American Foundation for Donation and Transplantation
Legal name: American Foundation for Donation And
Nonprofit profile at a glance
- EIN
- 540980824
- IRS 990 coverage
- 2013–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024, Form 990-T 2024
- Location
- North Chesterfield, VA, USA
- Phone
- (804) 323-9890
- Rating
- 82
- Verdict
- STRONG
- Rating confidence
- Moderate
- Sector
- Organ and Tissue Banks
Reported finances
- Revenue
- $531,811,631
- Expenses
- $528,036,519
- Assets
- $114,311,179
- Liabilities
- $92,121,330
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
16 people listed
Executive titles in this filing
- SANDER FLORMAN MD (President)
- ARLENE SKINNER (CEO)
Highest reported compensation
- ARLENE SKINNER (CEO): $321,607 total reported compensation
- WILLIAM HOWARD (Controller): $311,867 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
The American Foundation for Donation and Transplantation (AFDT) is dedicated to advancing the science and practice of organ and tissue donation and transplantation. Support Services, Inc. AFDT has maintained an organ and donation billing service for over 50 years. This service provides consistency and predictability in the reimbursement of organs and tissues provided to transplant programs locally, regionally and nationally. AFDT has developed a reputation for consistency in service, a knowledgeable staff, plus experience in all areas of conflict resolution when dealing with disputes between transplant centers and organ procurement organizations. The AFDT staff knows whom to bill and how to secure payment. Relationships are maintained with the critical personnel at each organization and transplant center responsible for the payment of organs. This exper.
What it reported doing in 2024
The organization provides an organ donor-to-recipient billing service for hospitals providing the transplants. The organs consist mainly of kidneys, livers and other organs that are procured and transplanted in recipients.
Operating model
- Revenue model
- Other-operating. 100% of the money available for current operations came from other operating revenue.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Some filing-based governance responses are negative or unanswered and expenses are high relative to revenue.
Rating breakdown
- Financial Efficiency: 88
- Transparency & Controls: 74
- Accountability: 91
- Sustainability: 31
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 98.8%; rating input score 99
- Program expense ratio: 99.5%; rating input score 100
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 93.8%; rating input score 94; 25th percentile among comparable filings
- Pay-setting controls: 1 of 6 controls in place; rating input score 17
- Compensation committee: Missing
- Independent consultant: Missing
- Other Form 990s reviewed: Missing
- Written employment contract: Missing
- Compensation survey or study: Missing
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
- Major donor itemization: Limited
- Related-party transparency: Limited
Accountability
- Independent voting board: 100%; rating input score 100; 77th percentile among comparable filings
- Governance controls: 7 of 9 controls in place; rating input score 78
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Fail
- Other executive compensation review process: Pass
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Fail
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: 0.7%; rating input score 35; 35th percentile among comparable filings
- Total-asset coverage ratio: 0.22; rating input score 7; 7th percentile among comparable filings
- Liabilities to assets ratio: 0.81; rating input score 17; 17th percentile among comparable filings
- Officer compensation ratio: 0.1%; rating input score 92; 92nd percentile among comparable filings
Growth
- Program expense growth: 17.7% per year; rating input score 100; 90th percentile among comparable filings
- Revenue growth: 17.7% per year; rating input score 100; 92nd percentile among comparable filings
- Asset growth: 17.7% per year; rating input score 100; 90th percentile among comparable filings
Details
- What they do: 3 programs and campaigns described on the official site · 1 operating location identified
- Where the money goes: 98.8% of revenue deployed · 99.5% of spending went to programs
- Governance: 14 of 14 board members independent · 7 of 9 filing controls reported
- Programs: 4 filed program accomplishments · $525.5M in reported program spending
- Leadership: top reported pay $322K · 16 people listed · 1 of 6 pay-setting controls reported
- Consistency: 31 of 32 current checks pass · 1 finding to review
- Schedules: 6 filed schedules · includes grants and executive pay
- Filing history: 12 filing years from 2013 to 2024
- Contacts: How to reach this organization
- Money network: 2 filed money-flow records
- Related organizations: 1 filed related-organization link
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- Review — Accountability: Governance controls: 2 of 9 not reported.
- Moderate — Sustainability: Operating margin scored 35/100.
- High — Sustainability: Total-asset coverage ratio scored 7/100.
- High — Sustainability: Liabilities to assets ratio scored 17/100.
- Review — Transparency & Controls: Schedule R controlled transactions itemized did not reconcile in the filed values.