Settlement Health

What Settlement Health does

Settlement Health and Medical Services, Inc. is a nonprofit Federally Qualified Health Center (FQHC) incorporated in 1978 that delivers comprehensive primary healthcare to the East Harlem community of New York City from two clinic locations: its main facility at 212 East 106th Street and Settlement Health Plaza South at 345 East 102nd Street (relocated and renamed effective January 27, 2025). The organization operates under Health Center Program Grantee status pursuant to 42 U.S.C. 245b, which provides HHS funding, Federal Tort Claims Act malpractice coverage, and Federal Public Health Service deemed status. Settlement Health serves all patients regardless of age, race, gender, language, origin, religion, disability, or ability to pay, with bilingual English-Spanish services and translation available for other languages.

The organization's service portfolio spans four primary care disciplines — Family Medicine, Pediatrics, Internal Medicine, and Women's Health — supplemented by on-site specialty services (nutrition, podiatry, optometry, laboratory), behavioral health and care management for chronic conditions (diabetes, asthma, hypertension, depression), and an insurance enrollment hub. Technology infrastructure consists of an Electronic Health Records system with e-prescribing and the AthenaHealth patient portal, which enables online prescription refill requests, appointment scheduling, test results access, referrals, and immunization reports. Specialty care not available on-site is coordinated with Mount Sinai Hospital (the preferred partner for hospital delivery services) and Metropolitan Hospitals.

The business model is a hybrid payer mix characteristic of FQHCs: approximately 40% of operating funds derive from federal, state, municipal, and private grants, with the remaining 60% generated from patient fees billed to Medicaid, Medicare, and commercial insurers. A sliding fee discount program based on income and family size ensures access for uninsured and underinsured patients. Settlement Health is governed by a Board of Directors led by Chairperson Adan Soltren, with executive leadership comprising CEO Ana A. Trilla (MPH), Chief Medical Officer Joseph Truglio (MD, MPH), and Chief Clinical Transformation Officer Warria Esmond (MD). The organization employs over 100 staff members including physicians, nurse practitioners, and certified nurse midwives, and operates on an approximately $7.3 million annual budget.

Name

Settlement Health

Legal name

Settlement Health and Medical Services, Inc.

Website

https://settlementhealth.org

Company type

Private

Founded year

1978

Operating status

Operating

Headcount range

101–250 employees

Short description

Settlement Health is a nonprofit Federally Qualified Health Center founded in 1978 that delivers comprehensive primary care, including family medicine, pediatrics, internal medicine, and women's health, to East Harlem residents regardless of ability to pay, supported by federal FQHC funding and a mixed payer model.

Ownership category

akta.pro rank

Product category

Community Health Center / Primary Care

NAICS

Ambulatory Health Care Services (621), Offices of Physicians (62111)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

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

akta.pro secondary industry

Community Mental Health Centers (CMHCs) & Public Behavioral Health Providers (HLAFACAI)

Keywords

• Primary care services
• Community health center
• Family medicine
• Federally qualified health center
• Pediatric healthcare

Headquarters

HQ city

Brooklyn

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Revenue model

1. Patient Service Revenue: Revenue from patient services billed to insurance companies including Medicaid, Medicare, and commercial insurers. Federal, state, municipal and private funds represent 40% of operating funds; patient fees represent the remainder.
2. Federal Health Center Program Funding: Federally Qualified Health Center (FQHC) program grant funding under 42 U.S.C. 245b, providing HHS funding and Federal Public Health Service deemed status
3. Sliding Fee Discount Program: Discounted services based on income and family size for uninsured and underinsured patients

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels4 records

Core offering

Settlement Health and Medical Services, Inc. is a federally qualified health center (FQHC) operating two clinic locations in East Harlem, New York. It delivers comprehensive primary care across Family Medicine, Pediatrics, Internal Medicine, and Women's Health, supplemented by on-site specialty services (nutrition, podiatry, optometry, laboratory), behavioral health and care management, and certified insurance enrollment counseling. Services are provided in English and Spanish regardless of ability to pay.

Product overview

Settlement Health operates as a federally qualified health center providing comprehensive primary healthcare services through a multi-service architecture. The core offerings include four primary care disciplines (Family Medicine, Pediatrics, Internal Medicine, and Women's Health) that form the foundation of patient care. These are supported by specialty services (Nutrition, Podiatry, Optometry, Laboratory), behavioral health and care management, and insurance enrollment assistance. The organization utilizes the AthenaHealth Patient Portal as its digital engagement platform for patients to access health information and manage appointments, prescriptions, and referrals. Services are provided in English and Spanish with translation available for other languages, serving the East Harlem community regardless of ability to pay.

Differentiator

Problem solved

Functional benefit

Products and services

• Primary Care: Family Medicine

Quantifiable outcome

• Patient-centered medical home model ensures coordinated, comprehensive care
• +1 more outcomes

Named customers4 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

Feature3 records

Partnerships

Seven partnerships are on record, tiered primary, secondary, minor and core.

• Mount Sinai HospitalprimaryStrategic or Co-development PartnerMount Sinai Hospital is the preferred partner for hospital delivery services. Settlement Health coordinates specialty care services with Mount Sinai physicians and hospital facilities, conveniently located a few blocks from Settlement Health's facilities.
• Metropolitan HospitalssecondaryStrategic or Co-development PartnerSpecialty services are routinely coordinated with Metropolitan Hospitals for additional specialty care referrals when needed.
• Boriken Health CenterminorImplementation/ SI/ Consulting PartnerAffiliated dental services provider located within short distance from Settlement Health for patients requiring dental care not offered on-site.
• Institute for Family HealthminorImplementation/ SI/ Consulting PartnerAffiliated dental services provider conveniently located within short distances from Settlement Health for patients requiring dental services.
• Health Resources & Services Administration (HRSA)coreOthersHealth Center Program Grantee under 42 U.S.C. 245b. Receives HHS funding and has Federal Public Health Service (PHS) deemed status with respect to certain health or health-related claims, including medical malpractice claims.
• Reach Out and ReadminorStrategic or Co-development PartnerProgram allowing youngest patients and their parents to receive a new book at each well-child visit. Pediatricians encourage reading aloud and books are provided to children 6 months to 5 years old.
• NY State of Health MarketplacecoreChannel Partner/ Reseller/ DistributorSettlement Health is an enrollment hub for the community using the New York State of Health, the Official Health Plan Marketplace. Certified Enrollment Counselors assist with enrollment into Marketplace Health Insurance Plans.

Scale indicators3 records

Recent moves8 records

Expansion highlights4 records

Broad incumbents

• NYC Health + Hospitals: Municipal public hospital system operating community health centers and ambulatory sites across NYC, including East Harlem; broader incumbent serving overlapping populations with a wider portfolio of inpatient and outpatient services.
• Mount Sinai Health System: Major NYC academic health system and Settlement Health's preferred specialty/inpatient partner; broader incumbent whose ambulatory footprint and population health programs both enable and compete with Settlement Health's primary care services.

Direct peers

• Project Renewal: NYC nonprofit operating health services for homeless and low-income New Yorkers, including primary care and behavioral health; comparable mission and patient population to Settlement Health's safety-net focus.
• Callen-Lorde Community Health Center: Manhattan-based FQHC specializing in primary care, behavioral health, and supportive services for underserved populations; comparable sliding-fee structure, FQHC funding, and integrated care model.
• Ryan Health: NYC FQHC network operating community health centers in Manhattan including near East Harlem; directly comparable as a multi-site FQHC serving low-income and uninsured populations with a similar primary care + supportive services model.
• Apicha Community Health Center: Manhattan-based FQHC providing primary care, behavioral health, and support services with multilingual capacity; closely comparable mission and patient base to Settlement Health's underserved, multilingual focus.
• Charles B. Wang Community Health Center: Federally Qualified Health Center operating multiple sites in Manhattan and Queens, including Chinatown, with comparable primary care, behavioral health, and patient support services for underserved communities.
• Boriken Neighborhood Health Center: FQHC located in East Harlem providing primary care and affiliated with Settlement Health for dental services; directly comparable as a neighborhood FQHC serving a similar Medicaid/uninsured population.
• Institute for Family Health: Large NYC FQHC network operating multiple sites in Manhattan and the Bronx, including affiliated dental partnerships with Settlement Health; comparable mission, FQHC funding model, and primary care service mix.
• William F. Ryan Community Health Center (Ryan/Chelsea-Clinton): Midtown/West Side Manhattan FQHC within the Ryan Health network providing primary care, women's health, and behavioral health under an FQHC model; directly comparable service mix and patient population to Settlement Health.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

Compliance8 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles15 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 Settlement Health