Access Care of Coastal Texas

What Access Care of Coastal Texas does

Access Care of Coastal Texas, Inc. (ACCT) is a 501(c)(3) nonprofit organization founded in 1985 as a grassroots response to the AIDS crisis and incorporated in 1987, headquartered at 707 23rd Street in Galveston, Texas. It delivers an integrated suite of HIV/AIDS services free of charge to eligible residents of Galveston, Brazoria, and Matagorda counties, serving approximately 470 active clients. Its core programs include HOPWA-funded housing assistance (TBRA, PHP, and STRMU), a Client Choice food pantry and weekly luncheon, medical transportation (bus tokens, ride-share, and ACCT vehicle rides), behavioral health services, free rapid HIV and syphilis testing with 15-minute results, PrEP navigation, and an on-site specialty pharmacy operated in partnership with Galveston Specialty Pharmacy.

ACCT's business model is grant-, donation-, and 340B-funded rather than fee-for-service. All client services are provided at no cost, with eligibility tied to residency in the three-county region, income documentation, insurance status (if applicable), and HIV/AIDS diagnosis. Revenue streams include federal HOPWA pass-through funding administered by ACCT, the federal 340B drug pricing program (managed under a dedicated Director of 340B Programs), individual and organizational donations (including Amazon Wish Lists for pantry and hygiene supplies), and an in-kind food partnership with the Galveston County Food Bank. The go-to-market motion is community-led: outreach via free walk-in testing, street ministries, partner referrals (UTMB Infectious Disease Clinic, Gulf Coast Center, Coastal Health and Wellness, Avenue 360), and word-of-mouth within the coastal Texas HIV community.

Operationally, ACCT runs on a standard nonprofit technology stack (Squarespace website, email, Zoom for support groups such as Lambda Galveston AA) with no proprietary technology or AI/ML capabilities. The organization is led by CEO Lesley Sommer with a board of directors chaired by Dr. April C. Cowan (UTMB Health), and earned the Candid Seal of Platinum Transparency in 2025. Headcount is in the 11-50 range, with bilingual staff supporting the client base across housing, nutrition, transportation, and behavioral health functions.

Name

Access Care of Coastal Texas

Legal name

Access Care of Coastal Texas, Inc.

Website

https://accttexas.org

Company type

Private

Founded year

1985

Operating status

Operating

Headcount range

11–50 employees

Short description

Access Care of Coastal Texas is a 501(c)(3) nonprofit providing free, integrated HIV/AIDS care coordination, including HOPWA housing, nutrition, medical transportation, behavioral health, testing, and pharmacy services, to approximately 470 active clients across Galveston, Brazoria, and Matagorda counties in Texas.

Ownership category

akta.pro rank

Headquarters

HQ city

Galveston

HQ country

United States

HQ region

North America

Offices4 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Marketing or Sales

Revenue model

1. Donations and Charitable Contributions: ACCT receives donations from individuals and organizations to support their core mission of providing comprehensive HIV/AIDS services. The website features multiple donation options and Amazon Wish List contributions for pantry and hygiene supplies.
2. Government Grants (HOPWA): Housing Opportunities for Persons with AIDS (HOPWA) funding provides housing and utility assistance to eligible clients. HOPWA is a federal program that ACCT administers as a service provider.
3. Partnership with Galveston County Food Bank: Partnership provides food pantry inventory at no cost to ACCT, reducing operational expenses for nutrition assistance programs.
4. 340B Pharmacy Program: ACCT operates a 340B pharmacy program through their Director of 340B Programs, generating revenue through the federal 340B drug pricing program that allows covered entities to stretch scarce federal resources.

Pricing tiers

Go-to-market motion1 record

Distribution channels5 records

Marketing channels5 records

Core offering

Access Care of Coastal Texas (ACCT) is a 501(c)(3) nonprofit that delivers free, comprehensive HIV/AIDS care coordination to people living with HIV in Galveston, Brazoria, and Matagorda counties. Core offerings include free rapid HIV and syphilis testing, PrEP navigation, HOPWA housing assistance (TBRA, PHP, STRMU), client-choice food pantry and weekly luncheon, medical transportation, behavioral health services, and an on-site contract specialty pharmacy with free delivery. All services are provided at no cost to qualifying residents regardless of ability to pay.

Product overview

Access Care of Coastal Texas (ACCT) is a nonprofit organization that provides comprehensive social services to people living with and affected by HIV/AIDS. Rather than a unified technology product, ACCT offers an integrated suite of client services including Free Rapid HIV & Syphilis Testing, PrEP Navigation, Housing Assistance (HOPWA programs including TBRA, PHP, and STRMU), Client Choice Pantry and Weekly Client Luncheon for nutrition support, Medical Transportation services, Behavioral Health Services, and an On-Site Contract Pharmacy through Galveston Specialty Pharmacy. Additional services include Community Outreach and Prevention education, Volunteer Services, and the George Maida Memorial Scholarship. The organization serves Galveston, Brazoria, and Matagorda counties in Texas, operating from a main campus in Galveston with 470 active clients.

Differentiator

Problem solved

Functional benefit

Products and services

• Free Rapid HIV & Syphilis Testing Confidential walk-in HIV and syphilis testing offering instant results in 15 minutes, available during specific hours at the main campus. Provided free to the general public regardless of HIV status.
• PrEP Navigation Pre-Exposure Prophylaxis navigation service that includes referrals for medical evaluations and assistance programs for people at risk of HIV.
• Housing Assistance (HOPWA) Housing services including Tenant Based Rental Assistance (TBRA), Permanent Housing Placement (PHP), and Short Term Rental Mortgage and Utility (STRMU) programs to help eligible HIV-positive clients access stable housing and utility assistance.
• Client Choice Pantry Client choice food pantry model allowing clients to select foods that meet their individual needs and preferences, with pantry hours during the last two full weeks of each month and delivery options available for clients with substantial access barriers.
• Medical Transportation Transportation services for active clients including bus tokens, ride-share services, public transit rides, and ACCT vehicle transport to HIV-related medical and support appointments. Requests require 2 business days advance notice.
• Behavioral Health Services Program helping clients with activities of daily living, money management, employment, maintaining housing, and mental health coping skills, including support groups.
• Galveston Specialty Pharmacy (On-Site Contract Pharmacy) On-site specialty pharmacy located at ACCT's main campus offering personalized service and free delivery, operated by Galveston Specialty Pharmacy under ACCT's 340B program.
• Community Outreach and Prevention Street and community-level outreach providing no-cost confidential HIV and syphilis testing with neutral counseling, plus prevention education services to public organizations across Galveston, Brazoria, and Matagorda counties.
• George Maida Memorial Scholarship Scholarship fund created in 2021 in honor of George Maida (who passed away May 17, 2021) to support higher education for volunteers, teachers, and caregivers.

Quantifiable outcome

• 470 active clients receiving ongoing services
• +3 more outcomes

Named customers2 records

Segments2 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Ten partnerships are on record, tiered core and minor.

• Galveston Specialty PharmacycoreImplementation/ SI/ Consulting PartnerOn-site contract pharmacy conveniently located in ACCT's main campus building at 707 23rd Street, Galveston. Offers personalized service and FREE DELIVERY. Open Monday-Friday, 9am-5pm. Contact: 409.877.7029.
• Galveston County Food BankcoreStrategic or Co-development PartnerPartnership provides food inventory for ACCT's Client Choice Pantry program. Food bank supplies food that ACCT distributes to clients, reducing ACCT's food procurement costs and providing fresh, nutritious options.
• UTMB Infectious Disease CliniccoreStrategic or Co-development PartnerPartner healthcare provider for HIV care and treatment referrals. UTMB (University of Texas Medical Branch) provides medical care while ACCT provides support services including transportation, housing, and nutrition assistance.
• Gulf Coast CentercoreStrategic or Co-development PartnerMental health and behavioral health services partner providing additional support resources for ACCT clients needing substance abuse and mental health services beyond ACCT's direct offerings.
• Coastal Health and WellnesscoreStrategic or Co-development PartnerFederally Qualified Health Center partner providing primary care and public health services. Referral relationship for comprehensive healthcare access for ACCT clients.
• Lambda Galveston AAminorOthersAlcoholics Anonymous meetings hosted at ACCT facility. Lambda Galveston AA meets Sundays at 7:00 PM (Zoom only) and Wednesdays at 7:00 PM (Zoom and In-person at ACCT). Provides peer support services for clients struggling with addiction.
• Avenue 360minorChannel Partner/ Reseller/ DistributorDental services provider. ACCT provides transportation for clients to Avenue 360 dental appointments. Clients must make appointment with Avenue 360 prior to reserving transportation.
• First Presbyterian ChurchminorOthersCommunity partner hosting Street Ministries Breakfast Outreach at 1903 Church St, Galveston. ACCT provides free HIV/Syphilis testing at these community events.
• HOPWA (Housing Opportunities for Persons with AIDS)coreOthersFederal housing program administered by ACCT. HOPWA provides housing and utility assistance to people living with HIV. Services available to all who qualify regardless of race, color, religion, sex, age, national origin, familial status, or disability.
• HUD (U.S. Department of Housing and Urban Development)coreOthersFederal department providing funding and oversight for HOPWA program. HUD's logo appears on ACCT's housing assistance page indicating partnership in housing services for people with HIV.

Scale indicators6 records

Recent moves5 records

Expansion highlights4 records

Broad incumbents

• GMHC (Gay Men's Health Crisis): One of the oldest HIV/AIDS service organizations in the U.S., providing case management, housing, mental health, and testing. Comparable legacy nonprofit role and community-trust positioning.
• AIDS Healthcare Foundation: Global HIV/AIDS organization providing medical care, pharmacy, and social services. Operates the largest HIV specialty pharmacy network in the U.S., directly comparable to ACCT's on-site 340B pharmacy strategy.
• San Francisco AIDS Foundation: Long-established HIV/AIDS services nonprofit offering housing, testing, navigation, and behavioral health. Comparable wraparound service model with deep community-trust dimension similar to ACCT.

Direct peers

• Cascade AIDS Project: Oregon-based HIV/AIDS services nonprofit providing housing, nutrition, behavioral health, and pharmacy support. Directly comparable service portfolio and one-stop-shop model to ACCT.
• Harlem United: NYC-based HIV/AIDS and social services organization providing housing, healthcare, and behavioral health to underserved populations. Comparable wraparound service model targeting underserved communities.
• Desert AIDS Project (DAP Health): California-based HIV/AIDS services organization providing medical, dental, behavioral health, housing, and pharmacy services. Operates on-site Walgreens partnership similar to ACCT's on-site specialty pharmacy.
• AIDS Foundation Houston: Largest HIV/AIDS services nonprofit in the Houston region, providing housing, case management, and prevention services. Closest geographic and functional peer to ACCT in Coastal Texas, with comparable wraparound service model.
• AIDS Services Foundation Orange County: Orange County-based HIV/AIDS services nonprofit providing case management, housing, and nutrition support. Closely comparable in scale and service mix to ACCT.

Regional players

• Legacy Community Health: Houston-based federally qualified health center with significant HIV services including primary care, PrEP, and case management. Relevant peer given Texas geography and overlapping HIV care continuum.

Emerging players

• Howard Brown Health: Chicago-based LGBTQ-focused FQHC providing HIV care, PrEP, behavioral health, and social services. Comparable integrated care model with similar wraparound services.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Customer concentration

• Facebookfacebook.com/accttexas
• LinkedInlinkedin.com/company/access-care-of-coastal-texas-inc

Revenue estimate

Valuation estimate

Number of profiles

Profiles17 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 Access Care of Coastal Texas