Form 990 for tax year 2023

Totals

Total revenue

$3,833,746

Total expenses

$4,009,519

Contributions and grants received

$2,725,162

Grants paid

$0

Program service revenue

$1,082,271

Investment income

$3,079

Other revenue

$23,234

Total assets, end of year

$10,053,410

Total liabilities, end of year

$6,082,027

Net assets or fund balances, end of year

$3,971,383

Program services expenses (Part IX)

$3,263,497

Management and general expenses

$508,098

Fundraising expenses

$237,924

Program service expenses (Part III)

$3,263,497

Program services were 81.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Mission and programs · 2023

• Clinic:Family Tree is a community clinic providing essential services to populations most impacted by health inequities, including LGBTQ and BIPOC communities, young people, and low-income and uninsured individuals. To increase accessibility, Family Tree offers services on a sliding-fee scale and does not turn anyone away for an inability to pay. Family Tree is designated an Essential Community Provider by the state and is part of the Twin Cities health care safety net. Since 1971, Family Tree has offered innovative medical and education services focused on LGBTQ competency and that center respect, individuality, and trauma-informed practices. For over fifty-two years, Family Tree has confronted barriers to health care head-on, and today is considered a leader in inclusive sexual, reproductive, and gender healthcare and education.The mission of Family Tree Clinic is to cultivate a healthy community through comprehensive sexual healthcare and education. Our vision is to eliminate health disparities through innovative, personalized sexual healthcare and education for diverse needs. Family Tree advances its mission and vision by providing: medical sexual and reproductive healthcare services; culturally responsive services to the Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ) community; informed consent gender affirming hormone care; comprehensive sexuality, healthy relationships, and puberty education programming; the MN Family Planning + STI Hotline; interdisciplinary training to healthcare professionals and on inclusive practices; authentic community engagement to inform services; and collaborative partnerships with other service organizations.Family Tree is guided by its new strategic plan, which was developed in 2023 through a collaborative, community-centric process that utilized feedback from patients, board members, community partners, and other key stakeholders. Our new strategic plan is designed to ensure a sustainable future while increasing access to healthcare and education to improve health equity for our communities through four pillars; 1.) Clarifying Programs and Services, 2.) Staff Sustainability, 3.) Financial Sustainability, and; 4) Organizational Culture and Community. These key goals will serve as a roadmap for Family Tree's path forward as we continue to be responsive to community needs and eliminate health disparities for the communities we reach.Family Tree delivers on our mission through our core programs: 1) Clinic: Culturally responsive medical services centering people impacted by health inequities; 2) Health Education: Comprehensive sexuality and healthy relationships education in schools and community settings, as well as authentic community engagement which creates pathways for communities to shape our work; 3) Training for healthcare professionals, particularly around LGBTQ competency in healthcare.Family Tree believes that patient-centered medical care, upstream education, authentic community engagement, and training of healthcare professionals will increase health equity for people most marginalized by major healthcare systems. Family Tree serves over 15,000 people in a typical year through all programs and community engagement, and is an established statewide and regional leader in the field of LGBTQ Health Equity and Inclusive Care Models. Family Tree's medical services include: pap smears and annual preventive exams; breast/chest exams and mammogram referrals; menopause care; STI testing and treatment; HIV screening, testing, and PrEP for HIV prevention; treatment for UTIs and other infections; preconception counseling; pregnancy testing and all-options counseling; and informed consent gender affirming hormone care. We accept a wide range of insurance including Minnesota Medical Assistance and MinnesotaCare as well as State waiver programs such as the Minnesota Family Planning Program (MFPP) and SAGE. To ensure equitable access, we offer all services on a sliding fee scale and no one is turned away for an inability to pay. Family Tree provides services primarily to individuals in the 7-county metro area, with 54% of patients and participants across all programs residing in East Metro counties of Ramsey, Washington, and Dakota.Family Tree's target populations include low-income, uninsured or underinsured individuals, young people, LGBTQ and BIPOC communities, and those facing barriers to care due to medical trauma, discrimination, confidentiality concerns, or lack of culturally competent care. In 2023, Family Tree's clinic program reported the following results: 6,456 visits to 2,357 unduplicated patients (the most visits we have ever had in one year). 79% of patients identified as LGBTQ and 31% as BIPOC. 46% of patients were under the age of 25. 70% lived below 200% of the Federal Poverty Level (less than $30,000 a year for a single person). 10% of patients were uninsured and another 30% used Medicaid or MNCare as their primary insurance.To support patients in all aspects of their health, Family Tree also offers wrap-around support services such as MNSure navigation and resource coordination. Our certified MNsure navigators work with patients to help them enroll in and maintain insurance through MNSure, including state programs such as Medicaid and MinnesotaCare and private insurance plans. Offering free navigation services increases patient access to services at Family Tree and reduces barriers to other types of care such as primary care and mental health care. Our resource coordination consists of a dedicated Patient Resources Coordinator that manages a robust referral network for patients with a focus on connecting patients to LGBTQ competent medical providers, mental health providers, substance use care, food and housing resources, and more.Additionally, we provide interdisciplinary training for healthcare professionals with a focus on LGBTQ competency. We are currently in the second year of the Midwest Trans Health Education Network - our five year initiative to train and mentor remote cohorts of providers from rural areas of the upper Midwest on providing competent trans healthcare. This will increase access to essential care for rural communities, reducing geographic and transportation barriers. So far, we have provided training to 42 healthcare professionals.

  Expenses $2,508,607 · Revenue $1,009,667

• Health Education Program:Family Tree's Health Education program also saw an increase in participation in 2023. Our Health Education department fills in gaps in sex education for populations least likely to receive comprehensive and inclusive sex ed, and who may face barriers to quality healthcare services due to factors such as gender identity and sexual orientation discrimination, geographic barriers, cost, and structural racism. We provide comprehensive sexuality and healthy relationships education to youth and adults in schools, juvenile detention centers, and community locations. We teach lessons using the FLASH curriculum, developed in part by Family Tree, which is nationally recognized and proven effective in increasing participants' confidence to make safer sex choices. We also engage families through Parents are Sex Educators (PASE) lessons and Early Childhood Family Education (ECFE) classes. Additionally, we have expanded our programming and have contracted with St. Paul Public schools to be the sole provider of puberty classes for the district this year. Our Health Education department reaches 60% BIPOC youth and in 2023, served over 13,564 individuals through 733 classes.Our Health Education department also has programming specific to reaching intersectional Black communities with a focus on HIV prevention, parent sex education classes, and engaging community members in listening sessions. Feedback from the listening sessions is used to improve clinic services and inform strategies for increasing access to healthcare for Black and African American communities experiencing health disparities. Since 1979, Family Tree has operated the Minnesota Department of Health-funded MN Family Planning + STI Hotline (1-800-78-FACTS, www.sexualhealthmn.org). This is a statewide service providing free and confidential information about STIs, birth control, and family planning. The hotline receives calls from people all over the state as well as the country, and we have specific outreach programming dedicated to reaching rural areas of Minnesota. Individuals in rural areas may have specific barriers to care, especially to LGBTQ competent sexual and reproductive healthcare. The hotline serves as a bridging point to help callers find local clinics and give accurate information to help them make informed choices about their health. Through the hotline, we maintain a sexual and reproductive healthcare provider database and provide referrals to low-cost clinics in all 87 counties in Minnesota.In 2024, Family Tree Clinic will continue providing quality, affordable sexual health and education services to communities most impacted by health inequities. In addition to core programs, specific activities include:1. Provide reproductive and sexual health medical services reaching 3,000 unduplicated patients. Services are offered on a sliding-fee scale and include birth control, STI testing and treatment, hormone care, annual exams, etc.2. Provide 1,200 patients with testing for STIs through the clinic.3. Offer a full range of affordable, low-to no-cost birth control options to all, including long acting reversible contraception (LARC) methods.4. Provide medically accurate and age appropriate sexuality, healthy relationships, and puberty education for at least 12,000 unduplicated youth and families in schools, juvenile detention centers, and at community locations.5. Provide lessons to 1,500 youth in juvenile detention centers focused on STI/HIV prevention, consent, safer sex practices, and healthy relationships with Family Tree's Community Health Educators.6. Utilize Family Tree's trained MNsure Navigators on staff to assist uninsured patients with access to, and enrollment in, health coverage. 7. Enroll 200 individuals in the Minnesota Family Planning Program.8. Enhance patient access to HIV prevention resources including testing and PrEP, a daily pill that prevents transmission of HIV.9. Provide health resources and information to 10,000 community members through exhibits and outreach at community events.10. 100% of patients needing care beyond that available at Family Tree will be referred to other providers. Examples include management of hypertension and mental health care.11. Cultivate clinical services and environments that better meet the needs for culturally competent sexual and reproductive healthcare for LGBTQ and BIPOC communities.12. Continue training rural providers through the Midwest Trans Health Education Network, training 50 new professionals in 2024 on providing hormone care and trans and gender expansive competency in health care services and delivery.

  Expenses $754,890 · Revenue $95,838

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

• Beverly Bushyhead

  Co-President

  Total calculated

  $0

  Hours/week

  2

• Koa Mirai

  Co-President

  Total calculated

  $0

  Hours/week

  2

• Jaemi Hagen

  Vice President

  Total calculated

  $0

  Hours/week

  2

• Sally Nixon

  Past President (term ended in 2023)

  Total calculated

  $0

  Hours/week

  2

• Laureen Tews Harbert

  Secretary

  Total calculated

  $0

  Hours/week

  2

• Michael Anderson

  Treasurer

  Total calculated

  $0

  Hours/week

  2

• Abigail Henderson

  Director

  Total calculated

  $0

  Hours/week

  1

• Adrienne Dorn

  Director

  Total calculated

  $0

  Hours/week

  1

• Christine Reisdorf

  Director

  Total calculated

  $0

  Hours/week

  1

• Emmett Robertson

  Director

  Total calculated

  $0

  Hours/week

  1

• Erin Wilkins

  Director

  Total calculated

  $0

  Hours/week

  1

• Lucas Beck

  Director

  Total calculated

  $0

  Hours/week

  1

• Paul Bock

  Director

  Total calculated

  $0

  Hours/week

  1

• Willow Nichols

  Director

  Total calculated

  $0

  Hours/week

  1

• Anne Van Avery

  Executive Director

  Total calculated

  $146,762

  From this org

  $131,498

  From related orgs

  $0

  Other

  $15,264

  Hours/week

  40

• Deborah Angelucci

  Finance and HR Director

  Total calculated

  $98,556

  From this org

  $87,585

  From related orgs

  $0

  Other

  $10,971

  Hours/week

  40

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those.

Grants on this return

No itemized grants to organizations on this return.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Provenance

Return type

form_990

Tax year

2023

Filed

25 June 2024

IRS schema version

2023v5.1

Source object

202431799349300923

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