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      <Desc>Medical Clinic Program The medical clinic is staffed by a Pediatrician, Pediatric Nurse, and OccupationalDevelopmental Therapist. Each has over 2 decades experience in pediatrics as well as the adoption continuum. This clinic offers help to families once children have been brought into their care. During an initial visit, a comprehensive health, development and wellbeing evaluation is completed. For international adoptions, the CDC required medical work up is also checklisted during the visit. Any deficits (ex.vitamin deficiencies, vaccine needs, parasite work up) identified are addressed. If a child needs to see a specialist, that visit is coordinated through the nurse case manager in clinic. Developmental delays, feeding concerns and sensory integration are also addressed via occupational therapy. This clinic provides ongoing support until the child is 21 years of age. The average clinic visit ranges from 1-3 hours. - Continued on Schedule O</Desc>
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        <Desc>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</Desc>
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        <Desc>CounselingMental Health Program The organization is staffed with two licensed social workers. Both are adoptees (one internationally and the other foster to adopt). They have unique insight into the childs experience. Both are trained in multiple therapy modalities. They provide comprehensive family child evaluations as well as ongoing therapy for children, teens, adults and parents. Mental health is not a one and done process. It requires multiple visits, strongsafe trustworthy relationships, safe environments and a tremendous amount of trauma education. Our families receive ongoing support from these gifted counselors throughout their journey. This program averages over 500 visits annually. The program is offered fee for service as well as grantdonor funding support.</Desc>
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      <DepreciationDepletionGrp>
        <TotalAmt>1764</TotalAmt>
        <ProgramServicesAmt>677</ProgramServicesAmt>
        <ManagementAndGeneralAmt>670</ManagementAndGeneralAmt>
        <FundraisingAmt>417</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>5793</TotalAmt>
        <ProgramServicesAmt>5400</ProgramServicesAmt>
        <ManagementAndGeneralAmt>236</ManagementAndGeneralAmt>
        <FundraisingAmt>157</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Employee education</Desc>
        <TotalAmt>1740</TotalAmt>
        <ManagementAndGeneralAmt>240</ManagementAndGeneralAmt>
        <FundraisingAmt>1500</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Licenses and taxes</Desc>
        <TotalAmt>1338</TotalAmt>
        <ProgramServicesAmt>1138</ProgramServicesAmt>
        <ManagementAndGeneralAmt>100</ManagementAndGeneralAmt>
        <FundraisingAmt>100</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Medical supplies</Desc>
        <TotalAmt>1291</TotalAmt>
        <ProgramServicesAmt>1291</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Bank and merchant fees</Desc>
        <TotalAmt>534</TotalAmt>
        <ProgramServicesAmt>83</ProgramServicesAmt>
        <ManagementAndGeneralAmt>106</ManagementAndGeneralAmt>
        <FundraisingAmt>345</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>1090</TotalAmt>
        <ManagementAndGeneralAmt>500</ManagementAndGeneralAmt>
        <FundraisingAmt>590</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>303470</TotalAmt>
        <ProgramServicesAmt>194021</ProgramServicesAmt>
        <ManagementAndGeneralAmt>42294</ManagementAndGeneralAmt>
        <FundraisingAmt>67155</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <EOYAmt>198428</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
        <EOYAmt>2514</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <EOYAmt>5792</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>40676</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1710</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <EOYAmt>38966</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <TotalAssetsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>245700</EOYAmt>
      </TotalAssetsGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <EOYAmt>169881</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <EOYAmt>75819</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>245700</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>245700</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>245700</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingCashInd>X</MethodOfAccountingCashInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>false</FSAuditedInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="990A">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearAmt>479051</CurrentTaxYearAmt>
        <TotalAmt>479051</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <Total509Grp>
        <CurrentTaxYearAmt>479051</CurrentTaxYearAmt>
        <TotalAmt>479051</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <CurrentTaxYearAmt>57908</CurrentTaxYearAmt>
        <TotalAmt>57908</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearMinus4YearsAmt>0</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>0</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>0</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>0</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>57908</CurrentTaxYearAmt>
        <TotalAmt>57908</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>421143</PublicSupportTotal509Amt>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>0</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>0</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>0</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>0</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>479051</CurrentTaxYearAmt>
        <TotalAmt>479051</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <First5Years509Ind>X</First5Years509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="990B">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="990D">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>16390</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>285</DepreciationAmt>
        <BookValueAmt>16105</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>16093</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1042</DepreciationAmt>
        <BookValueAmt>15051</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>8193</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>383</DepreciationAmt>
        <BookValueAmt>7810</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>38966</TotalBookValueLandBuildingsAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Officer directors etc family relationship Part VI line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Board member (Phil Chambers) is the spouse of Jennifer Chambers, our MD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The financial statements are reviewed by management and Board. The Board reviews the 990 return before filing with the Internal Revenue Service.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>All members of the Board of Directors are required to complete a conflict of interest policy agreement upon appointment, and annually thereafter.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The compensation of the Medical Director and Director of Operations are reviewed and approved by the Board of Directors. The review includes comparisons of the compensation with other nonprofit agencies similar in size and asset base. The process is documented contemporaneously within Board minutes.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>The compensation of other officers and key employees is reviewed by the Medical Director and Director of Operations and decisions are documented.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The governing documents are made available to the public upon written request to, and approval by, the Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>General explanation attachment</FormAndLineReferenceDesc>
        <ExplanationTxt>Program 4a. Pre-Adoption Review Program - Continuance of Description: the parent can make informed decisions about moving forward. This process also allows parents to be proactive in setting up any services ahead of the childs arrival into the home.We conduct these reviews with families from the continental US and other countries around the globe. The clinic averages 100-200 reviewsyear. The program is fee for service and grant funded.Program 4c. Medical Clinic Program - Continuance of Description: Medical insurance reimbursement typically covers only a small fraction of the costs of this service. The balance is donorgrant funded. The medical clinic averages 300-400 visits annually.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>