The mission of the Primary Care & Hope Clinic is to improve the health and well-being of the communities the agency serves by providing excellent and compassionate care, accessible to all. Established in 1992, the Primary Care & Hope Clinic (PC&HC) provides a medical home for the uninsured and underserved that consists of the sustained and integrated delivery of preventive, acute, chronic and behavioral health services, regardless of the patient’s ability to pay. The agency’s goals/outcomes for the year include: Primary Care & Hope Clinic will provide a medical home for the uninsured, underinsured and/or underserved, as indicated by a patient-to-visit ratio of at least 2.8 during the grant period. This ratio indicates that patients are coming in for multiple visits, returning for follow-up care, lab work, and refilling their prescriptions. 20% of behavioral health patients will show at least a 5-point improvement on the PHQ-9 depression scale. The PHQ-9, a nine item depression scale, is a powerful screening tool for assisting primary care clinicians in diagnosing depression as well as selecting and monitoring treatment.