Care for the Homeless - Annual Impact Report 2014 by Care for the Homeless

Board of Directors 2014 Annual Impact Report Carmine Asparro Chair

G. Robert Watts Executive Director

Dear Care for the Homeless Friends: Like the baby on the cover, 25,000 children were homeless in 2014. Remarkably, that figure refers only to children living in shelters; for every child in a shelter, there were roughly two additional children who were living in unstable conditions, such as doubling- or tripling-up with friends or relatives and who were at high risk of homelessness. Children weren’t the only ones experiencing homelessness, of course. In 2014, New York City recorded a nightly census of over 60,000 homeless individuals, the highest number of homeless people since the Great Depression. By the time you receive this Annual Impact Report, that figure will be lower, thankfully, but the problem is still severe and unacceptable. There IS hope in spite of the disturbing statistics, because over 8,500 homeless children, youth and adults received primary and mental health care services in 2014 at one of our clinics located across four boroughs in NYC (see the map for locations). The cover baby is snuggling with a hand-crafted blanket (made by our friends in the NYU Naughty Knitters club) that she received as a gift when she was brought in for immunization. Last year, we increased immunizations by 18% over the prior year, protecting more children from preventable childhood illnesses. There were many other milestones and accomplishments in 2014; here are just a few more: • We continue to raise the bar on providing high-quality, client-centered services, obtaining Level 3 recognition—the highest level possible, awarded by the National Committee on Quality Assurance—for three additional clinics. • The first ever Summer Solstice Success Celebration recognized formerly homeless New Yorkers who were successful in finding and keeping housing.

Carmine Asparro Chair

Linda S. Riefberg, Esq. Treasurer

David Florman Vice Chair

Aria Finger Secretary

Daniel Baldwin Board Member Emeritus Dennis Dickstein Lee H. Perlman, FACHE Delise Du Pont Beth C. Weitzman, Ph.D. Feygele Jacobs James F. Woods Timothy Q. Karcher Barbara Knecht Toby Koren, R.N. Jim Mutton, LMSW Noreen Nelson, Ph.D., CNS, R.N. Harry M. Rosen, Ph.D. Dana E. Sherwin, FACHE Derek van Straaten

• The revived annual gala raised critical funds from multiple generous sponsors and donors. • The Mobile Health Clinic rolled out onto the streets thanks to support from the New York State Health Foundation, Direct Relief International and the Insurance Industry Charitable Foundation and began providing HIV/AIDS and Hepatitis-C testing, health insurance enrollment and a broad array of health education information to those seeking help. All of the above and so much more was possible thanks to you, our donors and partners. Your continued belief in our work to provide quality healthcare to homeless individuals and end homelessness, provides inspiration daily to our board, volunteers, staff and clients, so on their behalf, we thank you! With our heartfelt appreciation and gratitude,

Carmine Asparro 2014-15 Chair, Board of Directors

G. Robert Watts Executive Director

• The revived annual gala raised critical funds from multiple generous sponsors and donors.

Serving New York City

• The Mobile Health Clinic rolled out onto the streets thanks to support from the New York State Health Foundation, Direct Relief International and the Insurance Industry Charitable Foundation and began providing HIV/AIDS and Hepatitis-C testing, health insurance enrollment and a broad array of health education information to those seeking help.

Part of the Solution (POTS)

Care for the Homeless is now in 30+ locations in Brooklyn, the Bronx, Manhattan and Queens.

Women’s Shelter

Ali Forney Day Center

Susan’s Place

Our 200-bed shelter for homeless women, Susan’s Place is a one-stop shop for clients to get all of the help they need for a stable future.

With our heartfelt appreciation and gratitude,

Franklin Women’s Shelter

Jackson Avenue Family Residence

Broadway Presbyterian Church

G. Robert Watts Executive Director

Thorpe Family Residence

Bronx

Family Shelter Street Medicine

Crotona Park Transitional Housing Comunilife’s Westchester Transitional Residence

Part of the Solution

Wards Island Project H.E.L.P. USA

All Angels Church

Preventative Health Screenings

Board of Directors Carmine Asparro Chair

Linda S. Riefberg, Esq. Treasurer

David Florman Vice Chair

Aria Finger Secretary

Manhattan

Homeless children are sick four times more often than those who are housed. We help keep kids healthy and in school.

Briarwood Family Residence Common Ground Street to Home

George Daly House

New York City Rescue Mission

Jamaica Family Assessment Center Common Ground Jamaica Safe Haven

Salvation Army Jamaica Citadel

Peter Jay Sharp Center for Opportunity

Wellness & Mental Health

Peter Jay Sharp Center for Opportunity Mental illness is one of the largest causes of homelessness for single adults. Our teams provide holistic care and wellness programming with the goal of empowering the clients.

We meet homeless people where they are. Clinics are co-located in homeless shelters, soup kitchens, SROs and drop-in centers, collaborating with nonprofit partners city-wide.

Jamaica Family Assessment Center

Queens Care for the Homeless Administrative Oﬃces

Other

Pediatrics

Urban Pathways Hallet’s Cove

All Angels’ Church

Over 3,000 patients receive health education services each year through patient education campaigns on heart health, cancer screening, diabetes, HIV Awareness, smoking cessation and more.

Safe Haven

Dental care is one of the biggest unmet needs for homeless New Yorkers. Our Dental Program treats malnutrition, poor oral hygiene and trauma.

Willow Avenue Family Residence Yorkville Common Pantry

The Senate Hotel

Ali Forney Street Program

Drop-in Center

Dental Care

The Living Room

Valley Lodge

Carmine Asparro 2014-15 Chair, Board of Directors

Common Ground Scatter Site

Homeless Outreach Team

All of the above and so much more was possible thanks to you, our donors and partners. Your continued belief in our work to provide quality healthcare to homeless individuals and end homelessness, provides inspiration daily to our board, volunteers, staff and clients, so on their behalf, we thank you!

Single Shelter

ns Susan’s e Place Nelson Avenue Family Residence

Soup Kitchen

St. John’s Bread and Life

Brooklyn

Bushwick Family Residence

H.E.L.P. Brownsville Women’s Center

Springfield Family Gardens Inn

Our Mission: Care for the Homeless fights homelessness by delivering high-quality and client-centered healthcare, human services and shelter to homeless individuals and families, and by advocating for policies to ameliorate, prevent and end homelessness.

Consumer Profile: “Homelessness can happen to anyone”

Numbers Served 8,579 homeless men, women and children served

89% below 100% federal poverty level

32% uninsured

37,731 clinic visits at 30 sites in Manhattan, Brooklyn, the Bronx and Queens

100 The homeless experience is different for every individual. This is Pat’s* story. Born in Louisville, Pat’s education and career took him to Michigan and Albany, then New York City where he has lived since the early 80’s. With an advanced degree in economics, he has worked for the IRS as an economist, studied tax law and was involved in the development of banking regulations. In 1991, he decided to change careers, pursing an interest in the legal profession. Pat describes his path to homelessness as involving multiple health issues as well as misguided career choices. In August, 2011, he found himself with no other options and entered a shelter for homeless men. It was there he was first introduced to Care for the Homeless (CFH) when he attended a presentation by two health educators, Rebecca and Jessica. Shortly after, he attended his first meeting of the CFH Consumer Advisory Board. When he became concerned with issues of balance and inability to concentrate, he utilized the CFH medical clinic at the shelter. He received medical care and services that enabled him to enroll in Medicare. “Getting healthcare is the first step to getting people out of homelessness,” says Pat. He is an excellent example 4

Additional Data

employees (including physicians, nurse practitioners, health educators, nurses, medical assistants, housing specialists, case managers, social workers, administrators and advocates)

“Getting healthcare is the first step to getting people out of homelessness.”

contracted partners

2,684 of his own words. With his health under control, he found a full-time job and as of March, 2015, moved into his own apartment. Although no longer homeless, he remains involved as a leader of the Care for the Homeless Consumer Advisory Board and the Speakers Bureau, advocating for the bill in the NY State Senate to make targeted violence against homeless individuals a crime. Pat is proof that “Homelessness can happen to anybody but with help, they can get back on their feet.” Care for the Homeless is grateful for all the donors and partners that helped individuals like Pat get “back on their feet” and ensured that access to the highest quality healthcare was possible for over 8,500 men, women and children in 2014. *The name has been changed to protect the consumer’s privacy.

hours of service by 274 dedicated volunteers

500

generous donors that make our work possible

Thank you to our great friends at Westside Foods for leading our annual Back-to-School supplies drive, providing homeless children with essential tools for classroom success.

Demographics 0-6 years

Men

Women

65+ years

7-17 years 18-34 years

35-64 years

Service Profile: Podiatry For most of us, when our feet get soaked by a heavy rain or get sweaty from a workout, we can go home to a drawer full of dry socks, kick off the squishy shoes and slip on our favorite pair of fuzzy slippers. For homeless individuals, foot problems are four times more prevalent than among the general public and are often an indicator of other health issues. It is rarely “just a foot thing.” Care for the Homeless (CFH) recognizes podiatric problems are a debilitating issue and provides podiatry as a specialty care service for homeless individuals living in shelters and on the street.

Wet shoes and feet are a breeding ground for a variety of foot infections such as athlete’s foot, toenail fungus, and trench foot.

about liver or kidney damage, she will prescribe it in cream form so it can be applied directly to the affected area. She also works closely with the case managers for her clients with mental health issues in case they have difficulty keeping appointments or taking medication. The main non-medication tool she employs is education—helping patients understand their foot problems and how they are related to or can lead to other health issues. For example, she tells her patients with fungal feet to put their socks on first so their feet are covered, followed by their underwear and pants to avoid spreading the fungus to the skin on their legs and elsewhere. She also stresses healthy lifestyle habits that can improve their overall health such as nutrition, weight management, and smoking cessation. It really rarely is “just a foot thing.” At Care for the Homeless, a homeless person can get special attention for their feet but all our clients receive high– quality, client-centered healthcare—from their heads to their toes.

Homeless individuals often live in a pair of ill-fitting shoes and a single pair of socks. For people living on the streets, traversing a city for a meal or place to sleep - typically higher priorities than their own health care - and standing in lines for hours waiting for their basic needs can put many miles on the shoes and feet in one day alone. Wet shoes and feet are a breeding ground for a variety of foot infections such as athlete’s foot, toenail fungus, and trench foot.

THANK YOU

Care for the Homeless values ALL our supporters. However, to save on the cost of printing, direct more of the dollars raised to fund services, and acknowledge more of our wonderful individual donors, we are recognizing you on our website. Individual donors who contributed during January – December 2014, including tribute gifts and in-kind donations, can be found by visiting the “Who We Are” section at www.careforthehomeless.org. Care for the Homeless is thankful for the generous support we received between January – December 2014 from the following institutions and government agencies.

Government Supporters NYC Department of Health and Mental Hygiene/Public Health Solutions NYC Department of Homeless Services (DHS) New York City Council • Councilwoman Annabel Palma, CD18 U.S. Department of Health and Human Services: • HRSA, Bureau of Primary Care, Section 330h Health Care for the Homeless • HRSA, HIV/AIDS Bureau, Ryan White Part C

FY 2014 Financials Consolidated Statement of Activities Year Ended December 31, 2014

Revenue and Support

As the podiatrist serving clients at Susan’s Place, one of CFH’s medical clinics in the Bronx, Dr. Pamela Roberts sees all of these foot problems and more. She sees a lot of arthritis of the feet and ankles in women related to injuries from domestic violence. She points out that undetected diabetes is another major cause of foot problems because it can damage nerves in the legs and feet, reducing or even eliminating one’s ability to feel heat, cold or pain. The disease can also restrict blood circulation which results in slower healing of cuts and bruises, which allows infections to take hold or spread. Dr. Roberts helps her patients with appropriate medication for their foot issues but must also consider the patient’s overall health. If a client can’t tolerate arthritis pain medication in pill form due to concerns

2014 Partners & Supporters

Grants and Contracts Medicaid and Medicare Fees Miscellaneous Revenues Contributions and Special Events

$14,338,295 $2,907,142 $3,670 $677,713

Total Revenue:

$17,926,820

Expenses Program Services Supporting Services Total Operating Expenses Depreciation & Amortization

$14,238,729 $2,130,900 $16,369,629 $729,008

Change in Net Assets – Operations Foot problems are often an indicator of other health issues.

Changes in Net Assets – Operations

$828,183

Complete financial statements, audited by Loeb & Troper, LLP, are available upon request to Care for the Homeless.

87¢ of every $1 contributed directly funds critical services for thousands of homeless men, women and children in New York City.

Corporate and Foundation Donors $100,000 and higher New York State Health Foundation $25,000 - $99,999 Altman Foundation Direct Relief International Helen Hoffritz Charitable Trust Insurance Industry Charitable Foundation $10,000 - $24,999 Frenkel & Company Greater New York Hospital Association Ventures Harry S. Black & Allon Fuller Fund HealthPlus Amerigroup The Hyde and Watson Foundation The Rose M. Badgeley Residuary Charitable Trust The Slomo and Cindy Silvian Foundation, Inc. United Talent Agency Foundation $5,000 - $9,999 Broadway Cares/Equity Fights AIDS EmblemHealth Eye Productions Inc. Blue Bloods Healthfirst IJR Consulting Corp. Interstate Foods, Inc. Proskauer Rose LLP RCHN Community Health Foundation Something Digital ValueOptions WellCare of New York West Side Foods, Inc. $1,000 - $4,999 Adam Galinsky Fund at the Community Foundation of Utah Advanced Medical Billing Systems, Inc. The Benevity Community Impact Fund Bolton-St. John’s, Inc. Driscoll Foods Eileen Fisher Maimonides Medical Center Metzger-Price Fund, Inc. Sanofi Foundation for North America Tractenberg & Co. $500 - $999 Aetna Concern for Independent Living, Inc. Hyman Family Charitable Foundation Institute for Family Health Lenco Diagnostic Laboratories, Inc. Loeb & Troper LLP Samco Properties We have made every effort to ensure the accuracy of this list of our generous donors. Please accept our apology and alert us by emailing info@cfhnyc.org or calling (212) 366-4459 if you find an error.

Care for the Homeless 30 East 33rd Street, 5th Floor New York, NY 10016 (212) 366-4459 www.careforthehomeless.org

Fighting homelessness. Saving lives. Thank you! Donors like you make Care for the Homeless possible Photo Credit: Harvey Wang