In March 2015, Methodist Healthcare Ministries of South Texas, Inc. commissioned Capital Healthcare Planning, an independent consulting firm, to identify and determine high-level needs of at-risk populations across the greater San Antonio area. Their objectives were to understand the current provision of care to at-risk populations within the markets; identify major gaps in care that might suggest an opportunity for Methodist Healthcare Ministries to provide additional resources; and to work with Methodist Healthcare Ministries leadership to develop consensus around developing a model and plan for service delivery.