St. Joseph's Addiction Treatment & Recovery Centers

What St. Joseph's Addiction Treatment & Recovery Centers does

St. Joseph's Addiction Treatment & Recovery Centers is a 501(c)-style non-profit behavioral health organization headquartered in Saranac Lake, New York, founded in 1971 by the Franciscan Friars of the Atonement. The organization operates a full continuum of addiction treatment and recovery services across New York's North Country region, anchored by a 67-bed gender-inclusive inpatient treatment program in Saranac Lake offering 28-90 day lengths of stay, four outpatient clinics (Saranac Lake, Malone, Keeseville, Ticonderoga), a 24-bed all-male reintegration program at North Country Freedom Homes (affiliated December 2025), supportive housing under the Housing First model in four locations, 24/7 Open Access walk-in services, and specialized programs for veterans, first responders, justice-involved individuals, and problem gamblers. Clinical services are built on evidence-based modalities — Cognitive Behavioral Therapy, Motivational Interviewing, Rational Emotive Behavior Therapy, EMDR, Medication for Addiction Treatment, trauma-informed care, and the Sanctuary Model — and delivered by a 1,000+ employee workforce that includes CASAC-certified counselors, Licensed Mental Health Counselors, and Certified Recovery Peer Advocates.

The organization's go-to-market motion is hybrid: a community-led referral ecosystem spanning hospitals, detox programs, drug courts, outpatient providers, physicians, employers, school staff, and self-referrals, complemented by inside-sales phone screening via admissions specialists and a self-serve Open Access walk-in channel. In FY2025 the network served approximately 8,100 individuals, supported nearly 500 inpatient/residential clients, and delivered 122,000+ outpatient visits across 1.14 million miles of travel. Revenue mechanics are dominated by third-party payers — Medicaid and Medicaid Managed Care cover approximately 85% of resident treatment costs and most major private insurance plans are accepted — with a sliding fee scale and donations/charity care (only 3% of residents can afford private payment). Fundraising runs through the Fieldstone Foundation charitable arm, with an endowment goal of $1,000,000.

Since becoming independently governed in 2008 and entering the Citizen Advocates Network through a 2023 partnership, St. Joseph's has expanded into a coordinated multi-affiliate platform spanning behavioral health, addiction treatment, developmental disability services, supportive housing, and crisis response. The organization holds an OASAS license, a renewed CARF three-year accreditation (November 2025, first accredited 2002), and was ranked #12 in Newsweek's 2021 list of 300 best U.S. treatment facilities for substance misuse. Leadership is provided by President & CEO James Button, who also serves as President & CEO of Citizen Advocates and was appointed by Governor Hochul to the NYS Behavioral Health Services Advisory Council.

Name

St. Joseph's Addiction Treatment & Recovery Centers

Legal name

St. Joseph's Addiction Treatment & Recovery Centers

Website

https://stjoestreatment.org

Company type

Private

Founded year

1971

Operating status

Operating

Headcount range

251–500 employees

Short description

St. Joseph's Addiction Treatment & Recovery Centers is a non-profit behavioral health provider in Upstate New York operating a 67-bed inpatient facility, four outpatient clinics, supportive housing, and specialized veterans and reintegration programs, serving approximately 8,100 individuals annually as part of the Citizen Advocates Network.

Ownership category

akta.pro rank

Product category

Addiction Treatment & Behavioral Health Services

NAICS

Residential Mental Health and Substance Abuse Facilities (62322), Outpatient Mental Health and Substance Abuse Centers (621420)

SIC

Services-Specialty Outpatient Facilities, Nec (8093), Services-Social Services (8300)

akta.pro primary industry

Residential Substance Use Rehabilitation (Inpatient Rehab) (HLAFACAE)

akta.pro secondary industries

Substance Use Recovery & Harm Reduction Support Services (BPAGAEAO), Outpatient Substance Use Disorder (SUD) Treatment Programs (HLAFABAD), Peer Support, Recovery Coaching & Sober Living Services (HLAFACAN)

Keywords

• Addiction treatment services
• Substance use disorder care
• Behavioral health treatment
• Supportive housing programs
• Veterans addiction recovery

Headquarters

HQ city

Saranac Lake

HQ country

United States

HQ region

North America

Offices7 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D, Marketing or Sales

Revenue model

1. Medicaid and Medicaid Managed Care: Primary revenue source covering approximately 85% of resident treatment costs. The organization accepts most major insurance providers and works with individuals to find the best payment option.
2. Private Insurance: Accepts most major insurance plans. Private insurance covers medically necessary treatment. For court-mandated clients with private insurance, the patient may be financially responsible for treatment not covered.
3. Self-Pay / Sliding Fee Scale: Sliding fee discount program adjusts costs based on family size and income. Only 3% of residents can afford private payment. Financial assistance for treatment to individuals who are uninsured or underinsured.
4. Charity Care / Donations: Provides charity care for up to twelve residents annually. Accepts donations for Annual Fund, Veterans Program, Endowment and planned gifts through bequests. Fieldstone Foundation is the charitable arm.
5. Endowment: Fundraising goal of $1,000,000 to establish a permanent endowment providing recovery gifts for all seeking care.

Pricing tiers

Go-to-market motion3 records

Distribution channels5 records

Marketing channels5 records

Core offering

St. Joseph's Addiction Treatment & Recovery Centers provides a comprehensive continuum of addiction and behavioral health treatment services across Upstate New York, including a 67-bed gender-inclusive inpatient treatment program in Saranac Lake, outpatient clinics in multiple locations, a specialized Veterans and First Responders Residential Program, supportive housing, North Country Freedom Homes reintegration program, and Open Access walk-in services. Treatment modalities include evidence-based approaches such as Cognitive Behavioral Therapy, Motivational Interviewing, EMDR, Medication for Addiction Treatment, and trauma-informed care under the Sanctuary Model.

Product overview

St. Joseph's Addiction Treatment & Recovery Centers provides a comprehensive continuum of addiction and mental health treatment services across Upstate New York. The organization operates as a platform of interconnected programs centered around two core offerings: Inpatient Treatment (67-bed residential facility in Saranac Lake) and Outpatient Treatment (multiple clinics across Essex and Franklin Counties). These are supplemented by specialized programs including the Col. C. David Merkel, MD Veterans and First Responders Residential Program, North Country Freedom Homes (24-bed reintegration residential), and Supportive Housing across four locations. The portfolio also includes Open Access Services for walk-in assessments, Problem Gambling Treatment, Incarcerated Individuals Program, and co-occurring conditions treatment. Add-on services include Medication for Addiction Treatment (MAT), Spiritual Health Program, Family Program, Aftercare Planning, and Personalized Education Services. The Fieldstone Foundation provides charitable support for community programs. All services are integrated under a trauma-informed care model licensed by OASAS and accredited by CARF, with the organization affiliated with the Citizen Advocates Network since 2023.

Differentiator

Problem solved

Functional benefit

Products and services

• Inpatient Treatment 67-bed gender-inclusive residential treatment program in Saranac Lake, NY offering evidence-based services for substance use disorders and co-occurring mental health conditions, with stays of 28-90 days based on clinical need.
• Outpatient Treatment Team-based outpatient substance use disorder treatment across clinics in Saranac Lake, Malone, Keeseville, and Ticonderoga, emphasizing collaborative, patient-centered care with flexible scheduling.
• Col. C. David Merkel, MD Veterans and First Responders Residential Program OASAS-licensed trauma-informed residential treatment program at 444 Kiwassa Lake Rd., Saranac Lake, dedicated to Veterans and First Responders, offering stabilization, rehabilitation, and reintegration services with treatment lengths averaging 6-9 months.
• North Country Freedom Homes 24-bed all-male reintegration residential program in Canton, NY that builds on progress made during previous treatment episodes, providing supportive living to promote long-term recovery from alcohol and mood-altering substances. OASAS-certified Part 820 reintegration program.
• Supportive Housing Affordable subsidized housing with on-site and in-home support services across Saranac Lake, Ticonderoga, Massena, and Malone locations, prioritizing immediate access through the Housing First model to reduce homelessness risk and support recovery.
• Open Access Services Walk-in stigma-free services available Monday-Friday 8 a.m. to 9:30 p.m. and weekends 9 a.m. to 5 p.m., connecting individuals with Certified Recovery Peer Advocates and clinical staff for immediate support and treatment referrals.
• Problem Gambling Treatment Gambling addiction treatment services offered at outpatient clinics in Malone, Saranac Lake, Keeseville, and Ticonderoga, providing evidence-based care for compulsive gambling behaviors and co-occurring conditions.
• Incarcerated Individuals Program Education, assessment, and counseling services for justice-involved individuals with substance use disorders in Essex and Franklin counties, delivered through individual and group evidence-based therapy sessions.
• Family Program New York State's first residential Family Program providing education and support for co-dependent family members through therapy sessions, meals, and lodging on campus.
• Spiritual Health Program Spiritual care services integrated into treatment through the Fr. Carmen Giuliano Spirituality Center, offering reflective and transformative spiritual support for residents and staff.

Quantifiable outcome

• Top 15% nationally — Newsweek ranked St. Joseph's #12 of 300 best U.S. treatment facilities for substance misuse in 2021
• +4 more outcomes

Named customers6 records

Segments6 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

Feature4 records

Partnerships

Seven partnerships are on record, tiered core and minor.

• North Country Freedom HomescoreStrategic or Co-development Partner · 11 December 2025North Country Freedom Homes is now officially an affiliate of St. Joseph's Addiction Treatment & Recovery Centers, a move approved by the New York State Attorney General's Office. A 24-bed all-male supportive living program in Canton, NY that helps residents build on progress made in earlier treatment. OASAS-certified Part 820 reintegration program. Founded in the 1970s through the vision of John E. Murphy.
• Citizen AdvocatescoreStrategic or Co-development Partner · 1 January 2023In 2023, St. Joseph's partnered with Citizen Advocates to expand access to lifesaving mental health and addiction services throughout the communities served. The agencies provide complementary services that support one another to deliver a comprehensive continuum of care across the region. Citizen Advocates is the parent/network organization. James Button serves as President & CEO of both organizations.
• Robert R. ReissminorOthers · 1 March 2022Robert R. Reiss Community Service Center opened in March 2022 as the permanent home for both the Saranac Lake Outpatient Clinic and the Open Access Center — creating a centralized hub for support, recovery and hope.
• Fieldstone FoundationcoreStrategic or Co-development PartnerFieldstone Foundation is the charitable arm of St. Joseph's Addiction Treatment & Recovery Centers and Citizen Advocates. A nonprofit dedicated to enhancing quality of life through the Backpack Program, Summer Feeding Program, Fieldstone Fund and community events like the Fieldstone Music Festival.
• Harison PlaceminorStrategic or Co-development PartnerHarison Place is an innovative supportive housing community designed to promote stability, independence and recovery. Part of the Citizen Advocates Network alongside St. Joseph's, North Country Freedom Homes and Fieldstone Foundation.
• Adirondack Health / Adirondack Medical CenterminorStrategic or Co-development PartnerSt. Joseph's collaborates with Adirondack Health for medical services needed during treatment. Court mandate letters reference services needed at Adirondack Medical Center of Saranac Lake, NY.
• New York State Office of Addiction Services and Supports (OASAS)coreOthersSt. Joseph's is licensed by OASAS, which also provides regulatory oversight. St. Joseph's uses OASAS LOCADTR tool to determine appropriate level of care. OASAS-funded programs include the veterans community residence opened in 2009.

Scale indicators10 records

Recent moves9 records

Expansion highlights6 records

Others

• New York State Office of Addiction Services and Supports (OASAS): State regulatory and funding authority governing St. Joseph's licensure, LOCADTR assessments, and program funding. Defines the operating environment and reimbursement rules for all OASAS-licensed providers.

Direct peers

• Rosecrance Health Network: Nonprofit behavioral health system offering residential, outpatient and adolescent addiction treatment across Illinois and the Midwest. Comparable CARF-accredited continuum and integrated mental health/addictions model.
• Caron Treatment Centers: Nonprofit addiction treatment organization headquartered in Pennsylvania offering inpatient, outpatient and specialized older-adult programs. Comparable faith-informed treatment philosophy and similar CARF-accredited multi-modality operations.
• Mountainside Treatment Center: Connecticut-based residential and outpatient addiction treatment center with comparable evidence-based modalities (CBT, EMDR, MAT) and individualized length-of-stay programming.
• Gateway Foundation: Nonprofit addiction treatment provider operating residential, outpatient and corrections-based programs primarily in the Midwest. Comparable CARF-accredited operations, MAT services and court-referred treatment pathways.
• Hazelden Betty Ford Foundation: Largest U.S. nonprofit addiction treatment provider with residential, outpatient and recovery housing across multiple states. Directly comparable nonprofit treatment model, CARF accreditation, and continuum-of-care structure.
• Phoenix House (Acadia Healthcare): Multi-state residential and outpatient substance use disorder provider with a strong East Coast presence. Closely comparable adolescent/adult residential SUD continuum and Medicaid-reimbursed service mix.
• Ashley Addiction Treatment: Nonprofit residential and outpatient addiction treatment provider on the East Coast. Comparable inpatient length-of-stay model (up to 90 days), CARF accreditation, and primary-Medicare/Medicaid payer mix.

Broad incumbents

• American Addiction Centers: Multi-state for-profit addiction treatment chain with inpatient and outpatient services. Comparable CARF-accredited continuum but at much larger scale and broader geographic reach.
• McLean Hospital: Harvard-affiliated psychiatric hospital with a dedicated Addiction Recovery Program. Provides hospital-level inpatient psychiatric and addiction care at a scale and academic depth broader than St. Joseph's.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/sjatrc
• LinkedInlinkedin.com/company/st.-joseph's-addiction-treatment-&-recovery-centers
• Instagraminstagram.com/stjoestreatment
• Xx.com/stjoesatrc

Compliance5 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles15 records

Subsidiaries2 records

Funding overview

Funding rounds1 record

Investors1 record

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M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about St. Joseph's Addiction Treatment & Recovery Centers