Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
FAMILIES FIRST OF THE GREATER SEACOAST
Employer identification number
22-2757341
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization?
................
11g(i)
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of support?
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2,263,016
2,556,689
2,856,333
2,768,656
2,642,608
13,087,302
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
0
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
0
4
Total. Add lines 1 through 3..
2,263,016
2,556,689
2,856,333
2,768,656
2,642,608
13,087,302
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
1,676,480
6
Public Support. Subtract line 5 from line 4.
11,410,822
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
7
Amounts from line 4..
2,263,016
2,556,689
2,856,333
2,768,656
2,642,608
13,087,302
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
53,532
15,449
11,998
19,881
38,306
139,166
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
0
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
16,992
19,108
23,465
35,855
54,135
149,555
11
Total support (Add lines 7 through 10).
13,376,023
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
7,765,936
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
85.310 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
83.740 %
16a
33 1/3% support test—2011.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2010.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2011.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public Support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13
Total support (Add lines 9, 10c, 11 and 12.).
14
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2011 (line 8 column (f) divided by line 13 column (f))
.........
15
16
Public support percentage from 2010 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f))
......
17
18
Investment income percentage from 2010 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2011.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
..........
b
33 1/3% support tests—2010.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2011
Additional Data
Software ID:
11000144
Software Version:
2011v1.2
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
FAMILIES FIRST OF THE GREATER SEACOAST
Employer identification number
22-2757341
Identifier
Return Reference
Explanation
Form 990, Part VI, Line 19
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
PRINT COPIES OF GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY COULD BE PICKED UP AT OFFICE HEADQUARTERS. FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part VI, Line 15b
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees
THE DIRECTOR OF HUMAN RESOURCES REVIEWS ALL PAY RATES ANNUALLY AND COMPARES THEM TO THE CURRENT MARKET USING INFORMATION FROM 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.
Form 990, Part VI, Line 12c
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts
BOARD MEMBERS AND OTHER KEY EMPLOYEES ARE REQUIRED TO READ AND SIGN CONFLICT OF INTEREST STATEMENTS ON AN ANNUAL BASIS.
Form 990, Part VI, Line 11
Form 990, Part VI, Line 11: Form 990 Review Process
THE FORM 990 WAS PROVIDED TO THE BOARD OF DIRECTORS FOR DISCUSSION, REVIEW AND APPROVAL BEFORE FILING.
Form 990, Part VI, Line 2
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et
Two members of the Organization's board of directors are married to each other.
Form 990, Part III, Line 4d
Form 990, Part III, Line 4d : Other Program Services Description
OTHER PROGRAM SERVICES 4: DENTAL PROGRAM SERVICES - PROVIDES ACCESS TO COMPREHENSIVE DENTAL HEALTH SERVICES, INCLUDING ORAL HEALTH SCREENING, PREVENTATIVE AND RESTORATIVE CARE. OTHER PROGRAM SERVICES 5: HOMELESS HEALTH SERVICES - PROVIDES HEALTHCARE ACCESS POINTS FOR INDIVIDUALS AND FAMILIES EXPERIENCING OR ON THE VERGE OF HOMELESSNESS. MOBILE HEALTHCARE AND DENTAL TEAM PROVIDES OUTREACH AND HEALTH AND DENTAL SERVICES TO INDIVIDUALS AND FAMILIES UNABLE TO RECEIVE THESE SERVICES IN A MORE TRADITIONAL HEALTH CARE SETTING. OTHER PROGRAM SERVICES 6: PORTSMOUTH-AREA MEDICATION ASSISTANCE PROGRAMS - PROVIDES UNINSURED AND UNDER-INSURED INDIVIDUALS ASSISTANCE IN PAYING FOR SHORT-TERM AND LONG-TERM PRESCRIPTIONS.
Form 990, Part III, Line 3
Form 990, Part III, Line 3: Ceased Conducting or Significant Changes To Services
WE DID NOT CEASE CONDUCTING ANY SERVICES THIS YEAR. A SIGNIFICANT CHANGE IS THAT FAMILIES FIRST TOOK ON MANAGEMENT OF THE MEDICATION ASSISTANCE PROGRAM THAT USED TO BE RUN BY ANOTHER COMMUNITY HEALTH CENTER. THE PROGRAM PROVIDES PATIENTS WITH VOUCHERS TO OBTAIN LOW-COST SHORT-TERM PRESCRIPTIONS AND HELPS THEM ENROLL FOR ASSISTANCE FROM THE PHARMACEUTICAL COMPANIES TO OBTAIN THEIR LONG-TERM MEDS TAKEN FOR CHRONIC CONDITIONS. IN THE FISCAL YEAR ENDING JUNE 30, 2012, SERVICE UTILIZATION INCREASED IN THE FOLLOWING PROGRAMS AS COMPARED WITH THE PREVIOUS FISCAL YEAR: HOME VISITING (5% MORE FAMILIES SERVED); PRENATAL CARE (21% MORE INFANTS DELIVERED); WELL-CHILD CARE (15% MORE CHILDREN AND TEENS SERVED); DENTAL CARE (5% MORE PATIENTS SERVED AND 8% MORE VISITS); AND MOBILE HEALTH CARE FOR THE HOMELESS (26% MORE DENTAL PATIENTS, 24% MORE DENTAL VISITS, 6% MORE MEDICAL VISITS).THE ORGANIZATION WAS ABLE TO ACHIEVE A PROGRAM EFFICIENCY RATIO OF APPROXIMATELY 86% IN FISCAL YEAR 2012 AND 84% IN FISCAL YEAR 2011. PROGRAM EFFICIENCY PROVIDES AN INDICATOR OF HOW MUCH OF EACH DOLLAR GOES DIRECTLY TO PROGRAM SERVICES.ALSO, THE ORGANIZATION WAS ABLE TO MAINTAIN A CONSISTENT RATIO OF TOTAL MANAGEMENT AND GENERAL EXPENSES TO TOTAL EXPENSES (APPROXIMATELY 12% IN FISCAL YEAR 2012 AND 11% IN FISCAL YEAR 2011). THIS RATIO INDICATES THAT THE ORGANIZATION HAS MAINTAINED ITS EFFICIENCY RELATED TO MANAGING ITS CORE SERVICES.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.