Prep4gold

What it reported doing in 2024

Prep4gold strives to establish the next generation of prevention-sensitive care -supporting prevention, research, education and programs - for children with cancer and their families in four key areas: environment, treatment, cure, and survivorship. Prep4gold takes a 360-degree, prevention-sensitive approach to prepare the next generation of care for children fighting cancer, one that strives for our children to thrive, not just survive! Prevention: central to our philosophy is the concept of prevention in every aspect of childhood cancer. Prevention in its true form includes avoiding children from developing cancer altogether, lessening the financial burdens from the diagnosis, ...continued on schedule ocontinued from page 2... Precluding the complex of harms that impact survivors as a result of treatment as well as environmental concerns throughout their entire lives, and protecting the psycho-social impact upon children and the family. We strive to apply the concept of prevention in a 360-degree strategy to address the most pressing issues faced by children and families as a result of the diagnosis.research: prep4gold's approach to childhood cancer research can be summed up in one word: impact. With limited yet precious resources, we seek to identify forward-thinking aggressive research efforts aimed at moving the needle ahead. With the aim to reduce duplicative funding, organizationally our goal is outcome driven rather than incrementally focused.education: more than raising awareness, it is empowering people with information, making effective change possible. Parental education is needed to further ease the impact of treatment and survivorship on their children, themselves as care providers, and their families. It also provides confidence to families of underserved populations that treatment is possible and outlines how to acquire vital care to save their children. Education is imperative for our childhood cancer experts to expand the spectrum of care to include psychosocial support and financial counseling for families to successfully manage medical expenses. Educating professionals outside the childhood cancer community on core competencies increases the workforce who can provide customized care to our children in treatment, our survivors, and their families.programs: provide the remedy and solutions to the many challenges experienced by children and their families impacted by childhood cancer. Through a team-spirited approach collaborating with like-minded colleagues, prep4gold strives to design programs born in the laboratory, clinic, legislature and by families themselves. It takes innovative programming to improve the landscape of childhood cancer and survivorship, and provide a life of quality for our children.major accomplishments for 2024: following the success of the historic inaugural childhood cancer prevention symposium convened in 2023, significant time was spent during 2024 engaging numerous childhood cancer organizations to maintain momentum from the first symposium. This involved planning for the 2nd childhood cancer prevention symposium held at Texas children's in february 2025. In addition, we began putting together the constructs for what will be known as the childhood cancer prevention consortium. This consortium will consist of partners collaborating, convening a world class scientific advisory council, and identifying and outlining a comprehensive childhood cancer prevention strategy. Significant time and effort were spent on creating the outline and framework for the consortium, putting together the agenda and presentations for the symposium, which was scheduled for three full days, and engaging with the scientific and clinical community to better understand the obstructions to childhood cancer prevention. Large amounts of time were spent in identifying, outlining, and building structural components of prep4gold's prevention mission.in addition, prep4gold, through its executive director, attended v

Financial Efficiency

• Mission deployment rate: 83.6%; rating input score 84
• Program expense ratio: 66.2%; rating input score 66
• Fundraising efficiency: $6.45 raised per $1 spent on fundraising; rating input score 28; 28th percentile among comparable filings

Transparency & Controls

• Consistency checks: 92.3%; rating input score 92; 22nd percentile among comparable filings
• Pay-setting controls: Limited
• Foreign activity oversight: Limited
• Grant itemization coverage: 85.6%; rating input score 86; 50th 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: 2 of 8 controls in place; rating input score 25
  • Conflict-of-interest policy: Fail
  • Whistleblower policy: Fail
  • Document-retention policy: Fail
  • CEO compensation review process: Pass
  • Other executive compensation review process: NotApplicable
  • Form 990 shared with the board: Fail
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Missing
  • Independent financial-statement audit: Fail

Sustainability

• Operating margin: -26.2%; rating input score 11; 11th percentile among comparable filings
• Total-asset coverage ratio: 0.56; rating input score 27; 27th percentile among comparable filings
• Liabilities to assets ratio: 0.03; rating input score 36; 36th percentile among comparable filings
• Officer compensation ratio: 44.2%; rating input score 5; 5th percentile among comparable filings

Growth

• Program expense growth: 0.5% per year; rating input score 100; 33rd percentile among comparable filings
• Revenue growth: 11.4% per year; rating input score 100; 75th percentile among comparable filings
• Asset growth: -7.2% per year; rating input score 0; 8th percentile among comparable filings