APS Healthcare

What APS Healthcare does

APS Healthcare is a Puerto Rico-based behavioral health provider that delivers mental health and substance abuse services to Medicaid, Medicare, and commercial plan populations. Operating primarily under the brand APS Health, the company runs an integrated care delivery system through APS ProClinics (16 outpatient clinics distributed across the island in Aguadilla, Moca, Mayaguez, Yauco, Arecibo, Ponce, Manatí, Naranjito, Toa Baja, Bayamón, San Juan, Cidra, Guayama, Caguas, Carolina, and Humacao), TeleHealth services for remote psychiatric and psychological care, a Home Visit program for homebound patients, and APS OptiMind for Employee Assistance Programs (EAP) and Student Assistance Programs (SAP). The organization also operates the WeCare managed care platform (URAC accredited in Health Utilization Management 7.4 and Credentials Verification Organization), the YES U CAN student assistance program, and the PAPD diabetes patient assistance program in collaboration with Nazareno Diabetes Care.

The technology backbone consists of a telehealth platform supporting video and phone consultations, an electronic prescription system integrated with pharmacy networks, and an integrated care management system with specialized call centers for providers, pharmacy services, and case management. AI-powered automated scheduling is referenced as part of the appointment coordination layer. APS Healthcare serves 1.2 million-plus beneficiaries and coordinates care through a network of 2,000-plus healthcare professionals (including psychiatrists, psychologists, addiction counselors, social workers, and nurses) plus 300-plus master's and doctoral-level providers in the OptiMind EAP/SAP network. URAC accreditation provides regulatory credibility for managed care contracts.

Revenue is generated through insurance reimbursement from accepted plans (Triple S Vital, PSM Vital, FM Vital, MMM Vital, Triple S Advantage, FM Comercial, Humana Medicare Advantage), private pay with subsequent reimbursement, multi-year EAP/SAP service contracts with employers and educational institutions (with annual auto-renewal terms), and managed services arrangements such as PAPD. The go-to-market combines direct enterprise sales to employers and brokers, channel partner relationships with health plans and intermediaries, and self-serve TeleHealth access for individual beneficiaries. The company is private, headquartered in San Juan, Puerto Rico, and has been operating for over two decades.

Name

APS Healthcare

Legal name

APS Healthcare

Website

https://apshealth.com

Company type

Private

Founded year

2000

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

APS Healthcare is a Puerto Rico-based behavioral health provider operating 16 outpatient clinics, TeleHealth services, and EAP/SAP programs, serving 1.2M+ Medicaid, Medicare, and commercial beneficiaries through a 2,000+ provider network under URAC-accredited managed care programs.

Ownership category

akta.pro rank

Product category

Behavioral Health Services

NAICS

Offices of Physicians, Mental Health Specialists (621112), Offices of Mental Health Practitioners (except Physicians) (621330)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

Virtual Specialty Care Platforms (tele-stroke, tele-ICU, tele-derm, tele-cardiology) (HLALABAD)

akta.pro secondary industry

Healthcare-Linked Social Benefits Administration (e.g., Medicaid/Means-Tested Health Coverage) (BPAIAKAH)

Keywords

• Behavioral health services
• Mental health clinics
• Employee assistance programs
• Managed care services
• Substance abuse treatment

Headquarters

HQ city

Silver Spring

HQ country

United States

HQ region

North America

Offices16 records

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

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

Revenue model

1. Insurance Reimbursement: APS ProClinics accepts the majority of health plans including Triple S Vital, PSM Vital, FM Vital, MMM Vital, Triple S Advantage, FM Comercial, and Humana Medicare Advantage. Services are billed to insurance providers.
2. EAP and SAP Service Contracts: APS OptiMind provides Employee Assistance Programs (EAP) and Student Assistance Programs (SAP) to employers and educational institutions under multi-year contracts with annual auto-renewal terms.
3. Private Pay with Reimbursement: Patients without accepted health plans can pay privately for services and then request reimbursement through their own health plan.
4. PAPD Program Services: The Program of Assistance for Diabetic Patients (PAPD) is provided in collaboration with Nazareno Diabetes Care and its Armonía Emocional program, available to Nazareno patients with 24/7 licensed clinical staff support.

Pricing tiers

Go-to-market motion3 records

Distribution channels5 records

Marketing channels7 records

Core offering

APS Healthcare provides integrated mental healthcare services through a network of 16 outpatient clinics (APS ProClinics), TeleHealth virtual appointments, home visit programs, and intensive outpatient programs across Puerto Rico. It also offers Employee Assistance Programs (EAP) and Student Assistance Programs (SAP) through the APS OptiMind brand to employers, brokers, and educational institutions, alongside managed care services for Medicaid, Medicare, and commercial plan populations via the WeCare platform.

Differentiator

Problem solved

Functional benefit

Brands

• ProClinics: Modern outpatient care centers providing psychiatric evaluation, psychological therapy, psychosocial support, substance abuse treatment, and related mental health services
• OptiMind
• WeCare
• YES U CAN
• PAPD (Programa de Ayuda al Paciente Diabético)

Products and services

• APS ProClinics Outpatient Mental Health Clinics Modern outpatient care centers providing comprehensive psychiatric evaluation and treatment for adults, children, and adolescents; psychological therapy (individual, couple, family, and group); psychosocial support; counseling and agency coordination; medication therapies; support groups; and substance abuse treatment. Services are delivered across 16 clinics island-wide and also via TeleHealth and home visits, serving patients covered by Medicaid, Medicare, and commercial plans (Triple S, PSM, First Medical, MMM, Humana) as well as private pay.
• APS OptiMind Employee Assistance Program (EAP) Employee Assistance Program providing counseling, psychological therapy, occupational psychological evaluation, psychoeducational workshops, legal and financial guidance, and crisis intervention for employees of subscribing organizations. The first legal or financial consultation is offered free of charge. Marketed to employers, brokers, and HR departments through direct sales outreach and broker network partnerships, with annual auto-renewing contracts.
• YES U CAN Student Assistance Program (SAP) Student Assistance Program providing psychological support, substance abuse management, legal and financial counseling, and crisis intervention for university students facing personal situations that prevent academic focus. Marketed to educational institutions with quarterly reports and access to 300+ specialized mental health providers across Puerto Rico.
• WeCare Managed Behavioral Healthcare Managed care platform that administers mental health services for Medicaid, Medicare, and commercial health plan populations, with URAC accreditation in Health Utilization Management 7.4 and Credentials Verification Organization. Provides utilization management, provider credentialing, care coordination, pharmacy services, and case management through specialized call centers and a network of 2,000+ healthcare professionals across Puerto Rico.
• PAPD - Programa de Ayuda al Paciente Diabético Program of Assistance for Diabetic Patients providing emotional support, education, and continuous follow-up to people with diabetes, available 24/7 to patients of Nazareno Diabetes Care through the Armonía Emocional program. Combines mental health support with chronic disease management to address emotional distress, anxiety, and depression in diabetic patients.
• TeleHealth Mental Health Services Virtual psychiatric and psychological care delivered via video call or phone call, enabling patients to continue treatment from home. Available across all APS ProClinics locations with some exceptions for new patients, post-discharge, addiction disorders, and conditions requiring in-person attention.
• Intensive Outpatient Program (IOP) Midday group sessions using Cognitive-Behavioral Therapy to develop interpersonal skills and manage thoughts and emotions, supporting patients transitioning from hospitalization or needing additional mental health support beyond standard outpatient therapy.
• Home Visit Program APS ProClinics visits patients who, due to their physical and/or mental condition, cannot leave their home, extending mental health care delivery beyond clinic settings to homebound individuals across Puerto Rico.

Quantifiable outcome

• Over 1.2 million beneficiaries served across Puerto Rico
• +3 more outcomes

Named customers5 records

Segments5 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

Four partnerships are on record, tiered minor and core.

• Alianza de Autismo de Puerto RicominorStrategic or Co-development Partner · 30 April 2025APS Health and the Autism Alliance of Puerto Rico jointly celebrated the closing of Autism Awareness Month, with APS reaffirming its support for the Alliance's work in favor of the autism population. APS Health highlighted the importance of promoting inclusion, respect, and awareness through initiatives that positively impact the community.
• Medical University of South Carolina (MUSC)coreStrategic or Co-development Partner · 20 January 2025MUSC and APS ProClinics announced a strategic alliance to implement Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) in Puerto Rico. MUSC faculty members Rosaura Orengo-Aguayo, PhD, Regan Stewart, PhD, and Virginia Green, LMSW will train APS ProClinics mental health professionals beginning January 14-15, providing certification in this evidence-based treatment for PTSD and related conditions in children and adolescents aged 3-18. The partnership aims to guarantee Puerto Rican children and adolescents affected by trauma have access to evidence-based treatment.
• Nazareno Diabetes CarecoreStrategic or Co-development PartnerAPS Health and Nazareno Diabetes Care developed the Program of Assistance for Diabetic Patients (PAPD) in connection with Nazareno's Armonía Emocional program. The PAPD provides emotional support, education, and continuous follow-up to people with diabetes, with 24/7 clinical staff available for Nazareno patients and their families.
• ASSMCA (Administración de Servicios de Salud Mental y Contra la Adicción)coreStrategic or Co-development PartnerAPS Health was selected along with ASSMCA as part of the first global scientific research on Cognitive Behavioral Therapy, participating in a worldwide research initiative on CBT treatment approaches.

Scale indicators6 records

Recent moves6 records

Expansion highlights4 records

Broad incumbents

• Centene Corporation: Largest US Medicaid managed care insurer with deep behavioral health operations (including the Magellan Health acquisition). Comparable as a managed care organization administering Medicaid behavioral health benefits for government plan populations — APS's core managed care segment.
• Magellan Health: Specialized behavioral health managed care organization serving Medicaid, Medicare, and commercial populations. Directly comparable to APS WeCare's managed behavioral health business model and URAC-accredited utilization management approach.
• Optum Behavioral Health (UnitedHealth Group): Operates one of the largest US behavioral health networks, managing care for Medicaid and commercial populations. Comparable to APS in administering behavioral health benefits and operating provider networks at scale.
• Carelon Behavioral Health (formerly Beacon Health Options): Behavioral health management subsidiary of Elevance Health serving managed Medicaid, commercial, and employer EAP populations. Closely comparable to APS's full-stack model of managed care plus direct clinical service delivery.
• Molina Healthcare: Medicaid-focused managed care plan with behavioral health carve-outs and member services. Comparable to APS in serving government-sponsored health plan populations including Medicare Advantage (e.g., Humana MA, which APS also accepts).

Direct peers

• Lyra Health: Mental health benefits provider for employers, offering EAP-equivalent services with virtual care delivery. Directly comparable to APS OptiMind's EAP/SAP subscription business targeting employers and educational institutions.
• Spring Health: Employer-focused mental health benefits platform combining EAP functionality with therapy and psychiatry services. Comparable to APS OptiMind's employer-channel mental health subscription model.
• Talkiatry: Outpatient psychiatric care provider with insurance-accepting model across multiple US states. Directly comparable to APS ProClinics in delivering insurance-billable psychiatric evaluation and medication management at scale.
• Modern Health: Mental health platform for employers offering EAP-like services with global provider network. Comparable to APS OptiMind in targeting employer and broker channels with subscription-based mental health support.

Regional players

• Triple-S Management: Largest health insurer domiciled in Puerto Rico (Triple S Vital, Triple S Advantage) — a current APS ProClinics accepted plan and natural regional counterpart for managed care and provider network dynamics in the same island market.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/aps-health

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds1 record

Investors1 record

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 APS Healthcare