HOPES 2023 Annual Report

HOPES 2023 Annual Report Healthcare That's Transforming Our Community

HEALTHCARE THAT’S TRANSFORMING OUR COMMUNITY

WHAT’S INSIDE 1 �������������������������������� WHO WE ARE 3 ������������������������������ WHO WE SERVE 5 ������������������������������ PRIMARY CARE 7 ............... CHRONIC DISEASE MANAGEMENT 8 ����������������������������� INCLUSIVE CARE 9 ��������������������������� HARM REDUCTION 11 ����������������������������� HOPE SPRINGS 12 ���������������������������� MENTAL HEALTH 13 ��������������������������� THE JERRY SMITH COMMUNITY WELLNESS CENTER 16 ��������������������������� THE JERRY SMITH COMMUNITY WELLNESS CENTER DONORS 18 ������������������������������ OUR SERVICES 19 ���������������������� 2023 BY THE NUMBERS 22 �������������������������������� FINANCIALS 23 ��������������������� A LETTER FROM OUR CEO 24 ����������������� HOPES BOARD OF DIRECTORS 25 ������������������������������ OUR DONORS

WHO WE ARE Since 1997, Northern Nevada HOPES (HOPES) has been on the front lines of community health, caring for those with the fewest resources and solving community problems in unexpected ways. Over 27 years, we have evolved to meet the changing needs of our community, offering comprehensive, holistic healthcare that addresses some of our region’s most pressing challenges.

We are Continuing to Make a Real Impact

Our generous donors and supporters enable HOPES to continue offering high-quality healthcare that changes lives. In 2023, we were honored to be handpicked to receive an unsolicited $6 million gift from MacKenzie Scott. MacKenzie Scott’s team can give to anyone they choose, and they chose HOPES, recognizing the tremendous positive impact we have on our community. It was both completely unexpected and tremendously meaningful. We are grateful and proud to receive such a generous donation that will help HOPES continue to transform how it provides for the needs of our community, and advance healthcare in our region.

We provide affordable, high-quality medical, behavioral health and support services for all. MISSION

We strive to build a healthier community. VISION

We value kindness, dignity, inclusion, creativity and adaptability. VALUES

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TIMELINE

1997

Opened our doors as the region’s first HIV/AIDS clinic

2012

Added primary medical care

Became a Federally Qualified Health Center ( FQHC )

2013

2017

Reconfigured clinic to create larger space for mental healthcare

Opened Hope Springs, the only bridge-housing community in our area and the only FQHC in the country providing this service

2021

Opened temporary Bell Street Clinic, expanding primary care and introducing our Intensive Outpatient Program

2022

In 2023, HOPES celebrated 10 YEARS as a Federally Qualified Health Center, serving 32,995 patients since January 2013.

Served more than 14,000 patients annually for the first time in our history

2023

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WHO WE SERVE Since the beginning, HOPES has served those in our community with the greatest needs and the fewest resources. Today, we are a choice for these patients, as well as many others who have a greater range of healthcare options. We meet our patients where they are, offering dignified, inclusive, high-quality healthcare for all community members. Of the 14,000+ patients we served in 2023:

37% live below 138% of the Federal Poverty Level (An individual earning less than $14,657 per year)

56% live below 200% of the Federal Poverty Level (An individual earning less than $25,760 per year)

10% are experiencing homelessness (22% of services are utilized by patients experiencing homelessness)

43% are on Medicaid or Medicare

32% are uninsured

Approximately 22% of individuals living in HOPES’ service areas are living in poverty, compared to 11% in Washoe County.

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“HOPES is a godsend to me. The staff, from top to bottom, is absolutely first rate. My medical and counseling needs are met without regard to my socioeconomic status, and they treat everyone who comes through the doors with the utmost respect and dignity. The Reno/Sparks area would not be the wonderful place it is to live were it not for the help HOPES offers to those less fortunate than some.” – HOPES patient

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TRANSFORMING COMMUNITY HEALTH THROUGH PATIENT-CENTERED CARE At HOPES, we believe that high-quality primary care is each patient’s pathway to living a healthier life, allowing them to contribute to a healthier community. Our services are designed to provide clients with holistic and patient-centered care that addresses the psychological and social concerns affecting their ability to access, engage with, and adhere to healthcare treatment. Our Model of Care A central component of the HOPES care model is treatment teams, where all providers involved in patient care work together to address the patient’s unmet medical, behavioral health, socioeconomic, and social support needs. Primary care for all All members of our community deserve access to high-quality healthcare. This is a defining belief of HOPES. Addressing healthcare access barriers is crucial to our ability to transform health in our community. For the uninsured, and those unable to pay, all of HOPES’ services are provided on a sliding-fee scale, allowing us to guarantee care for the most disenfranchised members of our community. We also provide support services that help ensure better health, including case management, substance use treatment, nutrition education and food prescriptions, insurance benefits counseling and enrollment, medical transportation, and connection to medical-legal counseling. Our unique, welcoming healthcare model ensures high-quality care for medically underserved populations, such as those experiencing homelessness, those suffering from mental health concerns, and those living in poverty.

By addressing a wide range of health concerns and removing barriers to healthcare, HOPES is improving the health of our community, one patient at a time.

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Our Impact By caring for underserved populations, HOPES contributes to statewide efforts to improve overall health in Nevada. Our work helps reduce emergency room visits, reducing the financial burden area hospitals face from serving the region’s uninsured population. Taxpayer dollars are also saved by providing integrated case management and behavioral health services, which reduce homelessness, incarceration rates, and reliance on public benefits.

“I’ve never been in a clinic before where it genuinely felt like they cared about my health and problems. I am so pleased with HOPES and I know my health care would not exist without them. Thank you for dedicating such excellent health services to the people who need it most!” – HOPES patient

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TRANSFORMING OUR COMMUNITY THROUGH CHRONIC DISEASE MANAGEMENT

A Holistic Approach to Managing Diabetes Diabetes is a serious chronic disease that can lead to heart disease, stroke, amputation and death. One of the most common causes of diabetes is obesity, and as of 2023, 27% of adults in Washoe County were characterized as obese. At HOPES, managing diabetes effectively means providing holistic care that includes nutrition resources and patient education. Our team of dedicated Community Health Workers help patients navigate their diabetes care journey, engaging with them to understand their unique needs and working together on a path toward wellness.

Education is Healthcare We recognize that when it comes to managing diabetes effectively, patients are more successful when they are informed and empowered to make healthy choices. Providing education through our diabetes education classes and one-on-one nutritional counseling sessions helps ensure a sustainable path to diabetes management. By offering tailored guidance, emphasizing lifestyle changes, and providing diverse tools for effective sugar level management, we’re empowering individuals to make informed choices about their health while building a supportive community with others facing similar challenges. A Prescription for Healthier Food Options Food insecurity can have a serious impact on physical and psychological health. For patients experiencing food insecurity, we provide a food prescription, which allows patients to access healthier food options from various community food pantries on a weekly basis. By removing barriers to a nutritious and balanced diet, we’re able to improve the overall health of our community.

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TRANSFORMING OUR COMMUNITY THROUGH INCLUSIVITY At HOPES, we believe that all people deserve access to care. As a safe and accepting place for all, we provide culturally competent, judgment-free healthcare to lesbian, gay, bisexual, transgender and queer/questioning individuals. We are a proud ally of the LGBTQ+ community and actively

show our support through community outreach and education. Members of the LGBTQ+ community can expect high-quality, compassionate care, including:

• Primary care • Gender affirming care • Sexual health care • Walk-in STI testing • HIV prevention services • Behavioral health counseling • Substance use counseling • Support groups

“Northern Nevada HOPES is amazing! I never feel judged or pressured, and I feel safe with my sexuality and identity.” – HOPES patient

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TRANSFORMING OUR COMMUNITY THROUGH HARM REDUCTION

OUR MISSION Provide compassionate, comprehensive treatment to inspire hope and enhance quality of life, through the process of recovery.

Substance Use Treatment We believe that a sober life starts with meeting our patients wherever they are in their recovery journey. By addressing their unmet psychological and socioeconomic needs, we can get to the root causes of their substance use and provide whole-person, dignified care. Our approach to substance use treatment includes Medication-Assisted Treatment (MAT), Peer Support Specialists, and high-quality, compassionate wrap-around health care services. Medication-Assisted Treatment MAT is a cornerstone of our commitment to recovery. Through our MAT Program, we offer a holistic approach to recovery, addressing both the physical and psychological aspects of addiction. This includes counseling and therapy, as well as medication management, which helps reduce cravings and withdrawal symptoms from alcohol and opioid addiction. Peer Support Specialists A fundamental part of our approach to recovery is the integration of Peer Support Specialists — non-clinical employees whose shared life experiences enable them to connect with patients. These specialists meet patients where they are in their recovery journey, offering empathy and stability for those who need it most. Peer Support Specialists are active in all aspects of patient care, including behavioral health, MAT and residential aid at Hope Springs, serving as a resource and connecting patients to other community services that support general wellness.

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Change Point While harm reduction is often associated with substance use, it now has a wider range of applications, including sex, diet, health, and many other aspects of self-care. Change Point is HOPES’ Harm Reduction program and is open to all members of the community. It includes the Syringe Services Program, free fentanyl test strips and Narcan kits, and sexual health services, including walk-in STI clinics, PrEP and PEP clinics. Another benefit of Change Point is that it allows us to connect with individuals engaged in substance use and provide them with access to our MAT program and other support services.

Combined with coordinated, personalized care, HOPES’ MAT and Change Point programs profoundly impact community

health, reducing incidence of overdose and connecting individuals experiencing substance use disorders to care and services.

“I’m very thankful for what HOPES has done for my sobriety. HOPES’ needle exchange program kept me safe, and thanks to their wonderful staff, I am clean and sober. I’m now a licensed cosmetologist, and I give back through hospice and different programs where I share my journey of recovery and success.” – HOPES patient

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In 2023, there were 1,690 unsheltered individuals identified in the downtown Reno area, a number that has increased by 60% since 2018.

TRANSFORMING OUR COMMUNITY THROUGH HOUSING SOLUTIONS We recognize that improving health outcomes for those experiencing homelessness can only be achieved by addressing their housing needs first. In 2021, we created Hope Springs, the only bridge housing community in our area and a first-of-its-kind solution to our area’s housing and homelessness crisis. At Hope Springs, residents develop and work through individualized care plans, while accessing HOPES’ wrap-around medical and wellness services. With a focus on behavioral health, the program empowers individuals to work through past trauma while building a path toward sustainable, independent living. Through safe housing, behavioral health and medical care, case management, and wrap-around services, Hope Springs residents are able to achieve housing stability, effectively supporting their health outcomes.

“Before coming to Hope Springs I was feeling hopeless… I love this program so much, it’s changed my life. I have self-confidence, I have self-love, I have self-respect. I have hope now.” – Hope Springs resident

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TRANSFORMING OUR COMMUNITY THROUGH BEHAVIORAL HEALTHCARE

A healthy community starts with healthy people, and healthy people start with healthy minds.

In the 2022 State of Mental Health in America, Nevada ranked 51st overall for mental health, indicating a higher prevalence of mental illness and lower rates of access to care than anywhere else in the country. By providing comprehensive behavioral healthcare starting at age three, HOPES is tackling the mental health crisis in our community – supporting patients in crisis and providing early intervention for our community’s children.

HOPES behavioral health services are patient-centered, collaborative, and trauma-informed. They include:

• Individual, couple, and family therapy • Adult, child, and adolescent therapy • Play therapy • Adult and pediatric psychiatry • Trauma counseling • Support groups • Psychiatric medication • Drug, alcohol, and gambling treatment

“I always feel I’m more than a number. My provider really cares about me.” – HOPES patient

Intensive Outpatient Program HOPES also offers an Intensive Outpatient Program (IOP), which we opened in 2022 to address our community’s need for improved access to behavioral healthcare. HOPES’ IOP is the first of its kind in northern Nevada to provide in-depth and comprehensive mental healthcare to those with Medicaid or no insurance. This program helps patients address emotional issues, substance use, and trauma. Providing a level of care between traditional outpatient therapy and inpatient hospitalization, IOP enables patients to resume their daily lives more efficiently, and with improved mental health.

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TRANSFORMING OUR COMMUNITY THROUGH BETTER ACCESS TO CARE The Jerry Smith Community Wellness Center

Standout Donors Thank you to these standout 2023 donors for believing in our mission, and for helping us expand our impact in our community. MacKenzie Scott, Chicago

In a heartfelt act of generosity, an anonymous donor contributed $5 million to the East 4th Street Clinic campaign. The donor requested we name the new clinic after Jerry Smith, a cherished friend and dedicated supporter of HOPES, who passed away in March 2023. Serving as the President, Foundation Manager, and Director of the Nell J. Redfield Foundation, Jerry cared deeply for our community and was passionate about HOPES’ mission. Why We are Expanding HOPES’ current clinic has reached capacity, putting a limit on how many we are able to serve. Additionally, there is a severe lack of behavioral health services in Washoe County, particularly for those on Medicaid or with no insurance. To meet these growing needs, HOPES is building a new clinic on East 4th St., in the heart of one of northern Nevada’s most disenfranchised communities. The clinic, adjacent to the Washoe County-operated Cares Campus (our community’s homeless shelter) and across from Hope Springs (HOPES’ bridge housing community), will offer comprehensive medical and behavioral healthcare services, including Medication-Assisted Treatment, an Intensive Outpatient Program, and an on-site pharmacy. The new clinic will also offer same-day appointments.

Community Foundation William N. Pennington Foundation Anonymous Donor Sandy Raffealli The Nell J. Redfield Foundation

HOPES’ new East 4th Street Clinic, The Jerry Smith Community Wellness Center, will increase access to medical and behavioral healthcare services for more than 12,000 of our community’s most vulnerable members.

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What This Means for Our Community The neighborhood surrounding East 4th St. is home to mainly low-income residents who lack nearby healthcare services. Current data shows only 12 % of Medicaid-eligible individuals in this area are accessing care. The new clinic presents an opportunity to improve access to healthcare for these individuals.

Financial Impact Currently, when seeking medical care, the majority of uninsured and underinsured individuals in the area are using area hospital emergency rooms or emergency services, significantly increasing costs for taxpayers and overburdening the healthcare system. HOPES’ new clinic will expand services to these underserved populations, saving taxpayer dollars and reducing the burden on local hospitals.

Nationally, community health centers like HOPES reduce overall medical expenditures by 24% compared to non-health center providers. Health centers in Nevada created 2,739 jobs and generated $449,671,335 in total economic activity in 2021. So, supporting HOPES not only improves healthcare accessibility, it contributes to the overall well-being and financial stability of our community.

(Source: National Association of Community Health Centers, February 2024)

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East 4th Street Clinic Services The Jerry Smith Community Wellness Center on East 4th St. will offer services for adults 18 years and older. Children’s services will remain at the 5th Street Clinic.

“HOPES is a gift to our community, and we greatly appreciate the work you do and the services you provide to our community. It is one of the few tangible things I can see in the world around me that gives me hope that our species will eventually become truly civilized.” – Ron Codd, HOPES Donor

• Medical Care • Mental Health Care • Substance Use Treatment • Case Management • Same-Day Clinic

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OUR 2023 DONORS The Jerry Smith Community Wellness Center Donors

Keith O’Donnell and Sabrina Belleci Kristina and Donald Forrester Laurel Trust Company Marcio Decker Peter Althausen Robert and Kimberley McCart Tami and Kevin Fegert David Swanson Gregory and Leslie Peek Jack Janney Karen Vibe and Karen Goody Kathy Oakes Michael and Suzanne Troup Charlotte and Dick McConnell Ryan Dobbs Shayla Gifford Jessie and Diane Spooner Katelyn Cantu and Juan Carlos Giron David Norberg A.G. Burnett Karin Hilgersom Ricci Rodriguez Elkins Alicia Garijo House and Jim House

Ejnar and Elizabeth Knudsen Jerome Edwards Accion Opportunity Fund Candi and George Peek Christopher Galli Dr. Natalie and Alexander Vogel Estelle J. Kelsey Foundation Jesse and Amber Haw Karen Galatz and Jon Wellinghoff Meadows Bank Norma and Kwang Kim Renny and Sarah Uppal Sheila and Cort Christie Mary Jo Blue Valerie Cooke and Jamie Felten Bank of America Charitable Foundation Brie and Scott Forrester

Sovereign Order of St. John of Jerusalem, Knights Hospitaller, Sierras Commandery The E.L. Cord Foundation Doug Brewer and Victoria Matica Maureen Mullarkey-Miller and Steve Miller Myron and Julie Hallauer Thelma B. and Thomas P. Hart Foundation Brian and Julee Rauschhuber K&K Grimm Family Fund Kelller Williams Group One Inc. in honor of Deb de Lancey Marshall R. Matley Foundation NV Energy Foundation Hilltop Foundation Lisa and Barry Mead Deborah and Kevin Reeth Peek Family Charitable Foundation Steve Pederson and Patti Davidson-Pederson

MacKenzie Scott through the Chicago Community Foundation William N. Pennington Foundation Anonymous Donor Community Hospitality Healthcare Services Office of Rep. Mark Amodei State of Nevada Washoe County Commissioners City of Sparks The Pearce - Raffealli Families in Memory of Roger Pearce The Nell J. Redfield Foundation SilverSummit Healthplan Phil and Jennifer Satre Ron and Susie Codd The Scheffel Family Foundation Lutz-Grzymski Family Stephen and Lucia Missall Molina Healthcare The Brett and Deborah Barker Foundation Jane Fox and Family Dr. Trudy Larson and Ron Luschar Reno Orthopedic Center

Charles Diaz and Marialice Galt Dickson Community Fund at the Community Foundaiton of Northern Nevada Earl and Pat Charles Heidi Loeb Janet Levine

Jim and Maureen Cunha Scott and Roger Brenneke Tony and Emma Wynn Don and Natalie Dees

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OUR 2023 DONORS The Jerry Smith Community Wellness Center Donors – continued

Cari Croghan Pamela Andrews Elizabeth Watson Todd Felts and Tony Avila Dean Byrne Kara Harris Nichole Joslyn Eastham Patricia and Donald Gallimore Laura Vinson

Par and Jill Tolles Randall and Joelle Carlton Scott Whitlow Spenser Cassinelli Billie Lee Dunford-Jackson Chris Theiss Charlie Moberly and Amy Saathoff Daniel Curtis Jagtar Singh and Simrit Pal Ranu

Carl and Lyn Thorsen Eric Boyden James and Anne DeMartini Karen Massey Lali Sekhon Meg Price Michael Kalisvaart Pierce Johnson Sanjai Shukla

Jennifer Hargis Susan Stewart Karen and David Witherow

Thomas Durante Timothy O’Mara Ann Silver

Dorene Whitworth Katherine Gonzalez Kathleen Gauthier

Carol Hayne Chad Watts Donna Clark Gregory Lundeen Jim Barcellos and Paul Devereux John Zebrack Kirk Kaiser Markus Loeffler Maureen Sheeran Nikola Babovic Pam and Steve Kessler

Mary Avalos Sue Vickers Carol and James Bauserman David Vanacor Dax Alvarez Gilbert and Glenda Amelio Niki Ewing and Brandon Ewing Theresa Navarro

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OUR SERVICES

• Adult Primary Care • Pediatric Primary Care (5th Street only) • Chronic Disease Management • Adult & Pediatric Counseling & Psychiatry • Substance Use Treatment & Counseling

• HIV Care • Harm Reduction • Onsite Imaging (5th Street only) • Onsite Pharmacy & Lab • Housing Support & Programs • Nutrition Education & Food Prescriptions • Health Education • Case Management • Medication Delivery • Transportation to Care (Uber Health)

• Intensive Outpatient Program • Medication-Assisted Treatment • Sexual Health • LGBTQIA+ Care • Gender Affirming Care

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2023 BY THE NUMBERS 14,294 Total patients served

CLINIC

VISITS

UNIQUE PATIENTS

Medical

49,730

13,884

Behavioral Health, Intensive Outpatient Program

17,752

2,038

4,086 New patients

Psychiatry

2,579 5,531

679

Case Management

1,870 9,006

96,899 Total patient visits In-person: 85,771 (89%) Telehealth: 11,128 (11%) 12,141 Total pediatric visits 3,264 Pediatric patients

Other* TOTAL

21,307 96,899

14,294

TELEHEALTH

VISITS

UNIQUE PATIENTS

Medical

2,822

1,809

Behavioral Health, Intensive Outpatient Program

5,222

425

Psychiatry

1,109 1,781

375 983 148

Case Management

Other*

194

VIRTUAL TOTAL

11,128

3,199

* Community Health Workers, Peer Support Specialist, Lab, Medical Legal Partnership, Healthy Money Habits, X-ray, Ultrasound, Teen Pregnancy Prevention

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2023 BY THE NUMBERS continued

3,116 Medication deliveries

15,822 Immunizations

3,973 HIV tests

3,631 Hepatitis C Virus tests

1,200 HIV patients

11,688 Visits among HIV patients

93% of HIV patients with undetectable viral load

1,068 HIV patients on Antiretroviral Therapy

1,589 X-rays

1,295 Ultrasounds

755 HOUSING CASE MANAGEMENT VISITS 172 Unique patients

13,389 CASE MANAGEMENT VISITS (not including housing case managers) 1,848 Unique patients

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17,752 BEHAVIORAL HEALTH VISITS Integration: 3,002 visits Therapy: 7,855 visits Group: 1,999 visits IOP visits: 3,877

2023 BY THE NUMBERS continued

2,038 BEHAVIORAL HEALTH PATIENTS

153,434 Needles returned

CHANGE POINT HARM REDUCTION SERVICES

138,331 Needles distributed

“I’ve been a patient at HOPES since it was just a little clinic. It has grown so much, but I still feel important and listened to, just like I did when it was a small clinic.” – HOPES patient

608 Naloxone kits distributed

420 Fentanyl test strips distributed

TOTAL MAT VISITS

2,301 MAT Medical visits 917 MAT Behavioral Health visits

9,838 STI tests (Chlamydia, Gonorrhea, Syphilis)

92 Hope Springs residents since 2021

360 PrEP visits

32% of Hope Springs residents graduated

32 PEP visits

1,004 COVID-19 tests

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2023 FINANCIALS

Revenue $51,322,698

Expenses $48,746,638

Programming $44,868,056 (92%)

Administrative $3,452,520 (7%)

Development $436,062 (1%)

EAST 4TH STREET CLINIC The project’s three-year pro forma indicates the new clinic, once fully operational, will be in the black by the beginning of year three.

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LETTER FROM THE CEO

2023 was a year of tremendous change for Northern Nevada HOPES, change that accelerated our ability to transform the health of our community. And we couldn’t be more excited. In summer 2023, we received a $6 million gift from MacKenzie Scott. We didn’t apply for this gift, so we were blown away to receive such a generous donation based on the work we do and the impact we have on northern Nevada. This gift permits us to take the next step in filling the healthcare gap in our community. We began building a new clinic on East 4th Street, The Jerry Smith Community Wellness Center, which will double our capacity to serve our community (you can read more about the clinic on page 13) . This new clinic reflects HOPES’ ongoing commitment to meet our patients where they are on their healthcare journey — in the most literal and compassionate way. This location, just west of the highway overpass near Hope Springs, our bridge housing community, is where many of our houseless neighbors find themselves. We are there because they are there. And we are there because of you. When I came to HOPES over a decade ago, it was a small clinic with 600 patients and 26 employees. Ultimately, we will have the ability to serve more than 26,000 community members with a passionate and dedicated team of more than 300. And that gives me great hope for our future. Thank you for the role you have played in getting us to this place, through your donations, your advocacy, your trust, and your belief in our mission.

Sharon Chamberlain CEO of HOPES

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Board of Directors

Officers Douglas H. Brewer, CFP – President Senior Financial Advisor, Merrill Lynch Trudy Larson, M.D. – Vice President

“Since joining the HOPES Board more than a decade ago, I have seen the organization’s tremendous growth and increasing impact in our community. With every milestone we reach, I am filled with pride. I am especially excited for the addition of the East 4th Street Clinic, which is a giant step forward in expanding our impact and fulfilling our mission of building a better, healthier community.” – Doug Brewer, President, HOPES Board of Directors

Co-Founder of Northern Nevada HOPES; Dean Emeritus School of Public Health, UNR; Professor, Nevada State Board of Health Cliff Scheffel – Secretary Partner Emeritus, SB Search Partners Chris Bosse – Treasurer Vice President, Government Relations, Renown Health A.G. Burnett Gaming Law Partner, McDonald Carano LLP Katelyn J. Cantu Washoe County Alternate Public Defender’s Office Todd Felts, Ed.D Professor, UNR Reynolds School of Journalism Susan Fisher Senior Vice President of Government Affairs and Advocacy at McDonald Carano Jane E. Fox State Director, Health Care for America Now (HCAN) Patricia Gallimore President, NAACP Reno-Sparks Branch Directors

Heidi Loeb Director of Special Projects, Nevada Museum of Art Amy McCombs, MSN, RN, CCRN, CNML Vice President, Quality for Acute Care at Renown Health Theresa Navarro Consumer Advocate, Northern Nevada HOPES Maria Sandra Jimenez, Ph.D Director at TRIO Student Support Services Program at Truckee Meadows Community College Par Tolles Founder and Principal, Tolles Development Company

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OUR 2023 DONORS

Earl and Pat Charles Heidi Loeb Janet Levine Keith O’Donnell and Sabrina Belleci Laurel Trust Company Peter Althausen St. Mary’s — Labor and Delivery The Rosemann Family Charitable Fund Councilmember Meghan Ebert Sam and Sally Males Patrick D. Pettinari Family Foundation Fund at the Community Foundation of Northern Nevada Walter Benoit Glenda and Donald Mahin Charlotte and Dick McConnell Tami and Kevin Fegert David Swanson Dr. Jennifer Edwards Everi Jack Janney Karen Vibe and Karen Goody Neenan Archistruction

Ejnar and Elizabeth Knudsen Estelle J. Kelsey Foundation

K&K Grimm Family Fund Robert Z. Hawkins Foundation The Brett and Deborah Barker Foundation

MacKenzie Scott through the Chicago Community Foundation William N. Pennington Foundation Anonymous Donor Office of Rep. Mark Amodei State of Nevada Washoe County Commissioners The Nell J. Redfield Foundation The Pearce - Raffealli Families in Memory of Roger Pearce SilverSummit Healthplan Molina Healthcare Nevada Primary Care Association Lutz-Grzymski Family

First Independent Bank Jim and Maureen Cunha Karen Galatz and Jon Wellinghoff Meadows Bank Norma and Kwang Kim Phil and Kristy Zive Renny and Sarah Uppal Susanne & Gloria Young Foundation Tony and Emma Wynn Valerie Cooke and Jamie Felten Hazel Bowen Deborah Barker Vans 385 Jerome Edwards Donald Wilkerson Rogue Gaming Studio Kristina and Donald Forrester Penny McClary Mary Jo Blue Marcio Decker Brie and Scott Forrester Charles Diaz and Marialice Galt Dickson Community Fund at the Community Foundation of Northern Nevada

Dr. Trudy Larson and Ron Luschar Kelller Williams Group One Inc. Marshall R. Matley Foundation Direct Relief Network Hilltop Foundation Doug Brewer and Victoria Matica Lisa and Barry Mead Peek Family Charitable Foundation Bank of America Charitable Foundation Myron and Julie Hallauer Mathew Minshull Renown Health Maureen Mullarkey-Miller and Steve Miller NV Energy Sandy Raffealli Steve Pederson and Patti Davidson-Pederson Scott and Roger Brenneke Wells Fargo Christopher Galli Accion Opportunity Fund Charles Schwab Bank

Codd Family Foundation Phil and Jennifer Satre The Scheffel Family Foundation Stephen and Lucia Missall Jane Fox and Family Anthem Inc. Reno Orthopedic Center Sovereign Order of St. John of Jerusalem, Knights Hospitaller, Sierras Commandery The E.L. Cord Foundation Thelma B. and Thomas

Terrance and Carol Dinneen Cathy and Michael Mathews Vans 186 Walmart #3277

P. Hart Foundation Heidemarie Rochlin

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OUR 2023 DONORS continued

Timothy O’Mara Washoe Pines Foundation Whispering Vine Wine Co. Dr. Kristen Davis-Coelho Thomas Durante Kelly Duncan PAR Western Line Contractors Tida Watkins Glenda Sanchez and Hugo Rivera Nancy Podewils-Baba Allisa Rivara Michelle Wagner Michael and Betsey Husted Carol Hayne Jane and Gerald McDonald Craig Chapman and Frank Ozaki Holly Simental Chris and Keith Fegert Jim Barcellos and Paul Devereux

Anonymous Donor Brian Latham Brooks and Diane Mancini Carl and Lyn Thorsen Don and Natalie Dees Elizabeth Tenney Eric Boyden Grace Nichols Anonymous Donor James and Anne DeMartini Karen and Stephen Wiel Anonymous Donor Lali Sekhon

Anonymous Donor Robert Harvey and Marie Norell Donica Graham Silver Dollar Court Debbie DeVay

Dr. Faith Whittier Jane Grossman Bancroft-Clair Foundation, Inc. Kathy Oakes Michael and Suzanne Troup Pat Brackett-Wright and John Wright World Wings International Inc. Mathew and Mandi Larsen AYR Wellness Dr. Earle Oki Charlie Moberly and Amy Saathoff Mike and Cheryl Genin Anonymous Donor Meg Price Dr. Natalie and Alexander Vogel Ann Harrington and Gregory Griffin Lifestyle Homes Foundation Ryan Dobbs Shayla Gifford Kristy Lide Lois Chanslor Sharon Chamberlain Amy and Brian Howard Todd Felts and Tony Avila Ann Silver Alicia Garijo House and Jim House

Kathleen Cooke Walmart #2106 Anonymous Donor Jessie and Diane Spooner Chris and Brian Bosse Douglas Vacek

Ray and Martha Chamberlain Mary and Lucas Ingvoldstad Denise and William Kolton Elisa Ross Katelyn Cantu and Juan Carlos Giron

Linda Frye Manpower

Marlies Eldridge Maureen Sheeran Michael Kalisvaart Orangetheory Fitness Par and Jill Tolles Pierce Johnson Sanjai Shukla Sharon Boersma Starbucks Foundation Neighborhood Grants Fund Anonymous Donor

Martha Hesse William Scott David Norberg Jenna Johnson A.G. Burnett Karin Hilgersom Steven Neighbors

Connie Schuett Cheryl Latham Duane Peck Phillip and Petra Valenzuela Julie Gwin Scott Wong Danica Pierce

Ricci Rodriguez Elkins A & H Insurance, Inc. A. Wayne and Robin Holland

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OUR 2023 DONORS continued

Anonymous Donor Meredith Tanzer Amanda Prina Vanessa Arias Martinez Kimberly Colegrove Tori King Amber Zeigler Brian Passalacqua Daniel Brewer Diana Ruiz-Gonzalez Jeanette and Robert Berry Jeff and Mary Shaffer

Anonymous Donor Richard Wuelzer Jerry Trigueros James Stegman Kayla Shannon Kaitlind Johnson Ashleigh Marglin Carl Hagen John Etchemendy Valerie Burkhart Jennifer Bowler

Croom Family Foundation Fund Donna Clark Emily Bennett George and Linda Burke

Anonymous Donor Lisa Passalacqua Marsha Brannon Anonymous Donor Anonymous Donor Katharine Dwyer Kendrick Taylor

Grace Thompson Gregory Lundeen Jim and Betty Hulse John Zebrack Kirk Kaiser Kristen Nork Lynette Gardner Mark Kurtz Markus Loeffler Mary Ann Hartnett Melinda Whitney Monica Houghton Nikola Babovic Pam and Steve Kessler

May Shelton Sara Mowery Wayne Irvine Mary and Joseph Ingvoldstad Karen Rehne Paulina Connelly

Malynda Tushbant Megan Barrenchea Donald and Carolyn Cleveland John and Jean Ferris Mark Taxer Mona Issa-Marmolejo Steven Barnes The Emerson Thomas Kelly Creighton Skau and Beth Kiehn Anonymous Donor Duke Vermazen

Kerry Seymour Leah Sanders Loretta Terlizzi Mary Hodson Nork Ronald Allen

Cindy Carano Jeffrey Hanson Kathleen Taylor

Amy and Steven Stolarski Walter and Marilyn Johnson Kathleen Conaboy Rohani and Angelo Kanellos

Sally Sapunor Jennifer Farfan Casey Baker James Bernardi and Duane Dooley Maria Molina Ursula and William Funk

Randall and Joelle Carlton Sarah and Sherman Boxx Scott Whitlow Spenser Cassinelli Stacey Rice Steve and Dionne Bloomfield

Robert Fayfield Michael Leonard Allen Johnson Andrew Sheets Chad Watts Chimene Rosales

Marcy Benner Kieffer Farber Anonymous Donor

Vicki LoSasso Abigail Valdez Kirk and Cathy White

Tavern Craft, LLC Anonymous Donor

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OUR 2023 DONORS continued

Kristin Koetje Jim Bruno

Jeffrey and Patricia Millman Jennifer Hargis Jowdy Burke Mountain Mike’s Pablo Valencia Pam and Mike Robinson Pat Watson Randall and Juliette Fletcher Sierra Garden Club

Alicia Lindsay-Dietrich Kylie Soares Jose Chinas Anonymous Donor Maria Martinez Michael and Jacqueline Hillman Chris Theiss Amazon Smile Sabrina Gonzalez-Avila Sureiby Lemus Sara and Matthew Bertram Mary Popish Alturas Bar and Nightclub Amy McCombs Beverly and Myron Shlapak Billie Lee Dunford-Jackson Charlotte Voitoff Danette Huizar Daniel Curtis Deborah Halleran Douglas and Susan Hill Anonymous Donor Georgia and James Kinninger Gregory Cremeans Jagtar Singh and Simrit Pal Ranu James Nachiondo and William Hill

Andres Sanchez-Herrera Benedict Kargbo Cynthia Bansen David Fiore Irene Babcock Drews Jazmine Aguirre Jeffrey and Katherine Jarboe Jessica Bowden Jim and Mary Ann Kidder June Pulver Anonymous Donor Margarita Jimenez Maria Carrillo-Silva Anonymous Donor Nothing To It! Culinary Center Peter MacDonald Sandy Esquivel Steven White Susan Mazer and Dallas Smith Terri Moser Tony and Marian Taylor Wayne Jauer William and Carol Beth Isaeff Dr. Barry Frank Crystal Xu Michelle Johnson

Cathy Gabrielli Geeve Iverson Howard Craig-Aakervik Kari Zbella Madelynn Linke Tamara Baren Melissa Veil Stacia Wroblewski Iris and Tom Stille Alice Hampton Bobbi Joyce Christine Kratzer Anonymous Donor Connie Ewing Elizabeth Alvarez Guadalupe Anguiano Ivonee Martinez Rodriguez

Susan Jimenez Susan Stewart

Terence and Frances Terras Timothy Musick and Brandon Musickberry Kelsey Barlow Anonymous Donor

Pryce Scott Sierra Vice

Bruce Robertson Theresa Navarro Mary Landsman Sarah Peters JoAnn Coy Robert Harmon Susan Haenni Sara Groenendyke

Marcela Fejer Mary Boetcher Anonymous Donor

Monica Martinez Ronald McFarlane Spanish Springs Presbyterian Church Susan Cothren

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OUR 2023 DONORS continued

Jeanne and Robert Rucker Jennifer Gamroth Joe Mazzucotelli John Friel Jon Roberts Jordyn Cirac Judith and Daniel Fitzgerald Karen Fleming Karen Hill Kathleen Christopherson Kathryn Barkow Kathy and Fred Jakolat Kathy Baldock Kim Webster Kimberly Drakulich Laura Moore

Connie Kittell Dale and Bonnie Koch Dale and Linda Sanderson Darci Page David Salinger David Vanacor Dax Alvarez Deborah Ribnick Dr. Elizabeth Andal Dr. Kathleen O’Connor

Marie Kresinske Nancy Moss Ghusn and George Ghusn, Jr. Rosalyne Reynolds Teresita Espana-Jimenez Jackie Shelton and Clay Hall Martin Deaver and Christa Benavidez Chocolate Nugget Candy Factory Graduate Student Association, University of Nevada Reno Allex Nevis Ann Carlson and Lisa Ann Carlson-Marks Ann Morgan Arthur Johnson

Janette Berumen Leann McElroy Patty Dickens Efren Gomez

Celia Kupersmith Dorene Whitworth Elizabeth Braman Katherine Gonzalez Kathleen Gauthier Mary Avalos Rosalind Bedell Sue Vickers Westex Consulting Engineers

Edward Ives Edward Lynn Eva Jorges Filthy McNasty’s Irish Bar Fred Hahn Gary Copelin Gerald Heston Gilbert and Glenda Amelio Grace Schoenfeld Greg and William Montalvo Hope Lewis James Emme James Hengels and Donald Gardner James Longo Jane Baudelaire Janet Baker

William Wright Cynthia Barnett Ridgeline Apps Shannon Peterson Adele Trebil Allison Robinson Benjamin Edelhart David Spillers Diana McNeill Ellen Jacobson Janet Nelson Joy Orlich Anonymous Donor

Axel Drefahl Barry Barnes Bartone Familly Foundation

Anonymous Donor Linda Barrenchea Lori Watson Lynda Knepper and William Vonpuhn Lynette Ratzlaff Madeline Carpenter Marcia Welch and Deborah Duck Margaret McCall Margo Sheltra Mary and Harry Matossian

Becky Souza Bernard Boyle Bernice Starr Bobby Hilliard Cara Pitchford

Carol and James Bauserman Carol and Robert Olmstead Charles Robertson Chelsea Doyle Christopher Mixson

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OUR 2023 DONORS continued

Bryan Torppa Charlie Holland Cheryl Pregal Cynthia Mayne Jane Ann Gardner Karen Walker Jovana Ramos Adriana Orozco Aleah Hartung Alison Gaulden Amanda Flangas Baillie Stewart

Sue Dansie Viridiana Castillo William Rice Melissa Davis Raquel Ramirez Alexis Perez Glenn Dolezal Sherri Edwards Andrea Lenz and Scott Faulkner Brenda Cicerone Peter and Francine Burge Yashila Sanchez and Sean Vogt Cari Croghan Pamela Andrews Elizabeth Watson Nancy and Charles Dodson

Susan Scalzo Suzanne and Jason Baker Teri Schloemer Terri Fritz Thomas Fulwider Tori Skocdopole and Jessica Thompson Virginia Kersey Walter Davis Walter Ovenstone William and Judy Metscher William Glaser

Mary Duffy Michael and Denise Buis Michael Cassiday

Michael Padua Michael Tanzer Mike Davidson Nancy Bussani Neena Schroeder Niki Ewing and Brandon Ewing Pam Roberts

Patricia Anderson Peter Broughton Rachel Gattuso Richard Adler Richard Wright Robert Fisher Robert Haggard

William McPherson Ranger Industries Cecelia Lee and Peter Lenz Wild Honeybeeauty Jesse Green Twentieth Century Club Wok & Roll Anonymous Donor Nate Vail Valerie Hahn Caitlin Vargas-Gonzalez Jesse Gonzalez Donald and Mary Alice Pisani

Blanca Martinez-Gutierrez Caren Cafferata-Jenkins Carl and Dianne Wilfrid Cary and Cheryl Yamamoto Christine Thomas

Nancy Lee Amy Davis Ashley Trogdon Barbara Nachtsheim Bryce Smith Cynthia Ryan Eric Odle George Spark-Stahl Lucia Lake Alec Fairfield

Cindi Powell Dana Snyder Dean Byrne

Robert Kahn Russell Nash Sandra Jamieson Sarah Peterson Johnson Sharon Scott and Keri Fisher Stephen Savage

Debra Handke Dennis Green Diana Glomb Rogan

Dustin Cassiday Elaine Alexander Elaine Davis

Steven Wentz Suresh Kumar Susan Gallup

Robert Gomberg Beverley Blankus

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OUR 2023 DONORS continued

Mary Holman Pamela Sandstrom Nila Gaulden Michael Reed Ronald Souter April Conway Brooke Griffin Clark Mandichak Erik Leverson Jerri Conrad Laura Rynkiewicz Amelia Walsh Dale Head Leticia Zito Martha Durney Samuel Hunt Adrian Labarry Aleta Andrick Alfred Hebert Ashley Henry Betty Felts Betty Martin Bridgette Ybarreta Brinley Rogers Brittany Young Cameryn Rowe

Thomas Cardoza Thurman Roberts Tim Fedorchak Toni Taft Trudy Brussard Wesley and Gaylelynne Ayres Jennie Larsen Shari Andreasen Debra and William McKean Jean Myler Kaitlin Shonnard Shannon Malmstedt

Mary Austin Melodie and Edward Skudlarek Merebeth and David Kusiek

Eloise Iverson Eric and Jennifer Saathoff Gerald Filice

Michele Dardis Michelle Merkel Myra Soifer

Hailey Palmer Jackie Snider

Jacquelyn Berrum Jeffrey Tenenbaum Jennifer Stern Joann Yabrof John Barker John Menicucci Joy Betz Julie Kalisiak Kara Harris

Nancie Malmquist Nancyann Leeder Nichole Joslyn Eastham Norma Bolt Patty Hermanns

Rebecca Huls Rhonda Legge Robin Gray Rosalind Busey Rosemary Freelin

Abby Walsh Brian Birch Cecil Fitch Christy Tews Linda Starr Therese Rice-Dietrich Todd Shultis Breeze Yerves Jasmine Martinez Stephanie Kao Karla Rodriguez Camille Thompson

Kevin Gordon Krystal Pyatt Kurt Johnson Laura Sharp

Roy and Nancy Miller Sandra and Amy Paul Sara Robbins Sara Trigero Sarah Barr Sergio Banda Shannon Paige Susan and Phil Kaiser Tammy Treleaven Theresa Bell

Lawrence Andrus Leonard Bardsley Lucy McNellis Lynne Molini Margaret Raleigh Marilynn and James Uhart Mark Comte Mark Hugret and Ray Combs

Keith Wemple Marilyn Hewitt

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OUR 2023 DONORS continued

Hagen Sandoval Rick Marsh

William and Lucy McGuire Zachary Burger Anonymous Donor Laura Vinson Jennifer Kem Grey Benson Jillian Keller Justine Holman Karen and David Witherow Karina Contreras Liliana Wilbert Martha Ellis Melissa and Stephen Olsen

Kamryn Bohn Kara Whitt Kelly Flecksteiner Kristina Ovies Krysslyn Garcia

Cheryl Morriston Chris Colberg Christine Fuller Christine McGann-Hagberg

Vicente Zavala Yanira Borrero Amy Cannett Tawny Hernandez Stanislav Kalminsky

Christopher Trevino Constance Hanson

Liana and Ethan Ris Marilyn McKeegan Mary Kitchen Matthew Erwin Melony Davidson Turner Michael Benson Nancy Lopez Ophelia Wilson Patricia Cafferata Quan Huynh Ryan Navarrete Sage Chador Sam Benavidez Samantha Ybarreta Rivera

Curtis Wickwire Daniel Medina Diane Bacus Donna Olsen Satterfield Erin Levenberg Gail Orris George Baba Jamie Kaltenbach Jenna Varshabi Jennifer Pohl

Teri Vanderhoef Emily Andrews

Pablo Valencia Rebecca Reyes Riley Pearce Sally Kuch Sarah Gartner Sean McHaney Sherri Elcano Anne Stilwill Harriette Treloar Jim Eaglesmith Adriel Watts Alvaro Maldonado Fernando Duran

Jennifer Sande Jessica Munger Jillian Buschine

Shelley Beckett Stefano Hristov Sydney Callahan Tamsen Carson

Joan Baxter Joe Merkin Johanna Grantham Johnnie Combs Jose Escobar Julie and Jay Langman June Selleck

Teresa Young Terri O’Bryan Tim Burke

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We are so honored families and friends have chosen HOPES to receive gifts made in honor or memory of their loved ones.

IN MEMORY OF Deb de Lancey Brianna Ghey Jimmy Roger Pearce Paul Spendlove

IN HONOR OF Kurt Patterson

Cliff Scheffel and Gayle Rydinski Susan Fisher and Steve Oldham Alison Gaulden Patricia and Donald Ga l limore Dr. Krasner Gerad Davis Pauline Elizabeth Miller

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