NOVUS Health 2022 Annual Report

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AnnualReport

2022AnnualReport
TABLE OF CONTENTS 1 2-3 4-5 6-7 8-9 10-11 12 13 CEOMessage AboutNOVUSHealth-NOVUSBytheNumbers OtherHealthandWellnessServices SexuallyTransmitedInfection(STI)ClinicalCare BehavioralHealth/ImpactStories PreventionandOutreach Financials Thankyou,FundersandPartners 14 GetInvolved 15 2023ComingOutEvent 16-17 MeetOurBoard 18-19 ContactUS MeetOurStaff 20

Dear Friends,

CEOMESSAGE

My name is Dale Wrigley, and I am the Chief Executive Officer for NOVUS Health Our team works hard to provide comprehensive, trauma-informed care and prevention services in a compassionate and nonjudgmental environment

At the core of NOVUS Health's mission and vision, we seek to change the healthcare landscape by meeting people where they are on their health care journey, developing and building partnerships that acknowledge and recognize biases in care delivery, while challenging ourselves and our community to constantly work to eliminate those biases.

I am so grateful for the opportunity to share with you our first annual report as NOVUS Health. This year saw many changes including moving from a private practice to become a 501c3 nonprofit, creating a brand that aligns with our mission and vision, and developing and executing a five-year strategic plan

NOVUS Health's continued growth is tied to our relationships with our patients and the communities we serve By focusing on establishing services that bring together multiple disciplines that complement and empower us to be better together we will change healthcare as we know it.

This report highlights some of our outcomes and services delivered in 2022. Our work has just begun. On behalf of our Board of Directors and staff, it is our hope that you will join in our journey to build Healthier Communities together

Hope to talk soon,

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ABOUT NOVUS HEALTH

The mission of NOVUS Health is to improve the quality of life and advocate for the health and well-being of all individuals in our community through the delivery of primary, holistic, and preventative care coupled with supportive services. We provide comprehensive, trauma- informed care in a compassionate and nonjudgmental environment.

Our vision is for NOVUS Health to become a trusted, patientcentered medical model home, providing equitable access to primary care and linking individuals to the specialty care and preventative services that are customized to their needs. We also aim to engage and collaborate with individuals to meet their overall health goals, while working to provide tools and resources that ensure ongoing retention in and adherence to all points of care, prevention, and treatment.

Our Values

TRUST - COMMUNICATION - COMPASSION

Our Services

GENERAL WELLNESS - TELEHEALTH - BEHAVIORAL HEALTHPSYCHIATRIC SERVICES - CASE MANAGEMENT - LINKAGE TO CARE

- GENDER-AFFIRMING CARE - WOMEN’S WELLNESS - PHARMACY

- MASSAGE THERAPY - STI CLINICAL CARE - PREVENTION PROGRAM

BEHAVIORAL HEALTH PROVIDERS

COLLABORATIVEPRACTICESUPERVISOR FOR

SERVICES

PSYCHIATRIC

MarkScheperle,MD (HE/HIM/HIS) CHIEFMEDICALOFFICER MattCary,MSN,FNP-BC,ANP-BC (HE/HIM/HIS) CLINICALCARESUPERVISOR BrianBrennan,APRN,FNP-BC (HE/HIM/HIS) NURSEPRACTITIONER AlexisAnderson,MSNFNP-C (SHE/HER/HERS)
CLINIC
NURSEPRACTITIONER
PROVIDERS
AutumnClark,DO (SHE/HER/HERS) PSYCHIATRIC ErinDuvall-FNP-C,FPMHNP-BC (SHE/HER/HERS) NURSEPRACTITIONER JustinHampton,LCSW (HE/HIM/HIS) BEHAVIORALHEALTHMANAGER GavynStys,LCSW (HE/HIM/HIS)
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BEHAVIORALHEALTHSPECIALIST
NOVUSBYTHENUMBERS RoutineOfficeVisit 61% STI/PrEP 26% Annual/Physical 5% NewPatient 3% 2021 2022 NewPatients 150 100 50 0 Clinical Services Provided in 2022 2021 2022 0 1,000 2,000 3,000 Annual/Physical Injection RoutineOfficeVisit STI/PrEP Total Visit Count in 2021 and 2022 Injectables 5% 3

STI CLINICAL CARE

NOVUS Health provides confidential and free sexually transmitted infection testing and treatment. The clinic focuses on prevention and education while providing high-quality care to all individuals. We offer these services by appointment or walk-in.

Free condoms are available. NOVUS Health also coordinates 2 sites for STI testing and treatment our main office on Lindell Boulevard and NOVUS Health @ University Club Medical in Brentwood.

PrEP (pre-exposure prophylaxis) is a service of our STI clinical care and provides HIV prevention treatment to individuals. There are multiple options for preventative therapy for HIV. Ask the NOVUS Health Prevention Services Coordinator for more details or come in and discuss your options.

109 PrEP patients at NOVUS Health

120 PrEP patients at University Health Club for NOVUS Health

OUR 2023 GOALS

We will begin Opt-Out HIV testing in partnership with WashU. This will allow us to automatically test every patient for HIV with rapid testing, with the option to opt out. This will help lessen the stigma of HIV testing, foster early treatment plans, and reduce the risk of transmission.

2021 2022 #ofSTI/PrEPPatients 1,250 1,000 750 500 250 0
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STI Tests

reening and testing are done for the following:

SYPHILIS CHLAMYDIA GONORREA TRICHOMONIASIS HERPES SIMPLEX

2,368 Received treatment for Chlamydia and Gonorrhea.

13%

1,288 Syphilis tests were administered.

Chlamydia and Gonorrhea tests were administered. Received treatment.

18%

770

HIV tests were administered.

2% 2% positivity rate received care.

Testing beginning at the end of 2022:

Trichomonas tests were administered and one patient received care.

Herpes tests were administered.

*STI data analysis began with our new branding and EMR integration in August 2022.

HIV
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BEHAVIORAL HEALTH

Behavioral health relates to the connection between your behavior and the health of your mind, body, and spirit It is the way your habits affect your mental and physical health and wellness

NOVUS Health provides service opportunities to individuals through:

Assessment

One-on-one in person counseling

Virtual mental health services

Telehealth psychiatric services

Group therapy multiple areas (coming soon)

2022 Successes

NOVUSHealthintroduced BehavioralHealthservicestoitslist ofholisticservices. BehavioralTelehealthwas launched.

Theservicestartedwithoneservice providerandhasgrowntofourby theendoftheyear.

2023 Goals

Increase access and the number served by 25% or more by end of 2023

Expand mental health services to Southeast Missouri

Expand access to psychiatric care for individuals living with HIV

52 Patients used Behavioral Health services 82 times in 2022.

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NOVUS Health Behavioral Health Manager, Justin Hampton, LCSW, and Behavioral Health Specialist, Gavyn Stys, LCSW

PATIENT AND FINANCIAL SUPPORTER - FRANK KLING

When health challenges develop, I'm comforted knowing NOVUS will provide me with the expertise and care to overcome these difficulties. The organization's holistic approach to healthcare sets NOVUS apart from other providers by recognizing that a person's health is a function of the entire self. Recently, the organization added behavioral health to the professional services available to patients. I admire how management constantly evaluates the addition of healthcare services to improve patient outcomes This constant improvement in the scope of healthcare services affords patients like me a high quality of life, thus allowing patients to remain productive members of society.

BOARD MEMBER - LONNIE O'NEAL

My experience with NOVUS Health has been from its inception, as an idea coming to fruition, to current day operations. As a Board Member, I am looking forward to NOVUS Health's continued efforts to provide clinical excellence, in patient care and expanding access to healthcare for all, through community outreach and development

Thank you

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PREVENTIONANDOUTREACHCOMMUNITY HEALTH AND PREVENTION TowerGrovePride PopUpatGrandandGravois FairgroundPark WilliamsandAssociates St.PatrickCenter STLRegionalHealthInsuranceFair WorldAIDSDay FootstepsMedicalMission(SE Missouri) NOVUSHealthPopUps Outreach Events PeopleenrolledinMedicaidorMarketplace 20 Peopleservedthroughoutreach,clinicor otherreferral 31 Peopleassistedwithhealthcoverage (existingcoverageornewenrollment) Engagement and Enrollment 115+ NOVUS Health Outreach and Enrollment Team (L to R) Georgia Rodgers, SE MO Community Health Worker; Keanna Jackson, St. Louis Community Health Worker; Amanda Williams, Community Health & Prevention Manager *Special thanks
for her help with enrollment and events! 8
to Katie Wolf

Other Successes

2CommunityHealthWorkersaddedtoNovusteam(1inSEMissouri)

4staffbecameCertifiedApplicationCounselorsandlicensedbyStateofMissouri

FormedmultiplecommunitypartnershipsincludingWashUBrownSchoolof SocialWork,St.LouisPublicLibraries,CapeGirardeauPublicLibraries,St.Patrick's CenterandCityHopeSTL

Securedinterpretingservicestobeusedinclinicoroutreach

CompletedNationalSTICurriculumandPrEPNavigationTrainings

ReceivedMedicaidoutreachandenrollmentfundingfromMissouriFoundation forHealththroughitsCoverMissouriproject

2023 GOALS

INTEGRATION. IdentifyopportunitiestoincorporateCommunityHealth Workersintoclinic/patientcare.

COLLABORATION. Workwithotherdepartmentstoexaminepolicy, advocacy,patientrelationsandresearch.

CONNECTION. Partnerwithmoreorganizationsonlocalandregionallevel EXPANSION. Increasecommunityreachthroughprogramming,outreach, marketingandvolunteerbase.

EXPANDEDSERVICES.ExpandedservicesinSoutheastMissouriRegion.

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2023 Goals

We are planning our move to a new facility located on South Grand that will allow for our current services and added dental, dietician, and chiropractic care Construction is underway and will open in 2024

NOVUS Health, along with BioReference, Cape Family Medical Clinic, future pharmacy partner - GreaterHealth Pharmacy and Wellness, will soon offer collaborative services in Cape Girardeau, Missouri. Our new satellite clinic offers HIV Care, PrEP Care, Behavioral Health Counseling, Psychiatric Assessments, Lab Services through BioReference, and Medicaid and ACA Enrollment Assistance as well as access to our pharmacy services with GreaterHealth Pharmacy and Wellness.

2022 Successes

WelaunchedtelehealthservicesthatintegratesElectronicMedicalRecord eClinicaltoallowustoconnectwithpatientsthroughthephone.

WebeganapartnershipwithRestoreBodyworkMassagefortherapeutic massagetohelpwithpainrelief,stressrelief,orjustamomentofself-care.

Wewelcomedbackouronsitepharmacy,GatewayApothecary,asa convenientoptionforourpatientsaswellasanoutsidePharmacycontract i hW l

10 OTHERHEALTHANDWELLNESSSERVICES

TeleHealth

Time an access can be a barrier to care NOVUS Health will work with each person to deliver health services in many ways by providing access to care through telehealth visits with your provider. Through the Healow App, you can make an appointment, virtually attend an appointment, ask your provider questions, or check on your labs

Women's Wellness

Our women’s wellness services focus on life satisfaction in relation to physical, mental, emotional, spiritual, social, economic, occupational, and environmental dimensions Women’s wellness at NOVUS Health looks at certain aspects and disruptions that alter a woman’s quality of life, such as reproductive and hormonal issues, bone health, gastrointestinal stress, and urinary incontinence. Together with your provider, we maintain a holistic approach to your health and well-being

Pharmacy

NOVUS Health partners with an onsite pharmacy With a focus on chronic health issues including HIV and Hepatitis, our on-site pharmacist provides counseling, vaccine services, and support for your individualized treatment plans. In addition to onsite pharmacy services, NOVUS Health partners with multiple Walgreens affiliates as our outside contracted pharmacy. These services provide you with options for accessing treatment and treatment counseling both within and outside our facility

In 2022, our contract pharmacies filled over 9,600 prescriptions.

Linkage to Care

Linkage to Care started in June 2022 through a partnership for co-located services with Williams & Associates, Inc for those newly diagnosed with HIV, who have never been in care, or who have not had care in the past 12 months and are returning to care A Linkage Case Manager provides a more intensive level of case management and works with clinical staff to ensure treatment and care happens upon entry. Additional assistance with transportation and access to treatment are provided within this service area

Massage Therapy

We partner with Restore Bodywork Massage for therapeutic massage to help with pain relief, stress relief, or just a moment of self-care.

WA,Inc@NOVUS STLArea LinkagetoCarePatients 150 100 50 0 11
ProgramServices $12,867,195 Billing $284,269
MedicalRelated $9,328,488 Payroll $2,063,151 General $850,223 ProfessionalFees $507,039
TOTAL REVENUE: $13,249,706 Program Services - $12,867,195 Billing Revenue - $284,269 Investment Income - $49,742 Rental Revenue - $48,000 Misc. - $500 TOTAL EXPENSES: $12,843,370 Medical-Related - $9,328,488 Payroll - $2,063,151 Professional Fees - $507,039 General - $850,223 Admin - $94,469
novushealthstl.org in June for the 2022 990. Admin$94,469 12
FINANCIALS
REVENUE EXPENSES
*Visit

THANKYOU,FUNDERSANDPARTNERS

Site

Address

THANKYOU,SUPPORTERS

ThankyoutoeveryonewhogavetoourveryfirstGIVINGTUESDAYfundraiserinNovember!We gained17newsupporterswhogaveover$1,500!Also,abigthankstoallofourin-kindsupporters. ThankyoutoMediraRXandUniversityClubMedicalforsponsoringourveryfirstComingOut Signatureeventin2022!Thankyoutoourcurrentsponsorsfor2023,MediraRX,Gilead,Enterprise Bank&Trust,BioReferenceLaboratories,UniversityClubMedical,VanstarConstruction, andGreensfelder,Hemker&Gale,PC

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Supporters like you help NOVUS Health provide quality comprehensive, trauma-informed care and prevention services to our community in a compassionate and nonjudgmental environment.

We ensure that every person who visits our clinic will receive the care they need, regardless of their ability to pay. You can rest assured knowing that your tax-deductible donation will be put to good work. Together, we will aim to improve the health and well-being of ALL individuals in our community

Visit: novushealthstlorg/donate

Ways to Give

BECOME A MONTHLY DONOR

EASY ONE TIME DONATION

TRIBUTE GIFT

TRIBUTE GIFT THROUGH OUR PATH OF REMEMBRANCE AND HOPE PAGE

MATCHING GIFTS

PAYROLL DEDUCTION

HOST AN EVENT

BECOME A SPONSOR

ATTEND AN EVENT

VOLUNTEER

IN-KIND DONATIONS

PLANNED GIVING: Stock Gift

IRA Charitable Rollover Contribution Bequests

GETINVOLVED
Service
Service
Service
Opportunityfor12patientstostartaPre-Exposure
Service Averagecostofaco-paypermonth
$100permonth
Costofwomen’swellnessscreeningfor12women YourImpact Helpimprovethequalityoflifefor12womenthroughout theyear $75permonth
Costof12self-payvisits YourImpact Assureswellnessfor12patients $50permonth
Costof12HIVscreenings YourImpact
prophylaxis(PrEP)plantoimprovequalityoflife $25permonth
YourImpact
Service
Gives12patientspeace-of-mindknowingthattheywill receivethecaretheydeserve $10permonth
Costoftwotelehealthvisits
YourImpact Ensuresgoodhealthofourpatientsandourcommunity
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COMING OUT SIGNATURE EVENT

Live Music. Libations and Hors D'Oevres. Raffles. Silent Auction. Free Valet Parking.

THAXTON SPEAKEASY

FRIDAY, JUNE 23, 2023

1009 OLIVE ST, ST. LOUIS, MO 63101

5-9PM

RSVP novushealthstl.org/comingout

Last year we successfully launched our first COMING OUT signature event We will host this event again on Friday, June 23, 2023, at the Thaxton Speakeasy from 5-9 PM to support our patients’ needs for current and future services This event will give us a chance to tell you about our impact and our move to a new campus on South Grand in 2024. COME OUT with us, let’s kick-off Pride weekend together!

This event is free. Donations are encouraged (estimate of fair market value is $110 per person).

If you are interested in sponsoring or donating to our event, please visit novushealthstl.org/comingout for more information!

OUR SPONSORS

YOU'RE INVITED
Byinvitationonly
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MEETOURBOARDOFDIRECTORS

STEVENFUCHSJR BOARDPRESIDENT

StevenFuchshasanextensivehistoryofLGBTQ+care.HestartedwithSchnucksSpecialty PharmacylocatedinUniversityClubMedicalafterhiscompletionofacommunitypharmacy residency Stevenstrivestohelppatientsmeettheirgoalsofoptimallevelofwellbeingandhealth WiththepurchaseofSchnucksPharmacybyCVS,StevenstartedwithSitemanCancerCenterat WashingtonUniversity StevenisexcitedbethePresidentoftheBoardatNOVUSHealth This opportunityallowshimtocontinuehisgoalofhelpingeveryonereachtheiroptimalwellnessand health StevenexcitedlyworkswiththeleadershipteamtohelpexpandNOVUSHealthintoa communityhealthresourceforall Steven’shobbiesincludegardeningandworkingonhome improvementprojects.

KAYTLINREEDY-ROGIER BOARDVICEPRESIDENT

KaytlinReedy-RogierstartedwiththeIHNinJanuary2018andservesastheProgramCoordinator forthePipelinetoCompassionateCareProject ShegraduatedwithaMaster’sinSocialWorkfrom theBrownSchoolofSocialWorkatWashingtonUniversity ShehasexpertiseinDiversityand InclusionfacilitationaswellasHIV/AIDS KaytlinsupportstheIHNNetworkCommunityAcademic PartnershipCommittee(NCAP)andTransitionsofCareTaskForce(TOC)andisactiveinthe communitythroughworkwithNCCJSTLandtheAnti-DefamationLeague,facilitatingdialoguein thecommunityaroundissuesofdifference WhenaskedwhysheisgladtobepartoftheIHNand itscommitmenttoexcellence,Kaytlinresponds,“I’mexcitedtohelpcreateamoreinclusiveand empathetichealthcareworkforceinSt Louisandworkwithateamofpassionatefolkswhoare alsoworkingtomakeSt.Louisabetterplacetoliveandwork.”

SHANEPACE BOARDTREASURER

RaisedbetweenSt Louis,andGalvestonTx,Shaneisanentrepreneurwhosebusinessesincluded acardealership,arestaurantandbar Currentlyheownsacontractingconsultantcompany He andhispartnerenjoytravelingandspendingtimewiththeirdogs.Theyarestrongsupportersof theOpenDoorAnimalSanctuary HesupportsNOVUSHealthasbothaboardmemberand frequentvolunteer.HeandhishusbandareactivemembersinFaithChurchinSunsetHills.

DR.MARCLUCKETT BOARDSECRETARY

Dr MarcLucketthasapassionforcommunityhealthandaddressingwomen’swellness He graduatedfromSt LouisUniversitySchoolofMedicinein1995andhasbeenprovidingqualitycare throughouthiscareer.HisstintsasclinicalinstructoratbothWashingtonUniversityandSt.Louis UniversityMedicalSchoolsofferedhimanopportunitytoprovideguidancetoanewgenerationof providers Hebringsawealthofknowledge,ahistoryofcommunity-basedcare,andadesiretobe partofpositivechangeintheSaintLouisHealthlandscapetoNOVUSHealth Dr Luckettis marriedwiththreechildrenandresidesinSaintLouis Dr LuckettnoteshismotherDr Amanda Murphy’sworkasatrailblazerinmentalhealthhasinspiredhimtofollowinherfootsteps.

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LONNIER.O’NEAL BOARDMEMBER

LonnieR.O’Nealhasover30years’experienceasaBusinessDevelopmentExecutive,inthe ClinicalDiagnosticLaboratoryindustryandover12years’experienceinCriminalInvestigations andLawEnforcement LonniecurrentlyrepresentsBioReferenceLaboratories/GenPath Diagnostics,inaBusinessDevelopmentrole,asanAccountExecutive Throughouthiscareerin themedicalindustry,hehashadtheopportunitytoworkinvariousrolesasaBusiness DevelopmentExecutiveintheClinicalDiagnosticLaboratory,EsotericandGenetictesting industry Inthoseroles,LonniehasworkedthroughouttheUS,includingtheAlaskaTerritory Lonnie’scareerinlawenforcementbeganintheUnitedSatesMarineCorps,whereheworkedasa MilitaryPolicemanandCriminalInvestigator AfterhismilitarycareerLonnieworkedasaCriminal InvestigatorfortheStateofNewYork,inNewYorkCity

LonnieattendedTheMarineCorp’sInstituteandMadisonUniversityandholdsaBSDegreein CriminalJusticeManagement,withMagnaCumLaudeHonors Lonniehasextensiveformalsales trainingandwastheValedictorianofhisSalesAcademy.Lonniehasreceivednumerousawards andrecognitionsforhisachievementsasaBusinessDevelopmentExecutive Lonniecurrently residesinCreveCoeur,MOwithhisfamily Lonnieenjoystraveling,exploringtheworldand spendingqualitytimewithhisfamilyandfriends. Lonniecanbereachedviae-mailat lonnie@novushealthstlorg

LINDSAYDAVIS BOARDMEMBER

LindsayDavisreceivedherMastersofScienceinMarriageandFamilyTherapyfromNorthwestern Universityin2001andbecameanLPCin2004 Shehasworkedwithchildrenandadultswith seriousmentalillnessandseriousemotionaldisturbancesince2002,mostlywithBJCBehavioral Health. Inaddition,shehasworkedforGreatCircleandHopewellCenterforthelastcoupleof years In2000sheopenedComPsych’sSt Louis-basedofficeasaclinicalleader Shehasheld multipleleadershiproles,mostrecentlyasaVicePresident,andsheisdeeplypassionateabout growingexcellentcliniciansandmedicalprofessionalstobethebestthattheycanbe.

In2008,LindsaybecamecertifiedinDBT(DialecticalBehavioralTherapy)andhasbeentrainedfor over60hoursspecificallyinthistherapytotreatadolescents,adults,andthosewitheating disorders Soonthereaftersheopenedaprivatepracticewithafocusonadolescentsandolder whocouldbenefitfromDBT,whichisanevidence-basedpracticeforthosesufferingfrom BorderlinePersonalityDisorder,MoodDisorders,AnxietyDisorders,andAddiction Sheutilizes DBTandCBT(includingbothTFCBTandmindfulnessCBT)aswellasmotivationalinterviewing techniqueswithherpatients In2008shealsobecameatrainerforASIST(AppliedSuicide InterventionSkillsTraining)becauseofherdrivetopreventsuicideandhasprovidedthistwo-day training17times. ShehasmanyhoursoftrainingintakingaTraumaInformedapproachaswellas doingtraumatherapy

DR MOSESWAITHAKA,PHD,MA,MBA BOARDMEMBER

Dr MosesWaithakaisaSeniorDirectorofQuality&CorporateComplianceOfficerforHopewell Center Heisastrategicandresult-orientedprofessionalwith15+yearsofproventrackrecordin MentalHealthprogramdesignandevaluation.Dr.Mosesbelievesinprovidingexcellentservices basedonthebestandmostpromisingevidencebasepractice Dr Mosesreportedthathewas drawntoNovushealthbecauseofitsmissionandvision,mainlyitsnobletaskofensuring healthcareservicesareprovidedtothemostvenerablepeoplewithinourcommunity.Moreover, theconceptthatNovusHealthstrivestoreachouttothediverseandmostvulnerablepeople reachingthem“wheretheyare”Additionally,Dr MosesisexcitedaboutNovusHealthfuture programming,thecontinuedprogramexpansionthatwillincludeafullarrayofmentalhealth services.

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MEETOURSTAFF

EXECUTIVE LEADERSHIP

Dale R. Wrigley (HE/HIM/HIS)

CHIEF EXECUTIVE OFFICER

Tara Spates-Tucker (SHE/HER/HERS)

CHIEF OPERATING OFFICER

Brittany Campbell (SHE/HER/HERS)

DIRECTOR OF DEVELOPMENT & COMMUNICATIONS

Phillip W. Johnson (HE/HIM/HIS)

DIRECTOR OF CHANGE MANAGEMENT & DIVERSITY

Paula Upshaw (SHE/HER/HERS)

DIRECTOR OF QUALITY MANAGEMENT

Amanda Williams (SHE/HER/HERS)

COMMUNITY HEALTH & PREVENTION MANAGER

Sarah Marchant (SHE/HER/HERS)

EXECUTIVE ASSISTANT

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CONTACTUS

NOVUS HEALTH MAIN OFFICE

3960 Lindell Blvd.

Saint Louis, MO 63108

314.652.0100

NOVUS @ CAPE FAMILY MEDICAL CLINIC

24 Sprigg St.

Cape Girardeau, MO 63701

novushealthstl.org

NOVUS Health is a non-profit 501(C)(3) organization. Contributions are eligible for tax deduction to the limit allowable by law. NOVUS Health’s EIN is 32-0084051.

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