July 2, 2024 –  Tim Robinson, CEO of Kentucky’s largest substance treatment provider, says his for-profit company “had to grow to survive.” He was photographed June 27 at Addiction Recovery Care’s headquarters in Louisa.Around the office at Addiction Recovery Care, or ARC, Vanessa Keeton is still known as “Client One” — marking her status as the first client of the first recovery center the organization opened as a group home in Lawrence County.

But her official title is vice president of marketing for ARC, where she has worked since 2012, a little more than a year after she entered the program known as Karen’s House — choosing it over jail for a string of drug and alcohol-related offenses.