2009 ANNUAL REPORT
AIDS ENDS HERE
SFAF_AnnualReport_FNL.indd 1
5/3/10 6:04 PM
SFAF_AnnualReport_FNL.indd 2
5/3/10 6:04 PM
00– 01
In the not too distant future, we will cross an important threshold. We will wake up to learn that the HIV epidemic has ended. Knowing one’s HIV status will be as commonplace as knowing one’s street address. HIV prevention, care and treatment will be not only accessible to all, but covered by insurance. While this day may seem impossible to some, the first step in getting there is believing it can happen. At San Francisco AIDS Foundation, our belief in this future shapes all that we do. It informs legislative and advocacy efforts. It guides programs and services. It is the rallying cry for the thousands of supporters who contribute time and money. It is why we exist. But it will take more than just believing it can happen. That’s why we’re rolling out a fiveyear strategic plan for San Francisco to radically reduce new infections and ensure proper care for all HIV-positive San Franciscans. The plan contains three goals that we explain on the pages that follow. Make no mistake, they’re ambitious. To get there, we will build on our nationally recognized public policy efforts and programs for the prevention, diagnosis, care and treatment of HIV. We will also try new things. We will let science be our guide. We will reach populations that elude existing efforts for HIV prevention, testing and care. We will not stop until we reverse the steady rate of new HIV infections that occur each year in San Francisco. These goals would be forever out of reach were it not for the support of the thousands of volunteers, event participants, individual donors and corporate sponsors who make our work possible. In their words and deeds, this group is as vital a stakeholder in the end of the epidemic as public officials in Washington or down the road at City Hall. To all of you, we extend our heartfelt gratitude for sharing our vision. Thank you. Together, we will end the HIV epidemic in the city where it began. Then we will work so that San Francisco serves as a model for ending HIV everywhere. Just as HIV started one community at a time, it will end one community at a time.
Barbara Kimport Interim Chief Executive Officer
SFAF_AnnualReport_FNL.indd 3
Dr. Lorna Thornton Board Chairperson
5/3/10 6:04 PM
GOAL 1: REDUCE NEW HIV INFECTIONS BY 50% IN SAN FRANCISCO Today, one in five people doesn’t know he or she is infected. Research shows that more than half of new HIV infections are transmitted by people who don’t know they’re positive. By connecting these individuals to HIV counseling, testing, care and treatment, we reduce new infections. That means HIV screening must be expanded. It must become a routine part of health care—like checking blood pressure, or cholesterol. For people outside the health system, we must make free rapid testing easily accessible while also expanding sexual and substance-use harm reduction. We have the evidence; we know what works. We must let science be our guide.
50%X SFAF_AnnualReport_FNL.indd 4
5/3/10 6:05 PM
02– 03
X2015 Casey first experienced Magnet’s community health services in 2003 as a client. Today, he is also a volunteer.
SFAF_AnnualReport_FNL.indd 5
5/3/10 6:05 PM
AIDS Will End Through Programs That Work Good intentions aren’t enough. To make change you have to be strategic and scientific. You have to create programs that work. Last year, San Francisco AIDS Foundation provided 3,500 HIV tests, two million clean needles, 134,000 answers via the AIDS hotline and website, and innumerable resources for people at risk for and living with HIV/AIDS. These include housing subsidies, benefits counseling and mental health and substance-use services. All of this work was made possible with help from nearly 800 volunteers who generously shared their time. This year the foundation added free rapid HIV testing to existing services on Sixth Street, one of the city’s hot spots for HIV infection. The initiative focuses on people who may not otherwise have access to medical care and counseling services, particularly intravenous drug users and AfricanAmerican men who have sex with men.
Looking ahead, San Francisco AIDS Foundation will redouble efforts to make HIV counseling, testing and care available to all communities that continue to experience disproportionate rates of HIV, like African Americans and Latinos, and among groups where behaviors can drive higher rates of infections, such as people who use crystal meth. Evidence shows that HIV testing and connections to prevention and care programs among populations at high risk for HIV help reduce new infections. Discover how programs and services make a difference at sfaf.org/programs.
San Francisco AIDS Foundation / 2009 Annual Report
SFAF_AnnualReport_FNL.indd 6
5/3/10 6:05 PM
04– 05
CASEY’S STORY As a sexually active gay man, Casey had suffered more than his share of awkward conversations with doctors from his managed care plan. They offered little on topics that mattered most to him. He often left appointments embarrassed to ask questions essential to his health. The first time he walked through Magnet’s doors, Casey felt as if he’d come home. Today, he is empowered by the culturally competent health information and services he receives from the Castro-based community health center.
“Magnet gives me the confidence I need to initiate dialogues with partners about HIV status and safer sex, which eliminates doubt and frees my energies to focus on the more exciting aspects of getting to know them.”
SFAF_AnnualReport_FNL.indd 7
5/3/10 6:05 PM
KNOWS
ST
THEIR
EVERYONE Jahaira works for the HIV Prevention Project, the needle exchange program of San Francisco AIDS Foundation.
SFAF_AnnualReport_FNL.indd 8
5/3/10 6:05 PM
GOAL 2:
06– 07
ENSURE THAT ALL SAN FRANCISCANS KNOW THEIR CURRENT HIV STATUS People at risk often don’t think they are. As a result, they may “opt out” when an HIV test is offered and miss opportunities for diagnosis. We change this by making it commonplace for everyone to want to know his or her current status. We must make clear the advantages of having that knowledge. Regardless of the test result, it boils down to having the information needed to take care of oneself. And let’s not forget a key word when it comes to status: “current.” A test result has an expiration date—it’s the next risk encounter. Finally, if everyone who needs an HIV test is to get one, we’re going to need a lot more HIV tests. Capacity for HIV testing in San Francisco must grow.
STATUS SFAF_AnnualReport_FNL.indd 9
5/3/10 6:05 PM
AIDS Will End Through Effective Public Policy For a community—or a country—to end HIV, it must be bolstered by evidence-based public health policies that reduce harm, ensure access to proper care and promote long-term health and wellness. That is the focus of policy and advocacy efforts at San Francisco AIDS Foundation. In 2009, the foundation played an instrumental role in the reauthorization of the Ryan White Care Act, development of the first-ever National HIV/AIDS Strategy and historic reversal of two federal bans—one prohibiting funding for needle exchange programs and the other making it illegal for HIV-positive people to enter the United States. In California, San Francisco AIDS Foundation co-sponsored and helped pass a bill reducing phlebotomist licensing requirements, which had been a significant barrier to the expansion of rapid HIV screening in non-medical settings.
Additionally, the foundation protected funding for the AIDS Drug Assistance Program (ADAP) that was threatened by looming state budget cuts. San Francisco AIDS Foundation mobilized resources and hundreds of citizens across the state rallied in Sacramento, sending a clear message to Governor Schwarzenegger: ADAP saves lives, is essential to HIV prevention efforts, and must be preserved. Looking ahead, the foundation will build on its success translating emerging evidence into policy action on timely topics like HIV and aging, and HIV treatment for prevention. Learn more about all public policy and advocacy efforts at sfaf.org/advocacy.
San Francisco AIDS Foundation / 2009 Annual Report
SFAF_AnnualReport_FNL.indd 10
5/3/10 6:05 PM
08– 09
JAHAIRA’S STORY Jahaira earned her masters in clinical psychology with a clear vision for her career—she wanted to help drug users. A former addict, Jahaira knew firsthand what it’s like to wrestle with a commonly misunderstood disease where the afflicted is often blamed. In 2005, she joined San Francisco AIDS Foundation’s needle exchange program because of its special, humanistic approach to reducing the spread of HIV among people who use drugs. Today, she coordinates volunteer efforts and a peer education program for secondary exchangers, individuals who get sterile needles for people who are unable to visit the exchange site themselves.
“By introducing HIV testing to needle exchange, we honor our commitment under the harm-reduction model which requires that we meet clients where they are and encourage any positive change.”
SFAF_AnnualReport_FNL.indd 11
5/3/10 6:05 PM
GOAL 3: ENSURE THAT ALL HIV-POSITIVE SAN FRANCISCANS RECEIVE PROPER CARE Access to proper care is an important prevention strategy for HIV. Evidence shows that an HIV-positive person in care is much less likely to infect others. Care means a doctor who understands HIV. Care means regular check-ups. Care means effective treatment. For many, care means mental health and substance use services. On the heels of historic U.S. health care reform, we must work collaboratively with public officials to make care accessible and universal for people with HIV/AIDS. Simultaneously, we must extend the reach of programs and services connecting people to proper care in neighborhoods where HIV continues to be a problem, and ensure that no one slips through the cracks.
ALL
HIV+
SFAF_AnnualReport_FNL.indd 12
5/3/10 6:05 PM
10– 11
+RECEIVE CARE
SAN FRANCISCANS Jason is a beneficiary of California’s AIDS Drug Assistance Program. He is training for his third AIDS/LifeCycle from SF to LA.
SFAF_AnnualReport_FNL.indd 13
5/3/10 6:05 PM
AIDS Will End Through Your Support You walk. You run. You bike long distances. And some of you bike, run and swim. Year after year, the hallmark of all San Francisco AIDS Foundation fundraising events is the diverse community drawn together for a single purpose: to end HIV and AIDS. Regardless of age, gender, sexual orientation, HIV status or physical ability, participants stand shoulder to shoulder as equals in their refusal to accept HIV as inevitable. Last year was no different. Nearly 30,000 event participants raised record amounts of money to fund vital programs and public policy work. In doing so, they demonstrated strength and commitment far beyond their numbers and served as an example of what a community can accomplish.
By the time this book goes to print, the foundation’s 2010 event season will be in full swing. There will be triathlons, marathons, walkathons and cycling events. Participants will travel from across the country and around the globe. Many will characterize their experience as life-changing. Will you be among them? Register, donate, volunteer or learn more at sfaf.org/events.
San Francisco AIDS Foundation / 2009 Annual Report
SFAF_AnnualReport_FNL.indd 14
5/3/10 6:06 PM
12 – 13
JASON’S STORY When Jason was diagnosed with full-blown AIDS in 2005, he went home and told his brother how he wanted to be buried. He was unemployed, uninsured and uncertain if and how he would live. He enrolled in the AIDS Drug Assistance Program (ADAP), a publicly funded program that provides medication to HIVpositive individuals for whom it would otherwise be inaccessible. In 2009, when ADAP was threatened by state budget cuts, San Francisco AIDS Foundation rallied to preserve it. Today, Jason is training for his third AIDS/LifeCycle, a seven-day, 545-mile ride from San Francisco to Los Angeles to raise money and awareness in the fight against HIV/AIDS. He credits ADAP and the work of organizations like San Francisco AIDS Foundation for giving him a future.
“ADAP has given me my life back and, in doing so, enables me to use the time I’ve been given to celebrate life to the fullest and help as many people I can.”
SFAF_AnnualReport_FNL.indd 15
5/3/10 6:06 PM
SAN FRANCISCO AIDS FOUNDATION STATEMENT OF ACTIVITIES AND CHANGES IN NET ASSETS Years Ended June 30, 2009 and June 30, 2008
2009
2008
PUBLIC AND GOVERNMENT SUPPORT: Government grants
$
7,475,1 4 7
$
7,340,392
Contributions and grants: Individuals Corporations and foundations Donated goods and services
2,332,755
2,97 1,928
383,5 18
543,608
357,373
281,077
Special events
10,435,574
12,027,507
Total Public and Government Support
20,984,367
23,164,512
(1,181,996)
(626,869)
301,603
597,667
Service revenues
273,000
261,372
Other
205,7 8 1
327,024
20,582,755
23,723,706
Program services
14,138,602
15,548,297
Fund development
5,469,368
6,034,799
Support services
1,834,744
1,965,7 1 5
21,442,714
23,548,8 1 1
(859,959)
1 74,895
11,578,910
11,404,015
REVENUES AND GAINS: Net realized and unrealized loss on investments Investment income
Total Support and Revenues
EXPENSES:
Total Expenses Change in Net Assets
NET ASSETS (BEGINNING OF YEAR)
NET ASSETS (END OF YEAR)
$
10,718,951
$
11,578,910
San Francisco AIDS Foundation / 2009 Annual Report
SFAF_AnnualReport_FNL.indd 16
5/3/10 6:06 PM
14– 15
SAN FRANCISCO AIDS FOUNDATION STATEMENT OF FINANCIAL POSITION Years Ended June 30, 2009 and June 30, 2008
2009
2008
ASSETS: Cash
$
Investments
2,391,600
$
2,521,505
8,1 22,1 1 8
7,728,827
Accounts receivable
812,525
2,033,995
Contributions receivable, net
389,8 1 7
404,893
Prepaid expenses
431,1 2 9
499,286
Security deposits and other assets
259,480
244,023
Property and equipment, net
962,698
1,329,100
13,369,367
14,761,629
1,188,380
1,347,379
Accrued payroll and related liabilities
804,440
883,057
Grants payable
256,058
561,500
Refundable advances
226,675
215,675
Capital lease obligations
1 74,863
175,108
2,650,416
3,182,7 19
9,997,487
11,040,966
Total Assets
LIABILITIES: Accounts payable and accrued expenses
Total Liabilities
NET ASSETS: Unrestricted Temporarily restricted
301,835
1 18,3 1 5
Permanently restricted
419,629
419,629
10,718,951
11,578,910
Total Net Assets
TOTAL LIABILITIES & NET ASSETS
SFAF_AnnualReport_FNL.indd 17
$
13,369,367
$
14,761,629
5/3/10 6:06 PM
SAN FRANCISCO AIDS FOUNDATION AT A GLANCE Year Ended June 30, 2009
SOURCES OF REVENUE: Private Giving and Other Non-Government Sources 63.7%
36.3%
$
Government Grants Total
13,107,608 7,475, 1 4 7
$
20,582,755
$
14,138,602
EXPENSE ALLOCATION BY FUNCTION: Program Services 65.9%
25.5%
8.6%
Fund Development
5,469,368
Support Services
1,834,74 4
Total
$
21,442,7 14
$
3,216,843
EXPENDITURES BY PROGRAM AREA: Housing Services
22.8% 37.3%
20.3% 10.8% 8.8%
HIV Prevention and Community Level Intervention
5,279,6 14
Client Services and Treatment Education
2,869, 135
Global Treatment Access
1,250,2 4 1
Public Policy
1,522,769
Total
$
14,138,602
San Francisco AIDS Foundation / 2009 Annual Report
SFAF_AnnualReport_FNL.indd 18
5/3/10 6:06 PM
Leadership EXECUTIVE TEAM Judith Auerbach Vice President, Science & Public Policy Barbara Kimport Chief Executive Officer (Interim) James Loduca Vice President, Marketing & Communications Marty Low Chief Financial Officer Bob Rybicki Vice President, Programs & Services
BOARD OF DIRECTORS Dan Bernal Denise Bradby Carol Brosgart, MD Jonathan Deason Christopher Esposito David Galullo Michael Kidd Tom Perrault Mike Richey Lorna Thornton, MD (Chair)
About Established in 1982, San Francisco AIDS Foundation works to ensure that the HIV epidemic ends in the city where it began. By combining innovative, evidence-based programs for HIV prevention and care with bold policy initiatives focused on issues ranging from harm reduction to total health and wellness, the foundation is making sustainable progress against HIV among populations most vulnerable to the disease. San Francisco AIDS Foundation refuses to accept that HIV transmission is inevitable.
Principal Photography: Sven Wiederhold
SFAF_AnnualReport_FNL.indd 19
Design: Mission Minded, www.Mission-Minded.com
5/3/10 6:06 PM
CONTACT San Francisco AIDS Foundation 995 Market Street, Suite 200 San Francisco, CA 94103 415.487.3000 Get the latest on news and events: Sign-up at sfaf.org Email us at feedback@sfaf.org Follow us on facebook.com/SFAIDSFoundation
SFAF_AnnualReport_FNL.indd 20
5/3/10 6:06 PM