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      <Desc>ADULT SERVICES - Greater Nashua Mental Health Center provides comprehensive behavioral health services utilizing evidence-based practices. The Adult services program provides clients with a range of services from brief therapy for individuals and couples to intensive supports for individuals with severe, persistent mental illness-both office and community-based. The agency has recently implemented specialized integrated services (mental health, primary care and substance use disorders) to better meet the unique needs of our clients. The population served in this program range from ages 18 - 60 years and reside in the ten communities that make up GNMHC catchment area. Last year, the agency served 1,504 consumers under this program.</Desc>
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        <Desc>OLDER ADULT SERVICES - Greater Nashua Mental Health Center provides comprehensive behavioral health services utilizing evidence-based practices. The older adult services program provides clients with a range of services from brief therapy for individuals and couples to intensive supports for individuals with severe, persistent mental illness-both office and community-based. The population served in this program are 60+ years of age and reside in the ten communities that make up GNMHC catchment area. Last year, the agency estimates 298 consumers were served under this program.</Desc>
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        <Desc>CHILD &amp; ADOLESCENT SERVICES - Greater Nashua Mental Health Center provides comprehensive behavioral health services utilizing evidence-based practices. The child &amp; adolescent services program treats clients from 3 to 18 years of age that reside within the ten communities that make up GNMHC's catchment area. Services include therapy, outreach, crisis stabilization, and substance abuse and psychiatric evaluation and medication management services-office, school and community-based. Last year, the agency estimates 822 consumers were served under this program.</Desc>
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        <Desc>DEAF SERVICES - Selected as the only organization in the State to implement a statewide deaf services mental health program, GNMHC provides culturally competent diagnostic treatment services to assist deaf children and adults with mental health disorders to become fully integrated members of their communities. Although our offices are in Nashua, we provide services throughout the state of New Hampshire. Last year, the agency estimates 66 consumers were served under this program.OTHER SERVICES - Additional services provided by Greater Nashua Mental Health include Intake and Substance Abuse Disorder Services, specialized Court Involved Services for mental health and substance misuse, a supported employment program, trained health coaches / mentors, as well as Emergency services. The agency also provides outreach to the homeless and other specialized services for those within the communities we serve. Last year, the agency estimates 2,024 consumers were served under these, and other miscellaneous programs.</Desc>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Marilou Patalinjug Tyner MD</PersonNm>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>256095</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Patrick Ulmen</PersonNm>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Cynthia Whitaker</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Bettejean Neveux</PersonNm>
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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>27327</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>606</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>662654</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
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      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
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      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>Barton &amp; Associates</BusinessNameLine1Txt>
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          <USAddress>
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            <StateAbbreviationCd>MA</StateAbbreviationCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Comphealth</BusinessNameLine1Txt>
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          <USAddress>
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      <ProgramServiceRevenueGrp>
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      <RentalIncomeOrLossGrp>
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        <FundraisingAmt>5636</FundraisingAmt>
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        <ProgramServicesAmt>23420</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5001</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>56005</ProgramServicesAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>15666</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>118785</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>2125</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1021</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>11161</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3162</ManagementAndGeneralAmt>
        <FundraisingAmt>2236</FundraisingAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>162149</TotalAmt>
        <ProgramServicesAmt>126854</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35295</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>617554</ProgramServicesAmt>
        <ManagementAndGeneralAmt>233016</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>20811</TotalAmt>
        <ProgramServicesAmt>18539</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2272</ManagementAndGeneralAmt>
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      <InterestGrp>
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        <ProgramServicesAmt>847</ProgramServicesAmt>
        <ManagementAndGeneralAmt>75954</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>93986</ProgramServicesAmt>
        <ManagementAndGeneralAmt>156423</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>155839</ProgramServicesAmt>
        <ManagementAndGeneralAmt>57405</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Equipment Rental</Desc>
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        <ProgramServicesAmt>33965</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22843</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Dues &amp; Subscriptions</Desc>
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        <ProgramServicesAmt>25924</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14808</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>387039</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>9489714</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3000830</ManagementAndGeneralAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>40067</EOYAmt>
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        <EOYAmt>1829455</EOYAmt>
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        <EOYAmt>177199</EOYAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>2933666</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>1763228</EOYAmt>
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        <EOYAmt>8167682</EOYAmt>
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        <EOYAmt>965805</EOYAmt>
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        <EOYAmt>1544974</EOYAmt>
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        <EOYAmt>955834</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>3466613</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
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        <EOYAmt>4441797</EOYAmt>
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        <EOYAmt>137837</EOYAmt>
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        <EOYAmt>121435</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>4701069</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>6824819</BOYAmt>
        <EOYAmt>8167682</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>579354</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>4155</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001" />
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CYEndwmtFundGrp>
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        <ContributionsAmt>200</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>82953</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>40000</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>15666</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>1803295</EndYearBalanceAmt>
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      <CYMinus1YrEndwmtFundGrp>
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        <AdministrativeExpensesAmt>16079</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>1775808</EndYearBalanceAmt>
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        <InvestmentEarningsOrLossesAmt>69055</InvestmentEarningsOrLossesAmt>
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        <AdministrativeExpensesAmt>15768</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>1709729</EndYearBalanceAmt>
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        <OtherExpendituresAmt>241078</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>18102</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>1891146</EndYearBalanceAmt>
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        <AdministrativeExpensesAmt>18102</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>2104095</EndYearBalanceAmt>
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      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
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        <BookValueAmt>365328</BookValueAmt>
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      <BuildingsGrp>
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        <BookValueAmt>1238420</BookValueAmt>
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        <BookValueAmt>150337</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <BookValueAmt>559975</BookValueAmt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Capital Lease Obligation</Desc>
        <Amt>5759</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Estimated third-party liabilities</Desc>
        <Amt>950075</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>955834</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>13139910</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>4155</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>10638</OtherRevenueAmt>
      <RevenueNotReportedAmt>14793</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>13125117</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>15666</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>15666</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>13140783</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>12556401</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>10638</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>10638</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>12545763</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>15666</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>15666</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>12561429</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part V, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>The income earned from endowment fund investments may be used to support operations.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization is exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code. Management has evaluated the Organization's tax positions and concluded that the Organization has maintained its tax-exempt status, does not have any significant unrelated business income and has taken no uncertain tax positions that require adjustment to, or disclosure within, the accompanying financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Rent Collected and Transferred to Landlords on Patients' Behalf 10,638.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Rent Collected and Transferred to Landlords on Patients' Behalf 10,638.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Craig Amoth</PersonNm>
        <TitleTxt>President/CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>154039</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>22500</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>369</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1249</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>178157</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Marilou Patalinjug Tyner MD</PersonNm>
        <TitleTxt>Medical Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>246095</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>10000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3462</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>3130</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>262687</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>The bonus for Craig Amoth is approved at the discretion of the board. Marilou Patalinjug Tyner, M.D. received a $10,000 performance-based bonus.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>In order to place resources in more impactful areas, the organization ceased Adult Brief Treatment (ABT) services in 2018. Also, due to lack of funding, we discontinued the Supervised Visitation Center as of December 31, 2017.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board has adopted a policy requiring annual review of the Form 990 by the Board of Directors. The Form 990 is provided to the Board members for review. The Form 990 is reviewed in detail by the Finance/Audit Committee. These reviews are performed prior to the filing of the Form 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>At the Annual Meeting in February, the Annual Disclosure of Conflicts of Interest or Pecuniary Benefit Transactions document is completed by all board members. Additionally, in the By-Laws, Section Nine, the policy is outlined and any potential conflicts that arise are promptly researched to determine if there is a conflict of interest.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The President &amp; CEO's compensation is established by the Board of Directors using the NH Annual Salary of ten Community Mental Health Centers, as well as surveys from a wider range of organizations. Key employee compensation is established by the President &amp; CEO using the Salary Survey of the Ten Community Mental Health Centers as a basis.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Upon request, GNMHC will provide copies of the Organization's governing documents, conflict of interest policy, and financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>Rental Income and Expenses: Line 6a reports total rent collected from patients that was subsequently transferred on their behalf directly to landlords. This transfer is reported as a direct expense on line 6b.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule A, Part I, Line 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization's tax exemption is based upon the classification as a hospital or cooperative hospital service organization described in Section 170(b)(1)(A)(iii). Since the Organization is not licensed in the State of New Hampshire as a hospital, but rather as a mental health facility, Schedule H is not required.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>