Market Index Fund; 10% - Total International Stock Index Fund; 25% - Short-Term Bond Market Index Fund; 25% - General Bond Market Index Fund. The portfolio is rebalanced quarterly to maintain the stated allocation. The Fiscal Affairs Committee regularly reviews the investment policy and performance. 26 See independent auditor’s report. 10 CHILDREN’S TUMOR FOUNDATION, INC. NOTES TO FINANCIAL STATEMENTS (CONTINUED) DECEMBER 31, 2006 AND 2005 5. INVESTMENTS (CONTINUED) Investments at December 31, 2006 and 2005, are comprised of the following: 2006 Cost 2005 Market Unrealized Value Appreciation Debt Securities and Funds $ 1,242,859 $ 1,473,981 $ 231,122 Equity Funds 165,718 1,394,964 1,560,682 $ 2,637,823 $ 3,034,663 $ 396,840 Total 6. Market Value Cost $1,435,215 1,140,233 $2,575,448 Unrealized Appreciation $ 1,455,410 $ 20,195 1,284,762 144,529 $ 2,740,172 $ 164,724 FURNITURE AND EQUIPMENT Furniture and equipment and related depreciation as of December 31, 2006 and 2005 consist of: 2006 Furniture Equipment Leasehold Improvements Total Less: Accumulated Depreciation Furniture and Equipment $ $ 5,726 173,196 3,450 182,972 (113,063) 69,309 2005 $ $ 5,726 187,468 3,450 196,644 126,196 70,448 Depreciation expense was $27,136 and $33,730 for the years ended December 31, 2006 and 2005, respectively. 7. INTANGIBLE ASSETS Intangible assets with a cost value of $12,000 are composed of service marks, website universal resource locators (Url’s - www.ctf.org, etc.) and our trade name. Intangible assets are amortized using the straight-line method over the estimated period benefitted, with amortization expense being $2,400 for each year ended December 31. 8. ASSETS HELD IN TRUST The Foundation is in possession of trust assets with conditions imposed by the settlor in the trust. The Foundation has agreed that all trust assets received will be held and invested at the discretion of the Foundation. All income generated by these investments is to be used for research purposes and none of the principal can be expended. When certain conditions are completed by the Foundation, the original trust corpus is to be forwarded to other organizations as stipulated in the trust document. The conditions of use for the income of the trust assets will extend beyond one year and, accordingly, these amounts have been reflected as long-term. In addition, as none of the principal can be expended, these amounts are reflected as an other liability of $173,687 at December 31, 2006 and 2005. 27 See independent auditor’s report. 11 CHILDREN’S TUMOR FOUNDATION, INC. NOTES TO FINANCIAL STATEMENTS (CONTINUED) DECEMBER 31, 2006 AND 2005 9. GRANTS PAYABLE During the year ended December 31, 2006 and 2005, $815,636 of additional research funds were designated by the Board and management for research grants and contracts. A total of $848,511 in grant payments were disbursed prior to December 31, 2006, representing current and prior year commitments. Grants payable at December 31, 2006 and 2005 are schedule for payment in the following fiscal years: Year Ending December 31, 2006 2007 2008 Total Grants Payable 2006 2005 289,625 133,750 $ 423,375 $ 80,000 0 $ 80,000 $ 10. LEASE COMMITMENTS The current office lease for the Foundation’s national office is for a fifteen year term (expiring in 2009), at a base monthly rent of $8,258 plus escalation clauses for real estate taxes, operating expenses and utilities. The lease agreement additionally stipulated the first five months were rent-free and, accordingly, a liability for this reduction is being amortized over the fifteen year lease term. The amount of the subsidy will be $2,717 for the remaining term of the lease. Future minimum lease payments, exclusive of escalation clauses, is $99,096 each year through 2009. In addition, the Foundation leases office space for certain chapter/affiliate operations on a month-tomonth basis. Currently, monthly rent expense for these locations totals approximately $1,350. Rent expense inclusive of operating charges totaled $134,857 and $112,806 for the years ended December 31, 2006 and 2005, respectively. 11. PENSION PLAN The Foundation offers a 401(k) retirement plan to all full-time employees. Under the terms of the Plan, employees who participate may contribute up to an annual maximum allowable limitation as established in the Internal Revenue Code. In addition, after one year of employment, employees are entitled to a Foundation contribution (currently 3% of salary) which are 100% vested to the employees. Pension expense for the years ended December 31, 2006 and 2005 was approximately $22,000 and $35,000, respectively. 28 See independent auditor’s report. CHILDREN’S TUMOR FOUNDATION, INC. NOTES TO FINANCIAL STATEMENTS (CONTINUED) DECEMBER 31, 2006 AND 2005 12. NATURE AND AMOUNT OF TEMPORARILY RESTRICTED NET ASSETS Temporarily restricted net assets at December 31, 2006 and 2005 were available for the following purposes: Source Foundations Individuals Memorials Individuals Individuals Purpose 2006 Research Research Research Camp Conferences $ $ 13. 15,000 40,750 5,684 61,434 2005 $ $ 143,000 132,753 23,000 298,753 CONCENTRATION OF CREDIT RISK The Foundation has concentrated its credit risk for cash by maintaining deposits in banks located within the same geographic region and the same bank. At times throughout the year the Foundation may maintain certain bank account balances in excess of the FDIC insured limits. The Foundation does not have any collateral available to them from the bank to insure this credit risk, but maintaining deposits with high-quality financial institutions minimizes the risk. 29 See independent auditor’s report. 13
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