Families First of the Greater Seacoast

What it reported doing in 2017

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 FY2017, Families First: -provided primary care to more than 5,300 patients, in more than 22,500 visits. Of these patients, 67% lived below the federal poverty level (another 26% live between 101% and 200%); 22% were homeless; and 22% were uninsured. Dental CareFamilies First provides access to comprehensive dental health services, including oral health screening, preventive and restorative care. In FY2017, Families First:-served more than 2,100 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 (1,940 children), dental screenings (1,516 children), and prophylaxis (106 children)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 FY2017, Families First:-provided mobile health and dental services to more than 760 people.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 FY2017, Families First:-served about 1,300 parents and children in about 11,300 visits to group programs and child care-provided individualized support (home visiting) to 500 individuals (143 families)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 FY2017, Families First:-provided behavioral health counseling and psychiatric services to about 570 patients-provided 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.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.

Financial Efficiency

• Mission deployment rate: 83.1%; rating input score 83
• Program expense ratio: 85.3%; rating input score 85
• Fundraising efficiency: $18.85 raised per $1 spent on fundraising; rating input score 62; 62nd percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
• Pay-setting controls: 2 of 6 controls in place; rating input score 33
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: No; rating input score 0
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 64th percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 4.9%; rating input score 55; 55th percentile among comparable filings
• Total-asset coverage ratio: 0; rating input score 0; 0th percentile among comparable filings
• Liabilities to assets ratio: Limited
• Officer compensation ratio: 24.1%; rating input score 6; 6th percentile among comparable filings

Growth

• Program expense growth: -4.4% per year; rating input score 0; 11th percentile among comparable filings
• Revenue growth: 1.2% per year; rating input score 100; 27th percentile among comparable filings
• Asset growth: -6.6% per year; rating input score 0; 7th percentile among comparable filings