The Health Collaborative — Bexar County's Community Health Leadership
Capabilities & Rural Transformation

Your one-stop shop for community care in South & Central Texas

The Health Collaborative is the backbone organization ready to partner on the CMS Rural Health Transformation Program, HHSC 1115 waiver, HRSA workforce grants, and Medicaid MCO value-based contracts — with workforce, technology, governance, and evaluation already in place.

PCHI Certified HUB Seal

One organization. Every capability funders are looking for.

Reviewers are tired of stitching together five vendors. THC delivers assessment, planning, workforce, care coordination, technology, evaluation, and fiscal infrastructure under a single accountable entity.

Community Health Needs Assessment (CHNA)

Tri-annual, federally aligned CHNAs covering Bexar and surrounding counties — most recent edition published 2025.

Community Health Improvement Plan (CHIP)

Multi-sector planning that converts CHNA findings into measurable, fundable strategies and shared accountability frameworks.

Pathways Community HUB

AHRQ-designated, evidence-based care coordination model with 33 contracted Care Coordination Agencies and closed-loop referrals.

State-Certified CHW Workforce

Texas DSHS–certified training center providing free CHW training, mentorship, work placement, and upskilling for partner employers.

HITRUST + HIPAA-Compliant Platform

Secure technology platform that tracks every identified need from discovery to resolution — built for outcomes-based payment and grant reporting.

Evaluation & Impact Reporting

Standardized pathways, validated outcome measures, and dashboards that satisfy funder, payer, and federal reporting requirements.

Backbone & Fiscal Sponsorship

501(c)(3) since 2000 with audited financials. We can serve as prime applicant, sub-grantee, fiscal sponsor, or convening backbone.

Coalition & Governance

Cross-sector board representing FQHCs, hospital systems, Medicaid MCO, public health, and academic partners — the convening table is already built.

7-County Service Area

Rural-ready across South & Central Texas

Our Community Health Worker network already operates in the urban, suburban, and rural communities prioritized by the CMS Rural Health Transformation Program and Texas HHSC — with neighborhood-based CHWs trusted by the families they serve.

Bexar
Urban + suburban
Atascosa
Rural
Comal
Mixed
Guadalupe
Mixed
Medina
Rural
Hays
Mixed
Kerr
Rural

Built for the funding opportunities ahead

THC's infrastructure maps directly to the priority areas of the major rural and community health programs being released in 2025–2027.

CMS Rural Health Transformation Program

Workforce development, care coordination, technology enablement, and SDOH integration — all four CMS priority areas delivered through one accountable backbone.

Texas HHSC 1115 Waiver / DSRIP-Successor

Pathways model is purpose-built for outcomes-based Medicaid payment; HUB infrastructure supports DPP, IPH, and CHW services billing.

Medicaid MCO Value-Based Contracts

Closed-loop SDOH referrals, HEDIS-aligned outcomes, and CHW interventions that reduce ED utilization and readmissions.

HRSA Rural Health & Workforce Grants

Certified CHW training pipeline, rural county service area, and FQHC/CHC partnerships position THC as ready sub-recipient or prime.

CDC, SAMHSA & Foundation Grants

CHNA/CHIP authority, evaluation rigor, and equity-focused governance meet most national funder requirements out of the box.

Ways to partner with THC

Choose the engagement model that fits your application strategy or organizational need.

Prime Applicant

THC leads the application, manages sub-recipients, and serves as the accountable entity for federal/state grants.

Sub-Grantee

Plug THC into your federal or state award as a workforce, care coordination, or evaluation sub-recipient.

Fiscal Sponsor

Run your community health initiative through a trusted 501(c)(3) backbone with audited financials and federal compliance experience.

CHW Workforce Vendor

Contract THC to recruit, certify, place, and mentor your CHW staff — with ongoing supervision and quality assurance.

Care Coordination Network

Join 33 partner agencies receiving HUB referrals, training, and shared technology — or contract us to stand up your own network.

Backbone / Convener

Engage THC to convene cross-sector partners, manage governance, and translate planning into measurable community impact.

RFP & grant readiness checklist

  • 501(c)(3) since 2000 — audited financials & Form 990 available on request
  • OMB Uniform Guidance / 2 CFR Part 200 experienced
  • DUNS / SAM.gov registered & active
  • HITRUST-aligned, HIPAA-compliant data platform
  • IRB-friendly evaluation infrastructure & academic partnerships
  • Cross-sector governance with FQHCs, MCO, hospital systems & public health
  • Texas DSHS state-certified CHW training center
  • AHRQ-recognized Pathways Community HUB model implementation

Let's build a winning application together

Whether you're a federal grant officer, prime contractor, MCO, FQHC, or rural hospital system — we can help you respond faster and stronger with proven community infrastructure.