Toronto, ON M5A 2A1
Executive Director: Kapri Rabin
Board Chair: Samara Starkman
Charitable Reg. #: 11920 0541 RR0001
Grade: B+The grade is based on the charity's public reporting of the work it does and the results it achieves.
Need for Funding
Cents to the Cause
Full-time staff #19
Avg. Compensation $72,631
Top 10 Staff Salary Range
|$300k - $350k||0|
|$250k - $300k||0|
|$200k - $250k||0|
|$160k - $200k||0|
|$120k - $160k||0|
|$80k - $120k||5|
|$40k - $80k||5|
About Street Health:
Founded in 1986, Street Health is a frontline service to help Toronto’s homeless. It provides mostly nursing care, mental health counselling with long-term case management, and harm reduction for drug users. It works in Toronto’s highest density homeless area neighbourhood, the Moss Park/Corktown area of south-east Toronto.
Street Health works with those who fall through the gaps – many cannot access health care, denied because they don’t have a health card (either lost or stolen), their mental state makes it hard to keep regular appointments, or they don’t have the money to pay for medicine, bandages and ointments. In F2018, Street Health's centre had 26,400 drop-ins with marginalized people, even with previous years.
Through its central base that provides nursing, counselling, and necessities (hygiene products, socks, sleeping bags) each weekday, Street Health also runs nursing clinics in partner homeless shelters. Street Health partners with local agencies, including St. Michael’s Hospital, St. James Cathedral, Regent Park Community Health, Fred Victor homeless shelter, and others. In F2018, Street Health added 11 new community partners (total 26).
The root causes of homelessness are complex. Street Health’s focus is on meeting people’s needs where they are, providing non-judgemental primary care. This builds trust.
Street Health’s largest program is Community Mental Health and Nursing. Its 5 mental health counsellors each manage up to 20 people. In nursing, 4 full-time nurses and 8 volunteer nurses provided 10,100 treatments helping 1,640 people in F2018. This community health program reduces ER visits and hospitalizations. 90% of Street Health’s patients turn to it when in urgent need or crisis. Nearly all these people (98%) say that Street Health’s counselling helped them better manage their mental health.
Street Health is on the frontlines of Toronto's fentanyl epidemic. In 2016, there were an estimated 2,860 opioid-related deaths. In 2017 it is estimated there were more than 4,000. Street Health distributed 223,140 harm-reduction kits, a 166% increase since 2016. With recent government funding, Street Health's Overdose Prevention program starts in June 2018.
Street Health also provides other services to the homeless: mail delivery, getting ID so people have birth certificates, health cards, and provides a safe place to keep these documents. Its clients volunteer to do peer outreach. In F2018, Street Health helped fill out the forms for 1,175 provincial health cards so homeless people could access health care services. It also keeps people's ID safe, providing safe care for important documents to 530 people. In a 2017 client survey, the homeless asked for Street Health to provide more hours of service in more neighbourhoods. To meet these needs, Street Health has added some evening programs. It will need significantly more funding and more nurse volunteers.
Results and Impact: In F2018, Street Health's nursing team provided 10,110 medical treatments to homeless people who may otherwise have used emergency services, if they could access care. Street Health's total cost is $124 per medical appointment. Ci estimates this could save up to $5.0 million in health care costs and provides more wrap-around care for vulnerable people.
Street Health is a small charity measured by donation support, with total donations of $784k in F2018. Street Health is extremely cost efficient. Administrative costs are 3% of total revenues and fundraising costs are 4% of total donations. For every dollar donated, 94 cents goes to the cause. This is very high relative to other Canadian health care charities and better than the average of 75 cents to the cause. Street Health’s costs are within what Charity Intelligence sees as a reasonable range.
Street Health has funding reserves of $1.2 million that cover 66% of its annual program costs. This shows a need for funding.
This charity report and analysis is generously funded by the E.W. Bickle Foundation to share with other Canadian donors interested in supporting health charities in Ontario.
Report written on June 11, 2018 by Kate Bahen.
Financial RatiosFiscal year ending March
|Administrative costs as % of revenues||2.8%||3.6%||3.3%|
|Fundraising costs as % of donations||3.6%||4.4%||5.4%|
|Program cost coverage (%)||65.6%||56.2%||65.4%|
Summary Financial StatementsAll figures in $s
|Cash flow from operations||51,291||83,023||46,834|