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This report updates the progress and early outcomes for four supportive housing projects funded by the Missouri Foundation for Health as part of its Show Me Healthy Housing program. The report updates the initial evaluation report from 2016. It details the implementation of supportive housing for all sites and interim outcomes on housing stability, income, health status, healthcare utilization and costs for projects that have served tenants for at-least 12 months. Most sites struggled with securing funding for long-term rental subsidies and case management, but the report finds positive outcomes for housing stability and reductions in ER usage and costs.