What Foothills Gateway does

Foothills Gateway, Inc. (FGI) is a 501(c)(3) nonprofit human services organization founded in 1972 and headquartered at 301 W. Skyway Drive, Fort Collins, Colorado. It is the designated Community Centered Board (CCB) for Larimer County (designation valid 7/1/2024 - 6/30/2034) and operates as the regional Case Management Agency (CMA) under contracts with Colorado Health Care Policy and Financing (HCPF), as well as the Early Intervention Broker under a Colorado Department of Early Childhood (CDEC) contract. The organization coordinates services for individuals with intellectual and developmental disabilities (IDD), brain injuries, mental health needs, and related conditions across all age groups — serving more than 6,000 people and families, with a current IDD waiting list of nearly 350 individuals.

The service portfolio spans nine adult and children's Medicaid HCBS waivers (DD, SLS, CES, CHRP, CwCHN, BI, CMHS, CIH, EBD), state-funded programs (State-SLS, OBRA, HCA), the Family Support Services Program (FSSP), Early Intervention for children 0-3 (including the ten-year-old Infant Support Team), and direct services such as transportation, 24/7 adult respite at the ACS House, START crisis coordination, and Housing Choice Voucher administration. The underlying technology is limited to an internal FGI Portal supporting staff, Program Approved Service Agencies (PASAs), and the Board of Directors; no proprietary platform, app, or AI capabilities are disclosed. A network of contracted PASAs performs direct service delivery under Foothills Gateway oversight.

Revenue is generated primarily through government program reimbursement (Medicaid waivers, state-funded programs, county Mill Levy funds for specific facilities such as the ACS House) and is supplemented by donations and grant funding channeled through the Foothills Gateway Rehabilitation Center Charitable Foundation Trust (est. 1990) and the Foothills Service League volunteer organization. Services are provided free to eligible individuals based on Medicaid/state-program eligibility, with no commercial pricing structure. The organization employs 251-500 staff and is governed by a Board of Directors; it is not publicly traded and has no parent company or outside equity backing.

Name

Foothills Gateway

Legal name

Foothills Gateway, Inc.

Website

https://foothillsgateway.org

Company type

Private

Founded year

1972

Operating status

Operating

Headcount range

251–500 employees

Short description

Foothills Gateway is a Fort Collins, Colorado 501(c)(3) nonprofit designated as Larimer County's Community Centered Board and Case Management Agency, providing Medicaid HCBS waiver case management, Early Intervention, and direct services to over 6,000 individuals with intellectual and developmental disabilities and their families.

Ownership category

akta.pro rank

Product category

Disability and Human Services

NAICS

Services for the Elderly and Persons with Disabilities (62412)

SIC

Services-Social Services (8300)

akta.pro primary industry

Disability Services & Independent Living Support (BPAGACAG)

Keywords

• Disability case management
• Early intervention services
• Medicaid waiver programs
• Respite care services
• Family support services

Headquarters

HQ city

Fort Collins

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Supply Chain, Infrastructure, Others

Revenue model

1. Government Program Reimbursement: Primary revenue comes from reimbursement for case management and services through Colorado Health Care Policy and Financing (HCPF) Medicaid programs, including various HCBS waivers, state-funded programs, and Early Intervention services contracted through the Colorado Department of Early Childhood (CDEC). Funding sources include county, state, federal, and private funds.
2. Foundation and Donations: The Foothills Gateway Rehabilitation Center Charitable Foundation Trust (established 1990) raises funds and resources to enhance quality of life for individuals served. Additional revenue comes from donations, grant funding for community programs, and Mill Levy funding for specific services like the ACS House.

Go-to-market motion1 record

Distribution channels4 records

Marketing channels6 records

Core offering

Foothills Gateway is a nonprofit human services organization that operates as the designated Case Management Agency (CMA) and Community Centered Board (CCB) for Larimer County, Colorado. It coordinates intellectual and developmental disability (IDD) services including Medicaid HCBS waiver case management, Early Intervention for children 0-3, the Family Support Services Program, and direct services such as adult respite at the ACS House, transportation, and crisis/START coordination.

Product overview

Foothills Gateway, Inc. operates as a nonprofit human services organization providing a comprehensive suite of case management and direct services for individuals with intellectual and developmental disabilities (IDD) in Larimer County, Colorado. The organization functions as the designated Case Management Agency (CMA), Community Centered Board (CCB), and Early Intervention Broker (EIB) for the region. Its service portfolio includes Medicaid waiver programs (DD, SLS, CES, CHRP, CwCHN, BI, CMHS, CIH, EBD), state-funded programs (State-SLS, OBRA, HCA), Family Support Services Program (FSSP), Early Intervention services for children 0-3, and direct services such as transportation, adult respite at the ACS House, and crisis/START coordination. An internal FGI Portal supports staff and partner agencies with case management and administrative functions.

Differentiator

Problem solved

Functional benefit

Products and services

• Case Management Agency (CMA) Services Provides case management for individuals and families accessing Medicaid Waivers and other state/federally-funded programs, helping clients navigate the long-term care system, determine eligibility, and coordinate services.
• Community Centered Board (CCB) Designation Services Designated CCB for Larimer County, Colorado, providing case management and coordinating services for individuals with intellectual and developmental disabilities under CCB Designation Approval running 7/1/2024 - 6/30/2034.
• Early Intervention Services Coordinates early intervention services for children ages 0-3 with intellectual/developmental disabilities, providing occupational therapy, speech-language pathology, physical therapy, and other developmental support.
• Direct Services (Transportation, START Crisis, Housing Choice Vouchers) Provides non-Medicaid direct services including transportation, START crisis coordination, and Housing Choice Voucher program administration for adults in Larimer County.
• Family Support Services Program (FSSP) State-funded program providing information, support, coordination, and funding to families in Larimer County with members of any age with intellectual or developmental disabilities living in the family home.
• Adults Case Management Medicaid Waivers Medicaid waiver programs for adults including Developmental Disabilities (DD), Supported Living Services (SLS), Brain Injury (BI), Community Mental Health Supports (CMHS), Complementary and Integrative Health (CIH), and Elderly/Blind/Disabled (EBD) waivers.
• Children Case Management Medicaid Waivers Medicaid waiver programs for children including Children's Extensive Support (CES), Children with Complex Health Needs (CwCHN), and Children's Habilitation Residential Program (CHRP) waivers.
• Non-Medicaid State-Funded Programs State-funded programs including State-Supported Living Services (State-SLS), OBRA Specialized Services, and Home Care Allowance (HCA) for individuals not qualifying for Medicaid.
• Adult Care Services (ACS) House Respite 24/7 respite services in a home-like setting for individuals with intellectual or developmental disabilities (IDD), ages 18+, providing temporary relief for family caregivers (up to 8 daytime / 3 overnight individuals).
• Infant Support Team (IST) Specialized team formed in 2016 to provide immediate post-NICU support to families with medically fragile babies and young children with developmental delays, reaching over 1,000 babies and families over a 10-year period.

Quantifiable outcome

• Over 6,000 people and families served
• +1 more outcomes

Named customers3 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Seven partnerships are on record, tiered core, moderate and minor.

• Foothills Service LeaguecoreOthersWomen's service organization with 40+ members supporting Foothills Gateway through fundraising events, public awareness campaigns, and social activities for individuals and families receiving services. Also assists children served through SummitStone Health Partners' Namaqua Center. Meets last Thursday of each month at 5:30pm.
• City of Fort CollinscoreStrategic or Co-development PartnerProperty owner of the ACS House (Adult Care Services facility). The City of Fort Collins owns the property which is fully maintained and staffed by Foothills Gateway through Mill Levy funding. This partnership enables 24/7 respite services for adults with IDD.
• SummitStone Health PartnersmoderateStrategic or Co-development PartnerBehavioral health services partner represented on the Community Advisory Committee (CAC). Provides mental health services and coordinates with Foothills Gateway for integrated care approaches. The Namaqua Center program serving abused children in Larimer County is mentioned as a joint service area with Foothills Service League.
• Alliance ColoradominorStrategic or Co-development PartnerAlliance of community organizations working together to support individuals with disabilities. Foothills Gateway is listed as an Alliance partner, indicating membership in a broader community services network.
• Program Approved Service Agencies (PASAs)coreChannel Partner/ Reseller/ DistributorNetwork of contracted service agencies approved to provide direct services to Foothills Gateway clients. Includes providers of employment services, therapies, residential supports, transportation, and other disability services. Foothills Gateway maintains a PASA Reference Area with policies, procedures, and forms for service agencies.
• Colorado Health Care Policy and Financing (HCPF)coreOthersState agency administering Colorado Medicaid programs. Foothills Gateway operates as a Case Management Agency (CMA) under HCPF contracts, providing services through various HCBS waivers including DD, SLS, CES, CHRP, CwCHN, and others.
• Colorado Department of Early Childhood (CDEC)coreOthersState agency overseeing Early Intervention Colorado. Foothills Gateway operates as the Early Intervention Broker (EIB) for the region, coordinating services for children 0-3 with intellectual/developmental disabilities through state contracts.

Scale indicators5 records

Recent moves6 records

Expansion highlights5 records

Regional players

• RISE: Western Colorado CCB serving individuals with IDD through case management and direct services. Comparable CCB function though operating in a different geographic region of Colorado.
• Blue Peaks Developmental Services: Designated CCB for mountain/summit counties in Colorado (Region Mountain). Directly comparable CCB function but serves a distinct geographic territory from Larimer County.

Direct peers

• Community Connections, Inc. Colorado Springs-area CCB providing case management and programs for individuals with IDD. Directly comparable as a designated CCB with similar public funding model.
• Rocky Mountain Human Services: Denver-based nonprofit providing case management and direct services across multiple disability populations, including functioning as a CCB-equivalent. Comparable in size and Medicaid-waiver-heavy model.
• North Metro Community Services for Acts: Adams County CCB serving individuals with IDD through Medicaid waivers, early intervention, and family support. Directly comparable in regulatory role and service portfolio.
• Imagine!: Designated CCB/CMA for Boulder County providing case management and direct services for children and adults with IDD. Closely comparable mission, funding structure, and service mix to Foothills Gateway.
• Developmental Pathways: Designated Community Centered Board serving Arapahoe and Douglas Counties in Colorado. Directly comparable as a CCB/CMA with a similar Medicaid-waiver case management portfolio for individuals with IDD.

Broad incumbents

• The Arc: National disability advocacy and service organization with state and local chapters serving individuals with IDD and their families. Comparable population and advocacy role but operates at broader scale and through a chapter network.
• Mosaic: National nonprofit providing residential and support services for people with IDD and other disabilities across multiple states. Operates similar direct-service models (residential, respite, day programs) but at national scale rather than single-county CCB structure.
• Easterseals Colorado: State affiliate of a national disability nonprofit providing a broad portfolio (employment, camping, therapy, advocacy) including case management for IDD. Overlapping mission but wider service breadth and different funding mix.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• YouTubeyoutube.com/channel/UCzISSHM-QVfdXM2HEl5aaIA
• Facebookfacebook.com/FoothillsGateway/?fref=ts
• Instagraminstagram.com/foothillsgateway
• Xx.com/FGI_NoCo

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Subsidiaries2 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 Foothills Gateway