FirstChoice Cooperative

FirstChoice is a Texas non-profit corporation created and operated to provide “purchasing” (which is a governmental/administrative function pursuant to Chapter 791 of the Texas Government Code) of goods. The Cooperative satisfies governmental competitive bidding requirements pursuant to Texas Government Code Section 791.025(b), which notes that “a local government” may agree with another local government, including a non-profit corporation that is created and operated to provide one or more governmental functions and services, “to purchase goods.” Its purpose is to establish an association of healthcare providers, city and county municipalities, school districts and universities as a cooperative with emphasis on the administrative function of cooperative purchasing for all the members of the corporation.

FirstChoice Cooperative is managed by FirstChoice Management Services, who administers and handles the daily activities of the Cooperative based upon the members’ requests and recommendations. The members actually govern the activities and direction of the Cooperative through regular users meetings.

Membership is open to all healthcare providers, city/county municipalities, nonprofits, school districts and universities.  There are no membership fees and there is no volume-tiered pricing! 


We are

FirstChoice Cooperative is a member-owned group purchasing organization. Our primary goal is to provide a process by which all healthcare providers–metropolitan or rural, large or small–can reduce costs across the continuum of care; thereby, ensuring everyone access to cost-effective, quality healthcare.

FirstChoice Cooperative is the most innovative and cost-effective group purchasing organization in the United States.

FirstChoice Cooperative seeks to reduce supply costs, while maintaining the highest level of quality. Our nationwide network of members includes healthcare providers, city and county municipalities, educational institutions and community businesses that add to our purchasing volume and strength.

FirstChoice Cooperative’s process is the most innovative and cost effective model in the industry and we invite you to discover the FirstChoice Cooperative difference.

FirstChoice Cooperative does not operate like a traditional GPO, as it relates to your earned dividends. FirstChoice Cooperative differentiates itself by delivering the highest collection rate, and therefore, the highest cash returns through patronage dividends, and we do it on gross dollars collected.

If you want a group purchasing organization that focuses on you, the member, and incorporates the best interest of its members into every co-op decision, give us a call so we can demonstrate the FirstChoice Cooperative difference.

FirstChoice Cooperative is incorporated as a group purchasing organization and meets all the requirements of the Safe Harbor regulations (42 CFR 952 ( j ) ).

FirstChoice Cooperative delivers real cost savings and real cash dividends to all members on an equal basis regardless of facility size.

FirstChoice Cooperative charges no membership fees or monthly dues.



FirstChoice Cooperative (FCC). began in the summer of 1995 under the name East Texas Regional Cooperative with five hospitalsDue to interest from other healthcare providers beyond the East Texas region, municipalities, educational institutions and community businesses, FirstChoice expanded its reach across the nation. Members now include hospitals, healthcare facilities, MSO clinics, rural clinics, home health agencies, reference labs, emergency medical services, community businesses, municipalities and educational institutions. Due to this growth, we changed our name to FirstChoice Cooperative in 1997. FirstChoice Management Services was formed in November 1998 to manage the daily activities of the Cooperative.

July 1999:  FCC entered into an exclusive endorsement with TORCH (Texas Organization for Rural and Community Hospitals)Management Serviceswhich includes a membership of over 150 hospitals in the state of Texas.

June 2001:  FCC developed a Non-Healthcare Division to market to cities, counties, school districts, educational institutions and community businesses. Combining our healthcare volumes with non-healthcare volumes has reduced costs for both divisions, as well as generated additional revenue through Patronage Dividends. The first city to join FirstChoice Cooperative was Tyler, Texas, which realized cost reductions of as much as 30 percent and created a new source of revenue through Patronage Dividends.

March 2003:  FCC embraced technology and utilized the Internet to communicate instantly with our members and manufacturers via e-mails, a web-enabled contract database and file transfers.

January 2004:  FCC continued to improve the co-op’s infrastructure by upgrading our co-op management system.

January 2005:  In order to meet our objective of ensuring the best collection rate of earned dividends in the industry, FCC began the electronic capture of member purchases. This capability was part of the co-op management system upgrade.

Summer 2005:  FCC implemented the Co-op Management System Sales Reporting Module, so the sales team could have immediate access to information as they visited each member. This information allowed each member to verify, on a monthly basis, all reported purchases and compliance.

Spring 2006: The FCC sales team expanded to include a Texas Panhandle-based representative, who also provided service to members in Oklahoma, Kansas, Missouri and Arkansas.

Spring 2008:  FCC expanded into Kentucky, Indiana, Ohio and West Virginia. FCC was endorsed by the NRHA (National Rural Health Association)expanding its membership into all states.

March 2009:  FCC became “Provider of Choice” in a marketing agreement with the Indiana Rural Health Association, bringing additional cost savings and value to their network members.

October 2010:  Mississippi Rural Health Association signed an exclusive endorsement of FirstChoice Cooperative as its preferred partner for group purchasing services.

December 2010:  FirstChoice Cooperative became the preferred partner for group purchasing services for the South Carolina Office of Rural Health.

April 2011: FCC updated its website to provide quicker access and better information for our members and business partners.

January 2012:  Virginia Rural Health Association signed an exclusive endorsement of FirstChoice Cooperative as its preferred partner for group purchasing services.


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Phone 800 250 3457
Fax 866-208-4573
Address 3200 Troup Hwy., Suite 250
Tyler, TX. 75701
Hours Monday—Friday: 8:00AM–5:00PM