BEHAVIORAL HEALTH CLINICIAN BIOGRAPHY Adam Chelmo MS, LCMHC Behavioral Health Clinician Primary Office Location 145 Hollis Street Year Joined Amoskeag Health 2025 Treatments & Services Mental Health Education Master of Science in Psychology, Rivier University Advance Graduate Studies in Mental Health Counseling, Rivier University Board Certifications NH Office of Professional Licensure and Certification, Board of Mental Health Practice (2019) Licensed Clinical Mental Health Clinician (LCMHC) Clinical Interests Anxiety and stress management, depression and grief, trauma desensitization, reprocessing, motivational interviewing, acceptance and commitment therapy, cognitive behavioral therapy Languages Spoken English Back to Behavioral Health Clinicians

BEHAVIORAL HEALTH CLINICIAN BIOGRAPHY Kara Barnes LICSW Clinical Coordinator Primary Office Location 1245 Elm Street Year Joined Amoskeag Health 2022 Treatments & Services Individual and family therapy, Child Parent Psychotherapy (CPP), Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), Motivational Interviewing, Solution-Based Therapy and Casework Education (2006) Bachelor's in Social Work, University of Maine (2009) Master's in Social Work, University of Southern Maine Board Certifications Licensed Independent Clinical Social Worker (LICSW) Clinical Interests Early childhood and developmental trauma, attachment, children and families involved in the child welfare system, foster care and adoption Languages Spoken English Back to Behavioral Health Clinicians

BEHAVIORAL HEALTH CLINICIAN BIOGRAPHY Kayla Pinard MSW Behavioral Health Clinician Primary Office Location 145 Hollis Street Primary Populations Served: Life span, caregiver and child dyad, geriatric Year Joined Amoskeag Health 2024 Treatments & Services Trained in Eye Movement Desensitization and Reprocessing (EMDR) and working towards EMDR Certified Therapist status through EMDRIA, Child-Parent Psychology, Dialectal Behavioral Therapy (DBT), Solution Focused Therapy, Mindfulness Education (2021) Bachelor of Arts in Psychology, Southern New Hampshire University (2024) Master’s in Social Work, Simmons University Clinical Interests Somatic and holistic approaches, nervous system functioning informed to reduce shame around trauma responses, utilizes relational approach to build therapeutic alliance and establish foundation of safety in the therapy space Languages Spoken English Back to Behavioral Health Clinicians

19th Annual Morning Matters Event Draws Advocates, Community Leaders, and Supporters Earlier this month, Amoskeag Health was pleased to hold its 19th Annual Morning Matters Breakfast at the Derryfield in Manchester. “Morning Matters is among our most critical fund and awareness raising events each year,” said Kris McCracken, President and CEO of Amoskeag Health. “All proceeds raised directly benefit health care and supportive services for our patients under the age of 18.” McCracken said that the event builds upon and celebrates the public health legacy of the late Dr. Selma Deitch, a local pediatrician who founded Child Health Services in 1979 to offer full-service healthcare to lower income families. “Selma recognized that in addition to quality healthcare, many pediatric patients and their families needed other services, such as access to transportation, interpretation services, specialized testing, and other societal needs,” said McCracken. “Today, our approach provides individualized treatment plans which puts our patients and their needs at the center of all we do.” Those in attendance heard from a broad array of speakers and local leaders including McCracken, Jay Ruais, Mayor of Manchester, Thom Lavoie, Board Chair of Amoskeag Health, Betsy Burtis, Chief Operating Officer of Amoskeag Health, Steve Paris, MD, Anna Thomas, Director of Public Health for the City of Manchester, Stephanie Pagliuca, Senior Director of Workforce Recruitment at Bi-State Primary Care Association, and Susan McKeown, APRN (ret). Among the many highlights of the event was a talk from Kristine Stoddard, who shared her family’s experiences in receiving specialized care for her son from Amoskeag Health. “Sponsors play a critical role at Morning Matters and we are very grateful for their kind support,” noted McCracken. Program sponsors include AmeriHealth Caritas, Catholic Medical Center, CGI, Efficient Energy Investments, the Harbor Group, Orchard Medical Management, and John Sigel and Sally Reid. Advocate sponsors include Elliot Health System, Needham Bank, NH Healthy Families, Sarah and Rich Sigel, and WellSense Health Plan. Table sponsors include Associated Grocers of New England, Berry Dunn, Granite State Credit Union, Harvey Construction, Lindner Dental, Manchester Community College, Massachusetts College of Pharmacy and Health Sciences, Primary Bank, Northeast Delta Dental, Sheehan Phinney, and Solvere Health. McCracken also thanked the many individuals who have donated thus far. “We’re also excited to announce that an anonymous donor has pledged $1,000 match for any additional donations made by June 30th. Click here to make your donation today.

Amoskeag Health has welcomed three new medical providers to care for patients at our Manchester doctor’s offices. In an effort to diversify our offerings as a comprehensive care provider, each of these new team members brings a unique perspective, training background, expertise and passion to our growing team of medical professionals. Named one of New Hampshire's Top Doctors by New Hampshire Magazine in 2025, Keith Dominick, MD is a pediatrician 17 years experience. Formerly with a private group practice, Dr. Dominick joined Amoskeag Health as a primary care pediatrician to fulfill a desire to work with a more diverse patient population and to provide excellent pediatric healthcare to the Manchester community. On what fuels his passion for healthcare, Dr. Dominick states, "I believe healthcare is a 'right' and not a 'privilege'. I am confident I will find this next professional adventure very rewarding." Dr. Dominick began seeing patients at our Elm St. office in May 2026, and he is currently accepting new patients. Khai Ngo, PA-C, started his role as Physician Associate at our Hollis Street office in June 2026. With a background in biology and a passion for medicine and human physiology, Khai pursued a master’s degree in physician assistant studies from Massachusetts College of Pharmacy and Health Studies. “Community health has always been my calling, and at Amoskeag Health, I am able to care for patients who need support the most,” Khai says about choosing this next step in his career. “I am dedicated to caring for all individuals with the same compassion and respect, with a strong focus on preventative medicine that supports long‑term health and reduces the risk of hospitalization.” Khai speaks both English and Vietnamese. Tonya Younger, MSN, APRN, FNP-C, is a Family Nurse Practitioner who started seeing patients at 145 Hollis St. in June 2026. She brings 12 years of experience providing nursing care in both family practice and federally qualified health center environments. Tonya values the continuity of care that comes working in family medicine, as she can support patients through different stages of life, from childhood and adolescence to adulthood and older age. By caring for multiple generations within a family, she hopes to better understand the social, environmental, and familial factors that influence health and well-being. “My passion for adolescent health has been a particularly strong influence on my career choice,” Tonya shares. “Adolescence is a critical period of physical, emotional, and social development, and I am committed to helping young people navigate these challenges while establishing healthy habits that can last a lifetime.” Amoskeag Health is excited to welcome several additional providers later in 2026, with the goal to improve access to care for our existing panel of patients and expand our capacity to welcome new patients to the organization. Check out all of our provider profiles to learn more about each of our team members, including education history, board certifications and clinical interests.

With spring in full swing, it can be difficult to identify the culprit of your runny nose, itchy throat and congestion. While colds and seasonal allergies share several symptoms, they have distinct differences that can help inform your approach to wellness. Seasonal allergies are triggered by environmental allergens like pollen from trees, grasses, and weeds. If your symptoms come on quickly after spending time outdoors or being in a new environment, allergies may be the cause. Allergy symptoms persist as long as you're exposed to the trigger, which can mean weeks or even months of symptoms during peak pollen season. Cold symptoms, on the other hand, typically last 7–10 days and tend to worsen before they improve. Because the common cold is caused by a virus, the immune system follows a fairly predictable response. First, inflammation slows the virus down. Then, mucus production ramps up to flush it out. Finally, white blood cells move in to clear the infection. That shift to thicker, discolored mucus many people notice toward the end of a cold is actually a good sign that your immune system is doing exactly what it's supposed to do. Key signs of seasonal allergies: Itchy, watery eyes Persistent sneezing Clear, thin, watery nasal discharge throughout the entire episode No fever More typical for colds: Fever (can be mild or severe) Thick, yellow or green mucus as the illness progresses Body aches and fatigue Cough So, how can you resolve your symptoms and start feeling better? For the common cold, resting and staying hydrated are key to your treatment plan. Limit physical activity, use a humidifier to ease congestion, and drink fluids to help thin mucus and support your immune system. Over-the-counter remedies don’t cure a virus, but they can ease symptoms. Talk to your doctor about use of decongestants, antihistamines, pain relievers, saline sprays or cough suppressants or expectorants. Allergy symptoms can also be managed through over-the-counter or prescription medications, depending on the severity of symptoms. Because allergies are a chronic condition, reduced exposure to the trigger is an important component of long-term management. Limiting outdoor time and closing windows on high-pollen days and wearing sunglasses to protect your eyes are just a few ways to avoid irritation from environmental allergens. When to contact your provider: Symptoms last more than 10 days Symptoms worsen significantly You have a high fever (~103 F in adults) You need help deciding which medications are appropriate The Amoskeag Health team is available to answer questions, schedule appointments and guide you through the best course of action. We can help confirm whether allergies, a virus, or another condition is at play and recommend the right treatment plan for you. As always, if you experience severe symptoms like difficulty breathing or chest pain, call 911 or go to your nearest emergency room for evaluation and treatment. To schedule an appointment at one of our four office locations in Manchester, NH, please call 603-626-9500.