Southern Appalachian Ronald Mcdonald House Charities Inc

What it reported doing in 2025

The southern appalachian ronald mcdonald house (hereafter referred to as house) is a program of the southern appalachian ronald mcdonald house charities, (charities), governed by a board of directors and managed by an executive director, director of house operations and staff who over-see the day to day operations. Guest families and children served by the house come from a radius of 125 miles outside the city limits of johnson city, tn. (includes counties located in ne Tennessee, sw Virginia, eastern Kentucky and West Virginia). The house is in johnson city, tn but is a regional facility. As of december 2025, families from southwest Virginia continue to use the house the most. Southwest Virginia 50% northeast Tennessee 48% eastern Kentucky 0% misc. States 2% the house is 14,000 sq. Feet, has 10 bedrooms/private baths with a kitchen, laundry room, tv rooms and play areas as common areas shared by all guest families. Evening meals are provided by church groups, civic organizations, fraternal groups, families/friends or restaurants at least 25 out of 30 days. Breakfast and lunch foods are available for families to prepare at their leisure. Children and families of seriously ill children receiving medical care in a local hospital setting are eligible to stay as guests at the house. A child must be a dependent of the parent(s), 21 years or younger. Families living the greatest distance from the hospital providing medical care for the child are given priority in staying at the house. A critically ill child or one in imminent danger of death receives priority regardless of distance. A nightly contribution of 10 is requested. However, no one is ever turned away because of the inability to make the suggested contribution. In 2025, the average nightly contribution was .19, and the average length of stay was 14 days. The house provided 4,244 nights and received 815.00 through contributions from guest families. The suggested contribution of 10 helps to defray the full cost of 80/night to provide services for families who stay at the house. If the house had not been available the out of pocket expense for families would have been approximately 848,800.00 (motel, food, gas, laundry, miscellaneous items). The board of directors is responsible for raising funds to meet the budgetary needs of the house each year. The charities is dependent on fundraising events and donations to provide services for children and families of seriously ill children at the house. Fundraising events include: hearts for the house; shamrock shuffle 5k, and the annual golf classic. Various organizations, groups and mcdonald's restaurants throughout the service area hold fundraising events to benefit the house as well. In-kind donations donated by the community range from canned goods, paper products, fresh vegetables, home-made breads, muffins to someone providing yard work, professional cleaning, clerical assistance, cleaning the kitchen, mopping floors, replacing smoke detectors, replacing filters on heating/ac units and monthly checks of the fire extinguishers. These generous in-kind donations help defray the cost of providing services and we are better able to provide for the children and families of children who find a supportive atmosphere at our house. There is a staff of 4 full-time employees and 5 part-time employees. Volunteers are essential to the operations of the house. Volunteer's clean rooms, wash linens, mop floors, run the vacuum, clean windows, bake cakes/cookies, register/check-out families, and help with fundraising events. Volunteers do whatever needs to be done to keep the house clean and inviting for our guest families. In 2025, 475 volunteers contributed 3,396 hours to the house for a value of 115,464.00. The southern appalachian ronald mcdonald house continues to be a haven for children and families of seriously ill children. The staff and volunteers provide a loving, supportive atmosphere away from the hospital setting that allows families t

Financial Efficiency

• Mission deployment rate: 54.8%; rating input score 55
• Program expense ratio: 75%; rating input score 75
• Fundraising efficiency: $10.16 raised per $1 spent on fundraising; rating input score 35; 35th percentile among comparable filings

Transparency & Controls

• Consistency checks: 94.4%; rating input score 94; 27th percentile among comparable filings
• Pay-setting controls: Limited
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 64th percentile among comparable filings
• Governance controls: 8 of 8 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: NotApplicable
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 36.4%; rating input score 85; 85th percentile among comparable filings
• Total-asset coverage ratio: 5.7; rating input score 86; 86th percentile among comparable filings
• Liabilities to assets ratio: 0; rating input score 65; 65th percentile among comparable filings
• Officer compensation ratio: 15.2%; rating input score 24; 24th percentile among comparable filings

Growth

• Program expense growth: 4.3% per year; rating input score 100; 33rd percentile among comparable filings
• Revenue growth: 3.1% per year; rating input score 100; 26th percentile among comparable filings
• Asset growth: 5.2% per year; rating input score 100; 36th percentile among comparable filings