Northern Nevada HOPES

Legal name: Northern Nevada HIV Outpatient Program Education and Services

Nonprofit profile at a glance

EIN
860865357
IRS 990 coverage
2011–2024
Official website data refreshed
Aug 2026
Forms available
Form 990 2024
Location
Reno, NV, USA
Phone
775-786-4673
Rating
85
Verdict
STRONG
Rating confidence
Standard
Sector
Ambulatory Health Center, Community Clinic

Official website

Reported finances

Revenue
$56,117,060
Expenses
$57,711,999
Assets
$56,656,608
Liabilities
$4,581,196

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

25 people listed

Executive titles in this filing

  • Doug Brewer (President)
  • Dr Trudy Larson (Vice President)
  • Sharon Chamberlain (Chief Executive Officer)

Highest reported compensation

  • Faith Whittier (Chief Medical Officer): $447,439 total reported compensation
  • Alexander Brooks (Psychiatrist): $381,103 total reported compensation
  • Sharon Chamberlain (Chief Executive Officer): $309,342 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

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

What it reported doing in 2024

Northern Nevada HOPES is a not-for-profit community health center located in downtown Reno, Nevada, offering integrated medical, behavioral health, and supportive services to over 16,376 patients, the majority of which are low income. The list of services offered includes primary medical, ultrasound and x-ray, on-site lab, on-site pharmacy, chronic disease management, behavioral health including intensive outpatient therapy, substance use treatment including medication-assisted treatment for opioid addiction, psychiatry, case management, and housing assistance. This unique team-based care approach to healthcare reduces barriers by creating a one-stop shop for our patients. HOPES specializes in serving the medically underserved in our community and works with many stigmatized populations, including the LGBTQ community, drug users, sex workers, and people experiencing homelessness and poverty. HOPES accepts most commercial insurance plans as well as Medicare and Medicaid, and HOPES offers a sliding fee scale for those who qualify. HOPES welcomes patients wherever they are in life and provides them with safe and non-judgmental services to support their health and well-being. In the fiscal year ended 6/30/2025, HOPES completed 81,389 medical and behavioral health visits.

Operating model

Revenue model
Other-operating. 78% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 99% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
  • Includes noncash contributions: Reported contributions include donated property or goods.

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Expenses are high relative to revenue and fundraising costs are high for each dollar raised.

Rating breakdown

  • Financial Efficiency: 87
  • Transparency & Controls: 80
  • Accountability: 100
  • Sustainability: 33
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 92%; rating input score 92
  • Program expense ratio: 89.4%; rating input score 89
  • Fundraising efficiency: $19.72 raised per $1 spent on fundraising; rating input score 57; 57th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
  • Pay-setting controls: 1 of 6 controls in place; rating input score 17
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 100%; rating input score 100; 77th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -2.8%; rating input score 17; 17th percentile among comparable filings
  • Total-asset coverage ratio: 0.98; rating input score 39; 39th percentile among comparable filings
  • Liabilities to assets ratio: 0.08; rating input score 85; 85th percentile among comparable filings
  • Officer compensation ratio: 3.9%; rating input score 26; 26th percentile among comparable filings

Growth

  • Program expense growth: 12.3% per year; rating input score 100; 82nd percentile among comparable filings
  • Revenue growth: 13.1% per year; rating input score 100; 85th percentile among comparable filings
  • Asset growth: 17.6% per year; rating input score 100; 90th percentile among comparable filings

Details

  • What they do: 9 programs and campaigns described on the official site · 1 operating location identified
  • Where the money goes: 92% of revenue deployed · 89.4% of spending went to programs
  • Governance: 14 of 14 board members independent · 9 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $51.6M in reported program spending
  • Leadership: top reported pay $447K · 25 people listed · 1 of 6 pay-setting controls reported
  • Highest-paid contractors: 4 contractors listed · $847K reported
  • Consistency: 39 of 39 current checks pass
  • Schedules: 9 filed schedules · includes major donors, grants, executive pay, and related organizations
  • Filing history: 14 filing years from 2011 to 2024
  • Contacts: How to reach this organization
  • Money network: 8 filed money-flow records
  • Related organizations: 2 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Sustainability: Operating margin scored 17/100.
  • Review — Financial Efficiency: Fundraising efficiency scored 57/100.
  • Moderate — Sustainability: Total-asset coverage ratio scored 39/100.
  • High — Sustainability: Officer compensation ratio scored 26/100.