2024-06-27T11:55:16-05:00 2023-12-31 411397419 Abdo LLP 5201 Eden Ave Ste 250 Edina MN 55436 990 2023-01-01 237133742 Family Tree Inc FAMI 6124730800 1919 Nicollet Ave Minneapolis MN 55403 Anne Van Avery Executive Director 6124730800 2024-06-25 1 Anne Van Avery XXX-XX-XXXX 1 Steven D Anseth CPA P00552219 9528359090 2024-06-25 3 AAL1 IAL1 2023 2023-04-26 12:10:37Z Family Tree Clinic Anne Van Avery 1919 Nicollet Ave Minneapolis MN 55403 3833746 0 X www.familytreeclinic.org X 1971 MN To cultivate a healthy community through comprehensive sexual health care and education. 14 14 61 40 0 0 2852121 2725162 975556 1082271 2024 3079 21663 23234 3851364 3833746 0 0 0 0 2916364 2757594 0 0 237924 1356095 1251925 4272459 4009519 -421095 -175773 10206529 10053410 6059373 6082027 4147156 3971383 X Family Tree Clinic's mission is to cultivate a healthy community through comprehensive sexual health care and education. 0 0 2508607 1009667 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. 754890 95838 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. 3263497 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 112 0 1 61 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 MN X X Anne Van Avery 6124730800 1919 Nicollet Ave Minneapolis MN 55403 Beverly Bushyhead Co-President 2.00 X X 0 0 0 Koa Mirai Co-President 2.00 X X 0 0 0 Jaemi Hagen Vice President 2.00 X X 0 0 0 Sally Nixon Past President (term ended in 2023) 2.00 X X 0 0 0 Laureen Tews Harbert Secretary 2.00 X X 0 0 0 Michael Anderson Treasurer 2.00 X X 0 0 0 Abigail Henderson Director 1.00 X 0 0 0 Adrienne Dorn Director 1.00 X 0 0 0 Christine Reisdorf Director 1.00 X 0 0 0 Emmett Robertson Director 1.00 X 0 0 0 Erin Wilkins Director 1.00 X 0 0 0 Lucas Beck Director 1.00 X 0 0 0 Paul Bock Director 1.00 X 0 0 0 Willow Nichols Director 1.00 X 0 0 0 Anne Van Avery Executive Director 40.00 X 131498 0 15264 Deborah Angelucci Finance and HR Director 40.00 X 87585 0 10971 219083 0 26235 1 0 0 0 0 990554 1734608 7618 2725162 Clinic Revenue 621110 1009667 1009667 Speaker Fees 900099 40350 40350 Other Program Income 900099 32254 32254 1082271 3079 3079 23234 0 23234 23234 23234 3833746 1105505 0 3079 245317 201584 31896 11837 2082240 1698770 278041 105429 28135 24501 2835 799 231458 201574 23317 6567 170444 139281 22859 8304 2244 2244 20854 20854 30000 30000 201695 158446 37364 5885 15326 14883 43 400 35040 22310 5304 7426 126780 116321 8642 1817 9900 8366 1287 247 6556 5980 526 50 189526 155534 27413 6579 209345 173609 29699 6037 24213 19735 4020 458 Medical and Lab Supplie 133362 131562 1800 Bad Debt 98996 65896 33100 Program Supplies 45460 45460 Staff and Board Develop 31292 24372 6433 487 71336 55313 3521 12502 4009519 3263497 508098 237924 417702 353454 1339257 949334 814605 1240867 113172 117606 26090 32539 10103 6391 7812807 459588 7485600 7353219 10206529 10053410 977201 1084915 5082172 4997112 6059373 6082027 X 3141129 2653432 1006027 1317951 4147156 3971383 10206529 10053410 -175773 0 X X 0 1 X 1 0 X 2283966 3014032 3844376 2852121 2725162 14719657 2283966 3014032 3844376 2852121 2725162 14719657 349546 14370111 4831 2 1722 23687 26313 56555 184455 184455 18135 15389 28528 62052 15022719 4549051 0.95660 0.94390 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 30000 0 0 30000 0 Part II-B, Line 1: Family Tree, Inc.'s 2023 lobbying activity was primarily related to the Minnesota Family Planning Program, and trying to ensure that organizations like Family Tree, who are previous grantees that lost this grant in 2023, would be eligible to apply for the additional funds the legislature was allocating to this program. 1579512 1579512 5868070 299191 5568879 365225 160397 204828 7353219 3846871 13125 13125 3833746 0 3833746 4022644 13125 13125 4009519 0 4009519 Form 990, Part VI, Section A, line 1a The Executive Committee consists of the officers of the Family Tree. The Executive Committee conducts the business of Family Tree between the regular meetings of the Board, subject to the control and guidance of the Board, and performs such other duties as the Board may assign to it. In the absence of a special or standing committee to address personnel issues, the Executive Committee will also act as the personnel committee. Form 990, Part VI, Section B, line 11b The Organization's management team reviews the Form 990 and then presents it to the Finance Committee for recommendation of approval to the full Board. The full Board receives a copy of the Form 990 prior to filing and then approves of the Form 990. Form 990, Part VI, Section B, line 12c Board members are required to disclose any and all conflicts of interest upon nomination to the Board under the standards of conduct policy. Board members are required to update their disclosures when and if there are changes and annually. Members with a conflict of interest are prohibited from voting on the issue. Actual and potential conflicts are monitored at the Board/management level. Form 990, Part VI, Section B, line 15a The Board of Directors evaluates the Executive Director on an annual basis. The Executive Committee sets the review calendar and process. Using salary guidelines for Executive Director positions published by the Council of Nonprofits, the salary is established based on this data and performance. Form 990, Part VI, Section C, line 19 Family Tree Inc.'s governing documents, conflict of interest policy and financial statements are available to the public upon request. In addition, the financial statements are published in the Organization's annual report. Form 990, Part XII, Line 2c: The process has not changed for the prior year. Family Tree Real Estate Holding LLC 1919 Nicollet Ave Minneapolis MN 55403 853102660 Real estate holding company for Family Tree, Inc. MN 7042889 Family Tree Inc