Douglas a Thom Clinic Inc
Overview
Mission
Perform early intervention services for at risk children between the ages of 0 - 3 years.
What it reported doing in 2024
Administrative and software services operated to support our early intervention program, our regional consultation program, and other outside early intervention service providers.
Operating model
- Revenue model
- Earned-program. 99% of the money available for current operations came from fees and other program revenue.
- Distribution model
- Direct operator. The nonprofit carried out 100% of its reported program work directly.
Nonprofit profile at a glance
- EIN
- 042104268
- IRS 990 coverage
- 2010–2024
- Forms available
- Form 990 2024, Form 990-T 2024, Form 990-N 2022
- Headquarters
- Framingham, MA, USA
- Rating
- 81
- Verdict
- STRONG
- Rating confidence
- Moderate
- Sector
- Health
The verdict
STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Fundraising costs are high for each dollar raised and program spending has declined or grown slowly.
Rating breakdown
- Financial Efficiency: 79
- Transparency & Controls: 84
- Accountability: 95
- Sustainability: 40
- Growth: 60
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 86.6%; rating input score 87
- Program expense ratio: 89.5%; rating input score 90
- Fundraising efficiency: $1.71 raised per $1 spent on fundraising; rating input score 5; 5th percentile among comparable filings
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 71st percentile among comparable filings
- Pay-setting controls: 3 of 6 controls in place; rating input score 50
- Foreign activity oversight: Limited
- Grant itemization coverage: Limited
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Limited
- Public monitoring controls: Limited
- Public policy transparency: Limited
- Public financial transparency: Limited
- Impact reporting controls: Limited
- Public relationship transparency: Limited
Accountability
- Independent voting board: 100%; rating input score 100; 76th percentile among comparable filings
- Governance controls: 8 of 9 controls in place; rating input score 89
- Public governance controls: Limited
- Zakat policy transparency: Limited
Sustainability
- Operating margin: 3.2%; rating input score 49; 49th percentile among comparable filings
- Operating reserve ratio: 0.63; rating input score 24; 24th percentile among comparable filings
- Liabilities to assets ratio: 0.48; rating input score 38; 38th percentile among comparable filings
- Officer compensation ratio: 2.7%; rating input score 43; 43rd percentile among comparable filings
Growth
- Program expense growth: -1% per year; rating input score 0; 5th percentile among comparable filings
- Revenue growth: 2% per year; rating input score 100; 15th percentile among comparable filings
- Asset growth: 9.1% per year; rating input score 100; 65th percentile among comparable filings
Details
- Where the money goes: 86.6% of revenue deployed · 89.5% of spending went to programs
- Governance: 9 of 9 board members independent · 8 of 9 filing controls reported
- Programs: 3 filed program accomplishments · $45.8M in reported program spending
- Leadership: top reported pay $357K · 16 people listed · 3 of 6 pay-setting controls reported
- Consistency: 33 of 33 current checks pass
- Schedules: 5 filed schedules · includes major donors and executive pay
- Filing history: 14 annual filings from 2010 to 2024
- Money network: 7 filed money-flow records