Standing with HSNT Patients

2023 HSNT Annual Report

Health Services of North Texas has been standing by our patients and community for 35 years
Doreen Rue CEO of HSNT

Letter from Doreen Rue, HSNT CEO

Health Services of North Texas has been standing by our patients and community for 35 years. As I look back at 2023 and this 35-year milestone, our progress and impact are as relevant and meaningful today as in 1988. We are grateful to all who have stood with us as we evolve to address and improve the health and wellbeing of our community. To stand by our patients means to be ready and available to care for our patients. To do so we must know them well and focus our efforts to meet them where they are on their health and wellness journey.


2023 was an exceptional year focused on improving access to care through the expansion of primary care for children and adults, including prenatal care. Investments in our clinical teams and staff and enhanced use of technology to deliver extraordinary care improved the health status and clinical outcomes for our patients. We received recognition from the Community Health Center Program at the federal level with the Bronze Level Health Center Quality Leader award for the impact of our quality focus. While the overall clinical quality recognition received was appreciated, the real joy is seeing our patients’ health stabilize and improve.


I am incredibly proud of HSNT and our stakeholders for the steadfast commitment and determination to address the growing need in our community and stand by our patients over this past year.


This report will highlight our efforts and commitment to our patients, their care, and the communities we serve.

Doreen Rue, LMSW-AP, ACSW

Chief Executive Officer

About Health Services of North Texas (HSNT)

At Health Services of North Texas, our team is committed to providing compassionate, quality medical care using an approach that provides the highest level of care while giving our patients the tools they need to take charge of their health through our Patient Centered Medical Home model of care. HSNT is a responsive organization with a long history of providing for the changing needs of our communities.

Our Mission

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

Our Vision

A Healthy Community.

We are collectively and individually grateful for the opportunity to serve you
Dale Tampke HSNT Board President

Letter from Dale Tampke, HSNT Board President

Thank you for taking a look at our annual report. Within these pages you will find the highlights of an eventful year serving the health needs of the greater North Texas community, a place we value, one that we all – patients, stakeholders, and staff – call home.

As the board of directors, we take seriously our stewardship of the community resource that is HSNT. We work to focus our strategic planning toward helping folks thrive. We ensure that HSNT leadership and staff are well supported. We mind the finances with an eye toward long-term stability and growth. We enable the organization to deploy state-of-the-art patient care technology within a robust infrastructure. We seek to continually build our services and enhance our quality.


We are collectively and individually grateful for the opportunity to serve you. We look back with pride on a productive year, and look ahead with confidence as we pursue our vision of a healthy community for all.

Dale Tampke

HSNT Board President

Thank you to Our 2023 Board Members

Sara Schroeder

Vice President

Lee Brown

Treasurer

James Henderson

Secretary

Michael Foster, CPA

Past President

Belinda Hernandez

Eric W. Schwarz, CFP

Judge Chance Oliver

Kimberly Middleton, MD

M. Hamed Husain

Magdaline Ewoko

Makinzie Heard, RN

Melissa Ann Winans, MBA-HCM, MSN, RN, NEA-BC

Sadaf Haq, MPH

HSNT’s newest board members

Janylle Koren

Maria Najera

As a Community Health Center, HSNT is committed to having the required minimum of 51% of our board members being consumer members and demographically represent our overall patient population. These requirements ensure that the needs of our patients are consistently represented at the highest level of our organization so that we can positively impact our patients’ lives and our community as a whole.

Our Year in Impact

Served

18,118

patients who received quality effective healthcare in 2023
Secured

$21.6M

of funding towards patient care
Top

30%

of U S Community Health Centers based on HRSA Quality Metrics

2023 HSNT Patient Population

At HSNT, our mission is clear: to serve as a trusted medical home for all North Texans. We are dedicated to breaking down barriers by providing compassionate care regardless of race, ethnicity, or income level.

Patients by Age

Patients by Race*

*50% of HSNT patients are of Hispanic ethnicity

Patients by Federal Poverty Level*

*The Federal Poverty Level (FPL) is an economic measure of income based on family size and income that determines eligibility for programs and benefits. For example, 100% of FPL for a family of four is $30,000.

Standing with

HSNT Patients

Committed to
18 118 Patients

who received quality, effective healthcare in 2023

Introducing the Healthy Champions Cohort

In 2023, HSNT introduced our Healthy Champions Cohort, a Patient Centered Medical Home initiative tailored to providing targeted assistance to 272 of our diabetic patients. The efficacy of our collaborative approach, supported by an array of educational resources and enhanced case management care provided by our team, played a pivotal role in fostering patient empowerment and success throughout the year.

272

Diabetic patients participated in the new Healthy Champions Cohort

39%

of the patients who participated in the

cohort achieved an A1c level of <7 -

a 9% increase in only 7 months

It’s truly inspiring to be a part of this experience with the Healthy Champions program. The impact our team has made in such a short time is remarkable, from providing testing supplies to empowering patients to take control of their diabetes management. Building personal relationships with patients and seeing their growth and confidence flourish is incredibly rewarding. Having someone who is dedicated to being a supportive resource for patients, especially during challenging times, is invaluable. I have no doubt the program will continue to thrive and make a difference in many lives.


– Jenn McFadden, LVN

HSNT providers are committed to standing with our patients as they do the hard work to improve their health. In addition to the work

being done inside HSNT’s six community health centers to provide quality effective care through 51,418 visits, we are also focused on being present in the community, breaking down barriers to access.

Our Daily Bread Collaboration

To more effectively connect unhoused individuals to accessible medical care, HSNT and Our Daily Bread have begun a collaboration with the support and partnership of Texas Health Resources. Three days per week, LaSandra Rose, one of HSNT’s dedicated Licensed Vocational Nurses, is stationed at Our Daily Bread’s Wellness Center to provide guests with first aid and health education. She and Our Daily Bread’s Care Coordinator work together to link guests to care at HSNT health centers and help them overcome barriers to receiving essential services.

150

Guests were cared for by HSNT

medical staff at Our Daily Bread

41

Guests at Our Daily Bread visited one of

HSNT’s health centers for additional care

Working at Our Daily Bread has allowed me to use my skills and talents in Nursing in a whole new way. By meeting their medical needs, we show the underserved that we care for them and they matter. It’s rewarding to know how thankful they are for the little things that are really part of my job, but mean so much to them. I love it when we connect them to our Medical Centers to address their health concerns.


– LaSandra Rose, LVN

It is very rewarding to be able to help those that come into the Wellness Center at Our Daily Bread. They are so grateful for even the smallest things that we are able to help them with. It really makes me feel like I am making a difference in the community.


– Donica Rogers, LVN

Quality Impact

69%

71%

of patients had their diabetes under control - a 4% increase from 2022

of patients had their hypertension under control -

a 10% increase from 2022

Quality Impact

Health Services of North Texas has always been there for me. They are the front lines of any battle...they are the foundation of my belief...that GOOD people are still out there. I am blessed to have Lijo Abraham as my PCP.


– HSNT Patient

97%

Patient Experience Matters

of HSNT patients that completed the patient satisfaction survey would recommend HSNT to family or friends as indicated by 1,759 responses.

HSNT Patient Stories

HSNT Patient Stories

HSNT Plano
HSNT at Serve Denton

"Everything happens for a reason and at the right moment."

"It's nice to know there's someplace I can go and afford, and they're going to take care of me."

Standing with

Our Children

Committed to
8 050 Children

who received quality, effective healthcare in 2023

Introducing Our Newly Renovated Pediatric Health Center

In response to Denton County’s growing need for affordable pediatric care, HSNT expanded our team with two experienced pediatricians and refurbished one of our Denton health centers at 4308 Mesa Drive. Dr. Stephen Schulman and Dr. Parmbir Bhangoo, boasting nearly 60 years of combined experience, joined in October of 2023, coinciding with the completion of renovations at 4308 Mesa Drive. These enhancements address the area’s medical provider shortage, increasing access to care for over 12,500 uninsured children and 17,200 children living in poverty. Through this center, HSNT offers a comprehensive, patient-centered approach, including well visits, immunizations, and behavioral health services, reaching over 3,800 children across four Denton locations in 2023.


Supported by a grant from the Health Resources and Services Administration (HRSA), the renovated pediatric health center now features ten exam rooms and a more efficient layout. Adjacent to the pediatric facility, HSNT provides primary healthcare for adults at 4304 Mesa Drive, ensuring convenient access for the entire family.

3,857

children served at HSNT’s Denton health centers

in 2023, a 12% increase compared to 2022

After seeing kids in my private pediatric practice for 38 years in Denton, I feel blessed to now be working at HSNT with its warm, welcoming, caring environment. I am fortunate to be working with knowledgeable, experienced staff and providers who truly care about treating patients and their families with compassion, dignity and expertise, and being able to provide the very best care to all the children in North Texas regardless of their financial situation, insurance or socioeconomic status.


– Dr. Stephen Schulman

Recognizing that pediatric care is foundational for the future of a healthy community, HSNT has nine pediatric providers providing medical care and support services across four health centers. Our commitment to the health of our children is evidenced through increased access and quality.

11%

increase of children served at all HSNT health centers compared to 2022

Quality Impact

86%

of pediatric patients 12 and over were screened for depression during a medical visit, and had a follow up plan documented as appropriate

Check out Dr. Jo and our other Providers on the HSNT TikTok and stay up to date on your family medical care!

Dr. Jo and her team are professional and have been treating my daughter for years. I was able to voice my concerns and recommendations were given and my prescription was refilled in a timely manner. Thanks once again.


– Parent of HSNT Patient

Standing with

Women

Committed to
7 343 Women

who received quality, effective healthcare in 2023

Mammogram Mobile Unit

In collaboration with Texas Health Resources, HSNT connected 345 patients to mammograms through Texas Health Resources Mobile Health Screening Mammogram service. This important partnership has helped create further access for the women in our community.

345

patients received mammograms through the mobile unit in 2023

I love working in Women’s Health because of the continuity of care provided in this service. I get to take care of women for most of their lives, from helping young women to choose contraception, to providing obstetrical care to expectant mothers, to older women going through menopause, and everything in between. It is wonderful seeing the children born through the pregnancies that I have followed. I know the care provided in our clinic is the best it can be. I have been a recipient of that care with my diagnosis of breast cancer last year. I understand the importance of getting a mammogram every year and that it can be normal one year but abnormal the next year. It is with outstanding gratitude that I can touch my patients’ lives and have them touch my life in such a significant way. I will never regret my chosen field and the influence it has had on me and the people I work with and care for every day.


– Janice Hill, DNP, FNP-BC, ACNP-BC, Family Nurse Practitioner

Introducing HSNT Midwife Program

Our local community need for obstetric care has grown exponentially over the past 3 years and the strain on local providers and hospitals has been felt. Recognizing that maternal health is foundational for a healthy community and the role midwives play in improving the health of women and their babies throughout pregnancy is proven, HSNT is delighted to announce that we have added additional bench strength to our already excellent women’s health team, under the leadership of Dr. Antonio Asis, OB/GYN.


HSNT is pleased to introduce Samantha Eubanks, DNP, ARPN Certified Nurse Midwife leading this innovative program to support growing community need. Ms. Eubanks is credentialed as a Doctor of Midwifery, extensively trained, and has many years of experience delivering babies. When possible, Ms. Eubanks will be present in the hospital to deliver babies, and provide emotional and physical support during labor, reducing the strain on local obstetricians. She will partner with HSNT’s Women’s Health Nurse Practitioners to provide culturally competent, meaningful prenatal care, education, and support for women throughout their pregnancy, including postpartum care.

6

1

babies born throughout the year – a 5% increase over 2022

5%

increase in women served compared to 2022

This place is very comforting. They are there when you need them, they will work with you financially, and they are very empathetic to whatever situation you might be coming in with. I have never had a bad experience here. I actually found this place when I was homeless two years ago and needed to see a doctor as soon as possible. I definitely recommend this to anyone who needs help.


– HSNT Patient

Quality Impact

47%

66%

of patients had a cervical cancer screening - 12% higher than National screening rates

of patients had a breast cancer screening - a 9% increase from 2022 and 5% higher than Texas screening rates

Quality Impact

Standing with Patient

Mental Health Wellness

Committed to
4 235 Patients

who received quality, effective integrated behavioral healthcare in 2023

Behavioral Health Symposium

In November 2023, our Medical Director, Dr. Starr, spearheaded a Behavioral Health Symposium, gathering all HSNT providers for an enriching exchange. This symposium provided a platform for our dedicated team to delve into critical issues impacting patient care. From crisis management to self-care strategies, and discussions on adult and pediatric ADHD, our providers had an opportunity to explore innovative ways to better serve our community. Supporting mental health happens across all service lines and being able to help HSNT patients not just physically but mentally makes a world of a difference. “We’re not done, but I think the spotlight is firmly on mental health. It is essential to what we do.” HSNT Medical Director Dr. Starr emphasized.

For me, I am privileged to be a part of the helping relationship. It is not the beginning or the end we should focus on because if we focus

on the beginning or the ending, we miss the journey. Thank you for allowing me to participate in the journey!


Jean Gray, LCSW

The care I ve received since being a part of HSNT has been compassionate and heart felt Words like you look great and you look happier make me feel at home and like I m a part of a true relationship with my therapist With Jean Gray LCSW it honestly makes me emotional to think about her She is literally an angel I d lost hope in humanity and it was restored when I met Jean Gray She empowered me to believe in a brighter future when I needed it the most
Megan Gillard HSNT Patient

Read Megan’s Story

Quality Impact

94%

of patients were screened for depression

- 24% higher than National screening rates in 2022

James Pinkston is a very kind, understanding, and intuitive listener. He is extremely patient with me and issues that I need to repeatedly go over. In the past, I have been treated with exasperation (slight as it was) but he is always patient whereas counselors in the past got frustrated with my grief and constant second-guessing. He is non-judgmental and helps me be a better mom and person by helping me understand why I feel the way I feel and how those feelings tend to lead to decisions that hurt my children rather than help them become self-sufficient, independent, strong young adults. He has a soothing, calm, reassuring voice, a comfort after having a very loud & angry dad, I am often intimidated by men and especially doctors.


– HSNT Patient

Standing with

Ending the Stigma

Committed to
649 Patients

living with HIV/AIDs

who received quality, effective healthcare in 2023

Ending the HIV Epidemic (EHE)

In the past year, HSNT has made significant strides in our mission to increase healthcare accessibility and combat the spread of HIV/AIDS. Through our initiatives in Denton and Plano, we provided free HIV screenings to 289 individuals, facilitating early detection and intervention. Of those screened, 10 individuals tested positive, and we promptly connected them with the necessary care and case managers to support them. Additionally, we expanded our outreach efforts by launching a ‘Resources’ page on our EHE website, empowering the public with vital tools to engage in our shared goal of ending the epidemic.

289

free HIV screenings provided in 2023

Man icon

6,427

individuals were tested for HIV in 2023

329

patients living with HIV/AIDS received integrated behavioral healthcare services to support their overall physical and mental health

Ending the HIV Epidemic Education & Outreach

Leveraging the power of social media, our promotional campaigns garnered impressive traction, generating over 2,562,259 impressions on TikTok and 582,859 impressions across Facebook and Instagram combined. We collaborated with our Infectious Disease Providers and local community advocates to create meaningful and informative content. These achievements underscore our commitment to fostering healthier communities and driving positive change in the fight against HIV/AIDS.

2,562,259

views on TikTok for ending the HIV epidemic

Quality Impact

67%

100%

of patients had an HIV screening - a 5% increase from 2022 and 22% higher than National screening rates

HIV patients were linked to care - 22% higher than Texas linkage rates

Quality Impact

I appreciate all the healthcare workers from the people at the front desk to the people we don’t see but talk to when we have any questions... Then there’s the nurses that are really the heart of any doctor’s office or hospital. Then there’s Laurie. She listens to her patients and takes very good care of us. If I have a question about my health or I want to try a new vitamin or medication, she tells me what she knows and if she doesn’t [know about it] she’ll research it and will let me know if it’s a good thing or something I don’t need. Thanks Laurie.


– HSNT Patient

My work at HSNT, caring for and educating patients on how to live healthy and productive lives while living with HIV, is incredibly rewarding.


In addition to treating the disease itself, I am incredibly passionate about teaching patients to live more healthfully through implementing improved dietary and lifestyle choices. This approach helps my patients to prevent additional chronic diseases and extend overall long-term health.


To see the growth in our patients’ overall health and wellness when they embrace their treatment plans, and see them thrive while living with HIV, is so inspiring to me.


– Laurie Mottl, PA-C

Stakeholders Standing with

HSNT Patients

Funding of Care

66%

29%

5%

47%

24%

10%

6%

5%

3%

3%

2%

Funding of Care

From patient care, government grants, foundations, and other gifts throughout the year, HSNT is intentional about diversifying funding sources for patient care.

Cost to Provide Care

HSNT Principle

By operating in a sustainable manner, HSNT will better serve our Patients and Community for many years to come.

49%

increase in funding from foundations and corporations compared to 2022

91 cents

out of every dollar goes directly to patient care

Difference Makers

Standing with Our Community

Argyle United Methodist Church

Thank you to HSNT Difference Makers

The 2023 annual impact report is dedicated to HSNT team members, donors, grant funders and community stakeholders who STAND WITH us to support our mission of, “Improving the quality of life for all North Texans through medical care, support services and advocacy.”


To our grant funders and stakeholders that generously invested in supporting patient care for 18,118 patients, we thank you for standing with us to build a healthier community. Your investment allows HSNT to make a tangible difference in the lives of our patients. Through your generosity, we have expanded services to children, provided robust wrap-around infectious disease care, given our patients hope through behavioral health services, and improved health outcomes for thousands of patients.


As we move forward, we are inspired by the impact we have made together, fueled by the shared commitment to our mission. Together, we are building for a healthier tomorrow, creating sustainable and lasting systems to serve our community and patients for many years to come.


Your investment is making a difference, thank you.

Thank You to Our 2023

Business Stakeholders

Corporate Partners

Barlow Research Associates

Baylor Scott & White Plano Heart Hospital

Baylor Scott & White The Heart Hospital - Denton

Baylor Scott & White The Heart Hospital - Plano

Beth Marie's Ice Cream

DATCU

Explorium Denton Children's Museum

Frenchy's Lawn and Tree Service

H-E-B | Central Market

Kendra Scott

Kong Investment Company

Kroger

LPL Financial

Medical City Denton

LJ Artisan Designs

Miss Angeline's

Patchouli Joe's Books and Indulgences

PGP Construction

Point Bank

Quandary Escape Adventures

Queenie's Steakhouse

Ravelin Bakery

Texas Health Denton

Texas Health Plano

Triangle Nonprofit Publishing

Walmart - 6078

Wellmed Networks, Inc.

Individual Partners

Cheryl and Ron Aldridge

Keren and Anthony Angulo

James S. Arnold

Mari Bailey

Jo Ann Ballantine

Pamela Barnes

Michael Bartels

Veronica and John Beasley

Debrah Beck

Parmbir Bhangoo

Ann and Peter Bradbury

Elaine Cates

Raj Chhadua

Steven Coker

Anna Contreras

Mariella Cudd

Raymond David Sr.

Kathy Eubanks

Sean Fletcher

JoAnna Fure

Nancy Gaige

Brent Garrett

Jarratt D. Graham

Sydni Greene

Margaret Griffin

Veronica Guy

Makinzie Heard

James and Sarah Kate Henderson

Dr. Gregory and Mrs. Jacqueline Jackson

Jill Jester and Chris Rasmussen

Darren and Teri Johnson

Foundation Partners

Andrea-Mennen Family Foundation

BNSF Railway Foundation

Broadway Cares / Equity Fights AIDS, Inc.

Charities Aid Foundation of America

Communities Foundation of Texas

CoServ Charitable Foundation

Denton Benefit League

DIFFA - Dallas

Flow Health Care Foundation

Hattie Mae Lesley Foundation

Lightner Sams Foundation

Network for Good

Perot Foundation

Research Educational Foundation

Speedway Children's Charities

Texas Women's Foundation

Community Partners

Cross Timbers Rotary

Plano North Metroplex Chapter of the Links, Inc.

Trinity Presbyterian Church

United Way of Denton County

United Way of Metropolitan Dallas

Melinda and James King

Debra B. Layman

Peggy Longworth

Glen McKenzie

Miles and Gaynelle Schulze

Lauren Milton

Heather Moore

Sydney Morris

Dr. And Mrs. Steve and Laurie Mottl

Al Murdock

Karishma Patel

Carol Riemer

Marla Rodriguez

Kelley Rowley

Doreen Rue and Candace Pratt

Teel and Richard Sale

Priscilla Sanders

Jill Schreiber

Stephen Schulman

Ray Sears

Kimberly and Robert Seay

Shannon Starr

Dale and Molly Tampke

Jamie Taylor

Thomas Foundation

John W. Thomson

Linda and Edward Touraine

Martin Wind

Ted Young

Government Grants & Contracts

City of Dallas

City of Denton

City of Lewisville

City of Plano

Collin County Health Care Foundation

Dallas County

Denton County Commissioners Court

Every Body Texas

Health Resources and Services Administration

Texas Department of State Health Services

In Memory of Lolli Thomas

Susan Aldridge

Teresa Ballard

Colleen Bowler

Doreen Collin

Cindy Eichenholz

Darby Fitzpatrick-Reber

Michael & Melissa Foster

Mr. and Mrs. Robert Gardner

Hope Hochster

Dawn & Lane Kregel

Steven Lolli

Mike and Jody Thomas

Ellen Mowry

Beth O'Donnell

Peggy Siscoe

Robert Vernon

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 a part of an award totaling $1,602,093, with 93% financed with non-governmental sources.

It is HSNT’s sincere hope that the impact we’ve shared with you through these pages gives you a sense of pride and will inspire you to action. Your support in 2023 provided medical care, behavioral healthcare, pediatrics, prenatal care, and more to over 18,000 individuals. Going into 2024, your continued support is needed more than ever as HSNT expands to meet the growing need.

A Healthy Community

Six Health Centers to Serve Our Community

Denton Medical Center

4304 Mesa Drive

Denton, TX 76207

Denton South Center

3537 South I-35 E Suite 210

Denton, TX 76210

Denton Pediatric Center

4308 Mesa Drive

Denton, TX 76207

HSNT Plano

5501 Independence Parkway Suite 110

Plano, TX 75023

HSNT at the Serve Denton Center

306 N Loop 288

Denton, TX 76209

Wylie Children’s Medical Clinic

303 S. Hwy 78 Suite 106

Wylie, TX 75098