TotalCare

What TotalCare does

TotalCare Health Services is a privately held, multi-specialty healthcare provider operating across the Dallas/Fort Worth Metroplex. Founded in 2004 and headquartered in Fort Worth, Texas, the company runs 17 facilities delivering 24/7 freestanding emergency care, urgent care, family medicine, and behavioral health services. TotalCare targets the general North Texas population through direct walk-in access at freestanding emergency rooms — a model distinct from hospital-based ERs that emphasizes shorter wait times (most patients seen by a physician within 10 minutes of check-in), geographic convenience across suburban DFW, and integrated on-site diagnostics including CT, digital radiography, ultrasound, and complete in-house laboratory services featuring the BioFire Respiratory Panel, which distinguishes 18 respiratory pathogens within approximately 45 minutes.

The revenue model is fee-for-service across six primary streams: emergency room visits, urgent care, family medicine, behavioral health, workers' compensation (coordinated with employer plans), and motor vehicle collision care (including Letter of Protection case handling with direct billing to law firms). TotalCare is in-network with most health plans for family medicine and urgent care, while ER services operate out-of-network but benefit from Texas-mandated in-network benefit application. Pricing is transaction-based with self-pay rates and flexible payment plans available, and the company explicitly does not practice surprise billing. Go-to-market is direct-to-consumer, supported by 100+ board-certified physicians, 43 open positions across nursing and administrative functions, a 4.7/5 Google rating across 12,500 reviews, and 95%+ stated patient satisfaction across a 100,000+ cumulative patient base.

The technology stack combines the eClinicalWorks EHR, NetSuite for accounting/payroll/accounts payable, and Cognito Forms for patient intake, with no mobile application or API platform currently offered. The company is HIPAA, CCPA, and GDPR compliant and operates under Texas Freestanding Emergency Medical Care Facility licensing per House Bill 2041. Marketing channels include a website with 45+ health articles, community partnerships (University of Texas at Arlington, DeSoto high school athletics, C-USA basketball tournament), and review-driven referrals; no disclosed M&A, funding events, or external institutional ownership are present in the source data.

Name

TotalCare

Legal name

TotalCare Health Services

Website

https://totalcare.us

Company type

Private

Founded year

2004

Operating status

Operating

Headcount range

101–250 employees

Short description

TotalCare Health Services operates 17 freestanding emergency rooms and multi-specialty clinics across the Dallas/Fort Worth Metroplex, delivering 24/7 ER, urgent care, family medicine, and behavioral health services to 100,000+ North Texas patients.

Ownership category

akta.pro rank

Product category

Freestanding Emergency Medical Care

NAICS

General Medical and Surgical Hospitals (622110), Ambulatory Health Care Services (621), All Other Outpatient Care Centers (621498)

SIC

Services-General Medical & Surgical Hospitals, Nec (8062), Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Health Services (8000)

akta.pro primary industry

Interfacility Transport (IFT) & Patient Transfer Services (HLAFANAF)

akta.pro secondary industries

Mobile & Street Medicine Primary Care Programs (HLAFAGAH), Critical Care Transport (CCT) & Specialty Transport Teams (HLAFANAE)

Keywords

• Freestanding emergency rooms
• Urgent care services
• Primary care medicine
• Behavioral health services
• Occupational injury care

Headquarters

HQ city

Fort Worth

HQ country

United States

HQ region

North America

Offices19 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Emergency Room Services: Fee-for-service revenue from 24/7 emergency room visits covering life-threatening conditions. TotalCare ER is an out-of-network provider but Texas law requires insurance to apply in-network benefit levels.
2. Urgent Care Services: Walk-in urgent care services for non-emergency conditions. In-network with most health plans.
3. Family Medicine Services: Primary care services including chronic condition management, wellness visits, and preventive care. In-network with most health plans.
4. Behavioral Health Services: Mental health support, medication management, and treatment services.
5. Workers' Compensation Services: Coordinated care for workplace injuries working directly with employer workers' compensation plans.
6. Motor Vehicle Collision Care: Emergency treatment for motor vehicle collision injuries including Letter of Protection (LOP) cases accepted, direct billing to law firms available.

Pricing tiers

Go-to-market motion1 record

Distribution channels5 records

Marketing channels3 records

Core offering

TotalCare operates a network of freestanding 24/7 emergency rooms and outpatient clinics across the Dallas/Fort Worth Metroplex, delivering emergency care, urgent care, family medicine, and behavioral health services directly to walk-in patients. The organization also runs specialized programs for motor vehicle collision injuries (including Letter of Protection billing) and workplace injury care coordinated with employers' workers' compensation plans. Services are delivered through on-site diagnostics including CT, X-ray, ultrasound, and in-house laboratories.

Product overview

TotalCare is a healthcare provider operating a network of freestanding emergency rooms and clinics across North Texas (Dallas/Fort Worth Metroplex). The company offers a multi-service healthcare platform centered on 24/7 Emergency Rooms supplemented by Urgent Care, Family Medicine, and Behavioral Health services. Specialized programs include Accident & Injury Care for motor vehicle collisions with Letter of Protection case handling, and Workers' Compensation services for workplace injuries. The portfolio includes 17 locations with 12 emergency rooms, 4 family medicine clinics, 2 behavioral health centers, and 1 urgent care facility. The emergency rooms operate as freestanding facilities (separate from hospitals) offering hospital-level care with advanced on-site diagnostics including CT scans, X-rays, ultrasound, and comprehensive lab services.

Differentiator

Problem solved

Functional benefit

Products and services

• 24/7 Emergency Rooms Freestanding emergency rooms open 24 hours a day, 7 days a week, providing immediate expert care for serious and life-threatening conditions with minimal wait times compared to traditional hospital ERs. Equipped with advanced on-site diagnostics including CT scans, X-rays, ultrasound, and complete in-house labs. Operates across 11 emergency room locations in North Texas.
• Urgent Care
• Family Medicine
• Behavioral Health
• Accident & Injury Care
• Workers' Compensation Services
• Motor Vehicle Collision (MVC) Accident Program

Quantifiable outcome

• Most patients meet with an emergency physician within 10 minutes of check-in
• +2 more outcomes

Named customers2 records

Segments6 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration5 records

Feature1 record

Scale indicators4 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• SignatureCare Emergency Center: Operates a network of freestanding 24/7 emergency rooms across Texas, including the DFW Metroplex, with a similar multi-site, walk-in model and comparable in-house diagnostic capabilities. Most direct operating peer to TotalCare.
• Altus Emergency Centers: Texas-based operator of freestanding emergency rooms offering 24/7 ER services with on-site imaging and lab. Closely comparable to TotalCare in service model, target customer (walk-in patients), and Texas geographic focus.
• Neighbors Emergency Center: Freestanding emergency room operator in Texas with locations across multiple metros including DFW. Competes directly with TotalCare on access, wait times, and breadth of emergency services.
• CareNow Urgent Care: Operates a large network of walk-in urgent care clinics across the DFW Metroplex. Direct competitor to TotalCare's urgent care and family medicine offerings, with similar retail-style access.
• GoHealth Urgent Care: National urgent care platform operating retail clinics including locations in Texas. Comparable to TotalCare's urgent care model on walk-in access, employer/insurance relationships, and digital patient intake.

Broad incumbents

• Texas Health Resources: Large nonprofit health system operating hospitals and outpatient facilities across North Texas. Represents the incumbent hospital-based competitor whose ER throughput TotalCare's freestanding model is designed to divert.
• Baylor Scott & White Health: Major nonprofit health system with extensive DFW-area hospitals, primary care, and urgent care locations. Provides broad competition across TotalCare's emergency, urgent care, and family medicine lines.
• HCA Healthcare: Largest for-profit hospital operator in the U.S. with multiple facilities in the DFW market. Competes across emergency, urgent care, and primary care service lines with substantial scale advantages.

Regional players

• CityMD: Large urgent care and walk-in provider operating primarily in the Northeast U.S. Same core use case (walk-in acute and primary care) but different geography; useful comparable for unit economics and multi-site operating model.

Others

• U.S. Anesthesia Partners: While not a direct competitor, USAP is a relevant Texas-based healthcare services platform that has been subject to similar payer and regulatory dynamics (in-network/out-of-network billing scrutiny) as TotalCare's freestanding ER model.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights7 records

Customer concentration

• Xx.com/totalcareclinic

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

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 TotalCare