The majority of Homes of Living Hope's projects involve the transformation of a shipping container into a medical facility which will serve impoverished, often rural populations in developing countries that lack medical infrastructure. Volunteers in American communities unite to transform containers into fully-functional facilities by implementing features and installing medical equipment in medical facilities. Sponsor communities in partnership with HoLH coordinate fiscal donations and humanitarian supplies to send along with completed facilities in their destined communities. HoLH also works with international nonprofit human service organizations to provide long-term access to health care services through the completed medical clinics.
American volunteer groups have taken greater independence in their projects since HoLH first began as an organization. A number of U.S. high schools have taken on HoLH container transformation projects as part of their school curriculum, applying home design, marketing, and leadership skills in their projects. Volunteer groups have been successful in soliciting the support of businesses and donors in their local communities with fiscal and material donations.
Recipient communities of HoLH container transformation projects include populations in Mexico, Uganda, and Kenya. Reports from health services organizations report that health clinics have allowed people access to heath care services for the first time. A Ugandan health clinic sees 250 patients daily in a community that has never had such services before.