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Preferred Family Healthcare

Kirksville, MO · EIN 43-1236557 · 501(c)(3) · Publicly supported organization (170(b)(1)(A)(vi))
Latest filing: Form 990 for the fiscal year ending June 30, 2025 (tax year 2024) · View the filing · Correct or respond

Preferred Family Healthcare reported $128.0 million in revenue and $129.5 million in expenses for the fiscal year ending June 30, 2025. Of every $100 it spent, $84.35 went to program services, $15.65 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 84.3% of the total. Government grants made up 8.7%. The highest compensation it reported for one person was $1,276,961 (PRESIDENT AND CEO). 53 people received more than $100,000 in reportable compensation. Revenue fell 11% between FY2020 and FY2025. Source: Form 990, FY2025.

Where $100 of spending went

The fiscal year ending June 30, 2025 · Form 990, Part IX, line 25 · total expenses $130M

For context, the median across 864 covered mental health & crisis intervention charities: $86.13 programs, $13.87 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).

Where $100 of revenue came from

The fiscal year ending June 30, 2025 · Form 990, Part VIII · total revenue $128M

The 990 scorecard · same measures for every charity, no grades

FY2025 filing. Median across 864 covered charities in this category, from their latest filings.
MeasureFY2025Median
Program services
Part IX 25(B) ÷ 25(A)
84.3%85.2%
Management & general
Part IX 25(C) ÷ 25(A)
15.7%13.7%
Fundraising
Part IX 25(D) ÷ 25(A)
0.0%0.0%
Fundraising cost per $1 of contributions
Part IX 25(D) ÷ Part VIII 1h
$0.00$0.00
Contributions & grants share of revenue
Part VIII 1h ÷ 12
13.6%26.4%
Government grants share of revenue
Part VIII 1e ÷ 12
8.7%14.5%
Program service revenue share
Part VIII 2g ÷ 12
84.3%69.3%
Highest reported compensation
Part VII-A, columns D–F
$1,276,961$324,111
Highest compensation as share of expenses
Part VII-A ÷ Part IX 25(A)
0.99%1.28%
People paid over $100,000
Part VII, line 2
538
Net assets, in months of expenses
Part X 33(B) ÷ monthly expenses
9.46.2
Independent voting board members
Part VI 1a–1b
9 of 9100.0%

A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.

What the money paid for, in its own words

FY2025 · Form 990, Part III · the three largest programs by expense
$51M expenses · 46.6% of program spending · revenue $55M

Preferred Family Healthcare (pfh) specializes in the prevention and treatment of substance use disorders (sud), providing services which include residential and outpatient treatment, creative arts, school-based and community-based prevention and virtual counseling services. Pfh offers services targeted to specific consumer needs including gender-specific women's services, trauma and co-occurring services, alumni programming, supportive housing, relapse prevention, and drug court services. Pfh has played a significant role in the development of comprehensive substance abuse treatment and…

$43M expenses · 39.1% of program spending · revenue $39M

Preferred Family Healthcare (pfh) operates under the certified community behavioral health organization (ccbho) model in many communities offering services to adults and children. Pfh has increased access to primary and behavioral health care as well as dental care for these underserved communities and the vulnerable populations who reside in these areas. Clarity healthcare has undertaken a variety of unique initiatives to expand sud treatment and healthcare services, including the provision of mobile dental services, school-based telehealth services, community health workers, and, through a…

$3.7M expenses · 3.4% of program spending · revenue $4.1M

Preferred Family Healthcare (pfh) provides adult housing services through treatment-related housing options. Pfh provides on-site teaching and frequent interactions to help individuals live in the most independent and integrated setting possible while also providing care and treatment for serious mental health symptoms. Pfh also provides youth residential services to determine the appropriateness of psychiatric residential placement for youth. When eligible and appropriate, pfh also provides psychiatric residential treatment to youth. The youth community support services provide…

$12M all other programs (line 4d)

Highest reported compensation

FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here
RoleFrom this orgFrom related orgsOtherTotal
PRESIDENT AND CEO
Officer, 1.0 hrs/week
$0$1,120,194$156,767$1,276,961
PRESIDENT AND CEO - PFH
Officer, 1.0 hrs/week
$0$764,634$253,243$1,017,877
CHIEF FINANCIAL OFFICER
Officer, 1.0 hrs/week
$0$523,920$98,355$622,275
CHIEF ADMINISTRATIVE OFFICER
Officer, 1.0 hrs/week
$0$507,790$105,203$612,993
MEDICAL DIRECTOR
Highest compensated employee, 40.0 hrs/week
$547,188$0$52,243$599,431
CHIEF MEDICAL OFFICER
Officer, 1.0 hrs/week
$0$509,040$57,376$566,416
CHIEF STRATEGY OFFICER
Officer, 1.0 hrs/week
$0$382,213$87,346$469,559
CHIEF HUMAN RESOURCES OFFICER
Officer, 1.0 hrs/week
$0$371,708$84,913$456,621

53 people received more than $100,000 in reportable compensation from Preferred Family Healthcare (Part VII, line 2). Compensation of current officers, directors and key employees totaled $907K (Part IX, line 5).

6 years of filings

Form 990, Parts I, VII, IX and X · each row is that year's own filing, linked
RevenueExpenses
$0$50M$100M$150M$200MFY2020FY2021FY2022FY2023FY2024FY2025$128M$130M
FilingRevenueExpensesProgramsNet assetsTop pay
FY2025 ⓘ$128M$130M84.3%$102M$1,276,961
FY2024 ⓘ$178M$165M84.1%$105M$1,276,468
FY2023 ⓘ$177M$161M86.9%$97M$1,008,082
FY2022 ⓘ$152M$148M86.0%$81M$1,054,771
FY2021 (amended) ⓘ$136M$145M75.5%$74M$1,053,170
FY2020 ⓘ$144M$140M87.5%$83M$1,033,256

Governance answers, as filed

FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means
  • Voting board members, and how many are independent Part VI, lines 1a–1b9 · 9 independent
  • Audited financial statements Part XII 2bYes
  • Conflict-of-interest policy Part VI 12aYes
  • Whistleblower policy Part VI 13Yes
  • Document retention policy Part VI 14Yes
  • Independent process for top executive pay Part VI 15aNo
  • Board given the 990 before filing Part VI 11aYes
  • Family or business ties among insiders Part VI 2Yes
  • Aware of a significant diversion of assets Part VI 5No
  • Excess benefit transaction with an insider Part IV 25aNo
  • Loans to or from insiders outstanding Part IV 26No
  • Lobbying, or a 501(h) election in effect Part IV 4Yes
  • Over $15,000 of professional fundraising services Part IV 18No
  • Over $10,000 of activity outside the U.S. Part IV 14bNo
  • Employees Part I, line 51,765
  • Volunteers Part I, line 630

Largest outside contractors

FY2025 · Form 990, Part VII, Section B · businesses only
Norris Ravenscraft
Construction/Remodel
$750,000
Gourmet Soul LLC
Catering Services
$515,474
Elite Medical Staffing Group LLC
Contract Personnel
$369,964
Douglas Ventures LLC
Building cleaning
$202,443

Individuals listed as contractors are left out. 15 contractors were paid more than $100,000 in all.

Private foundation grants it received

1 private foundation reported grants to Preferred Family Healthcare totaling $49 on their tax year 2023 Form 990-PF returns. See which foundations, on WHOFUNDS.

Source: WHOFUNDS open grant graph, matched from Form 990-PF Part XV.

Correct a figure or respond

Every number above is copied from Preferred Family Healthcare's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Preferred Family Healthcare, you can publish a response that is linked from this page.

Similar-sized charities in this cause

All mental health & crisis intervention charities · Largest charities in Missouri

Questions people ask

How much of Preferred Family Healthcare's spending goes to programs?

In the fiscal year ending June 30, 2025, Preferred Family Healthcare reported that 84.3% of its $129.5 million in expenses went to program services, 15.7% to management and general and 0.0% to fundraising (Form 990, Part IX).

How much does Preferred Family Healthcare pay its top executive?

The largest total compensation Preferred Family Healthcare reported for one person in the fiscal year ending June 30, 2025 was $1,276,961, for the role of PRESIDENT AND CEO (Form 990, Part VII, including compensation from related organizations and other compensation).

Where does Preferred Family Healthcare get its money?

Of $128.0 million in revenue in the fiscal year ending June 30, 2025, 13.6% came from contributions and grants (including 8.7% from government grants) and 84.3% from program service revenue (Form 990, Part VIII).

Is Preferred Family Healthcare a registered charity?

The IRS lists EIN 43-1236557 as a 501(c)(3) organization (publicly supported organization (170(b)(1)(a)(vi))), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.

Sources

  • FY2025: Form 990 for the fiscal year ending June 30, 2025, object 202641289349303769 · read the filing
  • FY2024: Form 990 for the fiscal year ending June 30, 2024, object 202521339349304092 · read the filing
  • FY2023: Form 990 for the fiscal year ending June 30, 2023, object 202421369349304067 · read the filing
  • FY2022: Form 990 for the fiscal year ending June 30, 2022, object 202321359349310682 · read the filing
  • FY2021: Form 990 for the fiscal year ending June 30, 2021 (amended), object 202301359349309935 · read the filing
  • FY2020: Form 990 for the fiscal year ending June 30, 2020, object 202101319349303205 · read the filing

All filings for EIN 43-1236557: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.