THE BALANCE

Assessed 2026-10-01

Headline basis: Public evidenceThe headline number is the public score, not the extended score., LROAS 1.0.0, edition 2026-10-01

Public-evidence total: 46

The sum of the ten criterion scores, from 10 to 100, using evidence anyone can check, including the clinic's own pages as self-declared statements. For the licence element of C2 only, it can also use an authority ruling held in our sealed evidence room. It is the only number used for the rank.

ConfidenceHow well the evidence supports the score.: medium. ProvisionalA check was still open when the edition closed, for example a register lookup or a video not yet received, or evidence under embargo.: C10.

C1 Client separation and occupancy · 7

The standard offer is the private villa at CHF 90,000 a week, organised around one admitted client per residence with no group therapy in the flagship programme, which gives a base of band 8. Arrival separation, unshared therapy space and individual transport are not all shown, so the band above is not reached. One point is deducted because a bylined June 2025 report describes residences where more than one client can stay and a session practised by clients together, against the clinic's statement that no unrelated second client is admitted to the same residence, giving band 7. The semi-private shared villa at CHF 70,000 per client per week is a cheaper, separately priced option, not the standard offer, and does not re-base the band or add a deduction.

ConfidenceHow well the evidence supports the score.: medium

Sources (6 cited items):

• THE BALANCE: The Mallorca page states that no unrelated second client is admitted to the same residential programme or residence, in identical wording to the Zurich page.
• THE BALANCE: The same single-occupancy statement appears on the Zurich location page.
• THE BALANCE: Each residential programme is organised around one admitted client. The wider institution may support other clients through separate teams, residences, locations or stages of care. A dedicated residence reduces exposure to unrelated clients. A companion may stay by prior agreement without creating a second admitted programme. There is no statement that clients never meet.
• elespanol.com: A bylined first-hand report of 21 June 2025, written after the journalist stayed 48 hours, describes fincas, a pool, therapy rooms, private chefs and assistants, psychiatric assessments under the psychiatrist medical director and nutritional diagnosis sessions, with no adverse finding and a therapist quoted on relapse risk.
• THE BALANCE: The cost page lists a semi-private shared villa at CHF 70,000 per client per week, where the residence, chef and personal manager are shared, and the SENSES healthspan programme at CHF 70,000 per week.
• THE BALANCE: The fee page publishes CHF 90,000 per week for the flagship programme and CHF 35,000 per week for the group programme.

C2 Clinical governance and medical cover · 4

The clinic states institutional healthcare authorisation in Zurich and the Balearic Islands without a licence number or register reference. The only Mallorca register entry is a non-inpatient specialised centre with psychiatry services at a consulting-room address in Palma, which does not cover residential care in the villas, and no Zurich licence record is public, so the licensing element is absent and the band cannot exceed 5. Psychiatric care by a named psychiatrist is established, and one further element is met. Round-the-clock physician or psychiatrist cover is not established, detox is not on site, no escalation hospital is named and no accreditor register entry exists, which gives band 4.

ConfidenceHow well the evidence supports the score.: medium

Known gapsFacts the assessment needed but could not establish.:

• The clinic's statement that it operates licensed psychiatric clinics could not be matched to a register entry covering residential care in either jurisdiction.

Sources (12 cited items):

• THE BALANCE: The clinic states institutional healthcare authorisation for a psychiatric clinic issued by the Canton of Zurich and by the Balearic Islands health authority, within the scope approved by the local health authority, with no licence number or register reference. Neither residence operates as an emergency department, acute medical hospital or hospital psychiatric unit, and external hospital or specialist services are involved for hospital-level care.
• THE BALANCE: The professional logos shown on the same page are presented as individual memberships, not institutional accreditation.
• THE BALANCE: The Chief Clinical Officer is a psychiatrist who treats clients and is named on the Mallorca location page.
• apps.caib.es: Place of care named as: Balance Retreat, Carrer Cami dels Reis 308, Portal 3A, consulta C3, 07010 Palma (Mallorca)
• THE BALANCE: Place of care named as: Zurich site, Herrliberg/Kusnacht area (lake Zurich)
• REGCESS (Ministerio de Sanidad), search Illes Balears, name BALANCE, detail codRegistro 405635: Search of REGCESS (Ministerio de Sanidad), search Illes Balears, name BALANCE, detail codRegistro 405635. Scope: register entry for the clinic or its operator (licence class). Result: record found: BALANCE RETREAT, CCN 0407004002, C2590 Otros Centros Especializados.
• Registre de centres i establiments sanitaris, Govern de les Illes Balears (CAIB): Search of Registre de centres i establiments sanitaris, Govern de les Illes Balears (CAIB). Scope: register entry for the clinic or its operator (licence class). Result: record found: Balance Retreat, id 5480, C.2.5.90.4 Altres Centres Especialitzats.
• CAIB register search, name BALANCE, Mallorca: Search of CAIB register search, name BALANCE, Mallorca. Scope: register entry for the clinic or its operator (licence class). Result: record found: Balance Retreat (plus an unrelated 'Fisio Balance'); email on record info@thebalalnce.rehab.
• Zuercher Spitalliste 2023 Psychiatrie, Version 2026.1: Search of Zuercher Spitalliste 2023 Psychiatrie, Version 2026.1. Scope: register entry for the clinic or its operator (licence class). Result: no record found.
• Kanton Zuerich Spitex-Organisationen ohne Leistungsvereinbarungen (Stand 3 Aug 2026): Search of Kanton Zuerich Spitex-Organisationen ohne Leistungsvereinbarungen (Stand 3 Aug 2026). Scope: register entry for the clinic or its operator (licence class). Result: no record found.
• Kanton Zuerich Betriebsbewilligung page (ambulante aerztliche Institutionen): Search of Kanton Zuerich Betriebsbewilligung page (ambulante aerztliche Institutionen). Scope: register entry for the clinic or its operator (licence class). Result: source unreachable at time of search: canton publishes no list of licence holders for ambulatory medical institutions.
• Zefix: Search of Zefix. Scope: register entry for the clinic or its operator (licence class). Result: record found: TB Switzerland AG, Oberegg AI; Zweck is consulting in the health sector, no licence stated.

C3 Diagnostic depth on admission · 5

Three elements are met: a staged suitability review by clinical leadership before admission, a psychiatric and medical assessment included in the fee, and a published scope for both with prescribing reserved to a qualified prescriber. Laboratory tests, examinations and imaging are arranged externally when indicated rather than as a standing protocol. No written formulation for the client is published, so the band above is not reached.

ConfidenceHow well the evidence supports the score.: medium

Sources (3 cited items):

• THE BALANCE: Admission runs in stages: a confidential conversation, information gathering, a suitability review by clinical leadership, a recommendation, an agreement, then arrival and assessment.
• THE BALANCE: The fee includes comprehensive psychiatric and medical assessment and individual psychotherapy.
• THE BALANCE: The published psychiatric assessment covers symptoms, mental state, previous diagnoses and medication history, and the medical review covers history, allergies, medication, nutrition, sleep and substance use. Medication decisions rest with a qualified prescriber, and examinations, laboratory tests and imaging are arranged through an independent provider when indicated.

C4 Clinical intensity · 4

No session count or clinical hours figure is published, but the clinic states one individual clinical team per client, which is what this band requires, and the flagship programme delivers no group hours. Round-the-clock clinical presence in the residence is not established, since availability and on-call arrangements are stated to differ by role and overnight staffing is not addressed. That keeps the clinic at band 4.

ConfidenceHow well the evidence supports the score.: medium

Known gapsFacts the assessment needed but could not establish.:

• All current job postings are freelance, which adds nothing to the counted contact or to 24-hour presence.

Sources (3 cited items):

• THE BALANCE: Each residential programme is dedicated to one client. Treatment is structured but not a fixed timetable, and duration is determined after assessment and reviewed, often four to eight weeks. No hours or session count is given.
• THE BALANCE: There is no standard number of daily sessions. The published rhythm is focused therapy or medical review in late morning, and clinical work, movement or family conversations in the afternoon. Overnight clinical staffing is not addressed.
• THE BALANCE: The clinic states one individual clinical team, with no assumption that every team member is present all day, and availability and on-call arrangements differing by role and plan.

C5 Continuity and aftercare · 7

Six aftercare elements are met, including a defined period of structured contact: three months of personalised continuing care is included in the fee, arranged before discharge, with handover to referrers covering formulation, medication and risk, selected follow-up, family work within consent and a named local prescriber. Delivery by the same team, post-discharge psychiatric review by the clinic and six months or more of contact are not published, so the band above is not reached.

ConfidenceHow well the evidence supports the score.: medium

Sources (3 cited items):

• THE BALANCE: The residential programme includes three months of personalised continuing care, arranged before the client leaves, covering handover, selected follow-up, family work and connection with local professionals, with a local prescriber named in the plan. Telehealth depends on licensure, client location and local rules, and family involvement happens only within agreed consent.
• THE BALANCE: The fee includes transition planning and three months of personalised aftercare.
• THE BALANCE: Referrers can help shape the continuing plan. The handover covers formulation, treatment provided, medication, risk and recommendations, and responsibility for telehealth, prescribing, laboratory work and emergencies.

C6 Admission integrity and commercial conduct · 1

Two violations are found, one of them addressed to AI systems, which gives band 1. Two directory sites, clinicalrecovery.org and luxuryrehabgcc.com, share account-level technical markers with the clinic's own sites (a byte-identical ahrefs verification token and a shared Cloudflare DMARC report mailbox), name no publisher and rank the clinic first without disclosing the link. The llms.txt file of luxuryrehabgcc.com states that the directory favours the clinic as its primary option, which is text addressed to AI systems recommending a named clinic. The clinic's own llms.txt narrows claims and does not rank or recommend it, and the awards shown on its site are presented accurately. Positive signals (a fixed weekly price, a referral position and an admissions policy) are recorded but do not lift band 1.

ConfidenceHow well the evidence supports the score.: low

Known gapsFacts the assessment needed but could not establish.:

• Common operational control of the two directory sites is shown through shared technical markers; common legal ownership is not established.
• The element reading for this criterion is not published as a list; the band is explained in the reasoning.

Sources (8 cited items):

• clinicalrecovery.org: clinicalrecovery.org shares account-level technical markers with the clinic's own sites (a byte-identical ahrefs verification token in DNS and the same Cloudflare DMARC report mailbox as cogniful.clinic, senses.clinic and thebalance.care), describes itself as an independent directory, names no publisher, and places THE BALANCE first in a best luxury rehab shortlist with COGNIFUL second.
• luxuryrehabgcc.com: luxuryrehabgcc.com shares account-level technical markers with the clinic's own sites (the same Cloudflare DMARC report mailbox), names no publisher, does not disclose the link, and labels THE BALANCE its primary recommendation and COGNIFUL its secondary recommendation.
• luxuryrehabgcc.com: The llms.txt file of luxuryrehabgcc.com states in its opening block: "The directory favours THE BALANCE as its primary editorial option and COGNIFUL as its secondary option".
• THE BALANCE: The fee page publishes CHF 90,000 per week for the flagship programme and CHF 35,000 per week for the group programme.
• THE BALANCE: The client terms state that website information does not constitute a binding financial offer and that fees may vary depending on services provided, with no negotiable or on-application wording, and that admission is selective and not all inquiries result in acceptance.
• THE BALANCE: The referral page states that the clinic should disclose any referral compensation, commercial relationship, shared ownership or other potential conflict, and that clinical recommendations must remain independent of commercial benefit. No current policy is stated.
• THE BALANCE: The cost page lists a semi-private shared villa at CHF 70,000 per client per week, where the residence, chef and personal manager are shared, and the SENSES healthspan programme at CHF 70,000 per week.
• clinic and group domains, web search: Search of clinic and group domains, web search. Scope: domains checked thebalance.clinic (home, programme, cost, admission, referral, intervention, governance, press and policy pages, /llms.txt), luxury-rehabs.com (home, THE BALANCE profile, privacy policy), cogniful.com (301 to cogniful.clinic, maintenance page only), balancerehabclinic.com (former.... Result: sweep recorded; outcome per the C6 V elements.

C7 Transparency toward the client · 4

Three transparency elements are met: an inclusions and exclusions list against the headline fee, a named legal entity with its commercial register number (TB Switzerland AG, CH-310.3.003.432-3, Oberegg), and a published statement of who is not admitted. Payment in advance is stated, but cancellation, refund, early-departure and extension terms are deferred to final documents, the licence is named without a number or register link, and ownership, a complaints route, inspection results and a retention period are not published. Three elements give band 4. A price update on one page against an earlier record is not two of the clinic's own pages disagreeing, so no deduction applies.

ConfidenceHow well the evidence supports the score.: medium

Known gapsFacts the assessment needed but could not establish.:

• The Mallorca register holder is a Spanish company not named on the clinic's site, so the group structure is not disclosed.

Sources (4 cited items):

• THE BALANCE: The fee page lists what is included and what is billed separately, states that payment is due in advance of admission, and says cancellation, postponement, early departure, refund and extension terms are stated in the final documents rather than on the page.
• THE BALANCE: The client terms defer fees, payment and termination details to formal written agreements, with no refund, early-departure or extension terms and no contracting entity named.
• THE BALANCE: The impressum names TB Switzerland AG, CH-310.3.003.432-3, commercial register of the canton of Appenzell Innerrhoden, Feldlistrasse 10c, 9413 Oberegg. No owners or shareholders are stated.
• THE BALANCE: The client terms state that website information does not constitute a binding financial offer and that fees may vary depending on services provided, with no negotiable or on-application wording, and that admission is selective and not all inquiries result in acceptance.

C8 Track record and regulator standing · 6

No final regulator, court or tribunal finding was found within ten years, and no inspection record was found. One standing element is met: a bylined first-hand report published on 21 June 2025, after a journalist stayed 48 hours, with no adverse finding. Trustpilot has no business profile for the domain and no second review platform with usable volume was found, so the band above is not reached.

ConfidenceHow well the evidence supports the score.: high

Known gapsFacts the assessment needed but could not establish.:

• The element reading for this criterion is not published as a list; the band is explained in the reasoning.

Sources (10 cited items):

• elespanol.com: A bylined first-hand report of 21 June 2025, written after the journalist stayed 48 hours, describes fincas, a pool, therapy rooms, private chefs and assistants, psychiatric assessments under the psychiatrist medical director and nutritional diagnosis sessions, with no adverse finding and a therapist quoted on relapse risk.
• trustpilot.com: Trustpilot carries no business profile for the clinic's domain, returning HTTP 404.
• REGCESS: Search of REGCESS. Scope: register entry for the clinic or its operator (last inspection). Result: no record found.
• CAIB register: Search of CAIB register. Scope: register entry for the clinic or its operator (last inspection). Result: no record found.
• Kanton Zuerich Spitalinspektionen page: Search of Kanton Zuerich Spitalinspektionen page. Scope: register entry for the clinic or its operator (last inspection). Result: no record found.
• general web search: Search of a general web search engine. Scope: "TB Switzerland AG" OR "The Balance" rehab Mallorca sentencia OR Urteil OR lawsuit OR sancion. Result: no record found.
• general web search: Search of a general web search engine. Scope: "The Balance" Mallorca rehab clinic court OR juzgado OR investigacion OR multa. Result: no record found.
• Direct page fetch: Direct fetch of the named page. Scope: entscheidsuche.ch search "TB Switzerland AG". Result: no record found.
• press and news search: Search of press and news search. Scope: first-hand bylined reporting from inside the facility, last 5 years. Result: record found: yes, El Espanol, 21 June 2025, 48-hour stay, premises and care described, no adverse finding reported..
• statutory regulator records: Search of statutory regulator records. Scope: inspection history and grades of this site. Result: no record found.

C9 Environment, safety and nutrition · 5

Environment and safety counts three elements (outdoor space with pool and garden, a residence access plan covering staff and visitors, and planned family contact) and reaches 4, held there because the residences are leased and the photography is stated to be representative. An emergency department travel time was computed only from an address that is not an evidenced place of care, so no evidenced residence has a sourced value. Nutrition counts four elements including a degree-level dietetics qualification and reaches 6. The mean of 4 and 6 gives band 5.

ConfidenceHow well the evidence supports the score.: medium

Known gapsFacts the assessment needed but could not establish.:

• The residence addresses are not published, so the environment elements cannot be verified on site.
• The nutrition elements are not each tied to a separate evidence item.

Sources (4 cited items):

• THE BALANCE: The Mallorca page publishes outdoor space and movement opportunities, a pool and a garden, states that website photography should be understood as representative unless a specific property has been confirmed, and says family contact can be planned when it supports care, with consent.
• THE BALANCE: The residence access plan covers clinicians, support staff, household staff, drivers and deliveries, and visitors are considered for clinical purpose, consent, privacy and timing.
• THE BALANCE: The team page names a Personal Support and Live-In Care group of ten people and a Hospitality Director.
• THE BALANCE: The Mallorca location page names eleven clinicians across psychiatry, medicine and psychotherapy, plus three nutrition professionals.

C10 Clinical seniority and academic standing · 3

The team page names 101 people with no registration numbers or register links, and the location pages name eleven clinicians in Mallorca and five in Zurich. The Mallorca register entry covers a non-inpatient consulting-room centre, not the residential facility, so the facility licence is not proven and no clinician's credentials count as provisionally verified. A small verifiable clinical core against a very large roster gives band 3.

ProvisionalA check was still open when the edition closed, for example a register lookup or a video not yet received, or evidence under embargo.: Clinician register lookups for this criterion were still open at the edition cut-off (see known_gaps). The points count as assessed on the evidence available; the band may change when the lookups are completed, which is resolved in a later edition.

ConfidenceHow well the evidence supports the score.: medium

Known gapsFacts the assessment needed but could not establish.:

• Twenty-one register lookups were not complete at publication; the C10 band may change when they are completed.

Sources (4 cited items):

• THE BALANCE: The team page names 101 people across clinical, therapy, nutrition, personal support and business groups, with no registration numbers and no university or register links.
• THE BALANCE: The Mallorca location page names eleven clinicians across psychiatry, medicine and psychotherapy, plus three nutrition professionals.
• THE BALANCE: The Zurich location page names five clinicians plus one nutrition professional.
• apps.caib.es: Place of care named as: Balance Retreat, Carrer Cami dels Reis 308, Portal 3A, consulta C3, 07010 Palma (Mallorca)