Human Services


A loving home for life's last journey

aka A loving home for life's last journey

Cleveland, OH


Malachi House, created out of a Christian sense of ministry, serves persons who are terminally ill, without regard to gender, race, religion or national origin and without cost to the resident or family. This Home ministers to individuals who need an available caregiver, who have limited or no financial resources and are in need of special home care in the final stages of life. Our trained staff and volunteers provide spiritual, emotional and physical support with the assistance of a hospice team.

Ruling Year


Principal Officer

Judy Ghazoul Hilow

Main Address

2810 Clinton Ave

Cleveland, OH 44113 USA







Cause Area (NTEE Code)

Human Service Organizations (P20)

Hospice (P74)

Hospice (P74)

IRS Filing Requirement

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Social Media

Programs + Results

What we aim to solve

Malachi House offers only one critical service to the community, one that is unexampled anywhere else in the region or state: providing residential housing for the poor and dying. Homelessness and poverty are pervasive issues in Northeast Ohio. Cleveland experiences triple the poverty rate compared to the rest of the nation. According to the Center for Community Solutions, 36.2% of Clevelanders live in poverty, making Cleveland the 11th poorest city among those with 65,000 people. Hispanic and African American rates are even higher at 40% and 43% respectively. This is compared to the overall U.S. poverty rate of 12.3% as of 2017. The number of Cleveland residents living on an income of 200% of poverty (defined as a household income of $24,120 per year for one individual) is an astounding 61.3% - well over half of all Clevelanders.

Our Sustainable Development Goals

Learn more about Sustainable Development Goals.

1 2 3 5 6 7 8 12 17

Our programs

What are the organization's current programs, how do they measure success, and who do the programs serve?

SOURCE: Self-reported by organization

Care of the terminally ill

Where we work

Our Results

How does this organization measure their results? It's a hard question but an important one. These quantitative program results are self-reported by the organization, illustrating their committment to transparency, learning, and interest in helping the whole sector learn and grow.

SOURCE: Self-reported by organization

Average length of stay in acute inpatient units

Population(s) served


Related program

Care of the terminally ill

Type of Metric

Outcome - describing the effects on people or issues

Direction of Success


Charting Impact

Five powerful questions that require reflection about what really matters - results.

SOURCE: Self-reported by organization

What is the organization aiming to accomplish?

What are the organization's key strategies for making this happen?

What are the organization's capabilities for doing this?

How will they know if they are making progress?

What have they accomplished so far and what's next?

Only HALF of public safety net hospitals have a palliative care team, and in poor, minority, urban communities (like Cleveland) less than 5% of the dying receive hospice care due to lack of insurance, ability to pay, and accessibility. Access to palliative care is crucial as clinical trials have demonstrated that patients who receive palliative care alongside standard medical treatment are able to cope better and report a better quality of life (National Cancer Institute). This means that large segments of Cleveland’s population are at risk of poor health outcomes, early morbidity, and being considered medically marginalized, particularly when it comes to end-of-life care needs.

To remove those barriers to care, Malachi House combines residential housing with medically supportive services as it relates to palliative, hospice, and end-of-life care. For the last 32 years, we have been changing the way the poor and dying are served within the Greater Cleveland community. A simple, compassionate idea has blossomed into 3 decades of support for Cleveland’s dying poor, and Father Hritz and Mrs. O’Neill’s vision has been fully embraced within Northeast Ohio. As of the end of 2019, the agency has served nearly 2,600 individuals total, and works with 9 hospice partners who provide Malachi House residents with needed medical, hospice, and end-of-life care services. Our work is unique and unduplicated both within Northeast Ohio and the state, and fills a critical gap in Cuyahoga County’s health and human safety services net. As a matter of fact, in the last several years, Malachi House and its leaderships have been visited by individuals from across the country and abroad to see firsthand how the agency operates in hope of replicating similar services elsewhere. This indicates that Malachi House is on the verge of creating systemic change regarding end-of-life care access for the dying poor. We are on the forefront of this movement and are considered an expert in the field.

Staff and hospice partners work in tandem to serve residents’ physical, spiritual, emotional, and psychological needs. We have 15 private, medically-equipped, ADA-accessible bedrooms, and provide around-the-clock care to 15 residents at a time. Local hospice agencies refer residents to our services when they have less than 6 months to live, lack financial and supportive resources, and experience homelessness or housing instability. Malachi House provides not only a clean, safe, and supportive living environment to ensure regular medical care, but also provides for residents’ additional basic human needs – such as food and clothing – as well as offering complementary therapies and compassionate medical support from trained staff and volunteers 24 hours a day, 7 days a week, 365 days a year. Complementary therapies include music, art, and animal assisted therapy. These holistic practices do not replace hospice partners’ medical care, but work in tandem to promote comfort to residents.

Our existence helps eliminate healthcare disparities experienced by the dying poor. The stable housing we offer and the cohesive partnerships we have with local hospice teams ensure that the most vulnerable in Cleveland no longer have to die nameless, scared and alone without access to care. Over 90% of our residents are seniors.

Malachi House served over 2500 individuals. We are pleased to report that since our new fiscal year began on July 1, 2019, we have cared for 87 individuals who would have otherwise died lacking access to vital end-of-life medical support. Those we have served thus far this fiscal year ranged in age from 38 to 105; 57% of those in our care during this time frame were white; 36% were African-American; 2% were Asian, and 5% did not disclose their ethnicity; 54% were female and 46% were male. Those in our home had a variety of diagnoses, including COPD, Parkinson’s Disease, Alzheimer’s, heart failure, and several kinds of cancer, among other diagnoses. All residents lived at or below the federally defined poverty level.

External Reviews



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The people, governance practices, and partners that make the organization tick.

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Board Leadership Practices

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SOURCE: Self-reported by organization


Does the board conduct a formal orientation for new board members and require all board members to sign a written agreement regarding their roles, responsibilities, and expectations?

Not Applicable


Has the board conducted a formal, written assessment of the chief executive within the past year?

Not Applicable


Have the board and senior staff reviewed the conflict-of-interest policy and completed and signed disclosure statements in the past year?

Not Applicable


Does the board ensure an inclusive board member recruitment process that results in diversity of thought and leadership?

Not Applicable


Has the board conducted a formal, written self-assessment of its performance within the past three years?

Not Applicable