Northern Nevada HOPES – 2013 Annual Report

2013 ANNUAL REPORT

TRANSFORMING

HEALTHCARE IN OUR COMMUNITY

HOPES N O R T H E R N N E VA D A

your partner in health.

Dear Friend, Northern Nevada HOPES entered 2013 with one primary goal: to reach individuals and families in our community who had limited or no access to healthcare and offer them affordable, quality care at our campus in downtown Reno.

One year later, we've accomplished that goal and more.

In late 2012, we opened our doors to the community and transitioned to being a primary care provider, all while delivering the most expert, comprehensive services for individuals living with HIV in northern Nevada.

We expanded our program services to include an Eligibility & Intake department, a Behavioral Health department, and Change Point – Nevada's first legal Syringe Services Program.

We created a Sliding Fee Scale to ensure that every patient could access services, regardless of ability to pay. We started a city-wide marketing campaign and collaborated with countless community agencies to spread the word about HOPES. We implemented an Electronic Health Records System to provide more coordinated and efficient care and extended our Clinic hours to include weekday evenings.

We strengthened our outreach efforts and tested more high-risk patients for HIV, hepatitis C, and sexually transmitted infections than ever before. We developed a transportation program and free prescription medication delivery program to increase patient retention in care and medication adherence. We added a substance use counseling program and provided education and training on harm reduction, overdose prevention, and LGBT and sex worker cultural competency.

We raised awareness and money for HIV through our Dining Out For Life and AIDS Walk/Run events, and in November 2013, we received a highly-competitive New Access Point grant to continue our expansion over the next few years.

And we made such strides because we had the support of you – our community – a community that is healthier & stronger because of HOPES and the dedication of nonprofit service organizations like our own.

Thank you for helping us build a healthier community and for making us your partner in health.

Sincerely,

Sharon Chamberlain Chief Executive Officer

THE HEALTH & HEART OF OUR COMMUNITY In 2012, a community-wide needs assessment revealed a growing need for accessible and affordable healthcare services. HOPES responded by opening its doors to non-HIV positive patients and welcoming uninsured & underinsured individuals in need of care.

In Washoe County, 22.3% of the population has no health insurance and 37.3% is underinsured, leaving 60% of our community without access to affordable healthcare.

37.3% underinsured

22.3% uninsured

:

Northern Nevada HOPES is located in a low-income Health Professions Shortage Area (HSPA) where there are 3,952 people for every 1 medical provider.

The rate of poverty in HOPES’ service area is 43.2%. In the immediate area, there are over 7,000 low-income people and 3,000 homeless people.

“ I come to HOPES because the team here understands that healthcare is a holistic process.

They care for the whole person, not just the illness.”

– Helen, HOPES Community Member

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HOW WE ARE HELPING In 2013, our healthcare team provided efficient & effective care to every patient who visited our center.

ELIGIBILITY & INTAKE

The newly established Eligibility & Intake department welcomed 1,212 new patients who qualified for reduced cost services based on HOPES’ sliding fee scale.

CLINIC & PHARMACY

The HOPES Clinic provided affordable primary healthcare to 2,086 patients and developed an “Open Access” program to decrease the wait time for new patient appointments. The HOPES Pharmacy filled 19,856 medication scripts, started a free medication delivery program, and provided medication assistance to low-income patients and individuals living with HIV.

BEHAVIORAL HEALTH

The Behavioral Health department provided 1,292 individual counseling sessions and started HOPES‘ first Substance Use counseling program.

SOCIAL SERVICES

The Social Services department provided case management services to 501 individuals in our community and enrolled 144 individuals into a health insurance plan.

HARM REDUCTION & OUTREACH

The Harm Reduction & Outreach department started Change Point, Nevada’s first legal syringe services program, and provided free, rapid HIV testing to 1,317 individuals.

“ Our goal at HOPES is to provide the most comprehensive and compassionate care possible. At HOPES, the patient comes first.”

– Ivy Spadone, PA-C, HOPES Chief Operating Officer

WHO WE ARE HELPING In 2013, Northern Nevada HOPES provided comprehensive services to 2,086 individuals in our community. Below are just some of the medical & social services we provided.

1,247

new HOPES patients

22,576

total patient visits

144

health insurance enrollments

1,292

behavioral health visits

1,105

patients provided care living below 200% of the federal poverty level

1,212

uninsured patients provided care

19,856

prescription medications filled

1,083

female patients provided with women’s health services

1,793

transportation assistance rides provided

1,317

free HIV tests provided

“ HOPES has been my health care home for the past 7 years.

As a volunteer and a patient, I feel like I’m part of a special community that’s really making a difference here in Reno.”

– Leo, HOPES Community Member

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ON THE HORIZON‌ In the year ahead, HOPES’ New Access Point funding and Federally Qualified Health Center designation will ensure continued growth, expansion, and increased access to healthcare for individuals and families in our community.

EXPANSION OF STAFF & SERVICES

Along with exploring new programs and improving upon existing ones, HOPES will add new members to its healthcare team, including additonal medical providers, pharmacy technicians, behavioral health counselors, case managers, and outreach workers. With a larger and more diverse healthcare team, HOPES can create new programs and serve more patients in need of affordable, quality healthcare services.

INCREASED COLLABORATION & COORDINATED CARE

HOPES will continue to collaborate with local organizations and businesses in the community.

By developing stronger relationships with area hospitals, specialty care providers, and nonprofit organizations, HOPES can provide the best in coordinated, comprehensive care for patients in northern Nevada.

A NEW COMMUNITY HEALTH CENTER IN DOWNTOWN RENO

HOPES will begin construction on a new healthcare facility at our existing campus in downtown Reno. With planning already underway, construction will begin in 2014, with an estimated completion date of early 2015.

All of these endeavors equal better healthcare delivery and better health outcomes for individuals and families in our community. At HOPES, we are dedicated to building a healthier community, and we build upon that goal every day.

BY THE NUMBERS Northern Nevada HOPES is a 501(c)(3) nonprofit organization. As a community health center, HOPES relies on federal grants and the continued generosity of corporate, foundation, and individual supporters to fund our programs & services.

FUNDING SOURCES 92% $8,138,987 – PROGRAM SERVICES 8%

92%

$695,336 – ADMINISTRATION & FUNDRAISING

8%

100% $8,834,323 – TOTAL OPERATING EXPENSES

PATIENT PAYER MIX 41% FPL 100% & BELOW 12% FPL 101-200%

“FPL” is an abbrevation for “Federal Poverty Level” – a federal guideline that measures the poverty level of an individual or family based on income and family size.

41%

5% FPL 201-400% 10% MEDICAID 21% MEDICARE 11% PRIVATE INSURANCE

12%

11% 21%

10%

5%

100% FPL = $0 – $11,490 101-200% FPL = $11,491 – $22,980 201-400% FPL = $22,981 – $45,960

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MAKING A DIFFERENCE Every year, Northern Nevada HOPES raises funds and awareness for HIV with two special events – Dining Out For Life in April and the Northern Nevada AIDS Walk/Run in August. All funds raised assist individuals and families affected by HIV in our community – the very people HOPES has served since 1997.

Dining Out For Life is an international fundraiser that enlists the generous support of local restaurants, businesses, and volunteers to raise funds for HIV service organizations across the United States and Canada. HOPES held its 3rd annual Dining Out For Life event on April 25, 2013 and raised over $20,000 for HIV programs and services at HOPES. Thank you to each of our Dining Out For Life Restaurants, Sponsors, and Volunteers for making our 2013 event a success!

Northern Nevada HOPES welcomed walkers, runners, and dogs to Idlewild Park for its 7th annual Northern Nevada AIDS Walk/Run on August 17, 2013. The event raised over $25,000 for local HIV service organizations, including Northern Nevada HOPES, Planned Parenthood Mar Monte, ACCEPT, NNOT, and Frontline of Northern Nevada. Thank you to our AIDS Walk/Run Partners, Sponsors, Volunteers, and Participants for joining us in the fight against HIV & AIDS!

NORTHERN NEVADA

AIDS WALK/RUN

YOU MAKE IT POSSIBLE The generosity & giving of the following individuals, businesses, & foundations is the reason why so many individuals & families in our community can rely on HOPES for affordable, quality healthcare services. Thank you – we are so grateful for your support.

HOPES BOARD OF DIRECTORS Douglas H. Brewer, CFP, President – Merrill Lynch Scott Brenneke, Vice President – Owner, Advanced Asset Management, Inc. Jerome Edwards, Ph.D., Secretary – Professor Emeritus, University of Nevada Reno Chris Bosse, CPA, Treasurer – VP, Government Relations, Renown Health

Stanley R. Shane, M.D. – University of Nevada Reno, School of Medicine Zeina Barkawi – Bank of America Karen Witherow – Northern Nevada HOPES Bill Ware – Rancho San Rafael Park

CORPORATE & FOUNDATION SUPPORT Intuit Enterprise A&H Insurance Merrill Lynch Bank of America Prime Lending Raley’s Save Mart Drakulich Insurance Armed Alarm Port of Subs Campo Cafe at Adele’s Stonehouse Cafe Flowing Tide Pub Anthony’s Dandelion Deli Saver’s

Atlantis Casino Peppermill Casino Sands Regency Washoe County Health Department Black & White Ball Riverwalk Assoc.

Unity Ministry Light of the Soul Jahn Family Trust The Grill Java Jungle Jungle Vino SoDo Bar & Grill Bistro 7 Kimmie Kandy NV Woodchucks

Comer Foundation National Philanthropic Trust Reno’s Biggest Little Sisters Silver Dollar Court Henry Schein Photo Wickum Dolphin Rents Reno Forklift Nothing to It! 5 Star Saloon Hub Coffee Roasters Town Barbers

Washoe Pines Foundation Comstock Grizzlies Sani-hut Company Walmart Sam’s Club Truckee Sports Ex. Advantage CPUs Rapscallion The Patio A Taste of Thai Total Wine & More Duewel Images

Whispering Vine Carl’s Pub Peg’s Ham N Eggs Mario’s Portofino Caughlin Club Buenos Grill Wild River Grill PJ & Co. L’uva Bella Wine Wet Hen Cafe Scheel’s

“ As a board member, patient, & longtime Nevadan, I have a unique perspective on HOPES; I believe that its integrated model of care is transforming the face of healthcare in our community.”

– Jerome Edwards, HOPES Board Member & Community Member

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THANK YOU SO MUCH INDIVIDUAL SUPPORT Jerome Edwards, PhD Douglas Brewer Chris Bosse Scott Brenneke Zeina Barkawi Karen Witherow Cynthia & James Wetta Steve McMillan Katharine Bennett Dr. Douglas Vacek Mike & Cheryl Genin Leonard Thompson Sarah Feliz Terry Mercurio John Adams Robert Douglas Mike Allen Mark Taxer Alison Colvin Thomas Glogowski Dixon Chang Ivy Spadone Peggy Dupey Ruth Allen David Ross Terry Folan Carrie McDonald Edward Bensing Michael Tierney Ronald Smith Christine Silsby Sandra Saunders Jeshie Ramio Sean Patterson Jane Monroe Xavier Martinez Steve Lewis Dr. Trudy Larson Gerald Heston Deborah Harding Victoria Follete, PhD Linda Fluekiger Paul Diflo Claire Cates Cheryl Blomstrom

Bessie Bennett Sarah Melfe Kaycee Summers Kay Dunham James Hollahan Gwen Taylor Sonya Suhr Terry Rhodes David Lucero William Chan Franke Melfe Natalie Smith Cathleen Fitzgerald Angie Dykema Suzy Shaffer Christopher Van Dyke Deborah Barker Karen Vibe Krystal Tingle Brad Snedeker Frank Simplicio Katy Simon Paul Shonnard Janet Scott Janice Romiti Bob Quilitch Nancy Podewils Ari Mintz Miklya Miller Katrina Miller Amelia Miller Bryan McMartin Meggin McIntosh Sarah Mayfield John Lund Jessica Longley Nancy Leuenhagen Beverly Lassiter Red Kitell Paula Kaley Victoria Jakubowski Mary Higgins Margaret Henderson Jenna Harlin Karen Goody

Hennessy Ganser Julie Flores Jane Detweller Vic Delossantos Vickey Cook Buck Colby Valli Camilleri Angel Brus Kathy Beck Quinn Barrows John Auer Amy Angella Penny McClary Gene Humphrey Maureen Fager Sandy Saunders Drew Champagne Dan Dahlstrom Amy Fitch Sue Trimmer Diana Huleva Jerry & Joyce Bennett Joel Medina Catherine Byrne Randi Thompson Victoria Francis Tatum Jackson Diane Jenkins Christine Silsby Tressa O’Lear Sandy Tokin Henedina Tollerstad Tom Strekal Tanya Velasco Clara & Lawrence Young Tobi Gomer Stacey Rice Lamont Hall Karen Walker Ashley Archer Steve Trollope Kayla Ambruster Theresa Arnold Anna Arias Donald & Lucille Boyle

Glynn Cartledge Andrea Charles Stacey Compton April Conway Daniel Drinan John Emerick Spencer Helms Adirana Hernandez Vickie Jewel Ellen Kelly Julia Kip Brandi MacLeod Walter Martin Christopher Moleski Rain Morrison Mary Alice Pisani Renee Plain Abigail Polus Jim Rogers Nell Smith Skip Smith Stephanie Stalcup Carol Bock Jeff Bohrman Diane Stockton Anthony Wideman Robert Francis Hiram Johnson Sally Lamont Joy Olrich Elaine Alexander Andrea Allen James Allen Marilyn Allen Mark Allen Jillian Anderson Richard Anderson Mark Archer Reva Archer Dean Austin Becky Bailey Casey Baldwin Cypress Barrows Amaya Basterrechea Erica Beardsley

Northern Nevada HIV Outpatient Programs Education & Services | 86-0865357 | Your contribution may be tax deductible under federal law

OUR MISSION TO YOU Northern Nevada HOPES is dedicated to building a healthier community by providing coordinated care and support for individual and family wellness.

Our community health center combines primary care, medical specialties, behavioral health and prevention with a team of experienced professionals who are committed to high-quality care.

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HOPES N O R T H E R N N E VA D A

your partner in health.

467 Ralston Street, Reno, NV 89503 nnhopes.org | (775) 786-4673