Elements Behavioral Health

What Elements Behavioral Health does

Elements Behavioral Health, doing business as Promises Behavioral Health, is a privately held for-profit operator of a nationwide network of addiction and mental health treatment centers headquartered in Brentwood, Tennessee. Founded in 2007, the company operates 20+ branded facilities across 13+ states and Washington D.C., encompassing residential treatment centers, outpatient programs (PHP, IOP, continuing care), and medical drug detox services. Its portfolio includes The Recovery Village, Recovery Ranch (TN/PA), Promises (Brazos Valley, Dallas-Fort Worth, Atlanta), The Right Step (Houston), Washburn House (Worcester, MA), and the IAFF Center of Excellence for first responders — nearly all of which were acquired and operate under retained brand identities. The company serves adults with substance use disorders, co-occurring mental health conditions (anxiety, depression, PTSD, mood and personality disorders), trauma, and behavioral addictions (gambling, sex addiction), with specialized tracks for professionals, executives, first responders, men, women, and families. Service delivery is grounded in evidence-based clinical protocols (CBT, DBT, EMDR, trauma-informed care, medication-assisted treatment) and is reimbursed primarily through major commercial insurance providers, with admissions driven by a 24/7 phone hotline, online insurance verification, professional/EAP referrals, and direct-to-consumer digital marketing.

The core 'technology' of the business is the codified clinical treatment model and the operational platform that supports multi-site delivery — intake/admissions, insurance verification, clinical staffing, and an alumni support network that sustains post-discharge engagement. Revenue is generated as professional services fees for clinical care delivered at each facility; specific pricing is not publicly disclosed and varies by program intensity, length of stay, and insurance coverage. Distribution is direct-to-consumer combined with referral channels: patients are acquired through content marketing, social media (Facebook, Twitter, YouTube, LinkedIn), paid digital channels, professional referrals, and the always-on admissions hotline, then routed to the appropriate facility within the network. Quality and regulatory positioning is anchored by Joint Commission (JCO), SAMHSA, and NIH accreditations, which are gating credentials for payer network inclusion and a meaningful barrier to unlicensed competitors.

Promises has grown principally through acquisition, consolidating regional treatment brands into a single national platform under unified clinical and operational governance. The company is privately held; no institutional investor, board composition, or ownership structure is disclosed in available materials, and no recent funding rounds are reported beyond a 2008 raise of $62.8M. Leadership includes David Sack and Robert Waggener as Chief Executive Officers. With 5,001–10,000 employees and no public revenue disclosure, the company sits at a scale typical of large multi-site behavioral health operators in the U.S.

Name

Elements Behavioral Health

Legal name

Promises Behavioral Health

Website

https://elementsbehavioralhealth.com

Company type

Private

Founded year

2007

Operating status

Operating

Headcount range

5,001–10,000 employees

Short description

Elements Behavioral Health (d/b/a Promises Behavioral Health) is a privately held operator of 20+ addiction and mental health treatment centers across 13+ U.S. states, providing medical detox, residential, and outpatient care for individuals with substance use disorders, co-occurring mental health conditions, and trauma, reimbursed primarily through major commercial insurance providers.

Ownership category

akta.pro rank

Product category

Behavioral Health Treatment Services

NAICS

Residential Mental Health and Substance Abuse Facilities (62322), Outpatient Mental Health and Substance Abuse Centers (621420), Outpatient Mental Health and Substance Abuse Centers (62142)

SIC

Services-Health Services (8000), Services-Specialty Outpatient Facilities, Nec (8093), Services-Nursing & Personal Care Facilities (8050)

akta.pro primary industry

Residential Substance Use Rehabilitation (Inpatient Rehab) (HLAFACAE)

akta.pro secondary industries

Substance Use Detoxification Centers (Medical Detox) (HLAFACAD), Outpatient Substance Use Treatment Programs (IOP/PHP/OP) (HLAFACAF), Residential Mental Health Treatment Centers (HLAFACAC), Peer Support, Recovery Coaching & Sober Living Services (HLAFACAN), Substance Use Recovery & Harm Reduction Support Services (BPAGAEAO)

Keywords

• Addiction treatment services
• Behavioral health care
• Residential rehab programs
• Substance abuse treatment
• Mental health treatment

Headquarters

HQ city

Long Beach

HQ country

United States

HQ region

North America

Offices19 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Infrastructure

Revenue model

1. Addiction and Mental Health Treatment Services: Revenue generated from providing medical detox, residential treatment, and outpatient programs including partial hospitalization, intensive outpatient, and continuing care groups. Services are covered by major insurance providers.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels4 records

Core offering

Elements Behavioral Health (operating as Promises Behavioral Health) operates a nationwide network of more than 20 treatment centers that deliver medical detox, residential treatment, partial hospitalization, intensive outpatient, and continuing care programs for individuals with substance use disorders, co-occurring mental health conditions, and process addictions. Services span drug and alcohol rehab, dual diagnosis, trauma/PTSD, mood and personality disorders, gambling and sex addiction, and include specialized tracks for professionals and first responders. Treatment is delivered through evidence-based modalities including CBT, DBT, EMDR, trauma-informed care, family therapy, and medication-assisted treatment, and is reimbursed through major insurance providers.

Product overview

Promises Behavioral Health is a nationwide family of addiction and mental health treatment centers offering a comprehensive, evidence-based treatment platform. The organization operates multiple treatment facilities across the country (including The Ranch TN/PA, Promises Brazos Valley, The Right Step Houston, Washburn House, Promises Dallas/Atlanta, and The Recovery Village brand locations) providing a coordinated continuum of care. The core treatment offerings include Medical Drug Detox, Residential Treatment, and Outpatient Treatment (with partial hospitalization and intensive outpatient options), supplemented by specialized therapy programs (Cognitive-Behavioral Therapy, Dialectical Behavior Therapy, EMDR, trauma-informed care) and mental health treatment for conditions including anxiety, depression, PTSD, personality disorders, and substance use disorders. Alumni support provides lifelong recovery assistance through alumni groups and aftercare services.

Differentiator

Problem solved

Functional benefit

Brands

• Recovery Ranch: Addiction treatment and rehabilitation center brand operating in Tennessee and Pennsylvania locations
• The Right Step
• The Recovery Village
• Washburn House
• IAFF Center of Excellence

Products and services

• Medical Drug Detox 24-hour medical monitoring for patients withdrawing from drug and alcohol use, focused on safety and comfort until mental stabilization. Intended for adults requiring supervised detox prior to further treatment.
• Residential Treatment Inpatient treatment program offering modern facilities with amenities where patients can dedicate their full self to healing from substance use and co-occurring disorders.
• Outpatient Treatment Flexible treatment approach including partial hospitalization programs (PHP), intensive outpatient programs (IOP), and continuing care groups for patients transitioning from residential care or requiring lower-intensity support.
• Dual Diagnosis Treatment Integrated treatment for co-occurring substance use disorders and mental health conditions such as depression, anxiety, PTSD, mood disorders, and personality disorders.
• Trauma and PTSD Treatment Residential PTSD programs offering private, secluded treatment environments focused on trauma recovery using evidence-based modalities including EMDR.
• Fentanyl Addiction Treatment Program Specialized program addressing fentanyl addiction and opioid use disorders within the substance abuse treatment continuum.
• Non 12 Step Programs Alternative treatment approaches for individuals who prefer not to use the traditional 12-step model.
• IAFF Center of Excellence Specialized recovery center providing addiction treatment tailored for firefighters and emergency responders, addressing occupational stress, PTSD, and substance abuse related to trauma.
• Alumni Support Program Lifelong support system connecting patients with alumni groups, recovery skills reinforcement, social support, and addiction awareness advocacy following treatment completion.

Segments5 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Scale indicators1 record

Recent moves6 records

Expansion highlights6 records

Peers

• Hazelden Betty Ford Foundation:

Direct peers

• American Addiction Centers: Operates a multi-state network of residential and outpatient substance use treatment centers with similar insurance-based revenue model and direct-to-consumer admissions funnel; the closest publicly disclosed comparable to Promises' footprint.

Broad incumbents

• Acadia Healthcare: Large publicly traded behavioral health operator running inpatient psychiatric and substance abuse facilities across the U.S.; broader portfolio (including acute psychiatric hospitals) but directly competes for the same patient and payer pool.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xx.com/ElementsBHealth
• YouTubeyoutube.com/user/elementsbhealth
• Facebookfacebook.com/ElementsBehavioralHealth
• LinkedInlinkedin.com/company/elements-behavioral-health

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Subsidiaries20 records

Funding overview

Funding rounds1 record

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 Elements Behavioral Health