Raphael Health Center

What Raphael Health Center does

Raphael Health Center is a private 501(c)(3) nonprofit Federally Qualified Health Center (FQHC) founded in 1994 in Indianapolis, Indiana, operating from a single campus at 401 East 34th Street. It delivers comprehensive outpatient healthcare — including primary medical care, dental, behavioral health, optometry, obstetrics/prenatal care, on-site pharmacy, and financial navigation services — primarily to medically underserved residents of Indianapolis zip codes 46205, 46208, and 46218, regardless of ability to pay. The organization is NCQA-recognized as a Patient-Centered Medical Home and is accredited as an FQHC under HRSA's Section 330 program, with federal PHS deemed status for medical malpractice claims.

The center's technology stack is built on standard community-health IT: the healow patient portal for scheduling, refills, and bill pay; Phreesia for digital patient intake; Acuity Scheduling for ancillary services; Paylocity for HR/recruiting; and Mailchimp for community newsletters. Clinical and IT integration is delivered through participation in the Clinically Integrated Network of Indiana (CINI) as an Organized Health Care Arrangement, supplying EHR-connected quality improvement, clinical review, and referral coordination. Indiana University School of Optometry partnership supports optometric care and intern training, and CoverageCare provides Medicaid coverage monitoring and re-enrollment support.

Raphael's revenue model is a hybrid of federal FQHC grant funding (HRSA Section 330), Medicaid/Medicare prospective payment system reimbursement, commercial insurance billing, and a federal sliding-fee discount program that prices medical, behavioral, and optometry visits at $5–$50 and dental at $20–$80 based on income. Services are delivered direct-to-consumer at the Indianapolis site with evening hours two days per week, same-day appointments, 24/7 multilingual phone access, and an after-hours nurse line. GTM is community-based, relying on word-of-mouth, local partnerships, and a quarterly newsletter rather than paid acquisition.

Name

Raphael Health Center

Legal name

Raphael Health Center, Inc.

Website

https://raphaelhc.org

Company type

Private

Founded year

1994

Operating status

Operating

Headcount range

11–50 employees

Short description

Raphael Health Center is a 501(c)(3) Federally Qualified Health Center in Indianapolis providing comprehensive medical, dental, behavioral, optometry, prenatal, and pharmacy care to medically underserved residents regardless of ability to pay.

Ownership category

akta.pro rank

Product category

Community Health Center Services

NAICS

Offices of Physicians (except Mental Health Specialists) (621111), Ambulatory Health Care Services (621)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro primary industry

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

Keywords

• Community health services
• Federally qualified health center
• Primary care outpatient
• Sliding fee medical care
• Behavioral health services

Headquarters

HQ city

Indianapolis

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure, Supply Chain

Revenue model

1. Federally Qualified Health Center (FQHC) Funding: Raphael Health Center receives HHS funding through the Health Resources & Service Administration (HRSA) Health Center Program as a Federally Qualified Health Center. They have federal PHS deemed status with respect to certain health or health-related claims, including medical malpractice claims.
2. Federal Sliding Fee Discount Program: Provides discounted healthcare services ($5-$50 per visit for medical/behavioral/optometry, $20-$80 for dental) based on family size and income using HHS poverty guidelines. After insurance/Medicaid/Medicare pays, remaining balance is billed at qualifying tier.
3. Insurance Reimbursement: Accepts Medicaid, Medicare, and many commercial insurance plans. Revenue generated through standard insurance billing and reimbursement.
4. CoverageCare Services: Provides coverage monitoring services for Medicaid patients, helping ensure continuous coverage and facilitating re-enrollment.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels4 records

Core offering

Raphael Health Center is a nonprofit Federally Qualified Health Center (FQHC) providing comprehensive outpatient healthcare services to medically underserved populations in Greater Indianapolis. Core offerings include primary medical care, dental, behavioral health, optometry, obstetrics and prenatal care, and on-site pharmacy services, all delivered under a Patient-Centered Medical Home model. Care is provided regardless of ability to pay, supported by a federal sliding fee discount program and financial navigation assistance.

Product overview

Raphael Health Center is a Federally Qualified Health Center (FQHC) operating as a single, unified community health center offering comprehensive outpatient healthcare services through multiple integrated clinical departments. The center's core portfolio includes primary Medical Services, Dental, Behavioral Health, Optometry, Obstetrics and Prenatal Care, and an on-site Pharmacy, all delivered within a Patient-Centered Medical Home (PCMH) model. These clinical services are supported by financial assistance programs — the Federal Sliding Fee Discount Program (discounted visits from $5–$80 based on income) and a Financial Navigation service — as well as a patient-facing Healow Portal for scheduling, refills, and bill pay, and a CoverageCare tool for Medicaid monitoring. All services are provided regardless of ability to pay, with interpretation, care management, and patient navigation integrated throughout.

Differentiator

Problem solved

Functional benefit

Products and services

• Medical Services Primary and preventive care for the whole family including women's health, breast and cervical cancer screenings, immunizations, PrEP services and HIV testing, chronic disease management, school and sports physicals, well-child checkups, and laboratory services. Intended for medically underserved individuals and families in Greater Indianapolis.
• Dental Services Comprehensive dental care for children and adults including full exams, oral X-rays, hygiene counseling, cleanings, fillings, extractions, crowns, and teeth whitening. Intended for underserved pediatric and adult patients regardless of ability to pay.
• Behavioral Health Services
• Optometry Services
• Obstetrics and Prenatal Care Comprehensive OB and prenatal services including pregnancy tests, prenatal checkups, high-risk pregnancy management, newborn and well-child care, ultrasound imaging, pregnancy education, postpartum care, breastfeeding education, lactation counseling, and the BABE Coupon Program. Intended for expectant mothers and new mothers at all stages.
• Pharmacy Services On-site pharmacy dedicated to RHC patients offering affordable prescription programs, collaborative medication management with the clinic, after-visit prescription fulfillment, mail order options, and personalized pharmacy services. Intended for Raphael Health Center patients seeking affordable prescriptions.
• Federal Sliding Fee Discount Program Means-tested discount program that reduces the cost of medical, behavioral, dental, and optometry services based on family size and income level. Medical, behavioral, and optometry visits range from $5–$50 per visit; dental services range from $20–$80. Patients meet with a Financial Navigator to enroll and provide income and dependency documentation. Intended for low-income patients without adequate insurance coverage.
• Financial Navigation Services Financial counseling and navigation including eligibility determination for Medicaid, Marketplace, HIP Enrollment, and the Federal Sliding Fee Discount Program, with enrollment assistance provided by dedicated Financial Navigators. Intended for uninsured and underinsured patients needing enrollment support.
• CoverageCare Medicaid Monitoring Service Medicaid monitoring and enrollment assistance service for Medicaid patients, including coverage status monitoring, text alerts for coverage loss, re-application links, and follow-up phone support to ensure continuous coverage. Intended for Medicaid-enrolled patients of Raphael Health Center.
• Healow Patient Portal Online patient portal enabling appointment scheduling, prescription refill requests, bill payment, personal information updates, and access to basic appointment information. Available 24/7 with multi-language support. Intended for current patients of Raphael Health Center.

Named customers3 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration8 records

Feature3 records

Partnerships

Three partnerships are on record, tiered core and minor.

• Indiana University School of OptometrycoreStrategic or Co-development PartnerRaphael Health Center partners with IU School of Optometry to provide primary optometric healthcare services. The partnership includes training 4th-year optometry interns from the IU School of Optometry. Optometrists at Raphael serve as clinical instructors while providing patient care.
• Clinically Integrated Network of Indiana (CINI)coreTechnology or IntegrationRaphael Health Center is part of an Organized Health Care Arrangement (OHCA) with CINI. CINI supplies information technology and related services, engages in quality assessment and improvement activities, coordinates clinical review activities to establish best practice standards, and helps participants work collaboratively on patient referrals.
• CoverageCareminorOthersCoverageCare is a partner organization that provides coverage monitoring services for Medicaid patients. Raphael Health Center uses CoverageCare's platform to help patients maintain continuous Medicaid coverage, receive alerts about coverage status, and easily re-apply online.

Scale indicators3 records

Recent moves9 records

Expansion highlights5 records

Broad incumbents

• Eskenazi Health: Indianapolis safety-net health system with Federally Qualified Health Center status and a large primary care footprint serving the same underserved zip codes. Comparable as a major community-based provider in Raphael's market but operates at much greater scale and as part of a hospital system.
• IU Health: Indiana's largest health system with extensive primary care and community health programming across Indianapolis. Overlaps with Raphael as a healthcare provider in the same geography but with substantially greater resources, specialty depth, and ambulatory footprint.

Regional players

• HealthLinc: Indiana-based FQHC operating multiple community health centers across northern and central Indiana. Directly comparable FQHC model with sliding fee discounts, integrated medical/dental/behavioral services, and HRSA funding, though serving different Indiana geographies.
• Aspire Indiana Health: Indiana nonprofit FQHC providing integrated medical, behavioral health, and addiction services across central Indiana. Highly comparable operating model including FQHC designation, sliding fee, and integrated care delivery for underserved populations.

Direct peers

• Cherokee Health Systems: Tennessee-based FQHC operating one of the largest community health center networks in the U.S. with comprehensive integrated medical, behavioral, dental, and pharmacy services. Directly comparable FQHC operating model at greater scale.
• Neighborhood Health Center: Indianapolis-area FQHC operating multiple clinic sites providing primary care, dental, behavioral health, and pharmacy to underserved populations. Directly comparable FQHC service mix in the same metropolitan market.
• Fenway Health: Boston-area FQHC providing primary care, behavioral health, dental, and optometry with HRSA funding and a PCMH-recognized care model. Directly comparable FQHC service portfolio and mission serving underserved populations.
• HealthNet: Indianapolis-based FQHC network operating multiple community health centers in the same metro area as Raphael. Directly comparable as a fellow HRSA-funded FQHC serving medically underserved populations with sliding fee primary care.

Others

• National Association of Community Health Centers (NACHC): National membership and advocacy association for FQHCs and community health centers. Not a direct peer but the governing ecosystem body whose policy advocacy directly affects Raphael's funding and regulatory environment.
• Clinically Integrated Network of Indiana (CINI): Organized Health Care Arrangement partner of Raphael that provides IT services, quality assessment, and clinical coordination across Indiana FQHCs. Not a competitor but an enabling peer organization whose network participation shapes Raphael's competitive positioning.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

Compliance9 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles9 records

Funding overview

Funding rounds

Investors

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 Raphael Health Center