What PermiaCare does

PermiaCare is a Texas-based private nonprofit community behavioral health organization, founded in 1969 as the Midland Mental Health and Mental Retardation Centers and rebranded under its current name in 2018. It is the designated Local Mental Health Authority (LMHA) and Local Intellectual and Developmental Disabilities Authority (LIDDA) for eight West Texas counties — Midland, Ector, Brewster, Pecos, Culberson, Hudspeth, Jeff Davis, and Presidio — and has been a Certified Community Behavioral Health Clinic (CCBHC) since 2019. The organization delivers a comprehensive service portfolio spanning outpatient mental health, intellectual and developmental disability (IDD) services under Medicaid waivers (HCS, TxHmL), substance use disorder treatment (including the Turning Point residential program, Fresh Start, She's For Sure, Top Rank Youth, and COPSD), Early Childhood Intervention (ECI) for children birth-to-three, 24/7 crisis intervention and mobile crisis outreach, HIV/AIDS support through Basin Assistance Services (17 counties), veteran services, MST for at-risk youth, and the YES Waiver for children with serious emotional disturbances.

The technology backbone is conventional clinical IT rather than proprietary systems: electronic health records, care coordination platforms, and a 24/7 crisis hotline operated under contract by Avail Solutions (AAS-accredited). Psychiatric coverage is supplemented by contracted providers (JSA Health LLC, Dr. Wilbur Lineback) and Iris Telehealth for telemedicine, particularly in remote counties. Specialty services such as music therapy are delivered via Spectrum of Solutions. The CCBHC framework functions as the operational platform unifying screening, risk assessment, 24/7 crisis response, and care coordination across service lines. Mental Health First Aid (Adult and Youth) training programs are run in partnership with community venues to build referral pipelines.

Revenue is generated primarily through contracts with the Texas Department of State Health Services (DSHS) and the Texas Department of Aging and Disability Services (DADS), a SAMHSA CCBHC-Expansion grant (awarded August 2021), Medicaid/Medicare and private insurance reimbursement, and a sliding-fee scale backed by a Charity Care Program that limits charges for uninsured/underinsured clients to amounts generally billed to Medicaid/Medicare. The Turning Point residential program charges $113/day for self-pay clients. PermiaCare is governed by a 9-member Board of Trustees appointed by the cities and counties it serves, with no venture capital, private equity, or parent-company ownership. Strategic legal exposure emerged in February 2026 when an independent arbitrator found the organization liable under the Pregnant Worker Fairness Act and Title VII, marking the first PWFA damages award since the statute's 2023 enactment.

Name

PermiaCare

Legal name

PermiaCare

Website

https://permiacare.org

Company type

Private

Founded year

1969

Operating status

Operating

Headcount range

251–500 employees

Short description

PermiaCare is a Texas nonprofit Certified Community Behavioral Health Clinic and designated Local Mental Health/IDD Authority delivering integrated mental health, substance use, intellectual/developmental disability, crisis, and early childhood services across eight West Texas counties under government contracts and sliding-fee reimbursement.

Ownership category

akta.pro rank

Headquarters

HQ city

Midland

HQ country

United States

HQ region

North America

Offices18 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Government Contracts (DSHS / DADS): PermiaCare operates under contracts with the Texas Department of State Health Services (DSHS) and the Texas Department of Aging and Disability Services (DADS) to provide mental health, intellectual and developmental disability, and substance use disorder services to priority populations in West Texas.
2. Insurance Reimbursement: PermiaCare accepts Medicare, Medicaid, and some private health insurance. The organization files insurance claims on behalf of clients and collects co-pays, coinsurance, and deductibles at the point of service.
3. Sliding Fee Scale / Charity Care: For individuals not eligible for insurance coverage, PermiaCare provides financial assistance on a sliding fee scale based on income and household size relative to federal poverty guidelines. No one is denied services due to inability to pay. The Public Health Provider Charity Care Program provides federal funding to support services for uninsured and underinsured clients.
4. SAMHSA CCBHC-Expansion Grant: PermiaCare received a SAMHSA CCBHC-Expansion grant in August 2021, enabling expanded access to substance use services and care coordination across all outpatient mental health clinics.
5. Residential Treatment Fees (Turning Point): For the Turning Point adult residential substance abuse treatment program, persons with ability to pay are charged $113/day. Persons with no income or health insurance may qualify for free treatment; those with limited income may qualify for a sliding scale fee.

Pricing tiers

Go-to-market motion2 records

Distribution channels5 records

Marketing channels6 records

Core offering

PermiaCare is a Certified Community Behavioral Health Clinic providing integrated mental health, substance use disorder, intellectual and developmental disability, crisis intervention, early childhood intervention, veteran, and HIV/AIDS services to individuals and families across eight West Texas counties. Services are delivered via outpatient clinics, residential treatment, home- and community-based programs, and a 24/7 crisis hotline, funded through state contracts, Medicaid/Medicare, insurance, and grant programs with no client denied services due to inability to pay.

Product overview

PermiaCare is a regional behavioral and developmental health provider offering a comprehensive suite of integrated services through its Certified Community Behavioral Health Clinic (CCBHC) model. The organization operates as a platform of interconnected programs including Mental Health Services, Intellectual and Developmental Disability Services (IDD), Substance Use Disorder Services, Early Childhood Intervention, Crisis/Emergency Services, and specialized programs such as YES Waiver, MST Services, and Mental Health First Aid Training. The CCBHC certification serves as the overarching framework enabling coordinated care across all service lines, with programs like Turning Point (residential substance abuse), Fresh Start, She's For Sure, Top Rank Youth, and COPSD providing targeted treatment pathways. Services span eight West Texas counties including Midland, Ector, Brewster, Pecos, Culberson, Hudspeth, Jeff Davis, and Presidio.

Differentiator

Problem solved

Functional benefit

Brands

• Turning Point: Adult residential substance abuse treatment facility in Odessa providing intensive 30-35 day residential treatment program.
• Fresh Start
• She's For Sure Program
• Top Rank Youth Program
• COPSD Program
• OSAR Services
• Basin Assistance Services
• Veteran's Services
• Rainbow House
• MST Services
• YES Waiver
• IDD Provider Services
• IDD Authority Services
• CCBHC

Products and services

• Certified Community Behavioral Health Clinic (CCBHC)
• Mental Health Services
• Intellectual and Developmental Disability Services (IDD)
• IDD Provider Services
• IDD Authority Services
• Substance Use Disorder Services
• Turning Point (Adult Residential Substance Abuse Treatment)
• Fresh Start (Outpatient Substance Abuse Treatment)
• She's For Sure Program
• Top Rank Youth Services
• COPSD Program (Co-Occurring Psychiatric and Substance Use Disorder)
• OSAR Services (Outreach, Screening, Assessment and Referral)
• Early Childhood Intervention Program (ECI)
• Crisis/Emergency Services
• Basin Assistance Services
• Veteran's Services
• MST Services (Multisystemic Therapy)
• YES Waiver
• Mental Health First Aid Training

Quantifiable outcome

• First award of damages under PWFA since it went into effect in 2023 — adverse regulatory outcome indicating a discrimination violation
• +2 more outcomes

Named customers4 records

Segments10 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Six partnerships are on record, tiered core and minor.

• Avail Solutions, Inc.coreStrategic or Co-development PartnerAvail Solutions, Inc. provides the 24/7 Crisis Intervention/Suicide Prevention hotline for PermiaCare. The hotline is answered by an American Association of Suicidology (AAS) accredited hotline, providing round-the-clock crisis support to individuals in emotional distress.
• JSA Health LLCminorStrategic or Co-development PartnerJSA Health LLC provides psychiatric services to PermiaCare clients under contract, supporting the mental health clinic operations.
• Dr. Wilbur LinebackminorStrategic or Co-development PartnerDr. Wilbur Lineback provides psychiatric services to PermiaCare clients under contract.
• Spectrum of SolutionsminorStrategic or Co-development PartnerSpectrum of Solutions provides music therapy services to PermiaCare clients under contract.
• Curant Health PharmacyminorStrategic or Co-development PartnerCurant Health Pharmacy partners with Basin Assistance Services for HIV/AIDS medication assistance. Contact: 727-914-5925, curanthealth.com/forpatients
• Brazos Valley Council of GovernmentsminorStrategic or Co-development PartnerBrazos Valley Council of Governments serves as the Administrative Agency for HIV health services, overseeing Ryan White and HOPWA funding for the Basin Assistance Services program.

Scale indicators7 records

Recent moves11 records

Expansion highlights5 records

Direct peers

• Austin Travis County Integral Care: LMHA serving Travis County with a comprehensive behavioral health, IDD, and crisis services portfolio under CCBHC certification. Comparable service mix to PermiaCare but operates in a more urban/affluent jurisdiction.
• Texas Panhandle Centers: LMHA/LIDDA serving the Texas Panhandle region with mental health, IDD, substance use, and crisis services across a multi-county rural geography comparable to PermiaCare's West Texas footprint.
• Emergence Health Network: LMHA serving the El Paso region with a comparable integrated mental health, IDD, substance use, and crisis services portfolio. Operates as a Texas community behavioral health authority under similar DSHS contracts and CCBHC framework as PermiaCare.
• Helen Farabee Centers: LMHA serving 19 North Texas counties with an integrated mental health, IDD, substance use, and crisis services portfolio. Operates under the same Texas DSHS contracting and CCBHC framework as PermiaCare.
• Bluebonnet Trails Community Services: LMHA/LIDDA serving Central Texas with integrated mental health, IDD, substance use, and crisis services. Operates under the same Texas DSHS contracting and CCBHC framework as PermiaCare with a comparable rural/mixed service area.
• Harris Center for Mental Health and IDD: LMHA serving Harris County (Houston) with mental health, IDD, substance use, and crisis services under CCBHC certification. Largest comparable Texas LMHA by population served, with similar statutory authority structure to PermiaCare.
• Center for Health Care Services: LMHA serving Bexar County (San Antonio) with integrated mental health, substance use, IDD, and crisis services. Operates as a CCBHC under the same Texas DSHS framework as PermiaCare.
• West Texas Centers: LMHA/LIDDA serving the Big Country/West Texas region (Abilene, Taylor, Jones, Nolan counties) with comparable mental health, IDD, substance use, and crisis services. Closest geographic and operational analog to PermiaCare outside its own service area.

Broad incumbents

• BrightSpring Health Services: Public company (BTSG) providing behavioral health, home health, and pharmacy services across the U.S. Overlaps with PermiaCare's behavioral health and home/community-based service lines but operates at significantly larger national scale.
• Mosaic: National nonprofit provider of services for people with intellectual and developmental disabilities. Overlaps with PermiaCare's IDD service line (HCS, TxHmL waivers) but operates across many states with a much larger scale.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/TurningPointDetox
• LinkedInlinkedin.com/company/permiacare

Revenue estimate

Valuation estimate

Number of profiles

Profiles25 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 PermiaCare