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Page 7 of 9 274 Many of these individuals were youth - In 2022, about 8 in 10 (65/83) Roseville residents benefitting 275 from NYFS services were under the age of 25. As a proportion of our overall caseload, about 1 in 6 276 youth served is from Roseville. Broken down by municipality, they are the second largest group of 277 youth and young adults we serve – no single city makes up more than 20%. In FY 2021/2022, NYFS 278 provided $64,000 of care to clients with financial barriers to care at low or no cost. In 2022, over 279 $26,000 in services was written off by NYFS as uncompensated mental health care for Roseville 280 residents. Over $74,000 was written off for students in the Roseville School District. NYFS seeks 281 additional funding from individual donors, government contracts, and foundation grants in order to 282 cover this uncompensated care. At the current time, we do not have adequate funding to cover the gap. 283 284 The broad reach of our partnerships means we can reach those who most need our services and who 285 may not otherwise be able to access them. To create greater access and reach for these critical 286 services, we partner with Roseville Schools, the City of Roseville and the Roseville Police Department. 287 School-Based Mental Health Services are offered at six schools: Roseville High School, Roseville 288 Middle School, Fairview Alternative School, Little Canada Elementary School, Parkview Elementary 289 School and Central Park Elementary School. Our Youth Diversion program served 11 Roseville youth 290 as the only provider of Diversion and School-Based services in Roseville. 291 292 Impact of COVID on organization 293 While COVID caused seismic interruptions, revenue losses and lingering effects, it also provided an 294 opportunity for reflection on agency capacity and allocation of resources. NYFS made many much-295 needed updates – we can now support remote working, provide HIPAA compliant telehealth services 296 and better engage with stakeholders – and we are stronger for it. 297 298 NYFS revenue decreased by 34% Quarter 1 (July-September of 2020) compared to the same period in 299 2019. We rebounded through a robust influx of grant dollars – much of which are one-time CARES 300 ACT and COVID relief funds - but still had a revenue drop of 9% for the fiscal year ending 6/30/2021. 301 A decrease in school-based referrals lowered insurance revenue, but supplemental funds through our 302 DHS contract helped cover non-billable services during COVID. The NETS Day treatment program 303 was temporarily closed, reopening in November 2020 with a smaller cohort, causing a 72% decrease in 304 revenue, a loss of $297,506. Through cutting expenses and CARES Act funds we brought the net loss 305 down to $87,787. Individual contributions are down 50% - a loss of $82,965. NYFS owns the building 306 that houses the Shoreview Clinic, where rental income is down 5% for a loss of $22,102. NYFS secured 307 a PPP loan (forgiven in 2021, when it was recognized as revenue) which helped make up 2020 losses. 308 We secured a second PPP loan, critical to the continuity of services, which was forgiven. 309 310 Beyond the immediate fiscal and operational effects of COVID, we have seen longer term and more 311 concerning trends that effect the overall ability of the nonprofit community mental health sector to 312 recover. Most significantly, we are seeing youth with much higher symptoms, more significant trauma, 313 and more difficulty functioning – many in acute crisis. This has resulted in significant pressure on the 314 MH Workforce, and we are seeing many people leave psychotherapy roles because of the effects on 315 their own mental health and wellbeing. The staff attrition and accelerated retirements have had a 316 significant impact on NYFS, and on our revenue. Additionally, we have higher percentage of clients 317 that miss sessions due to illness, which especially in our day treatment program, means additional lost 318 revenue. 319 320 Use of ARPA grant funds 321