Carolina Outreach

What Carolina Outreach does

Carolina Outreach is a North Carolina–based behavioral health services provider that delivers a continuum of mental health, substance use, and care management services to children, adolescents, adults, and families. Founded in 2003 in Durham by social workers Tom Reid and Tim Brooks under a families-first, strengths-based model, the organization now operates twelve clinic locations across the state and a walk-in Behavioral Health Urgent Care in Durham. Service lines include Child and Adolescent Services, Adult Services (including Assertive Community Treatment, Community Support Team, and Forensic ACT), Substance Use Services, Tailored Care Management, and the MORES mobile crisis response program in Charlotte; teletherapy is offered as a scheduled delivery channel. Carolina Outreach applies multiple evidence-based practice models, including MATCH-ADTC, TF-CBT, PCIT, Family Centered Treatment, and ESFT, and holds CARF accreditation. The organization joined the ncgCARE network in 2019 and expanded its Eastern North Carolina footprint in 2024 through the integration of Broadstep of North Carolina.

The underlying technology stack is modest: a teletherapy platform for virtual counseling sessions and a case management and referral tracking system called CaseHandler. There is no disclosed AI, machine learning, or analytics platform; the product is fundamentally human-delivered clinical care. The go-to-market motion is sales-led in a B2G/B2C sense, driven by referrals from families, healthcare providers, schools, law enforcement, DSS, and DJJ, complemented by direct outreach through 24/7 phone lines and walk-in urgent care.

Revenue is generated almost entirely through Medicaid and state-funded sources. Carolina Outreach is in-network with eight named NC Medicaid Managed Care plans (Alliance, Vaya, Trillium, Carolina Complete Health, United Healthcare, AmeriHealth Caritas, Wellcare, and Blue Cross Blue Shield Healthy Blue) and also serves uninsured residents of six named counties (Cumberland, Durham, Johnston, Mecklenburg, Orange, Wake) through state funds. A $440 self-pay option for Behavioral Health Urgent Care is available for those not meeting Medicaid or county eligibility. In 2024, the broader ncgCARE partner network — including Carolina Outreach — reported 580,975 encounters delivered to 21,785 individuals and families.

Name

Carolina Outreach

Legal name

Carolina Outreach LLC

Website

https://carolinaoutreach.com

Company type

Private

Founded year

2003

Operating status

Operating

Headcount range

251–500 employees

Short description

Carolina Outreach is a North Carolina–based behavioral health provider operating twelve clinics statewide, delivering mental health, substance use, crisis, and care management services to Medicaid-eligible children, adolescents, and adults under the ncgCARE network.

Ownership category

akta.pro rank

Headquarters

HQ city

Durham

HQ country

United States

HQ region

North America

Offices12 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Medicaid and Government-Funded Services: Carolina Outreach generates revenue primarily through Medicaid reimbursement for behavioral health services. They accept multiple NC Medicaid Managed Care plans including Alliance Behavioral Healthcare, Vaya Health, Trillium Health Resources, Carolina Complete Health, United Healthcare, AmeriHealth Caritas, Wellcare, and Blue Cross Blue Shield Healthy Blue.
2. State-Funded Services: Services are provided free of charge to uninsured individuals in specific counties (Cumberland, Durham, Johnston, Mecklenburg, Orange, and Wake) who meet financial eligibility requirements. Medicare and commercial insurance beneficiaries may also be covered through state funds if they meet financial criteria.
3. Self-Pay Services: Behavioral Health Urgent Care visits are available for a $440 out-of-pocket fee for individuals who do not meet eligibility requirements or reside outside covered counties.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels5 records

Core offering

Carolina Outreach provides comprehensive behavioral health services across North Carolina, including diagnostic assessments, outpatient therapy, intensive in-home services, substance use treatment, medication management, and crisis intervention for children, adolescents, adults, and families. Services are delivered through 12 clinic locations, a walk-in Behavioral Health Urgent Care, teletherapy, and community-based programs such as MORES (Mobile Outreach Response Engagement and Stabilization) and Forensic Assertive Community Treatment (FACT).

Product overview

Carolina Outreach is a behavioral health services organization offering a comprehensive and integrative array of services for children, adolescents, and adults across North Carolina. The organization operates as a multi-service provider with distinct service lines including Child & Adolescent Services, Adult Services, Substance Use Services, Behavioral Health Urgent Care, and Tailored Care Management. Services are delivered through multiple physical locations and include evidence-based therapeutic approaches such as TF-CBT, PCIT, FCT, and MATCH-ADTC. The organization also offers specialized programs including MORES (crisis response for youth), FACT (forensic assertive community treatment), and teletherapy as a delivery channel. Carolina Outreach became an ncgCARE partner in 2019 and expanded into eastern North Carolina through acquisition of Broadstep of North Carolina.

Differentiator

Problem solved

Functional benefit

Products and services

• Child & Adolescent Services Comprehensive behavioral health services for children and adolescents ages 4-20, including diagnostic assessment, outpatient therapy, intensive in-home services, family centered treatment, school-based mental health, and medication management.
• Adult Services Behavioral health services for adults including diagnostic assessment, outpatient therapy, community support team (CST), assertive community treatment (ACT), medication management, and substance use disorder treatment.
• Substance Use Services Outpatient substance use treatment programs including basic outpatient, intensive outpatient program (IOP), continuing care, and aftercare services utilizing Twelve-Step facilitation and motivational interviewing approaches.
• Behavioral Health Urgent Care

Quantifiable outcome

• 99% of individuals found it easy to get an appointment when needed
• +2 more outcomes

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Two partnerships are on record, tiered core.

• Broadstep of North Carolina (Coastal Southeastern United Care)coreStrategic or Co-development Partner · 1 January 2024Broadstep of North Carolina, also known as Coastal Southeastern United Care, joined the ncgCARE family in 2024. This acquisition expands Carolina Outreach's services in eastern North Carolina, providing coverage in Gastonia, Lumberton, Jacksonville, Supply, and Wilmington. The partnership complements existing services and strengthens statewide coverage.
• ncgCAREcoreStrategic or Co-development Partner · 1 January 2019Carolina Outreach partnered with ncgCARE in 2019. Through the partnership, ncgCARE provides administrative services and supports the Carolina Outreach service mission. ncgCARE is a network of behavioral health providers leading the way to excellence in behavioral healthcare through innovation, service excellence, best practice development, and commitment to employees.

Scale indicators5 records

Recent moves8 records

Expansion highlights5 records

Broad incumbents

• Acadia Healthcare: Large publicly traded behavioral health operator with inpatient psychiatric and residential SUD facilities. Comparable on behavioral health continuum and crisis services; differs in facility-based delivery model and national scope.
• Centerstone: Large multi-state nonprofit behavioral health provider offering outpatient, residential, and crisis services. Comparable on broad service portfolio and Medicaid contracting; differs in geographic scale and broader population health focus.

Emerging players

• BrightView Health: Multi-state outpatient substance use disorder treatment provider offering medication-assisted treatment and IOP. Comparable on Medicaid-billed outpatient SUD model; differs in single-disease focus and rapid multi-state expansion.
• Sandstone Care: Multi-state outpatient mental health and SUD treatment provider targeting adolescents and young adults. Comparable on evidence-based adolescent treatment and outcomes measurement; differs in commercial-payor model and absence of community-based ACT/CST.

Regional players

• Pyramid Healthcare: Mid-Atlantic behavioral health provider offering outpatient, residential, and SUD services. Comparable on full continuum model and Medicaid reliance; differs in Mid-Atlantic versus Southeast geographic focus.

Direct peers

• RHA Health Services: North Carolina-based behavioral health and I/DD services provider offering community-based mental health, substance use, and developmental disability supports. Direct peer given overlapping service lines (ACT, CST, outpatient therapy) and shared NC Medicaid payer mix.
• Monarch: North Carolina-based nonprofit behavioral health and I/DD provider delivering outpatient therapy, community support, and Tailored Care Management. Direct peer given shared NC Medicaid reliance, similar service portfolio, and overlapping geographic footprint.
• ncgCARE: Parent strategic partner network providing administrative services to Carolina Outreach; operates adjacent behavioral health providers across the Southeast. Directly comparable on service mix, Medicaid contracting approach, and continuum-of-care model.
• Daymark Recovery Services: One of North Carolina's largest community mental health providers operating outpatient clinics, crisis services, and SUD programs statewide. Direct peer given comparable outpatient, crisis, and substance use service lines and similar Medicaid payer mix.
• PORT Health: North Carolina-based behavioral health and primary care provider offering outpatient therapy, SUD treatment, and community-based services. Direct peer given overlapping service lines and shared NC Medicaid managed care contracting.

Market position

Strengths2 records

Weaknesses5 records

Competitive moat5 records

Key risks3 records

Key highlights7 records

Customer concentration

• Xx.com/carolina_outrch
• Facebookfacebook.com/carolinaoutreachcounseling
• LinkedInlinkedin.com/company/carolina-outreach-llc

Revenue estimate

Valuation estimate

Number of profiles

Profiles12 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 Carolina Outreach