About Second Chance
Mission, Governance, and Integrated Care Philosophy
Founded on the principle that every individual deserves access to comprehensive, compassionate healthcare — regardless of income, housing status, or history — Second Chance Community Health operates as a nonprofit organization committed to addressing both medical and social determinants of health.
Our Mission
Delivering integrated healthcare that treats the whole person, not just the diagnosis.
“To provide accessible, integrated medical, behavioral health, and housing services that empower individuals experiencing homelessness and underserved populations to achieve stability, wellness, and belonging.”
We believe healing begins with stability. By addressing medical needs alongside housing, mental health, and social support, we create pathways to sustainable wellness that honor the dignity and potential of every person we serve.
Compassion
We approach every individual with empathy, respect, and understanding, recognizing that trauma and hardship require trauma-informed, person-centered care.
Equity
Healthcare is a fundamental right. We remove barriers to access through sliding-scale fees, language services, and care delivery where people are.
Integration
Medical, behavioral, and social services work together seamlessly, ensuring coordinated care plans that address root causes, not just symptoms.
Integrated Care Philosophy
Our model recognizes that health cannot be separated from housing, mental wellness, or social stability.
Why Integration Matters
Traditional Healthcare Gaps
Conventional systems often treat physical health in isolation, leaving patients to navigate fragmented mental health, housing, and social services on their own — creating barriers that prevent sustainable recovery.
Our Integrated Approach
We co-locate medical providers, licensed therapists, case managers, and housing specialists under one umbrella, with shared electronic health records and unified care planning — ensuring every team member sees the full picture.
Evidence-Based Outcomes
Research shows integrated care reduces emergency room visits by up to 85%, increases medication adherence, and improves long-term housing stability — because we address the social determinants that drive health crises.
Three Connected Pathways
Housing & Stability
Transitional housing, permanent supportive housing placement, case management, and benefits enrollment.
Behavioral & Mental Health
Individual therapy, group counseling, medication management, substance use treatment, and peer support.
Primary & Preventive Care
Family medicine, chronic disease management, preventive screenings, lab services, and pharmacy access.
How It Works in Practice
A single care coordinator guides each client through all services, ensuring nothing falls through the cracks.
Intake Assessment
Comprehensive evaluation of medical, mental health, and housing needs
Unified Care Plan
Team develops coordinated treatment goals across all three pathways
Coordinated Delivery
Medical, behavioral, and housing services work in sync with shared records
Ongoing Support
Regular check-ins and plan adjustments as needs evolve
Governance & Leadership
Transparent, mission-driven leadership guided by clinical expertise and community accountability.
Board of Directors
Community-Led Oversight
Second Chance is governed by a volunteer Board of Directors representing healthcare, legal, nonprofit, and lived-experience perspectives. Our board ensures fiscal responsibility, strategic direction, and alignment with our mission.
Board Composition:
- 51% consumer board members (individuals with lived experience of homelessness or behavioral health challenges)
- Licensed healthcare professionals (physicians, nurses, therapists)
- Legal and financial expertise
- Community advocates and nonprofit leaders
Board meetings are held quarterly and minutes are available upon request in compliance with Nevada nonprofit transparency laws.
Executive Team
Clinical & Operational Leadership
Harvey Allan del Rosario, MSN, APRN, PMHNP-BC
Chief Medical Officer
Board-certified family physician with 15+ years serving underserved populations. Oversees all clinical operations and quality assurance.
Carlos Cisneros, LCSW
Director of Behavioral Health
Licensed clinical social worker specializing in trauma-informed care and integrated behavioral health models.
Clinical Advisory Council
Our clinical protocols are guided by an external advisory council of medical, behavioral health, and public health experts who ensure we meet the highest standards of care.
Evidence-Based Protocols
Regular review of clinical guidelines aligned with HRSA and SAMHSA standards
Quality Assurance
Quarterly audits of patient outcomes, safety protocols, and service delivery
Staff Training
Ongoing education in trauma-informed care, cultural competency, and harm reduction
Compliance & Trust Signals
We maintain the highest standards of regulatory compliance, data security, and ethical practice.
Regulatory Compliance
HIPAA Compliance
All patient information is protected under the Health Insurance Portability and Accountability Act. We employ encrypted electronic health records, secure communication systems, and staff training on privacy protocols.
Annual HIPAA audits conducted by third-party compliance specialists.
HRSA Health Center Program
Second Chance operates under Health Resources and Services Administration (HRSA) guidelines as a Health Center Program grantee under 42 U.S.C. 254b, ensuring we meet federal standards for community health centers.
Subject to annual operational site visits and performance reporting.
SAMHSA Grant Requirements
Our behavioral health services are funded in part by the Substance Abuse and Mental Health Services Administration (SAMHSA), requiring adherence to evidence-based practices and trauma-informed care principles.
Quarterly reporting on client outcomes and service utilization.
42 CFR Part 2 (Substance Use Records)
Substance use disorder treatment records receive additional federal protections beyond HIPAA, requiring explicit patient consent for any disclosure.
All staff complete annual Part 2 confidentiality training.
Privacy & Data Security
Electronic Health Records (EHR)
We use HIPAA-compliant, cloud-based EHR systems with end-to-end encryption, multi-factor authentication, and role-based access controls.
- Automated audit trails of all record access
- Daily encrypted backups to secure servers
- Patient portal with secure messaging
Patient Rights
You have the right to:
- Access and obtain copies of your medical records
- Request amendments to your records
- Receive a Notice of Privacy Practices
- File a complaint if you believe your privacy was violated
Language Access (Section 1557)
In compliance with the Affordable Care Act’s nondiscrimination provisions, we provide:
- Professional interpretation in 200+ languages
- Translated vital documents (Spanish, Tagalog)
- ASL interpretation for Deaf/hard of hearing patients
Notice of Privacy Practices
Our complete Notice of Privacy Practices is available at all clinic locations and online. It explains how we use and disclose your health information.
501(c)(3) Nonprofit
Tax-exempt charitable organization
EIN: 12-3456789
HRSA Grantee
Health Center Program under 42 U.S.C. 254b
SAMHSA Funded
Behavioral health services grant recipient
Trauma-Informed Care Certified
All staff trained in trauma-informed practices
Financial Transparency
As a nonprofit organization, we are committed to responsible stewardship of public and donor funds.
Funding Sources
Federal Grants
45%HRSA Health Center Program, SAMHSA behavioral health grants, HUD supportive housing funds
Medicaid Reimbursement
30%Nevada Medicaid fee-for-service and managed care payments for eligible patients
Private Donations
15%Individual donors, corporate sponsors, foundation grants
Sliding-Scale Fees
10%Patient payments based on income (no one turned away for inability to pay)
How Funds Are Used
Direct Patient Services
75%Medical care, behavioral health, housing case management, pharmacy, lab services
Operations & Infrastructure
18%Facility costs, EHR systems, mobile unit maintenance, administrative staff
Fundraising & Development
7%Grant writing, donor relations, community outreach, annual reports
Annual Financial Reports
Our IRS Form 990 and audited financial statements are available for public review.
No Patient Turned Away
Second Chance operates on a sliding-fee scale based on household income and family size. Services are provided regardless of ability to pay, insurance status, immigration status, or housing situation.
Sliding-Fee Discount Program
Fees adjusted based on Federal Poverty Guidelines
Insurance Enrollment Assistance
Help applying for Medicaid, Medicare, or Marketplace plans
Charity Care
Low-cost, sliding-scale care for those experiencing homelessness or extreme hardship
Learn More
Explore our care model, meet our team, and understand how integrated healthcare transforms lives.
Integrated Care Model
Visual Explanation
See how our three pathways work together with diagrams, patient journeys, and real-world examples of coordinated care in action.
Team Directory
Meet Our Providers
Browse profiles of our physicians, nurse practitioners, therapists, case managers, and support staff — with credentials, specialties, and languages spoken.
Questions About Our Organization?
We welcome inquiries from community members, potential partners, and oversight agencies.
Contact Information
Main Line
General Inquiries
Main Campus
1234 E Flamingo Rd, Las Vegas, NV