Family Care Center has
$5.7M in annualized revenue
sitting behind empty clinical chairs.
~47 clinics. 5 states. 9+ new locations opened in 2025 alone, with more in 2026 — including South Austin, which opened today. But with 141 jobs posted right now, including 22 psychiatrist-level vacancies that average 6–12 months to fill, every unfilled clinical seat is revenue that never reaches the P&L.
A PE-Backed Platform Scaling Faster Than Its Workforce Can Follow
Family Care Center was founded in 2016 by Dr. Charles Weber, an Army Colonel and psychiatrist, to serve military families in Colorado Springs. Now led by CEO Dr. Chris Ivany — a child/adolescent/adult psychiatrist and former Chief of Behavioral Health for the US Army — FCC has grown to ~47 clinics across five states. Backed by Revelstoke Capital Partners (~$2.5B AUM, Denver), FCC opened 9+ new locations in 2025 and is continuing aggressive geographic expansion into 2026. Nearly 2 million patient visits. 85.5% depression improvement. 86.1% anxiety improvement. The clinical outcomes are exceptional — but the hiring pipeline has to keep pace with the real estate pipeline.
141 Jobs Posted. 95 Revenue-Generating Clinical Seats Empty.
Scraped from FCC’s careers portal on March 30, 2026. Of 141 open positions, 95 are revenue-generating clinical roles (therapists, psychiatrists, psychologists, PMHNPs, PAs). Every empty clinical chair is a chair that isn’t seeing 12–15 patients per day.
| Role | Open | Revenue/seat | Avg. TTF | Market |
|---|---|---|---|---|
| Clinical Therapist (LCSW/LPC/LMFT) | 35 | $4,800/mo | 60–90 days | Moderate |
| TMS Technician | 21 | $6,200/mo | 90–120 days | Specialized |
| Psychiatrist (MD/DO) | 16 | $12,500/mo | 180–360 days | Severe shortage |
| Psychologist (PsyD/PhD) | 12 | $7,200/mo | 90–150 days | Competitive |
| Physician Assistant (PA-C) | 10 | $9,500/mo | 90–120 days | Moderate |
| PMHNP | 9 | $10,200/mo | 90–150 days | Tight |
| Regional Medical Director | 6 | Leadership | 180–360 days | Critical |
| Clinic Director | 4 | Leadership | 120–180 days | New locations |
| IOP Therapist / Technician | 8 | $4,200/mo | 60–90 days | Moderate |
| Medical Assistant | 9 | Support | 30–45 days | Available |
| Corporate / RCM / Admin | 11 | Overhead | 30–60 days | Available |
The Growth Math Doesn’t Add Up
FCC is opening new clinics at a pace of roughly one per month. Each clinic requires 8–12 clinical hires (therapists, a psychiatrist or PMHNP, a psychologist, TMS tech, and support staff). At 10–15 new clinics projected for 2026, that’s 100–180 new clinical hires needed this year — on top of the 141 positions already open.
| Signal | What we’d expect | What we see | Status |
|---|---|---|---|
| Psychiatrist pipeline | 3–5 open at growth stage | 16 psychiatrists + 6 Regional Medical Directors open | Gap |
| Clinic Director hiring | Hired before clinic opens | 4 Clinic Director roles open now — locations TBD | Gap |
| TMS technician depth | 1 per clinic minimum | 21 TMS tech openings — nearly half the clinic count | Gap |
| Florida buildout | Staff ahead of patient volume | Tampa opened recently with 7 open positions — first FL market | Early |
| New service lines | Specialized hiring for eating disorders, educational testing | Eating disorder therapist posted (Mesa AZ). Testing launched. | Nascent |
| TA team capacity | Recruiter-to-open-req ratio < 1:20 | 141 open reqs — no recruiter postings visible | Overloaded |
FCC has 22 psychiatrist-level vacancies (psychiatrists + regional medical directors) across 5 states. Psychiatrists average 6–12 months to recruit in competitive behavioral health markets. At 15 patients/day and a conservative $200/visit, each unfilled psychiatrist seat represents approximately $65,000/month in foregone revenue. Twenty-two seats represent $1.4M/month in capacity that isn’t generating revenue. That’s a structural gap, not a seasonal hiring cycle.
$5.7M in Revenue Sitting Behind Empty Chairs
Every clinical seat in an outpatient behavioral health clinic generates revenue from day one. FCC’s integrated model — therapy, psychiatry, TMS — means each clinician type contributes directly to the P&L. Here’s the exposure model based on the 95 revenue-generating clinical vacancies.
Five States. One Model. Every Clinic Needs the Same Team.
FCC’s “replicable business model” means every clinic needs essentially the same clinical team: therapists, a psychiatrist or prescriber, a psychologist, a TMS technician, and support staff. But each state has different licensure requirements, payer landscapes, and labor market dynamics. The hiring problem multiplies with each new state.
What We’ve Seen in Comparable Deployments
Xelerate has deployed clinical workforces for behavioral health expansions across 42 states. FCC’s multi-state outpatient model — clinician-led, TMS-enabled, PE-backed — maps directly to deployments we’ve executed before.
Three Phases. Five States. One Integrated Recruiting Engine.
Xelerate would embed a dedicated behavioral health recruitment team alongside FCC’s operations — not replace your internal TA, but give you surge capacity for the growth sprint. Here’s how we’d attack the 141-position backlog while simultaneously supporting new clinic openings.
Triage & prescriber pipeline
Tackle the longest-lead-time roles first. Every day of delay on a psychiatrist search compounds.
- Deploy 3 dedicated Xelerate recruiters (BH specialists, multi-state licensed sourcing)
- Launch psychiatrist search across all 5 states — 22 seats, 6–12 month typical TTF, start day 1
- Fill 4 Clinic Director roles — new locations can’t operate without leadership
- Begin TMS technician sourcing pipeline (21 specialized roles)
- Map state-by-state licensure pathways for cross-state candidate mobility
Clinical workforce buildout
Fill the core clinical team — the roles that see patients and generate revenue.
- 35 clinical therapists across all 5 states — prioritize CO and TN (highest vacancy counts)
- 12 psychologists — doctoral-level, competitive market, requires targeted outreach
- 10 PAs + 9 PMHNPs — prescriber pipeline to supplement psychiatrist hires
- Coordinate state licensure transfers for out-of-state candidates
- Weekly pipeline reporting + bi-weekly strategy calls with FCC leadership
Operational handoff & new-clinic support
Complete the backlog, staff upcoming new clinic openings, and transfer to steady-state.
- Fill remaining support staff (MAs, intake coordinators, IOP roles)
- Pre-staff next wave of new clinic openings (est. 3–5 additional locations in H2 2026)
- Ensure payer credentialing is initiated for all new hires in each state
- 30-day post-completion support for backfills and adjustments
- Transition to ongoing partnership model or handoff to FCC’s internal TA
Ready to close the gap on 141 open positions?
This assessment was built from FCC’s website, careers portal (scraped March 30, 2026), press releases, Revelstoke investment records, and Xelerate’s benchmark database. We haven’t spoken to your team yet — but we can see the gap between how fast you’re opening clinics and how fast you’re filling them. That gap is a solvable problem.
Data sources: BLS Occupational Employment, Indeed/LinkedIn job board analysis, FCC careers portal, Xelerate benchmark database · March 2026