Disease, Disorders, Medical Disciplines

St. Louis Effort for AIDS, Inc.

aka EFA

St. Louis, MO


The Mission of Saint Louis Effort for AIDS is to provide education on the prevention of HIV/AIDS and comprehensive support services for those affected by the disease.

Notes from the Nonprofit

Saint Louis Effort for AIDS is completing our third year of our Barrier Elimination and Care Navigation program. This is a impact-driven program that attempts to reconnect with HIV positive residents of the Saint Louis Metropolitan region who have been lost to care. Over the course of the last three years, we have been able to bring 10% of the population that was lost-to-care back into medical care.

We have also been a major player in helping our community members become enrolled in the Affordable Care Act through our ACCESS program. The ACCESS team of Certified Application Counselors (CACs) assist with enrollment in the health insurance Marketplace for people who are underinsured or uninsured. The CACs help people throughout Missouri understand their coverage options and the financial help for which they may qualify.

Ruling Year


Executive Director

Ms. Cheryl Oliver

Main Address

1027 S. Vandeventer Suite 700

St. Louis, MO 63110 USA


HIV, AIDS, AIDS Service Organization, prevention, case management, testing, treatment adherence, social support, outreach, safe sex





Cause Area (NTEE Code)

AIDS (G81)

Public Health Program (E70)

Services to Promote the Independence of Specific Populations (P80)

IRS Filing Requirement

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Programs + Results

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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

Prevention Sevices

Client Services

Barrier Elimination and Care Navigation (BEACON)

Pets Are Wonderful Support (PAWS)


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Charting Impact

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SOURCE: Self-reported by organization

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What are the organization's capabilities for doing this?

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What have and haven't they accomplished so far?

Public health and health care systems continue to undergo a paradigm shift fueled by the implementation of the Affordable Care Act, advancement of the National HIV/AIDS Strategy, medicalization of HIV services and biomedical advances. As a community-based, AIDS Service Organization, Saint Louis Effort for AIDS (EFA) plays a vital role in eradicating HIV/AIDS. For thirty years, EFA has been leading the way in our region with innovative best practices, client-centered programs and services, and a commitment to our mission of providing education on the prevention of HIV/AIDS and comprehensive support services for those affected by the disease. In today’s continuously changing health care landscape, EFA continues to be strategic, proactive, agile and adaptable. Our goals for 2015-17 are to:
1. Assess and reengineer the agency infrastructure for optimal performance
2. Cultivate Strategic Alliances that build capacity and ensure long term viability
3. Assure our Communication Infrastructure and Messaging connect individuals and communities with the information they need to make informed choices and take action
4. Guide the analysis of changes in health policy and health coverage in order to anticipate and prepare for their impact on funding and service delivery
5. Build on strengths-based competencies to engage, advocate and lead in a transitional environment

EFA’s strategies are founded on our ability to align, execute and renew our organization by adapting to the present and shaping the future. Strategies include:
1. Assessing our organizational systems, structures, resources and facilities and determine what needs to be changed to assure operational integrity and long-term effectiveness.
2. Focusing our resources on creating a culture of philanthropy and fundraising that involves board, staff and volunteers in working with our existing donor base and establishing strategic partnerships and collaborative relationships that add depth to our funding base while increasing awareness of programs and services.
3. Using strategic communications to clearly and consistently articulate the agency’s mission, vision and core values. This includes: building on the success of Dining Out for Life, Thirst for Life and other fundraising events; continuously improving internal and external communication processes; increasing awareness with consumers and other stakeholders; and using data and client successes to tell our story
4. Engaging in political and social issues that will impact our clients and stakeholders and advocating for our clients. This includes: exploring medical service delivery options that will benefit client care; applying for 340B status; establishing Third Party Billing; implementing Electronic Health Records; enhancing government agency and healthcare provider relationships and networks to more effectively address client and community needs; informing constituents of major national, state and regional policies that may impact access to and affordability of health care services for people living with HIV/AIDS/STIS, mental health or substance use issues, and other co-occurring diseases that are associated with stigma and fear.
5. Strengthening EFA’s regional leadership role with a national presence. This includes: investing in our people, our technology and the facility; providing staff training and development opportunities; sustaining a high quality leadership team and informed/engaged board of directors; increasing diversity and providing cultural sensitivity/competency training; and increasing access to resources through strategic alliances with Federally Qualified Health Centers and other medical providers.

Started in 1985 by a group of dedicated volunteers, Saint Louis Effort for AIDS (EFA) was the first AIDS Service Organization in the St. Louis metropolitan region. Today, EFA takes the lead in addressing the rapidly changing care, treatment and prevention environment for people living with or at risk of being infected with HIV and other sexually transmitted diseases. EFA’s mission is to provide education on the prevention of HIV/AIDS and comprehensive support services for those affected by the disease.

With a staff of 37, EFA provided direct services to 8,700 clients and 17,222 indirect clients in 2014. Case management services include Waiver, General, Resource & Referral, Transitional, Bilingual and Lost-to-Care. Four case managers are co-located in physician offices, plus we have a Peer Advocate and Project Coordinator for our Lost-to-Care program. EFA’s Prevention Services include education, outreach, testing and STI Treatment Services. Five Certified Application Counselors assisted almost 2,000 individuals throughout the state with enrollment in the Affordable Care Act insurance exchanges. Pets Are Wonderful Support (PAWS) helps provide care and food for the pets of clients who would otherwise have to give them up during the time their companionship is most critical.

The agency’s funding base is diverse, with 54% Government Grants, 20% Corporation and Foundation, 13% Fundraising Events, 12% United Way and 2% from individuals, memorials and tributes. In 2014, 80% of our expenses went to Program Services, 12% to Management & General and 8% to Fundraising. Our accounting services are in-house and we have audits conducted by an independent auditor every year.

We will know if we have achieved goals by the following indicators:
1. An Infrastructure Advisory Group is established to assess and identify capacity issues and options, provide recommended solutions and secure resources to fill gaps and build organizational resources, including e a Business Plan and Planning and Feasibility Study (PFS).
2. The Fund Development Plan, Development Training Plan and Stewardship Strategy are fully implemented, resulting in more committed donor relationships and less donor attrition.
3. EFA offers expanded medical service delivery options that benefit client care through the implementation of 340B, Third Party Billing and Electronic Health Records (EHR); EFA advocates for and informs constituents of policies that impact access to and affordability of health care services for vulnerable populations.
4. EFA’s Marketing Communication Plan is implemented and the internal communication committee convenes monthly to create timely, inter- and intradepartmental sharing of information.
5. EFA has a presence at national and regional conferences, e.g. posters, as a provider of innovative, client-centered care and prevention services. Enhanced internal reporting and management systems, succession plans and work flow documents are monitored by a high performing leadership team.

EFA prides itself and cultivating a culture of continuous improvement, with the following representing our progress to date:
1. Infrastructure Advisory Group made up of board/staff is being selected and will begin convening in July to determine if we 1) renew/expand our lease that expires in July 2017; 2) secure a new lease and move the agency; or3) conduct a Capital Campaign.
2. The Fund Development Plan and Development training are implemented; EFA utilizes a fund development dashboard and events dashboard to track progress and report to the board of directors; the development coordinator sends information to the board each Monday so they can send thank you cards and make phone calls to major donors; the Executive Director and Board Members meet with donors to get a better understanding of why they give.
3. Signed contract for EHR; signed contract with pharmacy for 340B application July 15; medical services plan and team are in place to expand clinical services pending funding.
4. An Internal Communication Team with representatives from each department has been formed and meets monthly.
5. EFA has presented at national and regional conferences, e.g. posters, presentations; we applied for SAMSHA funding to implement an HIV/Substance Use Treatment /Mental Health Services collaborative project; applied for a CMS grant for ACA Marketplace Enrollment Navigators.

External Reviews


St. Louis Effort for AIDS, Inc.

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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?



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



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



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



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


Organizational Demographics

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SOURCE: Self-reported by organization


Race & Ethnicity

Sexual Orientation

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This organization reports that it does not collect this information.

Diversity Strategies

We track retention of staff, board, and volunteers across demographic categories
We track income levels of staff, senior staff, and board across demographic categories
We track the age of staff, senior staff, and board
We track the diversity of vendors (e.g., consultants, professional service firms)
We have a diversity committee in place
We have a diversity manager in place
We have a diversity plan
We use other methods to support diversity