Fourth Street Clinic is a unique service in Utah, as there is no other health care provider that provides the breadth of integrated, on-site services that are accessible, affordable and targeted to homeless Utahns. Homelessness is often the result of a downward spiral that begins with a person's health problem and escalates into unemployment, financial, and housing problems. Without homes people experience illnesses and injuries at three to six times the rates of housed individuals and die an average of 30 years earlier. Fourth Street Clinic works to break this cycle regardless of ability to pay. Health insurance is accepted, but not required and because all patients fall below 200% of poverty, the Fourth Street Clinic sliding fee scale doesn't assess charges for services.

Fourth Street Clinic's funding strategy is 1) maximize outreach and enrollment strategies to remove barriers and encourage patients to participate in Medicaid, and 2) continue to diversify private in-kind funding partnerships and work to maintain these relationships for years to come, and 3) research and apply for funding from private granting agencies, and 4) establish a deferred giving program for our current donors. Expansion Strategy: Fourth Street Clinic, in partnership with other homeless service providers, has received funding to support an on-site Nurse Care Management program. The Nurse Care Manager will work a split schedule, spending time at each location depending on the needs of the patients. This plan will be implemented using a Mobile Medical Clinic and a Nurse Care Management Program; in addition, patients will be linked with Fourth Street’s main clinic (“Hub”) as appropriate. The “Hub” will provide oversight and supervision to the Mobile Medical Clinic.

Fourth Street Clinic has long-term and sustainable fundraising plan that has successfully grown clinic operations. Fourth Street Clinic also has 30 years of experience building long-term community partners based on Memorandums of Understandings and a strong credentiallng process to expand (not duplicate) services and operationalize community and medical volunteers.

SNAP-SHOT OF 2017 CLINICAL OUTCOMES 91% of patients received tobacco assessment and intervention information. 44% of patients receive case management support / enabling services. 11 specialty medical clinics were offered including: dermatology, ENT, gastroenterology, hepatology, gynecology, neurology, rheumatology ophthalmology & optometry, audiology, and podiatry. 504 patients in 1,094 visits were seen in the dental clinic for numerous procedures, including extractions, fillings, and periodontal treatments. 4,506 Mental Health and Substance Abuse visits with 1,544 patients. A wide array of onsite weekly wellness classes are offered with patients attending some type of class. Classes include: • Alcoholics Anonymous • Anger Management • Diabetic Wellness • Fundamentals of Tobacco Addiction • Get Up and Move • Hepatitis C Information Group • Men’s Group • Mindfulness and Acceptance • Narcotics Anonymous • Recovery Engagement • Women’s New Beginnings • Zen Mindfulness Meditation

Fourth Street Clinic is more than a safety net to homeless persons, it is a lifeline. Only with your support can we continue to provide needed and critical health care to those men and women and families that are experiencing homelessness. There are NO other health care services available that focus solely on homeless patients in Salt Lake County. We are fortunate to be in a community that recognizes the important work being done and are willing to support with a financial contributions. Fourth Street Clinic depends on our staff, board, volunteers, donors, in-kind gifts and more to provide quality comprehensive care to patients. Each year more patients come through the door which means an increased need to rely on the generosity of individuals, foundations, corporations, and institutions for funding.