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      <Desc>Primary CareFamilies First provides comprehensive, high-quality primary care for children and adults, as well as prenatal care. Services include preventive and sick care, a well-child program, chronic-disease management, immunizations, laboratory testing, care coordination, developmental screenings, benefits and insurance enrollment, and free child care during appointments. Most patients face significant financial and psychosocial challenges. In FY2016, Families First: -provided primary care to more than 4,000 patients, in more than 20,000 visits. Of these patients, 66% lived below the federal poverty level (another 30% live between 101% and 200%); 30% were homeless; and 22% were uninsured. -created a position dedicated to increasing rates of screenings for colon, breast and cervical cancer. -developed a system to reduce inappropriate use of hospital emergency rooms by our patients, including participation in hospital-based Community Care Teams. This resulted in a 27% decline in the number of patients who are "high utilizers." -began providing home visiting to senior patients who are identified by their health-care providers as being most at risk.Dental CareFamilies First provides access to comprehensive dental health services, including oral health screening, preventive and restorative care. In FY2016, Families First:-served more than 2,000 patients at Families First Dental Center and in mobile dental clinics that primarily serve homeless patients-provided in-school dental services at preschools and public schools, including education (1,900 children), dental screenings (1,230 children), and prophylaxis (100 children)-added a weekly dentist clinic at the Salvation Army in Rochester-added a weekly dental hygiene clinic at St. Vincent DePaul Society in Exeter.Homeless Health ServicesFamilies First provides outreach and health and dental services at locations convenient for people experiencing homelessness and others with low incomes, who may be unable to receive these services in a more traditional health care setting. Service locations include shelters, soup kitchens, Salvation Army locations, public housing facilities and other sites. Services include primary care, care coordination, substance abuse counseling and dental care. In FY2016, Families First:-provided mobile health and dental services to more than 900 people.</Desc>
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        <Desc>Family servicesFamilies First provides parenting classes, parent groups, playgroups and other family programs, individualized family support, and free child care while parents are on-site for an appointment or parenting class. In FY2016, Families First:-served almost 1,500 parents and children in about 11,500 visits to group programs and child care-provided individualized support (home visiting) to 500 individuals (150 families)-piloted two new parent programs: Changing Destructive Adolescent Behavior, and an ADD/ADHD guided support group, in collaboration with Seacoast Mental Health Center. Both were successful and will be repeated.Expenses $582,160. including grants of $352,194. Revenue $595,175.Behavioral health and substance abuse servicesFamilies First provides behavioral health counseling that is integrated with primary care; substance abuse counseling (group and individual); medication-assisted treatment for addiction; psychiatric services; and distribution of Narcan, an overdose antidote. In FY2016, Families First:-provided behavioral health counseling and psychiatric services to more than 550 patients-served 60 patients in our new medication-assisted treatment program for addiction and alcoholism. The program includes medications (Suboxone and Vivitrol), group and individual counseling, intensive nursing support, acupuncture and care coordination.-began distributing Narcan-expanded psychiatric services by adding a part-time volunteer psychiatrist, in addition to the psychiatric nurse practitioner hired the previous year.Medication AssistanceFamilies First helps Health Center patients and residents of Portsmouth, NH, who are uninsured or underinsured to obtain medications at little or no cost. Assistance is provided to meet emergency or short-term needs, as well as helping patients get access to free, donated prescriptions available through pharmaceutical companies for medications taken on an ongoing basis for chronic illnesses. In FY2016, Families First:-provided 330 patients with medications valued at $375,000.</Desc>
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      <Form990PartVIISectionAGrp>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>33567</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>213134</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Ruth James MD</PersonNm>
        <TitleTxt>Family Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>157048</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19997</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>177045</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>John Fitzsimons DMD</PersonNm>
        <TitleTxt>Dentist</TitleTxt>
        <BaseCompensationFilingOrgAmt>140105</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>11422</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>151527</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 is provided to the board of directors for discussion, review and approval before filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Board members and key employees are required to read and sign conflict of interest statements on an annual basis.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The Director of Human Resources reviews all pay rates annually and compares them to the current markets using the information in the below mentioned surveys. The organization uses Salary Surveys from the National Association of Community Health Centers, The NH Center for Nonprofit, and other surveys that are available. The survey results for the Executive Director's Position are reviewed by the Board's Executive Committee. The Executive Committee approves the Executive Director's Compensation Package and forwards it to the Board of Directors for their approval.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Printed copies of Governing Documents and Conflict of Interest Policy can be picked up at Office Headquarters. Financial Statements are available to the pubic upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>