Health—General & Rehabilitative

Shepherd's Hope, Inc.

Winter Garden, FL

Mission

Shepherd's Hope is a non-profit, faith-based
organization of volunteers that exists to provide access to health care for the
uninsured
For every patient seen in one of the five Shepherd’s Hope health centers, a labyrinth of resources operates efficiently and interdependently to provide free, essential primary and secondary/specialty care medical care to the underserved and uninsured. Uniquely organized, this innovative healthcare model synchronizes and leverages a tightly woven consortium of 3,000 licensed medical and general professionals (operating under the Florida Department of Health’s Volunteer Healthcare Provider Program), 2 community hospital systems (Advent Health and Orlando Health), 100 diagnostic/surgical providers and numerous multi-faith partners creating a beautiful centrism that is regarded nationally as an exemplary model of health care.

Dependent on individual and corporate philanthropy, grants and awards, Shepherd's Hope receives no federal or state funding with ninety-five cents of
each donated dollar going directly back to patient care. Today, Shepherd's Hope
remains committed to its mission and to bridging the coverage gap to high
quality healthcare while mitigating the tremendous financial implications to
the community and other healthcare providers.

Ruling Year

1998

Principal Officer

Ms. Pam F. Gould

Main Address

455 9th Street

Winter Garden, FL 34787 USA

Keywords

free health care, medical care, uninsured, Central Florida health care, healthcare

EIN

59-3420727

 Number

6252962938

Cause Area (NTEE Code)

Health Treatment Facilities (Primarily Outpatient) (E30)

IRS Filing Requirement

This organization is required to file an IRS Form 990 or 990-EZ.

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Programs + Results

What we aim to solve

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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

Shepherd's Hope

Where we work

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?

While Florida struggles to create a solution for healthcare expansion to the uninsured, Shepherd’s Hope remains committed to its model of primary and secondary/specialty care to this subset of the populous. One in four Central Florida residents is living without health insurance (subsequently, without adequate healthcare) and eight out of ten people uninsured come from working families. In fact, Shepherd's Hope 2013 Patient Survey outcomes first forecasted a widening of the coverage gap four months before mandatory PPACA enrollment with 18.2% of patients self-reporting that they previously had healthcare insurance and "lost it" within the past year due to financial conditions. Similarly, the 2018 Patient Survey reinforced this outcome with 24% of respondents stating the same. As a result, a new type of patient has been forced to access Shepherd’s Hope for medical care over the past three years; fully employed individuals and families new to the safety net community of services and providers like Shepherd's Hope. The nightly presenting patient is exactly who you would expect them to be and exactly who you would never expect them to be.Shepherd's Hope continues to outpace itself in medical services provided as a result of the widening coverage gap. This is supported by a required report submitted to the Department of Health for the Volunteer Health Care Provider Program, which recorded 13,955 primary and secondary/specialty care patient visits in 2018. Of equal significance is an additional number reported of 700 presenting patients, in the same time period, that were turned away for medical services because a Shepherd’s Hope health center was limited to meet capacity demand due to a reduced number of licensed providers available during that operating evening.Today, 23 years after its founding, Shepherd's Hope remains committed to its mission and to bridging the expanding coverage gap to high quality healthcare while mitigating the tremendous financial implications to the community and other healthcare providers. No other model in Florida has a multi-site, multi-faith intricate system of primary and secondary disciplines in place to provide the delivery of high-quality, compassionate patient-centered care to this medically underserved and uninsured segment of Florida's population.

Paramount in the mission of Shepherd's Hope is our pledge to the high quality of the care and services delivered. With a keen sense of obligation for the preservation of the public health and welfare for the 1 in 4 uninsured in Central Florida medical supplies, equipment, volunteer medical providers and financial support from individuals, corporations and foundations and grants (to supplement the cost of patient primary and secondary care) is crucial.

Shepherd's Hope has five health care clinics in Central Florida including: Longwood, East Orlando, Downtown Orlando, and two locations in Ocoee. Although our physical locations are in Orange and Seminole counties, patients visit us from all over the state, nationally and internationally partly due to their need for free healthcare and party because Orlando is an international tourist destination and Shepherd's Hope does not require any proof of residency.

Shepherd's Hope tracks several different variables annually related to access to care as well as patient and volunteer satisfaction.

Specific Outcome Measures for the program include:
90% of patient will report their health has improved as a result of the care they received.
90% of patients will report access to prescribed diagnostic testing.
90% of patients will report access to prescribed medication

Ultimately our goal at Shepherd's Hope would be to go out of business because everyone would have access to basic medical care when they are sick. In the mean time, we measure our success by increasing access to medical care by measuring access to a physician visit, access to medically necessary diagnostic testing and prescribed medication.

Paramount to mission is our pledge to high quality care. With a sense of obligation for the preservation of the public health, patients are surveyed to ascertain health improvement outcomes. In 2014, 92% of patients surveyed reported “Good advice and treatment." Similarly, 93% reported “My health is improved by the care I received."

The need for healthcare for the medically underserved and uninsured has grown by 22% in two years at Shepherd's Hope. Approximately 448,226 residents are medically underserved in Central Florida and 1 in 4 is living without health insurance (subsequently, without adequate healthcare). 8 out of 10 come from working families. In 2013 a new type of patient was added to the mix: Individuals and families that are employed¸ but have lost or elected to discontinue health insurance due to cost. They find themselves new to the Safety Net community of services and providers.

Moreover, Florida has declined to expand its Medicaid program leaving 900,000 – 1,000,000 low-income adults without access to affordable coverage. 1.7 million Floridians remain uninsured.

Shepherd's Hope remains committed to mitigating the tremendous financial implications to the community and other healthcare providers.

The average Emergency Department (ED) visit in Central Florida costs $4,600. The cost for a patient visit at a Shepherd's Hope, which may include the physician exam, nursing assessment, diagnostic testing, pharmacy and case management services is $77. In 2014 patient surveys, 26% (5460 patients) stated but for the healthcare services provided by Shepherd's Hope, they would have visited an area ED. This more costly alternative would have cost the healthcare system a remarkable $25,116,000. Shepherd's Hope's comparable cost of delivery to these 26%% patients was $420,420!

In addition, an additional 36% of our patients surveyed reported they would have elected to go without any care had they not had access to a Shepherd's Hope.

External Reviews

Awards

External Assessments

Evaluated via the Impact Genome Project (2019)

Financials

Shepherd's Hope, Inc.

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Operations

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

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Board Leadership Practices

GuideStar worked with BoardSource, the national leader in nonprofit board leadership and governance, to create this section, which enables organizations and donors to transparently share information about essential board leadership practices.

SOURCE: Self-reported by organization

BOARD ORIENTATION & EDUCATION

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?

No

CEO OVERSIGHT

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

No

ETHICS & TRANSPARENCY

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

No

BOARD COMPOSITION

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

No

BOARD PERFORMANCE

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

No