Serenity

What Serenity does

Serenity Therapeutic Services Inc. (DBA Serenity Therapy Services) is a North Carolina-based, privately held provider of therapeutic and residential services for individuals with intellectual and developmental disabilities (IDD), mental health diagnoses, traumatic brain injuries, autism spectrum disorder, hearing impairments, and seniors aged 60 and over, as well as youth in DSS custody and adults with substance abuse conditions. Founded in 2010 and headquartered in Raeford, NC, the company operates 19+ specialized facilities across southeastern North Carolina (Raeford, Hope Mills, Fayetteville, Whiteville, Chadburn) plus a more recent Powells Point location, including 24/7-staffed residential group homes, an 8,000 sq. ft. secured Day Program facility, outpatient therapy clinics, Alternative Family Living placements, family and therapeutic foster care, and Substance Abuse Comprehensive Outpatient Treatment (SACOT/SAIOP) with peer support services. Each residential facility is purpose-built for a specific clinical population — e.g., TBI, non-verbal ASD, ASL/hearing-impaired, non-ambulatory, all-male complex mental health, and seniors 60+ — making Serenity a vertically specialized operator rather than a generalized group home provider.

The business model is funded primarily through North Carolina Medicaid waiver programs (Residential Supports levels I-IV, Home and Community Supports, Personal Care, Supported Employment, Day Support Service) and billings to five NC Medicaid managed care plans (Healthy Blue, Carolina Complete Health, AmeriHealth, Trillium Health Resources, Alliance Health). Revenue streams include per-diem residential services, outpatient therapy fees, AFL provider compensation pass-throughs, foster parent stipends, and SACOT/SAIOP billing. Go-to-market is community-led and referral-driven: NC Department of Social Services, healthcare providers, and insurance networks generate client flow, with an online referral form and community awareness events (IDD Awareness Month, Black History Month) supplementing pipeline development. The company does not disclose a proprietary technology platform; operating leverage is built from clinical expertise (55+ years of combined staff IDD experience, 28 years for CEO Darrin L. McNeill, MSW/LCSW), licensed workforce, regulatory licensure, and facility-level clinical specialization rather than software or automation.

Name

Serenity

Legal name

Serenity Therapeutic Services Inc.

Website

https://serenityts.com

Company type

Private

Founded year

2010

Operating status

Operating

Headcount range

51–100 employees

Short description

Serenity Therapeutic Services is a privately held North Carolina provider of residential, outpatient, foster care, and substance abuse services for individuals with intellectual/developmental disabilities, mental illness, TBI, ASD, and seniors across 19+ specialized facilities in the Sandhills region.

Ownership category

akta.pro rank

Headquarters

HQ city

Raeford

HQ country

United States

HQ region

North America

Offices23 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Outpatient Therapy Services: Behavioral health outpatient services including psychiatric assessments, individual, group, and family therapies billed to insurance providers. Services accepted from Healthy Blue, Carolina Complete Health, AmeriHealth, Trillium Health Resources, and Alliance Health.
2. Residential Services: 24/7 staffed residential group homes for adults with developmental disabilities providing Person-Centered Programs, independent living skills training, pre-vocational training, and supported employment. Funded through Medicaid waiver programs (Residential Supports levels I-IV, Home and Community Supports, Personal Care, Supported Employment, Day Support Service).
3. Alternative Family Living: Family-style residential placement services placing adults with disabilities in supportive family homes. Providers receive compensation for supported living services in a normative home environment.
4. Foster Care Services: Family Foster Care and Therapeutic Foster Care services providing temporary family-based placements for youth in DSS custody. Foster parents receive monthly support payments and ongoing supervision services.
5. Substance Abuse Treatment: SACOT (Substance Abuse Comprehensive Outpatient Treatment) for adults 18+ and SAIOP (Substance Abuse Intensive Outpatient Program) for minors ages 12-17, including intensive structured groups, relapse prevention, and peer support services. Billable through insurance and Medicaid programs.
6. Day Program Services: Adult day program for individuals with Developmental Disabilities/Mental Illness providing structured activities, habilitative services, and weekly community outings in an 8,000 sq. ft. secured facility. Funded through Medicaid waiver programs.

Go-to-market motion1 record

Distribution channels5 records

Marketing channels4 records

Core offering

Serenity Therapeutic Services delivers person-centered clinical, residential, and habilitative care for individuals with developmental disabilities and mental health needs in southeastern North Carolina. Core offerings include 24/7 residential group homes, a secured day program, outpatient psychiatric and behavioral therapy, alternative family living placements, family and therapeutic foster care, and outpatient substance abuse treatment with peer support. Services are reimbursed through Medicaid waiver programs and contracted managed-care insurers.

Product overview

Serenity Therapy Services operates as a therapeutic service provider offering a coordinated portfolio of healthcare and support services for individuals with developmental disabilities, mental illness, and substance abuse needs. The core offerings include Alternative Family Living (family-style residential care), Residential Services (group homes with 24/7 staffing), Day Program (structured daytime habilitative services in a secured facility), Outpatient Therapy (psychiatric and clinical behavioral health services), Foster Care (family and therapeutic foster care), and Substance Abuse Services with Peer Support. These services are delivered across 19+ facilities in North Carolina with clinical staff holding over 55 years of combined experience.

Differentiator

Problem solved

Functional benefit

Products and services

• Alternative Family Living Residential service providing family-style supervision and daily activity monitoring for adults with disabilities who cannot live independently; individuals are placed with a host family that delivers supported services in a natural home environment. Funded through Medicaid waiver programs.
• Residential Services 24/7 staffed residential group homes for adults with Developmental Disabilities/IDD delivering Person-Centered Programs including Residential Supports levels I-IV, Home and Community Supports, Personal Care, Supported Employment, and Day Support Service. Specialized homes serve TBI, ASD, non-verbal, hearing-impairment/ASL, seniors 60+, and complex mental health populations. Funded through Medicaid waivers.
• Day Program Structured day program for adults with Developmental Disabilities/Mental Illness providing habilitative services in a one-on-one environment within an 8,000 sq. ft. secured facility with video/audio monitoring. Includes weekly community integration outings. Funded through Medicaid waiver programs.
• Outpatient Therapy Outpatient behavioral health services including psychiatric and comprehensive clinical assessments, individual, group, and family therapies, psychotherapy for crisis, and PSB-CBT-A for adolescents ages 13-18. Insurance accepted from Healthy Blue, Carolina Complete Health, AmeriHealth, Trillium Health Resources, and Alliance Health.
• Foster Care Family Foster Care (FFC) for youth in DSS custody with a reunification goal, and Therapeutic Foster Care (TFC) for children with moderate behavioral and emotional needs. Includes 24-hour crisis support, weekly in-person contact, monthly team meetings, and ongoing training for foster parents (20 hours of training every 2 years required).
• Substance Abuse Services / Peer Support Comprehensive substance abuse treatment including SACOT (Substance Abuse Comprehensive Outpatient Treatment) for adults 18+, SAIOP (Substance Abuse Intensive Outpatient Program) for minors ages 12-17, and Peer Support Services delivered by Certified Peer Support Specialists with lived experience. Intensive structured groups, relapse prevention, and billable through insurance and Medicaid.

Quantifiable outcome

• Significant client progress in health, happiness, and functioning as reported by family members
• +3 more outcomes

Named customers3 records

Segments7 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Scale indicators5 records

Recent moves5 records

Expansion highlights5 records

Direct peers

• RHA Health Services: North Carolina-headquartered provider of residential, community, and behavioral health services for individuals with intellectual and developmental disabilities and mental health needs. Operates group homes, day programs, and outpatient services across the state, directly overlapping with Serenity's service lines and Medicaid waiver funding model.
• Monarch: North Carolina-based nonprofit providing services to people with intellectual and developmental disabilities, behavioral health needs, and substance use disorders, including residential supports, day programs, and outpatient therapy. Closely comparable in mission, payer mix, and Southeast NC market presence.
• PORT Health: Eastern North Carolina behavioral health and substance abuse provider operating outpatient clinics, medication-assisted treatment, and community-based services. Comparable on the outpatient therapy and SACOT/SAIOP service lines, and serves overlapping referral partners.
• Easterseals UCP North Carolina & Virginia: Nonprofit providing residential, day, behavioral health, and case management services across North Carolina and Virginia for individuals with IDD and mental health conditions. Closely comparable footprint and service mix, including specialized residential supports.
• Benchmark Human Services: Multi-state provider of residential, day, behavioral, and therapeutic foster care services for people with IDD, mental health, and behavioral health needs. Comparable model with specialized homes and a strong foster care network.

Broad incumbents

• BrightSpring Health Services: Large, publicly-traded provider of home and community-based health services including IDD/behavioral health residential supports, pharmacy, and home health. Operates in North Carolina and many adjacent states, competing for Medicaid waiver contracts and direct-care talent.
• Sevita Health (formerly The MENTOR Network): National provider of home and community-based services for individuals with intellectual and developmental disabilities, including group homes, day programs, and behavioral health. Operates in multiple states and competes directly for specialized IDD residential placements.
• Bayada Home Health Care: Large national home health provider operating in North Carolina with personal care, home health, and pediatric services that overlap with Serenity's personal care and community supports waiver funding.

Others

• Trillium Health Resources: North Carolina managed care organization (LME/MCO) responsible for Medicaid behavioral health and IDD waiver management in Serenity's service region. Not a direct competitor but a critical payer partner and gatekeeper for referrals.
• The Arc of North Carolina: Statewide nonprofit advocacy and service organization supporting people with intellectual and developmental disabilities through residential, day, and case management programs. A peer in mission and population served, though broader advocacy focused.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Profiles9 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 Serenity