About
We help centers reach new heights.
Heightened Holding Group is a Los Angeles behavioral-health growth partner. We believe every admission is a life — and we grow census the right way.
Our story
Built by operators, for operators.
Heightened Holding Group was founded in Los Angeles on a simple conviction: behavioral-health operators deserve a growth partner who has actually sat in the operator's chair. Too much of this field is split between dated consultants and aggressive agencies that chase vanity metrics. We built Heightened to be neither — a calm, senior partner that opens centers and fills beds the right way.
The name is the metaphor. We help centers reach new heights in both census and care — and we treat every admission as a life, not a lead. From feasibility and licensing readiness to compliant demand and admissions, we stay in for the whole climb, and we aim to leave your team stronger than we found it.
Los Angeles, CALA roots
California fluency, on the ground.
Los Angeles is home. We know the local market and the DHCS landscape you actually have to navigate — and we start where our intelligence is deepest.
Values
What we hold to.
Lives, not leads
Every admission is a person and a family. That conviction sets the ceiling and the floor for how we work.
Straight talk
We tell you what we'd do if it were our money and our license. Even when it's not what you hoped to hear.
Earn the climb
No shortcuts that put your accounts or accreditation at risk. We grow the right way or not at all.
Team
The people you'll climb with.
We keep the team small, senior, and accountable — you work with the people actually doing the work.
Hakob Kyupelyan
Founder & Managing Partner
Founder of Heightened Holding Group. Leads strategy across the firm's Open & Build and Fill & Scale work.
Elena Markarian
Open & Build Lead
Leads feasibility, financial modeling, and licensing readiness — from first proforma to DHCS and CARF review.
Marcus Avery
Admissions & Growth Lead
Owns admissions enablement and compliant demand — call coaching, paid media, and reporting tied to cost-per-admit.
Priya Shah
Operations & Reporting
Keeps engagements on cadence and accountable — CRM, call-tracking, and the dashboards behind every decision.
Fluent in the standards you'll be measured against.
Expertise we guide clients through — not our own accreditations.
- DHCS
- CARF
- Joint Commission
- ASAM
- HIPAA
- 42 CFR Part 2
- LegitScript
Ready to reach new heights?
Book a free 30-minute strategy call. We'll map where your growth is leaking — and the climb to fix it.
- Free 30-minute call
- Custom roadmap
- No obligation