East Texas Community Health Services

What East Texas Community Health Services does

East Texas Community Health Services, Inc. (ETCHSI) is a private, not-for-profit Federally Qualified Health Center (FQHC) founded in 1987 in Nacogdoches, Texas, providing primary medical, dental, mental health, pharmacy, and prenatal care to medically uninsured and underserved residents of rural East Texas. The organization operates five clinic locations across Nacogdoches and Lufkin, serving a six-county service area (Nacogdoches, Angelina, Cherokee, Sabine, San Augustine, and Shelby) and is the largest multi-specialty primary care practice within a 50-mile radius of Nacogdoches. Care is delivered through a Patient-Centered Medical Home (PCMH) model under Evidence-Based Practice (EBP) guidelines, and the organization holds NCQA PCMH recognition and FTCA-deemed facility status under 42 U.S.C. 254b.

ETCHSI's core product offering is integrated ambulatory care: pediatric care (LittleJacks Pediatrics), adult primary care (Eastside Medical Clinic, Westside Community Clinic, Lufkin Community Clinic–Sayers), women's health and prenatal services, dental services, mental health counseling, on-site laboratory, and chronic disease management for diabetes, hypertension, asthma, and heart disease. The technology layer is built on the athenahealth electronic health record and patient portal, with planned expansion of a full-service on-site pharmacy at the Eastside location in Summer 2026 offering prescription pickup, insurance review, and free home delivery. The organization is governed by a Board of Directors and led by a five-person executive team with substantial internal continuity (CEO Anita Humphreys, formerly CFO since 1990; CMO Dr. Rodrigo W. Sotillo since 2016).

The revenue model is a hybrid of federal and state grants, third-party insurance reimbursement, and patient fees on a sliding fee scale. The 2020 HRSA Health Center Program grant of $3,868,108 represented 49% of funding, with the remaining 51% from non-governmental sources including the TL Temple Foundation, United Way, and patient service revenue. The payor mix is heavily skewed toward uninsured and Medicaid: 50.37% uninsured, 25% Medicaid, 17.37% other third-party, and 7.26% Medicare in 2023, with 72% of patients at or below 200% of the federal poverty level. Approximately 9,467 patients were served in 2023, a decline from 10,165 in 2021, and the patient population is 68.21% racial/ethnic minority, with 41.73% Hispanic/Latino served by a Spanish-speaking CMO and bilingual staff.

Name

East Texas Community Health Services

Legal name

East Texas Community Health Services, Inc.

Website

https://etchc.com

Company type

Private

Founded year

1987

Operating status

Operating

Headcount range

51–100 employees

Short description

East Texas Community Health Services is a private, not-for-profit Federally Qualified Health Center founded in 1987 in Nacogdoches, Texas, operating five clinics that provide primary medical, dental, mental health, and prenatal care to uninsured and underserved residents across six rural East Texas counties.

Ownership category

akta.pro rank

Product category

Community Health Services

NAICS

Ambulatory Health Care Services (621), Other Ambulatory Health Care Services (6219)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Health Services (8000)

akta.pro primary industry

Community Health Centers (FQHCs & Look-Alikes) (HLAFAGAB)

akta.pro secondary industry

Rural Health Clinics (RHCs) (HLAFAGAL)

Keywords

• Federally qualified health center
• Community health services
• Primary care clinics
• Sliding fee scale healthcare
• Rural family medicine

Headquarters

HQ city

Nacogdoches

HQ country

United States

HQ region

North America

Offices5 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Federal and State Grants: ETCHSI receives federal funding through HRSA (Health Resources and Services Administration) Bureau of Primary Health Care and Texas Department of State Health Services grants. The organization also receives support from foundations including TL Temple Foundation and United Way. The 2020 HRSA award was $3,868,108 representing 49% of funding.
2. Patient Fees and Sliding Fee Scale: Services are billed on a sliding fee scale based on annual household income and family size for patients with limited incomes. The organization serves uninsured patients (50.37% in 2023) and those with Medicaid (25%), Medicare (7.26%), and other third-party insurance (17.37%).
3. Third-Party Insurance Revenue: Revenue from Medicaid, Medicare, and private health insurance plans for covered patients.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels6 records

Core offering

East Texas Community Health Services, Inc. (ETCHSI) is a federally qualified health center (FQHC) providing primary medical, dental, pediatric, women's health/prenatal, mental health, and pharmacy services to medically uninsured and underserved residents of rural East Texas across Nacogdoches and Lufkin. Services are delivered through five clinic locations under a sliding fee scale based on household income and family size. The organization also administers state and federal healthcare assistance programs including Healthy Texas Women, Title V Maternal and Child Health, and Breast & Cervical Cancer Services.

Product overview

East Texas Community Health Services, Inc. (ETCHSI) operates as a multi-location federally qualified health center (FQHC) offering a comprehensive portfolio of healthcare services. The organization provides primary medical care (pediatric, adult, and geriatric), dental services, women's health including OB/GYN and prenatal care, mental health counseling, on-site pharmacy, laboratory services, immunizations, and chronic disease management (diabetes, asthma, hypertension). Services are delivered through five distinct clinic locations: Eastside Medical Clinic and Westside Community Clinic in Nacogdoches, LittleJacks Pediatrics in Nacogdoches, Lufkin Community Clinic – Sayers in Lufkin, and the ETCHSI Administration office. The organization also administers patient assistance programs including Healthy Texas Women, Title V Maternal and Child Health, and Breast & Cervical Cancer Services, along with a sliding fee scale program for uninsured and underinsured patients based on income and family size. A new full-service pharmacy is scheduled to open at the Eastside location in Summer 2026.

Differentiator

Problem solved

Functional benefit

Brands

• LittleJacks Pediatrics ETCHS: Pediatric services location in Nacogdoches providing comprehensive care for children from birth through adolescence
• Eastside Community Clinic
• Westside Community Clinic
• Lufkin Community Clinic – Sayers
• ETCHSI Pharmacy

Products and services

• Eastside Medical Clinic Primary care clinic offering general pediatric and adult health care, women's health including prenatal and delivery services, family planning, GYN procedures, Medicaid Texas Health Step Physicals, laboratory tests, immunizations, preventive health and screening tests, and chronic illness management including asthma, diabetes, and high blood pressure.
• Westside Community Clinic Medical and dental clinic providing accessible, high-quality care for the whole family including health screenings, chronic disease management, women's and men's health exams, mental health services, immunizations, COVID-19 care, and on-site pharmacy.
• LittleJacks Pediatrics Pediatric specialty clinic offering comprehensive care for children from birth through adolescence including routine well child visits, immunizations, developmental assessments, ADHD evaluations and management, acute and chronic health conditions, and same-day sick visits.
• Lufkin Community Clinic - Sayers Multi-service clinic in Lufkin providing general pediatric and adult health care, women's health, laboratory tests, immunizations, preventive health screenings, chronic illness management, a wide array of dental services from routine checkups to extractions, certified nurse midwife services, and an on-site Class D Pharmacy.
• ETCHSI On-Site Pharmacy Full-service on-site pharmacy offering prescription pickup, insurance review, savings opportunities, and pharmacist consultations. Most insurance plans accepted with free home delivery available.
• Patient Programs Healthcare assistance programs including Breast & Cervical Cancer Services, Healthy Texas Women, Primary Health Care, Title V Maternal and Child Health, Title V Prenatal Medical & Dental, and Family Planning services for eligible individuals and families.
• Sliding Fee Scale Program Discounted healthcare services billed on a sliding fee scale based on annual household income and family size for persons with limited incomes or no insurance. Patients at or below 200% of the federal poverty level receive discounted services upon proof of income.
• COVID-19 Vaccination and Testing COVID-19 vaccination and PCR testing services available in Nacogdoches and Lufkin locations for individuals over age 18, with appointments welcome and walk-ins accepted.

Quantifiable outcome

• Evidence-Based Practice reduces hospital stay lengths and complications
• +2 more outcomes

Segments4 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

Partnerships

Three partnerships are on record, tiered minor.

• Your Texas BenefitsminorStrategic or Co-development PartnerTexas HHSC program where ETCHSI serves as a community-based organization helping people apply online for benefits including food, cash, and medical assistance.
• Centers for Disease Control and Prevention (CDC)minorStrategic or Co-development PartnerFederal health agency providing guidance, resources, and health information (COVID-19, Zika, immunizations) that ETCHSI uses for patient education and pandemic response.
• Healthy Texas WomenminorStrategic or Co-development PartnerState healthcare program providing breast and cervical cancer services, preventive health, family planning, and women's health screenings through ETCHSI providers.

Scale indicators6 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• People's Community Clinic: A nonprofit community health center in Austin, Texas providing primary medical, dental, behavioral health, and pharmacy services to uninsured and underinsured residents on a sliding fee scale. Comparable to ETCHSI in nonprofit community health center structure, sliding fee scale, and integrated care model for underserved populations.
• Avenue 360 Health and Wellness: A Texas FQHC providing primary medical, dental, behavioral health, and pharmacy services to underserved populations in the Houston area. Comparable to ETCHSI in FQHC status, sliding fee scale operations, and integrated service model for low-income and uninsured patients.
• Legacy Community Health: A large Texas FQHC serving the Houston area with comprehensive primary care, dental, behavioral health, and pharmacy services to uninsured and underinsured populations. Directly comparable to ETCHSI in mission, FQHC structure, and integrated service delivery model, though operating at a much larger scale in an urban market.
• Stephen F. Austin Community Health Center: A Texas FQHC network serving medically underserved populations across the Gulf Coast region with primary care, dental, and behavioral health services. Comparable to ETCHSI as an FQHC grantee under HRSA with sliding fee scale programs and bilingual staff serving predominantly low-income and minority populations.
• Su Clinica Familiar: A Texas-based FQHC serving the Rio Grande Valley with primary care, dental, behavioral health, and pharmacy services to predominantly Hispanic/Latino uninsured populations. Comparable to ETCHSI in FQHC structure, bilingual service model, and focus on underserved rural communities with high uninsured rates.
• Lone Star Circle of Care: A Texas-based FQHC operating multiple clinic locations serving uninsured and underserved populations across Central Texas. Directly comparable to ETCHSI as a federally qualified health center providing primary care, dental, behavioral health, and pharmacy services on a sliding fee scale under HRSA funding.
• Community Health Centers of South Central Texas: A regional FQHC network serving rural and underserved communities across South Central Texas with primary care, dental, behavioral health, and pharmacy services. Comparable to ETCHSI as a multi-site FQHC serving predominantly rural, uninsured, and minority populations under HRSA funding.
• HealthPoint (Texas): A Texas-based FQHC operating multiple clinic locations providing primary medical, dental, and behavioral health care to underserved communities in Central and East Texas. Comparable to ETCHSI in FQHC structure, target population, sliding fee scale, and rural service area overlap.

Others

• Texas Association of Community Health Centers: A membership and advocacy organization representing Texas FQHCs and community health centers. While not a direct service competitor, TACHC is a key ecosystem partner for ETCHSI, providing policy advocacy, training, and operational support that directly impacts FQHC funding and regulatory compliance across the state.

Regional players

• AccessHealth: A Texas FQHC network serving rural East Texas and surrounding communities with primary care, dental, behavioral health, and pharmacy services. Operates in the same geographic region as ETCHSI with overlapping service areas, comparable FQHC funding model, and similar patient demographics in underserved rural counties.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/easttexaschc
• LinkedInlinkedin.com/company/east-texas-community-health-services-inc

Compliance7 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 records

Funding overview

Funding rounds

Investors

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M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about East Texas Community Health Services