SMA Healthcare

What SMA Healthcare does

SMA Healthcare is a Florida-based nonprofit behavioral healthcare organization that has delivered services for over 60 years (founded 1963, rebranded under its current name in 2018 after operating as Stewart-Marchman-Act Behavioral Health Services). The organization provides a full continuum of behavioral healthcare — 24/7 crisis services (hotline, mobile crisis response, crisis stabilization units), outpatient mental health and substance use therapy, residential treatment for men, women (WARM program), and adolescents, primary care, specialty programs including Medication-Assisted Treatment (MAT), Florida Assertive Community Treatment (FACT), NAVIGATE (first-episode psychosis), and forensic/corrections programming — to approximately 900 employees' worth of patient volume across 20+ physical locations in Flagler, Marion, Putnam, St. Johns, Volusia, and Citrus Counties in Florida. Its service delivery is supported by a telehealth platform, electronic health records, and the eCare patient portal, and its crisis-response teams integrate with Volusia Sheriff's Office and Daytona Beach Police Department via tablet-based telehealth for 911 mental health calls.

SMA's revenue model mixes four streams: third-party reimbursements (Medicaid, private insurance, Florida Department of Corrections contracts) for recurring service delivery, federal and state grants (SAMHSA, HRSA, IIR, and Florida DCF) for designated programs, sliding-fee-scale patient payments, and charitable contributions through its affiliated SMA Healthcare Foundation (501(c)(3) fundraising arm). Services are priced on a sliding fee based on family size and income with no denial for inability to pay, and grants are program-tied (e.g., $4M CCBHC, $635K Rural Opioid Response, $500K Neonatal Abstinence Syndrome, 4-year SAMHSA Assisted Outpatient Treatment). Distribution is direct-to-consumer via facility-based outpatient/residential/crisis services, 24/7 helpline (1-800-539-4228), telehealth, and channel partnerships with law enforcement, hospital systems (AdventHealth), K-12 schools, and the University of Florida research partnership.

Recent strategic direction has emphasized vertical integration of primary care into behavioral health sites, workforce pipeline development via a 2025 psychiatric residency program, and capital expansion of physical capacity (West Volusia Outpatient opening, Flagler Central Receiving Facility groundbreaking). Governance is typical of community nonprofit healthcare: an independent Board of Directors chaired by Jack Fisher (FY 2020-21 roster), with Ivan Cosimi as CEO, Dr. Daniel Weinberg as CMO, Karen Duncan as CNO, and Rhonda Harvey as COO; the SMA Healthcare Foundation (est. 1997) functions as the wholly-owned fundraising affiliate.

Name

SMA Healthcare

Legal name

SMA Healthcare, Inc.

Website

https://smahealthcare.org

Company type

Private

Founded year

1963

Operating status

Operating

Headcount range

501–1,000 employees

Short description

SMA Healthcare is a Florida nonprofit behavioral healthcare organization operating 20+ locations across six counties, providing crisis, outpatient, residential, and primary care services for substance use, mental illness, and co-occurring disorders to a regional long-tail patient base funded via Medicaid reimbursements, federal/state grants, and foundation donations.

Ownership category

akta.pro rank

Product category

Behavioral Healthcare Services

NAICS

Residential Mental Health and Substance Abuse Facilities (62322), Offices of Physicians, Mental Health Specialists (621112)

SIC

Services-Misc Health & Allied Services, Nec (8090), Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

Integrated Primary Care in Behavioral Health Settings (HLAFAGAM)

akta.pro secondary industries

Integrated Behavioral Health (Collaborative Care) Platforms (HLALAEAC), Behavioral Health-Integrated Chronic Care (SUD comorbidity, collaborative care) (HLALAFAK)

Keywords

• Behavioral health services
• Mental health treatment
• Substance abuse treatment
• Crisis intervention services
• Residential treatment programs

Headquarters

HQ city

Saint Augustine

HQ country

United States

HQ region

North America

Offices21 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Healthcare Service Reimbursement: Revenue generated from Medicaid, insurance reimbursements, and other third-party payer sources for mental health and substance abuse treatment services
2. Government Grants: Federal and state grant funding from SAMHSA, HRSA, and other government agencies for specific programs such as opioid response, first episode psychosis, and neonatal abstinence syndrome treatment
3. Foundation Donations: Charitable contributions and fundraising revenue from SMA Healthcare Foundation including annual dinners, auctions, and memorial funds
4. Sliding Fee Scale: Discounted/sliding fee schedule based on family size and income for uninsured or underinsured individuals

Pricing tiers

Go-to-market motion1 record

Distribution channels7 records

Marketing channels7 records

Core offering

SMA Healthcare provides integrated behavioral healthcare services to individuals living with addiction, mental illness, or co-occurring disorders across six Florida counties. Its continuum of care spans crisis intervention (24/7 hotline, mobile response, stabilization units), outpatient therapy, residential treatment (men, women including the WARM program, adolescents), primary care, specialty programs (MAT, FACT, NAVIGATE), and community outreach/education, delivered through 20+ physical locations and telehealth.

Product overview

SMA Healthcare is a behavioral healthcare organization offering a comprehensive suite of integrated services across six Florida counties (Flagler, Putnam, St. Johns, Volusia, Marion, and Citrus). The organization provides behavioral healthcare services through multiple interconnected programs including crisis services (24/7 helpline, mobile crisis response, crisis stabilization), outpatient therapy (mental health and substance use for adults and adolescents), residential treatment (men's, women's WARM, and adolescent programs), primary care services, specialty programs (MAT, FACT, NAVIGATE first episode psychosis), community outreach and prevention, and the SMA Healthcare Foundation for fundraising and community support. Services are available across multiple locations with telehealth options and are tailored to meet individual needs across the continuum of care.

Differentiator

Problem solved

Functional benefit

Products and services

• Crisis Services 24/7 crisis intervention and stabilization services including mobile crisis response team, crisis stabilization units, and detoxification for individuals experiencing mental health or substance use emergencies. For adults, adolescents, and families in acute crisis.
• Outpatient Services Mental health and substance use outpatient therapy for adolescents and adults, including individual therapy, group therapy, psychiatric evaluation, and telehealth options across multiple locations in six Florida counties.
• Residential Services Long-term and short-term residential treatment programs including DeLand Men's Residential Treatment (DMRT), Women's WARM (Women Assisting Recovering Mothers) program, and Residential Adolescent Program (RAP). For men, women, and adolescents requiring intensive residential addiction and mental health treatment.
• Primary Care Services Comprehensive primary care services including health screenings, point of care testing, medication management, immunizations, preventative care, and chronic disease management, integrated with behavioral healthcare. For adults served across SMA's service area.
• Specialty & Other Services Specialized programs including NAVIGATE (first episode psychosis), Florida Assertive Community Treatment (FACT), psychiatric medication management, and case management services. For individuals with severe and persistent mental illness or first-episode psychosis.
• Community Outreach & Education Prevention services, education programs, Mental Health First Aid training, QPR suicide prevention training, and community-based interventions including the Who is Jay? campaign. For schools, community groups, and the general public.
• Opioid Response Program Opioid prevention, education, and treatment services including Medication Assisted Treatment (MAT) for opioid use disorders, with peer bridging in emergency departments via the AdventHealth partnership. For individuals affected by opioid use disorder.
• Medication Assisted Treatment (MAT) Outpatient medication assisted treatment offering buprenorphine, naltrexone, or Vivitrol in combination with group and individual therapy, case management, and peer support for opioid, stimulant, and alcohol use disorders.
• Florida Assertive Community Treatment (FACT) Comprehensive community-based support services for adults with severe and persistent mental illness who have had multiple psychiatric hospitalizations, delivering services 24/7/365 including in Daytona Beach.
• NAVIGATE Comprehensive treatment program for individuals who have had a first episode of psychosis, providing wraparound services for up to two years for those aged 15-36.
• Residential Adolescent Program (RAP) Substance use treatment program for youth ages 13-17 with average length of stay of 4-6 months, using therapy, positive peer culture, and experiential learning.
• WARM (Women Assisting Recovering Mothers) Women's residential treatment center offering two levels of care for women with addiction, including Level II long-term (6 months to 1 year) and Level I intensive (30-60 days), with options for mothers to have children age 5 and under reside with them. Includes the only-in-the-US University of Florida culinary certification vocational program.
• BEACH House

Quantifiable outcome

• 100% of babies born drug-free at WARM program
• +3 more outcomes

Named customers5 records

Segments6 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature2 records

Partnerships

Seven partnerships are on record, tiered core and minor.

• Estella Byrd Whitman Community Health CentercoreStrategic or Co-development Partner · 13 March 2025Partnership to provide primary care services at SMA's main campus in Marion County, expanding integrated healthcare services
• Daniel Dye RacingminorGTM or Marketing Partner · 22 February 2023NASCAR racing partnership to bring behavioral health and suicide prevention awareness through Who is Jay? campaign
• University of FloridacoreStrategic or Co-development Partner · 2 November 2022$1 million transformational gift from Gale Lemerand to expand UF research partnership and enhance program services; culinary program accreditation through UF Institute of Food and Agriculture Sciences
• Daytona Beach Police Department (DBPD)coreStrategic or Co-development Partner · 4 February 2021Virtual Mental Health Crisis Response Team enabling officers to connect people in crisis with mental health professionals 24/7 using iPads
• Volusia Sheriff's Office (VSO)coreStrategic or Co-development Partner · 12 November 2020Collaborative crisis response program pairing law enforcement with mental health professionals using iPads and secure telehealth to respond to non-criminal 911 calls involving mental health crises
• AdventHealthcoreStrategic or Co-development Partner · 30 September 2020Intervention bridge peer program targeting individuals with opioid overdoses in emergency department, providing bedside mentoring and treatment entry assistance
• Putnam County Behavioral Health ConsortiumcoreStrategic or Co-development Partner · 11 February 2020Multi-agency consortium including Sheriff's Office, Palatka Police, Putnam County Schools, hospitals, fire/EMS, and health department for opioid epidemic response with $635,000 in grant funding

Scale indicators7 records

Recent moves7 records

Expansion highlights6 records

Direct peers

• Aspire Health Partners: Florida based nonprofit behavioral health provider offering mental health and substance use treatment across Central Florida. Comparable as a similarly sized, mission driven, multi county provider of outpatient, residential, and crisis services with integrated primary care.
• LifeStream Behavioral Center: Florida based community behavioral health provider serving Lake, Sumter, and Marion counties with outpatient, residential, crisis stabilization, and primary care. Closely matches SMAs service mix and nonprofit community mental health model.
• Centerstone: National nonprofit behavioral health and substance use provider with integrated mental health, primary care, and crisis services across multiple states. Comparable as a similarly mission driven, grant funded, multi county operator at greater scale than SMA.
• Meridian Health Services: Indiana based nonprofit integrated behavioral health and primary care provider offering mental health, SUD, and primary care services across multiple counties. Comparable as a similarly sized community health organization emphasizing integrated care.
• Coleman Professional Services: Community based behavioral health nonprofit in Ohio providing mental health, substance use, residential, and primary care services across multiple counties. Comparable as a similarly sized, mission driven community behavioral health operator.

Regional players

• BayCare Behavioral Health: Behavioral health arm of the BayCare Health System serving the Tampa Bay and Central Florida regions with inpatient, outpatient, and crisis services. Comparable as a Florida regional behavioral health provider embedded in a broader health system.

Broad incumbents

• Acadia Healthcare: One of the largest publicly traded behavioral health operators in the US with a broad portfolio of inpatient psychiatric facilities, residential treatment centers, and outpatient clinics. Comparable as a scaled behavioral health incumbent with active Florida presence competing for referrals and clinical staff.
• Universal Health Services: Diversified hospital and behavioral health operator running inpatient psychiatric and residential facilities nationwide with a meaningful Florida behavioral health footprint. Comparable as a broad incumbent competing on psychiatrist recruitment and referral channels.

Market position

Strengths5 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• Xx.com/SMAHealthcare

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles9 records

Subsidiaries1 record

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 SMA Healthcare