Praesum Healthcare

What Praesum Healthcare does

Praesum Healthcare Services, LLC is a multi-state behavioral health platform operating more than 30 addiction treatment and mental health facilities across six Eastern U.S. states (Massachusetts, New York, New Jersey, Pennsylvania, Georgia, and Florida). Founded in 2004 in Lake Worth Beach, Florida, the company delivers a full continuum of care including medical detoxification, residential treatment, structured sober living, intensive outpatient programs (IOP), partial hospitalization (PHP), and mental health services including FDA-approved Spravato (esketamine) for treatment-resistant depression. Praesum has served over 200,000 patients across its care continuum and operates through a portfolio of six sub-brands—Sunrise Detox Centers, The Counseling Center, Evolve Recovery Center, AffinityOne Structured Living, Beacon Point Recovery Center, and Abseil Heights—each targeting a distinct level of care or patient population.

The underlying platform is a Managed Services Organization (MSO) model that centralizes billing, revenue cycle management, human resources, sales, marketing, licensing/compliance, and finance across all facility brands. All facilities hold Joint Commission accreditation and CARF Level of Care certification, with state licensing in all six operating states and FDA REMS certification enabling Spravato administration. Praesum generates revenue primarily through insurance-reimbursed patient treatment services, holding in-network status with most major commercial insurers and accepting Medicare and Medicaid at select facilities. Patients are acquired via 24/7 helplines, insurance verification, referrals from hospital systems, and the VA Community Care Network; the company sells primarily to individual consumers seeking behavioral health treatment rather than to enterprise buyers.

Praesum was acquired by Mayfair Group out of Chapter 11 bankruptcy in early 2026 for $18.5 million, following a default on a $23 million City National Bank of Florida loan originated in May 2023. Under the acquisition terms, Mayfair Group provides long-term capital and operational stability while Praesum retains day-to-day operations, clinical decision-making, and regulatory oversight, with leadership including Interim CEO Lynda Micheletti (MHA, CAP) and COO Warren Connelly.

Name

Praesum Healthcare

Legal name

Praesum Healthcare Services, LLC

Website

https://praesumhealthcare.com

Company type

Private

Founded year

2004

Operating status

Operating

Headcount range

101–250 employees

Short description

Praesum Healthcare Services operates 30+ behavioral health and addiction treatment facilities across six Eastern U.S. states under a centralized MSO platform, delivering detox, residential, outpatient, and mental health care including Spravato. Acquired by Mayfair Group in early 2026 following Chapter 11 bankruptcy.

Ownership category

akta.pro rank

Product category

Behavioral Health Treatment Services

NAICS

Psychiatric and Substance Abuse Hospitals (62221), Nursing and Residential Care Facilities (623), Other Residential Care Facilities (6239)

SIC

Services-Health Services (8000), Services-Misc Health & Allied Services, Nec (8090), Services-Nursing & Personal Care Facilities (8050)

akta.pro primary industry

Substance Use Detoxification Centers (Medical Detox) (HLAFACAD)

akta.pro secondary industry

Behavioral Health–Capable Assisted Living (Mental Health/SUD Support) (HLADABAI)

Keywords

• Addiction treatment services
• Behavioral health care
• Substance use disorder
• Medical detoxification
• Mental health treatment

Headquarters

HQ city

Lake Worth

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Patient Treatment Services: Revenue generated from providing behavioral health and addiction treatment services including medical detox, residential treatment, structured living, intensive outpatient programs, and mental health treatment. Services are primarily billed through insurance (in-network with most major providers) and include Medicare and Medicaid in certain facilities.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels4 records

Core offering

Praesum Healthcare provides behavioral health and addiction treatment services through a network of over thirty treatment centers across six Eastern U.S. states. Its continuum of care spans medical detoxification, residential treatment, structured sober living, intensive outpatient programs, partial hospitalization, mental health treatment, and REMS-certified Spravato administration for treatment-resistant depression, all delivered through six operating sub-brands and supported by a centralized Managed Services Organization (MSO) that provides billing, HR, sales, marketing, and financial operations to the facilities.

Product overview

Praesum Healthcare operates a multi-state behavioral health and addiction treatment platform offering a full continuum of care including medical detoxification, residential addiction treatment, structured living programs, intensive outpatient services, and comprehensive mental health treatment. The portfolio includes six sub-brands: Sunrise Detox Centers (medical detox), The Counseling Center (outpatient mental health and addiction treatment with Spravato for treatment-resistant depression), Evolve Recovery Center (residential treatment), AffinityOne Structured Living (sober living), Beacon Point Recovery Center (acquired detox and residential), and Abseil Heights (inpatient psychiatric care for co-occurring disorders). The company operates over thirty treatment centers across six states (Massachusetts, New York, New Jersey, Pennsylvania, Georgia, and Florida) and has served well over 200,000 patients.

Differentiator

Problem solved

Functional benefit

Brands

• Sunrise Detox Centers: Medically supervised detoxification programs for alcohol, opiates, and prescription drugs across multiple states.
• The Counseling Center
• Evolve Recovery Center
• AffinityOne Structured Living
• Beacon Point Recovery Center
• Abseil Heights

Products and services

• Sunrise Detox Centers Leading provider of medically supervised detoxification services offering safe, comfortable medical detox from alcohol, opiates, and most prescription drugs. Operates ten locations across New Jersey, Georgia, Florida, New York, Massachusetts, and Pennsylvania.
• The Counseling Center Comprehensive outpatient services offering medically supervised programs for mental health, addiction, alcoholism, and co-occurring mental health disorders. Operates 14 locations throughout New Jersey, New York, Massachusetts, and Georgia, including REMS-certified Spravato treatment for treatment-resistant depression.
• Evolve Recovery Center Accredited residential facilities treating the core mental and behavioral causes of substance use disorders. Four locations across Florida, Georgia, New Jersey, and Massachusetts.
• AffinityOne Structured Living Structured, supportive housing environments supporting individuals transitioning from treatment to independent living, fostering community and ongoing support for sustained recovery.
• Beacon Point Recovery Center Addiction treatment center providing evidence-based individualized medical detox and residential care for clients struggling with substance use and mental health disorders. Located in Philadelphia, Pennsylvania with 30-bed detox facility and 90 residential beds.
• Abseil Heights Residential psychiatric care for individuals with co-occurring disorders. Planned 40- to 50-bed inpatient psychiatric facilities in New Jersey, Massachusetts, and Pennsylvania, designed to serve patients presenting with behavioral challenges in emergency departments.
• Spravato Treatment FDA-approved nasal spray treatment (esketamine) for treatment-resistant depression. Administered at The Counseling Center's REMS-certified facilities in Millbury, Massachusetts and all ten New Jersey locations under the Risk Evaluation and Mitigation Strategy program.

Quantifiable outcome

• 200,000+ patients served across the care continuum
• +1 more outcomes

Named customers3 records

Segments4 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Scale indicators6 records

Recent moves9 records

Expansion highlights6 records

Emerging players

• Discovery Behavioral Health: PE-backed operator of residential and outpatient behavioral health programs including SUD and eating disorder treatment. Comparable continuum model and target demographic to Praesum, particularly in adolescent and adult residential segments.
• Spero Health: Multi-state outpatient addiction treatment provider focused on medication-assisted treatment and integrated behavioral health. Comparable outpatient SUD model to The Counseling Center, with overlap in several of Praesum's Eastern states.
• Eleanor Health: Tech-enabled outpatient addiction and mental health provider offering medication-assisted treatment and therapy. Represents the emerging tech-enabled outpatient competitor model that pressures traditional operators like Praesum's The Counseling Center.

Direct peers

• BrightView Health: Multi-state outpatient addiction treatment provider offering medication-assisted treatment, IOP, and counseling. Competes with Praesum's The Counseling Center for outpatient SUD and mental health patients, especially in the Eastern US.
• CleanSlate Outpatient Addiction Medicine: Multi-state outpatient addiction medicine provider specializing in medication-assisted treatment. Directly competes with Praesum's outpatient SUD services in overlapping Eastern US geographies.
• Hazelden Betty Ford Foundation: Nonprofit provider of residential and outpatient addiction treatment with nationally recognized brand. Comparable full continuum of care model and CARF/Joint Commission accreditations, though Praesum operates on a for-profit, multi-state platform basis.
• American Addiction Centers: Public operator of multi-state addiction treatment facilities offering detox, residential, and outpatient services — direct competitor in the SUD treatment platform category with similar payer mix and geographic footprint.
• Summit Behavioral Health: PE-backed operator of residential and outpatient addiction treatment facilities. Comparable continuum-of-care model and payer mix to Praesum with overlapping geographic markets in the Eastern US.

Broad incumbents

• Acadia Healthcare: Large publicly-traded behavioral health operator with inpatient psychiatric facilities and outpatient programs across the US. Competes with Praesum's Abseil Heights and The Counseling Center offerings but at substantially greater scale.
• Universal Health Services: Large diversified hospital and behavioral health operator with significant inpatient psychiatric capacity. Competes with Praesum in psychiatric and co-occurring disorder treatment through its behavioral health segment.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks7 records

Key highlights7 records

Customer concentration

• Xx.com/praesumhealth

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles13 records

Subsidiaries6 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

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

Frequently asked questions about Praesum Healthcare