Affinia Healthcare

What Affinia Healthcare does

Affinia Healthcare is a 501(c)(3) federally qualified health center (FQHC) headquartered in St. Louis, Missouri, with 117+ years of operating history dating to its 1906 founding as the Holy Cross Dispensary (later Grace Hill Health Centers, renamed Affinia Healthcare in 2015). The organization operates six health center locations plus a St. Louis Dental Center (in partnership with A.T. Still University MOSDOH), three on-site pharmacies, two mobile medical/dental units serving schools, and program-management offices, all concentrated within the St. Louis metro. It is accredited by The Joint Commission (Gold Award for ambulatory care), recognized as a Level 3 PCMH by NCQA, and holds FTCA deemed status with HRSA Section 330 grant funding.

The service portfolio integrates family medicine, adult medicine, pediatrics, OB/GYN, midwifery, dental, behavioral health (including substance use disorder treatment and an integrated pain management program), audiology, optometry, physical function/chiropractic, HIV prevention and care, STI services, and vaccines, wrapped by community health services such as WIC, transportation, mobile school-based care, chronic disease management via the Patient-Centered Health Home program (six RN nurse case managers handling 250-275 Medicaid patients each monthly), health outreach, unhoused services, and a public housing program. Technology infrastructure includes the HIPAA-compliant Otto telehealth platform, on-site labs and radiology, a Q1 2025 AI-powered multilingual interpreter app pilot, and a new Family Medicine Residency Program to build the physician pipeline.

Revenue is generated through a mix of HRSA Section 330 federal grants, FTCA-covered reimbursements from Medicare, Medicaid (MO HealthNet), Medicare Advantage, Health Insurance Marketplace plans, and commercial payers (AETNA, Blue Cross/Blue Shield, CIGNA, United Healthcare), patient service fees on a federally mandated sliding scale for uninsured patients under 200% of the Federal Poverty Guidelines (nominal fees ranging from $10 for chiropractic to $75 for medical urgent care), pharmacy revenue, and tax-deductible donations channeled through the separately incorporated Affinia Healthcare Foundation. The total annual operating budget is approximately $47 million under CFO Leslie O'Connor's oversight. The network serves more than 43,000 individual patients per year across St. Louis's under-resourced ZIP Codes, immigrant and refugee populations (12+ languages), unhoused individuals, pregnant women and children, and public housing residents.

Name

Affinia Healthcare

Legal name

Affinia Healthcare, Inc.

Website

https://affiniahealthcare.org

Company type

Private

Founded year

1906

Operating status

Operating

Headcount range

251–500 employees

Short description

Affinia Healthcare is a 501(c)(3) federally qualified health center in St. Louis, Missouri, operating six health centers plus mobile units that provide affordable primary, dental, behavioral, and preventive care to more than 43,000 underserved patients annually under HRSA Section 330 funding.

Ownership category

akta.pro rank

Product category

Community Health Services

NAICS

Offices of Physicians (except Mental Health Specialists) (621111), Offices of Physicians (62111), Other Ambulatory Health Care Services (6219)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Misc Health & Allied Services, Nec (8090)

akta.pro primary industry

Community Health Centers (FQHCs & Look-Alikes) (HLAFAGAB)

akta.pro secondary industries

Community & Public Health Dentistry Clinics (FQHC/School-Based/Nonprofit) (HLABAAAF), Community Mental Health Centers (CMHCs) & Public Behavioral Health Providers (HLAFACAI), Primary Care & General Medicine Virtual Care (HLALAAAA)

Keywords

• Community health services
• Primary care services
• Preventive healthcare
• Behavioral health services
• Dental care services

Headquarters

HQ city

Saint Louis

HQ country

United States

HQ region

North America

Offices12 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D, Marketing or Sales, Others

Revenue model

1. Patient Service Fees (Sliding Fee Scale): Revenue from patient visits under a federally mandated sliding fee scale based on income and household size (below 200% of Federal Poverty Guidelines). Nominal fees range from $10 for chiropractic visits to $75 for medical urgent care, with prescription fees starting at $13 and eyeglasses at $60. Payments due at time of service; balance due within 60 days.
2. Insurance Reimbursements: Reimbursement from Medicare, Medicare Advantage, MO HealthNet (Medicaid), Health Insurance Marketplace plans (Cigna Connect, AmBetter), commercial plans (AETNA, Blue Cross/Blue Shield, CIGNA, United Healthcare, etc.), dental plans, and vision plans.
3. Government Grants and Federal Funding: HRSA Section 330 grant funding as a federally qualified health center; Federal Public Health Service (PHS) deemed status under FTCA. Grant from Missouri Department of Health & Senior Services for uninsured COVID vaccines. Total annual budget of $47 million (as referenced in CFO description).
4. Donations and Foundation Fundraising: Tax-deductible donations to Affinia Healthcare Development Office and Affinia Healthcare Foundation; Missouri Neighborhood Assistance Program (NAP) tax credits for gifts of $1,000+ supporting behavioral health/substance use disorder treatment; Spirit of Giving fundraiser, Starburst Gala, and raffle fundraisers.
5. Pharmacy Revenue: Revenue from three on-site pharmacies (Biddle, Lemp, Ferguson locations) filling prescriptions at reduced cost for patients; open 8 a.m. to 5:30 p.m. Monday-Friday with 24-hour automated refill line.

Pricing tiers

Go-to-market motion1 record

Distribution channels6 records

Marketing channels6 records

Core offering

Affinia Healthcare is a federally qualified health center (FQHC) operating a network of six health centers plus a Dental Center in St. Louis, Missouri, providing affordable primary, preventive, dental, behavioral, pharmacy, and community health services under a federally mandated sliding fee scale. It serves uninsured, Medicaid, and under-resourced patients across the St. Louis region through in-person visits, telehealth, mobile units at schools, and integrated community health programs.

Product overview

Affinia Healthcare delivers its offering as a unified community health center network rather than a single commercial software product: it is a federally qualified health center operating across six St. Louis locations plus a Dental Center (in partnership with A.T. Still University MOSDOH), with a portfolio of clinical, ancillary, and community health service modules integrated under one patient-centered medical home. The core clinical modules are Family Medicine, Adult Medicine, Pediatrics, OB/GYN, Midwifery Services, Convenience (formerly Urgent) Care, Behavioral Health (including Substance Use Disorder Treatment and the integrated Pain Management Program), HIV Prevention & Care, STI Services (including DoxyPEP), Vaccines, Physical Function/Chiropractic and Sports Medicine, Audiology, Dental, and the Family Medicine Residency Program; these are supported by ancillary modules including Telehealth (delivered through the Otto platform), an in-house Pharmacy across three locations, on-site Laboratory Services, and X-Ray and Ultrasound Services. Wrapping the clinical core are Community Health Services modules: Child Developmental Center, Chronic Disease Management (with the Patient-Centered Health Home Program), Health Outreach Services, Unhoused Services, Mobile Medical and Dental Services, Prenatal and Pediatric Care Support (including the EleVATE group prenatal program, doulas, nurse case managers, Pack n' Play and Diaper Giveaway partnerships), Public Housing services, Transportation Services, and the WIC nutrition program. A new Family Medicine Residency Program sits alongside this portfolio to train the next generation of physicians. Operations are run on the Otto telehealth platform, the gTranslate multilingual website widget, and Microsoft Forms for volunteer intake, while the Patient Portal and the Q1 2025 AI-powered interpreter app pilot extend digital access for the network's multilingual immigrant patient base.

Differentiator

Problem solved

Functional benefit

Products and services

• Family Medicine Continuing, comprehensive health care for individuals and families across all ages, sexes, organ systems, and disease entities; integrates biological, clinical, and behavioral sciences and serves as the patient's medical home for acute, chronic, and preventive medical services.
• Adult Medicine Adult medicine services supported by on-site lab, pharmacy, radiology, and chronic disease management; available at all Affinia Healthcare locations.
• Pediatrics Pediatric services for patients from newborns through 18 years of age, delivered by experienced, board-certified pediatricians across six Affinia Healthcare locations.
• OB/GYN Obstetrics and gynecology services provided by board-certified/eligible physicians, certified nurse-midwives, and women's health nurse practitioners; includes well-woman care, prenatal/perinatal care, deliveries at Barnes-Jewish Hospital Women & Infants Center, contraception, HPV vaccination, STI testing/treatment, and infertility evaluation.
• Midwifery Services Certified Nurse-Midwife (CNM) reproductive health, pregnancy, birth, postpartum, lactation, and primary care services following the Midwifery Model of Care; CNMs deliver at SSM DePaul Hospital's Family Birthplace.
• Convenience (Urgent) Care Walk-in medical convenience care at 2220 Lemp Avenue (Mon–Fri 8 a.m.–5 p.m.) offering screenings, physical exams, immunizations, TB testing, treatment of cold/flu/ear infections/allergies/minor injuries, STI testing/treatment, and pregnancy testing; Dental Urgent Care operates at the St. Louis Dental Center.
• Behavioral Health Integrated mental health services for adults and children including clinical social work counseling, psychiatric medication management, adult and pediatric psychiatry, psychology, substance use disorder treatment, integrated pain management program (since 2017), and suicide prevention / gun safety programming.
• Pharmacy Three in-house pharmacies at 1717 Biddle Street, 2220 Lemp Avenue, and 3396 Pershall Road (Ferguson), filling prescriptions for Affinia patients at a reduced cost; open Mon–Fri 8 a.m.–5:30 p.m. with 24-hour automated refill lines.
• Telehealth Services Secure HIPAA-compliant video telehealth platform (powered by Otto) plus telephone fallback for established Affinia patients; supports follow-up care, chronic disease management, behavioral health counseling, medication management, lab result review, and COVID-19 consultation.
• Laboratory Services On-site lab services available at all Affinia Healthcare locations during regular hours of operation for patient convenience.
• X-Ray and Ultrasound Services Radiology department imaging services, including ultrasound and X-rays, offered at the 2220 Lemp location.
• Vaccines Walk-in and appointment-based vaccination services including COVID-19 (Pfizer), influenza, RSV, and a broad pediatric and adult vaccine schedule (Tdap, Hep A/B, MMR, Varicella, HPV, MenACWY, PCV13, etc.).
• HIV Prevention & Care Comprehensive HIV services including free confidential rapid HIV testing (~20 min, 99.7% accurate), at-home HIV testing kits, patient navigation, and the Rapid Start PrEP Program; aligned with U.S. goals to reduce new HIV infections 75% by 2025 and 90% by 2030.
• Sexually Transmitted Infections (STI) Services STI testing, treatment, and prevention services including the DoxyPEP (doxycycline post-exposure prophylaxis) treatment for syphilis, chlamydia, and gonorrhea, offered at the Convenience Care center (2220 Lemp Avenue).
• Physical Function (Chiropractic Care & Sports Medicine) Drugless chiropractic care for spine/joint pain (low back, neck, headaches, shoulder/hip/knee) delivered in partnership with Logan University College of Chiropractic; plus non-surgical orthopedic and concussion care and ultrasound-guided joint injections via Dr. Caroline Iskander (Sports Medicine, board certified).
• Audiology Audiology services for patients of all ages delivered in partnership with The Center for Hearing and Speech, including tympanometry, air/bone conduction, pure tone thresholds, speech discrimination testing, custom ear-mold impressions, hearing aid programming, and minor on-site repairs.
• Dental Services Comprehensive oral health services at three Affinia locations (4414 N. Florissant Ave, 1717 Biddle, 3396 Pershall Road in Ferguson) plus the St. Louis Dental Center (1500 Park Ave) operated in partnership with A.T. Still University MOSDOH; includes Dental Urgent Care.
• Child Developmental Center Multidisciplinary wraparound care for children 2–18 with emotional, behavioral, or intellectual developmental concerns; provided by child/adolescent psychiatrists, child psychologists, licensed clinical social workers, and a speech therapist at the 1717 Biddle and 2220 Lemp locations.
• Chronic Disease Management Chronic disease care management program (est. 1998) for cardiovascular disease, asthma, cancer, and diabetes, including the Patient-Centered Health Home (PCHH) Program for Medicaid patients with six RN Nurse Case Managers each handling 250–275 patient caseloads monthly.
• Health Outreach Services Medicaid and Health Insurance Marketplace application assistance, plus the "A Conversation" monthly men's mental health community sessions led by licensed professional counselor Etoya White at 1717 Biddle Street.
• Unhoused Services Specialized support services for unhoused individuals including appointment assistance, insurance enrollment help, healthcare navigation, mental health services and referrals, and substance abuse screening/counseling/referrals; partners with St. Patrick Center, Bridgeway Healthcare, City Hope St. Louis, and Salvation Army Harbor Light Center.
• Mobile Medical and Dental Services Two state-of-the-art mobile health units delivering school-based medical services (annual/sports physicals, immunizations, vision/hearing screenings, asthma services) and dental services (comprehensive exams, cleanings, fluoride varnish, sealants, fillings, simple extractions) for school-age children.
• Prenatal and Pediatric Care Support Maternal/Child support services including Prenatal Intake, EleVATE group prenatal care, Nurse Case Managers, Affinia Healthcare doulas, the Pack n' Play Referral Program (with Infant Loss Resources), and monthly Diaper Giveaways (with St. Louis Area Diaper Bank).
• Public Housing Services Comprehensive primary care and support services for public housing residents, including outreach, referral coordination, and preventive and primary care.
• Transportation Services Transportation assistance for appointments at Affinia Healthcare for patients covered by MO HealthNet, Medicaid, and Gateway to Better Health.
• Women, Infants and Children (WIC) USDA Supplemental Nutrition Program for Women, Infants and Children at five Affinia locations plus partner providers (MHD Comprehensive Health Center, Prince Hall Family Support Center, Florence Hill Health Center, Homer G. Phillips Health Center), Barnes-Jewish Hospital, and St. Mary's Health Center; provides nutritious WIC-approved foods, nutrition education, breastfeeding counseling, and health care referrals.
• Optometry Optometry services delivered in partnership with the UMSL College of Optometry, including teleretina services and routine eye care; available at the Biddle Street location.

Quantifiable outcome

• Serves 43,000+ individual patients annually
• +3 more outcomes

Named customers3 records

Segments7 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration4 records

AI capability6 records

Feature5 records

Partnerships

39 partnerships are on record, tiered flagship, core and minor.

• A.T. Still University – Missouri School of Dentistry & Oral HealthflagshipStrategic or Co-development PartnerOperates the St. Louis Dental Center in partnership with Affinia Healthcare; dental students supervised by professional licensed dentists deliver oral healthcare for underserved populations. Includes Faculty like Dr. Herbert Silva (Professor and Founder of Veterans Smiles).
• Logan University – College of ChiropracticcoreStrategic or Co-development PartnerAffinia Healthcare teams up with Logan University College to offer Physical Function / Chiropractic Care services at multiple locations.
• Washington University in St. LouisflagshipStrategic or Co-development PartnerAffinia Healthcare collaborates with Washington University School of Medicine on residency training and is a research/teaching partner. Multiple clinicians completed training there.
• Saint Louis UniversitycoreStrategic or Co-development PartnerMultiple Affinia Healthcare clinicians completed degrees (Physician Assistant, Nursing, Medicine) at Saint Louis University; serves as training and education partner.
• University of Missouri – St. LouiscoreStrategic or Co-development PartnerUMSL College of Optometry relationship; Dr. Tareq Nabhan (lead attending physician of optometry unit) is a graduate and faculty member; collaborated on UMSL's first teleretina services rollout.
• Maryville UniversityminorStrategic or Co-development PartnerEducation and training pipeline for Affinia Healthcare clinicians (e.g., Kathleen Guerrein received her undergraduate degree from Maryville University).
• Southern Illinois University – EdwardsvilleminorStrategic or Co-development PartnerEducation and training partner; multiple Affinia Healthcare clinicians earned degrees from SIU-Edwardsville.
• University of Health Sciences and Pharmacy in St. LouiscoreStrategic or Co-development PartnerPresident & CEO Dr. Kendra Holmes received her bachelor's and doctorate degrees in pharmacy there; ongoing education and training relationship.
• BJC HealthcareflagshipStrategic or Co-development PartnerListed as a primary healthcare system partner of Affinia Healthcare.
• BJC Behavioral Health, Inc.flagshipStrategic or Co-development PartnerCollaboration to provide integrated mental and behavioral health services for adults and children at Affinia Healthcare.
• Barnes-Jewish Hospital Women & Infants CenterflagshipStrategic or Co-development PartnerAffinia Healthcare OB/GYN staff deliver babies at Barnes-Jewish Hospital Women & Infants Center.
• SSM DePaul Hospital Family BirthplacecoreStrategic or Co-development PartnerAffinia Healthcare Certified Nurse-Midwives deliver babies at SSM DePaul Hospital's Family Birthplace.
• St. Mary's HospitalminorStrategic or Co-development PartnerAffinia Healthcare offers WIC services at St. Mary's Health Center.
• Salvation ArmycoreStrategic or Co-development PartnerAffinia Healthcare operates a location at the Salvation Army Midtown Services and Treatment Center (2900 Washington Avenue) - currently temporarily closed due to fire; also collaborates with Salvation Army's Harbor Light Center for unhoused services.
• St. Patrick CentercoreStrategic or Co-development PartnerUnhoused Team collaborates with St. Patrick Center as a community partner for unhoused services.
• Bridgeway Behavioral HealthcoreStrategic or Co-development PartnerBehavioral Health Network partner; Unhoused Team collaboration for behavioral health service delivery.
• Beyond HousingcoreStrategic or Co-development PartnerCommunity partner for Affinia Healthcare's service delivery in the St. Louis region.
• International Institute of St. LouiscoreGTM or Marketing PartnerListed as a partnership supporting immigrant and refugee populations served by Affinia Healthcare.
• Legal Services of Eastern MissouricoreStrategic or Co-development PartnerCommunity resources partner supporting patient needs beyond healthcare.
• Center for Hearing and SpeechflagshipStrategic or Co-development PartnerCollaboration to provide audiology services for patients of all ages; audiology available Tuesdays, Wednesdays and Thursdays through this partnership.
• National Association of Community Health Centers (NACHC)flagshipStrategic or Co-development PartnerIndustry membership and partnership; in 2024, NACHC collaborated with Abbott on the Innovation Incubator initiative supporting community health centers including Affinia Healthcare to address food insecurity.
• Missouri Primary Care AssociationcoreStrategic or Co-development PartnerState-level membership and advocacy partnership for community health centers.
• St. Louis Regional Health CommissioncoreStrategic or Co-development PartnerRegional healthcare commission partnership for St. Louis healthcare delivery.
• St. Louis Integrated Health NetworkcoreStrategic or Co-development PartnerRegional healthcare network partnership for integrated care delivery.
• St. Louis City Department of HealthcoreStrategic or Co-development PartnerGovernment health department partnership for public health initiatives.
• Urban StrategiesminorStrategic or Co-development PartnerCommunity partner supporting urban community health initiatives.
• Urban League of Metropolitan St. LouiscoreGTM or Marketing PartnerCommunity-based partnership to reach underserved populations in the St. Louis region.
• St. Louis Community CollegeminorStrategic or Co-development PartnerEducation and workforce development partner.
• Junior League of St. LouisminorGTM or Marketing PartnerCommunity partnership supporting Affinia Healthcare's mission.
• Confluence AcademyminorStrategic or Co-development PartnerSchool partner for mobile health unit services and student healthcare access.
• Hazelwood School DistrictminorStrategic or Co-development PartnerSchool district partner for mobile medical and dental services to school-age children.
• Normandy School DistrictminorStrategic or Co-development PartnerSchool district partner for mobile medical and dental services to school-age children.
• St. Louis Public SchoolscoreStrategic or Co-development PartnerSchool district partner for mobile medical and dental services to school-age children.
• Flance Early Learning CentercoreStrategic or Co-development PartnerAffinia Healthcare provides on-site healthcare services at Flance Early Learning Center (immunizations, flu shots, well child visits, hearing/vision screening, growth assessments, lead/hemoglobin tests).
• Midwest PodiatryminorStrategic or Co-development PartnerListed partnership for podiatry service delivery.
• St. Louis Area Diaper BankminorStrategic or Co-development PartnerPartnership with Affinia Healthcare's Maternal Child department to provide free diapers to patients monthly via diaper distributions.
• Infant Loss ResourcesminorStrategic or Co-development PartnerPack n' Play Referral Program partnership; provides sleep furniture to reduce sleep-related infant deaths.
• St. Louis Area FoodbankcoreStrategic or Co-development PartnerAffinia Healthcare hosts Food Access Resource Markets (FARMs) in partnership with St. Louis Area Foodbank twice each month.
• AbbottcoreStrategic or Co-development PartnerAbbott and NACHC's 2024 Innovation Incubator initiative supported community health centers including Affinia Healthcare to improve health equity through addressing food insecurity and better nutrition in underinvested communities.

Scale indicators9 records

Recent moves7 records

Expansion highlights6 records

Direct peers

• Chase Brexton Health Care: A multi-site FQHC serving the Baltimore region with integrated medical, dental, and behavioral health services under a Patient-Centered Medical Home model. Directly comparable to Affinia as a mid-sized urban FQHC network reliant on Section 330 funding and serving underserved populations.
• Howard Brown Health: A Chicago-based FQHC network providing primary care, behavioral health, dental, and pharmacy services with a focus on LGBTQ+ and underserved populations. Comparable to Affinia in scale, integrated services portfolio, and urban safety-net mission.
• East Boston Neighborhood Health Center: One of the largest FQHCs in Massachusetts, operating multiple health center sites with comprehensive medical, dental, behavioral, and pharmacy services. Comparable to Affinia in operating multiple sites, integrated services, and large patient base.
• Urban Health Plan: A New York City-based FQHC network providing primary care, dental, behavioral health, and enabling services to underserved communities in the Bronx. Directly comparable as an urban FQHC with a comparable services portfolio and Section 330 funding model.
• CrescentCare: A New Orleans-based FQHC offering primary care, behavioral health, HIV/STI services, and pharmacy with a focus on LGBTQ+ and underserved populations. Comparable to Affinia in HIV/PrEP service offerings and integrated behavioral health.
• Whittier Street Health Center: A Boston-based FQHC providing primary care, behavioral health, dental, and social services to underserved Roxbury and Greater Boston residents. Comparable to Affinia as a community-anchored FQHC serving a racially and linguistically diverse low-income patient base.
• Ryan Health: A New York City-based FQHC network operating multiple health centers with primary care, dental, behavioral health, and HIV services. Directly comparable to Affinia in multi-site urban FQHC operations and integrated service model.

Broad incumbents

• BJC HealthCare: The largest hospital system in the St. Louis region and an Affinia flagship partner. Comparable as the broader incumbent healthcare ecosystem Affinia operates within, sharing referral and residency relationships but operating on a fundamentally larger acute-care scale.
• SSM Health: A large Catholic non-profit health system with major St. Louis presence, including SSM DePaul Hospital where Affinia midwives deliver babies. Comparable as a regional incumbent delivery partner rather than a direct competitor for primary-care FQHC services.

Emerging players

• Betances Health Center: A smaller New York City-based FQHC providing primary care, behavioral health, and enabling services to underserved Hispanic and immigrant populations in Brooklyn. Comparable to Affinia in immigrant-focused multilingual service delivery, though smaller in scale.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/affiniahealth
• Facebookfacebook.com/affiniahealthcare

Compliance6 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles8 records

Subsidiaries1 record

Funding overview

Funding rounds2 records

Investors2 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Affinia Healthcare