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United States Addiction Rehab Industry Report 2020

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United States Addiction Rehab Industry Report 2020

 

The “The U.S. Addiction Rehab Industry – 5th Edition” report has been added to ResearchAndMarkets.com’s offering.

Drug, alcohol and other addiction rehab in the United States is big business – $42 billion this year.

There are now 14,000+ treatment facilities and growing. A total of 3.7 million persons received treatment, but many more need it and facilities are filled to capacity. Insurance coverage for rehab has increased, but scandals abound as shoddy facilities opened and patient brokering, overbilling and deceptive marketing became common. Reforms are pending. Private equity firms are investing.

This new study examines the nature of the business, types of rehab, reasons for the renewed growth of addiction rehab services since the Great Recession and the opioid crisis, national receipts/growth from 1983-2018, 2020 and 2025 forecasts, average facility revenues and operating ratios, industry structure and participation by non-profit, for-profit, inpatient and outpatient programs, extensive drug/alcohol abuser demographics. Discussion of the Florida Model, destination markets in FL and CA, effects of increased volume due to the Affordable Care Act, industry history and evolution, and discussion of all major industry trends.

Includes all the pertinent data compiled by SAMHSA’s latest government survey, data from the NIDA, NAATP, state agencies, and more.

9 in-depth company profiles are provided for: Hazelden Betty Ford Foundation, CRC Health Group, Promises Behavioral Health, Passage Malibu, American Addiction Centers, The Caron Foundation, Comprehensive Care Corp., Malibu Horizon Rehab Center, and Behavioral Health of The Palm Beaches.

COVID-19 Update July 2020:

The publisher has issued a free July 2020 update for this report, analyzing the probable impacts of the Covid-19 pandemic on drug & alcohol addiction treatment centers.

It discusses: operational changes, the shift to virtual visits, a shift to more outpatient care, impact on federal state and local program funding, findings of recent industry surveys, examples of reduced caseloads and state actions, potential facility closures, how the industry may actually benefit from the pandemic, and revised 2020 and 2025 market growth forecasts.

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Key Topics Covered:

Introduction, Sources & Methodology Used

Executive Overview of Major Findings

Discussion of scope of U.S. alcohol and drug addiction problem, cost to society, impact of treatment, structure of treatment providers industry (no. of facilities by type), major industry trends and issue, industry size, growth and forecasts (1983-2025 F), effects of recessions and Affordable Care Act, outlook for 2020, list of leading treatment organizations/companies, user demographic highlights of 2019 SAMSHA government survey regarding scope of drug & alcohol abuse/usage/persons in treatment, client & facility characteristics – highlights of all report chapters.

Nature and Structure of the Industry

  • Discussion of different types of centers (% for-profit, non-profit, private/government, by primary focus), typical programs offered, treatment programs by type site
  • Discussion of indicators of program quality
  • Inpatient vs. outpatient care, etc. (no. of facilities, patients served, occupancy rate, industry revenues, average revenues per facility, mean no. of clients per facility,
  • Typical cost of rehab
  • Demand for care: no. of persons that need treatment
  • Discussion of the industry’s major problems and scandals (deceptive marketing, overbilling, patient brokering, fraud, etc.)
  • Various types of rehab (drug, alcohol, sex addiction, gambling, Internet, post-traumatic stress),
  • The 6 major types of rehab (philosophies – faith-based, evidence-based, 12-step, etc.)

Demographics -SAMHSA Survey Findings – Data on Substance Abusers

  • Key statistics about national costs of drug & alcohol abuse, hospitalizations, opioid use
  • Discussion of trends in illicit drug use, persons age 12 or older: (usage of marijuana, cocaine, heroin, hallucinogens, methamphetamine, nonmedical use of prescription drugs – number and percent of persons)
  • Discuss trends in alcohol use, persons age 12 or older: (heavy drinking, binge drinking, current use – number and % of persons)
  • Marijuana use – discussion, number and % of persons
  • Cocaine use – discussion, number and % of persons
  • Heroin use – discussion, number and % of persons
  • Methamphetamine use – discussion, number and % of persons
  • Inhalants use – discussion, number and % of persons:
  • Hallucinogens use – discussion, number and % of persons:
  • Psychotherapeutics use – discussion, number and % of persons:
  • The Opioid epidemic: discussion, number and % of persons

Major Industry Trends & Issues

  • Discussion of insurance fraud and overbilling, patient brokering, deceptive marketing
  • Discussion of The Affordable Care Act and the Mental Health Parity and Addiction Equity
  • Act and how it has upended the industry’s business model
  • Compliance with evidence-based practices is spotty
  • Private equity investors pour money into addiction treatment
  • Attempts at reform: actions by Google, The Federal Support Act
  • Discussion of The Opioid Crisis & Treatment, medically assisted treatment.

Industry Size, Growth, Segments, Forecasts

  • Summary: Total industry size, estimates by government vs. other mkt. research firms, public vs. private spending/funding
  • The treatment population: no. and % of people actually receiving treatment: 2018, payment by source of funds
  • Number of treatment facilities in U.S., % treated by type facility, median no. of clients (total and by outpatient, residential, hospital, detox)
  • Estimates of industry size ($ revenues): 2019 SAMHSA report, growth of private, public, out-of-pocket spending 2020 outlook and effect of Affordable Care Act, projected increase of persons in treatment, effects of recessions
  • 2025 Forecast: major trends discussion: reliance on public financing, Medicaid, increased private insurance coverage, E-health, effect of recessions
  • Discussion of Medicaid and Other State and Local Financing.
  • The high-end market segment: discussion of the private pay marketplace, $ value
  • Destination markets: discussion of the South Florida market, the “Florida Model”, history
  • Discussion of the gambling addiction market: no. of problem gamblers, amount spent per year
  • Sex addiction: discussion of why it has come into the mainstream, Tiger Woods and other celebrity publicity, types of treatment programs, list of top treatment centers.

Treatment Facility Operating Ratios

  • U.S. Census Bureau ratios for mental health & substance abuse facilities (2017, 2012, 2007) – no. of facilities, revenues, avg. revenues per center, payroll costs, no. of employees (outpatient vs. inpatient centers) – summary
  • Discussion of no. of clients per facility, mean cost of care, cost to treat per person, outpatient care

Competitor Profiles of the Leading Treatment Organizations and Multi-Center Chains
(For each organization, a discussion of: history/founding, description of major programs, services, estimated/actual revenues, no. of centers, fees, facilities operated, mergers, sold facilities, recent developments.)

  • Hazelden Betty Ford Foundation
  • CRC Health Group
  • American Addiction Centers
  • Promises Behavioral Health
  • Passage Malibu
  • The Caron Foundation
  • Comprehensive Care Corp.
  • Malibu Horizon Rehab Center
  • Behavioral Health of The Palm Beaches

Directory of Industry Reference Sources

  • Name/address/phone of drug & alcohol abuse-related industry trade associations, government reports, major EAP industry trade journals, hotline phone numbers, etc.
  • List of state substance abuse agencies

For more information about this report visit https://www.researchandmarkets.com/r/lnnm5i

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Century Casinos, Inc. Announces Second Quarter 2025 Results

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Century Casinos, Inc. Announces Second Quarter 2025 Results

 

Century Casinos, Inc. announced its financial results for the three and six months ended June 30, 2025.

Second Quarter 2025 Highlights*

Compared to the three months ended June 30, 2024:

  • Net operating revenue was $150.8 million, an increase of 3%.
  • Earnings from operations was $16.6 million, an increase of 16%.
  • Net loss attributable to Century Casinos, Inc. shareholders was ($12.3) million, a decrease in net loss of 70%, and basic net loss per share was ($0.40).
  • Adjusted EBITDAR** was $30.3 million, an increase of 10%.

“We are proud of the strength and momentum we have built across our portfolio, which has shown solid year over year growth and generated positive cash flow in the quarter. Following various inquiries from third parties about potential asset sales and strategic partnerships, we have initiated a strategic review process as part of our ongoing commitment to driving long-term value creation and optimizing our portfolio of assets and operations,” Erwin Haitzmann and Peter Hoetzinger, Co-Chief Executive Officers of Century Casinos remarked.

UPDATES

Sports Betting – Missouri – In May 2025, the Company announced that it has partnered with BetMGM to operate an online and mobile sports betting application under the Company’s license in Missouri. The agreement includes a percentage of net gaming revenue payable to the Company, with a guaranteed minimum, as well as retail sportsbook options to be exercised at the Company’s discretion. Sports betting is expected to begin in Missouri in the fourth quarter of 2025.

Caruthersville, Missouri – Since the opening of the new casino and hotel on November 1, 2024, net operating revenue and Adjusted EBITDAR** have increased 26% and 31% respectively.

Poland – The Company was awarded a second license in the city of Wroclaw in March 2025. The Company expects to open the casino in the fourth quarter of 2025. The Company was notified in June 2025 that it had not received a new license for a second casino in Warsaw and closed the casino at the Hilton Hotel. The license for the Company’s flagship casino in Warsaw at The Presidential Hotel runs through 2028.

Strategic Review Process – The Company’s Board of Directors (the “Board”) has initiated a comprehensive strategic review of its operations, capital structure and strategic growth options. The review will explore a range of potential strategic alternatives for the Company’s assets and businesses aimed at enhancing shareholder value and supporting long-term growth. These alternatives may include opportunities to unlock value within our existing property portfolio, optimize the Company’s capital structure, evaluate potential mergers, strategic partnerships, or the sale of the Company, and to analyze potential divestments of assets or other asset-level transactions. In connection with this review, the Company has engaged Faegre Drinker Biddle & Reath LLP as legal counsel and Macquarie Capital as financial advisor.

This review follows the Company’s recent substantial capital expenditure program and solid operational performance in the second quarter of 2025 and reflects the Board’s proactive approach to positioning the Company for future success in an evolving market landscape. The Board has not set a timetable for the conclusion of this review. At this stage, no commitments or decisions have been made and there can be no assurance that the review will result in any transaction or particular change to the Company’s business. The Company does not intend to make further public comments on the process unless and until it determines that further disclosure is appropriate or necessary.

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Zitro Experience Launches a New Era in Paraguay

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Zitro Experience Launches a New Era in Paraguay

 

Zitro recently held its first-ever Zitro Experience Paraguay, an exclusive event that brought together top operators, clients, and industry leaders at the prestigious Hotel Casino Acaray.

Held during SAGSE, the event quickly became a must-attend gathering to showcase the company’s latest innovations and strengthen strategic partnerships in the region.

Attendees got an up-close look at Zitro’s new CONCEPT cabinet line and games, which are already transforming the gaming experience across Latin America with their striking design and high performance. The presentation featured a spectacular production that highlighted Zitro’s commitment to innovation and product excellence.

The atmosphere was relaxed and welcoming, designed to foster business relationships while offering a full experience with curated cuisine and unique entertainment, making the evening truly memorable. Clients, operators, and industry professionals alike agreed on the importance of this event for driving growth in the Paraguayan market and reinforcing Zitro’s position as a key strategic partner.

Alejandra Burato, Regional Director for Latin America, shared: “It was a privilege to connect with so many operators and friends at this event. I especially want to recognize Viviana Colman, our Country Manager in Paraguay, whose dedication and deep market knowledge have been instrumental in strengthening our presence and partnerships here. Paraguay is a strategic market for us, and this event reaffirms our commitment to delivering a broad and diverse offering that adds real value to operators.”

Sebastián Salat, Zitro’s International President, added: “We’re incredibly proud to bring Zitro Experience to Paraguay for the first time. As the first slot machine manufacturer to organize an event like this in the country, we want to demonstrate our commitment to this market and continue innovating with high-performance products that drive our clients’ success. As I always say, Zitro isn’t just entering Paraguay — we’re already here, with a dedicated and talented local team and office. This Zitro Experience marks the beginning of a new era where we’re more determined than ever to support the dynamic and growing gaming industry in this fantastic country.”

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Winpot names Miroslava Montemayor as brand ambassador

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Winpot names Miroslava Montemayor as brand ambassador

 

Leading Mexican online casino and sportsbook, and glamorous sports broadcaster, join forces to promote the brand to more players than ever before

Winpot, Mexico’s player-favourite online casino and sports betting brand, has signed popular sports broadcaster Miroslava Montemayor to its growing team of brand ambassadors.

Miroslava is a former beauty pageant winner who has become one of the leading sports broadcasters and TV personalities in Mexico.

Her TV career began back in 2014, appearing on TV Azteca Noreste’s sports show where she covered the 2015 Pro Bowl and the Super Bowl XLIX from Glendale, Arizona.

She then left Azteca to join ESPN, where she presented the Spanish-language version of NFL Live, as well as ESPN Mexico’s afternoon sports talk show, Los Capitanes.

In 2017, she became anchor for the Spanish version of SportsCenter and hosted a show called Otra Ronda, which aired on ESPN2 in Mexico.

Today, she hosts the Champions League and Premier League coverage for TNT Sports Mexico.

As a Winpot brand ambassador, she will promote the hugely popular online casino and sportsbook to her fans through a range of campaigns and media activations.

This includes the brand’s latest TV campaign, set to air in August, which is focused on Winpot offering the best odds, guaranteed.

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Winpot, which is powered by the cutting-edge Wiztech platform, has become the go-to destination for online casino players and sports bettors in Mexico.

It offers generous bonuses, localised payment options and a vast game lobby covering slots, table games, instant wins, live dealer and more, as well as the best odds across a huge range of sports.

Yoni Sidi, CEO at Winpot, said: “Miroslava is one of the most loved sports broadcasters in Mexico, combining her deep knowledge of the game with her captivating presenting style.

“This has seen her build a large and loyal fanbase across Mexico, and through this partnership, we can introduce these people to Winpot for the first time.

“We are really excited about our upcoming TV ad campaign, with Miroslava taking centre stage.”

Miroslava Montemayor, sports broadcaster and Winpot brand ambassador, added: “Winpot is one of the most trusted betting brands in Mexico, and I’m delighted to have been announced as a brand ambassador.

“I’ve had great fun filming the TV ad campaign and look forward to seeing it hit TV screens in August.

“This partnership is the perfect fit – I have a large and loyal fanbase of sports enthusiasts, and Winpot provides the superior sports betting experience they deserve.”

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