10th Decile Project



The 10th Decile Project is a collaborative, multi-stakeholder effort to connect ER high-utilizers in Los Angeles County to housing and appropriate care. Organizations participating in the 10th Decile Project use a triage tool to identify and refer eligible homeless individuals to intensive case management. Health centers provide integrated primary and behavioral healthcare using intensive case management, including care coordination. Individuals are also provided supportive housing with subsidized rent through either Section 8 or Shelter plus Care vouchers.

Partner Organizations

  • 25+ organizations including homeless service providers, health centers and hospitals
  • Corporation for Supportive Housing (CSH)

Target Population

Top 10% highest-cost, highest-need homeless individuals living in Los Angeles County

Care Team

Case manager


2011 - present 

Results/ Studies



Social Innovation Fund from the Corporation for National and Community Service, Conrad N. Hilton Foundation, Dignity Health, L.A. Care Health Plan


Program overview and results (2015)