Alexs Lemonade Stand Foundation

What it reported doing in 2025

Alsf provides a range of meaningful financial and emotional support programs to families whose children have cancer, including travel for care, sibling support, flashes of hope, and a resource navigator.highlights of the services include:- the travel for care program provides travel assistance for families who are financially burdened by travel for treatment for their children. Families' needs are identified via social workers and alsf provides upfront support to pay for airfare, gas cards and lodging. This allows families to have access to the best care possible for their child regardless of where they live. (continued in schedule o)340 families across all 50 states were helped, and the average annual income of a family supported via the travel for care program in 2025 was $52,756.- the supersibs program provides comfort, care and empowerment to siblings of children with cancer. Through regular age-appropriate mailings, more than 3000 siblings were supported in 2025.- alsf employs a fulltime resource navigator who is dedicated to answering calls and emails from families seeking support. She provides personalized assistance in identifying and connecting families with the finanical and emotional help they are seeking. - flashes of hope creates uplifting profesional portraits of chidren fighting cancer and their families.

Financial Efficiency

• Mission deployment rate: 79.1%; rating input score 79
• Program expense ratio: 87.3%; rating input score 87
• Fundraising efficiency: $16.62 raised per $1 spent on fundraising; rating input score 48; 48th percentile among comparable filings

Transparency & Controls

• Consistency checks: 94.4%; 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: 3 of 8 controls in place; rating input score 38
  • Claims monitoring procedures: Pass
  • Requires narrative reports: Pass
  • Conducts field audits: Fail
  • May suspend future funding: Fail
  • Requires financial reports: Pass
  • Conducts site visits: Fail
  • Requires grant agreements: Fail
  • May require repayment: Fail
• Grant itemization coverage: 99.4%; rating input score 99; 44th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 90%; rating input score 90; 19th percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 10.4%; rating input score 59; 59th percentile among comparable filings
• Total-asset coverage ratio: 1.39; rating input score 39; 39th percentile among comparable filings
• Liabilities to assets ratio: 0.11; rating input score 64; 64th percentile among comparable filings
• Officer compensation ratio: 4%; rating input score 65; 65th percentile among comparable filings

Growth

• Program expense growth: 4% per year; rating input score 100; 32nd percentile among comparable filings
• Revenue growth: 5.1% per year; rating input score 100; 42nd percentile among comparable filings
• Asset growth: 10.3% per year; rating input score 100; 68th percentile among comparable filings