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Texas · Nonprofit

HAND TO HOLD

HAND TO HOLD (Texas) receives grants from 44 organizations whose IRS filings report $2,015,508 to it, the largest being Mead Johnson Nutrition Foundation ($350,000). 22 of them have funded it in more than one year.

Revenue FY2025
$1.9M
Funders on record
44
Grants received
$2.0M
Net assets
$258k
22/44 repeat funderspeak grant-dependency 33%
01What it does

What Hand to Hold does

Mission

Hand to Hold is a national nonprofit dedicated to providing early intervention mental health support before, during, and after a nicu stay or loss, ensuring that all nicu families thrive.

As stated on its FY2025 Form 990.

Programs

  1. In hospital support program comprehensive in-hospital support for nicu families provided by a certified mental health peer specialist with lived experience as a nicu parent customized to meet the unique needs of the nicu population of each individual hospital and designed to enhance and extend the hospitals own family support initiatives. In 2025, the in-hospital support program provided 22,553 sessions of support.

    $611,388 spent$695,772 earned by the program
    38% of program spending
  2. Mobile app & online communities Hand to Holds mobile app and online communities expand access to free support for nicu families across the united states. Parents can connect with family support specialists, access educational resources, and find community through secure, moderated spaces. These tools help ensure families can receive support regardless of location. In 2025, the mobile app and online communities provided 19,204 sessions of support.

    $225,248 spent
    14% of program spending
  3. Counseling Hand to Hold offers no-cost, short-term counseling services in english and spanish for nicu parents in texas and florida. Licensed mental health professionals provide specialized support to help families process their birth experience, navigate the emotional impact of a nicu stay, and address perinatal mood and anxiety disorders. In 2025, the counseling support program provided 833 sessions of support.

    $193,070 spent
    12% of program spending
  4. Virtual support groups virtual support groups provide families with the opportunity to connect with Hand to Holds board-certified family support specialists alongside other nicu parents, allowing families to access support from anywhere, including from home or the bedside of their nicu baby. Groups are offered multiple times each week and serve a variety of communities, including current nicu current nicu parents, nicu graduates, bereaved families, nicu dads, and spanish-speaking families.

    $144,803 spent
    9% of program spending
  5. Peer mentor support program Hand to Holds peer mentor program carefully matches trained nicu graduate and bereaved parent volunteers with parents currently navigating the nicu experience. Matches are based on shared experiences and the specific needs of each family. Mentors provide compassionate one-on-one encouragement and share insights from their own experiences, helping parents navigate uncertainty and build confidence as they care for their hospitalized or recently discharged baby. Peer support has been shown in studies to enhance feelings of safety and trust, strengthen coping, and help parents feel less alone during the nicu journey.

    $128,713 spent
    8% of program spending
  6. All other programs

    $305,695 spent
    19% of program spending

The 6 programs described on its FY2025 Form 990, listed largest first by expense. Program spending in total: $1,608,917.

02The organization over time

The organization over time

Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.

100 = 20172017 Revenue 100 ($544k) Expenses 100 ($504k) Net assets 100 ($212k)2018 Revenue 153 ($830k) Expenses 168 ($849k) Net assets 91 ($193k)2019 Revenue 150 ($816k) Expenses 181 ($913k) Net assets 45 ($97k)2020 Revenue 208 ($1.1M) Expenses 184 ($925k) Net assets 142 ($302k)2021 Revenue 216 ($1.2M) Expenses 263 ($1.3M) Net assets 72 ($153k)2022 Revenue 377 ($2.0M) Expenses 364 ($1.8M) Net assets 173 ($368k)2023 Revenue 337 ($1.8M) Expenses 357 ($1.8M) Net assets 188 ($399k)2024 Revenue 363 ($2.0M) Expenses 387 ($2.0M) Net assets 199 ($423k)2025 Revenue 357 ($1.9M) Expenses 419 ($2.1M) Net assets 121 ($258k)
'17'18'19'20'21'22'23'24'25
Revenue (357)Expenses (419)Net assets (121)Peer revenue range

Balance sheet

Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2019 to 2020, from $144k to $441k (+207%).

$224k
$204k
$144k
$441k
$176k
$380k
$423k
$439k
$270k
'17'18'19'20'21'22'23'24'25
Total assetsTotal liabilities

How it's funded, over time

Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.

2017
2018
2019
2020
2021
2022
2023
2024
2025
ContributionsProgram revenueInvestmentOther

Government-grant reliance: 2021 11%. Grants only. Government contracts and fees sit inside program revenue.

51% of HAND TO HOLD’s revenue is contributions — about as donation-reliant as the typical peer (81% for the typical peer).

This organization
Typical peer · 11,814 orgs

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 4 of the last 9 reported years ran a deficit.

$40k
’17
−$19k
’18
−$97k
’19
$206k
’20
−$149k
’21
$215k
’22
$31k
’23
$24k
’24
−$166k
’25
1.5
months of
reserve

Leadership and staff

The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.

Board chair

Cory Ritthaler

Chair

As listed on its FY2025 Form 990.

'17'18'19'20'21'22'23'24'25
Listed141413131415171516
Joined·+0+2+1+6+6+8+4+5
No longer listed·03155664
03Who funds it

Who funds it, year by year

2017 → 2023: the base broadened from 4 funders to 18 funders, grant income rose $63k → $291k.

9 of 44 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 24% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.

From the IRS filings of HAND TO HOLD’s funders (the co-funder graph). Top 30 of 44 funders by total. Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How concentrated its funding is

HAND TO HOLD has a broad base — no single funder exceeds 17% of grant income, and it takes 5 funders to reach half.

the vertical line marks half of all grant income — 5 funders to its left

49% of the income these shares are computed over arrives through pass-through sponsors or from payers whose filings do not say what kind of payment it is. Concentration is still measured over all of it, because the money is real; what it does not support is a claim about how many institutions have chosen to fund HAND TO HOLD.

17%
largest funder
40%
top three
~13
effective funders

Largest funder’s share by year: 2017 41% · 2018 36% · 2019 44% · 2020 29% · 2021 32% · 2022 52% · 2023 38% — diversifying over time.

“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How long its funders stay

32% of HAND TO HOLD's funders are still giving 3 years after their first grant; 50% give in more than one year at all.

first grant+1y+2y+3y+4y+5y+6y

Share of funders still giving k years after their first recorded grant, pooled across every acquisition cohort. A funder counts as retained in a year only if it made a grant that year. Measured to FY2023, the last fiscal year that has finished arriving — a funder cannot be counted as lapsed in a year most filers have not reached.

Where its funders are

55% of HAND TO HOLD's grant income comes from Texas funders.

IL
NY
OR
PA
NJ
CT
CA
NE
MO
VA
NC
TX
FL

In-state vs out-of-state, by year

’17
’18
’19
’20
’21
’22
’23
Texas out of state home

Funder states come from each funder’s own filing. $487k arriving through sponsors registered in 7 states is excluded from the map and the split above: a sponsor holds money on a donor’s behalf, so its registered address would place those dollars somewhere no donor need ever have been. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

04Its place in the field

Against its field

HAND TO HOLD has grown faster than half of the 7,349 human services nonprofits its size.

Operating margin−9% · bottom quartile
Months of reserve1.5mo · below the median
Revenue growth (annualized)17% · above the median

this organization peer median middle 50% of peers· 7,349 human services nonprofits $1M–$10M, FY2025

Organizations like HAND TO HOLD

Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.

In Texas

Nationally

05Profile & governance

Read directly from this organization’s own Form 990, as neutral context.

Where the money goes

76% of spending goes to programs.

Program 76%Management 13%Fundraising 11%

Governance

14
board members
100%
independent
✓Conflict-of-interest policy✓Whistleblower policy✓Document retention✓Board reviewed the 990–Audited financials

Public support

59%

Share of support from the public (Schedule A) — the basis for its public-charity status.

Screen this organization

A dated, signed PDF of the compliance screen for HAND TO HOLD: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.

A paid feature, included from the $75 plan up. Sign in to download.

Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf

Questions and answers

Who funds HAND TO HOLD?
HAND TO HOLD (Texas) receives grants from 44 organizations whose IRS filings report $2,015,508 to it, the largest being Mead Johnson Nutrition Foundation ($350,000). 22 of them have funded it in more than one year.
How many funders does HAND TO HOLD have?
IRS filings report 44 organizations giving $2,015,508 in grants to HAND TO HOLD, 22 of which have funded it in more than one year.
Who is the largest funder of HAND TO HOLD?
Mead Johnson Nutrition Foundation is the largest funder on record, with $350,000 in grants. The full list of funders is on this page.
How can an organization like HAND TO HOLD find more funders?
Start with the funders already giving here, then look at the foundations that back similar organizations in Texas. The funding by cause and by state pages list the largest funders for a given area and how to approach them.

Play a game about who funds Hand to Hold →

These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2025 (financials across 2017–2025), and the filings of 44 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 22, 2026. What this page cannot tell you · view filing