Refining Our Commitment

There is truth in the English proverb, 'Necessity is the mother of invention.'

To manage the challenges facing every industry in this post-pandemic environment, we knew we needed new strategies and centered our attention to what was in our sphere of influence. This focus created an opportunity to evaluate, refine, and evolve to make the most of our resources and deliver the best care to our patients. Therefore, we focused on value-added activities and trusted in our team. This journey will develop a culture of highly engaged team members at all levels to solve problems and improve our work to produce greater impact on our patients and team.

The key to making this journey successful is affirming our commitment to our greatest asset, people. HSNT was intentional in strengthening communication to support our team and community.

At HSNT, putting our best foot forward means incorporating technology, developing our team, and recruiting diverse talent to advance the health of our patients and community. We will continue to use our HSNT BEST framework to improve systems and processes to prepare for upcoming changes in healthcare, the unwinding of practices related to the pandemic, and strategic planning to guide our future direction.

There are many uncertainties in this current climate, however, we remain unwavering in our commitment to our employees, patients, and community partners.

Doreen Rue

Doreen Rue, LMSW-AP, ACSW

Chief Executive Officer

"HSNT was able to capitalize on new ideas and processes to support our team and patients through current challenges. As a result, despite significant workforce shortages, we provided care to more patients - notably to children and pregnant women."

A Message from Board

President, Dale Tampke

Boards of Directors can take on many roles. They can focus on strategic planning to maximize client wellbeing. They can ensure that the leadership and staff are well-supported. They can mind the finances with an eye toward long term organizational stability. They can keep the technology and other infrastructure state-of-the-art.

Health Services of North Texas' Board of Directors does all of this and more. And we do it with an unshakeable commitment to the communities we serve, the people engaged with HSNT as patients and partners.

We are collectively and individually grateful for the opportunity to serve you through our stewardship of the community resource that is HSNT. While 2022 has been a year of change and growth, challenge and adaptation, one constant prevails. We are keenly focused on improving the health and wellness of all North Texans.

Our vision is a healthy community for all.

Dale Tampke, Board President

51%

Meet Our Board

"These healthcare professionals are just that. I get emotional talking about the level of care that they provided. [My provider and medical assistant] provided me with the resources to help maintain my blood pressure and weight loss."

"This place is incredible. The staff and nurses are always pleasant and very helpful. My appointments start on time and the costs are very reasonable. They even have a sliding fee scale for payment. I've used this clinic now for about three years and have never been disappointed with the service or personnel."

97%

of survey respondents with hypertension report that the care they receive at HSNT has kept them from seeking treatment for their hypertension in the emergency department or urgent care

95%

Committed To

16,795

PATIENTS

who RECEIVED QUALITY, EFFECTIVE

HEALTHCARE IN 2022

HSNT is committed to meeting our patients where they are to provide the very best quality, effective care among all of our service lines. By providing comprehensive care, one patient at a time, HSNT is impacting the overall health of the communities we serve, one family at a time.

Tackling projects geared toward refining how we identify an opportunity and explore that opportunity enables HSNT to meet our end goal of creating access for patients.

In 2022 the team focused on

Refining our Commitment

with a process we refer to as HSNT BEST.

S

T

Building

Effective/Efficient

Systems

Together

An output of HSNT BEST...

is that we have further strengthened our partnership with community resources to bring mammogram mobile unit services onsite EVERY month, breaking down barriers to access for this important life-saving service.

Making a Difference for Children

"When we moved my children had no insurance, and my husband found [HSNT] on an internet search. I am glad we found this place - it was affordable, and their sliding fee scale works very well. I have recommended them to many of my friends [because of the] nice staff and clean clinic. They are very helpful, and my children’s favorite is Bethany [Ishmael], NP. She is very knowledgeable and amazing with kids."

"E. is very happy with the care his doctor gives him… thanks to his diagnosis and treatment he can be a happy child with himself, with his classmates, at school, and with his family. Dr. Crystal [McLeod] diagnosed E. with Hyperactivity, Attention Deficit Disorder, and Autism. She chose a treatment for E., which has been a turning point in his life. He could not organize his ideas, he stuttered, and he had problems socializing and doing his homework. The treatment has helped him to be a happy child."

Patients of Dr. Jyo with their mom at HSNT's Wylie Children's Medical Clinic

89%

of caregivers responding to a survey report that the health education they receive at HSNT has increased their overall knowledge and understanding of how to best care for their child

70%

of respondents report that the care and health education they receive at HSNT have helped them avoid preventable emergency department and urgent care visits for their children

Committed To

7,266

CHILDREN

who RECEIVED QUALITY, EFFECTIVE

Pediatric Care in 2022

Health equity is front and center at HSNT and we welcome all children regardless of payor source or ability to pay.

Every child should receive a strong foundation of pediatric care to help them achieve their very best health as an adult.

Through same-day sick visits, accessible well-child visits, and health education delivered in an empathetic and culturally effective manner, HSNT’s pediatric providers work together with caregivers to set their young patients up for long-term success.

HSNT provides that strong foundation.

Additionally, HSNT’s patient-centered model of integrating medical care with behavioral healthcare supports children with mental health needs by providing these important services in a comfortable and familiar setting that is more accessible for working families.

"There is nothing more rewarding than being able to have families come in, feel that sense of relief that they can get the care that they need and their questions answered - to see those worries melt away, to see the smiles on their faces.”

Bethany Ishmael, Pediatric Nurse Practitioner

Dr. Achala Ellepola, F.A.A.P.

Making a Difference for Women

"For the past decade, I have been privileged to provide maternal prenatal care and delivery to the patients of Health Services of North Texas. Their appreciation for the excellent care they receive from the entire team at HSNT is always rewarding. The nurse practitioners on the front lines are second to none. I love working with them and could not have our excellent outcomes in a high risk population without them." - Dr. Antonio Asis

"The people at HSNT are always friendly every time I come in. I feel that Janice Hill has done a wonderful job with my care and if it wasn’t for her, I would still be unaware that I have osteoporosis. Thankfully I am now on medication for this, and I am aware that I must be much more careful due to the osteoporosis."

"They were all very helpful and felt welcome from when I entered the office to when I left. My nurse, Nicole Sherman took the time to answer all the questions I had. Great experience, as I was nervous because I've not had a good experience with my previous pregnancies."

Nicole Sherman, WHNP | Dr. Antonio Asis

Taren Thomas, LVN | Brittany Powell, WHNP

100%

of prenatal care survey respondents report that the health education they received helped them make quality decisions regarding their health and the health of their baby

100%

of respondents report that they received quality care, regardless of their socioeconomic status, race, ethnicity, or sexual orientation

Committed To

7,020

WOMEN

who RECEIVED QUALITY, EFFECTIVE

HEalthcare in 2022

HSNT's nominal fee and sliding fee scale make women's healthcare accessible for all, including prenatal care and delivery.

HSNT's women's clinical services include annual visits, prenatal care, family planning, gynecology, and general health visits.

It takes talent, compassion, and a heart for service to meet the women we serve where they are, providing care in a patient-centered and culturally effective manner.

Each women's health visit includes health education from a trusted provider, which helps patients make informed choices about their medical care to improve their health outcomes.

With comprehensive women's health services, dedicated providers at Health Services of North Texas are proud to help women feel their best at every stage of life.

HSNT's women's health providers manage a number of clinical quality measures that directly impact patients' health and wellbeing. Through comprehensive preventative care, we enable women to avoid or minimize health problems in the future.

2022 Care Provided...

HSNT provided prenatal care for 921 women,

an 18% increase year over year.

570 babies were born throughout the year,

a 26% increase over 2021.

“I don’t want women to feel embarrassed to talk about their health issues. I find that making them laugh and teaching them as we go along reduces the discomfort and eases stress and tension. My goal is to empower women to take care of themselves, advocating for them as they walk through their health journey.”

Nicole Sherman, Women's Health Nurse Practitioner

Making a Difference for Our Patients

"I’ve now been employed for almost two years. I went from a young mom and addict, to a recovering addict and employed, with the tools I need to succeed through behavioral health services. I know every Friday I get to release my emotions and anxieties from the week with Jean Gray. Behavioral health is a priority for me now."

"Jean Gray has definitely helped me through a lot of problems. We’re slowly working our way up, but she’s helped me through some issues and made it easier for me to take control of my life."

90%

100%

Committed To

3,976

who RECEIVED QUALITY, EFFECTIVE

INTEGRATED BEHAVIORAL HEALTHCARE IN 2022

PATIENTS

HSNT patients who qualify for the nominal fee have access to counseling services for only $15 a session.

HSNT listened to our community’s concerns about the growing need for behavioral healthcare in North Texas. We took a significant step to increase access to these essential services by hiring an additional, experienced behavioral health counselor in 2022.

The strategic addition of Dr. James Pinkston doubled HSNT’s capacity for counseling services, which research shows are needed now more than ever.

Our Integrated Model

From counseling, to tele-psychiatry, to treatment for diagnoses like ADHD, anxiety, or depression that are provided during a medical visit – HSNT is here for our patients’ mental and physical healthcare needs. Our integrated model treats the whole person, mind and body, because we understand the deep connection between physical and mental health.

"When a person receives good psychotherapy, they receive an experience that helps shape and guide future thoughts, feelings, and behaviors that extend well beyond the time spent in session or the course of therapy. Psychotherapy is an investment in yourself to gain the tools and emotional awareness to be successful in all areas of life.... It is through HSNT's access to care, flexibility, coordination between our providers, and prioritization of our patients that one can expect to experience good psychotherapy that is worth the investment of time and work."

James Pinkston, DSW, LCSW

Committed To

Ending the HIV Epidemic

THE TIME IS NOW

About The HIV Epidemic

There were 36,801 NEW HIV DIAGNOSES in the US and dependent areas. Of those:

69%

…were among gay and bisexual men.

23%

…were among heterosexuals.

7%

…were among people who inject drugs.

I’m HIV

positive.

I’ve been

exposed to HIV.

I’m HIV Symptomatic and Unsure.

Our Goal

Our Outreach Efforts

Making a Difference One Patient at a Time

"I feel seen, cared for, and more informed than I’ve ever been.”

Found, Right On Time

Living with an infectious disease can be overwhelming and full of anxiety. Whether you choose to seek care immediately or a few years after, the care you receive should not only be informative, but compassionate as well.

In Jordan Grahmann’s instance, though not immediate, he says he found HSNT “right on time.”

HSNT Patient Story

“I wasn’t responsible with my health; I was ignorant of health practices, and it was mainly due to not knowing where to go... Before becoming a patient of HSNT, I wasn’t receiving care because of fear of being judged and not receiving quality care due to my condition,” Grahmann says.

“HSNT has helped me gain access to care by being thorough and informative, way more than any provider I’ve had in years past. I come from a small town where a lot of information isn’t accessible to patients, especially when stereotyped. Laurie Mottl, Physician Assistant, has left no stone unturned regarding my health information. She has not only given me information but is sure I comprehend and feel cared for during the process. I’ve received education and resources to better take care of my health. In a short amount of time, I feel so comfortable. It is so hard to build rapport with a provider as a new patient, as well as get appointments. I have been fortunate to not experience either [of these challenges] since being a patient at HSNT."

“I tell my friends about HSNT often and anyone who is looking to receive quality care. It’s not every day that you find this level of professionalism and efficiency. I received a call back the same day to set an appointment and a week later to send over my documents. HSNT has given me hope in my health journey and reassurance that my needs can be met and exceeded regarding taking care of my health. You don’t always find that in a medical center, but I’m glad I did."

Committed To

612

PATIENTS living with HIV / AIDS

who RECEIVED QUALITY, EFFECTIVE

HEALTHCARE IN 2022

Qualifying HSNT patients living with HIV/AIDS have access to housing assistance, insurance assistance, and transportation services.

Ending the HIV Epidemic is top of mind here at HSNT, with the work we are doing to provide health education, connect patients to care, and keep them in care.

We wrap our arms around patients with HIV/AIDS, helping them manage their health through comprehensive services including medical care, behavioral healthcare, case management, prescription assistance, and more.

In 2022, HSNT began providing free HIV screenings every Friday to even further increase our commitment to Ending the HIV Epidemic.

When patients have access to wrap around services that break down barriers to consistent medication adherence, the HIV virus can become undetectable in their body, and therefore untransmittable.

Patients with viral load suppression are better able to ward off illness and live long, healthy, productive lives.

2022 Care Provided...

88% of HSNT patients achieved and maintained viral load suppression in 2022

HSNT provided treatment to 95 patients with HepC in 2022.

"I am a 41 year old addict in recovery now over two years. I was an IV drug user and like many, caught Hepatitis C. I was ashamed, felt dirty, hurt and sleepy all the time, and over all felt like I wasn't normal like the next person. I moved to the Collin County area and was able to get in touch with Dr. Kaushik and literally in less than a month she had the prescriptions, case worker and everything on her part done. I don't think that there is any doctor out there that has been more loving and caring than her."

- HSNT Patient

Committed To

Being fiscally responsible

for our Stakeholders

Patient Care Related Revenue

Government Grants

Other Gifts and Support

One-time funding opportunities enabled HSNT to further strengthen and invest in people, systems, and processes to create additional patient access and continue providing quality, effective care.

These one-time investments supported our first full year of operations at HSNT Plano, remote monitoring for patients with hypertension and diabetes, increased patient access to medications, HSNT BEST, and an intentional strategic effort to End the HIV Epidemic.

By maximizing the impact of each opportunity, we are able to better serve our patients and community for many years to come.

88 cents out of every dollar goes directly to patient care

A Message of Gratitude

The generosity of our partners helped HSNT to provide nearly $14.5 million in charity care, representing a 49% increase compared to the $9.76 million in charity care provided in 2021.

This annual report is dedicated to HSNT’s patients, team members, and the community stakeholders who are working right alongside us, living the mission, and supporting essential healthcare regardless of a patient’s ability to pay.

To those of you who generously donated time or money to build a healthier community with us in 2022, those who invested meaningful grant funds to support our strategic initiatives and sustainable growth, and those who helped connect people to care by spreading the word about the services HSNT provides – you are a difference maker. You are a life changer, a force for good, and someone the next generation of community stakeholders can look to as an example of the incredible way we can make North Texas stronger by working together. Thank you for supporting patient care through HSNT.

To Learn More...

Please visit healthservicesntx.org to see a list of our generous grantors or make a donation supporting essential healthcare for a North Texan in need of a hand up.

To learn more about making a gift or to join us in our Mission,

reach out to Teri Johnson at tjohnson@healthntx.org or 940-293-6009.

Be a difference marker and donate today.

Our Misson

Improving the quality of life for all North Texans through medical care, support services and advocacy

Our Vision

A Healthy Community

Health Center Locations

HSNT Plano

5501 Independence Pkwy

Suite 110

Plano, TX 75023

Wylie Children's

Medical Clinic

303 S Hwy 78

Suite 106

Wylie, TX 75098

Denton South Center

3537 South I-35

Suite 210

Denton, TX 76210

HSNT at the Serve

Denton Center

306 N Loop 288

Suite 200

Denton, TX 76209

Denton Medical Center Campus

4304 & 4308 Mesa Drive

Denton, TX 76207

Administrative Team

4401 I-35 Suite 312

Denton, TX 76207

Health Services of North Texas is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $1,584,687, with 92% financed with non-governmental sources.

Committed to our Stakeholders

Health Services of North Texas Business Office Manager Team