Crossroads4hope

What it reported doing in 2024

Headquartered in New Jersey, our organization has been an independent 501(c)(3) corporation since its inception, delivering more than 128,000 hours of services at no charge, to more than 20,000 individuals within 44 states and 4 countries. At crossroads4hope, three things are essential: ensuring we deliver what patients and families need today to be able to take control of their health and care; second, keeping an eye on the future and the innovation and resources needed for us to realize our promise to the community to take on the cancer journey with all those who are affected, when and where they need us most; and third, ensuring the vision of our founder's remain in the forefront of our thinking, that social and emotional support is an essential part of care and should be available to all people facing cancer patients, caregivers, family, and loved ones, survivors, and the bereaved regardless of where they receive their care, or where they call home, and always at no charge to individuals. As experts in psychosocial support and patient activation, we move people through a health crisis caused by cancer to become active with the behaviors that help them take control of their health and care. Led by the profession of social work, our team includes other mental health and allied health professionals, including child life specialists, registered dietitians, public health professionals, and health and wellness instructors. Our "members" include previvors; cancer patients; survivors; caregivers; family members; friends; and loved ones - regardless of age; type of cancer; stage or place of treatment; race; ethnicity; country of origin/citizenship; language; sexual orientation; insurance; or veteran status. Programs are delivered in person at our bedminster location, at partner organizations, and virtually, and the majority of crossroads4hope programs are available in both english and spanish. Programs fall under the following categories:1. Individual and group support2. Navigation and referrals to address basic needs such as food and housing insecurity, financial conditions, transportation, and childcare.3. Decision support4. Education and nutrition workshops5. Mind body classes6. Activities that build social connections7. Financial assistance for families facing pediatric cancer or single women with cancer.8. Families coping with pediatric cancer9. Single women affected by cancer10. Mygo2support, a digital program that provides 24/7 direct-to-mobile, personalized resources and support across the entire cancer journey for patients and their loved ones without ever having to download an app. The challenges healthcare continues to experience, including staffing shortages and downward pressures on reimbursements, have reduced available resources for people affected by cancer. Crossroads4hope continues to experience increased demand for our services and will continue to include virtual programming as a standard delivery method. We have been conscious of our approach to transform our organization and the cancer experience, understanding that technology would be required to enable us to scale our reach, especially within communities that lack access to care, support, and resources. Today, people are connecting to us from across New Jersey, 44 states, and four countries. Our public health teams are embedding themselves into low-income and marginalized communities to address the burden of cancer on the community's terms. Since 2013, we have been actively listening and learning from our members across diverse backgrounds to round out our research on the cancer experience in vulnerable communities. As a result, we developed a unique approach to outreach rooted in social work, implemented by public health, and supported by child life to ensure that vulnerable individuals, families, and communities have access to relevant support, tools, and resources to transform the cancer experience. We are scaling our health champion program and training

Financial Efficiency

• Mission deployment rate: 52.8%; rating input score 53
• Program expense ratio: 83.4%; rating input score 83
• Fundraising efficiency: $15.64 raised per $1 spent on fundraising; rating input score 52; 52nd percentile among comparable filings

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: 100%; rating input score 100; 72nd percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 95.8%; rating input score 96; 26th percentile among comparable filings
• Governance controls: 8 of 8 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: NotApplicable
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 39.7%; rating input score 89; 89th percentile among comparable filings
• Total-asset coverage ratio: 2.7; rating input score 71; 71st percentile among comparable filings
• Liabilities to assets ratio: 0.02; rating input score 81; 81st percentile among comparable filings
• Officer compensation ratio: 15.4%; rating input score 18; 18th percentile among comparable filings

Growth

• Program expense growth: 11.7% per year; rating input score 100; 70th percentile among comparable filings
• Revenue growth: 10.5% per year; rating input score 100; 70th percentile among comparable filings
• Asset growth: 12.8% per year; rating input score 100; 68th percentile among comparable filings