2018 Impact Report

1934 Caroline Street
Houston, TX 77002

www.homeless-healthcare.org

2018

Annual Report

Dear Friends,

  36,000 people access homeless
As I look back on 2018, I remember a year of change. Staff

continued to be enthusiastic in providing care to people services in Houston each year.
affected by Hurricane Harvey, from shelter to permanent

supportive housing, and in establishing continuity of care HHHWith your support,
with many people who have previously relied on
emergency rooms for primary care. Although one of our
programs in permanent supportive housing closed due
to a shift in funding, two other parallel programs opened
at the same time, and we are now providing care to more
people in these programs than ever before. HHH has
been recognized at the local, state and national levels as

providing exemplary integrated care that improves serves 1 out of every 4 people
health, stability and social outcomes and leads to reduced experiencing homelessness.
burden on the community, especially in terms of reduced

emergency room visits and hospitalizations. At the heart

of each interaction with our patients, staff remember that

in promoting health, hope and dignity, we can change

the lives of those we serve. Thank you for your

contributions in helping us to achieve this mission!

Frances E. Isbell, CEO

Our mission is to
promote health,
hope and dignity for
those affected by
homelessness
through accessible
and comprehensive
quality care.

Primary Medical Care
Well-Women's Care

Behavioral and Mental Healthcare
Trauma-Informed Therapy
Addiction Services
Psychiatry
Care Coordination
Podiatry

Case Management & Support Services
Vision Screening and Glasses
Comprehensive Dental Care

Project Access Transportation Program
On-site Care in Supportive Housing
Student-Teaching

“The connection between In 2018
housing and health is
coldly logical. The sick
and vulnerable become
homeless, and the
homeless become sicker
and more vulnerable."

- Seiji Hayashi, MD, MPH, The Atlantic

Together, we raised

$6.3M to combat homelessness
through access to care

Which served

8,262 Houstonians
affected by homelessness

Through

38,130 medical, mental health, social & support services,
dental and outreach visits.

"I love this organization.
It keeps me healthy
and plays a huge part
in my recovery."

4,226

people received medical, outreach and
case management via 30,630 patient visits.

Before & After “I would look in
the mirror, and
1,029 all I could see
was this
people served via 7,395 broken person
dental visits who had made
all of these
mistakes.
Getting my
teeth - it
restored my
dignity and my
sense of hope.
It changed my
life.”

For those who have been chronically

homelessness and who are now in

Supportive Housing, our on-site care teams

have decreased hospital emergency room
71%utilization by
reducing public costs and

improving the lives of those who are vulnerable.

The wrap-around care HHH provides within
Supportive Housing is a cost-effective and
compassionate solution to ending chronic
homelessness. Supportive Housing serves those
who have a diagnosed disability. For them,
access to effective, long-term care is an
essential element for breaking the cycle of
homelessness.

Dawn has lived in Supportive Housing for 410
almost two years. Before that, her complex
health issues kept her on the street, unable to people served in Supportive
gain housing or access to the type of consistent Housing
care she needed. She can now rely on HHH’s
on-going, on-site care to help her stay healthy,
stable and with a roof over her head.

“I never thought I would end up
on the streets. I almost gave up.
But I want people to stop
thinking that no one cares about
them, because there are people.
I don’t want people to lose hope.
Hope is out there, and places like
Healthcare for the Homeless –
Houston can help you find it.”

In 2018, for the first time in
seven years, Houston saw an

increase in homelessness,
which was largely attributed

to the lingering effects of
Hurricane Harvey.

237

individuals who were homeless post-Hurricane Harvey received on-going
medical, mental health and support services.

2nd Annual Homeless
Success Day

On the longest day of the year – the summer solstice –
more than 100 people from across the community came
together to celebrate the men and women who have
moved beyond homelessness and into health and housing.

Volunteers mean the
world to us.

602 Volunteers

provided 22,387 hours of services with an
in-kind value of $568,314.

HHH serves as a teaching site for
hundreds of students each year seeking
careers in health-related fields. This is
part of our commitment to fostering the
next generation of health professionals.

Our care spans across 3 Medical Clinics
the Houston area. Caroline Street Clinic
Cathedral Clinic at The Beacon
Clinic at Star of Hope Men's Development Center

Dental Clinic

On-site Care in

7 Supportive Housing Sites

Street & Community Outreach

72% Uninsured 1% American Indian 80% of those we serve have
a mental health diagnosis.
14% Medicaid 1% Pacific Islander/Hawaiian
Medicaid/Medicare
10% Medicare 61% Black/African American reimbursements cover 3%
4% Dual Medicaid/Medicare 10% Hispanic/Latino of our cost to provide care.
23% White/Caucasian Thank you to everyone who
makes this work possible.
54% Men 5% Did not disclose
31% Women Other 18%
<1% Transgender
Supportive Housing,
15% Did not disclose Street/Unsheltered 42% Bunk House, etc.

3% Under 25 yrs. old Homeless Shelter
14% 26-34 14%

48% 35-54
35% 55+

3% LGBTQ

"Doubled Up" in
Temporary Housing 13%

Transitional Housing 13%

519 donors made this work possible.
64%Gifts of less than $250 comprised

of all donations.

85¢ of every dollar goes to the direct care of
someone affected by homelessness.

Thank you!!
Every dollar makes a difference.
Every gift impacts a life.

$1 million + $10,000 - $49,999 (cont.) $5,000 - $9,999 (cont.)

Bureau of Primary Health Care/Health Bill and Maria Boyce Baylor College of Medicine, Dept.
Resources & Services Administration The Brown Foundation, Inc. of Family & Community
Conrad N. Hilton Foundation Medicine
City of Houston Dept. of Health & Epic Systems Corporation
Human Services Federal Emergency Management IBM Employee Charitable
Contribution Campaign
$100,000 - $999,999 Agency
The Fondren Foundation Robert and Christine Jefferis
City of Houston Dept. of Housing and George and Mary Josephine Hamman Christine Keating
Community Development Ralph and Stan Marek
Foundation Prometheus Charitable Trust
Department of Housing and Urban Harris County Sheriff's Office Brad and Daisy Roe
Development Healthcare and Nursing Education Barrett K. Sides
Gary and Jane Swanson
Episcopal Health Foundation Foundation Trustmark Bank
The Hamill Foundation Huffington Foundation The Edith and Robert Zinn
Harris Center for Mental Health & IDD Marlene Marker
Houston Methodist Medallion Foundation Foundation
Robert R. & Kay M. Onstead Foundation
$50,000 - $99,999 Reso Foundation $1,000 - $4,999
Rockefeller Philanthropy Advisors
Americares The Simmons Foundation Saad Ahmed
The Cullen Trust for Health Care William Stamps Farish Fund Jeff Allen
Gilead Foundation Amplified Solutions
Tony Greisinger, PhD $5,000 - $9,999 George Bement and Barbara Strobel
Harris County Community Services Betty Lynn Cooper Fund
Community Health Choice Cindy Calder, MD
Department The Enrico & Sandra di Portanova Chevron
John P. McGovern Foundation City of Houston Combined Municipal
New York Life Foundation Foundation
Brad and Lindsay Grounds Campaign
$10,000 - $49,999 Albert & Ethel Herzstein Charitable ConocoPhillips
Dallas County Hospital District
Bank of America Charitable Foundation Foundation
Baxter Trust
Kenneth Bohan

$1,000 - $4,999 (cont.) Michelle Muylle $250 - $999
Dr. and Mrs. Hisashi and Lynn Nikaidoh
Kay Davidson Bill and Jennifer Nitschmann Drs. Natlie and Thomas Aloia
John Dickerson Olympus David and Molly Altobelli
Jennifer Diprisco Roger Osburn Jessica Autrey
Steven Feldman Hector and Kheena Pineda Bonnie and George Ball
Ellen Fiesinger Plains Captial Bank Ranjit Banavalkar
Dr. Ashley Guy Jim and Pam Pool
Steven Hartranft Linda Price In memory of Dr. Walid Attisha
Hcnikaidoh Memorial Fund Jarrod and Megan Raines Mary Ann Beachler
Gay Roane Angela Bloch
In memory of Dr. Hitoshi Scurlock Foundation Dr. Major and Susan Bradshaw
Nikaidoh Dana and Gene Sellers Stacey Berg and Mary Brandt
Drs. Wanda and Sergio Henao Dr. Ed and Susan Septimus Carlie A. Brown
Michael and Katie Hull Shell Oil Company
Frances Isbell and Twila Ross Jeffrey Sherer In memory of Julia Olivas' father
In memory of Lance Arrendale Strake Foundation Zachary Burke
and Julia Olivas' father Brent Sullivan CIBC Private Wealth Management
Jeff Jacobsen Paige and Brad Taylor Michael Cimo
Ken and Tracy Janda The FEL Group
Dr. Brendan and Maria Lee Cecilia Valdes In memory of Dr. Walid Attisha
In honor of Joseph Benson Vmware, Inc. Robin Cooley
Kris Lehnhardt Mark Weatherwax W.S. & M.A.L. Cowan
Elizabeth Ueberschar and Christopher Beth Williams Ralph Crabtree
Logothetis Judith Winograd Rochelle Cyprus
In memory of Dr. Walid Attisha Working Partner LLC Scott and Andrea Davidson
Ben Luka Mark and Nacy Wozny John and Mary Dee
Drs. David and Naomi McCants Drs. Bekra Yorke and Kim Dunn Andrew Edmonson
William McGinness Syma and Walt Zerkow
Memorial Hermann In honor of Frances Isbell
Kendall Montgomery Glen and Robin Eisen
Debra Erlich
Grace and Mael Ferretti
John Fletcher

$250 - $999 (cont.) Vincent and Traci Marable Donique Williams
James Martin Lorraine Wulfe
Layne Frels Carol Mayes John Yoon
Karen Gibbs Ashlee McConnell and Julie Takahashi
Michelle Grace James Mercurio In memory of Dr. Walid Attisha
Laura Graiff An Binh T. Nguyen Erla and Harry Zuber
Roy Grichuk Adam Oganowski Mitchell Zubieta
Jeanne and Russ Hanks Bob and Susan Parker
Pat Brown Haydel Ellen Powers $1 - $249
Alex Haynes Rita Raney
H-E-B Melissa C. Schafer Cidney Aae
Pamela Hellstrom Shannon Schroeder Stuart and Barbara Aaron
Ernest and Barbara Henley Leslie Schrof
Ivett Shah In honor of Dr. David Buck
In honor of Dr. Jeanne Hanks Jim and Delrena Sides Selena Ables
Herman Family Fund Dennis Siltman Jack and Karen Absher
Dr. Vivian Ho Joel Thollander Barbara Adams
Shanna Hulyk Tayo Adenola
Dr. Uzma Iqbal In honor of Dr. Naomi McCants Sharon Agee
Debra Katz Gregory Tompkins Luis Agular
Dr. Yong Sik Kim Gustavo Torres Albertsons Safeway
Carrie Knight Laura Aleman
Eric Knudson In memory of Dr. Walid Attisha Sherif Alghali
Jenna Kolanski Roger and Elena Townsend Dr. Melanie Alo
Kroger Truscott Family Fund Ruth Alpert
Jamie and Robert Kuempel Jovon Tyler Russell Anderson
Paul and Virginia Kummer UnitedHealth Group Sarah and Fernando Aramburo
Lincy Lal Mark Voges Curette Audrey
Andrew Loehrer Dr. Arlo Weltge Robbie and Tom Ausley
Harry Mackay Susan and James Baker
Drs. Mario and Jennifer Macia In honor of Dr. David Buck Deborah and Franklin Ballard
Kevin and Maria Whelton Brian Ballard
Michael Barton

$1 - $249 (cont.) Dr. Charles and Julie Burns Ellen Davis
Mary Callaway Eduardo Davis
Gregg Bean Dawn Callaway Dr. Charles De John
In memory of Dr. Walid Attisha Marilyn Caplovitz John Delaney
Kelly Caprio Ben Diaz
Randolph Tibbits and Richard Ruben Cardona Jane Diaz
Bebermeyer Deborah Carpenter Judy Dimarco
In honor of Dwight & Sandra Timothy Carter Chandra Dostal
Guerrant and Robert & Debby Chambers
Shirley Guerrant Susanna Chan In honor of Bill Dostal
Eva Chu Pamela Dreef
Debbie Beck Kathy Clark Linda Driskill
Megan Becker Elizabeth Cloyd Soledad Duffy
Jenn Bell Manuel Colaco Jennie Duffy
Kelly Benavides Danita Cole Jeanne Duncan
Daron and Julia Bertillion Nachyelli Collett Matt Durso
Robert Conti Edward Dzialo
In memory of Dr. Walid Attisha Lawrence Cooke Lindsay Eckert
Silvia Bessonart Agosto Emilie Cooksey Karen Elawar
Garrett Biehle Morgan Elizabeth
Brittney Boerner In honor of Jimmy Beeman Theodore and Mary Jane Ellsworth
Anisha Borthakur & Becca Phillips EP Energy
Lynn Cooper Kelly Evans
In honor of Adam Oganowski Pat Corbett-Alghali Allison Baring and Kinnon Falk
Susan Boutte-Little Jill Cox Carla Fawvor-Poisel
Shane Brace Mel Crow Martin and Dr. Kelli Fein
Brittany Bradford Melissa Cruz Michele Feingold
Zee and Susan Broussard Angie Curtis Julie Fenimore
Donna DaCosta Emma Ferguson
In memory of their parents Jennifer Dalton Sophia Fischer
William Brown Tina Daron Melanie Fisk
Mary and Melvin Buck
Elizabeth Buckner
Bill Burge
Tylithia Burks
Rachel Burnett and Jennifer Schaffer

$1 - $249 (cont.) Joanne Haggar Aurelia Johnson
Catherine and Chris Hanslik Amirah Jonadoss
Fluor Enterprises, Inc. Tiffany Harris Peter and Jennifer Jones
Marcia Forbes Jodi and Mike Harris Judy Jones
Katherine Ford Jena Hatchett Paula Jones
Andrea Foreman Jean Haws Kresimir Josic
Jennifer Friedman Dawn Haynes
Jan and Martee Fuerst Jim and Mary Henderson In memory of Dr. Walid Attisha
Marsha G. McKenzie Hendrickson Victoria Jud
Karl Gager Jr. Rodney and Judith Henningsen Teshia Judkins
Gregory Gall Greg Hermida David Kaplan
Michele Gant Thomas Hinds R. Scott King
Selena Garza Vy Hoang Anastasia Kirkling
Rosemary Gathogo Randall Holbrook Clint Koerkenmeier
Sid Gerber Michael Holt Toby Krohn
Sarah Hopkins Sammye Larson
In memory of Dr. Walid Attisha Eliza Horn Leonard Laurro
James and Kathleen Gewinner Matt Howard Irwin Lee
Mary-Helen Giles Jill Hubbard Darrell Lee
Brian Giovannini Bobbie Huebner David Leppo
Maureen Glancy Marc Levinson
In honor of Mary Bradley Marylu and Bernard Levy
In memory of Dr. Walid Attisha William and Linda Hyde Catherine and Larry Lightfoot
Morgan Glasgow Christina Logan
Griff Godwin In honor of Samuel Hyde Loretta Lou
Lauren Golden Itsaso Igeregi Maria Lozano
Dr. Barry and Carol Goodfriend James Jabbur Kristy Lund
Cary Gottlieb Brenda Jackson Rebecca Lunstroth
J. Martin Grady Don and Linda Jacobson Dennis Malek
Emily Griffin Catherine and James James Linda Malone
Robert Grossman Frank Jimenez
William and Jeanne Guerriero Christopher Johnson
Cathy Guttentag

$1 - $249 (cont.) Linda Mundwiller Andrew Pfister
Peter Johnson and Julie Muntz Heather Pindell
Laura Marcantoni Monica Naim Cynthia Piro
In memory of Ana's Dad Rachel Nash Andrea Piro
Terra Newman Lindsay and Casey Poisel
Rosalba Marquez Chelsea Nicole Ruby Preston
Natalia Martin Connie Northern Danielle Ranneft
Mandi Martinez Richard O'Brien Katie Ransbottom
Carl Masterson Susan Rasmussen
Craig Maynard In memory of Dr. Walid Attisha Lynette and Alan Rauch
Tim Mays Maureen O'Connell, OP Cory Reed
Joyce O'Connor Rajika Reid
In honor of Adam Oganowski Christina O'Malley Steve Reilley
Rachelle Mazoch Laura Oganowski John Rendleman
Diane McAlpin Trent Rhodes
Donald and Judith McCullough In honor of Adam Oganowski Xanthe Riegert
Barbara McGuffey Karen Oganowski
In honor of Rob Buchanan
In honor of Alma Thompson In honor of Adam Oganowski Andrew Rizzo
Patrick McKiernan Erika Olguin Donna Rochon
Jennifer McMahon Juan Ortega Jeffrey and Shelley Roden
Araine McWhinney Ayibody Own Ve Rodriguez
Pat Meadors Debra Padgett Nathan Roe
Claudia Meadows Sanida Palavra Veronica Rogers
Cheryl Mellenthin Jamie Parker
Myrla and Zachary Menn Cameron Parsons In honor of Aniesha Sanchez-
Robert Meyers Jinal Patel Darensburg
Janelle Miranda Dr. Thomas and Carolyn Paul Helen and Larry Rose
Anaite Miron Eli Payne Jamie Rugama
Tom Mitchell Ritchey Peck Tiffany Runnels
Dr. David Morris Molly Pela Iman Sahnoune
Riki Weinstein and Daniel Morrison E. Eileen Penland
Patrice Moskow Susan Perdomo

In honor of Frances and Charlie

$1 - $249 (cont.) Jessica Telles Donna Wheeler
Tim Thompson In memory of Dr. Walid Attisha
Saib and Virginia Saour Rob Todd
In memory of Dr. Walid Attisha Sonia Trimble James and Charlene Wilke
Joann Tristan Trey Wilkinson
Neal and Joyce Sarahan Sallye Tucker Kai Williams
Irene Sararana Anthony Wilson
Joyce and Arthur Schechter In memory of Dr. Walid Attisha Joshua Winget
Nancy and Kenneth Schroeder Adam Turkel
Rachel Schwartz C.G. and Rose Mary Tyner In honor of Garry Winget
Steven Serrano University of Houston College of Sallye Wolf
Charles and Ann Seymore James Wolf
Dr. Henry Siem Pharmacy Kathleen Wright
Gregory Smith Luz Uranga JoeAnn Wright
David Smith Lauren Valastro
LaToya Smith Myrla Vanegas In honor of Candace Cook
Mende Snodgrass Jennifer Varela Shelby and John Fesler
Ruth Soisson Lauren Varnado Chris and Cherie Wyatt
D'Anne Stanton Mary Lynn and David Vaughan
Emily and Alton Steiner Dorian Vela Sincere gratitude to those who
MaryLou Sterge Andrew Vesser chose to give anonymously.
Howard and Pat Sussman Sherry Vetter
Janet Swain Hector Villarreal Our utmost appreciation to the
Sandy Swizzle Andrew Villarreal men and women who lent their
Abbey Taiwo Thebe Warren faces and stories to this report.
Michael Tanguay Celestia Washington
Coya Tapia Patricia Watson
Lori Tapia Christopher Watts
Kim Taylor Shirley Weaver
Estelle Tees
In honor of Sherry Phillips
In memory of Dr. Walid Attisha

In-Kind Rhonda Salinsky
Erick Sandlin
Jim Adams Barrett Sides
Kristina Arscott Tanglewood Dental Associates
Robert Berryman Thermal Energy Corporation
Mary Bradley Mary Lynn and David Vaughan
Brotherhood of Congregation Nico Whittaker
Carlie A. Brown Michael Zikogiannis
David Cagney
Faviola V. Carrillo
Chapelwood United Methodist
Larry Crawford
Dr. Kevin Cross
Kelley Devine
Tracy Douglas
Angela Fabbri
Regenia Hicks
Al Hiroms
Inframark
Mildred Jackson
Randall Jobe
Kindred
Sandra A. Lopez
Dr. Roland and Carol Maddox
Laurie Michele Meier
Warren Miller
Christian Navarrete
Tony Paraná
James Phillips
Saint Arnold Brewing Company

Financial Overview

SUPPORT AND REVENUES EXPENSES

Programs  70,673 Direct Patient Care 603,565
Medicaid 169,029 Labor 4,648,257
Section 1115 Waiver Contract 1,080,000 Professional Fees 32,434
Medicare 41,312 Board, Staff and Committee Support 48,540
Individuals 171,613 Fundraising Events 36,527
Corporations 40,630 Insurance 56,872
Public Grants & Contracts 3,024,764 Computer Software & Support 56,375
Private Grants 881,186 Equipment & Facilities 223,842
Capital Project - Private Grants & 96,000 Equipment & Facilities - Depreciation 324,533
Other Costs 233,049
Individual Giving 651,857 Special Projects 900,865
In-Kind Contributions 66,964 Other Expense: Loss on Stock Transfer 926
Fundraising Events 50,342 Bank Interest - Building 7,622
Other - Greisinger & Waites CHANGE Bank Interest Amortization - Building 1,581
16,025 Total Expenses 7,174,988
Committee Fund 6,360,395
Other * Total 2018 Non-cash expense 977,315
Total Support & Revenues -814,593 ** Unaudited
201,442
Support and Revenue Over (Under) Expense -613,151
Net Assets released - restrictions satisfied 7,290,415
Increase (Decrease) in Net Assets 6,677,264
Net Assets beginning of year, Unrestricted 741,542
Net Assets end of year, Unrestricted 7,418,806
Net Assets Restricted this year
Net Assets, end of year

2018 Board of Directors Paul Kummer A Note from the Chair
Claudia E. Meadows Thank you for your interest in Healthcare for
Jeff Allen Tom Mitchell the Homeless – Houston (HHH). Whether you
Sarah Aramburo Kendall C. Montgomery are “new to us,” are a passionate donor or a
William J. Boyce, Maureen O’Connell, OP dedicated staff member or volunteer, I offer
Hector A. Pineda you a heartfelt thanks for your participation in
Chair Emeritus Bradley A. Roe, Treasurer this important mission. Depending on your
Cynthia Calder, MD Barrett K. Sides, Secretary relationship to HHH, the accomplishments
Ralph Crabtree Paige Taylor highlighted in this report may be a new and
Scott Davidson, Alma Thompson exciting story about a wonderful organization
Kevin Whelton, Chair serving the Houston community, or it may be
Chair Emeritus Donique Williams an affirmation about why you have
John Dickerson generously chosen to be involved with HHH.
Steve Hartranft, Vice Chair To everyone who supported this work in 2018,
Debra M. Katz, MD in whatever capacity, thank you for all that
Christine Keating you helped achieve for the strength of the
Houston community and for men, women
Associate Board David Kaplan and families who have been impacted by
Ann Al-Bahish, Marc Levinson homelessness.
Donald McCullough 
Chair Emerita Paul Sarahan Kevin Whelton, 2018 Board Chair
Natalie P. Aloia, MD Dana Sellers,
Kay Carr, Chair Emerita
David Cordúa Chair Emerita
David Finn Talia Washington
Anthony Greisinger, PhD

Chair Emeritus