USR Holdings

What USR Holdings does

USR Holdings LLC is a privately held behavioral health holding company formed in Florida in 2016, with corporate headquarters in Port St. Lucie, Florida. The company owns and operates a multi-state portfolio of substance use disorder and primary mental health treatment facilities, currently spanning Florida (Amethyst Recovery Center, Ignite Recovery Center, Onyx Behavioral Health, Amber Behavioral Health) and Maryland (The Freedom Center, National Recovery Housing). Service lines span medical detoxification, residential treatment, intensive outpatient programs, outpatient treatment, psychiatric care, sober living, and co-occurring disorder treatment, with capacity of approximately 90-130 licensed beds across the portfolio.

The core operating model is facility ownership and management under multiple state and federal regulatory frameworks (CARF, Joint Commission, Florida DCF, Florida AHCA, Maryland DHMH, SAMHSA OTP, DEA, Florida Board of Pharmacy). Revenue is generated through insurance reimbursement and self-pay arrangements for clinical services, with secondary revenue from the Element Medical Billing joint venture, which provides full-cycle medical billing services to over 30 treatment centers nationwide and is operated in partnership with Jared Turner. Distribution is primarily direct-to-consumer through a company-operated substance abuse marketing call center in Coconut Creek, Florida, supplemented by healthcare provider referrals and a corporate digital presence (website, Facebook, Instagram, LinkedIn, PRNewswire distribution).

The company is founder-led, with Samuel Kesaris serving as CEO since 2019 and holding the majority stake; Jarret Adamo is described as the second-largest shareholder. No institutional investors, funding rounds, or public listings are disclosed. Previous holdings in New Hampshire were divested in December 2018 and Kentucky operations also exited, with current strategic focus concentrated on the Florida-Maryland footprint and expansion into primary mental health treatment as a complement to the legacy SUD franchise.

Name

USR Holdings

Legal name

USR Holdings LLC

Website

https://usrholdings.com

Company type

Private

Founded year

2016

Operating status

Operating

Headcount range

11–50 employees

Short description

USR Holdings LLC is a Port St. Lucie, Florida-based behavioral health holding company that owns and operates a portfolio of substance use disorder and primary mental health treatment facilities in Florida and Maryland, with supporting billing and admissions services.

Ownership category

akta.pro rank

Product category

Behavioral Health Treatment Services

NAICS

Residential Mental Health and Substance Abuse Facilities (623220), Residential Mental Health and Substance Abuse Facilities (62322), Outpatient Mental Health and Substance Abuse Centers (621420)

SIC

Services-Nursing & Personal Care Facilities (8050), Services-Skilled Nursing Care Facilities (8051), Services-Health Services (8000)

akta.pro primary industry

Residential Substance Use Rehabilitation (Inpatient Rehab) (HLAFACAE)

akta.pro secondary industry

Inpatient Rehabilitation Facilities (IRF) (HLAFAFAA)

Keywords

• Behavioral health treatment
• Substance abuse recovery
• Mental health services
• Addiction treatment facilities
• Healthcare holding company

Headquarters

HQ city

Port St. Lucie

HQ country

United States

HQ region

North America

Offices7 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Others

Revenue model

1. Behavioral Health Treatment Services: USR Holdings generates revenue through ownership and management of behavioral health and substance abuse treatment facilities. Services include medical detoxification, residential treatment, intensive outpatient programs (IOP), and outpatient treatment. Revenue is derived from insurance reimbursement, self-pay, and potentially institutional payors.

Go-to-market motion1 record

Distribution channels2 records

Marketing channels4 records

Core offering

USR Holdings is a private behavioral health holding company that owns and operates multiple treatment facilities in Florida and Maryland providing substance abuse and mental health treatment services. Its portfolio includes specialized recovery centers, recovery housing, and an in-house medical billing operation serving the group's facilities.

Product overview

USR Holdings is a behavioral health holding company operating a portfolio of treatment facilities and support services. The company owns and manages primary mental health and substance abuse treatment facilities across Florida and Maryland, along with supporting business services. The portfolio includes Amethyst Recovery Center (detoxification and residential substance use treatment), Ignite Recovery Center (outpatient mental health), Onyx Behavioral Health (residential mental health), and Amber Behavioral Health (residential mental health opening December 2025) in Florida; The Freedom Center (outpatient and residential substance use treatment) and National Recovery Housing (sober living) in Maryland. Administrative and support services include a substance abuse marketing call center in Coconut Creek, Florida, and Element Medical Billing, a billing services partner supporting over 30 treatment centers nationwide.

Differentiator

Problem solved

Functional benefit

Brands

• Amethyst Recovery Center: 24-hour detoxification and residential substance use disorder treatment facility offering Inpatient Detoxification, Residential Level I Treatment, pharmacy services, and medication-assisted treatment for opioid addiction
• Ignite Recovery Center
• Onyx Behavioral Health
• Amber Behavioral Health
• The Freedom Center
• National Recovery Housing
• Element Medical Billing

Products and services

• Amethyst Recovery Center Substance abuse and behavioral health treatment facility serving individuals seeking recovery services, located within the USR Holdings portfolio.
• The Freedom Center

Named customers1 record

Segments1 record

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Three partnerships are on record, tiered minor and core.

• Marin SupplyminorGTM or Marketing Partner · 10 October 2024The Freedom Center (USR subsidiary) partnered with Marin Supply, a clothing brand dedicated to supporting mental health awareness, to launch a limited edition long-sleeve shirt for World Mental Health Day. Both organizations were founded by Quince Orchard High School alumni who experienced addiction's impact firsthand. Proceeds from shirt sales are donated to NAMI (National Alliance on Mental Illness).
• Element Medical BillingcoreStrategic or Co-development PartnerUSR Holdings partnered with Jared Turner in March 2020 to form Element Medical Billing, which provides full-cycle billing services for behavioral health and substance use treatment facilities. Element Medical Billing supports over 30 treatment centers across the country.
• National Alliance on Mental Illness (NAMI)minorGTM or Marketing PartnerDonation recipient of proceeds from the Marin Supply x The Freedom Center limited edition shirt collaboration. NAMI provides education, advocacy, and support for those affected by addiction and mental health issues.

Scale indicators2 records

Recent moves7 records

Expansion highlights6 records

Direct peers

• Rosecrance Health Network: Non-profit behavioral health system providing residential SUD, mental health, and outpatient services; comparable in integrated SUD/MH service delivery and continuum-of-care approach, though organized as a non-profit rather than a holding company.
• Summit Behavioral Health: PE-backed multi-state operator of residential and outpatient SUD and mental health treatment facilities across the Southeast and Midwest; directly comparable in facility mix (detox, residential, IOP) and expansion strategy to USR's Florida/Maryland footprint.
• Recovery Centers of America: Multi-state residential and outpatient SUD treatment chain operating inpatient detox, residential, and IOP services; directly comparable to USR's continuum-of-care platform, though at substantially larger scale.
• Bradford Health Services: Regional SUD treatment operator with residential, IOP, and outpatient programs across multiple Southeast states; comparable service lines and patient population to USR Holdings, particularly for SUD-focused facilities like Amethyst and The Freedom Center.
• Discovery Behavioral Health: Residential and outpatient behavioral health provider operating multiple treatment centers including eating disorder, SUD, and mental health programs; comparable in dual-diagnosis service offering and facility-based model to USR's Onyx, Amber, and Freedom Center facilities.
• Pinnacle Treatment Centers: Multi-state network of SUD treatment facilities offering detox, residential, IOP, and outpatient services with a focus on medication-assisted treatment; closely comparable service model and multi-state footprint to USR Holdings.
• American Addiction Centers (AAC Holdings): Multi-state residential and outpatient SUD treatment operator with a comparable facility-based model and a national call-center-driven admissions approach; directly comparable in service mix (detox, residential, IOP, outpatient) and patient acquisition strategy to USR Holdings.

Broad incumbents

• Acadia Healthcare: Public, multi-state behavioral health operator with a large portfolio of inpatient psychiatric and residential treatment facilities; overlapping capability with USR's residential mental health (Onyx, Amber) and SUD facilities, but operates at national scale as a broader incumbent.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/USRHoldings
• LinkedInlinkedin.com/company/usrholdings
• Instagraminstagram.com/usrholdings/?hl=en

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Subsidiaries7 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 USR Holdings