The initiative that would become the Hibiscus Rose Therapy Fund was founded in 2020 by Okichie Davis (they/them), a Black queer non-binary licensed professional counselor serving predominantly Black queer and transgender individuals in the Metro Philadelphia area, as a scholarship project under their private practice, Endeavoring Wellness LLC. Due to the experience of both racial- and gender-based discrimination, Black queer and trans individuals are more likely than other community members to experience financial insecurity and medical trauma, which present social and structural barriers to accessing life-saving medical care. Created in response to the increasing challenges facing Black queer and trans folks due to the ongoing COVID-19 pandemic, the ongoing attacks on transgender people, and the continued political push to limit access to life-saving gender-affirming care, the initial scholarship project was able to provide almost $4000 in free or reduced cost therapy services to Black queer and trans folks in the Philadelphia Metro and surrounding areas in its first two years. Witnessing requests for gender-affirming care, particularly surgical assessments, at their practice increasing significantly in 2022, and hoping to meet this need, Okichie decided to transform their solo initiative into its own independent community project in hopes of reaching even more people. Thus, the Hibiscus Rose Therapy Fund was born.