In fy21, ppnne continued to provide high-quality sexual and reproductive health (srh) care through 21 health centers across maine, new hampshire, and vermont, as well as through telehealth. Patients received vital services such as well-person exams, cancer screenings, birth control counseling and access to the full range of contraceptive methods, emergency contraception, abortion care, std testing/treatment/prevention services, immunizations, gender affirming hormone therapy, behavioral health screenings/referrals/support, and other limited primary care. Highlights of patient care from 7/1/20-6/30/21 included:-meeting the srh needs of 34,281 patients through 50,104 visits (in-person and telehealth visits combined).-Contributing to important patient and societal outcomes. Based on formulas developed in peer-reviewed guttmacher institute research (www.Guttmacher.Org/broader-benefits/), ppnne services helped patients prevent an estimated 4,940 unintended pregnancies, resulting in net public cost savings of $24.7 million. -Serving a predominantly low-income, underinsured, and young patient base. During this period, 64% of patients were low-income (at or below 200% of the federal poverty guideline, or $25,760 for one person), 38% were living below the poverty line ($12,880 for one person), 19% were uninsured/self-pay, and 35% had coverage through medicaid or another public program. Our patient base was also overwhelmingly female (87%) and young, with 64% under the age of 30 (13% teens and 51% in their twenties). -Ensuring access for uninsured/underinsured patients by delivering over $5.3 million in free/discounted health care through our sliding fee scale program. -Offering expanded support to vermont patients through ppnne's integrated behavioral health program (which embeds licensed mental health professionals in our health centers) and preparing to launch this program in maine during fy22. -Achieving a very high level of patient satisfaction. Highlights of survey results include that: patients felt the services offered met their needs (scoring 96.7 out of 100 points), staff listened to their needs (97.5), staff protected their safety (97.5/100), and they were treated with compassion and respect (97.6/100). As a result, patients were extremely likely to recommend ppnne to others (97.3/100).

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