First Things First (Arizona Early Childhood Development and Health Board) is one of the critical state partners in creating a child and family‐centered, comprehensive, collaborative and high‐quality early childhood system that supports the development, health and early education of all Arizona’s children. Created by voter initiative in 2006, First Things First is governed by a state Board with 28 regional partnership councils. First Things First is a decentralized organization that engages diverse constituencies to accomplish its mission. Organizational values include a focus on accountability, transparency, coordination, collaboration and on the outcomes that will ensure young children start kindergarten healthy and ready to succeed in school and in life.