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Covenant House-Under 21 — New York, NY

Covenant House-Under 21 is a community health center clinic at 460 W 41st St, New York, NY 10036, open 44 hours a week. The typical New York clinic is open 46 hours a week. It is run by Covenant House (Under 21), which serves 809 patients.

Fees are on a sliding scale. What you pay at Covenant House-Under 21 depends on your income and household size, and the clinic bills Medicaid, Medicare and private insurance. Care is not free, and every patient is seen regardless of ability to pay. Among Covenant House (Under 21) patients, 15% are uninsured, 58% have Medicaid or CHIP, 0% have Medicare and 24% have private insurance. Call (212) 613-0315 to book and ask about your plan. How sliding-fee pricing works.

Care and screenings at Covenant House (Under 21)

Patients came to Covenant House (Under 21) for these services in 2025. The numbers cover the whole health center, not only this clinic.

ServicePatientsWhat it counts
Mental health care273patients treated for depression or anxiety
Well-child visits18children had checkups
Flu shots21patients vaccinated
Family planning41patients served
Diabetes care21patients with diabetes
Asthma care83patients with asthma
HIV testing516patients tested
Hepatitis C testing505patients tested

Covenant House (Under 21) also provides care by telehealth.

Who Covenant House (Under 21) serves

809 patients used Covenant House (Under 21) in 2025. 97% live at or below the poverty line and 100% are at or below twice the poverty line. 697 patients were experiencing homelessness.

MeasureThis centerNY medianU.S. medianvs NY
Patients at or below the poverty line97%72%65%+25 pts
Patients at or below 200% of the poverty line100%92%92%+8 pts
MeasureThis centerNY medianU.S. medianvs NY
Uninsured patients15%6%14%+9 pts
Medicaid or CHIP patients58%52%42%+6 pts
Medicare patients0%13%11%−13 pts
Privately insured patients24%20%24%+4 pts

Quality of care at Covenant House (Under 21)

Covenant House (Under 21) is at or above the New York median on 1 of 4 preventive-care measures. Higher is better on every line.

MeasureThis centerNY medianU.S. medianvs NY
Women 24–64 screened for cervical cancer37%54%54%−17 pts
Patients 12+ screened for depression46%73%77%−27 pts
Adults assessed for tobacco use84%79%86%+5 pts
High-risk adults on statin therapy22%76%79%−54 pts

Staffing at Covenant House (Under 21)

The health center employs 25 full-time-equivalent staff, including 2 physicians, nurse practitioners, physician assistants and midwives and 11 mental health staff. That is 350 patients per clinical provider against the New York median of 878 and the U.S. median of 930. Patients made 4,401 visits, about 5.4 per patient.

Patients from ZIP 10036

334 Covenant House (Under 21) patients live in ZIP 10036, and 19% of them are uninsured. Other health centers also serve this ZIP:

Community health centers near Covenant House-Under 21

Ryan Chelsea-Clinton Community Health Center

645 10th Ave, New York, NY 10036 · 0.2 mi away

Sun River Health West 37th Street Health Center

347 W 37th St, New York, NY 10018 · 0.3 mi away
40 hours a week · (855) 681-8700 · Run by Sun River Health, Inc.

Housing Works Health Services III at W 37 Street

301 W 37th St, Floor 4, New York, NY 10018 · 0.3 mi away

West 48th Street Health Center

326 W 48th St, New York, NY 10036 · 0.4 mi away

52nd Street Health Center

427 W 52nd St, New York, NY 10019 · 0.6 mi away
45 hours a week · (215) 359-2811 · Run by Care for the Homeless

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