La Familia Medical Center

What it reported doing in 2024

La familia medical center is a federally qualified health center (fqhc) providing high-quality, comprehensive medical, dental, behavioral health, health education, and wrap-around services to everyone in the santa fe area, regardless of ability to pay. Founded in 1972, la familia has four clinics: three medical and one dental. All are located in high-need areas of santa fe county. Lfmc's alto street clinic also offers a discount pharmacy and lab services for patient convenience and affordability.in fy25, la familia served 17,171 patients in 54,331 encounters. (continued on schedule o)la familia's patients are majority low-income, with more than half living at or below the federal poverty level.all of la familia's services are provided in a culturally competent manner, respectful of patients' rights, dignity, and privacy.the organization provides services to underserved populations, including the homeless population in santa fe, medication-assisted treatment for individuals with a substance use disorder, and case management/navigation services for patients needing access to community services.in addition, la familia provides vaccines to at-risk populations under several programs that ensure everyone can get the vaccines they need. Influenza and pneumonia are among the most common given to patients. La familia participates in the vaccines for children (vfc) program, a title x program offered through the New Mexico department of health. In addition to vfc, title x vaccines cover both influenza and pneumonia for adults, as well as direct purchase and administration services for flu and other commonly recommended vaccines for school, elderly patients, and others.la familia ob patients benefit from prenatal care and counseling, post-delivery hospital visits, access to breastfeeding assistance from a certified lactation counselor, and the opportunity to obtain a car seat for their infant at nominal cost, including instruction and training in its use, through a certified car seat safety program. Related women's health services include contraceptive counseling and services, including access to larcs at reduced cost, and medically indicated referrals to a contracted ob/gyn specialist several times a year.medication-assisted treatment is offered within the context of a traditional primary care patient-provider relationship and not as a stand-alone program. Patients sign a contract committing to the plan of care and agree to a highly structured set of requirements and treatment goals to manage their substance use challenges and achieve and maintain sobriety. The program has solid funding support from federal, state, and local government resources. Program success includes not just the primary patient but also partners and other family members. Of note are ob patients who enter the program to achieve sobriety for themselves but also to prevent harm to their unborn child. La familia medical center also has an active syringe exchange program, funding support by the state of New Mexico.la familia is a primary training site for the northern New Mexico family medicine residency program. It also trains nurse practitioners from the university of New Mexico nursing program at the southside clinic.dental services go well beyond the primary preventive range of services required of all fqhcs. Additional services include fillings, extractions, crowns, dentures, root canals, and implants. La familia dental clinic is the only option for many uninsured residents of santa fe county. The la familia dental clinic is a coda-accredited residency program for the nyu langone school of dentistry. In addition, the dental clinic trains santa fe community college students in the dental assistant program.la familia provides disease-specific education to help patients manage their own care more effectively. These include nutrition counseling; food selection and preparation instruction by a licensed dietitian; diabetes monitoring and management provided by a certified

Financial Efficiency

• Mission deployment rate: 65.9%; rating input score 66
• Program expense ratio: 67.9%; rating input score 68
• Fundraising efficiency: $45.45 raised per $1 spent on fundraising; rating input score 74; 74th percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 62nd 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: Pass
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• 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; 66th 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: 1.7%; rating input score 41; 41st percentile among comparable filings
• Total-asset coverage ratio: 0.5; rating input score 16; 16th percentile among comparable filings
• Liabilities to assets ratio: 0.17; rating input score 63; 63rd percentile among comparable filings
• Officer compensation ratio: 10.5%; rating input score 18; 18th percentile among comparable filings

Growth

• Program expense growth: 3.3% per year; rating input score 100; 29th percentile among comparable filings
• Revenue growth: 4.8% per year; rating input score 100; 42nd percentile among comparable filings
• Asset growth: -0.1% per year; rating input score 0; 10th percentile among comparable filings