Advancing Access to Health Care Across the Chicago Region
Across Illinois, a significant number of adults report delays in getting medical care—or going without it altogether—because of cost, difficulty accessing providers, and…
Chicago thrives when people can meet their basic needs and live with safety, stability and dignity. Strong communities depend on reliable access to food, housing, healthcare, and essential services — especially during periods of hardship or crisis.

The Chicago Community Trust helps people and families across the region meet urgent needs and move toward greater stability. Working with community partners, the Trust supports programs that reduce hardship, protect health and safety, and help residents get through difficult moments with the resources they need.
Across Illinois, a significant number of adults report delays in getting medical care—or going without it altogether—because of cost, difficulty accessing providers, and…
A new report from Housing Action Illinois and the National Low Income Housing Coalition finds our region is short 225,000 affordable rental units…
When most people picture hunger in America, they think of food pantries. Yet for every meal a pantry provides, the Supplemental Nutrition Assistance…
We envision a Chicago region with a strong, coordinated safety net that ensures individuals and families can access housing, food, healthcare, and other essential services needed to achieve stability, economic security, and long-term well-being.
Achieving this vision requires sustained investment, strong partnerships, and learning alongside communities. The Trust draws on insights from grant recipients, service providers, partners, research, and residents to strengthen its response to immediate needs and changing conditions.
Access to safe and stable housing, nutritious food, healthcare, and other essential services is foundational to individual well-being, family stability, and economic security. When households cannot meet these needs, they face greater stress, delayed healthcare, housing instability, food insecurity, and other hardships that can make it more difficult to recover from financial setbacks.
The Financial Health Pulse® 2025 Chicago Trends Report shows modest improvement in financial health among Cook County’s most vulnerable residents, but significant disparities persist. The share of financially vulnerable households declined from 19% in 2022 to 18% in 2025, with vulnerability falling from 39% to 33% among Black residents and from 30% to 26% among Latine residents. Yet approximately one-third of residents on Chicago’s South and West sides remain financially vulnerable, compared with 11% on the North Side. Housing pressures also continue across the region: only 29% of Cook County households rated the affordability of housing in their neighborhoods favorably.
Financial instability and the shortage of affordable housing are significant drivers of homelessness. According to the City of Chicago’s 2025 Point-in-Time Count, the number of longtime Chicago residents without stable housing jumped by 38 percent in just one year. In Suburban Cook County, homelessness rose by 15 percent, with chronic homelessness — people stuck in long-term housing instability — up by 16 percent. These conditions underscore the need for both immediate assistance and coordinated, sustainable pathways to housing stability.
Community violence is another urgent challenge affecting the health, safety, and well-being of individuals, families, and neighborhoods. Its effects extend across the region, shaping how residents experience their communities and placing substantial demands on healthcare, victim services, public safety, and other public systems. Supporting community-led prevention and intervention strengthens safety while helping reduce the human and public costs of violence.
As the region’s community foundation, the Trust will remain committed to helping address Chicagoans’ critical needs. While many interventions contribute to a strong regional safety net, the Trust focuses on three areas where it can make a meaningful difference: housing stability, community safety, and responsive grantmaking during unexpected or emerging crises.
The Critical Needs strategy supports charitable programs and services that help individuals and families access housing, food and nutrition, healthcare, emergency assistance, and other essential resources. The Trust also strengthens community-based organizations, improves coordination among service providers, and mobilizes partners in philanthropy, government, business, and the civic sector to respond effectively when crises place residents at increased risk.
Specifically, the Trust’s funding to address critical needs prioritizes:
Housing Stability: Help people who are unhoused or unstably housed access safe, stable housing and the services needed to obtain and maintain it.
Support community-led strategies that address the root causes of violence, strengthen prevention and intervention, and promote safer neighborhoods.
Responsive Grantmaking: Provide flexible support when unexpected or emerging crises threaten residents’ well-being or strain the organizations that serve them.
Meeting basic and emergency needs requires collaboration across sectors. The Trust works alongside community organizations, service providers, residents, government, philanthropy, businesses, and civic partners to coordinate resources, strengthen the regional safety net, and help communities respond to both persistent challenges and emerging crises.
Senior Director of Critical Needs
Director of Critical Needs
Program Specialist for Critical Needs