Health Care and Rehabilitation Services

What Health Care and Rehabilitation Services does

Health Care and Rehabilitation Services (HCRS) is a nonprofit community mental health agency founded in 1967 and headquartered in Springfield, Vermont, that delivers behavioral health, substance use, and developmental disability services across southeastern Vermont. The organization operates 18+ physical locations spanning Windham and Windsor counties, employs 550+ staff, and serves over 4,000 individuals annually through 625,536+ hours of direct care. Services are organized into four core divisions — Children's Services, Adult Services, Developmental Services, and Crisis Services — supplemented by specialized programs including a 24/7 statewide Enhanced Mobile Crisis team, the Kindle Farm therapeutic day school (grades 3–12, celebrating 30 years in 2026), Intensive Outpatient Program, six residential programs, Peer Support, and Care Coordination.

HCRS's revenue model is government-anchored: as a designated Vermont community mental health agency and a 2025 CCBHC Demonstration Site, it contracts primarily with the Vermont Department of Mental Health and the Vermont Department of Health, supplemented by client service fees, Medicaid, school district contracts, donations, an annual appeal, a golf tournament, and planned giving. There is no proprietary technology platform; the digital footprint consists of a newly launched Client Portal (Feb 2025) for scheduling and care plan access, Zoom-based telehealth, and standard digital marketing channels. The agency is governed by a Board of Directors and is currently in a leadership transition — CEO George Karabakakis retires end of June 2026 after 32 years of service, with COO Anne Bilodeau appointed as his successor effective April 1, 2026; Sarah Truckle assumed the CFO role in fall 2025.

Name

Health Care and Rehabilitation Services

Legal name

Health Care and Rehabilitation Services of Southeastern Vermont

Website

https://hcrs.org

Company type

Private

Founded year

1967

Operating status

Operating

Headcount range

501–1,000 employees

Short description

HCRS is a nonprofit community mental health agency founded in 1967 that serves over 4,000 individuals annually across southeastern Vermont through mental health, substance use, developmental disability, and crisis intervention services delivered via 18+ locations and 550+ staff.

Ownership category

akta.pro rank

Product category

Community Mental Health Services

NAICS

Residential Intellectual and Developmental Disability, Mental Health, and Substance Abuse Facilities (6232), Residential Mental Health and Substance Abuse Facilities (623220), Residential Intellectual and Developmental Disability Facilities (623210), Services for the Elderly and Persons with Disabilities (624120), Other Individual and Family Services (624190)

SIC

Services-Health Services (8000), Services-Social Services (8300), Services-Nursing & Personal Care Facilities (8050)

akta.pro primary industry

Community Mental Health Centers (CMHCs) & Public Behavioral Health Providers (HLAFACAI)

Keywords

• Community mental health services
• Substance use treatment
• Developmental disability services
• Crisis intervention services
• School-based mental health

Headquarters

HQ city

Springfield

HQ country

United States

HQ region

North America

Offices18 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Marketing or Sales, Technology or R&D, Others

Revenue model

1. Government Funding and Grants: HCRS operates as a nonprofit community mental health agency receiving government funding from Vermont's Department of Mental Health and other state agencies to provide mental health, substance use, and developmental disability services.
2. Donations and Fundraising: HCRS generates additional revenue through donations, annual appeals, golf tournaments, and planned giving programs to support housing contingency funds and other service programs.
3. Client Services Revenue: Fees for services provided including crisis services, mental health counseling, substance use treatment, developmental services, and school-based services to individuals and families.

Go-to-market motion2 records

Distribution channels6 records

Marketing channels8 records

Core offering

Health Care and Rehabilitation Services (HCRS) is a nonprofit community mental health agency that delivers a comprehensive suite of mental health, substance use, and developmental disability services through four core service divisions — Children's Services, Adult Services, Developmental Services, and Crisis Services — supplemented by specialized programs such as Mobile Crisis, Kindle Farm School, Intensive Outpatient Program, Care Coordination, Peer Support, and Residential Services. Services are delivered through 18+ regional locations, school sites, mobile crisis teams, residential homes, and online/telehealth channels across southeastern Vermont.

Product overview

Health Care and Rehabilitation Services (HCRS) is a nonprofit community mental health agency providing a comprehensive suite of healthcare and support services through multiple integrated programs. The organization operates as a unified service delivery model consisting of four core service divisions (Children's Services, Adult Services, Developmental Services, and Crisis Services) supplemented by specialized programs including Mobile Crisis Services, an Intensive Outpatient Program, the Kindle Farm therapeutic school, Care Coordination, Peer Support, and Residential Services. HCRS also offers a digital Client Portal for online service access. These programs work collaboratively to serve over 4,000 clients annually across Windham and Windsor counties in Vermont, addressing mental health, substance use, developmental disabilities, and crisis intervention needs through both in-person and community-based delivery.

Differentiator

Problem solved

Functional benefit

Brands

• Kindle Farm School: Therapeutic day school program for boys in grades 3-12, serving students with complex behavioral, emotional, and learning needs. Partners with more than 15 school districts across Vermont and New Hampshire. Celebrated 30 years of service in 2026.

Products and services

• Crisis Services 24/7 crisis intervention and mobile crisis response services providing immediate mental health and substance use support for adults, children, and families in crisis situations.
• Mobile Crisis Services 24/7 mobile crisis response team delivering in-person mental health and substance use support across Windham and Windsor counties, available as Enhanced Mobile Crisis statewide services.
• Children's Services Comprehensive mental health and substance use services for children and youth including school-based services, early childhood programs (Birth to 6), youth stabilization, Kindle Farm School, and family support.
• Adult Services Mental health, substance use, and counseling services for adults including individual, group, couples, and family therapy delivered through outpatient programs and community collaborations.
• Developmental Services Support services for individuals with developmental disabilities including housing supports, employment services, shared living arrangements, and community living assistance.
• Care Coordination Services Coordination services for housing, food, transportation, or other community resources, available to anyone in need regardless of HCRS client status.
• Police Social Work Program Embedded social work services within law enforcement to provide mental health response and support during police interactions and crisis events.
• Kindle Farm School Therapeutic day school serving boys in grades 3-12 with complex behavioral, emotional, and learning needs, providing integrated general and special education and partnerships with 15+ school districts across Vermont and New Hampshire.
• Youth Stabilization Program Intensive stabilization services for youth experiencing behavioral or emotional crises, providing short-term support to avert higher levels of care.
• Adult Outpatient Program (AOP) Outpatient mental health and substance use treatment services for adults including counseling and community outreach.
• Intensive Outpatient Program (IOP) Structured substance use treatment program providing at least 9 hours of clinical care per week over at least 10 weeks, with group sessions and individual support.
• Peer Support Services Recovery support services delivered by peer specialists who draw on their own lived recovery experience to support others in their mental health journeys.
• Residential Services Division Supported living arrangements and 24/7 residential programs for individuals requiring ongoing housing support, delivered across six HCRS-operated homes in southeastern Vermont.
• Shared Living Provider Program Contracted positions for individuals providing individualized care for people with developmental or intellectual disabilities in their own homes.
• Early Childhood Services (Birth to 6) Early intervention and family support services for young children from birth to age 6 and their families.
• Transition Age Youth Services Services for transition-age youth including independent living skills, career support, and connections to adult-serving systems.
• Employment Services Vocational support and job placement assistance for individuals with developmental disabilities to find and maintain employment.
• Housing & Home Supports Services helping individuals with developmental disabilities find and maintain stable housing and live independently in their communities.
• Client Portal Online platform enabling HCRS clients to access services, schedule appointments, and engage with their wellness care plans.

Quantifiable outcome

• Served over 4,000 clients with over 625,536 hours of direct care annually
• +2 more outcomes

Named customers8 records

Segments5 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

13 partnerships are on record, tiered minor and core.

• The Richards GroupminorGTM or Marketing Partner · 12 June 2026Tournament Sponsor for HCRS 19th Annual Golf Tournament. Their commitment to HCRS mission helps make meaningful impact in the community.
• 802 Credit UnionminorGTM or Marketing Partner · 20 June 2025Gold Level Sponsor for HCRS Annual Golf Tournament supporting Developmental Services programs.
• M&T BankminorGTM or Marketing Partner · 20 June 2025Player Gift Sponsor for HCRS Annual Golf Tournament.
• Crown Point CabinetryminorGTM or Marketing Partner · 20 June 2025Player Gift Sponsor for HCRS Annual Golf Tournament.
• Vermont Care PartnerscoreStrategic or Co-development PartnerHCRS is a member agency of Vermont Care Partners, a network of 16 nonprofit community-based mental health agencies. HCRS works with nine other designated community mental health agencies to deliver statewide Enhanced Mobile Crisis services in partnership with Vermont's Department of Mental Health.
• Better Life PartnerscoreStrategic or Co-development PartnerPart of Project Connectionworks collaboration in Brattleboro, providing temporary shelter and support for people facing eviction. The collaboration includes Groundworks, InterAction, and HCRS.
• Groundworks CollaborativecoreStrategic or Co-development PartnerPartner in Project Connectionworks collaboration addressing homelessness in Brattleboro. Groundworks provides shelter facilities while HCRS staff contribute to mural projects and collaborative community support.
• InterActioncoreStrategic or Co-development PartnerPart of Project Connectionworks collaboration working to provide shelter and support for people experiencing homelessness in Brattleboro.
• Brattleboro Memorial HospitalminorStrategic or Co-development PartnerAnne Bilodeau, HCRS COO and incoming CEO, serves on the Board of Brattleboro Memorial Hospital, creating healthcare coordination opportunities.
• 15+ School Districts (Vermont and New Hampshire)coreStrategic or Co-development PartnerHCRS provides school-based mental health services in partnership with over 15 school districts across Vermont and New Hampshire, including Kindle Farm School therapeutic day program.
• DUI Docket ProgramminorStrategic or Co-development PartnerThe Intensive Outpatient Program was originally developed for those involved in the DUI Docket Program and is now available to any adult in need of substance use support.
• 118 Elliot GalleryminorGTM or Marketing PartnerGallery venue for HCRS Annual Spring Art Show, hosting artwork from over 50 staff and clients throughout April.
• Vermont Department of Mental HealthcoreStrategic or Co-development PartnerHCRS holds contract with Vermont Department of Mental Health to deliver statewide Enhanced Mobile Crisis services in partnership with Vermont's nine other designated community mental health agencies. HCRS is also applying to become a Certified Community Based Integrated Health Center (CCBHC).

Scale indicators8 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• United Counseling Service: United Counseling Service is the designated community mental health agency serving Bennington County, VT. It offers a closely comparable mix of mental health, substance use, developmental, and crisis services, and operates multiple residential and school-based programs similar to HCRS's. Fellow Vermont Care Partners network member; each serves a distinct designated region.
• Howard Center: Howard Center is the largest designated community mental health agency in Vermont, headquartered in Burlington. It offers a closely comparable portfolio of mental health, substance use, developmental, and crisis services to HCRS, and is a fellow member of the Vermont Care Partners network—each operates in a non-overlapping designated region rather than head-to-head competing for the same territory.
• Counseling Service of Addison County (CSAC): CSAC is the designated CMHC for Addison County, VT. It mirrors HCRS in delivering mental health, substance use, and developmental services with multiple satellite locations and a community-based model. Vermont Care Partners network peer operating in a non-overlapping designated region.
• Northwestern Counseling & Support Services (NCSS): NCSS is the designated community mental health agency for Franklin and Grand Isle counties in northwestern Vermont. It delivers a comparable comprehensive suite of mental health, developmental, and crisis services. Another fellow Vermont Care Partners agency, structurally analogous to HCRS and participating in the same statewide Enhanced Mobile Crisis coordination.
• Northeast Kingdom Human Services (NKHS): NKHS is the designated community mental health agency serving Vermont's Northeast Kingdom (Orleans, Essex, and Caledonia counties). It provides mental health, substance use, and developmental disability services through multiple service sites, structurally analogous to HCRS's model. Vermont Care Partners network peer.
• Washington County Mental Health Services (WCMHS): WCMHS is the designated community mental health agency for Washington County, VT. It delivers a comparable suite of outpatient, crisis, residential, and developmental services, and is a partner in the same statewide Enhanced Mobile Crisis initiative that HCRS leads. Closely comparable operating model and scale tier.

Broad incumbents

• Centerstone: Centerstone is one of the largest nonprofit community mental health and addiction services providers in the United States, operating across multiple states. It offers a substantially broader portfolio than HCRS across mental health, substance use, developmental, and crisis services, and provides a benchmark for what a scaled multi-region behavioral health nonprofit operating model can become.
• Brattleboro Retreat: Brattleboro Retreat is a private nonprofit psychiatric hospital located in Brattleboro, VT, within HCRS's own Windham County service area. It delivers inpatient behavioral health and substance use treatment, providing a higher-acuity, facility-based complement to HCRS's community-based outpatient and residential model. The two organizations sit in the same referral ecosystem, with overlapping leadership contacts via the Brattleboro Memorial Hospital board.

Regional players

• Lund Family Center: Lund Family Center is a Vermont-based nonprofit that delivers a comparable range of family, child, and behavioral health services from its Burlington location. It shares HCRS's multi-service nonprofit model and Vermont Care Partners-adjacent positioning, but is concentrated in Chittenden County rather than HCRS's southeastern Vermont footprint.

Others

• Carelon Behavioral Health: Carelon Behavioral Health (formerly Beacon Health Options) is a large national behavioral health managed care organization. It is not a direct service provider like HCRS but is a critical payer/contracting counterparty across the behavioral health ecosystem and a likely partner (or competitive pressure point) for Vermont-based CMHCs as value-based care models expand.

Market position

Strengths5 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• YouTubeyoutube.com/playlist?list=PLYSbrAUnWq6Y6V_uFTa9Vt0jWdboKbBZA

Revenue estimate

Valuation estimate

Number of profiles

Profiles10 records

Subsidiaries1 record

Funding overview

Funding rounds2 records

Investors2 records

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 Health Care and Rehabilitation Services