Cardea Health is an Oakland based nonprofit healthcare organization founded to connect marginalized populations to the clinical and supportive services they need to improve their health, remain stably housed in their community, and age in place. Cardea Health’s programs fill a critical – and growing – gap in the system of care. Among people experiencing homelessness, a growing number are living with complex medical needs. They face poor quality of life, increased morbidity and mortality, and medical and social destabilization. But they have few housing options: they need a higher level of care than what is offered through permanent supportive housing, but they do not wish to live in an institutional setting and have limited access to hospice or palliative care. Cardea Health specifically targets this vulnerable population, providing a range of clinical services within permanent supportive housing sites to both address their medical needs and allow them to live independently in their communities, addressing a critical need within the system of care. The Kelly Cullen Community is located in the Tenderloin neighborhood of San Francisco and is home to 174 individuals with extremely low incomes, including those that experienced homelessness and are currently living with health challenges. On-site social services are run by the Tenderloin Neighborhood Development Corporation; clinical services are provided by Cardea Health. Cardea Health Licensed Vocational Nurses assist clients with their medical care needs, implement nursing care plans and maintain medical records. LVNs at the KCC will administer nursing care to ill, injured, convalescent or disabled clients. LVNs may advise clients on health maintenance and disease prevention or provide case management services.