Background: Esperanza Health Center (EHC) was founded in 1987 and serves the community of North Philadelphia. EHC provides bilingual care to approximately 3,000 patients who are mostly Latino. EHC's physicians are board certified in internal medicine family medicine and pediatrics. Along with bi-lingual primary care EHC provides counseling and social work services. EHC sees all patients regardless of their ability to pay. EHC's mission statement: Compelled by the love of God in Christ Jesus in cooperation with the Church and others