Street Health

338 Dundas Street East
Toronto, ON M5A 2A1
Executive Director: Kapri Rabin
Board Chair: Samara Starkman

Charitable Reg. #: 11920 0541 RR0001
Sector: Social Services - Homeless
Operating Charity

Charity Rating

[Charity Rating: 4/4]

Donor Accountability

Grade: A-

The grade is based on the charity's public reporting of the work it does and the results it achieves.

Financial Transparency

Audited financial statements for current and previous years available on the charity's website [ Audited financial statement for most recent year ]

Need for Funding

Funding Reserves Program Costs

Spending Breakdown

Cents to The Cause

2015 2016 2017
For a dollar donated, cents funding the cause after fundraising and admin costs, excluding surplus.

Full-time staff #19

Avg. Compensation $72,631

Top 10 Staff Salary Range

$350k + 0
$300k - $350k 0
$250k - $300k 0
$200k - $250k 0
$160k - $200k 0
$120k - $160k 0
$80k - $120k 5
$40k - $80k 5
< $40k 0
Information from most recent CRA Charities Directorate filings for F2017

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 2017, it had over 56,000 contacts with its clients, a 19% increase since 2015.

Through its central base that provides nursing, counselling, and necessities (hygiene products, socks, sleeping bags) each weekday, Street Health also runs nursing clinics in homeless shelters and does outreach – providing health care from its truck on the streets. Street Health partners with local agencies, including St. Michael’s Hospital, St. James Cathedral, Regents Park Health Clinic, Fred Victor homeless shelter, and others.

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. Nearly all these people (98%) say that Street Health’s counselling helped them better manage their mental health. In nursing, 4 full-time nurses and 8 volunteer nurses provided over 13,000 treatments in 2017. This community health program reduces ER visits and hospitalizations. 90% of Street Health’s patients turn to it when in urgent need or crisis.

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 the 2017 client survey, the homeless asked for Street Health to provide more hours of service in more neighbourhoods. To meet these needs, Street Health will need significantly more funding and more nurse volunteers.

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.

Results and Impact: Street Health listens and learns from its clients. Its January 2017 survey reports “soft” results: from more than 200 clients, 91% report Street Health’s services helped, 85% feel they can deal more effectively with life challenges. In the ID service, 82% say having ID improved their life. To better assess impact, Street Health will need to report measurable health improvements and/or its cost efficiency relative to costly public services.

Financial Review:

Street Health is a small charity measured by donation support, with total donations of $855k in F2017, including $9.3k funding from United Way Greater Toronto.  Street Health is extremely cost-efficient. Administrative costs are 4% of total revenues and fundraising costs are 5% of total donations. For every dollar donated, 91 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 $1.1 million that cover 56% of its annual program costs. This shows a need for funding.

Report written on May 20, 2018 by Kate Bahen.

Financial Ratios

Fiscal year ending March
Administrative costs as % of revenues 3.6%3.3%3.6%
Fundraising costs as % of donations 4.4%5.4%7.1%
Program cost coverage (%) 56.2%65.4%68.4%

Summary Financial Statements

All figures in $s
Donations 855,209865,313753,741
Government funding 1,145,9011,105,2051,038,393
Investment income 65,328(2,734)44,619
Total revenues 2,066,4381,967,7841,836,753
Program costs 1,873,6941,808,9481,699,676
Administrative costs 71,89865,41064,013
Fundraising costs 37,82346,59253,503
Cash flow from operations 83,02346,83419,561
Funding reserves 1,052,2641,182,6401,163,125

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