2025-03-27T16:15:09-05:00 2024-06-30 010494526 Baker Newman & Noyes 650 Elm Street Suite 302 Manchester NH 03101 990 2023-07-01 020258994 The Mental Health Center of Greater Manchester Inc MENT 6036684111 401 Cypress Street Manchester NH 03103 Jonathan Routhier CFO 6036684111 2025-03-26 1 0 Connor Smart P02285543 6036262200 2025-03-26 2023 2025-03-06 01:10:19Z Patricia Carty 401 Cypress Street Manchester NH 03103 43774072 0 X www.mhcgm.org X 1962 NH To provide mental health services for persons in the Greater Manchester, NH area. 20 20 576 23 -94975 0 4797230 3387772 39562910 38767165 104342 163871 99460 -3233 44563942 42315575 19258 24650 0 0 37411942 36833657 0 0 0 7562858 9770267 44994058 46628574 -430116 -4312999 28654338 25889002 10966077 12513740 17688261 13375262 X To provide mental health services for persons in the Greater Manchester, NH area. 0 0 11285372 0 11548095 Case Management - Mental Health Services to Individuals:The Mental Health Center of Greater Manchester (MHCGM) is a private, non-profit system of comprehensive mental health services. The System provides highly accessible mental health counseling services and programs for individuals and families, which are aimed at putting MHCGM's clients on a path to wellness. MHCGM operates over 30 programs, is the largest provider of outpatient behavioral health services in New Hampshire, and is affiliated with the Department of Psychiatry at Dartmouth Medical School. MHCGM provides a broad range of services to approximately 5,500 people who have a serious and/or persistent mental illness. MHCGM also serves over 10,500 individuals and 2,900 children and adolescents. 6292696 0 10120960 Child & Adolescent Services:One in five children between the ages of 13 and 18 have or will have a diagnosable mental illness. MHCGM employs an expert team of child therapists, psychiatrists and other mental health professionals trained to treat serious emotional and behavioral issues in children and adolescents. Following a thorough evaluation, MHCGM will develop an individualized treatment plan that can be provided either on-site or in the home and community. During fiscal year 2024, MHCGM worked with 2,184 child and adolescent patients and provided 85,679 services to this group. 4808554 24000 4501462 Vocational Services - Sheltered Workshop, Client-Run Businesses, and Integrated Employee Placement and Support (IPS):Vocational Services IPS is an evidence-based model that assists clients in finding meaningful, integrated, and competitive employment in the community. The model emphasizes job development, rapid job search, time-unlimited follow-along supports, client preferences, and zero-exclusion criteria. Vocational specialists work side-by-side with clients in the community to assist them in reaching their job goals, to assist in managing work incentives, and to develop job leads utilizing face-to-face job development with competitive employers. (Continued on Schedule O)IPS vocational specialists also work collaboratively with vocational rehabilitation for clients who would choose to either return to school, or who would require other types of support not within the IPS model. The IPS team serves all CSS and medication services clients at the Center. Clients are screened for and referred to IPS directly from intake or at any time during treatment, including self-referral. Amongst participants in IPS, there is a 70% employment rate on average, as compared to the national average employment rate of individuals with SMI/SPMI at 25%. 18239894 650 12596648 MHCGM continues to maintain numerous other operations that serve the general wellbeing and health of its community. These services include elder-care and emergency services, other vocational services, non-eligible, assertive community treatment (ACT) teams, community residences and support services, housing outreach programs, In-Shape Health Choices and Healthy Changes programs, and other assorted health and wellbeing services. MHCGM also operates the Cypress Center, a 16-bed acute psychiatric residential treatment program that serves as one of the three remaining Designated Receiving Facilities for adults in New Hampshire. MHCGM's Division of Emergency Services, Crisis Stabilization & Interim Care (ES) provided 3,646 crisis evaluations and emergency interventions helping 1,212 patients at the Emergency Department of two community hospitals: the Elliott Hospital and Catholic Medical Center. Rapid response made 3,598 Community Deployments serving 2,656 patients. A total of 3,868 patients were helped across both programs. ES operates 24 hours per day, 7 days a week, and offers a daytime walk-in center along with follow-up crisis stabilization services and interim outpatient care. For persons experiencing crisis in the community, MHCGM offers the Rapid Response/Mobile Crisis Response Team, a program designed to provide a quick and seamless response through the deployment of mental health clinicians and peer support and recovery coaches. MHCGM operates three residential programs with a capacity for 56 residents. MHCGM also has a long-standing contract with the New Hampshire Bureau of Drug and Alcohol Services to provide treatment to adolescents and young adults who are at risk of becoming or who are already addicted to substances. 18239894 650 12596648 40626516 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 74 0 1 576 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 20 20 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NH X Jonathan Routhier CFO 6036684111 401 Cypress Street Manchester NH 03103 Ronald Caron Board Member 1.00 1.00 X 0 0 0 Courtney Carrier Board Member 1.00 1.00 X 0 0 0 Lt Derek Cataldo Board Member 1.00 1.00 X 0 0 0 Stacy Champey Board Member 1.00 1.00 X 0 0 0 Jacqueline Depippo Board Member (start 9/2023) 1.00 1.00 X 0 0 0 Jeffrey Eisenberg Board Member 1.00 1.00 X 0 0 0 Beth Gutoff Board Member 1.00 1.00 X 0 0 0 David Harrington Board Member (end 7/2023) 1.00 1.00 X 0 0 0 Kendra Kearney Board Member (start 9/2023) 1.00 1.00 X 0 0 0 Newton Kershaw III Board Member 1.00 1.00 X 0 0 0 Joohahn Kim MD Board Member 1.00 1.00 X 0 0 0 Jim Merrill Board Member (start 9/2023) 1.00 1.00 X 0 0 0 Kibar Moussoba Board Member 1.00 1.00 X 0 0 0 Glory Mukendi Board Member (start 2/2024) 1.00 1.00 X 0 0 0 Connie Roy-Czyzowski Board Member 1.00 1.00 X 0 0 0 Leo Simard Board Member 1.00 1.00 X 0 0 0 William Stone Board Member (end 10/2023) 1.00 1.00 X 0 0 0 Andrew Watt MD Board Member 1.00 1.00 X 0 0 0 Elaine Michaud Board Chair 1.00 1.00 X X 0 0 0 Michael Reed Vice Chair 1.00 1.00 X X 0 0 0 Brent Kiley Treasurer (end 9/2023) 1.00 1.00 X X 0 0 0 Desneiges French Board Member; Treasurer (eff. 9/23 ) 1.00 1.00 X X 0 0 0 Philip Alexakos Secretary 1.00 1.00 X X 0 0 0 Patricia Carty President & CEO 41.00 2.00 X 174202 0 24023 Jonathan Routhier Chief Operating Officer 41.00 2.00 X 126439 0 33937 Paul Michaud Chief Financial Officer (end 11/23) 41.00 2.00 X 150916 0 20323 David Sponenberg Chief Financial Officer(start 12/23) 41.00 2.00 X 10024 0 0 Ashwini Saxena Chief Medical Director 40.00 0.00 X 337016 0 25925 Rose Ehret Psychiatrist 40.00 0.00 X 270496 0 59859 Kirija Kokulanathan Psychiatrist 40.00 0.00 X 234789 0 27504 Janet Carella Psychiatrist 40.00 0.00 X 223682 0 18394 Michael McNamara Psychiatrist 40.00 0.00 X 218247 0 24750 Quentin Turnbull Psychiatrist 40.00 0.00 X 199143 0 17671 1944954 0 252386 40 0 1 0 Turnstone Corp 479 Nashua Street Milford NH 03055 Construction and maintenance 2460973 A&E Mechanical 5-7 Delaware Drive Salem NH 03079 HVAC services 612842 Castagna Consulting Group 13 Buckskin Lane North Hampton NH 03862 General contractor 300871 GHA Technologies 8998 E Raintree Drive Scottsdale AZ 85260 Computer/IT support 283970 Ascentria Community Service 325 B Merrill Street Manchester NH 03103 Care/health services 267694 11 6667 92447 25820 3114278 148560 3387772 Clinic and program fees 624100 27854330 27854330 Contracted services 624100 5657426 5657426 Other program services 624100 4436743 4436743 Program rents and bridge housing 531110 606406 606406 Clinical research 541700 212260 212260 38767165 163871 163871 336043 446744 -110701 -110701 -94975 -15726 1000020 1000020 0 21200 92447 4233 16967 16967 98001 7500 90501 90501 42315575 38767165 -94975 255613 650 650 24000 24000 902805 795109 107696 26998376 23870343 3128033 532392 454881 77511 6336628 5414078 922550 2063456 1827624 235832 29908 29908 92665 92665 353665 192401 161264 179527 161194 18333 493729 411528 82201 1496094 1159269 336825 895639 698733 196906 227133 225484 1649 1133152 944492 188660 226836 1960 224876 684813 610214 74599 306208 267481 38727 Provision for bad debt 2176454 2176454 Repairs & maintenance 782217 740896 41321 Telephone/communication 453641 411139 42502 Medical/health services 238586 238586 46628574 40626516 6002058 0 879239 1425063 6922487 494357 1819270 5235529 857287 944432 28323618 10557127 16751278 17766491 1052000 10000 10000 11654 13130 351123 0 28654338 25889002 2467310 2698305 34929 88942 5706824 5717285 2204285 1971281 552729 2037927 10966077 12513740 X 17688261 13375262 17688261 13375262 28654338 25889002 -4312999 0 X X 0 1 X 1 1 1 X 4032742 6310518 9365971 4797230 3387772 27894233 4032742 6310518 9365971 4797230 3387772 27894233 27894233 50900 25328 36490 113367 148145 374230 13905 4635 90435 12493 121468 28389931 194699429 0.98250 0.98400 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 5520 0 0 0 5520 0 Part II-B, Line 1: The Center pays membership dues to the New Hampshire Behavioral Health Association. A portion of the dues paid to the Association were designated to support public policies and initiatives that focus on improving health care and mental health services. The Center paid $42,644 in dues and fees to the Association during the year, of which an estimated $5,520 was designated to support public policy initiatives. 9017114 -957810 42825 8016479 7723331 1330517 36734 9017114 5509025 4277848 2030000 33542 7723331 4322030 1430910 218285 25630 5509025 4245766 205066 -107285 21517 4322030 0.97030 0.00000 0.02970 0 1 1 2143708 2143708 22266695 7062382 15204313 3913215 3494745 418470 17766491 Extended illness leave 318513 Amounts held for patients 11572 Operating lease liabilities 13130 Due to affliates 1694712 2037927 X 40148386 9265 9265 40139121 2176454 2176454 42315575 44461385 9265 9265 44452120 2176454 2176454 46628574 Part V, Line 4: To raise and maintain funds to support mental health care for persons in the Greater Manchester, NH area. Part X, Line 2: The Organization consists of not-for-profit entities as described in Section 501(c)(3) of the Internal Revenue Code, and is exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. The Organization believes that it has appropriate support for the income tax positions taken and to be taken, and that its accruals for tax liabilities are adequate for all open tax years based on an assessment of many factors including experience and interpretations of tax laws applied to the facts of each matter. Management evaluated the Organization's tax positions and concluded the Organization has maintained its tax-exempt status, does not have any significant unrelated business income, has taken no significant uncertain tax positions that require disclosure in the accompanying consolidated financial statements and has no material liability for unrecognized tax benefits. Part XI, Line 2d - Other Adjustments: Rental expenses 5,032. Fundraising event expenses 4,233. Gaming expenses Part XI, Line 4b - Other Adjustments: Provision for bad debts 2,176,454. Part XII, Line 2d - Other Adjustments: Rental expenses 5,032. Fundraising event expenses 4,233. Gaming expenses Part XII, Line 4b - Other Adjustments: Provision for bad debts 2,176,454. Annual Gala 113647 92447 21200 85 886 3167 95 113647 92447 21200 85 886 3167 95 4233 16967 98001 7500 0 0.00000 98001 7500 7500 90501 NH 1 0 1 0 1.00000 Jonathan Routhier CFO 401 Cypress Street Manchester NH 03103 1 93007 7500 Granite State Poker Alliance 1279 S Willow Street Manchester NH 03103 Granite State Poker Alliance 7500 Refer to supplemental information on this Schedule G, Part IV. X 0 Form 990, Schedule G, Part III, Gaming Dislcosures: The Organization engaged Granite State Poker Alliance LLC to provide gaming and casino services on behalf of the Organization and as a third party, independent contractor. As part of this relationship and transaction, the Organization registered for and secured the appropriate licenses to conduct gaming activities with the New Hampshire Lottery Commission. Granite State Poker Alliance LLC was contracted by the Organization to host, operate, and run gaming and casino events on behalf of the Organization during the fiscal year. Granite State Poker Alliance LLC was allowed under NH State gaming law to retain a portion of gaming income as a fee for use of their facilities, equipment, and staffing resources; the Organization itself was otherwise not involved with the maintenance or running of the games. Granite State Poker Alliance LLC collected all gaming revenues, kept the books and records for the charitable gaming days, and remitted the portion due to the Organization in accordance with NH Lottery regulations regarding charitable gaming activities. In accordance with NH RSA 287-D, Granite State Poker Alliance LLC was required to retain no more than 35% of the gross revenues from the games of chance, less any fees. Pursuant to these agreements and regulations, the Casino remitted to the Organization $85,807 in net gaming income. Additionally, the Organization received a relatively nominal amount of gaming income from a charity raffle held as part of its annual gala fundraising event, and through a "Calendar Raffle" held through the year. These raffles - as are all books, records, and financial reports of the Organization - were ultimately subject to the review and oversight of the Organization's CFO and finance committee. Revenues raised from fundraising charitable raffles are too immaterial to warrant a dedicated staff member, to allocate any employee or operational costs to the running of these games, or to designate specific volunteers. Accordingly, the active CFO of the Organization has been named on this Form 990, Schedule G, Part III, Line 14, and charity raffle income was included within total gaming receipts reported on Form 990, Schedule G, Part III, Line 1 and on the associated Form 990, Part VIII, Line 9a. 1 Janelle Education Fund Scholarships 12 24000 Part I, Line 2: The Janelle Family Education Fund of the Manchester Mental Health Foundation Endowment was created by generous donors following the retirement of Peter and Maureen Janelle. The fund awards scholarships to the Organization's staff or family members who are continuing their education. For staff members: courses related to their professional positions given at an accredited vocation/technical school, college or university including community colleges and graduate programs. For the children of staff members enrolled full or half time in a 2-year, 4-year or graduate degree program: courses at an accredited vocation/technical school, college or university including community colleges, graduate programs or other training programs beyond high school. X X X X 0 0 0 0 0 0 0 1 0 Ashwini Saxena Chief Medical Director 330836 0 6000 0 180 0 12758 0 13167 0 362941 0 0 0 Rose Ehret Psychiatrist 268072 0 1650 0 774 0 13827 0 46032 0 330355 0 0 0 Kirija Kokulanathan Psychiatrist 232977 0 1650 0 162 0 2117 0 25387 0 262293 0 0 0 Michael McNamara Psychiatrist 217122 0 0 0 1125 0 10880 0 13870 0 242997 0 0 0 Janet Carella Psychiatrist 186670 0 4616 0 32396 0 6429 0 11965 0 242076 0 0 0 Quentin Turnbull Psychiatrist 162730 0 1650 0 34763 0 5506 0 12165 0 216814 0 0 0 Patricia Carty President & CEO 157929 0 9248 0 7025 0 8307 0 15716 0 198225 0 0 0 Paul Michaud Chief Financial Officer (end 11/23) 117424 0 5000 0 28492 0 7327 0 12996 0 171239 0 0 0 Jonathan Routhier Chief Operating Officer 120232 0 6000 0 207 0 6550 0 27387 0 160376 0 0 0 Part I, Line 7 A portion of compensation is at-risk and variable, and payment depends on the quality of job performance. A NH Health & Education Facilities Authority 020279866 2017-07-31 5760000 Building Purchase 0 0 0 A 5760000 104609 5760000 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 1 0 0 1 0 0 0 0 A 0 Schedule K, Parts III: During its fiscal year ending 2018, the Organization purchased a building secured by a combination of tax-exempt financing and a commercial loan. The property is occupied both by the organization and also several for-profit entities that were tenants prior to the Organization purchasing the property. The tax-exempt bond component of the acquisition financing relates only to the space occupied by the Organization. The commercial loan is allocated to the space operated by for-profit, unaffiliated entities. The Organization's bond counsel is aware of this arrangement and closely monitors the situation so that the Organization can avoid any private business use concerns. Schedule K, Part III, Line 9, Part IV, Line 7, and Part V: While the Organization does not have formal, written policies to monitor the use of its bonds, it does actively and routinely work with its bond counsel to ensure all matters of compliance are met. At the time of this filing, formal written policies are in the process of being adopted. Form 990, Part VI, Section A, line 6 Manchester Mental Health Foundation, Inc. is the sole member of the Mental Health Center of Greater Manchester. Form 990, Part VI, Section A, line 7a The Board of Directors of the Center is elected by the sole member, the Manchester Mental Health Foundation, Inc. Form 990, Part VI, Section A, line 7b The following powers are reserved to the sole Member, The Manchester Mental Health Foundation, Inc.: 1. All annual operating and capital budgets shall be subject to approval by the Member. 2. Any overall strategic plan for the Organization, including the development of off-site facilities, the addition of new programs and affiliations with other institutions, shall be consistent with the strategic plan of the Member. 3. The Board shall select the chairman who must be confirmed by the Member. 4. The borrowing of any sum in excess of $100,000 with a stated term greater than one year or which is secured by a mortgage of all or any portion of the Organization's real property, shall be subject to the approval of the Member. 5. Any voluntary dissolution, merger, or consolidation of the Organization or the sale or transfer of all or substantially all of the Organization's assets shall be subject to the approval of the Member. 6. Any creation or acquisition of any subsidiary or affiliate of the Organization shall be subject to the approval of the Member. Form 990, Part VI, Section B, line 11b The Form 990 is reviewed and approved by the Accounting Director, CFO, and the Finance Committee of the Board of Directors prior to being filed. A copy is also made available to the Board of Directors prior to filing. Form 990, Part VI, Section B, line 12c The parties involved in any potential conflicts of interest are required to sign conflict acknowledgement forms. The Board is advised on any situation that may yield a conflict of interest, and votes to approve of the appropriate course of action. Conflict notices are posted in the Foundation Newspaper for public acknowledgement. Any potential conflicts are shared with the Attorney General as required. Form 990, Part VI, Section B, line 15 The Center conducts surveys of other mental health and rehabilitation clinics and centers in New Hampshire to determine how officer-compensation is handled by similar organizations. In addition, consultants specializing in human resources review and compare the pay scale offered at the Mental Health Center of Greater Manchester for its appropriateness. With this information in-hand, the Board Members and senior leadership staff evaluate CEO and executive performance, and the H.R. Committee of the Board reviews and submits a compensation proposal to the full Board of Directors. Finally, the entire Board will evaluate and vote on the proposal to determine executive compensation. Form 990, Part VI, Section C, line 19 Governing documents are made available to the public upon request. Form 990, Part XII, Line 2c: The audit process has not changed from the previous year. Manchester Mental Health Foundation 401 Cypress Street Manchester NH 03103 020441983 Supporting Organization NH 501(c)(3) Line 12b, II N/A 0 Amoskeag Residences Inc 401 Cypress Street Manchester NH 03103 020366119 Housing and residential services NH 501(c)(3) Line 10 Mental Health Center of Greater Manchester 1 0 1 1 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0