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. FOURTH STREET CLINIC 2019 PRIORITIES Integrated Behavioral Health Care Integrated Behavioral Health Care will increase access to high-quality integrated behavioral health services, including prevention or treatment of mental health conditions and/or substance use disorders, including opioid use disorder. Trauma Informed Care Training & Implementation A 2019 Fourth Street Clinic priority is to train staff and community partners on Trauma Informed Care (TIC). TIC is an evidenced based organizational structure and treatment framework that involves understanding, recognizing, and responding to the effects of all types of trauma. TIC emphasizes physical, psychological and emotional safety for consumers and providers, and helps survivors rebuild a sense of control and empowerment.

Fourth Street Clinic has long-term and sustainable fundraising plan that has successfully grown clinic operations. Fourth Street Clinic also has 31years 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 2018 CLINICAL OUTCOMES ? 81% of patients received tobacco assessment and intervention information. ? 1680 Community outreach and education visits were completed. ? 55% of patients were able to better manage their hypertension. A 6% increase from 2017. ? 81% of patients received weight screening assessments and follow-up. ? 433 patients in 1,845 visits were seen in the dental clinic for numerous procedures, including extractions, fillings, and periodontal treatments. ? 3,734 Mental Health and Substance Abuse visits with 1,559 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.