The Rose

What it reported doing in 2024

The rose primary exempt purpose is providing access to breast health care by offering direct medical services and access to treatment regardless of the patient's ability to pay. The empower her sponsorship program ensures that uninsured or underinsured women have access to the same standard of compassionate, high quality breast health care as the insured. The empower her program offers a continuum of care that starts with community outreach and education and then moves into providing direct medical services including mammography screening, diagnostic exams and biopsies and finally access to treatment and follow-up when a woman is diagnosed with breast cancer. Sponsorship is provided to women meeting low income, uninsured or underinsured guidelines. In this reporting period, through empower her, the rose served 8,571 individual, unduplicated uninsured women and provided 14,046 sponsored diagnostic services to medically underserved women, including diagnostic mammograms, breast ultrasounds, physician consultation, core biopsies and office visits. Of the uninsured patients, 512 received biopsies.to diminish the barrier of geography to accessing routine breast health screenings, the rose's mobile mammography health coaches travel five days a week to provide breast health screenings to insured and uninsured women in 62 counties throughout southeast Texas serving 11,193 women of which, 4,645 were uninsured. A total of 27 women were diagnosed from their initial screening exam; 14 were insured and 13 were uninsured. 71% of all uninsured patients needing routine annual mammography screening did so via the rose mobile mammography program. This data underscores the need for access to care particularly in rural areas and suggest that the majority of our underserved constituents had limitations with transportation, accessible and/or affordable screening facilities in their home communities. With the mobile program, strategic community engagement efforts greatly expand access to breast health care services where women need them the most. Community patient navigators are utilized to reach rural counties, and act as liaisons to bridge the gaps in healthcare by connecting patients and health systems to area resources, engaging new partners and applying evidence-based intervention models that increased access to care for the underserved.for uninsured women who are diagnosed with breast cancer, the rose patient navigation program ensures access to timely and affordable breast cancer treatment. Of the 400 patients diagnosed by the rose in this reporting period, 223 were insured and 177 were uninsured. For uninsured patients, the rose's patient navigators secure treatment within 30 days of diagnosis through state-funded healthcare programs or the rose physician network. With the rose patient navigation program, our patients gain direct access to an extensive network of physicians and treatment at leading medical facilities such as md anderson cancer center, houston methodist and harris health.patient navigators also provide breast cancer education to the patient and her family, support during medical appointments, translation, support groups, wigs and prostheses and up to five years' of survivorship support post-diagnosis to ensure compliance to treatment and regular screenings. Other services include translation, support during medical appointments, recommendations regarding nutrition and exercise during treatment, along with access to support groups. To further minimize the financial burden to uninsured patients, the rose patient navigation program provides gas cards to offset transportation expenses to treatment and procures free or low-cost wigs and prosthetics. The rose navigated 187 (177 uninsured and 10 insured) patients into treatment and 812 patients received survivorship support assistance.the rose was the first healthcare organization in the state of Texas to implement a patient navigation program (in 1999), and this evidence- based pra

Financial Efficiency

• Mission deployment rate: 92%; rating input score 92
• Program expense ratio: 83%; rating input score 83
• Fundraising efficiency: $4.78 raised per $1 spent on fundraising; rating input score 19; 19th percentile among comparable filings

Transparency & Controls

• Consistency checks: 94.1%; rating input score 94; 20th percentile among comparable filings
• Pay-setting controls: 1 of 6 controls in place; rating input score 17
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • 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; 66th percentile among comparable filings
• Governance controls: 9 of 9 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: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -10.7%; rating input score 10; 10th percentile among comparable filings
• Total-asset coverage ratio: 0.94; rating input score 34; 34th percentile among comparable filings
• Liabilities to assets ratio: 0.25; rating input score 52; 52nd percentile among comparable filings
• Officer compensation ratio: 5.6%; rating input score 46; 46th percentile among comparable filings

Growth

• Program expense growth: 3.2% per year; rating input score 100; 27th percentile among comparable filings
• Revenue growth: 2.1% per year; rating input score 100; 18th percentile among comparable filings
• Asset growth: 6.9% per year; rating input score 100; 48th percentile among comparable filings