Family Tree Inc

What it reported doing in 2024

Clinic: Family Tree is a community clinic providing essential sexual healthcare and education services to populations most impacted by health inequities. To increase accessibility, Family Tree offers services on a sliding-fee scale and does not turn anyone away for an inability to pay. Family Tree is designated an Essential Community Provider by the state and is part of the Twin Cities health care safety net. Since 1971, Family Tree has offered innovative medical and education services that center respect, individuality, and trauma-informed practices. For over fifty-two years, Family Tree has confronted barriers to health care head-on, and today is considered a leader in inclusive sexual, reproductive, and gender healthcare and education.The mission of Family Tree Clinic is to cultivate a healthy community through comprehensive sexual healthcare and education. Our vision is to eliminate health disparities through innovative, personalized sexual healthcare and education for diverse needs. Family Tree delivers on our mission through our four core programs: 1) Clinic: Culturally responsive medical services centering people impacted by health inequities; 2) Health Education and Engagement: Comprehensive sexuality and healthy relationships education in schools and community settings, as well as authentic community engagement which creates pathways for communities to shape our work; 3) training for healthcare professionals; and 4) the MN Sexual Health Hotline.Family Tree is guided by its strategic plan, which was developed in 2023 through a collaborative, community-centric process that utilized feedback from patients, board members, community partners, and other key stakeholders. Our strategic plan is designed to ensure a sustainable future while increasing access to healthcare and education to improve health equity for our communities through four pillars; 1.) Clarifying Programs and Services, 2.) Staff Sustainability, 3.) Financial Sustainability, and; 4) Organizational Culture and Community. Each of these pillars includes key goals that will serve as a roadmap for Family Tree's path forward as we continue to be responsive to community needs and eliminate health disparities for the communities we reach.Family Tree believes that patient-centered medical care, upstream education, authentic community engagement, and training of healthcare professionals will increase health equity for people most marginalized by major healthcare systems. Family Tree serves over 20,000 people in a typical year through all programs and community engagement. Family Tree's medical services include: pap smears and annual preventive exams; breast/chest exams and mammogram referrals; menopause care; STI testing and treatment; HIV testing and PrEP for HIV prevention; treatment for UTIs and other infections; preconception counseling; and pregnancy testing and all-options counseling. We accept a wide range of insurance including Minnesota Medical Assistance and MinnesotaCare as well as State waiver programs such as the Minnesota Family Planning Program (MFPP) and SAGE. To ensure equitable access, we offer all services on a sliding fee scale and no one is turned away for an inability to pay. Family Tree's target populations include low-income, uninsured or underinsured individuals, young people, and those facing barriers to care due to medical trauma, discrimination, confidentiality concerns, or lack of culturally competent care. In 2024, Family Tree's clinic program reported the following results: - 9,026 visits to 3,412 unduplicated patients (the most visits we have ever had in one year). - 44% of patients were under the age of 25. - 66% lived below 200% of the Federal Poverty Level (less than $32,000 a year for a single person). - 12% of patients were uninsured and another 33% used Medicaid, MNCare, or the Minnesota Family Planning Program as their primary insurance.To support patients in all aspects of their health, Family Tree also offers wrap-around suppor

Financial Efficiency

• Mission deployment rate: 93.7%; rating input score 94
• Program expense ratio: 84.3%; rating input score 84
• Fundraising efficiency: $10.82 raised per $1 spent on fundraising; rating input score 40; 40th percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
• Pay-setting controls: 3 of 6 controls in place; rating input score 50
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Pass
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• 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; 63rd percentile among comparable filings
• Governance controls: 8 of 9 controls in place; rating input score 89
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -11.2%; rating input score 12; 12th percentile among comparable filings
• Total-asset coverage ratio: 1.89; rating input score 60; 60th percentile among comparable filings
• Liabilities to assets ratio: 0.61; rating input score 16; 16th percentile among comparable filings
• Officer compensation ratio: 5.3%; rating input score 51; 51st percentile among comparable filings

Growth

• Program expense growth: 7.8% per year; rating input score 100; 55th percentile among comparable filings
• Revenue growth: 7.9% per year; rating input score 100; 59th percentile among comparable filings
• Asset growth: 15% per year; rating input score 100; 74th percentile among comparable filings