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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.
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
Latest News
DATA.BET Makes Successful Stand Debut at BiS SiGMA Americas 2025

Premium esports betting solution supplier expands presence in the growing Brazilian market
DATA.BET has successfully concluded its first-ever stand appearance at BiS SiGMA Americas 2025, one of the largest iGaming events in the region, held on April 8-10 in São Paulo, Brazil. The event took place in Transamerica Expo and brought together over 17,500 participants.
The company made a strong impression with its dedicated expo booth, where representatives engaged with local operators and business partners to discuss development opportunities in the growing LatAm market. DATA.BET showcased its comprehensive suite of solutions, including an updated Single Page Application (SPA), along with tools that are also adapted for local betting projects, including Scoreboards, Pitch Tracker, and Streaming – all designed to enhance user engagement with the platform and optimize their betting experience, particularly for mobile devices.
Alongside a bar serving exclusive cocktails that capture the spirit and vibe of Brazil, DATA.BET fleshed out its interactive stand with cosplayers dressed as Jinx and Ahri – popular characters from League of Legends, one of the top games among LatAm fans. This creative approach helped visitors immerse themselves in the iGaming atmosphere while exploring the company’s extensive portfolio of esports disciplines, events, and betting markets.
Natalie Loshatynska, Head of PR & Marketing at DATA.BET, commented: “Our stand debut at BiS SiGMA Americas allowed us to connect with Brazilian operators at this major event, learn about their specific needs, and introduce our iGaming solution. We saw great interest in esports from visitors. Latin America is a key market with huge growth potential for our niche. We’re excited to bring our products to this dynamic region, and the positive reaction confirms our decision to take part in BiS SiGMA Americas was right.”
Compliance Updates
Altenar gains ground in Brazil with virtual sports certification

Leading sportsbook technology provider ready to deliver premium virtual sports offering to local operators
Altenar has achieved a significant milestone in its LatAm expansion by securing a new certification to offer sportsbook and RGS, including virtual sports in Brazil.
This development underscores Altenar’s commitment to providing cutting-edge and engaging sportsbook solutions in regulated markets, and follows a string of landmark deals with industry leaders, such as Inspired, Kiron, Leap and Sportradar.
To achieve the certification, Altenar underwent a thorough evaluation process, demonstrating the provider’s dedication to compliance and its ability to meet the stringent requirements of the Brazilian market.
The integration of virtual sports from renowned providers will further enhance Altenar’s comprehensive platform, offering a dynamic and exciting vertical for Brazilian players that can be enjoyed 24/7.
Dinos Doxiadis, Director of Product – Sportsbook and Data at Altenar, said: “We are thrilled to achieve certification for virtual sports in Brazil. This marks another significant step in our growth across Latin America and reinforces our commitment to the burgeoning region.
“By joining forces with some of the industry’s most renowned providers, we are confident in our ability to deliver an unparalleled virtual sports experience to operators and players in Brazil. This offering will complement our existing sportsbook solutions and provide further opportunities for engagement and growth in this key market.”
awards
Jim Allen, Chairman of Hard Rock International and CEO of Seminole Gaming, Receives Lifetime Achievement Award at East Coast Gaming Congress

Jim Allen, Chairman of Hard Rock International (HRI) and Hard Rock Digital and Chief Executive Officer of Seminole Gaming, was honored with the prestigious Lifetime Achievement Award at the 28th Annual East Coast Gaming Congress (ECGC). Allen accepted the award in a ceremony at ECGC, the longest-running gaming conference in the United States, in his hometown, held at Hard Rock Hotel & Casino Atlantic City.
Allen is the seventh person to receive this award in the nearly 30-year ECGC history. ECGC honored Allen for his nearly 45-year career which has made him one of the most influential leaders in the global gaming and hospitality industry. During Allen’s tenure, Seminole Hard Rock and HRI have demonstrated exceptional hospitality and financial performance, setting industry benchmarks with their success.
Responsible for all gaming, hospitality and entertainment operations at the Seminole Tribe of Florida (STOF) since 2001, Allen has guided the development of Seminole Gaming into one of the world’s most successful casino and integrated resort operators, with seven casino locations throughout Florida, including the world’s first Guitar Hotel, which opened in October 2019.
Allen led STOF’s 2007 acquisition of HRI, the first of a major international company by a North American Indian Tribe, which has expanded its global presence from 46 to nearly 80 countries and over 300 locations including Hard Rock cafes, hotels, casinos, Rock Shops and live music venues.
“This recognition is a testament to the hard-working team at Hard Rock International and Seminole Gaming, whose dedication and passion have driven our success. I extend my deepest gratitude to the Seminole Tribe of Florida for their continued leadership and am proud of what we have accomplished – from expanding our global footprint, to innovating in the gaming and hospitality industries, and forming incredible alliances with icons in entertainment and sports. This award inspires us to continue pushing boundaries and setting new standards of excellence. Thank you to the East Coast Gaming Congress for this incredible honor,” said Allen.
Allen has led the evolution of the hospitality company that is synonymous with music entertainment to also include sports entertainment, while maintaining its deep-rooted music history. Over the last few years, Hard Rock has established strategic partnerships among the greats of Formula 1, Oracle Red Bull Racing, Lionel Messi, Dale Earnhardt Jr. and local sports teams. In addition, Allen was instrumental in ushering in a new era of gaming in Florida with the introduction of craps, roulette and sports betting to Seminole Hard Rock hotels and casinos.
For the upcoming FIFA World Cup 2026, Allen is serving on the Miami Host Committee Board of Directors alongside a diverse group of leaders in business development, sports management, event planning and community engagement. In 2020, Allen launched the joint venture Hard Rock Digital, an online sportsbook, retail sportsbook and internet gaming platform. Additionally, Hard Rock partnered with the Miami Dolphins ownership to brand Hard Rock Stadium and become the first casino brand to achieve NFL stadium naming rights based on Hard Rock’s perception as a hospitality and entertainment company versus just a casino company.
The American Gaming Association inducted Allen into the Gaming Hall of Fame Class of 2024 for making significant contributions to the industry. The National Association of Minority Contractors (NAMC) recognized Allen as a 2023 Unity Gala Honoree for his exceptional service to MWBE contractors. In 2020, Allen was inducted into the H. Wayne Huizenga College of Business and Entrepreneurship’s Entrepreneur and Business Hall of Fame at Nova Southeastern University in Davie, Fla. Junior Achievement of South Florida named Allen a Business Hall of Fame Laureate in 2019.
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