San Antonio City Council voted to accept $587,802 from the Southwest Texas Regional Advisory Council for Trauma to be used for San Antonio Fire Department’s Mobile Integrated Healthcare EMS unit programs during its Dec. 19 meeting.

The big picture

According to city documents, $268,028 of the funds will be used for the Haven for Hope Acute Care Station program and $319,774 of the funds will be used for the Program of Intensive Care Coordination.

The Haven for Hope Acute Care Station program addresses patient’s medical needs in the evening and overnight hours when healthcare resources are limited. The acute care station is located at the Haven for Hope campus and provides medical support onsite.

With these funds, EMS technicians will:
  • Perform acute care and treatment at the H4H Acute Care station from 8 p.m.-midnight
  • Respond to all calls originating from Haven for Hope from 7 p.m.-7 a.m.
  • File patient care reports
  • Determine the need for treatment, transport or referral
  • Offer a tele-medicine contact with the SAFD Medical Director as needed


Haven for Hope is a grant-funded homeless assistance facility, which offers safe sleeping quarters and basic needs to people experiencing homelessness. Eligible applicants can receive housing, education, counseling and support in order to assist with gaining permanent housing. Located at 1 Haven for Hope Way, the facility is open Monday through Friday 7 a.m.-3 p.m.

To be eligible for H4H shelter and services:
  • Be homeless and have proof of homelessness
  • Be a resident of Bexar County with proof of residency for at least 9 months
  • Have a government issued photo ID or be willing to obtain one within 30 days
The program for Intensive Care Coordination is a collaborative program with the SAPD Mental Health Unit, SAFD Mobile Integrated Health and the Center for Health Care Services and is designed to reduce emergency detention orders. The program also aims to reduce the impact on 911 and hospital systems by addressing psychiatric and social needs through intensive case management and collaboration with the community.

Funds for both programs will be used from Jan. 1, 2025-Dec. 31, 2025. Funds will help to cover eligible expenses, such as personnel expenses, salary, training, education and benefits.

The backstory


The Southwest Texas Regional Advisory Council for Trauma is a nonprofit organization, consisting of 74 general and specialty hospitals, 16 PCI centers—which perform minimally invasive procedures to open blocked coronary arteries—12 stroke centers, air medical providers and over 70 EMS agencies in Texas. The organization was established to facilitate the development, implementation and operation of a regional comprehensive trauma and emergency healthcare system based on accepted standards of care to decrease morbidity and mortality.