Gateway to Hope
Public records show a registered, tax-exempt organization in good standing.
What it says it does
REMOVING BARRIERS TO AFFORDABLE, TIMELY, QUALITY BREAST HEALTHCARE AND EMPOWERING PEOPLE TO LIVE FULL AND HEALTHY LIVES.
- Income
- $3.3 million
- Spending
- $3.4 million
- Spent on programs
- 72%
- Reserves
- 18.6 months of spending
- Largest source of income
- donations and private grants, 74%
- Employees
- 23
- Volunteers
- 17
- Highest pay
- $228,478, ceo
Source: Form 990 for the year ending December 31, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Financial health
Strong: 93 out of 100. Higher than 72% of charities in its peer group (diseases, $1m to $10m).
Reserves
35 of 35Spendable reserves would cover 18.6 months of spending.
Debt
20 of 20It owes 8% of what it owns.
Living within its means
8 of 15Spending exceeded income by 3% of income.
Income trend
15 of 15Income rose 22% on the year before.
Spending floor
15 of 1572% of spending went to programs and raising each dollar of donations cost 20 cents.
Source: Form 990 for the year ending December 31, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Governance
Strong: 90 out of 100. Higher than 42% of charities in its peer group (diseases, $1m to $10m).
Independent board
25 of 2516 of 16 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
0 of 10Did not give 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 December 31, 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 (1)
- $2.5 million spent. GATEWAY TO HOPE (GTH)'S PROGRAMS REMOVE BARRIERS TO LIFESAVING BREAST HEALTHCARE FOR PEOPLE ACROSS MISSOURI AND SOUTHERN ILLINOIS. IN 2025, GTH NAVIGATORS PROVIDED COMPREHENSIVE CASE MANAGEMENT TO 691 INDIVIDUALS UNDERGOING TREATMENT FOR BREAST CANCER AND 385 INDIVIDUALS SEEKING SCREENING SERVICES. GTH STAFF HAD 15,969 FORMS OF CONTACT WITH THESE PATIENTS THROUGHOUT THE YEAR.AS A RESULT OF GTH'S PROGRAMS AND SUPPORT, 83% OF GATEWAY TO HOPE PATIENTS MAINTAINED SCHEDULED DOCTOR APPOINTMENTS AND ADHERE TO PRESCRIBED MEDICATION REGIMENS. 85% OF INDIVIDUALS SERVED REPORTED BEING BETTER ABLE TO COPE, FEELING MORE CONFIDENT NAVIGATING THEIR CARE, AND BETTER FOCUSED ON THEIR TREATMENT AND HEALTH.GATEWAY TO HOPE LEADS EXTERNAL-FACING RESEARCH AND SYSTEMS-CHANGE INITIATIVES TO ADDRESS INEQUITIES IN BREAST CANCER OUTCOMES, MOST NOTABLY THROUGH ITS MAMMOGRAPHY EQUITY PROJECT. THE ORGANIZATION PRODUCES PUBLICLY AVAILABLE, DATA-DRIVEN REPORTS ON BREAST CANCER INCIDENCE, STAGING, AND MORTALITY BY GEOGRAPHY, RACE, AND INCOME - FILLING CRITICAL DATA GAPS AND INCREASING TRANSPARENCY FOR PROVIDERS, POLICYMAKERS, AND COMMUNITIES. IN TANDEM, GATEWAY TO HOPE CONVENES HEALTHCARE PROVIDERS, RESEARCHERS, AND COMMUNITY STAKEHOLDERS TO INTERPRET FINDINGS, FACILITATE DATA-SHARING, BENCHMARK QUALITY, AND CO-DEVELOP STRATEGIES TO IMPROVE MAMMOGRAPHY QUALITY AND EARLY DETECTION. BY INTEGRATING QUANTITATIVE DATA WITH PATIENT AND COMMUNITY VOICE, THIS WORK DRIVES ACCOUNTABILITY, INFORMS POLICY, AND ADVANCES MORE EQUITABLE BREAST HEALTH OUTCOMES ACROSS MISSOURI.
Source: Form 990 for the year ending December 31, 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 October 13, 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 December 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 October 2005.
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 October 21, 2026.
Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.