Children's Flight of Hope

What it reported doing in 2025

Children's flight of hope (cfoh) removes barriers to specialized pediatric medical care by providing free air transportation for children with rare, complex, and life-threatening medical conditions. Through the generosity of donors, sponsors, airline partners, and community supporters, cfoh provides flights for a child and one parent or guardian as often as needed throughout the healthcare journey.without cfoh, many families would be forced to postpone treatment, travel thousands of miles by car, incur significant financial hardship, or forgo access to specialized care altogether. Cfoh believes that neither distance nor the cost of travel should prevent a child from receiving lifechanging or lifesaving medical treatment. (continued on schedule o)the organization serves children traveling to nationally recognized hospitals and centers of excellence that offer specialized care unavailable in their local communities.in 2025, cfoh provided 2,714 flights for 703 children from across the united states more than doubling our impact in four years, helping families access care at 89 hospitals and medical centers. These flights supported children facing more than 230 unique diagnoses, including pediatric cancers, rare genetic disorders, and other complex medical conditions. Many children required repeated travel over months or years to receive treatment, surgeries, clinical trials, and follow-up care.cfoh utilizes a cost-effective commercial airline model that allows the organization to maximize resources and serve more families while maintaining the flexibility to meet each child's unique medical travel needs. All applicants undergo a comprehensive review process that verifies medical necessity and financial need, with annual recertification requirements to ensure responsible stewardship of charitable resources and continued eligibility for services.the long-term objective of cfoh is to ensure that every child, regardless of where they live or a family's financial circumstances, can access the specialized medical care needed to achieve the best possible health outcomes.

Financial Efficiency

• Mission deployment rate: 70%; rating input score 70
• Program expense ratio: 73.1%; rating input score 73
• Fundraising efficiency: $6.59 raised per $1 spent on fundraising; rating input score 22; 22nd percentile among comparable filings

Transparency & Controls

• Consistency checks: 94.4%; rating input score 94; 25th percentile among comparable filings
• Pay-setting controls: 4 of 6 controls in place; rating input score 67
  • Compensation committee: Pass
  • Independent consultant: Missing
  • Other Form 990s reviewed: Pass
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: 1 of 8 controls in place; rating input score 12
  • Claims monitoring procedures: Pass
  • Requires narrative reports: Limited
  • Conducts field audits: Limited
  • May suspend future funding: Limited
  • Requires financial reports: Limited
  • Conducts site visits: Limited
  • Requires grant agreements: Limited
  • May require repayment: Limited
• Grant itemization coverage: 99.7%; rating input score 100; 45th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 63rd 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: 5.1%; rating input score 43; 43rd percentile among comparable filings
• Total-asset coverage ratio: 0.89; rating input score 30; 30th percentile among comparable filings
• Liabilities to assets ratio: 0.16; rating input score 40; 40th percentile among comparable filings
• Officer compensation ratio: 12%; rating input score 28; 28th percentile among comparable filings

Growth

• Program expense growth: 15% per year; rating input score 100; 75th percentile among comparable filings
• Revenue growth: 16.3% per year; rating input score 100; 82nd percentile among comparable filings
• Asset growth: 20.9% per year; rating input score 100; 85th percentile among comparable filings