Start Treatment And Recovery Centers Inc.

What Start Treatment And Recovery Centers Inc. does

Start Treatment And Recovery Centers, operating as StartCare, is a New York City-based 501(c)(3) non-profit founded in 1967 that delivers integrated substance use, mental health, primary care, and social services to underserved populations across Brooklyn and Manhattan. The organization operates three core programs: seven Opioid Treatment Programs (OTPs) providing medication for opioid use disorder (methadone and buprenorphine) alongside counseling, infectious disease treatment, and harm reduction services; the REACH Intensive Outpatient Program for adults with polysubstance use and co-occurring mental health disorders; and Teen START, providing psychiatric and mental health care for adolescents ages 12-17 (continuing to age 24). Clinical offerings include facilitated telemedicine for hepatitis C treatment, individual/group/family therapy, psychiatric services, vocational counseling, and naloxone distribution, with a sliding-fee schedule ensuring access regardless of insurance status.

The underlying technology stack is rooted in evidence-based clinical practice rather than proprietary software: the OTP infrastructure is federally and state-regulated (OASAS-certified) for medication dispensing; telehealth visits (1,337 in 2023) are delivered through standard telemedicine channels; and the organization participates in the NIDA Clinical Trials Network as a New York Node member for 24 years, supporting research collaborations with NYU and others. Core differentiators are clinical rather than technical, including 80%+ HCV treatment success rates, 57 years of operating history, and embedded research infrastructure.

StartCare monetizes primarily through fee-for-service billing to 11+ insurance carriers (Medicaid managed-care plans including Healthfirst, Fidelis, MetroPlus, Amida Care, Empire BCBS; Medicare plans; and commercial plans such as Emblem and UnitedHealthcare), supplemented by sliding-scale patient fees and grant funding from NYC DOHMH, NYS DOH AIDS Institute, and OASAS. Distribution is direct-to-patient through physical clinics (Brooklyn HQ at 937 Fulton Street and Harlem at 119-121 W 124th St), a toll-free intake line (800-211-0996), and telehealth, with no third-party reseller or referral intermediary layer.

Name

Start Treatment And Recovery Centers Inc.

Legal name

StartCare, Inc.

Website

https://startcare.org

Company type

Private

Founded year

1967

Operating status

Operating

Short description

StartCare is a 501(c)(3) non-profit, founded in 1967 and based in NYC, delivering integrated opioid treatment, mental health, primary care, and social services to 4,000+ adult and adolescent patients annually across seven OTPs and clinic locations in Brooklyn and Manhattan.

Ownership category

akta.pro rank

Product category

Behavioral Health and Substance Use Disorder Treatment

NAICS

Outpatient Mental Health and Substance Abuse Centers (621420), Outpatient Mental Health and Substance Abuse Centers (62142), Offices of Mental Health Practitioners (except Physicians) (621330), Child and Youth Services (62411)

SIC

Services-Health Services (8000), Services-Specialty Outpatient Facilities, Nec (8093), Services-Social Services (8300)

akta.pro primary industry

Behavioral Health for Children & Adolescents (Youth Services) (HLAFACAL)

Keywords

• Opioid use disorder treatment
• Substance use treatment
• Mental health services
• Behavioral healthcare
• Addiction recovery services

Headquarters

HQ city

Brooklyn

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Healthcare Services Revenue: Revenue from providing healthcare services billed to insurance companies, Medicare, and Medicaid programs for opioid treatment, mental health services, and primary care.
2. Sliding Fee Scale: Discounted/sliding fee schedule based on family size and income for uninsured or underinsured patients, ensuring access regardless of ability to pay.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels4 records

Core offering

StartCare provides integrated health and social care focused on substance use and mental health, delivered through three core programs: Opioid Treatment Programs (OTPs) providing methadone and buprenorphine treatment with counseling and wraparound services; the REACH Intensive Outpatient Program for adults with polysubstance use and co-occurring mental health disorders; and Teen START, offering individualized mental health and psychiatric care for adolescents ages 12-17 (continuing up to age 24). Common services across programs include medication for addiction treatment, psychiatric services, vocational counseling, harm reduction, hepatitis C and HIV testing/treatment, and specialty primary care.

Product overview

StartCare is a unified healthcare organization providing integrated health and social care focused on substance use and mental health. The organization offers three core programs: Opioid Treatment Programs (OTPs) providing methadone and buprenorphine treatment for opioid use disorder, the REACH Intensive Outpatient Program for adults with polysubstance use and co-occurring mental health disorders, and Teen START for adolescents ages 12-17 with mental health needs. These programs share common services including medication for addiction treatment, psychiatric services, vocational counseling, harm reduction, and specialty primary care.

Differentiator

Problem solved

Functional benefit

Products and services

• Opioid Treatment Programs (OTPs) Provides holistic, gold-standard care for adults with opioid use disorder, including methadone or buprenorphine treatment, individual and group counseling, and additional health and social services. Designed for adults (18+) with opioid use disorder, often in underserved NYC neighborhoods with high overdose rates.
• REACH Intensive Outpatient Program Provides specialty care and community for adults ages 18+ with polysubstance use and/or co-occurring mental health disorders through mental health and psychiatric care, therapy, MAT, harm reduction, and additional health and social services.
• Teen START Provides robust, individualized mental health and psychiatric care to young people ages 12-17 (continuing up to age 24) seeking support for emotional, behavioral, or social challenges. Includes psychiatric services, individual/group/family therapy, medication management, harm reduction, vocational counseling, and care coordination.

Quantifiable outcome

• 80%+ of participants with hepatitis C infection successfully treated
• +6 more outcomes

Named customers3 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature2 records

Partnerships

One partnership is on record.

• NIDA Clinical Trials Network (CTN)coreStrategic or Co-development PartnerActive member in the New York Node of the NIDA CTN for 24 years. The CTN is a nationwide collaboration dedicated to conducting effectiveness studies of behavioral and pharmacological interventions across community-based treatment settings.

Scale indicators13 records

Recent moves5 records

Expansion highlights5 records

Direct peers

• BrightView Health: Multi-state outpatient addiction treatment provider offering MOUD (buprenorphine, Suboxone), counseling, and co-occurring mental health care across the same integrated model StartCare uses in REACH and OTPs.
• Ophelia Health: Telehealth MOUD provider focused on opioid use disorder treatment covered by Medicaid and commercial insurance, overlapping StartCare's payer mix and patient cohort through a remote-only delivery approach.
• BayMark Health Services: Largest U.S. operator of opioid treatment programs and outpatient addiction services with methadone and buprenorphine dispensing, comparable OTP-centric model and patient population to StartCare's seven OTPs.
• Eleanor Health: Outpatient addiction and mental health provider combining MOUD, therapy, and primary care with a value-based contracting model — closely mirroring StartCare's integrated OTP/IOP approach with co-occurring disorder focus.
• Workit Health: Telehealth-first MOUD provider offering buprenorphine treatment, counseling, and harm reduction online, competing for the same Medicaid and commercial patients StartCare serves, but with a virtual delivery model.
• Bicycle Health: Virtual buprenorphine clinic for opioid use disorder with national reach, directly competing for StartCare's stable commercial and Medicaid MOUD patients through a lower-overhead telehealth model.
• CleanSlate Centers: Outpatient addiction medicine practice with offices in multiple states, specializing in medication-assisted treatment for opioid and alcohol use disorder with integrated primary care — directly analogous to StartCare's OTP-plus-primary-care model.
• Phoenix House: National non-profit provider of substance use disorder and behavioral health treatment across residential and outpatient settings, the closest non-profit, multi-modality analogue to StartCare's integrated program mix.

Broad incumbents

• Acadia Healthcare: Large publicly traded behavioral health operator with a nationwide network of psychiatric hospitals and outpatient facilities, including addiction treatment; broader portfolio but overlapping patient populations and payer relationships with StartCare.
• Hazelden Betty Ford Foundation: Established national non-profit addiction treatment provider offering residential, outpatient, and virtual care across the U.S.; a broader, more geographically diversified incumbent compared with StartCare's NYC-only footprint.

Market position

Strengths5 records

Weaknesses2 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

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 Start Treatment And Recovery Centers Inc.