Reach for the Top Therapy

Nonprofit profile at a glance

EIN
465617831
IRS 990 coverage
2015–2025
Forms available
Form 990 2025
Location
Dover, NH, USA
Phone
6037403534
Rating
76
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Single Organization Support

Official website

Reported finances

Revenue
$1,698,752
Expenses
$1,643,075
Assets
$208,144
Liabilities
$23,440

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

Leadership & pay

9 people listed

Executive titles in this filing

  • AMY RICH CRANE (EXECUTIVE DIRECTOR)

Highest reported compensation

  • AMY RICH CRANE (EXECUTIVE DIRECTOR): $99,884 total reported compensation

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

Overview

Mission

Together with caregivers, we empower children with exceptional needs through holistic, individualized, and evidence-based occupational, physical, speech, and mental health therapies creating joyful spaces in coordinated care that enrich lives, build skills, confidence, and connection, and bridge advocacy, education, and access into their communities for lasting inclusion.

What it reported doing in 2025

In 2025, reach served 515 children and families, from 48 towns and cities, some families driving an hour both ways for care, and scheduling 400 children each week in skilled trauma-informed therapy services with a team of talented employees.we offered that through 19 therapy types and enriched specialty programs, adding parent coaching and mental health therapies this past year as a significant accomplishment to serve children with complex needs.our services are designed to provide individualized high-quality therapy services that promote confidence, acceptance, inclusion, and skill development for the child, strong education for the parent and caregivers to understand the child's needs and support them in trauma-informed ways. We celebrated our 11 year anniversary and are prepared to expand as our waitlist and demand continue to grow. We added additional specialty options through grant work that bridges supports for children with complex needs into their schools, with recommendations of key supports and knowledge working within their outpatient, community, and home environments; to support their educational teams, where insurance will not cover these critical conversations and supports. We also held an educational summit that trained nearly 100 attendees from 50 organizations in neurodiversity affirming care.

Operating model

Revenue model
Earned-program. 87% of the money available for current operations came from fees and other program revenue.
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.

The verdict

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

Rating breakdown

  • Financial Efficiency: 68
  • Transparency & Controls: 84
  • Accountability: 84
  • Sustainability: 30
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 75.2%; rating input score 75
  • Program expense ratio: 77.8%; rating input score 78
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 90%; rating input score 90; 7th percentile among comparable filings
  • Pay-setting controls: Limited
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 64th percentile among comparable filings
  • Governance controls: 5 of 8 controls in place; rating input score 62
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Fail
    • Other executive compensation review process: NotApplicable
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Missing
    • Independent financial-statement audit: Fail

Sustainability

  • Operating margin: 3.3%; rating input score 40; 40th percentile among comparable filings
  • Total-asset coverage ratio: 0.13; rating input score 7; 7th percentile among comparable filings
  • Liabilities to assets ratio: 0.11; rating input score 33; 33rd percentile among comparable filings
  • Officer compensation ratio: 6.1%; rating input score 48; 48th percentile among comparable filings

Growth

  • Program expense growth: 7.5% per year; rating input score 100; 48th percentile among comparable filings
  • Revenue growth: 9.5% per year; rating input score 100; 59th percentile among comparable filings
  • Asset growth: 15.7% per year; rating input score 100; 71st percentile among comparable filings

Details

  • Where the money goes: 75.2% of revenue deployed · 77.8% of spending went to programs
  • Governance: 6 of 6 board members independent · 5 of 8 filing controls reported
  • Programs: 1 filed program accomplishment · $1.3M in reported program spending
  • Leadership: top reported pay $100K · 9 people listed
  • Consistency: 24 of 25 current checks pass · 1 finding to review
  • Schedules: 6 filed schedules · includes major donors
  • Filing history: 9 filing years from 2015 to 2025
  • Contacts: How to reach this organization
  • Money network: 1 filed money-flow record
  • Related organizations: Filed and resolved organization relationships.
  • 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.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • Review — Accountability: Governance controls: 2 of 7 not reported.
  • Moderate — Sustainability: Operating margin scored 40/100.
  • High — Sustainability: Total-asset coverage ratio scored 7/100.
  • Moderate — Transparency & Controls: Schedule A contributions reconciliation did not reconcile in the filed values.
  • Moderate — Sustainability: Liabilities to assets ratio scored 33/100.
  • Moderate — Sustainability: Officer compensation ratio scored 48/100.