St. Louis Regional Health Commission

What St. Louis Regional Health Commission does

The St. Louis Regional Health Commission, which rebranded to the Community Health Commission of Missouri in July 2024, is a nonprofit healthcare commission founded in 2001 to coordinate the regional safety net after the closure of St. Louis's public hospitals. It convenes hospitals, federally qualified health centers, local public health agencies, and behavioral health networks to expand access to care for uninsured and underinsured populations across Missouri.

Its core service lines are program administration and capacity building rather than direct clinical delivery. These include CoverSTL for health insurance enrollment navigation, PrepareSTL and the Alive and Well Communities subsidiary for trauma-informed care training, Heal Bootheel for the Southeast Missouri region, Beyond Pain STL for chronic pain support, Training and Technical Assistance as a paid service offering, the annual Access to Care Data Book for policy research, and a Health Policy and Advocacy function. The Commission previously administered the Gateway to Better Health demonstration, which served more than 24,000 patients before concluding in December 2022 after Missouri's Medicaid expansion reduced the target uninsured population.

The Commission's business model is a hybrid of public-sector program administration and nonprofit service delivery. Revenue is sourced from federal funding (historically a 1115 waiver of up to $25M annually for Gateway), state appropriations, hospital system match dollars, foundation grants (including Missouri Foundation for Health), and earned fees from training and technical assistance. The 11-50 employee organization has begun monetizing its trauma-informed care methodology and expanding geographically into Kansas City and the Bootheel, positioning itself for statewide impact beyond its original St. Louis metro remit.

Name

St. Louis Regional Health Commission

Legal name

Community Health Commission of Missouri

Website

https://stlrhc.org

Company type

Private

Founded year

2001

Operating status

Operating

Headcount range

11–50 employees

Short description

The St. Louis Regional Health Commission (now Community Health Commission of Missouri) is a nonprofit that convenes hospitals, FQHCs, and public agencies to expand healthcare access and deliver trauma-informed care training across Missouri, including St. Louis, Kansas City, and the Bootheel.

Ownership category

akta.pro rank

Product category

Community Health Services and Healthcare Advocacy

NAICS

Administration of Public Health Programs (923120), Human Rights Organizations (813311)

SIC

Services-Social Services (8300), Services-Health Services (8000)

akta.pro primary industry

Public Health & Health Equity Organizations (BPAGACAL)

akta.pro secondary industries

Health Systems Strengthening & Universal Health Coverage (UHC) Partnerships (HLAJAOAL), Health Systems Strengthening & Universal Health Coverage (UHC) (BPADAIAE)

Keywords

• Health equity advocacy
• Community health programs
• Trauma-informed training
• Medicaid expansion services
• Safety net healthcare

Headquarters

HQ city

Saint Louis

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Federal/State Government Funding: Secured annual federal 1115 waiver funding (up to $25 million per year through the Gateway to Better Health Demonstration) and state funding through Medicaid expansion. Government appropriations support healthcare coverage programs for uninsured populations.
2. Foundation Grants: Received grant funding from Missouri Foundation for Health ($1 million grant for PrepareSTL COVID-19 outreach campaign). Pursues charitable grants to fund operational programs and initiatives.
3. Training and Technical Assistance Services: Provides fee-based equity-centered trauma-informed training, professional development, leadership coaching, and workplace assessments to organizations. Revenue supports organizational operations.

Go-to-market motion1 record

Distribution channels4 records

Marketing channels8 records

Core offering

CHCM is a nonprofit health commission that coordinates a regional healthcare safety net in Missouri, delivering programs that expand healthcare coverage (historically via Gateway to Better Health, now through CoverSTL/Medicaid expansion), deliver equity-centered trauma-informed training and technical assistance to schools, healthcare organizations, and community groups, and conduct health policy advocacy to eliminate racial and place-based health disparities. Revenue is generated through federal 1115 waivers, state Medicaid funding, foundation grants, and fee-based training engagements.

Product overview

The Community Health Commission of Missouri (formerly St. Louis Regional Health Commission) operates as a health policy and advocacy organization rather than a traditional software product company. Its portfolio consists of interconnected community health programs: Gateway to Better Health provided healthcare coverage for uninsured adults (concluded 2022); CoverSTL manages Medicaid expansion outreach; Training and Technical Assistance delivers equity-centered trauma-informed education; Chronic Pain Initiative/Beyond Pain STL addresses regional pain management; PrepareSTL handles COVID-19 response; Access to Care Data Book publishes annual health data; Heal Bootheel extends trauma-informed services statewide; and Health Policy and Advocacy drives legislative engagement. These programs work together to advance the organization's mission of eliminating health disparities through equity-centered, trauma-informed approaches.

Differentiator

Problem solved

Functional benefit

Brands

• Gateway to Better Health: A temporary health care program for uninsured adults in St. Louis City and County designed to provide a bridge in care until enrollment in ACA health insurance options. Concluded December 31, 2022 with all members transitioning to Medicaid.
• PrepareSTL
• CoverSTL
• Beyond Pain STL
• Heal Bootheel
• Vote Safe

Products and services

• Gateway to Better Health Temporary healthcare coverage program for uninsured adults in St. Louis City and County providing primary, specialty, urgent, and dental care services, serving as a bridge to ACA or Medicaid coverage. The program concluded in December 2022 with all members successfully transitioned to Medicaid.
• CoverSTL / Medicaid Expansion Outreach Medicaid expansion coverage initiative including application assistance, an application assistor map, resource library, and advocacy for effective implementation of Medicaid expansion in Missouri.
• Training and Technical Assistance Equity-Centered Trauma-Informed Training and Capacity Building program offering one-time trainings, professional development series, leadership coaching, workplace assessments, and workshops to schools, healthcare organizations, and community groups across Missouri.
• PrepareSTL Community outreach campaign providing vital information and resources to disproportionately impacted community members in St. Louis City and County during the COVID-19 pandemic.
• Chronic Pain Initiative / Beyond Pain STL Regional initiative to decrease progression of acute pain to chronic pain and improve chronic pain treatment across the St. Louis region, providing tools and information on chronic pain prevention and management to healthcare providers and the public.
• Heal Bootheel Southeast Missouri (Bootheel) regional initiative delivering equity-centered, trauma-informed care training through Community Empowerment Workshops, Healing Circles, and Professional Development Series in partnership with school districts, health systems, and organizations across seven Bootheel counties.
• Access to Care Data Book Annual data publication reviewing community-wide progress toward strengthening the healthcare safety net system, gathering data from safety-net provider institutions across St. Louis City and County.
• Health Policy and Advocacy Non-partisan, evidence-based advocacy program tracking healthcare policy developments, reporting on legislation's impact, and leading advocacy efforts to improve utilization of healthcare services across Missouri.

Quantifiable outcome

• 67,847 uninsured St. Louis patients served through Gateway to Better Health since 2012
• +4 more outcomes

Named customers3 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

Partnerships

17 partnerships are on record, tiered core and minor.

• Alive and Well CommunitiescoreStrategic or Co-development Partner · 16 March 2023On March 16, 2023, RHC and Alive and Well Communities announced an affiliation to advance health equity across Missouri. AWC became a subsidiary of RHC effective February 24, 2023. On July 17, 2024, the merged entity was renamed Community Health Commission of Missouri (CHCM). This merger expanded RHC's reach from St. Louis to Kansas City and Southeast Missouri (Bootheel).
• St. Louis Integrated Health Network (IHN)coreStrategic or Co-development PartnerIHN emerged from RHC's charge to improve delivery of safety net primary and specialty care services. Since 2003, IHN has implemented programs to improve quality and access between health centers, hospitals, and patients in areas of highest need. IHN provides Community Referral Coordinators to help patients establish primary care and apply for healthcare coverage.
• Behavioral Health Network of Greater St. LouiscoreStrategic or Co-development PartnerEstablished in 2010 as a permanent structure following RHC's Eastern Region Behavioral Health Initiative (2006-2010). BHN continues region-wide behavioral health system planning and coordination for Eastern Missouri.
• Health Literacy MediacoreStrategic or Co-development PartnerEmerged from RHC's Health Literacy Task Force and 2006 Regional Health Literacy Summit. Creates content to demystify confusing health information, including videos helping consumers understand Medicaid expansion changes.
• City of St. Louis Department of HealthcoreStrategic or Co-development PartnerPartner in PrepareSTL COVID-19 outreach campaign launched April 2020. Also partner in launching community vaccination tools with Walgreens.
• St. Louis County Department of Public HealthcoreStrategic or Co-development PartnerPartner in PrepareSTL COVID-19 outreach campaign. Contributed to unified communications and outreach to disproportionately impacted communities.
• PrepareSTL PartnerscoreStrategic or Co-development PartnerPrepareSTL collaboration includes St. Louis MHB, Vector Communications, and Emerging Wisdom, working together on COVID-19 response and community outreach.
• National Association of Health Services Executives - St. Louis ChapterminorStrategic or Co-development PartnerRHC is a founding partner of NAHSE St. Louis Chapter, which promotes advancement of Black health care executives and elevates quality of health care services to minority communities.
• St. Louis Partnership for a Healthy CommunitycoreStrategic or Co-development PartnerRHC is a founding partner of this broad coalition that developed the Community Health Improvement Plan (CHIP) grounded in data and created with community partners.
• Vaccinate STL PartnershipcoreStrategic or Co-development PartnerCollaboration between regional hospital systems, public health departments, elected leaders, and community organizations to provide COVID-19 vaccine information and resources.
• Federally Qualified Health CenterscoreImplementation/ SI/ Consulting PartnerFQHCs including Betty Jean Kerr People's Health Centers and CareSTL Health are represented on the Commission and serve as key providers in the healthcare safety net delivering care to uninsured patients.
• Local Hospital SystemscoreImplementation/ SI/ Consulting PartnerSSM Health and BJC HealthCare are represented on the Commission as major healthcare safety net providers including those operating the Barnes-Jewish Hospital Psychiatric Support Center.
• Community Referral Coordinators NetworkcoreStrategic or Co-development PartnerCRC network from St. Louis Integrated Health Network helps patients establish primary care providers, apply for healthcare, and access care while waiting for approval.
• CoverSTL PartnerscoreStrategic or Co-development PartnerPartnership including HomeGrown (Washington University), Legal Services of Eastern Missouri, and Saint Louis University School of Law supporting Medicaid expansion enrollment and consumer education.
• Kansas City Public SchoolscoreStrategic or Co-development PartnerPartnership to provide Equity-Centered, Trauma-Informed Care training to educators and administrators to foster environments where students thrive academically, socially, and emotionally.
• BJC HealthCarecoreImplementation/ SI/ Consulting PartnerSince 2015, BJC HealthCare has operated the Barnes-Jewish Hospital Psychiatric Support Center (formerly St. Louis Psychiatric Stabilization Center), providing acute psychiatric access and treatment.
• University of Missouri ExtensioncoreStrategic or Co-development PartnerIn Southeast Missouri's Bootheel region, CHCM engages a network of Community Consultants to facilitate healing spaces where communities address trauma and identify resources.

Scale indicators6 records

Recent moves9 records

Expansion highlights6 records

Direct peers

• Community Catalyst: National nonprofit working to advance health equity through state-level advocacy, coalition building, and consumer engagement — directly comparable to CHCM's community-led advocacy model and policy work.
• Families USA: National nonprofit advocacy organization focused on healthcare coverage and health equity, with comparable state-level Medicaid expansion advocacy and policy work that mirrors CHCM's CoverSTL initiative.
• Prevention Institute: Nonprofit focused on health equity, trauma-informed systems, and community health improvement, with comparable work in equity-centered frameworks and upstream health interventions.
• Center for Health Care Strategies: Nonprofit policy resource center focused on health systems improvement for low-income and vulnerable populations, comparable to CHCM's Medicaid waiver administration and safety net coordination.
• Denver Health: Integrated safety-net health system providing care for uninsured populations in Denver, with comparable mission of coordinating healthcare access and serving as a regional anchor for community health programs.
• Foundation for Health Coverage Education: Nonprofit focused on helping uninsured individuals access coverage options, directly comparable to CHCM's CoverSTL Medicaid enrollment assistance and coverage navigation services.
• Cook County Health: Public safety-net health system serving uninsured and underinsured populations in the Chicago metropolitan area, comparable to CHCM's role coordinating healthcare access for vulnerable populations in the St. Louis region.

Broad incumbents

• National Association of Community Health Workers: National organization supporting community health workers who serve underserved populations, comparable to CHCM's Community Referral Coordinators network and community-led advocacy approach.
• NYC Health + Hospitals: Largest public healthcare system in the US, providing safety-net services to uninsured and underinsured New Yorkers. Operates at significantly larger scale but shares the mission of coordinating care for vulnerable populations.
• Trust for America's Health: Nonprofit policy organization focused on public health, prevention, and health equity at the national level. Comparable in mission around health systems strengthening and equity-centered policy advocacy.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xx.com/stlrhc
• Facebookfacebook.com/112190106919_10153586797441920
• LinkedInlinkedin.com/company/chcmissouri
• Instagraminstagram.com/chcmissouri

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 records

Subsidiaries4 records

Funding overview

Funding rounds

Investors

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M&A

Investments

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

Frequently asked questions about St. Louis Regional Health Commission