Mission Neighborhood Health Center

What Mission Neighborhood Health Center does

Mission Neighborhood Health Center (MNHC, legal entity Mission Area Health Associates) is a 501(c)(3) non-profit Federally Qualified Health Center founded in 1967 and headquartered at 240 Shotwell Street in San Francisco's Mission District. It operates five sites across the Mission and Excelsior neighborhoods — the Shotwell Clinic (primary adult/pediatric/women's/teen/HIV/dental/optometry/pharmacy hub), the Excelsior Clinic (relocated to Islais Place), the Mission Neighborhood Resource Center (harm-reduction drop-in and integrated medical clinic for homeless residents of the 16th Street corridor), the Latino Wellness Center (co-located with Instituto Familiar de La Raza), and the John O'Connell School-Based Teen Clinic — serving approximately 18,000 patients annually with bilingual English/Spanish primary, behavioral health, dental, optometry, podiatry, acupuncture, nutrition, pharmacy, and HIV care (including the only all-Spanish HIV care continuum in San Francisco via Clínica Esperanza, founded 1989).

MNHC's core "technology" stack consists of the FQHC operating model under 42 U.S.C. 254b with FTCA-deemed federal employee status for providers under 42 U.S.C. 233(g)-(n), federal 340B Drug Pricing Program participation at its in-house pharmacy, a third-party-hosted MyChart patient portal, TriZetto for medical billing (subject of a recent patient data incident), and HIPAA-aware bilingual SMS/RCS for appointment and care coordination, with a WCAG 2.1 Level AA-tested website. Revenue is generated from a mix of sliding-fee patient visits (tiered at $0–$40 against the 2026 Federal Poverty Guidelines), insured visits (Medi-Cal, Medicare, Healthy San Francisco, commercial), HRSA Section 330 federal grant funding, 340B pharmacy savings, philanthropic donations and foundation grants (e.g., $750K SF NSI, $200K SF DCYF, $150K Rock Foundation, $3.5M capital campaign launched Feb 2020), and quasi-property-management revenue from the Casa Quezada 52-unit SRO housing facility operated jointly with Dolores Street Community Services and SFDPH.

Distribution is direct-to-patient with no third-party resellers: patients access care in person at the five sites or by phone via a central bilingual call center ((415) 552-3870), with limited virtual visits (webcam/phone/tablet) introduced in January 2021. MNHC has earned NCQA Patient-Centered Medical Home Recognition (Dec 2019), 2020 HRSA Health Center Quality Leader, 2020 AMA Target Blood Pressure Recognition, FTCA Deemed status, and SF Legacy Business designation under Proposition J (2015). Leadership is led by Anna Robert, RN, MSN, DrPH (Executive Director & CEO), with a chief-level bench covering Medical, Clinical Operations, Population Health & Value-Based Care, Finance, Operations, Administration, and Strategy/HR.

Name

Mission Neighborhood Health Center

Legal name

Mission Area Health Associates

Website

https://mnhc.org

Company type

Private

Founded year

1967

Operating status

Operating

Headcount range

101–250 employees

Short description

Mission Neighborhood Health Center is a non-profit Federally Qualified Health Center operating five clinic sites across San Francisco's Mission and Excelsior districts, providing bilingual English/Spanish primary, behavioral, dental, HIV, and community-based care to roughly 18,000 low-income patients annually under a sliding-fee model.

Ownership category

akta.pro rank

Product category

Community Health Services (Federally Qualified Health Center)

NAICS

Nursing and Residential Care Facilities (623), Services for the Elderly and Persons with Disabilities (624120), Other Residential Care Facilities (62399)

SIC

Services-Skilled Nursing Care Facilities (8051), Services-Home Health Care Services (8082), Services-Health Services (8000)

akta.pro primary industry

Primary Care for Underserved Populations (e.g., migrant, homeless, refugee clinics) (HLAFAGAN)

akta.pro secondary industries

Residential Mental Health Treatment Centers (HLAFACAC), Campus/School-Based Urgent Care & Student Health Centers (HLAFADAI)

Keywords

• Federally qualified health center
• Community health services
• Primary medical care
• Behavioral health services
• Sliding scale healthcare

Headquarters

HQ city

San Francisco

HQ country

United States

HQ region

North America

Offices6 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Patient service fees (sliding-scale and insured): Revenue from insured and uninsured patient visits at flat sliding-scale fees by Federal Poverty Level tier (e.g., $25/$30/$35/$40 for primary care at <=100%/101–138%/139–150%/151–200% FPL) plus full charges above 200% FPL. Accepts Medi-Cal, Medicare, Healthy San Francisco, and most commercial insurance. Recurring visit-based revenue.
2. Federal FQHC grant funding (HRSA): Federally Qualified Health Center Program grantee under 42 U.S.C. 254b; receives Health Resources and Services Administration (HRSA) section 330 funding and federal PHS deemed status for malpractice claims under the Federal Tort Claims Act. Operational grant funding, not transactional.
3. 340B Drug Pricing Program savings: Savings from federal 340B drug pricing on outpatient prescriptions dispensed at MNHC pharmacy, reinvested into low-cost care. Functions as a margin/cost-offset revenue stream tied to pharmacy volume.
4. Philanthropic donations and grants: 501(c)(3) tax-deductible contributions via PayPal (online), phone (credit card), or mail (check). Corporate giving via employee campaigns, United Way, in-kind goods, and corporate matching. Foundation/capital grants (e.g., $750,000 City of SF Nonprofit Sustainability Initiative grant, $200,000 San Francisco DCYF teen services grant, $1M infrastructure grant, $150,000 Rock Foundation gift, $100,000 Thomas M. Dross Estate gift, $25,000 Kaiser Permanente behavioral health grant, Direct Relief emergency grant).
5. Real estate and housing management (Casa Quezada): Manages Casa Quezada, a 52-unit long-term housing facility in collaboration with Dolores Street Community Services and SFDPH; SRO care management via the Mission SRO Collaborative. Functions as quasi-property-management revenue tied to social services.

Pricing tiers

Go-to-market motion3 records

Distribution channels8 records

Marketing channels9 records

Core offering

Mission Neighborhood Health Center is a Federally Qualified Health Center that delivers primary medical care, dental, behavioral health, optometry, pharmacy, and laboratory services across five clinic locations in San Francisco's Mission and Excelsior districts, serving nearly 18,000 patients annually. Services are provided on a sliding-scale fee basis regardless of ability to pay, with bilingual English/Spanish staff, specialized programs in HIV care (Clínica Esperanza), teen health, harm-reduction services for homeless residents, and integrated housing management via Casa Quezada.

Differentiator

Problem solved

Functional benefit

Brands

• Clínica Esperanza (Clinic of Hope): MNHC's dedicated HIV clinic, founded in 1989. The only healthcare facility in San Francisco offering all services in Spanish for monolingual clients. Celebrated its 25th anniversary in 2014 and its 30th anniversary in 2019.
• Mission Neighborhood Resource Center (MNRC)
• Latino Wellness Center
• Centering Pregnancy

Products and services

• Adult & Senior Medicine Primary medical care for adults and seniors across MNHC's clinic network, including chronic disease management, preventive care, and routine visits on a sliding-scale fee basis regardless of ability to pay.
• Pediatrics Pediatric primary care for infants, children, and adolescents with bilingual English/Spanish providers, extended hours until 7pm at Shotwell Clinic, and continuity from newborn through age 18.
• Women's Clinic (Prenatal/GYN) Women's health and prenatal care delivered by Certified Nurse Midwives in collaboration with UCSF, including Centering Pregnancy group prenatal care, delivery at San Francisco General Hospital, postpartum and lactation support, contraception, preconception counseling, and menopause support.
• Teen Clinic Services Confidential primary care, reproductive health, STI testing/treatment, contraception, mental health support, and substance use counseling for adolescents and youth ages 12-21 at dedicated Teen Clinic areas at Shotwell and Excelsior plus the John O'Connell School-Based Teen Clinic.
• Family Dental Services Family dental care including preventative dental, additional dental services, optical supplies, and dental procedures offered on a sliding-scale fee basis at the Shotwell Dental clinic and Excelsior Clinic.
• HIV Services (Clínica Esperanza) Comprehensive HIV care including rapid HIV/HCV/syphilis testing (~20 minute results), chlamydia/gonorrhea testing (3-day results), peer advocacy from HIV+ staff, the Hermanos de Luna y Sol risk-reduction program, PrEP linkage, and the Shanti L.I.F.E. Spanish-language HIV self-management program (13-week cycles). MNHC states this is the only San Francisco healthcare facility offering the full HIV care continuum in Spanish for monolingual clients.
• Pharmacy & Laboratory In-house pharmacy dispensing reduced-cost medications through the federal 340B Drug Pricing Program, with medication synchronization for chronic conditions and drug-access programs for uninsured patients. In-house lab services are included at no charge at every sliding-fee tier; outside lab work is billed by the lab.
• Optometry Vision care services including eye exams and optical supplies offered on a sliding-scale fee basis at the Shotwell Clinic Optometry office.
• Behavioral Health & Substance Use Integrated behavioral health and substance use services including mental health counseling, psychiatry, harm-reduction case management, and $0 nominal fee at ≤100% FPL across all sliding-fee tiers. Includes the Mission Neighborhood Resource Center's harm-reduction program for homeless residents.
• Mission Neighborhood Resource Center (MNRC) Bilingual drop-in care and social services on a harm-reduction model for homeless residents of San Francisco's 16th Street corridor. Services include showers, laundry, lockers, peer counseling, integrated medical clinic, HIV/STD testing, behavioral health, care management, shelter sign-up, and housing case management including Casa Quezada (52-unit long-term SRO housing).
• Latino Wellness Center HIV prevention and wellness hub operated in collaboration with Instituto Familiar de La Raza, offering rapid confidential HIV/HCV/syphilis testing, Hermanos de Luna y Sol program (Mon & Wed 6-9pm), treatment outreach & linkage, and PrEP linkage to MNHC clinical sites. No medical services offered on-site.
• Centering Pregnancy Program Group prenatal care model in which groups of 8-10 patients with close due dates meet with a midwife and bilingual care team throughout pregnancy and after delivery, combining medical care, nutrition, family planning, and peer support. Midwifery in collaboration with UCSF; deliveries at San Francisco General Hospital.
• John O'Connell School-Based Teen Clinic Dedicated, youth-friendly school-based health clinic serving students at John O'Connell High School and youth ages 12-21 with confidential health services during school hours.

Quantifiable outcome

• Nearly 18,000 patients served annually across San Francisco clinics
• +6 more outcomes

Named customers6 records

Segments7 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

Feature7 records

Partnerships

15 partnerships are on record, tiered core clinical partner, core cultural-clinical partner, major public-sector partner, core housing partner, program-level partner, major clinical-strategic partner, program partner, community-program partner, core regulatory partner and critical vendor (subject of data incident).

• UCSF (University of California, San Francisco)core clinical partnerStrategic or Co-development PartnerMNHC's Women's Clinic (Prenatal/GYN) provides pregnancy care by Certified Nurse Midwives in collaboration with UCSF, with deliveries at San Francisco General Hospital. UCSF-partnered midwifery enables Centering Pregnancy cohort model and continuity of care from pregnancy through postpartum.
• Instituto Familiar de La Razacore cultural-clinical partnerStrategic or Co-development PartnerCo-location and joint operation of the Latino Wellness Center at 1663 Mission St, Suite 400, SF. Instituto Familiar de La Raza collaborates with MNHC on HIV prevention/wellness services for the Latino community, including Hermanos de Luna y Sol, rapid HIV/HCV/syphilis testing, treatment outreach, and PrEP linkage. No medical services are offered at this site.
• San Francisco Department of Public Health (SFDPH)major public-sector partnerStrategic or Co-development PartnerSFDPH collaborates with MNHC's Mission Neighborhood Resource Center on Casa Quezada (a 52-unit long-term housing facility) and on the Promotores peer diabetes program. SFDPH is a key partner in MNHC's homeless services and chronic-disease community health worker programs.
• Dolores Street Community Servicescore housing partnerStrategic or Co-development PartnerCo-management of Casa Quezada, a 52-unit long-term housing facility in the Mission District, in collaboration with SFDPH. Mission SRO Collaborative care management for SRO tenants in the Mission is also coordinated through this partnership.
• Breathe California (Golden Gate / Bay Area)program-level partnerStrategic or Co-development PartnerPartnered with MNHC on the "All About Asthma" program (launched May 2016, funded by Kaiser Permanente – San Francisco Community Benefit) and the Ash Kickers tobacco cessation program (debuted December 2018) to help MNHC patients quit smoking and manage pediatric asthma.
• Sutter Health California Pacific Medical Center (CPMC)major clinical-strategic partnerStrategic or Co-development PartnerMNHC and Sutter's CPMC announced strategic changes to ownership of Mission Bernal Adult and Pediatric Clinics (press release dated December 10, 2020). Previously operated jointly; ownership transition impacted Mission Bernal clinic operations.
• University of San Francisco School of Nursing and Health Professionsprogram partnerStrategic or Co-development PartnerPartnered with MNHC on the Alero Project (launched November 2014), a program providing mental health services to unaccompanied immigrant minors. MNHC and USF jointly developed the program to respond to the surge in unaccompanied minors entering the U.S. in late 2013.
• Urban Sproutscommunity-program partnerStrategic or Co-development PartnerPartnered with MNHC for a nutrition workshop at Moscone Elementary School (November 2020) led by Violeta Sandoval from Urban Sprouts; healthy eating and recipes for elementary school families.
• San Francisco Pretrial Diversion Project (SFPDP)community-program partnerStrategic or Co-development PartnerMission Neighborhood Resource Center joined forces with SFPDP in autumn 2018 to connect Latino clients with resources to improve their life situations.
• MEDA (Mission Economic Development Agency)community-program partnerStrategic or Co-development PartnerMNHC collaborated with MEDA to improve the lives of patients by addressing housing stability — recognizing that safe, clean, affordable housing is linked to good health (April 2017).
• HRSA / Federal 340B Drug Pricing Programcore regulatory partnerStrategic or Co-development PartnerAs an FQHC, MNHC participates in the federal 340B Drug Pricing Program, allowing MNHC Pharmacy to offer prescription medications at significantly reduced cost to patients and reinvest savings into low-cost care. Pharmacist at the Shotwell Clinic (Director: April Trinh) advises patients on 340B eligibility.
• Shanti (L.I.F.E. Program)program-level partnerStrategic or Co-development PartnerMNHC is the only site in San Francisco offering the Shanti L.I.F.E. HIV self-management program in Spanish, at Clínica Esperanza. 13-week cycles cover immune function, medication adherence, and healthy-living habits; dinner is provided at every session.
• American Diabetes Association (ADA)program-level partnerStrategic or Co-development PartnerPartners with MNHC's Promotores peer diabetes program (alongside SFDPH and CARECEN) to provide community-based diabetes prevention and self-care education to neighbors.
• CARECENprogram-level partnerStrategic or Co-development PartnerPartnered with MNHC's Promotores peer diabetes program (alongside SFDPH and the American Diabetes Association) to deliver diabetes prevention education to Latino community members.
• TriZetto (Cognizant / TriZetto Provider Solutions)critical vendor (subject of data incident)Technology or IntegrationTriZetto is MNHC's billing vendor; a TriZetto data incident triggered a public patient notice distributed across English and Spanish channels (FAQ, press release, web notice). MNHC is actively notifying affected patients and providing resources.

Scale indicators9 records

Recent moves12 records

Expansion highlights6 records

Direct peers

• LifeLong Medical Care: Berkeley-headquartered FQHC operating 14+ sites across Alameda, Contra Costa, and Marin counties providing primary care, dental, behavioral health, and senior services. Comparable multi-site FQHC operating model, sliding-fee program, and HRSA-funded scope.
• HealthRIGHT 360: San Francisco-based FQHC and non-profit providing integrated primary care, behavioral health, and substance use treatment to underserved populations. Operates multiple clinic sites across SF and is one of MNHC's closest direct comparables in mission, population, and service mix.
• Asian Health Services: Oakland-based FQHC providing multilingual primary care, dental, and behavioral health to Asian American and other underserved communities. Closely comparable to MNHC in cultural-linguistic specialism, FQHC status, and community-rooted service model.
• San Francisco Community Health Center (SFCHC): FQHC serving San Francisco's Asian and Pacific Islander, Latino, and LGBTQ+ communities with primary care, HIV services, and behavioral health. Directly comparable to MNHC in target population, FQHC status, and bilingual/multilingual service model.
• La Clínica de La Raza: Oakland-based FQHC with deep Latino cultural and linguistic roots, serving predominantly Spanish-speaking and immigrant populations across Alameda and Contra Costa counties. Most directly comparable peer to MNHC in mission, target population, and clinical-social integration model.
• Tri-City Health Center (now part of Bay Area Community Health): Formerly independent FQHC in Fremont serving southern Alameda County; now merged into Bay Area Community Health. Comparable to MNHC in FQHC mission, multilingual primary care delivery, and community health worker models.
• Instituto Familiar de La Raza: San Francisco-based Latino-focused behavioral health and social services organization, and MNHC's co-located partner at the Latino Wellness Center. Directly comparable in Latino cultural-linguistic specialism and HIV prevention outreach for Spanish-speaking populations.
• Native American Health Center: Oakland/San Francisco FQHC providing primary care, dental, behavioral health, and community wellness services to Native American and urban Native populations plus broader underserved communities. Comparable FQHC operating model, service breadth, and sliding-fee structure.
• Bay Area Community Health: FQHC operating multiple clinic sites across southern Alameda County and Santa Clara County, providing primary care, dental, behavioral health, and pharmacy services to underserved populations. Comparable FQHC scale, service breadth, and sliding-fee structure.

Broad incumbents

• Zuckerberg San Francisco General Hospital (ZSFG): San Francisco's public safety-net hospital and level 1 trauma center, operated by SFDPH with UCSF affiliation. Overlaps with MNHC on safety-net care for uninsured and Medi-Cal patients, including HIV care, prenatal services, and homeless health delivery.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/mnhc240
• Facebookfacebook.com/MNHCSF

Revenue estimate

Valuation estimate

Number of profiles

Profiles14 records

Subsidiaries3 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 Mission Neighborhood Health Center