2018 ANNUAL
REPORT Finding solutions to our community’s biggest challenges.
HOPES has been life changing, lifesaving, life challenging. It has been everything I needed at a time when I had nothing. The name says it all. I have hope. And now I have many, many reasons to be happy and alive and full of love, and I never really thought that could come back into my life.� - Alex | HOPES Client
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TABLE OF CONTENTS 05 From our CEO 06 Our Community Impact 08 Here We Grow Again 10 One-Stop-Shop 12 Finding Solutions to our Community’s Biggest Challenges 18 Contributors 20 Financial Snapshot 21 From our Board President
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OUR MISSION We provide affordable, high-quality medical, behavioral health, and support services for all.
OUR VISION Build a healthier community.
OUR VALUES At HOPES, we value: • • • • •
Kindness Dignity Inclusion Creativity Adaptability
FROM OUR CEO 2018 was a transformative year for our organization. We provided almost 10,000 men, women, and children with primary medical care, behavioral health services, and case management support. Patients continued to benefit from our ‘one-stopshop’ model that includes integrated services like transportation and medication delivery as well as access to an onsite pharmacy, x-ray, and lab. Through the generosity of this community, we launched pilot programs like Healthy Money Habits, a financial wellness clinic aimed at empowering our clients to take control of their finances. We also partnered with Washoe Legal Services to pilot the Northern Nevada Alliance for Health and Justice, a medical-legal partnership that provides legal assistance to HOPES patients. At HOPES, we believe the path to wellness is so much more than medicine. It requires wrap-around services and a patientcentered approach to truly impact the health of not only the individual – but the community as a whole.
We also believe – and we are committed to – providing healthcare for anyone who walks through our doors. It is not only a basic human right; it is the right thing to do. This is a special place in which we live. As Nevadans, we are known for ‘going our own way’ and we are proud of our individuality. Our beliefs may not always align, but we unanimously value kindness. It’s an honor to do this work, and, now more than ever, we need to stick together, learn together, and above all, be kind.
Sincerely,
Sharon Chamberlain CEO, Northern Nevada HOPES
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HOPES COMMUNITY IMPACT
BY THE NUMBERS National Association of Community Health Centers: Health Centers save the health system $24 billion annual.
$24B
24%
Health Centers, on average, save over $2,300 (24%) per Medicaid patient.
00% Increase of patients 2017 to 2018
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100%
Provide care for all ages – NEWBORNS TO SENIORS
84%
84% live below 200% Federal Poverty level
59%
59% of those live below 138% FPL (family of 3 lives on less than $28,000/year
25%
25% experiencing homelessness
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increase in patient visits 2017 to 2018
00% individuals engaged in HMH
Who We Serve
00%
00% 000 individuals engaged in MLP
HOPES SPECIFIC IMPACT NUMBERS PATIENTS SERVED
CASE MANAGEMENT ENGAGEMENTS
000
000
% Increase from previous year
PEDIATRIC PATIENTS
TOTAL PATIENT VISITS
PEDIATRIC PATIENTS
000
000
000
MEDICATION DELIVERIES
VACCINES AND IMMUNIZATIONS
NUMBER OF SYRINGES DISPOSED
PATIENTS WITH UNDECTABLE VIRAL LOAD
000
000
000
00%
BH PROVIDER/ PATIENT RATIO
NUMBER OF PATIENTS IN MAT
000
000 TOTAL PEOPLE HOUSED
000
INCREASE IN STAFF
MEDICATIONS DELIVERED
X-RAYS DONE
000
000
000
BEHAVIORAL HEALTH APPOINTMENTS
HIV CLIENTS ENGAGED IN TREATMENT
FREE NALOXONE DISTRIBUTED
000
000
000
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COMMUNITY IMPACT:
HERE WE GROW AGAIN In recent years, our region has seen massive growth and economic prosperity. While this growth is exciting, it has exacerbated the need for access to healthcare for all members of our community. At HOPES, we saw this need first-hand as our patient threshold reached capacity in 2017 and we were forced to turn away approximately 80 new patients every single day.
18,000 With expansion, HOPES will be able to provide services to 18,000 clients by 2020
The need was so great that in 2018 HOPES completed construction to better utilize some of our existing space in order to increase our capacity. This renovation allowed HOPES to add 13 behavioral health rooms, 9 exam rooms, 2 treatment rooms, 8 behavioral health therapists, and 5 additional medical providers. At the end of 2017, HOPES had 10,000 patients and the newly renovated spaces will allow us to serve 18,000 patients by 2020.
13 Additional Behavioral Health offices
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9 Additional exam rooms
2 Additional treatment rooms Adding 8 FTE BH, 5 FTE Medical
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5 Additional medical providers
8 Behavioral health therapists
IN 2018, HOPES ADDED THE FOLLOWING NEW PROGRAMS TO IMPROVE THE LIVES OF PEOPLE WE SERVE.
Free Naloxone Distribution at Change Point and HOPES Pharmacy
Overdose is the leading cause of injury-related death in the United States. Naloxone is a life-saving opioid overdose reversal medication. Naloxone is prescribed to every Medication-Assisted Treatment program participant at HOPES and available at Change Point, our harm reduction center, to anyone – no prescription required.
Healthy Money Habits introduces Microlending
The Lending Ladder, a micro lending program, funded through our partnership with the Giving Circle at Nevada Women’s Fund, provides small loans to female clients in need, ensuring acute financial hardships do not leave clients in a cycle of debt and predatory lending.
Prevention Program – A proven lifestyle change program
15% to 30% of people with prediabetes will develop type 2 diabetes within 5 years. To address this growing health issues, we partnered with Renown Health to begin a Diabetes Prevention Program (DPP) for HOPES patients which includes group classes for pre-diabetic patients. The Program is free and discusses healthy eating, exercise, sleep and stress management - all with a goal of 5-7% weight loss, cutting their risk of getting type 2 diabetes in half.
000 Number of Naloxone Kits Distributed
Reach Out and Read ROAR
A total of $9,035.42 has been borrowed by seven women between the ages of 21 and 60.
Completing the program and losing the goal weight reduces the risk of diabetes by 50%.
By introducing a beautiful new book at the beginning of a well-child visit, providers find they can better engage and calm a child, provide meaningful, positive literacy promotion messages to the parent or guardian, and build stronger connections with the family. Using the book in the exam room creates an opportunity to talk about other relevant topics - sleep routines, the importance of a child's first 2,000 days, school readiness - and also offers providers a new and valuable tool for monitoring the child's development.
Distributed 340 books in 2018.
Nutrition
In 2018, we expanded our nutrition team, increasing our services to offer education and classes to more HOPES patients. Nutrition services at HOPES offer both individual nutrition appointments as well as group class learning opportunities to help patients manage their chronic diseases through food and eating. Our nutritionists strive to help people improve their health through nutritional changes that may positively impact their weight, lab values and overall medical condition.
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WHY ARE INTEGRATIVE SERVICES IMPORTANT? At HOPES, we provide a variety of services at one location because – not only does it improve the health of our patients – it is smart, sustainable, and effective. Integrative care: Reduces wait times Eliminates the need for separate intake procedures Allows for better coordination of patient care Minimized duplication of services Increases efficiencies in service delivery Prevents sickness Manages chronic illness Reduces the need for costly emergency department visits Lowers overall potential cost of care
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ONE-STOP-SHOP Primary Care
Infectious Disease Care
Newborn – Senior
HIV/Hep C PrEP and PEP
Behavioral Health
Comprehensive Care
Children & Adults Psychiatry
Healthy Money Habits – Financial Wellness Medical Legal Partnership
Pharmacy Medication Delivery
Onsite Labs and X-ray Preventative Screenings Colorectal Screenings Women’s health Breast Cancer Screening Navigation Pap smears
Case Management Wrap-around support services
Harm Reduction HIV/Hep C testing Syringe Service Exchange Free Naloxone Distribution
Hope Springs – bridge-housing and support services
Prevention Programs
Transportation
Diabetes Prevention Program Teen Pregnancy Prevention Program Nutrition Counseling
Appointment Transportation and Medication Delivery
Health Insurance and Benefit Enrollment Assistance LGBTQ Care Recuperative Care
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FINDING SOLUTIONS TO OUR COMMUNITY’S BIGGEST CHALLENGES The Challenge: Housing Crisis – Increased Homelessness Our community faces a housing crisis. The National Low Income Housing Coalition named Nevada the nation’s toughest state for extremely low-income renters. According to the National Low Income Housing Coalition, there are just 15 affordable units for every 100 extremely low-income renters in Nevada, the worst ratio in the nation. The state is also home to one of the nation’s fastest growing homeless populations and the highest rate of kids living alone on the streets, according to a report from the U.S. Department of Housing and Urban Development.
Health and Homelessness are Connected Average Life Expectancy in the U.S. = 80 years old Average life expectancy for chronically homeless = 60 years old Bottom line: 20 years of life, unlived
The Solution: Comprehensive, Client-Centered Approach to Housing One of the most critical foundations of health for individuals and families is stable, safe and affordable housing. AT HOPES, our Housing Case Managers work together with clients to create collaborative care plans, which are individualized self-sufficiency plans with goals, providing clients a roadmap to achieve their goals of sustainable housing and health. Our collective objective is to move clients toward sustainable, permanent housing situations, which we do through a housing continuum.
HOPES Case Management Housing Continuum Includes Emergency Shelter
Transitional or “bridge housing (such as tiny homes or weekly motels)
Diversion housing reduces the number of new potential individuals experiencing homelessness by providing assistance for immediate costs that could lead to eviction.
Independent Living through market rental or homeownership housing
Permanent Supportive Housing which providers affordable housing tied to supportive services. This is typically for those with conditions that make is difficult or impossible for them to live without additional support (such as those with mental illness or physical disability)
Highlights:
88%
88% of patients who came to HOPES experiencing homelessness are now no longer homeless and either living in transitional or permanent housing.
53%
380
53% of the patients that received housing services were homeless prior to their first visits with a HOPES housing case manager. As of the first quarter of 2018, there has been an 80% drop, where only 11% of those patients are experiencing homelessness.
380 unduplicated clients seeking housing were connected to over 2,000 supportive services.
Finding Innovative Solutions: Hope Springs Hope Springs fills a critical gap in the housing continuum, improving lives by providing emergency bridge housing and high-quality support services to our unsheltered neighbors. The tiny home village contains 30 individual units, onsite case management, and linkage to health care and supportive services. Hope Springs consists of thirty (30) individual sleeping units, all surrounding a central facility with restrooms, showers, laundry, kitchen, and living room. This project will empower Reno’s unsheltered community by providing support services like intensive case management, assistance in building paths to permanent housing, coordination of medical care and behavioral health, ID assistance, workforce development as well as other services to help our community members thrive in the long term.
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FINDING SOLUTIONS TO OUR COMMUNITY’S BIGGEST CHALLENGES The Challenge: Behavioral Health Access Nevada ranks last in mental health care.
18.5%
67%
18.5% of adults in Nevada suffer from mental illness.
67% of those individuals don’t receive any treatment (well above national avg of 56%)
When looking at multiple behavioral health indicators/ measurements, Washoe County often ranks worse than state and nationwide averages.
Severe Provider Shortage: Nevada also ranks at the bottom in number of licensed mental health providers
16 of Nevada’s 17 counties were considered mental health professional shortage areas in 2016
The mental providers workforce would need to increase by 32% in Washoe County to meet the demands of the population.
The Solution: Behavioral Health Integration & Increased Workforce
Behavioral health is an integrated component of our adult and pediatric primary care. Patients receive a behavioral health screening at their first medical appointment and the patient’s care team makes the appropriate referral into care. Every HOPES patient has the opportunity to access behavioral health services. Many patients access BH services for the first time through HOPES Behavioral Health Integration into primary care model. When Behavioral Health services are co-located with medical primary care services, patient follow-up is 90%; without it, patient follow-up is 10%. As part of our expansion, we renovated existing space to add 13 new behavioral health therapy rooms and increased our behavioral health team, including two psychiatrists, reduced our behavioral health appointment waitlist from an average of 120 – 160 down to an average of 40.
My experience at HOPES has given me purpose and it's given me direction. And I wouldn't be here today if it wasn't for you guys. I really know that's true. My kids would be going through the world without a parent. I want to be around another 30 years so I can embarrass them, and laugh and live and love and cry with them and help them." – Alex | HOPES Patient N O R T H E R N N E VA DA H O P E S I 2 0 1 8 A N N U A L R E P O R T
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FINDING SOLUTIONS TO OUR COMMUNITY’S BIGGEST CHALLENGES The Challenge: The Opioid Crisis
Our Nation faces an opioid crisis. Every day, more than 115 people in the United States die after overdosing on opioids. Opioids have killed more than 5,500 Nevadans since 2000, more than any other drug.
The solution: A Comprehensive, Patient-Centered Approach.
“When you’re on the street and you’re doing heroin, you’ve only got three options, you can either end up in prison, you can die or you can find somewhere to get help. That’s it.” -Casey | HOPES MAT patient who is now in recovery, housed, and employed
Harm Reduction, Naloxone, Medication Assisted Treatment (MAT), Multidisciplinary Care Team. The Medication Assisted Treatment (MAT) Program at Northern Nevada HOPES provides compassionate, team-based treatment, to inspire hope and enhance quality of life through the process of recovery. Our whole-patient, team approach helps provide these individuals with the tools they need for long term recovery and success with significant positive impacts on their quality of life. MAT helps people regain relationships with their family and friends, reduce issues related to criminal involvement and maintain steady employment and housing.
000 Number of MAT patients
000
000
Patient appointments
FREE naloxone distributed
3 New MAT Team members hired in 2018
HOPES FINANCIAL SNAPSHOT
2016
2017
28,373,555
2015
32,378,680
25,625,139 23,575,287
95%
20,330,254 19,492,009
Programming
HOPES REVENUES & EXPENSES 18,786,495 14,572,763
2018 EXPENDITURES
$ 28,267,741 Administrative 5% $ 1,384,574
Total Expenditures
$ 29,652,315
2018
Revenue Expenses
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HEALTHCARE SERVICES FOR ALL MEET KELLY
Kelly, I can help you, I’m on your side, we can do this together.
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In 2014, Kelly was living in a studio apartment for about 5 years before she got the 30 days’ notice to move out. She had been a good tenant, but that wasn’t the problem. She had a Section 8 housing voucher and her landlord wasn’t accepting it anymore. “I was in tears and I was scared,” Kelly said. “Before I got that apartment I was homeless living at the shelter. I was scared I was going to go back.” She was able to get an extra 30 days to find a new place, but finding a new place that would accept her housing voucher was difficult and frustrating. She found another apartment that agreed to take her voucher, but that fell through when someone else priced her out. Most other apartment complexes that would take Kelly’s Section 8 voucher had a two-year waiting list. But her deadline to move out was quickly approaching. “I kind of felt hopeless,” Kelly said. “I was packing two different ways. I was packing stuff to go into storage in case I had to go back to the shelter and I was packing to move into a place. It was above and beyond stressful.” Kelly had already been a patient at HOPES for about a year at this point, getting primary care and behavioral health services at HOPES. But she didn’t know HOPES could help her find an affordable
place to live. Kelly had told a HOPES nurse about her concern she might have to live at the shelter again, and the nurse referred Kelly to a HOPES Case Manager. Kelly connected with a case manager, but with the difficulties she faced before, Kelly didn’t really think they would be able to find her a new place to live. After what she had gone through trying to find a place, Kelly was on the verge of giving up and just living in the shelter. “She [the case manager] stuck with me, I almost got up and walked out in tears, but she calmed me down, she reeled me back in and said ‘Kelly, I can help you, I’m on your side, we can do this together.’” HOPES case managers helped Kelly get through the paperwork, and helped pay the deposit for her new apartment. For the past 4 years, Kelly has been living in a 2-bedroom apartment she loves. It is in a neighborhood where she feels safe, and she keeps her apartment clean and neat. Kelly said she still feels like she is dreaming when she thinks about her apartment. She has two grown children living in Reno. Instead of feeling like a burden, she helps take care of her grandchildren and even has a room for them to stay in when they visit.
grabbed me by the suspenders and picked me back up.” She continues to get medical care and behavioral health services from HOPES. She says she loves her primary care provider who she really gets along with. She has been receiving EMDR therapy (Eye Movement Desensitization and Reprocessing) to help her move past trauma she has suffered in the past and said it has helped her be more present in life and in her relationships, while being kinder to herself. She said the staff at HOPES always treats her with kindness and respect, from the front desk staff to the counselor. “HOPES is such a melting pot of people, everyone is so cool and different,” Kelly said. “Everybody that I have dealt with at HOPES is friendly, professional and caring. They’re just top notch.”
“HOPES helped me from falling on my face,” Kelly said. “I was on my way down and she [the HOPES case manager]
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BOARD OF
DIRECTORS
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Douglas H. Brewer Board President Scott Brenneke Board Vice President Jerome Edwards, Ph.D Board Secretary
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Chris Bosse Board Treasurer Karen Witherow Patricia Gallimore Theresa Navarro Bruce Cobeen (1957 -2018)
Tom Durante, LCSW Todd Felts, Ed.D Stanley R. Shane, M.D. Abigail Stephenson Stephen Allen
FROM OUR BOARD PRESIDENT I have had the pleasure of watching Northern Nevada HOPES transform as an organization and raise the bar for healthcare in our community over the past several years. While I have always been proud to serve on this board, this year I found myself truly valuing our steadfast commitment to helping the most disenfranchised and medically underserved take charge of their lives and thrive. HOPES has grown exponentially in recent years while continuing to provide excellent medical care and support services. We have launched innovative programs to address some of the biggest issues in our community and continue to seek out solutions that can improve the lives of our neighbors. In 2018, we increased the number of patient visits by over 70 percent, providing care for approximately 10,000 men, women, and children in our community. Our dedicated staff has done an incredible job expanding services, strengthening programs,
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and providing high-quality care for all. I am happy to report that HOPES is stronger than ever due to the outpouring of support from individuals who donate time, resources, and talent to further this important work. As we move forward to 2018 and beyond, I am proud of where we came from and encouraged by our future. Our community is strong and vibrant, and together we will continue to uphold the right to access basic healthcare and ensure dignity for vulnerable populations in northern Nevada. Sincerely,
Doug Brewer Board President
THANK YOU TO
OUR CONTRIBUTORS
IN MEMORY Jamie Therese Anderson Jose S. Martinez Lisa Springgate Michael David
IN HONOR Allene Andress Kent Ervin and Gary Zaepfel Kurt Patterson
A Roy & Betty Jo Larson Trust A.C.C.E.P.T. Aaral Conkey Abbi Holtom Whitaker Abigail Stephenson Adonica Iverson Advance Installations Al-Anon Alisanne Wilde Maffei Allen Mandell Allison Clift-Jennings Amanda Prina Angela Davis Angie Irizarry Anne Schiller Anonymous Donor Anthony Bartone Arty Coppes Asha World Dancers, Inc Baillie Stewart Bank of America Charitable Foundation Barbara Eiche Barbara Frey Barbara Scott Barry Frank Battle Born Leather Club Biggest Little Area Of The World Blanchard, Krasner & French Bonnie Lam Brian Lauf Bruce Harper Builders Association Of Northern Nevada Calvin Iida Candice Sader Carol Hayne Carol Purroy and the Memoir Writing Class Cassidy Hollowell Catherine Boedenauer Cathy Hernandes
Cathy Mills Center For Spiritual Living Reno Chad Schmucker Charles Gram Charles Schwab Bank Charlotte Mcconnell Choices Group Chris Blakestad Chris Bosse Chris Fegert Christine Anderson Christine Silsby Christopher Lim Cindy Carano Cindy Jordan Citicare Clint Demeritt Comer Family Foundation Community Foundation Of Western Nevada Community Office Solutions Cornerstone Alcoholics Anonymous Costco Curt and Linda Roberts Dannielle Adler David Lucero Davita Dialysis Dennis Miranda Denton Cook Devlon Moore Devron McKinney DigiPrint Direct Relief Network Donald and Glenda Mahin Donald and Mary Pisani Donna Hagerman Donna Pennington Donor Network West Doug Brewer Doug Kaller Dr. Dawn Waters Dr. Elizabeth M. Andal
Foundation Dr. Trudy Larson Drakulich Insurance Agency Draper Family Foundation Fund Duke Vermazen Dura-Line Edward Van Slyck Eleni Sexton Elizabeth Taylor AIDS Foundation Emily Andrews Erick Gutierrez Erik Novak Erin Barlow Excel Christian School Faces NV LLC Fahrendorf, Viloria, Olphant, & Oster LLP Federal Home Loan Bank of San Francisco Financial Horizons Credit Union Food Bank Of Northern Nevada Forrest and Gretchen Bietz Francine Mannix Our Journey to Inner Peace and Metaphysics Gail Becker Gary Chien George and Carole Hess George Burke Gerald Heston Grace Community Church Of Reno Great Basin Federal Credit Union Gregory and June Osborn H.N. and Frances C. Berger Foundation Hazel Bowen HealthInsight Heartfelt Painting Helen Lidholm
Thanks for everything! You have made the hard times not so hard." - HOPES Patient High Sierra Area Health Education Center Inge Gerber Irene Ballinger Isabel Deaver Ivy Spadone J. K. Belz & Associates, Inc. Jack Owens Jackie Griffin Jacque Castiglione James Studer Jane Grossman Janet and Dick Schamp Jeff Conner Jeff Saffle Jeffery Rivera Jeffrey and Patricia Millman Jeffrey Hanson Jeffrey Jarboe Jennifer Bennett Jerome Edwards Jessica Lance Jim Barcellos Jimmy and Kellie Klein Joanie Prommel John and Jean Ferris John and Kathy Tatro John Ogorman Join Together Northern Nevada Jonathan Marshall Joyce Fegert Julie Fangerow Karen and David Witherow Karen Bennett Karen Massey Karen Vibe Kathleen Taylor Kathryn Martin Kathy Lewis Keith Campbell Kent Kubista Kevin Bell Kiersten Briggs Kim Lewis
Kim Nichols Korie Hickel Kreshimir Rogina Kristin Koetje Kristy Lide Leilani Schweitzer Lewis and Constance Kittell Linda Barrett Lindsey Panton Lisa Lee Living Stone Churches Liz McFarland Lloyd Barnes Lloyd Rogers and Gaia Brown Louise Quintero LP Insurance Lynda Nelson Marguerita Kelley Maricarol Rodgers Marie Kresinske Marilee Shaffer Marilyn Johnson Mark Taxer Martha Durney Mary Green Mary Ingvoldstad Mary Nyholm Mel Minarik Melinda Blackwell Michael and Betsy Husted Michael Mathews Michael Zarlenga Mike and Cheryl Genin Mike Metzger Milley White Mona Issa-Marmolejo and John Marmolejo Myrna Bala N2Souls Past Life & Between Life Regressions NAACP Reno-Sparks Branch 1112 Nadine Winn NAMI Of Northern Nevada Nancy Brewster-Meredith
Nancy Podewils-Baba Narcotics Anonymous - Breaking Barriers Narcotics Anonymous - No Matter What Narcotics Anonymous - Sat. Morning Wake Up Nate and Dina Hunsberger Nathan Chavez Natural Abundance Neoma Jardon Nevada Primary Care Association Nora Constantino Nothing To It! Culinary Center NV Energy Opportunity Alliance Nevada Par Tolles Paul Devereux Paul Spangrud Paula Davies Peggie Smith Penny McClary Pete Allen Phil and Kristy Zive Phillip Huddleston Phillip Valenzuela PhRMA Piper Gals Rachel Tatro Randy and Denise Jacobsen Ray and Martha Chamberlain Remy Bernarda Rennie Nishio Reno First United Methodist Church Reno Police Department - Victims Services Unit Renown Health Rev. Richard Dalton Richard Adler Richard Siegel Riverwalk Merchants Association Roanne Funk
Robert Caudill Robert Goldberg Robert Sheridan Robert Z. Hawkins Foundation Rolando Garcia Rosalyne Reynolds Rounds Bakery Ruth Stacy Sandra Bovee Sandra Saunders Sarah Klippenstein Scot Sherman Scott and Patricia Charles Scott Brenneke Shahil Pema Sharon Morse Shelly Lac Silver Dollar Court SilverSummit Healthplan Solutions and Resources Associates (SARA) Soohyun Yoon Sparks Christian Fellowship Stacey Rice Starbucks on W 5th Street Stephen Allen Stephen Wolgast Stuart D'Alessandro Susan G Komen Foundation Susan Kaller Susan Mazer and Dallas Smith Susan Palwick Susan Springgate Susan Stewart Susanne & Gloria Young Foundation Syringe Access Fund Tamara Thiel Tami Fegert Teresa Mooney Terrance and Claudette Mast Terri Cirves Terry Lee Wells Foundation The Giving Circle At The Nevada Women's Fund
The Life Change Center The Patio The River Christian Church The Rotary Club Of Reno Central Theresa Navarro Thomas Fulwider Thomas Turman Tiffany Ogle Tim Boorda Todd Felts Tom and Jane Schwenk Tom Durante Toni Carisone Traci Ahlstedt Tricia Demeritt Trish McAndrew Trudy Italiano Turning Tides Therapy & Wellness Twin City Surplus Upham-Lindley Family Fund Valerie Cooke Valerie Hahn Valerie Lovett Vans at Meadowood Mall Vesper Society Wayne Jauer Wells Fargo Foundation Whispering Vine Wine Company White, Geoff and Sally William Fant William N. Pennington Foundation Yocelin Gonzalez
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NORTHERN NEVADA HOPES 580 W 5TH STREET RENO, NV 89503 775.786.4673 NNHOPES.ORG
