Interview

Texas Care under the leadership of Andrew Hsueh has rapidly expanded into a national powerhouse. In just 16 months, the company scaled from a handful of locations to over 135 franchises, becoming the fastest-growing mental health franchise in the United States.

We sat down with Andrew to discuss his journey, the company’s innovative approach to mental health, and how he’s driving positive change in underserved communities.

Q: Andrew, for those who may not be familiar, can you tell us a bit about Texas Care? What services do you offer?

Texas Care is a leading behavioral health provider focused on community-based services. We specialize in a wide range of services, including Mental Health Rehabilitation, Targeted Case Management, Psychotherapy (individual, family, youth, and couples), and both Telehealth and community-based therapy sessions. Our goal is to make mental health care accessible and effective for everyone, especially in underserved areas.

Q: Texas Care is now the fastest-growing mental health franchise in the nation. Was this level of success something you anticipated when you first set your goals?

When we set out, we had a goal of opening 15 new locations in the first 15 months. To surpass that goal by launching over 135 locations in the same period was beyond our wildest expectations. This extraordinary growth highlights the strength of our model, the demand for our services, and the team’s exceptional execution.

“Our goal is to make mental health care accessible and effective for everyone, especially in underserved areas.”

Q: Scaling so quickly must have come with its challenges. What were some of the biggest obstacles you faced during this period of growth?

The biggest challenge was building an infrastructure from the ground up for Medicaid and community-based mental health. We had to create systems, procedures, and corporate guidelines that could support such rapid growth while maintaining the quality of care. Launching a successful clinic is one thing, but scaling that success to over 100 locations requires a completely different approach, especially in a highly regulated space like healthcare.

Q: You mentioned technology as part of your success. Can you expand on how you’re using it to enhance your operations?

We’re integrating artificial intelligence (AI) into our operations, using AI for scheduling appointments directly through social media campaigns. We’re also deploying AI avatars to streamline administrative tasks, which frees up our licensed professionals to serve more clients. This technological innovation allows us to expand our reach and provide essential services to communities in need more efficiently.

Q: Texas Care is clearly doing things differently. What sets you apart from competitors in the behavioral health space?

What truly sets us apart is our focus on meeting families where they are, both figuratively and literally. While many of our competitors are limited to traditional settings, we offer services directly in clients’ homes, schools, and communities. This approach eliminates barriers to access, fosters trust, and enables us to provide personalized care in real time. Our mission also centers around reaching underserved populations, particularly children, and making a tangible difference in their lives.

Q: Looking ahead, what does expansion look like for Texas Care?

We’re continuing to expand by opening more locations in underserved areas. But it’s not just about the number of clinics; we’re also working to diversify our services. We’re looking to add programs like substance abuse treatment to our offerings to better address the needs of the communities we serve. 

Q: For potential investors, what opportunities exist to get involved with Texas Care’s growth?

There are a few ways an investor can get involved. We offer Franchise Ownership (Owner-Operator) for those who want to take direct control and be involved in day-to-day operations. For those looking for a more passive investment, we have our Managed Clinic Model, where experienced management oversees operations. Additionally, we offer a Fund Structure, which allows investors to diversify their investments across multiple clinics for reduced risk and broader exposure.

“Texas Care operates at the intersection of profitability and purpose.”

Q: What makes the Texas Care modal attractive to investors?

Texas Care operates at the intersection of profitability and purpose. The behavioral health sector is projected to exceed $132 billion by 2030, and we’re one of the few scalable, turnkey providers in Medicaid-funded care. Our model is designed for long-term sustainability, with recurring revenue from insurance reimbursements and low client acquisition costs. What’s more, we offer investors the opportunity for high margins and a significant social return on investment—helping transform underserved communities.

Q: Can you walk us through the type of support investors can expect when launching a new clinic?

We’ve designed our franchise model to minimize friction and maximize success. Investors receive comprehensive, end-to-end support—from market analysis and site selection to lease negotiation, licensing, staffing, and marketing strategies. Each clinic integrates into our centralized systems, ensuring consistency and operational efficiency. We provide live onboarding, EHR training, and continuous clinical oversight. For investors in our managed model, we offer a turnkey experience with full management, detailed performance reporting, and transparency at every stage.

Q: Can you tell us about the team behind Texas Care’s success?

Texas Care’s leadership team brings a wealth of experience across clinical, operational, and investment domains. Our executives include seasoned healthcare operators, franchise development experts, and former clinicians who understand the human impact of behavioral health. This diverse expertise is key to our success. We’ve scaled multiple clinics while staying committed to ethical care, operational excellence, and driving positive change in the communities we serve.

Q: And what sets that team apart?

Our Managed Clinic Model is overseen by a specialized operations team with a track record of success in launching, managing, and scaling behavioral health centers. What sets them apart is their focus on both profitability and impact. They manage everything—from staffing and training to quality assurance and community engagement. Investors receive detailed monthly reports and real-time updates, and the model is designed to be completely hands-off for investors, giving them peace of mind while knowing their investment is in capable hands.