Tree of Lives

Nonprofit profile at a glance

EIN
474993846
IRS 990 coverage
2017–2025
Official website data refreshed
Sep 2026
Forms available
Form 990 2025
Location
Norfolk, VA, United States
Phone
7576257849
Rating
82
Verdict
STRONG
Rating confidence
Moderate
Sector
International Relief
Affiliation
Christianity

Official website

Reported finances

Revenue
$511,239
Expenses
$509,625
Assets
$283,246
Liabilities
$6,142

Source: IRS Form 990. Selected filing: tax year 2025. Amounts in USD.

Leadership & pay

9 people listed

Executive titles in this filing

  • JAMES WOOD (PRESIDENT)

People named in this filing

  • KELLY ALCORN (DIRECTOR)
  • SANDEE FEREBEE (DIRECTOR)
  • MEGAN FOARD (DIRECTOR)

Selected names, not a complete roster or a statement of current roles. Open leadership details for the complete filed list.

Source: IRS Form 990. Selected filing: tax year 2025. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

To strengthen the African family in our shared battle against HIV/AIDS and poverty. In 2001, Drs. Richard and Judith Brown, Presbyterian missionaries and First Presbyterian Church of Norfolk members, founded the Holy Family HIV/AIDS Center on the grounds of Nazareth Hospital in Kenya. First Presbyterian Church began the Tree of Lives ministry in 2004 to support the work of this vital clinic. Since then, Tree of Lives has expanded to include many other programs that support the African family through HIV/AIDS awareness. As Tree of Lives looks ahead, continued support is essential to sustain and strengthen the vital programs at Nazareth Hospital and the Holy Family Center. Ongoing investment ensures that individuals and families affected by HIV receive consistent, high-qualit.

What it reported doing in 2025

Joy children's village orphanage in 2025, we supported, with housing, food, clothing, medication, and education, 59 children through the joy children's village. We welcomed 6 new children in 2025. The children are cared for by 4 house mothers, 2 aunties, 3 counselors/educational mentors, and 1 groundskeeper. In 2025, jv was able to expand their reliance on solar power, creating further savings in electrical costs for the compound. Beginning in march, they added 24 more panels, 10 modern inverters, 9 heat pumps, each with a capacity of 300 liters, and construction of a battery and heat pump cages and piping works. The upgraded system accommodates more appliances and generates substantially more electricity and hot water directly reducing reliance on kenya power. This leads to immediate, measurable savings on monthly energy bills, freeing up operational budget. The project was completed in october. Many of the houses also received renovations, including construction of additional storage space. Through the jv scholars program, 3 children are enrolled in pre-vocational training. This year jv brought in 4 tutors to help the younger children with their schoolwork and, as a result, academic performance has improved. Medically, one child underwent a successful supratarsal triamcinolone injection. The surgical procedure was primarily to treat a chronic and severe form of eye allergy that has not been responding to conventional topical treatments; another received a new set of hearing AIDS and another received braces. Still another child was treated successfully for a gastric obstruction and continues to improve with treatment and diet modification. HIV + joy village children achieved and maintained a remarkable viral suppression rate of 95% throughout 2025. Of the 22 HIV positive children that we care for, only one of them presented with non-compliancy to treatment. He has been receiving ongoing counseling sessions with the clinic counsellor. Nazareth hospital over 300 patients, both in- and out-patient medical procedures, were supported through the tree of lives charity account enabling the poorest of the poor to obtain treatment for life-threatening illnesses. Pastoral care and counseling were provided by two counselors for around 2,000 people, though the exact number is uncertain because the counselors do not include records of staff, students, and grief counseling for confidentiality reasons. The pastoral counseling program at nazareth is the only program of its kind in kenya. Holy family center the program put on by the youth mentors for world AIDS day on dec. 1, 2025 reached over 14,000 people, through a football event, a community forum with dance team, and a boda boda (motorcycle) ride throughout the community. 15 youth mentors organized the event. 401 people were tested for HIV and, if positive, were enrolled in the holy family center treatment program. The viral suppression rate among youth involved in the holy family center is consistently 90% or higher, surpassing country averages. Hfc's number of patients on antiretroviral therapy (art) is 4,505. The overall viral suppression rate among patients was 96%. In 2025, 7,464 individuals were tested for HIV, with 150 newly identified positives and 145 individuals newly enrolled in the art program. Additionally, 100% of tuberculosis (tb)/HIV co-infected patients are on art and 100% of HIV infected individuals were screened for tb. Tb is the major cause of death in HIV infected patients. For the 11th year in a row, hfc's mother to mother program, designed to prevent the transmission of HIV from HIV+ pregnant women to their children, had a 100% success rate. The program uses counseling, nutrition, and mentorship to prevent transmission. In 2025, there were 172 mothers enrolled in the program and 150 children ages 0-2 on follow up (some of the mothers have yet to deliver). In 2025, holy family center's eric munene was awarded the 'best performance award' by nazareth hospital, in rec

Operating model

Revenue model
Donor-supported. 100% of the money available for current operations came from contributions and gifts.
Distribution model
Grant intermediary. The nonprofit sent 100% of its reported program spending out as grants.

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Some filing-based governance responses are negative or unanswered and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 83
  • Transparency & Controls: 90
  • Accountability: 76
  • Sustainability: 38
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 93.2%; rating input score 93
  • Program expense ratio: 93.5%; rating input score 94
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
  • Pay-setting controls: Limited
  • Foreign activity oversight: 6 of 8 controls in place; rating input score 75
    • Claims monitoring procedures: Pass
    • Requires narrative reports: Pass
    • Conducts field audits: Pass
    • May suspend future funding: Fail
    • Requires financial reports: Pass
    • Conducts site visits: Pass
    • Requires grant agreements: Pass
    • May require repayment: Fail
  • Grant itemization coverage: 100%; rating input score 100; 78th 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; 64th percentile among comparable filings
  • Governance controls: 3 of 7 controls in place; rating input score 43
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Fail
    • Document-retention policy: Fail
    • CEO compensation review process: NotApplicable
    • 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: 0.3%; rating input score 31; 31st percentile among comparable filings
  • Total-asset coverage ratio: 0.56; rating input score 27; 27th percentile among comparable filings
  • Liabilities to assets ratio: 0.02; rating input score 52; 52nd percentile among comparable filings
  • Officer compensation ratio: 0%; rating input score 78; 78th percentile among comparable filings

Growth

  • Program expense growth: 5.9% per year; rating input score 100; 41st percentile among comparable filings
  • Revenue growth: 4.9% per year; rating input score 100; 37th percentile among comparable filings
  • Asset growth: 2.5% per year; rating input score 100; 25th percentile among comparable filings

Details

  • What they do: Mission, programs, and operating context captured from the official website.
  • Where the money goes: 93.2% of revenue deployed · 93.5% of spending went to programs
  • Governance: 9 of 9 board members independent · 3 of 7 filing controls reported
  • Programs: 1 filed program accomplishment · $477K in reported program spending
  • Leadership: top reported pay $0 · 9 people listed
  • Consistency: 22 of 22 current checks pass
  • Schedules: 6 filed schedules · includes major donors and foreign activity
  • Filing history: 8 filing years from 2017 to 2025
  • Contacts: How to reach this organization
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • Moderate — Accountability: Governance controls: 3 of 6 not reported.
  • Moderate — Sustainability: Operating margin scored 31/100.
  • Review — Transparency & Controls: Foreign activity oversight: 2 of 8 not reported.
  • High — Sustainability: Total-asset coverage ratio scored 27/100.
  • Review — Sustainability: Liabilities to assets ratio scored 52/100.