Preferred Family Healthcare Inc
Public records show a registered, tax-exempt organization in good standing.
What it says it does
PREFERRED FAMILY HEALTHCARE IS A DYNAMIC AND CARING ORGANIZATION COMMITTED TO PROVIDING INTEGRATED CARE TO ASSIST INDIVIDUALS IN ACHIEVING OVERALL HEALTH AND WELLNESS.
- Income
- $128.0 million
- Spending
- $129.5 million
- Spent on programs
- 84%
- Reserves
- 3.6 months of spending
- Largest source of income
- fees for its services, 84%
- Employees
- 1,765
- Volunteers
- 30
- Highest pay
- $1.3 million, president and ceo
Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Financial health
Fair: 59 out of 100. Higher than 51% of charities in its peer group (mental health, over $100m).
Reserves
20 of 35Spendable reserves would cover 3.6 months of spending.
Debt
16 of 20It owes 25% of what it owns.
Living within its means
8 of 15Spending exceeded income by 1% of income.
Income trend
0 of 15Income fell 28% on the year before.
Spending floor
15 of 1584% of spending went to programs and raising each dollar of donations cost 0 cents.
Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Governance
Strong: 95 out of 100. Higher than 27% of charities in its peer group (mental health, over $100m).
Independent board
25 of 259 of 9 voting board members are independent.
Conflict of interest policy
15 of 15Has a written conflict of interest policy.
Whistleblower policy
8 of 8Has a written whistleblower policy.
Record keeping policy
7 of 7Has a written policy on keeping and destroying records.
Board minutes
5 of 5Keeps minutes of board meetings.
Board sees the tax return
10 of 10Gave the board a copy of this return before filing it.
Pay set independently
0 of 5Reports no independent review process for its chief executive's pay.
Independent check of accounts
15 of 15Its accounts were audited by an independent accountant.
No reported misuse
10 of 10Reports no diversion of assets, excess benefits or loans to insiders.
Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Impact evidence
Describes programs. Its tax return describes what it does but we have found no measurable results in it.
Programs described in its return (5)
- $50.9 million spent. 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 RECOVERY (CSTAR) PROGRAMMING IN MISSOURI. (SEE ON SCHEDULE O) SINCE OPENING OUR FIRST ADOLESCENT SUD PROGRAM IN 1991, PFH HAS GROWN TO BECOME THE LARGEST PROVIDER OF ADOLESCENT AND ADULT SUBSTANCE ABUSE TREATMENT IN MISSOURI. THE AGENCY'S COMMITMENT TO DEVELOPING AND EXPANDING SERVICES TO MEET THE NEEDS OF ITS CONSUMERS RESULTED IN ADDING NEW SERVICES TO ADDRESS CO-OCCURRING ISSUES; INCORPORATING MEDICATION ASSISTED TREATMENT (MAT); PROVIDING SERVICES TO ASSIST THOSE EXPERIENCING TRAUMA ISSUES; INTEGRATION OF EMPLOYMENT, EDUCATION AND CHILD WELFARE SERVICES AS PART OF TREATMENT TEAM; AND FOCUSING ON THE SPECIFIC NEEDS OF WOMEN AND THEIR FAMILIES. PFH HAS BEEN A LEADER IN GENDER-SPECIFIC SERVICES, OFFERING TWO SPECIALIZED WOMEN'S RESIDENTIAL PROGRAMS TO SUPPORT THE NEEDS OF THE WOMEN AND THEIR FAMILIES DURING TREATMENT AND RECOVERY. COMPONENTS OF EVIDENCE-BASED APPROACHES, INCLUDING MOTIVATIONAL ENHANCEMENT THERAPY (MET), COGNITIVE-BEHAVIORAL THERAPY (CBT), TRAUMA-FOCUSED COGNITIVE-BEHAVIORAL THERAPY (CF-CBT), STRENGTHS-BASED CLIENT-CENTERED APPROACH, AND MOTIVATIONAL INTERVIEWING (MI), ARE WOVEN INTO SERVICE MODALITIES FOR OPTIMAL TREATMENT EFFECTIVENESS. PFH ALSO PROVIDES COMPREHENSIVE, COMMUNITY-BASED PREVENTION TO PREVENT SUBSTANCE USE AMONG YOUTH. THE GOAL OF THE PFH PREVENTION DEPARTMENT IS TO PREVENT ALCOHOL, TOBACCO AND OTHER DRUG USE AMONG YOUTH AND ADULTS WITHIN OUR SERVICE AREA, TRAIN INDIVIDUALS HOW TO RECOGNIZE SYMPTOMS OF MENTAL HEALTH PROBLEMS, AND ASSIST COMMUNITIES IN DEVELOPING AND MAINTAINING COALITIONS, TASK FORCES AND TEAMS TO COMBAT SUBSTANCE USE ISSUES THROUGH PREVENTION PRACTICES, PROGRAMS & POLICIES. PFH PLAYS A SUBSTANTIAL ROLE IN THE PREVENTION ARENA WITH A PRESENCE IN OVER 100 SCHOOLS OFFERING UNIVERSAL PREVENTION STRATEGIES AND MORE TARGETED INTERVENTIONS FOR YOUTH AT RISK OF SUBSTANCE MISUSE. PFH HAS BEEN THE RECIPIENT OF MANY AWARDS, INCLUDING THE NATIONAL COUNCIL AWARD OF EXCELLENCE FOR ITS VIRTUAL TREATMENT PROGRAM TO SERVE PEOPLE IN RURAL AREAS OF MISSOURI WHERE TREATMENT ISN'T EASILY ACCESSIBLE. THIS WAS ONE OF THE FIRST PROJECTS OF ITS KIND ACROSS THE NATION AND HAS POSITIVELY IMPACTED THOUSANDS OF LIVES SINCE THE PROGRAM'S INCEPTION IN 2008.
- $42.7 million spent. 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 PARTNERSHIP WITH THE MISSOURI DEPARTMENT OF CORRECTIONS, RE-ENTRY SERVICES TO ASSIST IN MEETING THE EMPLOYMENT AND BEHAVIORAL HEALTHCARE NEEDS OF EX-OFFENDERS. SERVICES ARE PATIENT-CENTERED, TRAUMA-INFORMED AND RECOVERY ORIENTED WITH AN INTEGRATION OF MEDICAL CARE TO SERVE THE WHOLE PERSON.
- $3.7 million spent. 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 COMMUNITY-BASED WRAP-AROUND SERVICES FOR YOUTH AND FAMILIES WITH SEVERE EMOTIONAL DISTURBANCES AND MENTAL HEALTH DISORDERS. PFH HAS HELPED PIONEER ASSISTIVE TECHNOLOGY FOR USE BY PERSONS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES THROUGH 2GETHERTECH, INC. THIS TECHNOLOGY PROVIDES AN OPPORTUNITY FOR PERSONS TO LIVE INDEPENDENTLY (WITHOUT 24 HOUR STAFF) THROUGH INCONSPICUOUS ELECTRONIC MONITORING TO MAINTAIN SAFETY WHILE PROMOTING EVEN GREATER (MEDICATION) COMPLIANCE.
- $11.8 million spent. PREFERRED FAMILY HEALTHCARE (PFH) OFFERS MENTAL HEALTH TREATMENT PROGRAMS FOR YOUTH AND ADULTS SUFFERING FROM A SERIOUS EMOTIONAL DISTURBANCE OR SERIOUS AND PERSISTENT MENTAL ILLNESS. PFH IS ABLE TO SERVE INDIVIDUALS WHO EXPERIENCE DIFFICULTY ACCESSING SERVICES DUE TO BEING UNINSURED. ADDITIONALLY, PFH OPERATES A VAST NETWORK OF OUTPATIENT CLINICS PROVIDING TREATMENT IN OVER 150 SCHOOLS. PFH HAS BEEN AT THE FOREFRONT OF DESIGNING INTERVENTIONS THAT HAVE PROGRESSIVELY ALLOWED FOR MORE AND MORE CLIENTS TO MAINTAIN INDEPENDENCE AND MENTAL WELLNESS. SUCH INTERVENTIONS INCLUDE HEALTH HOME ENGAGEMENT: PFH PARTICIPATES IN THE HEALTH HOME INITIATIVE IN OKLAHOMA AND MISSOURI PROVIDING CARE COORDINATION TO INDIVIDUALS WHOSE MENTAL ILLNESS AND PHYSICAL HEALTH SYMPTOMS IDENTIFY THE HIGH-RISK. PFH CONTINUES TO IMPLEMENT INNOVATIVE PRACTICES ACROSS OUR FOUR STATE SERVICE AREA. THIS IS EVIDENCED BY NUMEROUS FEDERAL AND FOUNDATION GRANT AWARDS WHICH ALLOW PFH THE ABILITY TO PILOT WHAT HAVE TURNED OUT TO BE HIGHLY SUCCESSFUL INTEGRATED CARE EFFORTS. SUCH INITIATIVES INCLUDE: SPECIALIZED SUD TREATMENT SERVICES FOR PREGNANT AND POSTPARTUM WOMEN, CERTIFIED COMMUNITY-BASED HEALTH CENTER SERVICES, ASSERTIVE COMMUNITY TREATMENT FOR TRANSITIONAL AGED YOUTH, EXPANDED MEDICATION-ASSISTED TREATMENT (MAT), AND NUMEROUS OTHER PROGRAMS WHICH ASSIST IN COORDINATING PRIMARY & BEHAVIORAL HEALTH CARE FOR INDIVIDUAL WITH COMORBIDITIES. YOUTH AND FAMILY - PREFERRED FAMILY HEALTHCARE (PFH) SUPPORTS CHILDREN, YOUTH, AND FAMILIES WITH COMPLEX NEEDS, INCLUDING: CHILDREN AND YOUTH WHO ARE AT RISK OF BEING REMOVED FROM HOME OR WHO HAVE BEEN REMOVED WITH THE GOAL OF REUNIFICATION; CHILDREN AND YOUTH WITH SERIOUS EMOTIONAL, NEUROBIOLOGICAL OR BEHAVIORAL DISTURBANCE, AND THEIR FAMILIES; AND CHILDREN AND YOUTH HAVING PROBLEMS THAT PLACE THE CHILDREN OR YOUTH AT RISK. PFH IS ALSO THE PROUD RECIPIENT OF THREE FEDERAL REGIONAL PARTNERSHIP GRANTS (FUNDED BY THE CHILDREN'S BUREAU, ADMINISTRATION FOR CHILDREN, YOUTH & FAMILIES) WHICH ARE AIMED AT IMPACTING CHILD WELFARE AND PARENTAL SUBSTANCE USE CONCURRENTLY. THIS FUNDING HAS ALLOWED PFH TO FORMALIZE THE CREATION OF A MULTIDISCIPLINARY TEAM (CHILD WELFARE, TREATMENT, AND EMPLOYMENT) WHICH GENERATES SIGNIFICANT COST SAVINGS FOR THE STATE OF MISSOURI. DOMESTIC VIOLENCE - PREFERRED FAMILY HEALTHCARE (PFH) HAS PROVIDED DOMESTIC VIOLENCE (DV) VICTIM SERVICES SINCE 1979 AND SEXUAL ASSAULT (SA) VICTIM SERVICES SINCE 2001 IN THE GREATER ST. LOUIS METROPOLITAN REGION. DV & SA SERVICES PROVIDED AT PFH INCLUDE A 24-HOUR CRISIS HOTLINE AND INTERVENTION, EMERGENCY SHELTER, INDIVIDUAL AND GROUP COUNSELING OUTREACH, EMERGENCY RESPONSE TEAMS, AND COMMUNITY EDUCATION. IN ORDER TO PROVIDE EFFECTIVE SERVICES, PFH'S DV ADVOCATES HAVE ESTABLISHED RECIPROCAL RELATIONSHIPS WITH STATE AND LOCAL ORGANIZATIONS INCLUDING MISSOURI DEPARTMENT OF PUBLIC SAFETY, DEPARTMENT OF SOCIAL SERVICES, DEPARTMENT OF HEALTH AND SENIOR SERVICES, LOCAL POLICE DEPARTMENTS, PROSECUTING ATTORNEYS' OFFICES, HOSPITALS, AND COMMUNITY SERVICE AGENCIES. COLLABORATIVE EFFORTS ARE THE CRUX OF THE ORGANIZATION, ENSURING EACH INDIVIDUAL SERVED IS OFFERED THE UTMOST IN CARE AND SUPPORT. THROUGH COLLABORATIONS IN THE COMMUNITY, ADVOCATES ARE ABLE TO PROVIDE WRAPAROUND SERVICES FOR CLIENT NEEDS THAT MAY OTHERWISE GO UNMET. PFH CONTINUOUSLY PROVIDES COMMUNITY EDUCATION AND TRAINING TO PROMOTE AWARENESS ON ISSUES THAT VICTIMS OF DV & SA FACE AND TO TEACH OTHER HELPING PROFESSIONALS HOW TO HANDLE DISCLOSURE OF VICTIMIZATION.
- (Expenses $ 11,825,754 including grants of $ 20,590)(Revenue $ 9,867,417) PREFERRED FAMILY HEALTHCARE (PFH) OFFERS MENTAL HEALTH TREATMENT PROGRAMS FOR YOUTH AND ADULTS SUFFERING FROM A SERIOUS EMOTIONAL DISTURBANCE OR SERIOUS AND PERSISTENT MENTAL ILLNESS. PFH IS ABLE TO SERVE INDIVIDUALS WHO EXPERIENCE DIFFICULTY ACCESSING SERVICES DUE TO BEING UNINSURED. ADDITIONALLY, PFH OPERATES A VAST NETWORK OF OUTPATIENT CLINICS PROVIDING TREATMENT IN OVER 150 SCHOOLS. PFH HAS BEEN AT THE FOREFRONT OF DESIGNING INTERVENTIONS THAT HAVE PROGRESSIVELY ALLOWED FOR MORE AND MORE CLIENTS TO MAINTAIN INDEPENDENCE AND MENTAL WELLNESS. SUCH INTERVENTIONS INCLUDE HEALTH HOME ENGAGEMENT: PFH PARTICIPATES IN THE HEALTH HOME INITIATIVE IN OKLAHOMA AND MISSOURI PROVIDING CARE COORDINATION TO INDIVIDUALS WHOSE MENTAL ILLNESS AND PHYSICAL HEALTH SYMPTOMS IDENTIFY THE HIGH-RISK. PFH CONTINUES TO IMPLEMENT INNOVATIVE PRACTICES ACROSS OUR FOUR STATE SERVICE AREA. THIS IS EVIDENCED BY NUMEROUS FEDERAL AND FOUNDATION GRANT AWARDS WHICH ALLOW PFH THE ABILITY TO PILOT WHAT HAVE TURNED OUT TO BE HIGHLY SUCCESSFUL INTEGRATED CARE EFFORTS. SUCH INITIATIVES INCLUDE: SPECIALIZED SUD TREATMENT SERVICES FOR PREGNANT AND POSTPARTUM WOMEN, CERTIFIED COMMUNITY-BASED HEALTH CENTER SERVICES, ASSERTIVE COMMUNITY TREATMENT FOR TRANSITIONAL AGED YOUTH, EXPANDED MEDICATION-ASSISTED TREATMENT (MAT), AND NUMEROUS OTHER PROGRAMS WHICH ASSIST IN COORDINATING PRIMARY & BEHAVIORAL HEALTH CARE FOR INDIVIDUAL WITH COMORBIDITIES. YOUTH AND FAMILY - PREFERRED FAMILY HEALTHCARE (PFH) SUPPORTS CHILDREN, YOUTH, AND FAMILIES WITH COMPLEX NEEDS, INCLUDING: CHILDREN AND YOUTH WHO ARE AT RISK OF BEING REMOVED FROM HOME OR WHO HAVE BEEN REMOVED WITH THE GOAL OF REUNIFICATION; CHILDREN AND YOUTH WITH SERIOUS EMOTIONAL, NEUROBIOLOGICAL OR BEHAVIORAL DISTURBANCE, AND THEIR FAMILIES; AND CHILDREN AND YOUTH HAVING PROBLEMS THAT PLACE THE CHILDREN OR YOUTH AT RISK. PFH IS ALSO THE PROUD RECIPIENT OF THREE FEDERAL REGIONAL PARTNERSHIP GRANTS (FUNDED BY THE CHILDREN'S BUREAU, ADMINISTRATION FOR CHILDREN, YOUTH & FAMILIES) WHICH ARE AIMED AT IMPACTING CHILD WELFARE AND PARENTAL SUBSTANCE USE CONCURRENTLY. THIS FUNDING HAS ALLOWED PFH TO FORMALIZE THE CREATION OF A MULTIDISCIPLINARY TEAM (CHILD WELFARE, TREATMENT, AND EMPLOYMENT) WHICH GENERATES SIGNIFICANT COST SAVINGS FOR THE STATE OF MISSOURI. DOMESTIC VIOLENCE - PREFERRED FAMILY HEALTHCARE (PFH) HAS PROVIDED DOMESTIC VIOLENCE (DV) VICTIM SERVICES SINCE 1979 AND SEXUAL ASSAULT (SA) VICTIM SERVICES SINCE 2001 IN THE GREATER ST. LOUIS METROPOLITAN REGION. DV & SA SERVICES PROVIDED AT PFH INCLUDE A 24-HOUR CRISIS HOTLINE AND INTERVENTION, EMERGENCY SHELTER, INDIVIDUAL AND GROUP COUNSELING OUTREACH, EMERGENCY RESPONSE TEAMS, AND COMMUNITY EDUCATION. IN ORDER TO PROVIDE EFFECTIVE SERVICES, PFH'S DV ADVOCATES HAVE ESTABLISHED RECIPROCAL RELATIONSHIPS WITH STATE AND LOCAL ORGANIZATIONS INCLUDING MISSOURI DEPARTMENT OF PUBLIC SAFETY, DEPARTMENT OF SOCIAL SERVICES, DEPARTMENT OF HEALTH AND SENIOR SERVICES, LOCAL POLICE DEPARTMENTS, PROSECUTING ATTORNEYS' OFFICES, HOSPITALS, AND COMMUNITY SERVICE AGENCIES. COLLABORATIVE EFFORTS ARE THE CRUX OF THE ORGANIZATION, ENSURING EACH INDIVIDUAL SERVED IS OFFERED THE UTMOST IN CARE AND SUPPORT. THROUGH COLLABORATIONS IN THE COMMUNITY, ADVOCATES ARE ABLE TO PROVIDE WRAPAROUND SERVICES FOR CLIENT NEEDS THAT MAY OTHERWISE GO UNMET. PFH CONTINUOUSLY PROVIDES COMMUNITY EDUCATION AND TRAINING TO PROMOTE AWARENESS ON ISSUES THAT VICTIMS OF DV & SA FACE AND TO TEACH OTHER HELPING PROFESSIONALS HOW TO HANDLE DISCLOSURE OF VICTIMIZATION.
Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Legitimacy checks
Is it registered with the IRS? Passed.
Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Has the IRS revoked its tax-exempt status? Passed.
Not on the IRS automatic revocation list.
Source: Automatic revocation of exemption list, Internal Revenue Service, file dated November 6, 2026.
Are donations tax-deductible? Passed.
On the IRS list of organizations eligible to receive tax-deductible contributions.
Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated October 13, 2026.
Is it keeping up with its IRS filings? Passed.
Most recent return on file covers the year ending June 2025.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
How long has it been tax-exempt? Passed.
Recognized by the IRS since April 1982.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Is it in good standing with state regulators? Passed.
Not on California's list of charities barred from soliciting. Other states are not yet checked.
Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated November 4, 2026.
Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.