The Adoption and Foster Care Clinic

Nonprofit profile at a glance

EIN
990511349
IRS 990 coverage
2024–2024
Forms available
Form 990 2024, Form 990-N 2023
Location
Birmingham, AL, USA
Phone
2059143027
Rating
65
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Pediatrics

Reported finances

Revenue
$549,170
Expenses
$303,470
Assets
$245,700
Liabilities
$0

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

9 people listed

People named in this filing

  • Lisa Macan (Director)
  • Karen Eddins (Director)
  • Kelly Wright (Director)

Selected names, not a complete roster or a statement of current roles. Open leadership details for the complete filed list.

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

The mission of The Adoption and Foster Care Clinic is to serve the initial and ongoing medical, developmental, and emotional needs of adoptive, foster and kinship parents, their children, and their communities.

What it reported doing in 2024

Pre-Adoption Review Program A crucial piece to adoption and foster success is careful and strategic matching of parents with non-biological children. Our goal is that all parents entering this dynamic be as informed as possible. The parents need to know and understand their capacity to care for a child that may have some extensive needs. Our Pre-AdoptionFostering file review program offers one on one consultations. A special needs checklist review helps parents to understand the general medical terms and care sequala of various diagnosis prior to the match process. This empowers the parent to make wise decisions on which needs they are best equipped to meet. A pre-adoption file review is comprehensive medical review of a specific childs file with the prospective parents. Everything from medical documentation, photos, videos and social services reports are reviewed with parents. The potential known long term needs are discussed so that - continued on Schedule O

Operating model

Revenue model
Donor-supported. 87% of the money available for current operations came from contributions and gifts.
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

SUPPORTED - The filed numbers largely add up and most voting board members are independent. A relatively small share of available resources goes toward mission work and fundraising costs are high for each dollar raised.

Rating breakdown

  • Financial Efficiency: 44
  • Transparency & Controls: 92
  • Accountability: 80
  • Sustainability: 74
  • Growth: NotEnoughData

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 35.3%; rating input score 35
  • Program expense ratio: 63.9%; rating input score 64
  • Fundraising efficiency: $7.13 raised per $1 spent on fundraising; rating input score 27; 27th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 63rd 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: 85.7%; rating input score 86; 20th percentile among comparable filings
  • Governance controls: 5 of 7 controls in place; rating input score 71
    • 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: Missing
    • Independent financial-statement audit: Fail

Sustainability

  • Operating margin: 44.7%; rating input score 91; 91st percentile among comparable filings
  • Total-asset coverage ratio: 0.81; rating input score 36; 36th percentile among comparable filings
  • Liabilities to assets ratio: 0; rating input score 91; 91st percentile among comparable filings
  • Officer compensation ratio: 0%; rating input score 81; 81st percentile among comparable filings

Growth

  • Program expense growth: Limited
  • Revenue growth: Limited
  • Asset growth: Limited

Details

  • Where the money goes: 35.3% of revenue deployed · 63.9% of spending went to programs
  • Governance: 6 of 7 board members independent · 5 of 7 filing controls reported
  • Programs: 3 filed program accomplishments · $194K in reported program spending
  • Leadership: top reported pay $0 · 9 people listed
  • Consistency: 26 of 27 current checks pass · 1 finding to review
  • Schedules: 4 filed schedules · includes major donors
  • Contacts: How to reach this organization
  • Money network: Resolved incoming and outgoing counterparties from filed money flows.
  • 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.

  • Moderate — Financial Efficiency: Mission deployment rate scored 35/100.
  • High — Financial Efficiency: Fundraising efficiency scored 27/100.
  • Review — Accountability: Governance controls: Independent financial-statement audit not reported.
  • Moderate — Sustainability: Total-asset coverage ratio scored 36/100.
  • Moderate — Transparency & Controls: Schedule A contributions reconciliation did not reconcile in the filed values.