The Center for Health Care Services

What The Center for Health Care Services does

The Center for Health Care Services (CHCS) is a public behavioral health authority and political subdivision of the State of Texas, established in 1966 to serve as the designated mental health authority for Bexar County under Section 534.001 of the Texas Health and Safety Code and operating under an Interlocal Agreement with Bexar County Commissioners and the Bexar County Hospital District (University Health). CHCS delivers integrated behavioral healthcare services across adult mental health, substance use disorder treatment, intellectual and developmental disabilities (IDD), crisis intervention, justice-involved programs, and children's services through 35+ locations operating on a $136 million annual budget with 1,100+ team members. The organization is certified as a Certified Community Behavioral Health Clinic (CCBHC) by SAMHSA, holds CARF International accreditation, and is recognized by HRSA as a Health Center.

CHCS's service portfolio is organized into five pillars: adult behavioral health (psychiatric evaluation, Complex Care ACT/FACT wraparound for high utilizers, POWER first-episode psychosis program for ages 15-30, supported employment, and the Military Veteran Peer Network); children's behavioral health (outpatient services for ages 3-17, the YES Waiver program, Children's Mobile Outreach Team, and Early Childhood Intervention for ages 0-3); justice programs (Mental Health Court, TCOOMMI, ACCESS, jail diversion, competency restoration, and Community Alternatives to Incarceration); crisis and recovery services (24-hour crisis helpline, Mobile Community Outreach Team, Josephine Recovery Center, substance abuse sobering unit, opioid addiction treatment, and residential detoxification); and long-term care for individuals with IDD. Technical differentiation rests on proprietary clinical protocols including Assertive Community Treatment (ACT) and Forensic Assertive Community Treatment (FACT), the Multisystemic Therapy home-based youth model launched April 2025 under a $1.3M Texas HHS grant, and integrated primary care/behavioral health delivery at multiple clinic locations.

CHCS's revenue model is anchored in direct government contracts with Texas Health and Human Services and the Bexar County Hospital District, supplemented by Medicaid and Medicare reimbursement, private insurance, sliding-fee self-pay based on family size and income, and grant funding. Distribution is regional and referral-driven through law enforcement (SAPD Mental Health Unit, Bexar County Sheriff's Office), courts, school districts (SAISD, ECISD, HISD, SISD, SSISD), University Health System, and community organizations, with walk-in and self-referral entry via crisis helplines and digital channels. Quantified outcomes include 100,000+ residents diverted from emergency rooms and jail since the Restoration Center opened in 2008, $96M+ in estimated taxpayer savings, 1,400+ monthly diversions, and 112 referrals/58 families actively served in the newly launched MST program.

Name

The Center for Health Care Services

Legal name

The Center for Health Care Services

Website

https://chcsbc.org

Company type

Private

Founded year

1966

Operating status

Operating

Headcount range

501–1,000 employees

Short description

CHCS is a public Texas behavioral health authority and CCBHC serving Bexar County since 1966, operating 35+ locations with 1,100+ staff on a $136M budget to deliver integrated mental health, substance use, IDD, crisis, and justice program services.

Ownership category

akta.pro rank

Product category

Community Behavioral Health Services

NAICS

Outpatient Mental Health and Substance Abuse Centers (621420), Residential Mental Health and Substance Abuse Facilities (62322), Residential Intellectual and Developmental Disability Facilities (623210)

SIC

Services-Health Services (8000), Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

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

Keywords

• Behavioral health services
• Community mental health treatment
• Substance use disorder treatment
• Intellectual developmental disability services
• Crisis intervention services

Headquarters

HQ city

San Antonio

HQ country

United States

HQ region

North America

Offices21 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Government Contracts and Public Funding: CHCS operates as a public entity and political subdivision of the State of Texas, deriving authority from Section 534.001 of the Texas Health and Safety Code through an Interlocal Agreement with Bexar County Commissioners and Bexar County Hospital District. Operating budget of $136 million, primarily funded through Texas Health and Human Services contracts.
2. Insurance and Self-Pay Revenue: CHCS accepts many insurance plans including Medicaid and Medicare, private insurance, and implements a sliding fee scale based on family size and income for self-pay patients. Services are provided regardless of inability to pay.
3. Grant Funding: CHCS receives grant funding from Texas Health and Human Services, exemplified by the $1.3 million Multisystemic Therapy grant for at-risk youth services.

Pricing tiers

Go-to-market motion1 record

Distribution channels6 records

Marketing channels10 records

Core offering

CHCS provides integrated behavioral healthcare services to children and adults in Bexar County, Texas, delivering mental health treatment, substance use disorder treatment, and intellectual/developmental disability (IDD) services across 35+ clinic locations and partner facilities. Operating as a Certified Community Behavioral Health Clinic (CCBHC), it combines outpatient counseling, psychiatric medication management, crisis intervention, jail diversion, supportive housing, supported employment, peer support, and primary care under a trauma-informed, person-centered care model. Services are funded primarily through Texas Health and Human Services contracts, with a sliding-fee schedule ensuring no one is denied services due to inability to pay.

Product overview

The Center for Health Care Services (CHCS) is a Certified Community Behavioral Health Clinic (CCBHC) providing integrated behavioral healthcare services across Bexar County, Texas. The organization operates a comprehensive portfolio of programs organized into adult behavioral health services (including outpatient mental health, Complex Care ACT/FACT programs, POWER first-episode psychosis program, supported employment, and veteran services), children's behavioral health services (including outpatient services, YES Waiver, and crisis services), justice programs (jail diversion, TCOOMMI, court-ordered treatment), crisis and recovery services (Crisis Care Center, MCOT, detoxification), supported housing programs, and long-term care services for individuals with intellectual/developmental disabilities. Services are delivered through multiple clinic locations including the Restoration Center, CenterCare Health and Wellness Clinic, Haven for Hope, and various adult and children's behavioral health clinics throughout San Antonio.

Differentiator

Problem solved

Functional benefit

Brands

• CenterCare Health and Wellness Clinic: Easily accessible and affordable behavioral health care including psychiatric evaluations, medication management, and individual and group therapy services.
• CHCS Foundation

Products and services

• Adult Behavioral Health Services Comprehensive outpatient mental health services for adults in Bexar County, including psychiatric evaluation, medication management, wellness counseling, individual and group therapy, psychosocial rehabilitation, and case management. Serves adults (18+) with mental health diagnoses such as anxiety, depression, PTSD, bipolar disorder, schizophrenia, and postpartum depression.
• Children's Behavioral Health Services Mental health services for Bexar County youth ages 3-17 with DSM-V diagnoses, including skills training, counseling, medication support, psychiatric evaluation, and family partner support. Covers anxiety, depression, bullying/cyberbullying, eating disorders, ADHD, and conduct disorder.
• Community & Crisis Response Services 24-hour crisis intervention including the Crisis Care Center, Mobile Community Outreach Team (MCOT), Substance Abuse Public Sobering Unit, Residential Detoxification, and Crisis Transitional Services. Accessible via 1-800-316-9241 or 210-223-SAFE.
• Long Term Care Services (HCS / TxHmL) Medicaid waiver programs providing services to individuals of all ages with intellectual or developmental disabilities, including residential services, day habilitation, supported employment, nursing, and dental services. Includes the Lone Shadow and Multi-Assistance Center (MAC) facilities.
• Early Childhood Intervention Services (CHCS-ECI) Early intervention services for infants and toddlers ages 0-3 with developmental delays and disabilities, including occupational therapy, physical therapy, speech therapy, and caregiver education delivered in homes and at partner school district locations.
• Justice Programs (Jail Diversion & Forensic Services) Jail diversion, mental health court, competency restoration, and community reintegration programs including ACCESS, TCOOMMI, Court Ordered Treatment, Mental Health Court, Community Reintegration, SMART, and the Justice Intake and Assessment Annex.
• Supported Housing Programs Housing assistance programs including San Antonio Housing Authority (SAHA) Mainstream Voucher, Housing Authority of Bexar County (HABC) Mainstream Voucher, Tenant Based Rental Assistance (TBRA via TDHCA), and Homeless Set Aside Voucher programs for individuals who are homeless or at risk of homelessness with serious mental illness.
• Opioid Addiction Treatment Services (OATS) Medication-assisted treatment services for persons addicted to opioids, fostering de-stigmatization and ensuring client rights. Operated as a stand-alone treatment service line within CHCS.
• POWER Program (First Episode Psychosis) Coordinated Specialty Care services for Bexar County residents ages 15-30 experiencing First Episode Psychosis, providing intensive wrap-around services delivered by clinicians and peer support specialists.
• CenterCare Health and Wellness Clinic Easily accessible and affordable behavioral healthcare facility offering psychiatric evaluations, medication management, and individual and group therapy services in Bexar County.
• The Restoration Center One-stop treatment facility housing multiple programs including OSAR, outpatient substance use treatment, integrated care, primary care clinic, sober unit, and justice intake. Opened in 2008 as the centerpiece of CHCS's diversion strategy.
• Military Veteran Peer Network (MVPN) Free confidential support groups and peer support services for active duty, retired, and veteran service members and their families, including the Battle Buddy program, with connections to community resources.
• Multisystemic Therapy (MST) Program Intensive home-based treatment program for at-risk Bexar County youth exhibiting high-risk behaviors such as substance abuse, assault, and terroristic threats who are at risk for out-of-home placement or juvenile detention. Operates as part of a statewide initiative with a stated target of 54% reduction in rearrests and 75% reduction in violent felony arrests.

Quantifiable outcome

• Over 100,000 Bexar County residents diverted from emergency rooms and jail cells into treatment programs since 2008
• +4 more outcomes

Named customers6 records

Segments7 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

16 partnerships are on record, tiered core and major.

• Clarity Child Guidance CentercoreStrategic or Co-development Partner · 1 April 2025Selected provider for Multisystemic Therapy services under the $1.3 million Texas HHS grant. Provides intensive home-based treatment for at-risk youth exhibiting high-risk behaviors.
• University Health SystemcoreStrategic or Co-development PartnerUniversity Health System serves as the Bexar County Hospital District and oversees CHCS operations. Partnership provides integrated healthcare delivery and referral pathways for behavioral health services.
• Texas Health and Human ServicescoreStrategic or Co-development PartnerPrimary state funding and regulatory authority for mental health, substance use, and IDD services. Awards grants such as the $1.3 million Multisystemic Therapy program funding.
• SAMHSA (Substance Abuse and Mental Health Services Administration)coreStrategic or Co-development PartnerFederal agency providing certification for CCBHC status and funding support for behavioral health programs.
• Bexar CountycoreStrategic or Co-development PartnerBexar County Commissioners provide oversight and funding through Interlocal Agreement. County jails and justice systems collaborate on diversion programs.
• San Antonio Police Department (SAPD)coreImplementation/ SI/ Consulting PartnerCollaboration on diversion and rehabilitation center initiative for homeless population and individuals with mental health issues. SAPD Mental Health Unit partners on Crisis Stabilization Initiative.
• Bexar County Sheriff's OfficecoreImplementation/ SI/ Consulting PartnerCollaboration on jail diversion programs and the new diversion and rehabilitation center initiative. Sheriff's office works with CHCS on mental health assessments and diversion from incarceration.
• City of San AntoniocoreStrategic or Co-development PartnerCity officials proposing joint diversion and rehabilitation center project. Collaboration with CHCS on addressing homelessness and mental health needs.
• San Antonio Housing Authority (SAHA)majorStrategic or Co-development PartnerPartnership for Mainstream Voucher Program and Homeless Set Aside Voucher Program providing housing assistance to individuals who are homeless or at risk of homelessness.
• Housing Authority of Bexar County (HABC)majorStrategic or Co-development PartnerPartnership for Mainstream Voucher Program providing housing assistance through HABC Section 8 Division.
• Texas Department of Housing and Community Affairs (TDHCA)majorStrategic or Co-development PartnerFunding source for Tenant Based Rental Assistance (TBRA) program administered by CHCS for rental assistance to eligible applicants.
• Haven for HopemajorStrategic or Co-development PartnerPartner facility location housing multiple CHCS programs including Supported Employment, Integrated Treatment Program, Military Veteran Peer Network, and Integrated Wellness Clinic.
• Alamo Area Council of Governments (AACOG)majorStrategic or Co-development PartnerAACOG handles eligibility and enrollment pre-approval for Long Term Care services including Home & Community Based Services (HCS) and Texas Home Living (TxHmL).
• Bexar County School DistrictsmajorImplementation/ SI/ Consulting PartnerPartnership with SAISD, ECISD, HISD, SISD, and SSISD for Early Childhood Intervention (ECI) services and school-based mental health referrals.
• Bexar County Juvenile Probation DepartmentcoreImplementation/ SI/ Consulting PartnerReferral source for Bexar County Juvenile Justice Program and TCOOMMI for youth ages 10-17 with mental health needs involved in the justice system.
• Texas Correctional Office on Offenders with Medical or Mental Impairments (TCOOMMI)coreStrategic or Co-development PartnerState program funding intensive outpatient services for felony probationers, parolees, and individuals with serious mental illness and substance use challenges in the criminal justice system.

Scale indicators9 records

Recent moves5 records

Expansion highlights6 records

Market position

Competitive moat5 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/channel/UCNEtcFN3gw7kyoY5FVjpEXA
• Facebookfacebook.com/thecenterforhealthcareservices
• LinkedInlinkedin.com/company/786757
• Instagraminstagram.com/thecenterbc

Revenue estimate

Valuation estimate

Number of profiles

Profiles18 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

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Frequently asked questions about The Center for Health Care Services