Preferred Family Healthcare

What it reported doing in 2024

Preferred family healthcare (pfh) offers mental health treatment programs for youth and adults suffering from a serious emotional disturbance or serious and persistent mental illness. Pfh is able to serve individuals who experience difficulty accessing services due to being uninsured. Additionally, pfh operates a vast network of outpatient clinics providing treatment in over 150 schools. Pfh has been at the forefront of designing interventions that have progressively allowed for more and more clients to maintain independence and mental wellness. Such interventions include health home engagement: pfh participates in the health home initiative in Oklahoma and Missouri providing care coordination to individuals whose mental illness and physical health symptoms identify the high-risk. Pfh continues to implement innovative practices across our four state service area. This is evidenced by numerous federal and foundation grant awards which allow pfh the ability to pilot what have turned out to be highly successful integrated care efforts. Such initiatives include: specialized sud treatment services for pregnant and postpartum women, certified community-based health center services, assertive community treatment for transitional aged youth, expanded medication-assisted treatment (mat), and numerous other programs which assist in coordinating primary & behavioral health care for individual with comorbidities. Youth and family - preferred family healthcare (pfh) supports children, youth, and families with complex needs, including: children and youth who are at risk of being removed from home or who have been removed with the goal of reunification; children and youth with serious emotional, neurobiological or behavioral disturbance, and their families; and children and youth having problems that place the children or youth at risk. Pfh is also the proud recipient of three federal regional partnership grants (funded by the children's bureau, administration for children, youth & families) which are aimed at impacting child welfare and parental substance use concurrently. This funding has allowed pfh to formalize the creation of a multidisciplinary team (child welfare, treatment, and employment) which generates significant cost savings for the state of Missouri. Domestic violence - preferred family healthcare (pfh) has provided domestic violence (dv) victim services since 1979 and sexual assault (sa) victim services since 2001 in the greater st. Louis metropolitan region. Dv & sa services provided at pfh include a 24-hour crisis hotline and intervention, emergency shelter, individual and group counseling outreach, emergency response teams, and community education. In order to provide effective services, pfh's dv advocates have established reciprocal relationships with state and local organizations including Missouri department of public safety, department of social services, department of health and senior services, local police departments, prosecuting attorneys' offices, hospitals, and community service agencies. Collaborative efforts are the crux of the organization, ensuring each individual served is offered the utmost in care and support. Through collaborations in the community, advocates are able to provide wraparound services for client needs that may otherwise go unmet. Pfh continuously provides community education and training to promote awareness on issues that victims of dv & sa face and to teach other helping professionals how to handle disclosure of victimization.

Financial Efficiency

• Mission deployment rate: 85.4%; rating input score 85
• Program expense ratio: 84.3%; rating input score 84
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 92.9%; rating input score 93; 17th percentile among comparable filings
• Pay-setting controls: 0 of 6 controls in place; rating input score 0
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Missing
• Foreign activity oversight: Limited
• Grant itemization coverage: 51.4%; rating input score 51; 10th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 100%; rating input score 100; 77th percentile among comparable filings
• Governance controls: 7 of 9 controls in place; rating input score 78
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Fail
  • 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: -1.2%; rating input score 22; 22nd percentile among comparable filings
• Total-asset coverage ratio: 1.05; rating input score 41; 41st percentile among comparable filings
• Liabilities to assets ratio: 0.25; rating input score 61; 61st percentile among comparable filings
• Officer compensation ratio: 3%; rating input score 38; 38th percentile among comparable filings

Growth

• Program expense growth: 4.3% per year; rating input score 100; 33rd percentile among comparable filings
• Revenue growth: 8.5% per year; rating input score 100; 70th percentile among comparable filings
• Asset growth: 8.9% per year; rating input score 100; 64th percentile among comparable filings