FMRS Health Systems

What FMRS Health Systems does

FMRS Health Systems, Inc. is a non-profit Certified Community Behavioral Health Clinic (CCBHC) founded in 1969 and headquartered in Beckley, West Virginia. The organization provides an integrated continuum of behavioral health, substance use, crisis, intellectual/developmental disability (IDD), and primary care services across four southern West Virginia counties (Raleigh, Fayette, Summers, and Monroe), with an additional 11-county footprint for children's services through the RAFT Regional Youth Service Center partnership. Its core products span 20+ programs including the Crisis Stabilization Unit (5-7 day average psychiatric stay, 6-day detox protocol), 24/7 crisis response and Children's Mobile Crisis Response, Assertive Community Treatment (ACT), Supported Housing (25 slots), Day Treatment (25 slots), Medication-Assisted Treatment (Suboxone, Vivitrol, Naltrexone), School-Based Mental Health embedded in two elementary schools, the Title XIX I/DD Waiver Program, the Quiet Minds First Episode Psychosis program, and integrated primary care delivered by a certified nurse practitioner. Supporting technology consists of a tele-mental health platform enabling near-daily psychiatric consultations across all county locations, the FMRS Connect patient portal for digital health record access and provider communication, and evidence-based clinical practice models (TF-CBT, PCIT, LSCI). FMRS is also a certified national training site for Life Space Crisis Intervention.

The organization's business model is almost entirely publicly funded: the majority of revenue derives from Medicaid (including the Title XIX I/DD Waiver Program), enhanced CCBHC Medicaid reimbursement, federal SAMHSA mental health and substance use block grants, and West Virginia Department of Health and Human Resources funding through the Bureau for Behavioral Health and Health Facilities. Secondary revenue streams include transaction-based fees for Medication-Assisted Treatment, the state-contracted WV DUI Safety and Treatment Program, and a federally-compliant sliding fee scale that ensures service access regardless of ability to pay. The go-to-market motion is community-led: patients access services via open-access intake at county offices, a 24/7 crisis hotline, online referral forms, and referral networks from schools, courts, hospitals, and DHHR offices. FMRS is the designated mental health provider for its four-county service area and holds the only CCBHC certification in the region, providing a regulatory and distribution moat. The organization's structural exposure to federal funding decisions was demonstrated acutely in January 2026, when a brief SAMHSA block grant reversal triggered immediate layoff warnings before funding was restored within 24 hours.

Name

FMRS Health Systems

Legal name

FMRS Health Systems, Inc.

Website

https://fmrs.org

Company type

Private

Founded year

1969

Operating status

Operating

Headcount range

101–250 employees

Short description

FMRS Health Systems, Inc. is a non-profit Certified Community Behavioral Health Clinic (CCBHC) founded in 1969, providing integrated mental health, substance use, crisis, IDD, and primary care services to residents of four counties in southern West Virginia, funded primarily through Medicaid and federal/state behavioral health grants.

Ownership category

akta.pro rank

Product category

Community Behavioral Health Services

NAICS

Outpatient Mental Health and Substance Abuse Centers (621420), Offices of Mental Health Practitioners (except Physicians) (621330), Individual and Family Services (6241)

SIC

Services-Health Services (8000), Services-Social Services (8300)

akta.pro primary industry

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

akta.pro secondary industries

Behavioral & Mental Health Virtual Care (EAP/Teletherapy) (HLALADAB), Behavioral Health-Integrated Chronic Care (SUD comorbidity, collaborative care) (HLALAFAK), School-Based Health Centers (HLAFAGAG)

Keywords

• Community mental health services
• Behavioral health treatment
• Substance use treatment
• Crisis stabilization services
• Intellectual developmental disabilities

Headquarters

HQ city

Beckley

HQ country

United States

HQ region

North America

Offices4 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Medicaid / State-Funded Behavioral Health Programs: FMRS derives the majority of its revenue from Medicaid (Title XIX I/DD Waiver Program), state behavioral health funding through DHHR and Bureau for Behavioral Health and Health Facilities (BBHHF), and other federal pass-through programs. As a CCBHC, FMRS receives enhanced Medicaid reimbursement rates.
2. Federal Mental Health and Substance Use Block Grants: Federal funding through SAMHSA for mental health and substance use programs. In January 2026, a brief federal funding reversal (restored within 24 hours) caused immediate chaos, with FMRS warning staff of potential layoffs, demonstrating dependence on federal grants.
3. Medication-Assisted Treatment (MAT) Fees: Fees associated with MAT services including Suboxone, Vivitrol, and Naltrexone programs. Clients or their insurance are responsible for fees; state and private insurance may be accepted upon prior approval.
4. WV DUI Safety and Treatment Program: State-contracted DUI education and treatment classes offered in Raleigh and Fayette Counties through an agreement with the State of West Virginia. Fees are charged per class session.
5. Sliding Fee Scale / Self-Pay: Sliding fee scale program compliant with federal requirements (HRSA National Health Service Corps) allows services regardless of ability to pay, with fees adjusted based on income.

Pricing tiers

Go-to-market motion1 record

Distribution channels6 records

Marketing channels5 records

Core offering

FMRS Health Systems operates as a Certified Community Behavioral Health Clinic (CCBHC) delivering an integrated continuum of behavioral health, substance use, crisis, intellectual/developmental disability (IDD), and primary care services to residents of four southern West Virginia counties. Services are delivered through in-person county offices, tele-mental health, mobile crisis teams, and school-based programs, supported by the FMRS Connect patient portal. The organization is funded primarily through Medicaid, state behavioral health contracts, federal SAMHSA grants, and a sliding fee scale that allows access regardless of ability to pay.

Product overview

FMRS Health Systems, Inc. is a comprehensive community mental health center serving four counties in southern West Virginia (Fayette, Monroe, Raleigh, and Summers), originally organized in 1969 and renamed in 2001. The organization operates as a Certified Community Behavioral Health Clinic (CCBHC) offering a unified portfolio of integrated behavioral health and primary care services. The core offering spans multiple interrelated programs: adult and children's behavioral health services (including clinical assessment, therapy, and psychiatric care via tele-mental health); crisis services (24-hour crisis response, Crisis Stabilization Unit with detox, and Children's Mobile Crisis Response); substance use treatment (detoxification, intensive outpatient, outpatient, DUI program, and Medication-Assisted Treatment); intellectual and developmental disability services (Title XIX I/DD Waiver and Family Support Program); and primary care integrated with behavioral health. Specialty programs include the CCBHC (which encompasses case management, adult mobile crisis, primary health screening, and supported employment); Quiet Minds (First Episode Psychosis intervention for ages 14–30); the Regional Youth Service Center (RAFT) for co-occurring youth conditions; School-Based Mental Health in Raleigh County schools; Children's Wraparound Services; and Assertive Community Treatment. All programs are connected through a shared care coordination infrastructure and supported by the FMRS Connect patient portal, delivering whole-person, integrated care to the underserved southern West Virginia community.

Differentiator

Problem solved

Functional benefit

Products and services

• Certified Community Behavioral Health Clinic (CCBHC) A federal CCBHC certification enabling FMRS to deliver comprehensive behavioral health services with a focus on physical health and whole-person wellness, including case management, adult mobile crisis services, person-centered treatment planning, primary health screening, and supported employment for residents of four West Virginia counties.
• Crisis Stabilization Unit Short-term intensive program providing daily psychiatric evaluation, intensive group and individual therapy, and opioid/alcohol/benzodiazepine detoxification for adults experiencing acute psychiatric symptoms or substance withdrawal, with an average stay of 5-7 days for psychiatric admissions and 6 days for detox admissions.
• 24-Hour Crisis Response Round-the-clock team of Crisis Response Specialists who assess and intervene in emotional crises, facilitate hospitalization, arrange follow-up services, and provide assessment in hospital emergency rooms or magistrate offices for adults in acute distress.
• Children's Mobile Crisis Response Team (CMCRT) Team of crisis specialists and a parent support specialist providing immediate on-scene de-escalation, assessment, intervention, skills training, and crisis planning for children and adolescents in emotional or behavioral crisis across 11 counties in West Virginia.
• Children's Wraparound Services Team-based planning process bringing together family, community, and service providers to support children at risk of out-of-home placement due to severe emotional or behavioral disturbance, focused on keeping families together using a strengths-based approach.
• School-Based Mental Health Program Collaborative program with Raleigh County Schools providing three-tier mental health services (preventative education, at-risk intervention, and intensive individual/family therapy) housed within Beckley Elementary and Stratton Elementary schools.
• Parent-Child Interaction Therapy (PCIT) Evidence-based family therapy model using live-coached sessions with parents/caregivers and children ages 3-7 (modified for up to age 10) to improve the parent-child relationship, reduce disruptive behaviors, and increase positive discipline and parenting skills.
• Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) Evidence-based therapy for children and adolescents ages 3-21 who have experienced trauma, incorporating gradual exposure, psychoeducation, relaxation skills, cognitive coping, trauma narrative processing, and safety skills training.
• Regional Youth Service Center (RAFT) Collaboration between FMRS, Seneca Mental Health, and Southern Highlands CMH providing a hub of outpatient services for youth with co-occurring substance use and mental health conditions across 11 counties, including evidence-based therapies, youth peer support, and suicide prevention.
• Quiet Minds – First Episode Psychosis Program Collaborative, recovery-oriented early intervention program for individuals ages 14-30 experiencing first-episode psychosis, offering psychiatric medication, individual and group therapy, peer support, supported employment and education, and case management to promote recovery.
• Adult Behavioral Health Services Comprehensive adult behavioral health services including clinical assessment, psychiatric evaluations, group therapy for depression, anxiety, mood disorders, and co-occurring disorders, individual therapy, and psychiatric pharmacological management delivered via tele-mental health.
• Assertive Community Treatment (ACT) Multidisciplinary, community-based rehabilitation program for high-risk adults with serious persistent mental illness who have a history of frequent hospitalizations, providing an inclusive array of services within a 20-mile radius of the Raleigh County office.
• Supported Housing (Group Homes) Safe, affordable housing with FMRS staff support for consumers at risk of psychiatric hospitalization, including natural family settings, individual housing, and group homes; FMRS operates 25 supported housing slots including 2 transitional/respite slots.
• Day Treatment Support High-support program providing up to 24 hours of daily services for individuals in group homes, including personal hygiene, cooking, home maintenance, money management, medication management, and independent living skills training; FMRS operates 25 day treatment slots.
• IDD Services Intellectual and Developmental Disability services including the Title XIX I/DD Waiver Program providing home and community-based services as an alternative to ICF/MR facilities, and the Family Support Program providing financial assistance for families caring for a member with a developmental disability at home.
• Primary Care/Health Services Integrated primary care services for adults with behavioral health conditions, delivered by a certified nurse practitioner including annual health screenings, women's health exams, chronic disease management, and wellness programs such as smoking cessation, exercise, and nutrition groups.
• Substance Use Treatment Programs Full continuum of substance use disorder treatment including detoxification (opioid, alcohol, benzodiazepine), intensive outpatient (ASAM Level 2.1), outpatient (ASAM Level 1.0), DUI Safety and Treatment Program, and Medication-Assisted Treatment using Suboxone, Vivitrol, or Naltrexone.
• WV DUI Safety and Treatment Program State-contracted DUI education and treatment classes offered in Raleigh and Fayette Counties through an agreement with the State of West Virginia. Per-class fees are charged; the program meets state requirements for DUI compliance.
• FMRS Connect Patient Portal Secure online patient portal enabling existing FMRS clients to access their health records, communicate with providers, and manage their care remotely through an integrated digital platform.
• Life Space Crisis Intervention (LSCI) Training Nationally recognized professional training and certification program turning crisis situations into learning opportunities for children and youth with chronic self-defeating behavioral patterns; FMRS is a certified national training site for LSCI.

Quantifiable outcome

• Crisis Stabilization: average length of stay 5-7 days for psychiatric symptoms and 6 days for detox admissions, preventing unnecessary inpatient hospitalizations.
• +4 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

Feature2 records

Partnerships

Six partnerships are on record, tiered core and minor.

• Seneca Mental HealthcoreStrategic or Co-development PartnerFMRS Health Systems collaborates with Seneca Mental Health as part of the Resources for Adolescent and Family Transformation (RAFT) Center, the Regional Youth Service Center for Region 6. RAFT serves eleven counties in southern West Virginia (Pocahontas, Webster, Nicholas, Greenbrier, Fayette, Summers, Monroe, Wyoming, Mercer, McDowell, and Raleigh) providing outpatient services for youth with co-occurring substance use and mental health conditions.
• Southern Highlands Community Mental HealthcoreStrategic or Co-development PartnerFMRS Health Systems collaborates with Southern Highlands Community Mental Health as part of the RAFT Center, a Regional Youth Service Center providing coordinated outpatient services for youth with co-occurring disorders across eleven counties in Region 6.
• Raleigh County SchoolscoreStrategic or Co-development PartnerFMRS Health Systems partners with Raleigh County Schools on the Expanded School Mental Health program, a collaborative effort to address emotional and behavioral difficulties impacting school performance. FMRS service coordinators are embedded in Beckley Elementary and Stratton Elementary schools providing mental health services throughout the school year.
• State of West VirginiacoreOthersFMRS provides the WV DUI Safety and Treatment Program through an agreement with the State of West Virginia. Classes are offered in Raleigh and Fayette Counties to ensure participants meet state requirements for DUI compliance. If the DUI occurred in another state, FMRS works to meet that state's particular requirements.
• KEPROminorOthersKEPRO is a designated point of contact for I/DD Waiver Program applications in West Virginia, alongside local Behavioral Health Centers (FMRS) and local DHHR offices. FMRS provides contact information for KEPRO (1-866-385-8920) as an alternative application pathway for the Title XIX I/DD Waiver Program.
• West Virginia DHHR (Department of Health and Human Resources)coreOthersDHHR is a key government partner for FMRS, serving as the central office for Medicaid billing, Bureau for Behavioral Health and Health Facilities oversight, and as a point of application for the I/DD Waiver Program. FMRS discloses PHI to DHHR for billing, program eligibility, and compliance purposes.

Scale indicators6 records

Recent moves7 records

Expansion highlights6 records

Direct peers

• Compass Health Network: Multi-county CCBHC and CMHC operating across Missouri and surrounding states with mental health, SUD, crisis, IDD, and primary care services. Provides a scaled, multi-site analog to FMRS's CCBHC operating model.
• Valley HealthCare System: West Virginia CMHC serving north-central WV (Marion, Monongalia, Harrison, Taylor, Doddridge counties). Comparable CMHC profile with mental health, substance use, IDD, and 24/7 crisis services funded primarily through Medicaid, BBHHF, and federal grants.
• Appalachian Community Health Center: West Virginia behavioral health provider operating in Randolph, Barbour, Tucker, Upshur, and Lewis Counties. Provides mental health, substance use, crisis, and IDD services with comparable Medicaid/federal funding mix and rural Appalachian operating environment.
• Southern Highlands Community Mental Health Center: West Virginia CMHC serving McDowell, Mercer, and Wyoming Counties. Direct FMRS collaborative partner in the 11-county RAFT center and the most analogous Appalachian, multi-county behavioral health delivery model in West Virginia.
• Prestera Center for Mental Health Services: West Virginia's largest CMHC, operating across more than two dozen counties with a similar mix of mental health, substance use, IDD, crisis, and CCBHC services. Closest in-state peer by service breadth, scale, and funding model.
• Northwood Health Systems: West Virginia behavioral health provider operating in Brooke, Hancock, Marshall, Ohio, and Wetzel Counties. Closely comparable West Virginia CMHC/CCBHC serving rural Appalachian counties with mental health, substance use, and IDD services.
• Seneca Health Services: West Virginia-based CMHC operating in Pocahontas, Webster, Greenbrier, and Nicholas Counties, and a direct FMRS collaborative partner in the RAFT Regional Youth Service Center. Most directly comparable operating model, service mix (mental health, SUD, IDD), and CCBHC/Judicial status.
• Cherokee Health Systems: Tennessee-based federally qualified health center and CCBHC exemplar offering fully integrated behavioral health and primary care across rural Appalachian counties. Closely comparable integrated-care model and CCBHC operating playbook.
• Pyramid Healthcare: Pennsylvania-based nonprofit offering mental health, substance use, residential, and CCBHC-equivalent services across multiple rural counties. Similar size and rural Appalachian/regional operating footprint to FMRS with a comparable public-payer funding mix.

Broad incumbents

• Centerstone: One of the largest U.S. nonprofit behavioral health providers operating across Tennessee, Indiana, Kentucky and Florida with CCBHC, mental health, SUD, and crisis services. Comparable CCBHC service mix and community-based delivery model, but at substantially larger scale than FMRS.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/FMRSHealth
• Xx.com/fmrshealth

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 records

Funding overview

Funding rounds

Investors

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 FMRS Health Systems