Mennonite General Hospital, Inc.

Mennonite General Hospital, Inc. Centro De Salud Conductual Menonita Cima Division, operating as Centro De Salud Conductual Menonita Cima, is a tax-exempt nonprofit behavioral health and integrated healthcare organization based in Aibonito, Puerto Rico, that acts as a federal grant recipient and sub-recipient to deliver substance use disorder treatment, mental health services, and integrated care for medically underserved populations across Puerto Rico. The organization operates primarily under SAMHSA (Substance Abuse and Mental Health Services Administration) grant programs and holds sub-awards from Puerto Rico state behavioral health agencies and FEMA financial assistance programs.

As an operating division of Mennonite General Hospital, Inc., the island's largest nonprofit integrated health system, Centro De Salud Conductual Menonita Cima functions as the largest nonprofit specialty behavioral health organization in Puerto Rico. The organization manages five certified community behavioral health clinics (CCBHCs), a psychiatric hospital, a stabilization unit, five partial hospitalization programs, eleven emergency departments, and outreach hubs serving 38 medically underserved municipalities across the island. The organization's capability portfolio centers on evidence-based substance use and mental health treatment, including screening and brief intervention (SBIRT), medication-assisted treatment (MAT), first-episode psychosis (FEP) care, zero-suicide framework implementation, and integrated rapid hepatitis C care for people with substance use disorder, serious mental illness, and homelessness.

Recent prime grant work includes a $11.407 million SAMHSA award (CFDA 93.243) through September 2027 to implement HEP C FREE Puerto Rico, an integrated rapid hepatitis C screening and direct-acting antiviral treatment pilot that will screen 10,000 high-risk adults, initiate therapy in 1,150, and confirm cure in 900 across 11 emergency departments, five community behavioral health clinics, and five outreach hubs; a $995 thousand SAMHSA award (CFDA 93.490) through September 2031 to deploy universal screening and evidence-based brief intervention for substance use across 21 Mennonite General Hospital sites serving 27 municipalities and targeting 2,200 youth ages 12-21 over five years; and a zero-suicide framework implementation project (CMHS grant through September 2028) across 27 municipalities. Two earlier CCBHC planning and implementation grants from SAMHSA (awarded September 2022, completing September 2026 and 2027) targeted rural and urban catchment areas serving 2,000 individuals each across 11 municipalities per project.

The organization's recent award activity has accelerated, rising from four awards in 2022 to eleven in 2024, though the source shows only two awards in 2025–2026. Current federal grant footprint concentrates within HHS SAMHSA programs: seven awards to SAMHSA's Center for Substance Abuse Treatment and five to SAMHSA's Center for Mental Health Services account for primary grant work. Eleven FEMA financial assistance awards and multiple sub-awards from Puerto Rico's Administración de Servicios de Salud Mental y Contra la Adicción and Governor's Authorized Representative (disaster recovery and public works) round out the portfolio, suggesting exposure to post-disaster behavioral health infrastructure recovery and mitigation funding alongside core SUD and mental health service delivery. Three awards face ultimate completion within the next twenty-four months, representing modest near-term recompete risk. The organization's 76% sub-award concentration reflects its role as a service delivery partner within state-level behavioral health grant administration rather than as a primary federal contractor.