Grace Hill

Grace Hill was established by the Episcopal Diocese (Grace Church and Holy Cross Church) in 1903 to provide a comprehensive and coordinated complement of services and resources to immigrant populations, helping them “settle” into their new community. With the goal of supporting their integration into American society both socially and economically, the services and resources offered were health care, material assistance (food and clothing), English as a second language, housing, and employment readiness.

Today, that spirit of support—of neighbors helping neighbors— in geographically-bound communities is working to improve lives.

Grace Hill brings together a network of services to enable healthy and productive lives through two sister agencies: Grace Hill Settlement and Affinia Health Care (formerly Grace Hill Health Centers, Inc.).

Grace Hill Settlement House was rooted in the philosophy of the Settlement Movement which began in America in 1889 with the work of Nobel Peace Prize winner Jane Addams, who founded the Hull House in Chicago.

Grace Hill works in partnership with neighbors and stakeholders to identify the social and economic challenges in North and South St. Louis, and establish families and communities that are strong and self-sustaining. Thousands of St. Louis residents are impacted each year by the multitude of resources and services that Grace Hill offers. Those services include early childhood, youth and family supports, aging, and community and economic development.

Affinia provides primary and preventive health care through five community health center locations in the City of St. Louis, primarily to uninsured and underserved residents of St. Louis and surrounding communities. Of the nearly 38,000 patients they serve, 31 percent are children, 24 percent are homeless, and another 18 percent are public housing residents. The majority of those served have no health insurance and greater than 90 percent have household incomes under 100% of the federal poverty level. Services include pediatrics, family and internal medicine, OB/GYN, dental, mental health, optometry, pharmacy, transportation, and a Children’s Developmental Center.

Affinia also contributes to overall community health through its chronic disease, health education, lead prevention and remediation, and homeless services Staffed by highly-qualified physicians and other practitioners, Affinia serves neighbors who face numerous barriers to receiving access to appropriate preventive and primary care.

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