Promesa Behavioral Health

What Promesa Behavioral Health does

Promesa Behavioral Health is a private non-profit organization founded in 1988 and headquartered in Fresno, California. The organization delivers a multi-line behavioral health and child welfare portfolio that includes residential treatment, foster care, adoption services, and substance abuse treatment, operating with a headcount of 101–250 employees under President Michael Der Manouel.

Its service architecture spans two distinct domains: high-acuity residential and substance abuse treatment, which typically run under county behavioral health and Medi-Cal contracting, and longer-duration child welfare services (foster care and adoption), which generally rely on county referrals and Title IV-E-equivalent public funding streams. The combination of clinical (licensed clinicians, substance abuse counselors) and case-management (social workers, adoption specialists) staffing reflects the dual operating model.

The business model is that of a community-based social services non-profit: revenue is generated through per-diem, case-rate, or unit-based contracts with county, state, and Medicaid payers, supplemented by placement fees and any philanthropic contributions, rather than commercial SaaS-style pricing. Public source data is thin — the company's website returned only a loader/verification page during the collection window, and no financials, accreditations, partnerships, or detailed service-line metrics are disclosed in the available inputs, which materially limits external due diligence on contract concentration, payer mix, and program-level utilization.

Name

Promesa Behavioral Health

Website

https://promesabehavioral.org

Company type

Private

Founded year

1988

Operating status

Operating

Headcount range

101–250 employees

Short description

Promesa Behavioral Health is a Fresno, California-based non-profit founded in 1988 that provides residential treatment, foster care, adoption, and substance abuse services to at-risk children, families, and adults with 101–250 employees.

Ownership category

akta.pro rank

Product category

Behavioral Health Services

NAICS

Residential Intellectual and Developmental Disability, Mental Health, and Substance Abuse Facilities (6232), Other Individual and Family Services (624190), Outpatient Mental Health and Substance Abuse Centers (621420)

SIC

Services-Social Services (8300), Services-Nursing & Personal Care Facilities (8050)

akta.pro primary industry

Wraparound & Community-Based Behavioral Support (ABA-Adjacent) (EDAKAHAO)

akta.pro secondary industry

Dropout Prevention, Alternative Education & Re-Engagement Nonprofits (BPAGADAL)

Keywords

• Behavioral health services
• Residential treatment
• Foster care services
• Substance abuse treatment
• Adoption services

Headquarters

HQ city

Fresno

HQ country

United States

HQ region

North America

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Others

Core offering

Promesa Behavioral Health is a non-profit organization founded in 1988 that provides residential treatment, foster care, adoption, and substance abuse services. The organization delivers direct behavioral health and social services primarily serving individuals and families in Fresno, California.

Differentiator

Problem solved

Functional benefit

Products and services

• Residential Treatment

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Regional players

• Gateway Foundation: National nonprofit specializing in substance abuse treatment and recovery services. Comparable in the substance abuse treatment line, but operates primarily outside California.

Direct peers

• Stars Behavioral Health Group: California-based nonprofit operating residential treatment, foster care, and behavioral health programs. Closely comparable across Promesa's core service lines.
• Behavioral Health Services Inc. California-based provider of mental health, substance abuse, and social services across multiple sites. Comparable multi-line service delivery model.
• Victor Community Support Services: California nonprofit delivering mental health, foster care, and wraparound services to children and families. Strong overlap with Promesa's foster care and behavioral health lines.
• Turning Point of Central California: Fresno-based behavioral health and substance abuse provider with residential and outpatient programs. Directly comparable in geography, service mix, and nonprofit model to Promesa.
• Pacific Clinics: Large California behavioral health nonprofit offering residential, outpatient mental health, and child welfare services. Comparable multi-line service model and nonprofit structure.
• Didi Hirsch Mental Health Services: Long-standing California behavioral health nonprofit offering mental health, substance use, and suicide prevention services. Comparable nonprofit, multi-program model.
• Caminar: California-based nonprofit providing behavioral health, housing, and supportive services to individuals with mental health and substance use needs. Comparable mission-driven, multi-service approach.
• Hathaway-Sycamores Child & Family Services: California nonprofit providing residential treatment, foster care, adoption, and mental health services to children and families. Closely comparable service portfolio and nonprofit structure.

Broad incumbents

• Telecare Corporation: Established California behavioral health provider with residential and acute psychiatric programs across multiple counties. Broader geographic footprint and scale make it a relevant incumbent comparable.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat3 records

Key risks5 records

Key highlights5 records

Customer concentration

• Xx.com/promesafresno
• Facebookfacebook.com/PromesaBehavioralHealth

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 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 Promesa Behavioral Health