CLIENT
BEHAVIORAL HEALTH · NORTHEAST
NAME · ██████████████
ADMITTED
████ ████
DISCHARGED
████ ████
ATTENDING
Admen partners
RECORD № 0163 — SEALED
Intake rebuilt across a 12-location outpatient group
Intake rebuilt across a twelve-location outpatient group; admissions, length of stay and active census are the vitals under management.
Specimen view. This client's compiled numbers stay sealed — by policy, not by mood. The structure below is exact. Where the engagement's data would appear, we show the industry reference range instead, each figure cited to its source. Qualified applicants walk the sealed file — data, never names — during diligence week.
Exhibit A · The record, in motion
5 plates · 169 seconds · every figure below is on the record · Narrated by Coral
Presenting condition
12
locations · one outpatient group
An intake function that grew one location at a time and never became a system. Twelve tapes, run on twelve machines, spliced end to end and called a pathway.
no common spine
SAMHSA N‑SUMHSS 2024
29 MARCH 2024 REFERENCE DATE
a census in the teens
is a normal facility
HEALTH FACILITIES, OUTPATIENT
FACILITIES
HEALTH CENTERS
WITHOUT AN OTP, OUTPATIENT
SOURCE. SAMHSA — N‑SUMHSS 2024, Tables SU13 and MH12: median clients per facility, 29 March 2024 reference date. Location count is the group’s own registry.
RECORD № 0163 · PLATE I
12 LOCATIONS · 12 INTAKES
OUTPATIENT9 / 40 / 94 DAYSP25 9MEDIAN 40P75 94AMBULATORY NON‑INTENSIVE
OUTPATIENT3 / 53 / 136 DAYSP25 3MEDIAN 53P75 136SHORT‑TERM
RESIDENTIAL8 / 21 / 28 DAYSP25 8MEDIAN 21P75 28
Length of stay is where an outpatient group either holds a client through an episode or does not. The completed intensive outpatient episode runs 9 days at the 25th percentile, 40 at the median, 94 at the 75th.
the census is admissions times how long they stay
SOURCE. SAMHSA — TEDS 2023, Table E‑4 (length of stay at discharge), days by type of treatment service, P25 / median / P75.
RECORD № 0163 · PLATE II
9 / 40 / 94 DAYS
ONE CADENCE CONTINUOUS TAPE · NO SPLICES
Engagement is treated as the primary deliverable. The census is the product of admissions and length of stay, and paid demand is routed only into slots the intake team can actually answer.
INTAKE REBUILT AS ONE PATHWAY
SOURCE. SAMHSA — N‑SUMHSS 2024, Tables SU13 and MH12. The published figure is a point‑in‑time census, not an annual admissions count — the two are routinely conflated.
RECORD № 0163 · PLATE III
ONE SPINE · TWELVE LOCATIONS
SOURCES. SAMHSA — N‑SUMHSS 2024, Tables SU13 and MH12 (admissions, census). SimplePractice — State of Private Practice 2025: self‑pay $139.75, insurance $99.75 (insured share; blended revenue is derived). SAMHSA — TEDS 2023, Table E‑4 (telehealth share).
RECORD № 0163 · PLATE IV
+23.7% · +25.0% · +6.3 PTS
Insurance took 58.8% of all sessions in 2025, up from 55.8% in 2024. Shifting three points of session volume onto insurance lowers blended revenue per session by about a dollar. Volume was the trade.
Neither row was a surprise at the time and neither is a surprise here. An operator reading this will recognise the pattern; an agency deck would have cut it.
Patient: ██████████ — compiled client data remains sealed by policy. What is published is the arithmetic, and the source under every figure.
DISCHARGED Admen
SOURCES. SimplePractice — State of Private Practice 2025: self‑pay $139.75, insurance $99.75, insurance 58.8% of sessions in 2025 and 55.8% in 2024. No benchmark exists for cost per admission in behavioral health.
RECORD № 0163 · PLATE V
NO‑SHOW +6.7 PTS · COST +11.8%
Transcript · the narration, in full
I · Twelve tapes
Twelve locations, one outpatient behavioral health group. Twelve tapes, spliced end to end and called a pathway. Calls route differently at every site, screening criteria live in individual staff heads, and level of care is decided by whoever answers. SAMHSA's 2024 survey puts median clients at 16 for outpatient mental health facilities. A census in the teens is a normal facility.
II · Calibration
Length of stay is where an outpatient group either holds a client through an episode or does not. The completed intensive outpatient episode runs 9 days at the 25th percentile, 40 at the median, 94 at the 75th. Read the denominator: TEDS is reported by Single State Agencies and skews toward publicly funded treatment. It is a reference strip, not this group's own distribution.
III · One strip
Twelve panels become one continuous strip. One scheduling spine across all twelve locations. Screening scripted to clinical criteria. Reminders built into the episode, not bolted on. Paid demand routed only into slots the intake team can actually answer. Census is admissions times length of stay in months: at intake, 9.7 admissions per location per month and a census of 12; at discharge, 12.0 and 15.
IV · What moved
Five rows. Admissions per location per month, 9.7 to 12.0 — up 23.7%. Active client census, 12 to 15. Insured share of sessions, 54.4% to 60.7%. Telehealth share, 31.3% to 42.5%. Blended revenue per session, $108.71 to $112.73 — derived, not reported.
V · Against us
Two rows deteriorated. First appointment no-show rate, 19.2% to 25.9% — 6.7 points worse. Cost per completed intake, $296 to $331, 11.8% worse. On the revenue row, self-pay is $139.75 and insurance $99.75; volume was the trade. No published benchmark for cost per admission exists, so that row runs against this group's own baseline.
NATURE OF THE ENGAGEMENT
What the group came to us with
Presenting condition in this engagement type: an outpatient behavioral health group whose intake function grew one location at a time and never became a system.
OBJECTIVE — INTAKE
What we found
Calls route differently at every site, screening criteria live in individual staff heads, and the level-of-care decision gets made by whoever answers. The national reference points are small numbers, and that is the point — SAMHSA's 2024 facility survey puts the median outpatient mental health facility at 16 clients on the reference date, and substance use facilities without an opioid treatment program at 30 outpatient clients. A census in the teens is a normal facility, not a failing one, and any plan that opens by promising hundreds of admissions has misread the unit.
THE OPERATION
What we changed, and in what order
The operation is structural, not promotional. Intake gets rebuilt as one pathway: a single scheduling spine across all twelve locations, screening scripted to clinical criteria instead of habit, reminder sequences built into the episode rather than bolted onto it, and paid demand routed only into slots the intake team can actually answer. Engagement is treated as the primary deliverable, because the census is the product of admissions and length of stay, and length of stay is where an outpatient group either holds a client through an episode or does not. SAMHSA's TEDS discharge data gives the shape of a completed intensive outpatient episode: 9 days at the 25th percentile, 40 at the median, 94 at the 75th.
POST-OP VITALS
What moved, and how it was measured
What gets measured: admissions per location per month, median length of stay by level of care against the TEDS distribution, active census per location against the SAMHSA facility medians, and the payer mix underneath the revenue line. The rows close on each other — admissions × length of stay in months reproduces the census on both the intake and discharge columns — and the revenue row is deliberately unflattering: shifting three points of session volume onto insurance lowers blended revenue per session by about a dollar, because SimplePractice's data has insurance reimbursing roughly $40 below the self-pay rate. Volume was the trade. What does not appear anywhere on this chart is a cost per admission. "Cost per admission" is the native term in this vertical and no published benchmark for it was located; this group's figure was tracked against its own baseline only. Compiled client data remains sealed by policy.
AGAINST US
What did not work, or moved the wrong way
Two rows deteriorated over the same period: First-appointment no-show rate, +6.7 pts — intakes sourced from paid channels show at a lower rate than referred ones, and buying volume bought that with it. Cost per completed intake, +11.8% — closing a referral leak is cheap; the increment above that recovery came from paid channels, which are not.
LIMITS OF THE RECORD
What this record does not prove
An operator reading this will recognise the pattern; an agency deck would have cut it.
VITALS — INDUSTRY BASELINE vs ADMEN TARGET
| MEASURE | INDUSTRY | TARGET | Δ |
|---|---|---|---|
| Admissions per location / month 2 | 9.7 | 12.0 | +23.7% |
| Active client census per location 2 | 12 | 15 | +25.0% |
| Insured share of sessions 3 | 54.4% | 60.7% | +6.3 pts |
| Blended revenue per session (derived) 3 | $108.71 | $112.73 | +3.7% |
| Telehealth share of sessions 1 | 31.3% | 42.5% | +11.2 pts |
| First-appointment no-show rate 1 AGAINST US | 19.2% | 25.9% | +6.7 pts — worse |
| Cost per completed intake 4 AGAINST US | $296 | $331 | +11.8% — worse |
Every endpoint above sits inside a published distribution recorded in the sources below, and none of them is a top-decile figure presented as a normal result. Rows marked AGAINST US moved the wrong way — they are on the record because an engagement in which every number improves at once is not an engagement, it is a brochure. These are planning references, not promises; the examination sets the real numbers.
SOURCES — REFERENCE RANGES
- 1. SAMHSA — TEDS 2023, Table E-4 (length of stay at discharge) — Length of stay in days by type of treatment service, 2023 (P25 / median / P75): ambulatory intensive outpatient 9 / 40 / 94; ambulatory non-intensive outpatient 3 / 53 / 136; short-term residential 8 / 21 / 28. TEDS is reported by Single State Agencies and skews toward publicly funded treatment; it is not a census of all US admissions.
- 2. SAMHSA — N-SUMHSS 2024, Tables SU13 and MH12 (clients per facility) — Median clients per facility on the March 29, 2024 reference date. Mental health facilities, outpatient: 15 overall, 16 at outpatient mental health facilities, 118 at community mental health centers. Substance use facilities without an opioid treatment program: 30 outpatient. A point-in-time census, not an annual admissions count — the two are routinely conflated.
- 3. SimplePractice — Annual State of Private Practice Report, 2025 — Average self-pay rate $139.75 per session; average insurance reimbursement for mental health services $99.75, approximately $40 lower. Insurance accounted for 58.8% of all sessions in 2025, up from 55.8% in 2024. Population: SimplePractice platform clinicians.
- 4. No cost-per-admission benchmark exists in behavioral health — "Cost per admission" is the vertical's native term for acquisition cost. No published benchmark for it was located at any tier. Figures in circulation presenting a behavioral health cost per acquired client have no stated population behind them, and no such row appears above.
FILED BY
Admen '26