Nurse Family Partnership
Public records show a registered, tax-exempt organization in good standing.
What it says it does
CHANGENT CHAMPIONS THE HEALTH AND WELL-BEING OF CHILDREN AND FAMILIES BY IMPROVING HEALTH OUTCOMES THROUGH DATA-DRIVEN PROGRAMS. WE ADVANCE THIS MISSION THROUGH TWO OF THE NATION'S MOST RIGOROUSLY EVALUATED, RELATIONSHIP-BASED PROGRAMS FOR CHILDREN (CONTINUED ON SCHEDULE O)AND FAMILIES: NURSE-FAMILY PARTNERSHIP AND CHILD FIRST. CHANGENT SUPPORTS A NATIONAL NETWORK OF IMPLEMENTING ORGANIZATIONS TO DELIVER EVIDENCE-BASED, TWO-GENERATION INTERVENTIONS THAT STRENGTHEN FAMILIES FACING ADVERSITY, TRAUMA, AND ECONOMIC HARDSHIP AND CREATE LASTING, MULTIGENERATIONAL IMPACT.
- Income
- $28.7 million
- Spending
- $31.2 million
- Spent on programs
- 70%
- Reserves
- 38.5 months of spending
- Largest source of income
- fees for its services, 58%
- Employees
- 147
- Volunteers
- 300
- Highest pay
- $442,213, ceo
Source: Form 990 for the year ending September 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Financial health
Fair: 67 out of 100. Higher than 54% of charities in its peer group (health care, $10m to $100m).
Reserves
35 of 35Spendable reserves would cover 38.5 months of spending.
Debt
20 of 20It owes 6% of what it owns.
Living within its means
4 of 15Spending exceeded income by 9% of income.
Income trend
0 of 15Income fell 33% on the year before.
Spending floor
8 of 1570% of spending went to programs and raising each dollar of donations cost 38 cents.
Source: Form 990 for the year ending September 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Governance
Strong: 100 out of 100. Higher than 52% of charities in its peer group (health care, $10m to $100m).
Independent board
25 of 2515 of 15 voting board members are independent.
Conflict of interest policy
15 of 15Has a written conflict of interest policy.
Whistleblower policy
8 of 8Has a written whistleblower policy.
Record keeping policy
7 of 7Has a written policy on keeping and destroying records.
Board minutes
5 of 5Keeps minutes of board meetings.
Board sees the tax return
10 of 10Gave the board a copy of this return before filing it.
Pay set independently
5 of 5Sets its chief executive's pay through independent review and comparison.
Independent check of accounts
15 of 15Its accounts were audited by an independent accountant.
No reported misuse
10 of 10Reports no diversion of assets, excess benefits or loans to insiders.
Source: Form 990 for the year ending September 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Impact evidence
Describes programs. Its tax return describes what it does but we have found no measurable results in it.
Programs described in its return (2)
- $17.0 million spent. CHANGENT OFFERS SCALABLE, DATA-DRIVEN PROGRAMS THAT SUPPORT LONG-TERM HEALTH AND WELL-BEING OF CHILDREN AND FAMILIES. THROUGH THESE PROGRAMS, CHANGENT SUPPORTS 272 IMPLEMENTING PARTNER ORGANIZATIONS IN 39 STATES, THE DISTRICT OF COLUMBIA, PUERTO RICO, THE U.S. VIRGIN ISLANDS, AND TRIBAL COMMUNITIES, SERVING OVER 400,000 FAMILIES SINCE ITS INCEPTION.NURSE-FAMILY PARTNERSHIP (NFP) PAIRS EXPECTANT MOTHERS AND FAMILIES WITH SPECIALLY EDUCATED HOME VISITING NURSES WHO PROVIDE SUPPORT DURING PREGNANCY AND THE EARLIEST YEARS OF A CHILD'S LIFE. NFP TARGETS PREGNANT WOMEN FACING ECONOMIC AND SOCIAL ADVERSITY, AND EACH MOTHER RECEIVES NURSE HOME VISITS THROUGH THEIR CHILD'S SECOND BIRTHDAY. THE PROGRAM'S THREE PRIMARY GOALS ARE TO (CONTINUED ON SCHEDULE O) (1) IMPROVE PREGNANCY OUTCOMES, (2) IMPROVE CHILD HEALTH AND DEVELOPMENT, AND (3) IMPROVE THE ECONOMIC SELF-SUFFICIENCY OF THE FAMILY. THREE RANDOMIZED CONTROLLED TRIALS CONDUCTED OVER MORE THAN 45 YEARS HAVE CONFIRMED THE PROGRAM'S EFFECTIVENESS: A 48% REDUCTION IN CHILD ABUSE AND NEGLECT; A 56% REDUCTION IN EMERGENCY ROOM VISITS FOR ACCIDENTS AND POISONINGS; A 59% REDUCTION IN ARREST AT CHILD AGE 15; A 67% REDUCTION IN BEHAVIORAL AND INTELLECTUAL PROBLEMS AT CHILD AGE 6; AND A 72% REDUCTION IN CONVICTIONS OF MOTHERS AT CHILD AGE 15.CHILD FIRST (CF) PROVIDES MENTAL HEALTH INTERVENTION AND SUPPORT SERVICES THROUGH A PROVEN HOME VISITING MODEL THAT BUILDS AND STRENGTHENS RELATIONSHIPS BETWEEN CAREGIVERS AND THEIR CHILDREN. CF SUPPORTS FAMILIES WHO HAVE BEEN AFFECTED BY TRAUMA, CHRONIC STRESS, AND SOCIAL AND ECONOMIC ADVERSITY THROUGH A CLINICAL TEAM MODEL AND FOCUSES ON TWO PARALLEL, INTERDEPENDENT GOALS: (1) BUILDING STRONG, NURTURING, AND PROTECTIVE CAREGIVER-CHILD RELATIONSHIPS, AND (2) CONNECTING FAMILIES WITH THE SERVICES AND SUPPORT THEY NEED TO STABILIZE AND THRIVE. A RANDOMIZED CONTROL TRIAL FOUND POSITIVE OUTCOMES FOR CHILD FIRST, INCLUDING A 64% DECREASE IN MATERNAL DEPRESSION OR MENTAL HEALTH PROBLEMS, 42% DECREASE IN CHILD AGGRESSIVE AND DEFIANT BEHAVIORS, AND 40% DECREASE IN CHILD WELFARE INVOLVEMENT.
- $4.9 million spent. CHILD FIRST PROVIDES AN INNOVATIVE, EVIDENCE-BASED, TWO-GENERATION MODEL THAT PARTNERS WITH CHILDREN AND FAMILIES AFFECTED BY TRAUMA, CHRONIC STRESS, SOCIAL AND ECONOMIC ADVERSITY. THIS PARTNERSHIP SERVES TO DECREASE STRESS WITHIN THE FAMILY, INCREASE STABILITY, FACILITATE CONNECTION TO GROWTH-PROMOTING SERVICES, AND SUPPORT THE DEVELOPMENT OF HEALTHY, NURTURING, PROTECTIVE RELATIONSHIPS.
Source: Form 990 for the year ending September 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Legitimacy checks
Is it registered with the IRS? Passed.
Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Has the IRS revoked its tax-exempt status? Passed.
Not on the IRS automatic revocation list.
Source: Automatic revocation of exemption list, Internal Revenue Service, file dated November 6, 2026.
Are donations tax-deductible? Passed.
On the IRS list of organizations eligible to receive tax-deductible contributions.
Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated October 13, 2026.
Is it keeping up with its IRS filings? Passed.
Most recent return on file covers the year ending September 2025.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
How long has it been tax-exempt? Passed.
Recognized by the IRS since December 2003.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Is it in good standing with state regulators? Passed.
Not on California's list of charities barred from soliciting. Other states are not yet checked.
Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated November 4, 2026.
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