NAVIGATING WITH HEART, STRENGTH, AND HOPE | 1 |
In every step forward, we find new strength in our purpose and renewed hope in the communities we serve. | 2 |
WHO WE ARE | 3 |
MISSION | 3 |
We provide affordable, high-quality medical, behavioral health and support services for all. | 3 |
VISION | 3 |
We strive to build a healthier community. | 3 |
VALUES | 3 |
We value kindness, dignity, excellence, creativity and adaptability. | 3 |
WHO WE SERVE | 4 |
37% | 4 |
of patients living at or below 100% of the federal poverty level | 4 |
59% | 4 |
of patients living at or below 200% of the federal poverty level | 4 |
7% | 4 |
of patients or total number of patients experiencing homelessness | 4 |
- HOPES Patient | 4 |
TWO CLINICS, ONE MISSION: | 5 |
EXPANDING ACCESS ACROSS NORTHERN NEVADA | 5 |
16,376 | 5 |
TOTAL NUMBER OF PATIENTS SERVED IN 2025 | 5 |
GUIDED BY PURPOSE: | 6 |
CEO REFLECTIONS | 6 |
Dear Friends, | 6 |
“As we look ahead, we remain committed to navigating with purpose. With your support, we will continue to transform healthcare one patient, one innovation, one act of listening at a time.” | 6 |
We’ve faced headwinds: rising costs, shifting policies, and growing demand. But our compass never wavered. It pointed us toward resilience, toward community, and toward hope. | 6 |
INNVOVATION BORN FROM LISTENING | 7 |
ADDICTION MEDICINE DEPARTMENT | 8 |
A COMPASS FOR RECOVERY | 8 |
“We’re not just treating addiction, we’re treating people. We’re helping them reclaim their lives, rebuild relationships, and rediscover hope.” | 8 |
BEHAVIORAL HEALTH ACCESS CLINIC | 9 |
IMMEDIATE SUPPORT, LASTING IMPACT | 9 |
“This is access right where people live, and same-day appointments make it possible for them to walk right in and receive care the moment they need it.” | 9 |
MATERNAL & INFANT HEALTH SERVICES | 10 |
NAVIGATING PREGNANCY & PARENTHOOD WITH SUPPORT | 10 |
“We’re creating a safety net for families who’ve historically fallen through the cracks. Every baby deserves a healthy start and every parent deserves support.” | 10 |
GAMBLING IOP | 11 |
ADDRESSING HIDDEN ADDICTIONS | 11 |
“Gambling addiction doesn’t always look like crisis, but it can quietly devastate lives. Our program helps patients navigate their way back to stability, one step at a time.” | 11 |
PSYCHIATRIC RESIDENT PROGRAM | 12 |
FORWARD INNOVATION | 12 |
How Donors Support Patient Care: | 12 |
Primary Care Consultation | 12 |
Intensive Outpatient Program (IOP): | 12 |
Outpatient Therapy | 12 |
SERVICES | 13 |
NAVIGATING IMPACT | 14 |
IMPACT METRICS | 14 |
3,813 | 14 |
Total new patients | 14 |
At 4th St: 1,598 | 14 |
At 5th St: 2,818 | 14 |
106,759 | 14 |
Total patient visits | 14 |
In-Person: 96,950 | 14 |
Telehealth: 9,793 | 14 |
2,859 | 14 |
Pediatric visits | 14 |
16,376 | 14 |
Visits | 14 |
Medical | 14 |
Behavioral Health | 14 |
Psychiatry | 14 |
Case Management | 14 |
Other* | 14 |
50,967 | 14 |
21,070 | 14 |
1,378 | 14 |
3,802 | 14 |
19,733 | 14 |
96,950 | 14 |
2,115 | 14 |
5,781 | 14 |
582 | 14 |
1,177 | 14 |
138 | 14 |
9,793 | 14 |
NAVIGATING IMPACT | 15 |
IMPACT METRICS | 15 |
Behavioral Health | 15 |
Sexual Health | 15 |
26,851 | 15 |
Total Behavioral Health Appointments | 15 |
95,73 | 15 |
140 | 15 |
280 | 15 |
439 | 15 |
2,869 | 15 |
5,417 | 15 |
1,070 | 15 |
HIV & Hepatitis C Care and Prevention | 15 |
5,417 | 15 |
613 | 15 |
1,119 | 15 |
424 | 15 |
Medication Assisted Treatment | 15 |
2,843 | 15 |
11,231 | 15 |
95% | 15 |
93% | 15 |
389 | 15 |
2,525 | 15 |
NAVIGATING IMPACT | 16 |
IMPACT METRICS | 16 |
Wrap-Around Services | 16 |
19,282 | 16 |
2,808 | 16 |
Immunizations | 16 |
COVID tests | 16 |
1,406 | 16 |
X-ray visits | 16 |
1,265 | 16 |
Ultrasounds | 16 |
Case Management | 16 |
359 | 16 |
2,848 | 16 |
Housing case management visits | 16 |
Case management visits | 16 |
(not including housing case managers) | 16 |
832 | 16 |
Case management telehealth visits | 16 |
Hope Springs | 16 |
259 | 16 |
Hope Springs residents* | 16 |
Hope Springs graduates* | 16 |
245 | 16 |
days average length of stay* | 16 |
On-Site Pharmacy | 16 |
3,702 | 16 |
98,882 | 16 |
Medication deliveries | 16 |
Prescriptions filled | 16 |
“I've had nothing but exceptional service through the staff and direct compassionate involvement with my provider. I would highly recommend HOPES for all of their services to anyone in need.” | 16 |
- HOPES Patient | 16 |
STAYING ON COURSE | 17 |
FINANCIAL OVERVIEW | 17 |
Revenue | 17 |
Expenses | 17 |
Programming | 17 |
Administrative | 17 |
Development | 17 |
OVER A DECADE OF DIRECTION | 18 |
BOARD OF DIRECTORS | 18 |
Most importantly, we did it by listening to our patients, who continue to be our compass guiding every decision and every innovation. | 18 |
Trudy Larson, M.D. - Chair & President | 19 |
Chris Bosse | 19 |
A.G. Burnett, JD | 19 |
Jane E. Fox | 19 |
Heidi Loeb | 19 |
Par Tolles - Vice President | 19 |
Douglas H. Brewer - CFP, Treasurer | 19 |
Katelyn J. Cantu - Secretary, JD | 19 |
Susan Fisher, JD | 19 |
Amy McCombs, MSN, RN, CCRN, CNML | 19 |
Theresa Navarro | 19 |
Karen Massey, MHA, FACMPE, CPMSM | 19 |
Cliff Scheffel | 19 |
Pierron Tackes, JD, MPH | 19 |
HOW WE ARE GUIDED | 20 |
PATIENT STORIES | 20 |
FUELING THE JOURNEY | 21 |
Our 2025 donors anchored our work and helped us reach new horizons. | 21 |
- Mandi Larsen | 21 |
Scan the QR code to see those who made an impact in 2025 | 21 |
GUIDING EVERY DECISION AND EVERY INNOVATION | 22 |
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