Since 1967, the Ryan Network has provided high quality, affordable, culturally and linguistically competent, primary and preventive health care, dental, mental health, and support services to minority, medically underserved residents in Manhattan. The Network’s 4 main sites, Ryan, Ryan-NENA, Ryan/Chelsea-Clinton, and Adair/Ryan, serve largely low-income, uninsured residents of Central Harlem, Washington Heights, the Lower East Side, Chelsea, and Clinton. Network sites also include 3 transitional shelters, a rehabilitation agency, 5 School-Based Health Centers, and a fully equipped mobile medical van. The Center has a unique sliding fee scale that includes laboratory and radiology, and also maintains a pharmaceutical plan with minimal co-payments; homeless uninsured patients receive medications at no charge. In 2011, Ryan provided services to over 48,000 patients: 87% had incomes 200 percent or below the Federally defined poverty level, 60% received public insurance, and 35% were uninsured.