Medical Institute for Sexual Health

What it reported doing in 2025

Medical Institute for Sexual Health is a nonprofit health organization that equips people worldwide with medically accurate information to make well-educated decisions about their sexual health. In addition to our research team, graduate interns contributed significant research, helping us expand the reach and impact of our work Costs of Transgender Hormones and Surgery Research by Amy Hamilton calculated the potential lifetime costs of puberty blockers, cross-sex hormones, and surgeries for transgender-identifying youth, with projections ranging from hundreds of thousands to nearly a million dollars per patient. Transgender Research: Five Things Every Parent and Policy-Maker Should Know (Drafted in 2023): This paper reviews the rise of gender dysphoria among youth, critiques the strength of studies supporting medical interventions for minors, and calls for counseling and watchful waiting over early medical transition. Abortion Pill Complications Medical Institute is conducting secondary research that builds on The Abortion Pill Harms Women study, which found that more than 10% of women using mifepristone experienced serious adverse events-far exceeding FDA-cited rates. Our work aims to quantify risks for sepsis, infection, and hemorrhage with precision. STD Wizard Updates In 2025, Medical Institute reviewed and updated the STD Wizard, a free, confidential online tool that helps users, especially teens and young adults-assess STD risk and receive evidence-based testing recommendations. Every month, over one thousand people take the STD Wizard Risk Assessment. In 2025, we welcomed three graduate interns from Liberty University who assisted with critical research and education projects. Each intern shared their findings through staff presentations, advancing our mission by developing the next generation of public health leaders * Developed infographics for providers and female patients on syphilis prevention and treatment. * Authored a continuing education course for nurses on HPV and cancer, in both English and Spanish, and researched accreditation requirements for Nursing Education courses * Authored a continuing education course for nurses on HPV and cancer, in both English and Spanish, and researched accreditation requirements for Nursing Education courses. Also in 2025, Amy Hamilton, a researcher at Medical Institute authored and submitted an amicus brief to the U.S. Supreme Court in Chiles v. Salazar challenging Colorado's ban on "conversion therapy" for minors. The brief argued that the law imposes a one-sided viewpoint, restricting counseling options and infringing on free speech, religious liberty, and client autonomy. Marketing & Communications Medical Institute launched a new email newsletter in Fall 2025, sharing the latest research, tips for parents and families, and invitations to upcoming events. Our new website launched in December 2025, offering visitors easier access to research, articles, and resources on sexual health and overall well-being. The Moment Video The Moment-a choose-your-own-adventure video experience designed to teach young people about the lasting impact of their decisions-has seen wide reach 11,061,877 social media post views 195,641 choices made by viewers 242,147 site visits to themoment.video Speaking Engagements In 2025, Medical Institute shared its research and insights across multiple platforms such as podcasts, speaking engagements at professional organizations and churches.

Financial Efficiency

• Mission deployment rate: 100%; rating input score 100
• Program expense ratio: 82.3%; rating input score 82
• Fundraising efficiency: $6.13 raised per $1 spent on fundraising; rating input score 21; 21st 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: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 64th percentile among comparable filings
• Governance controls: 6 of 8 controls in place; rating input score 75
  • 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: Missing
  • Independent financial-statement audit: Fail

Sustainability

• Operating margin: -112.2%; rating input score 1; 1st percentile among comparable filings
• Total-asset coverage ratio: 0.44; rating input score 22; 22nd percentile among comparable filings
• Liabilities to assets ratio: 0.3; rating input score 19; 19th percentile among comparable filings
• Officer compensation ratio: 13.5%; rating input score 28; 28th percentile among comparable filings

Growth

• Program expense growth: 10.4% per year; rating input score 100; 59th percentile among comparable filings
• Revenue growth: 6.8% per year; rating input score 100; 47th percentile among comparable filings
• Asset growth: 21.6% per year; rating input score 100; 81st percentile among comparable filings