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Ohio · Nonprofit

THE TWIN TO TWIN TRANSFUSION SYNDROME FOUNDATION

THE TWIN TO TWIN TRANSFUSION SYNDROME FOUNDATION (Ohio) receives grants from 15 organizations whose IRS filings report $257,031 to it, the largest being MORGAN STANLEY GLOBAL IMPACT FUNDING TRUST INC ($81,000). 7 of them have funded it in more than one year, and 83% of the money arrives through donor-advised or pass-through sponsors rather than from an institution directly.

Revenue FY2025
$159k
Funders on record
15
Grants received
$257k
Net assets
$183k
7/15 repeat funderspeak grant-dependency 16%
01What it does

What The Twin to Twin Transfusion Syndrome Foundation does

Mission

Saving lives of twins afflicted by ttts

As stated on its FY2025 Form 990-EZ.

Programs

  1. Providing educational and emotional support to families, medical professionals and other caregivers before, during and after a diagnosis of ttts (including taps, siugr, and trap). Supporting families including bereavement, nicu, special needs and research. Since 1989, over 39,200 families directly supported. Foundation also provides an international website & access to various social media groups for education and help.

    $76,276 spent
    55% of program spending
  2. International ttts awareness program to increase awareness of ttts to educate parents and medical professionals on the warning signs of ttts, treatment options, importance of early diagnosis of chorionicity by 8 weeks of pregnancy, weekly ultrasounds with a mfm specialist, importance of rest/nutrition/cervical length and earlier delivery.

    $47,961 spent
    35% of program spending
  3. Providing family grants to financially needy families in crisis, travel and lodging for ttts treatment for their babies, as well as bereavement grants for compassionate services and cemetary markers to honor and love their babies. Foundation also provides research & medical grants.

    $14,488 spentof which $8,286 as grants
    10% of program spending

The 3 programs described on its FY2025 Form 990-EZ. Program spending in total: $138,725.

02The organization over time

The organization over time

Each line starts at 100 in 2021, so what you read is the shape rather than the size: 150 means half as much again as 2021, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.

100 = 20212021 Revenue 100 ($184k) Expenses 100 ($168k) Net assets 100 ($197k)2022 Revenue 95 ($175k) Expenses 97 ($163k) Net assets 106 ($210k)2023 Revenue 79 ($146k) Expenses 104 ($175k) Net assets 91 ($180k)2024 Revenue 65 ($120k) Expenses 82 ($138k) Net assets 83 ($163k)2025 Revenue 86 ($159k) Expenses 83 ($139k) Net assets 93 ($183k)
20212022202320242025
Revenue (86)Expenses (83)Net assets (93)Peer revenue range

Balance sheet

Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2022 to 2023, from $210k to $180k (−14%).

$197k
$210k
$180k
$163k
$183k
20212022202320242025
Total assetsTotal liabilities

How it's funded, over time

Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.

2021
2022
2023
2024
2025
ContributionsProgram revenueInvestmentOther

100% of THE TWIN TO TWIN TRANSFUSION SYNDROME FOUNDATION’s revenue is contributions — more reliant on donations than three-quarters of its peers (73% for the typical peer).

This organization
Typical peer · 1,446 orgs

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 2 of the last 5 reported years ran a deficit.

$16k
’21
$13k
’22
−$29k
’23
−$17k
’24
$20k
’25
03Who funds it

Who funds it, year by year

2017 → 2023: the base broadened from 2 funders to 4 funders, grant income rose $15k → $23k.

7 of 15 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 83% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.

From the IRS filings of THE TWIN TO TWIN TRANSFUSION SYNDROME FOUNDATION’s funders (the co-funder graph). Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How concentrated its funding is

THE TWIN TO TWIN TRANSFUSION SYNDROME FOUNDATION leans on a few funders — its largest provides 32% of grant income and the top three 72%; half comes from just 2 funders.

the vertical line marks half of all grant income — 2 funders to its left

96% of the income these shares are computed over arrives through pass-through sponsors or from payers whose filings do not say what kind of payment it is. Concentration is still measured over all of it, because the money is real; what it does not support is a claim about how many institutions have chosen to fund THE TWIN TO TWIN TRANSFUSION SYNDROME FOUNDATION.

32%
largest funder
72%
top three
~5
effective funders

Largest funder’s share by year: 2017 98% · 2018 97% · 2019 98% · 2020 83% · 2021 43% · 2022 48% · 2023 82% — diversifying over time.

“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How long its funders stay

56% of THE TWIN TO TWIN TRANSFUSION SYNDROME FOUNDATION's funders are still giving 3 years after their first grant; 47% give in more than one year at all.

first grant+1y+2y+3y+4y+5y

Share of funders still giving k years after their first recorded grant, pooled across every acquisition cohort. A funder counts as retained in a year only if it made a grant that year. Measured to FY2023, the last fiscal year that has finished arriving — a funder cannot be counted as lapsed in a year most filers have not reached.

Where its funders are

83% of THE TWIN TO TWIN TRANSFUSION SYNDROME FOUNDATION's grant income arrives through donor-advised or pass-through sponsors, whose addresses record where the money is held rather than where the donor is. Of the $44k that is directly attributable, 100% of it comes from funders outside Ohio, across 8 states.

MN
IL
MI
MA
CT
AL
TX
FL

In-state vs out-of-state, by year

’17
’18
’19
’20
’21
’22
’23
Ohio out of state home

Funder states come from each funder’s own filing. $213k arriving through sponsors registered in 6 states is excluded from the map and the split above: a sponsor holds money on a donor’s behalf, so its registered address would place those dollars somewhere no donor need ever have been. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

04Its place in the field

Against its field

THE TWIN TO TWIN TRANSFUSION SYNDROME FOUNDATION runs a healthier operating margin than half of the 850 unclassified nonprofits its size.

Operating margin13% · above the median
Revenue growth (annualized)−4% · bottom quartile

this organization peer median middle 50% of peers· 850 unclassified nonprofits $100k–$1M, FY2025

Organizations like THE TWIN TO TWIN TRANSFUSION SYNDROME FOUNDATION

Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.

In Ohio

Nationally

05Profile & governance

Read directly from this organization’s own Form 990, as neutral context.

Public support

100%

Share of support from the public (Schedule A) — the basis for its public-charity status.

Footprint & structure

Files a return copy in 1 state

OH

Screen this organization

A dated, signed PDF of the compliance screen for THE TWIN TO TWIN TRANSFUSION SYNDROME FOUNDATION: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.

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Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf

Questions and answers

Who funds THE TWIN TO TWIN TRANSFUSION SYNDROME FOUNDATION?
THE TWIN TO TWIN TRANSFUSION SYNDROME FOUNDATION (Ohio) receives grants from 15 organizations whose IRS filings report $257,031 to it, the largest being MORGAN STANLEY GLOBAL IMPACT FUNDING TRUST INC ($81,000). 7 of them have funded it in more than one year, and 83% of the money arrives through donor-advised or pass-through sponsors rather than from an institution directly.
How many funders does THE TWIN TO TWIN TRANSFUSION SYNDROME FOUNDATION have?
IRS filings report 15 organizations giving $257,031 in grants to THE TWIN TO TWIN TRANSFUSION SYNDROME FOUNDATION, 7 of which have funded it in more than one year.
Who is the largest funder of THE TWIN TO TWIN TRANSFUSION SYNDROME FOUNDATION?
MORGAN STANLEY GLOBAL IMPACT FUNDING TRUST INC is the largest funder on record, with $81,000 in grants. The full list of funders is on this page.
How can an organization like THE TWIN TO TWIN TRANSFUSION SYNDROME FOUNDATION find more funders?
Start with the funders already giving here, then look at the foundations that back similar organizations in Ohio. The funding by cause and by state pages list the largest funders for a given area and how to approach them.

Play a game about who funds Twin to Twin Transfusion Syndrome →

These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2025 (financials across 2021–2025), and the filings of 15 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing