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. While unduplicated in Utah, Fourth Street Clinic is one of under 200 health care sites for the homeless across the United States. To be eligible for care, individuals must be homeless. 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 was founded in 1988 as a triage clinic staffed with one, part-time nurse who relied heavily on hospitals for patient treatments. Today the clinic has an operational cash budget of $5. 53 million with an additional $2. 3 million in-kind donations. Functioning with 53 staff and over 150 networked community providers, Fourth Street Clinic delivers comprehensive health care to 4,850 homeless men, women and children in more than 32,000 primary care, behavioral health, dental services and specialty care visits. In addition, Fourth Street Pharmacy dispenses over 60,000 prescriptions annually. The clinic is located in census tract C. T. 1024. 00, which carries a medically underserved population (MUP) designation for primary care to individuals who are included in the Federal Government's Low to Moderate Income category. Fourth Street Clinic, in its commitment to eradicating homelessness, also assists in the training of students from multiple state-wide medical education institutions. These medical, dental, and pharmacy students often report a newly-discovered interest in community health centers and the unique populations these centers serve.

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 has long-term and sustainable fundraising plan that has successfully grown clinic operations. Fourth Street Clinic also has 28 years of experience building long-term community partners based on Memorandums of Understandings and a strong credential process to expand (not duplicate) services and operationalize community and medical volunteers.

Over the past 28 years, Fourth Street Clinic has worked collectively with the community to respond to the changing needs and healthcare environment for homeless individuals. Depending on the program, the clinic uses a variety of clinical tools to measure efficacy of Evidenced Based Practices and the individual success of patients. As a Federally Qualified Health Center (FQHC), Fourth Street Clinic is evaluated according to standards set by the federal government on Quality of Care Measures along with specific health indicators which are included in the scope of work. These measures fall under two basic categories: Preventive Health Screening and Services and Chronic Disease Management. The health indicators measured under these categories are hypertension, cervical cancer screening, colorectal cancer screening, patient weights, adult tobacco use and cessation counseling, childhood immunizations, depression screenings, blood pressure control, diabetes control, asthma treatment, cholesterol treatment, therapy for heart attack or stroke, and linkage to HIV care. The federal government evaluates the outcomes annually through a standardized report submitted by Fourth Street Clinic from an electronic health record. This report provides aggregate data on patient demographics and health indicator goals. Goals are set by Fourth Street but also evaluated through the industry standards. Fourth Street Clinic is also measured according to cost savings implemented and leveraged funds.

Since 1988 we have leveraged our autonomy to respond quickly and efficiently to community needs. For every dollar donated to Fourth Street Clinic we are able to leverage another dollar of in-kind services. 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. 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.