Beads of Courage Inc Dba Center for Arts in Nursing

Nonprofit profile at a glance

EIN
202721500
IRS 990 coverage
2010–2025
Forms available
Form 990 2025
Location
Tucson, AZ, USA
Phone
4125125330
Rating
76
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Patient Services - Entertainment, Recreation

Official website

Reported finances

Revenue
$1,247,506
Expenses
$1,173,742
Assets
$1,527,368
Liabilities
$870,040

Source: IRS Form 990. Selected filing: tax year 2025. Amounts in USD.

Leadership & pay

8 people listed

Executive titles in this filing

  • ELIZABETH MONECK (CEO)

Highest reported compensation

  • JEAN GRIBBON (MISSION OFFICER): $83,500 total reported compensation
  • ELIZABETH MONECK (CEO): $75,900 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2025. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Providing innovative arts in medicine programs for children coping with serious illness, their families and the health care providers who care for them.

What it reported doing in 2025

The beads of courage program is our fellowship program and is a resilience-based intervention desgined to support and strenthen children and teens coping with serious illness and their families. It is the standard of care in more than 300 children's hospitals worldwide. Through the program children tell their story using colorful beads that serve as meaningful symbols honoring their courage displayed along their unique treatment path. Beads of courage, inc. Maintains the invenotry of all program materials for implementation including all training materials, the beads of courage ambassador workshop for reflection and renewal, flagship program beads, handmade beads, storage solutions, print and all program related materials currently providing support to over 75,000 children in over 300 hospitals worldwide. There are specific beads of courage program bead guides to support children coping with serious illness such as cancer, blood conditions, cardiac conditions, various chronic conditions, rehabilitation, trauma and burn injury recovery and experiences in pediatric intensive care and neonatal intensive care units.

Operating model

Revenue model
Mixed. Its operating money came from several sources; no one source provided a clear majority.
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.
  • Includes noncash contributions: Reported contributions include donated property or goods.

The verdict

SUPPORTED - The filed numbers largely add up and a large share of available resources goes toward mission work. Some filing-based governance responses are negative or unanswered and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 65
  • Transparency & Controls: 90
  • Accountability: 82
  • Sustainability: 42
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 65.8%; rating input score 66
  • Program expense ratio: 85.6%; rating input score 86
  • Fundraising efficiency: Limited

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: Limited
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 64th percentile among comparable filings
  • Governance controls: 5 of 9 controls in place; rating input score 56
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Fail
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Missing
    • Independent financial-statement audit: Fail

Sustainability

  • Operating margin: 5.9%; rating input score 47; 47th percentile among comparable filings
  • Total-asset coverage ratio: 1.3; rating input score 51; 51st percentile among comparable filings
  • Liabilities to assets ratio: 0.57; rating input score 10; 10th percentile among comparable filings
  • Officer compensation ratio: 13.6%; rating input score 28; 28th percentile among comparable filings

Growth

  • Program expense growth: 0.5% per year; rating input score 100; 17th percentile among comparable filings
  • Revenue growth: 5.2% per year; rating input score 100; 38th percentile among comparable filings
  • Asset growth: 12.3% per year; rating input score 100; 62nd percentile among comparable filings

Details

  • Where the money goes: 65.8% of revenue deployed · 85.6% of spending went to programs
  • Governance: 5 of 5 board members independent · 5 of 9 filing controls reported
  • Programs: 4 filed program accomplishments · $1M in reported program spending
  • Leadership: top reported pay $84K · 8 people listed
  • Consistency: 31 of 31 current checks pass
  • Schedules: 5 filed schedules
  • Filing history: 12 filing years from 2010 to 2025
  • Contacts: How to reach this organization
  • Money network: 2 filed money-flow records
  • 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: 3 of 8 not reported.
  • Moderate — Sustainability: Operating margin scored 47/100.
  • Review — Sustainability: Total-asset coverage ratio scored 51/100.
  • High — Sustainability: Liabilities to assets ratio scored 10/100.
  • High — Sustainability: Officer compensation ratio scored 28/100.