SFAF Annual Report 2024
The work we do—ensuring that every person has access to the care, dignity, and resources they deserve—has never felt more critical.
Leadership
CEO LETTER
Last year, 2024, tested our collective resolve and yet underscored the resilience of the communities we serve and the importance of SFAF’s mission.
Economic instability, political tension, and cultural shifts in response to our work have created challenges for our organization and those we serve. The work we do—ensuring that every person has access to the care, dignity, and resources they deserve—has never felt more critical.
Social services stretched to their limits have continued to leave gaps that disproportionately harm Black, Brown, queer, and trans individuals—the very people who are most at risk for HIV. Funding for HIV services remains precarious, and a declining sense of public urgency has threatened essential programs, forcing organizations like ours to fight harder than ever for resources. In 2024, we made the difficult decision to end our AIDS/LifeCycle fundraising event after 2025. We also moved forward multiple cost containment strategies to balance the budget and weatherproof the organization for the years ahead.
Last year brought a polarized political environment, both locally and at the federal level. Harm reduction services, once seen as vital public health tools, have come under attack, with opponents weaponizing stigma to stall progress. Federally, the presidential election offered a referendum on the nation’s values, with stark contrasts between those seeking to dismantle hard-won civil rights and organizations like SFAF advocating for equity and justice.
Although there were challenges, 2024 also offered much hope.
Locally, we saw new HIV infections in San Francisco reach a new low. We stood strong in our values to advocate and defend evidence-based approaches to overdose and substance use, demanding compassion for people who are suffering from substance use disorder. We deepened our partnerships with local health organizations through the city’s Health Access Points, building the capacity of organizations such as Rafiki Coalition to provide low-barrier HIV, hepatitis C, and STI prevention and care. We advocated for funding at the local and state levels to support HIV programs, and successfully co-sponsored three state bills that were passed. For the first time ever, SFAF has a permanent home office in a building that we own–a cost-saving measure for the organization that also brings stability.
Personally, 2024 marked a milestone: the 20th anniversary of my diagnosis as a Black queer man living with HIV. Living at the intersection of Blackness, queerness, and HIV for 20 years has taught me more about the power of community than I ever thought possible. To mark this milestone, I decided to ride AIDS/LifeCycle once more, making 2024’s event my 15th Ride.
My journey with HIV is inextricably linked to my passion for this work. It is why I fight every day, not just for an end to the epidemic, but for a future where everyone has access to the care, compassion, and opportunity they deserve. And as I stand here 20 years into my journey, I feel more committed than ever to ensuring that the next 20 years bring the kind of transformational change that leaves no one behind.
Thank you for joining me in this work. We honor your commitment to San Francisco AIDS Foundation, and to our collective effort to end the epidemic.
Tyler TerMeer, PhD
CEO, San Francisco AIDS Foundation
CEO Letter
CEO Letter
Last year, 2024, tested our collective resolve and yet underscored the resilience of the communities we serve and the importance of SFAF’s mission.
Economic instability, political tension, and cultural shifts in response to our work have created challenges for our organization and those we serve. The work we do—ensuring that every person has access to the care, dignity, and resources they deserve—has never felt more critical.
Social services stretched to their limits have continued to leave gaps that disproportionately harm Black, Brown, queer, and trans individuals—the very people who are most at risk for HIV. Funding for HIV services remains precarious, and a declining sense of public urgency has threatened essential programs, forcing organizations like ours to fight harder than ever for resources. In 2024, we made the difficult decision to end our AIDS/LifeCycle fundraising event after 2025. We also moved forward multiple cost containment strategies to balance the budget and weatherproof the organization for the years ahead.
Last year brought a polarized political environment, both locally and at the federal level. Harm reduction services, once seen as vital public health tools, have come under attack, with opponents weaponizing stigma to stall progress. Federally, the presidential election offered a referendum on the nation’s values, with stark contrasts between those seeking to dismantle hard-won civil rights and organizations like SFAF advocating for equity and justice.
Although there were challenges, 2024 also offered much hope.
Locally, we saw new HIV infections in San Francisco reach a new low. We stood strong in our values to advocate and defend evidence-based approaches to overdose and substance use, demanding compassion for people who are suffering from substance use disorder. We deepened our partnerships with local health organizations through the city’s Health Access Points, building the capacity of organizations such as Rafiki Coalition to provide low-barrier HIV, hepatitis C, and STI prevention and care. We advocated for funding at the local and state levels to support HIV programs, and successfully co-sponsored three state bills that were passed. For the first time ever, SFAF has a permanent home office in a building that we own–a cost-saving measure for the organization that also brings stability.
Personally, 2024 marked a milestone: the 20th anniversary of my diagnosis as a Black queer man living with HIV. Living at the intersection of Blackness, queerness, and HIV for 20 years has taught me more about the power of community than I ever thought possible. To mark this milestone, I decided to ride AIDS/LifeCycle once more, making 2024’s event my 15th Ride.
My journey with HIV is inextricably linked to my passion for this work. It is why I fight every day, not just for an end to the epidemic, but for a future where everyone has access to the care, compassion, and opportunity they deserve. And as I stand here 20 years into my journey, I feel more committed than ever to ensuring that the next 20 years bring the kind of transformational change that leaves no one behind.
Thank you for joining me in this work. We honor your commitment to San Francisco AIDS Foundation, and to our collective effort to end the epidemic.
Tyler TerMeer, PhD
CEO, San Francisco AIDS Foundation
Leadership
Board of Directors
LinkedIn
Murti Nemat Ali
Head of Design
Amazon
Rahul Awasthy
CEO & Founder
Ryze Consulting
Sandeep Bhadra
General Partner
Vertex Ventures US
Emanuel Campos
Senior Compliance Analyst
Redwood Credit Union
Frank Duff, MD (Board Secretary)
Senior Vice President, Virology Clinical Development
Gilead Sciences, Inc.
Colin Frankland
Senior Sales Leader
Chad Nico Hiu
Senior Vice President for Strategy, Equity, and Impact
YMCA of Greater San Francisco
Philip Hodges
Managing Director
BlackRock
Kenneth Katz, MD
Dermatologist
Kaiser Permanente
Jonathan Millard
Senior Vice President & Market Leader
Bank of America
Megan Minkiewicz
Director of Global Partner Programs
Pure Storage
Joshua Morgan III
Executive Director and Client Advisor
J.P. Morgan
Manny Nungaray (Chair)
Chief Development Officer
YMCA of the East Bay
Quency L. Phillips
Chief Executive Officer
Lighthouse Innovation Center
Katrina Reid
Senior Director TPM
Cribl
David Reyes
Product Growth Lead
Adobe
Hoa Su, MPH
Manager, National Clinician Consultation Center
UCSF
La Shon Walker
Vice President of Community Relations
FivePoint Communities
Christopher Zolezzi
Vice President
Goldman Sachs Private Bank
Executive Leadership
Tyler TerMeer, PhD
Chief Executive Officer
Douglas Black
Chief Financial Officer (through July, 2024)
Ben Hice, MA
Chief of Staff
Brenda Kiner
Chief Programs Officer
Peter Parisot, JD
Chief Legal Counsel
Amy S. Williams
Chief Philanthropy Officer
Our Financials: Charts
Our Financials
Statement of Financial Position
Statement of Activities and Changes in Net Assets
At a Glance
The financial information included herein is derived from our audited financial statements for the year ended June 30, 2024, a complete copy of which can be found on out website at sfaf.org/financials.
San Francisco AIDS Foundation envisions a future where health justice is achieved for all people living with or at risk for HIV. Ultimately, we strive for a day when race is not a barrier to health and wellness, substance use is not stigmatized, HIV status does not determine the quality of one’s life, and HIV transmission is eliminated.
Our Vision
Our Mission
San Francisco AIDS Foundation promotes health, wellness, and social justice for communities most impacted by HIV, through sexual health and substance use services, advocacy, and community partnerships.
Our Values
Justice: We strive for diversity, equity, and inclusion of communities most impacted by HIV in our programs and across all levels of the organization. We are committed to recognizing, interrupting, and addressing oppression.
Dignity: We recognize that all people have dignity and have the right to be respected; no one’s choices should be judged. We work to destigmatize sex, sexuality, gender identity and expression, substance use, and disability. We believe in consent and autonomy for all bodies. We encourage everyone to define their own needs and make their own choices, and support them to build self-efficacy.
Courage: We are bold and brave in our choice and promotion of new or controversial ideas that
advance our mission through our services and programs. We are not afraid of failure and understand that learning from our experience always makes us stronger. Our work is often difficult, but we care for ourselves and each other so we can endure.
Leadership: We advance public health best practices and contribute to the latest science in the field of public health. We work tirelessly to change laws and policies that inhibit the health and wellness of people living with or at risk for HIV. We lead with humility, collaborating and sharing ideas to both learn from others and support their growth.
Excellence: We provide outstanding support for staff and highest quality services to clients, through integrated service models, continuous evaluation and improvement of programs, strong strategic partnerships, responsible stewardship of resources, and regular examination and enhancement of workplace culture and capacity.
Our Priorities
We align our resources to the following five strategic priorities for 2019 – 2026, with a focus on ensuring equitable access and utilization by people of color and other priority communities.
- Expand and maintain HIV, hepatitis C, and STI prevention and treatment, and other sexual health services to ensure equitable access and utilization by people of color.
- Expand and maintain existing substance use services, syringe access, overdose prevention efforts, and other health services for people who use drugs, including establishing overdose prevention sites.
- In partnership, create a comprehensive network of health and wellness services for all people over the age of 50 who are living with HIV.
- Strengthen organizational excellence with a focus on living our values, including a commitment to racial justice.
- Respond to public health crises with a race equity strategy.
Our Work: Services
Sexual Health
San Francisco AIDS Foundation continued to be a city leader in provision of HIV prevention, testing, and support. In 2024, we served 3,012 PrEP clients, provided 11,733 HIV tests, diagnosed 23 new HIV infections, and provided interim HIV treatment to 81 people. We continue to invest in gender-affirming care for our transgender community, serving 178 people through our TransCare program. Last year, we served 1,187 new people with Doxy PEP–a new way to prevent sexually transmitted infections, and saw city-wide rates of STIs decrease as a result. Overall, we served an incredible 6,331 clients through our Magnet clinic.
Substance Use & Behavioral Health
We continue to see great need in the community for the substance use treatment and support services we provide. The Stonewall Project, our drug and alcohol treatment and counseling program, served 640 community members, including 267 people who accessed contingency management services through our programs PROP and PROP for All. Our harm reduction programs facilitated critical and life-saving overdose prevention and reversal work–providing 46,649 doses of the overdose reversal medication naloxone to the community, giving 15,327 naloxone trainings, and having 6,234 successful reversals reported back. The drug checking program checked and provided information about 444 samples, giving community members accurate information about the drug supply in order to prevent overdose. As they have for decades, our syringe access programs provided critical HIV and hepatitis C prevention resources including sterile syringes and other safer injection equipment to people who use drugs. Our Syringe Pick Up Crew served the city by picking up more than 23,000 syringes in neighborhoods across the city.
Long-Term Survivors and Community Programs
Community members continue to seek support and care through our vibrant community programs. This year, SFAF teams collaborated with our city Health Access Point partners, building up outreach and capacity efforts to better serve Latine community members, the Black and African American community, young people at risk for HIV, and transgender community members with culturally tailored health services that help build social support networks and link participants to sexual health and other vital services. We served a total of 386 people living with HIV through our housing subsidies program; 145 clients through Black Brothers’ Esteem (BBE), TransLife, and Healing & Uniting Every Sista (HUES) programs; 415 through our Elizabeth Taylor 50-Plus Network and Aging Services; and 508 Latine people through Programa Latino.
Our Partners
Every year, we work with hundreds of partner agencies, funders, and sponsors in order to collectively reach our shared goals to end the HIV epidemic and care for all of us living with and affected by HIV. Three partnerships that made particular advances in 2024 were with Gilead Sciences, through San Francisco Health Access Points, and with the Elizabeth Taylor AIDS Foundation.
Gilead Sciences
In 2024, we were fortunate to further deepen our partnership with Gilead Sciences. Gilead’s financial investment in our organization comes at a critical time when previously steady sources of funding from other government or private sources have waned–ensuring that we are still able to offer HIV prevention and care programs and services our communities rely on. We thank Gilead for their active and ongoing partnership to end the HIV epidemic and care for people living with or affected by HIV.
San Francisco Health Access Points
With funding from the San Francisco Department of Public Health, we collaborate with a number of local health organizations to deliver low-barrier access to HIV, hepatitis C, STI, and harm reduction services through an equity lens. We are the lead organization serving men who have sex with men, and are a partner/capacity-building support for Latine communities (with Instituto Familiar de la Raza); transgender women (with San Francisco Community Health Center); young adults (with Lyric); and Black and African American communities (with Rafiki Coalition). In 2024, we were proud to develop the Umoja HAP with Rafiki Coalition, developing the infrastructure and tools to provide HIV, hepatitis C, and STI prevention, testing, and care in the Bayview and at pop-up sites in other San Francisco neighborhoods.
Elizabeth Taylor AIDS Foundation
Since 2013, we have built and maintained a social support program for older adults living with and affected by HIV thanks to funding and partnership with the Elizabeth Taylor AIDS Foundation. Named the “Elizabeth Taylor 50-Plus Network,” our social support group provides free community meals, gathering spaces, cultural opportunities, and learning events for seniors and long-term HIV survivors. With older adults with HIV living longer lives thanks to advances in medicine and care, many are faced with other challenges such as social isolation caused by the loss of friends throughout the epidemic, and health concerns from chronic inflammation or effects of early HIV medications. For over a decade, we have maintained services for a large number of people over age 50 who come consistently to events for community and support.
Our Supporters
Thank you to all of our donors, event participants, and corporate and institutional partners and volunteers. Your contributions make our work possible and advance progress towards achieving health justice for all.
Dining Out For Life
Dining Out For Life, held in April, raised $109,000 to support the free programs and services of SFAF. Thank you to the participating restaurants, diners, sponsors, ambassadors, and volunteers who made this event possible.
AIDS/LifeCycle
In June, nearly 3,000 AIDS/LifeCycle, participants and roadies made their way from San Francisco to L.A. during our week-long cycling event raising $10.8 million for the services of San Francisco AIDS Foundation and the Los Angeles LGBT Center. This year, 2025, will be the final AIDS/LifeCycle event.
Tribute Gala
In September, we held our annual get-fancy Tribute Gala, at the Four Seasons, honoring partners who have made significant contributions to ending the HIV epidemic. The event raised over $1M with a generous match from our partners at BlackRock Gives.
Santa Skivvies
With our event partner Lookout, we hosted Santa Skivvies — the annual fun run and walk in the Castro–in December. In 2024, event participants and volunteers raised $75,000 and we saw pre-pandemic numbers of runners!
