In the 40 years I was in, I have seen a lot of good things happen mainly on an individual basis. There were also the few who organized things somewhat larger - perhaps having a group the size of a bookstudy help someone out with something...but never at congregation level and certainly not out of congregation funds.
I have had discussions with pioneers "complaining" they did not have time to care enough for the sick and elderly, as they would otherwise fall short on their hours. I suggested they stop pioneering and focus on what really matters - didn't go down to well.
A lot is be warm and well fed, but there are some very sincere caring individuals.