Adoption and Foster Care Coalition of Missouri

What it reported doing in 2011

Pregnancy maintenance network (pmn) - alternative to abortion contract with the Missouri department of health and senior services. The afcc provides a statewide comprehensive, coordinated system of services for alternatives to abortion. The afcc will reach out to pregnant women at risk of abortion at any stage of pregnancy who do not have any other source of financial support for needed services. This program has demonstrated outcomes that include 87% healthy moms and 84% healthy babies in a population that is high risk. Pmn has remained in existence for nine years, and served over 3,000 women and their families in the state of Missouri. (continued on schedule o)case management for pregnancy maintenancecase management is provided to each client. This unique program provides community based services throughout the state of Missouri. As a coalition, the afcc provides or makes referrals to needed services, utilizing established partnerships with health care providers, schools and other resources, while supporting women within their home communities.when a client calls, emergency needs are addressed immediately. A professional case manager located as close as possible to the client's residence is assigned. Upon assignment, an individual assessment is completed with each client to determine risk factors for abortion, utilizing the individual risk and needs assessment and the initial client assessment. The client, working together with the case manager, identifies support systems such as church, community and/or friends, and determines a priority of needs.the pmn process is one of client-centered decision making. The client, with the case manager, develops a service plan (individualized pregnancy continuation plan). Every month the client and the case manager review the plan and based on the client's current needs, update the plan until the program is completed or the stated objectives have been achieved. The plan specifies available services and support system that will allow a healthy outcome to the pregnancy.the case manager refers the client to existing community resources to meet these needs. If no other resources can be accessed, services may be covered by this contract. Education regarding the available services and limitations of this program continues throughout the client's participation.case managers maintain client specific documentation which describes each contact, lists the time involved in each activity, and if appropriate, the cost. Services will terminate when the plan has been completed, the eligibility period (one year post delivery) has ended, or the client withdraws from the program.prenatal careprenatal care is a priority for every woman in this program. The client, together with the case manager, works to identify her needs and resources (e.g. Private insurance, medicaid, private pay, etc.). The case manager makes referrals to local prenatal care providers, including doctors, midwives, health centers, clinics, and hospitals, for prenatal care only and prenatal care/delivery.medical carehealth maintenance, prevention, and treatment are provided by a licensed medical provider, as related to the prevention of abortion.mental health carecounseling or treatment to assist the client with management of mental illness or other issues affecting her mental/emotional well-being is provided when indicated.parenting skillseducation and counseling teach and develop the parenting role and assist mothers and fathers in being responsible parents.drug and alcohol testing and treatmentdrug/alcohol testing and treatment is provided as needed. When a problem is identified through report or through testing, the client is referred to an individual, group, or family program that is appropriately licensed or certified.child carethe client is assisted with child care arrangements when needed to participate in contract activities or services. A client may use either a day care facility or in-home care. Child care providers must meet mi

Financial Efficiency

• Mission deployment rate: Limited
• Program expense ratio: Limited
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 60th percentile among comparable filings
• Pay-setting controls: 0 of 6 controls in place; rating input score 0
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Missing
• Foreign activity oversight: Limited
• Grant itemization coverage: 100%; rating input score 100; 79th percentile among comparable filings
• Major donor itemization: Limited
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 64th percentile among comparable filings
• Governance controls: 7 of 7 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: NotApplicable
  • 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: -2.1%; rating input score 38; 38th percentile among comparable filings
• Total-asset coverage ratio: 0.25; rating input score 15; 15th percentile among comparable filings
• Liabilities to assets ratio: 0.94; rating input score 9; 9th percentile among comparable filings
• Officer compensation ratio: 0%; rating input score 75; 75th percentile among comparable filings

Growth

• Program expense growth: Limited
• Revenue growth: -9.8% per year; rating input score 0; 25th percentile among comparable filings
• Asset growth: -6.6% per year; rating input score 0; 25th percentile among comparable filings