Family Planning Council of Iowa

What it reported doing in 2024

The family planning council of Iowa is a nonprofit organization serving 55 of Iowa's 99 counties, with a mission of providing access to quality reproductive healthcare and family planning services to all people. Fpci has a provider network of 9 subcontractors and works closely with 15 clinic sites across the state to ensure patients receive the voluntary, confidential reproductive health and family planning services they want and need. Through the delegation of federal title x family planning funding, the clinics fpci partners with provide reproductive healthcare services to adolescents and adults, with priority given to those with low incomes. Fpci is committed to helping all people achieve their reproductive goals by allowing them to control if and when they become pregnant. To achieve this goal, fpci focuses on community education, outreach, and family involvement, in addition to clinical services. To increase awareness of family planning services as part of an overall health promotion and disease prevention strategy, fpci works to establish and maintain meaningful and mutually beneficial relationships with agencies and organizations around the state. Fpci participates in local events and conferences to engage with community members and distribute educational materials and reproductive health services. Additionally, fpci collaborates with colleges and universities to share resources and educate students on their reproductive health. Evidence-based health education services are provided on a variety of topics, including contraception, sexually transmitted infections, and healthy relationships. While family planning services benefit individuals and their health outcomes, they also lead to broader financial benefits. In 2023, fpci's network spending $3.89 million on family planning services resulted in $24.2 million in net savings. In 2024, fpci's network spent $3.99 million on family planning services, which resulted in $24.87 million in net savings. About 21,500 iowans received title x-funded family planning services through fpci's clinic sites in 2024. These services prevented 3,920 unintended pregnancies, 1,330 abortions, 750 miscarriages, and nearly 400 sexually transmitted infections. As part of the program, more than 1,700 pap tests and more than 28,600 sexually transmitted infection tests were completed. These services are provided to all people who desire them regardless of their ability to pay. 82% of those served had household incomes below 250% of the federal poverty guideline; 55% had incomes below 100% of the federal poverty guideline.

Financial Efficiency

• Mission deployment rate: 85.6%; rating input score 86
• Program expense ratio: 89.8%; rating input score 90
• Fundraising efficiency: $474.92 raised per $1 spent on fundraising; rating input score 96; 96th percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
• Pay-setting controls: Limited
• Foreign activity oversight: Limited
• Grant itemization coverage: 100%; rating input score 100; 72nd 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: 8 of 8 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: NotApplicable
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 4.7%; rating input score 50; 50th percentile among comparable filings
• Total-asset coverage ratio: 0.25; rating input score 8; 8th percentile among comparable filings
• Liabilities to assets ratio: 0.37; rating input score 29; 29th percentile among comparable filings
• Officer compensation ratio: 4.1%; rating input score 60; 60th percentile among comparable filings

Growth

• Program expense growth: -1.7% per year; rating input score 0; 9th percentile among comparable filings
• Revenue growth: -1.9% per year; rating input score 0; 7th percentile among comparable filings
• Asset growth: 6% per year; rating input score 100; 40th percentile among comparable filings