The Kusnacht Practice

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: 51

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 · 8

The clinic treats each client in one of about ten villas, one client per villa, with no group therapy, a stated rule that no two clients ever meet, a personal chauffeur and an in-villa team. Bylined first-hand reporting from 2023 describes consultations in a shared clinic building where staff clear corridors and the lobby between clients, and a treatment team of about twenty serving six to nine concurrent clients, so the treatment site and senior clinical staff are shared by scheduling. That is single occupancy per residence, band 8; band 9 requires no client contact at all, and band 10 builds on band 9. The Geneva residence named on the clinic's own Game Changer Stay page is a difference in programme scope rather than a contradiction about the occupancy model, so no deduction applies.

ConfidenceHow well the evidence supports the score.: high

Sources (8 cited items):

• The Kusnacht Practice: "Each client is treated in one of our 10 luxury villas located around residential areas overlooking lake Zurich.".
• The Kusnacht Practice: Villas are fully discreet, with no exterior signage or branding.
• The Kusnacht Practice: "We structure every program so that no two clients ever meet or cross paths, preserving your anonymity throughout.".
• The Kusnacht Practice: FAQ: clients are treated individually, so no possibility exists for one client to meet another client during their stay.
• The Kusnacht Practice: Personal chauffeur and in-villa team; limousine service included in the weekly fee; one-to-one psychotherapy included. Further source: https://kusnachtpractice.com/pricing/.
• spearswms.com: Spear's, "Inside the £109,000 a week luxury Swiss rehab clinic", Edwin Smith, 3 Jan 2023: the journalist stayed in a villa; the clinic tends to take six to nine clients at a time; clients meet doctors in treatment rooms and are not admitted back into corridors or the lobby until staff have checked that two clients will not come face to face; anonymous exterior with no signage; a sweep of the villa and its electronic devices on departure.
• thenationalnews.com: The National, "Inside the $115,000-per-week medical facility favoured by Middle East's ultra rich", bylined (byline confirmed on capture), 25 Dec 2023, reporting what the journalist was told on the record, not a first-hand visit: "The Kusnacht Practice operates 10 villas and two penthouses across Kusnacht and Geneva."; CEO on record that different teams have different levels of access to client data.
• uid.admin.ch: UID register: The Kusnacht Practice AG, Zollikon, active, with an active branch "The Kusnacht Practice AG, succursale de Genève" (UID CHE-148.127.697).

C2 Clinical governance and medical cover · 4

The only register entry is the Canton of Zurich Spitex (home nursing) list, which carries The Kusnacht Practice AG at its Zollikon office at Zollikerstrasse 60. A home-nursing listing at the operator's office is not a licence or regulated treatment category for the villas, the clinic's own statement that it is a licensed ambulatory medical institution is not a register record, and the Geneva residence has no register entry, so the licence element is absent. A Chief Medical Officer holds overall medical responsibility and psychiatrists are named for the site, which gives band 4 without a licence. The stated 24/7 supervision names no physician on site or on call at night, the person living in each villa overnight is a counsellor, and on-site detox, a named escalation route, accreditation and a complex psychiatry programme are not established.

ConfidenceHow well the evidence supports the score.: high

Sources (14 cited items):

• zh.ch: Canton of Zurich Health Directorate, Spitex list without service agreements (260803_Spitexliste_ohne_Leistungsvereinbarung.xlsx): Trägerschaft "The Kusnacht Practice AG", Standort "The Kusnacht Practice Spitex", Zollikerstrasse 60, 8702 Zollikon, Bezirk Meilen.
• zh.ch: Canton of Zurich care provision page publishing the Spitex lists.
• The Kusnacht Practice: Imprint: The Kusnacht Practice AG operates as a licensed ambulatory medical institution holding a Spitex licence, supervised by the Department of Health of the Canton of Zurich; names the Chief Medical Officer.
• The Kusnacht Practice: Team page: Chief Medical Officer; two Senior Lead Psychiatrists; a child and adolescent psychiatrist; two specialists in internal medicine.
• The Kusnacht Practice: Pricing: weekly fee includes comprehensive medical and psychiatric assessment and 24/7 medical and clinical supervision.
• The Kusnacht Practice: Our approach: 24/7 care in the residence; the team ranges from internists and psychiatrists to advanced medical specialists.
• thenationalnews.com: The National, 25 Dec 2023: the Chief Medical Officer is described as head of psychiatry.
• JCI accredited organisations list, country filter Switzerland: Search of JCI accredited organisations list, country filter Switzerland. Scope: register entry for the clinic or its operator (accreditation). Result: no record found.
• CARF provider search (store locator, 500 miles around Zurich): Search of CARF provider search (store locator, 500 miles around Zurich). Scope: register entry for the clinic or its operator (accreditation). Result: no record found.
• IAF CertSearch company search: Search of IAF CertSearch company search. Scope: register entry for the clinic or its operator (accreditation). Result: no record found.
• Kanton Zuerich Spitex list: Search of Kanton Zuerich Spitex list. Scope: register entry for the clinic or its operator (licence class). Result: record found.
• 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 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: The Kusnacht Practice AG, CHE-184.706.483, Zweck includes 'die Erbringung von Pflegeleistungen'.

C3 Diagnostic depth on admission · 6

Four elements are established, including a structured diagnostic phase. A lead doctor gathers medical history before prepayment, the admission examination lasts one to seven days and covers a full medical examination, psychiatric assessment and biochemical, neurochemical and laboratory testing, psychiatrists and internal medicine physicians are named for the site, and a comprehensive report with medical and therapeutic recommendations is shared before departure. Medication is minimised and no physician medication review is stated, which keeps the clinic below band 7.

ConfidenceHow well the evidence supports the score.: medium

Sources (5 cited items):

• The Kusnacht Practice: FAQ: on admission a full medical examination with comprehensive biochemical and neurochemical testing, including a genetic swab and blood, urine, saliva and hair samples; further assessments include psychiatric, social-chemical and nutrition-and-lifestyle; examination phase lasts one to seven days.
• The Kusnacht Practice: Pricing: fee includes comprehensive medical and psychiatric assessment and a bespoke treatment plan.
• The Kusnacht Practice: Our approach: pre-admission with a lead doctor gathering medical history before prepayment; comprehensive report with medical and therapeutic recommendations shared before departure.
• The Kusnacht Practice: Health assessments page: Mental Health, General Medical, Longevity and VIP assessments with psychometric screening, brain MRI and blood tests and a detailed health report; no duration or price stated.
• The Kusnacht Practice: Team page names Senior Lead Psychiatrists and internal medicine physicians for the site.

C4 Clinical intensity · 3

The weekly fee includes one-to-one psychotherapy, but no session count or hours are published, which places the clinic at the band for individual therapy with no count. A live-in counsellor gives twenty-four hour presence in the villa, and the clinic states it has more doctors than clients, but bylined reporting describes a treatment team of about twenty shared across six to nine concurrent clients, so the senior team is pooled. Primary treatment normally lasts six to twelve weeks.

ConfidenceHow well the evidence supports the score.: medium

Sources (6 cited items):

• The Kusnacht Practice: Pricing: fee includes one-to-one psychotherapy, multidisciplinary team support and a live-in counsellor.
• The Kusnacht Practice: Hospitality: the Live in Counsellor is always near.
• The Kusnacht Practice: Home page: "At Kusnacht Practice we have more doctors than clients.".
• The Kusnacht Practice: Our approach: 24/7 care and a tailored daily schedule; no hours stated.
• The Kusnacht Practice: FAQ: primary treatment normally six to twelve weeks.
• spearswms.com: Spear's, 3 Jan 2023: 75 full-time staff; treatment team of around 20, largely doctors; a counsellor and a private chef live in each villa; six to nine clients at a time.

C5 Continuity and aftercare · 6

Five elements are met: a personalised report with recommendations before departure, continuity through the practice's own mentor and case management, a mentor or counsellor who can return home with the client with return visits, audio and video check-ins, and a Continuing Care price of CHF 20,000 per week reported by bylined press in 2023. Continuing Care is excluded from the weekly fee and the clinic publishes no price for it; its duration is a range from a few days to two years, and no written discharge plan with a fixed duration or six-month structured contact is established, which keeps the clinic below band 7.

ConfidenceHow well the evidence supports the score.: high

Known gapsFacts the assessment needed but could not establish.:

• The Continuing Care price comes from 2023 press reporting, not from the clinic.

Sources (6 cited items):

• The Kusnacht Practice: Our approach: before departure, a comprehensive report with personalised medical and therapeutic recommendations; after discharge, regular consultations to adjust the plan; Recharge Stays for reassessment.
• The Kusnacht Practice: FAQ: Continuing Care can include a mentor or counsellor returning home with the client, daily telephone or Skype calls and return visits; it lasts from a few days to two years.
• The Kusnacht Practice: Mental health and addiction page: personalised mentoring, scheduled return visits, regular face-to-face meetings, audio and video check-ins and a dedicated mentor.
• The Kusnacht Practice: Pricing page: aftercare planning and recommendations are listed in the fee inclusions, while Continuing Care is excluded from the weekly fee and carries no published price.
• spearswms.com: Third-party price, counted for A3 as a bylined price as for every clinic: Spear's reported on 3 January 2023 that Continuing Care costs CHF 20,000 per week, with optional live-in staff. The clinic does not publish this figure and its pricing page excludes Continuing Care from the published fee.
• zefix.ch: Zefix record, company purpose includes aftercare for foreign clients in their home countries.

C6 Admission integrity and commercial conduct · 5

A sweep of the clinic's own domains found no ranking of clinics, a media page of dated press items with links and no awards or sponsored labels, and no content addressed to AI assistants: the ai-instructions path returns 404 and the llms file carries no instructions. One positive signal stands: the pricing page publishes a starting price of CHF 117,300 per week. No referral-fee policy, declining policy or policy on third-party-arranged admissions is published. A 2018 report of a payment to a referring psychiatrist is past conduct with no final outcome and scores nowhere. A clean sweep with one positive signal is band 5.

ConfidenceHow well the evidence supports the score.: high

Sources (9 cited items):

• The Kusnacht Practice: Pricing: "Our programmes begin at CHF 117,300 per week." "We can offer a detailed written quotation upon request.".
• The Kusnacht Practice: Media page: 12 dated press items (Tages-Anzeiger 24.07.26 to Rave 22.08.24), each with an external link or PDF; no awards, rankings or sponsored labels.
• The Kusnacht Practice: /ai-instructions/ returns HTTP 404; /llms.txt carries site content with no instructions to AI assistants. Further source: https://kusnachtpractice.com/llms.txt.
• The Kusnacht Practice: /treatments/ describes the clinic's own treatments only; no ranking of clinics.
• The Kusnacht Practice: Our approach: the first conversation determines whether the programme is the right fit.
• The Kusnacht Practice: FAQ: clients themselves must want to be free from the addiction or harmful behaviour.
• spearswms.com: Spear's, 3 Jan 2023: reports that in 2018 The Sunday Times revealed a payment to a referring psychiatrist, that the clinic stated it had broken no laws, and that the CEO says it no longer pays commissions (reported, attributed, no regulator or court outcome found).
• thenationalnews.com: The National, 25 Dec 2023: a UAE-based physician is described as the clinic's local affiliate who refers clients.
• clinic and group domains, web search: Search of clinic and group domains, web search. Scope: domains checked kusnachtpractice.com (pages /, /team/, /about-us/, /hospitality/, /media/, /pricing/, /faqs/, /imprint/, /privacy-statement/, /health-assessments/, /mental-health-and-addiction/, /our-approach/, /precision-medicine/, /treatments/, /psychiatric-psychotherapeutic-care/, /llms.txt.... Result: sweep recorded; outcome per the C6 V elements.

C7 Transparency toward the client · 4

Three elements are met: the pricing page publishes itemised inclusions and exclusions, the imprint and privacy statement name The Kusnacht Practice AG with its Zollikon address, matching the UID and commercial registers, and the regulatory status is stated. Prepayment is required but no deposit, cancellation or refund terms are published, and no licence number or register link, ownership statement, complaints route, inspection results or specific record retention period appears. The UID labelling error on the imprint has entity and address consistent with the register and is not a contradiction.

ConfidenceHow well the evidence supports the score.: high

Sources (7 cited items):

• The Kusnacht Practice: Pricing: included: comprehensive medical and psychiatric assessment, bespoke treatment plan, 24/7 medical and clinical supervision, one-to-one psychotherapy, private villa, live-in counsellor, chef, chauffeur, housekeeping, trainer, nutritionists, meals, holistic therapies, limousine service, aftercare planning, family support; excluded: travel to and from Zurich, unrelated medical expenses and Continuing Care; "Fees are paid directly by the client. We do not work with insurance providers.".
• The Kusnacht Practice: Our approach: admission paperwork and prepayment required before arrival.
• The Kusnacht Practice: Imprint: The Kusnacht Practice AG, Commercial Register of the Canton of Zurich, "UID: CHE-020.3.036.908-1", Zollikerstrasse 60, 8702 Zollikon; licensed ambulatory medical institution holding a Spitex licence under the Department of Health of the Canton of Zurich.
• The Kusnacht Practice: Privacy statement: controller The Kusnacht Practice AG, Zollikerstrasse 60, 8702 Zollikon; named Data Protection Officer; retention for as long as necessary in compliance with statutory retention periods; no supervisory authority or complaints route named.
• The Kusnacht Practice: Team page: Chief Executive Officer and Chairman; a Member of the Board of Directors; no ownership statement.
• uid.admin.ch: UID register: The Kusnacht Practice AG, UID CHE-184.706.483, AG, Zollikerstrasse 60, 8702 Zollikon, active, commercial register number CH-020.3.036.908-1.
• zefix.ch: Zefix: The Kusnacht Practice AG, seat Zollikon, existing; board president and one board member registered, both also named on the clinic's team page.

C8 Track record and regulator standing · 6

No court or regulator outcome against The Kusnacht Practice AG within ten years was found in UK, US, Swiss federal and cantonal searches; the 2018 referral-payment report remains an allegation. Bylined first-hand reporting of a stay in a villa, published 3 January 2023, falls inside the five-year window. No inspection record exists for the site, and no second independent review platform is established, so band 6 is the ceiling for a clinic in that position.

ConfidenceHow well the evidence supports the score.: high

Known gapsFacts the assessment needed but could not establish.:

• A cantonal government reply reported as non-adverse was not retrieved and is not recorded as a finding either way.
• The element reading for this criterion is not published as a list; the band is explained in the reasoning.

Sources (15 cited items):

• spearswms.com: Spear's, "Inside the £109,000 a week luxury Swiss rehab clinic", Edwin Smith, 3 Jan 2023: first-hand stay in a villa, describing the care, staffing and privacy procedures; recounts the 2018 referral-payment report with the clinic's statement that it broke no laws.
• thenationalnews.com: The National, 25 Dec 2023: the CEO's statement on confidentiality mechanisms (reported, not first-hand from inside).
• zh.ch: Canton of Zurich Spitex list, 3 Aug 2026: licence listing only, no inspection record.
• 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.
• Kanton Zuerich Spitex list: Search of Kanton Zuerich Spitex list. Scope: register entry for the clinic or its operator (last inspection). Result: record found: listed, but the list carries no inspection data.
• UK Find Case Law: Search of UK Find Case Law. Scope: "Kusnacht Practice" (0 results). Result: record found: No court or regulator outcome found against The Kusnacht Practice AG. Unresolved: a 2018 Sunday Times report that a referring psychiatrist was paid after referring a client, as recounted by Spears....
• CourtListener opinions and RECAP API (v4 search): Search of CourtListener opinions and RECAP API (v4 search). Scope: "Kusnacht Practice" (type o). Result: record found: No court or regulator outcome found against The Kusnacht Practice AG. Unresolved: a 2018 Sunday Times report that a referring psychiatrist was paid after referring a client, as recounted by Spears....
• entscheidsuche.ch API: Search of entscheidsuche.ch API. Scope: "Kusnacht Practice" (404). Result: record found: No court or regulator outcome found against The Kusnacht Practice AG. Unresolved: a 2018 Sunday Times report that a referring psychiatrist was paid after referring a client, as recounted by Spears....
• general web search: Search of a general web search engine. Scope: "Kusnacht Practice" Urteil OR Gericht OR lawsuit OR Busse. Result: record found: No court or regulator outcome found against The Kusnacht Practice AG. Unresolved: a 2018 Sunday Times report that a referring psychiatrist was paid after referring a client, as recounted by Spears....
• general web search: Search of a general web search engine. Scope: "Kusnacht Practice AG". Result: record found: No court or regulator outcome found against The Kusnacht Practice AG. Unresolved: a 2018 Sunday Times report that a referring psychiatrist was paid after referring a client, as recounted by Spears....
• general web search: Search of a general web search engine. Scope: "Kusnacht Practice" Sunday Times referral payment psychiatrist. Result: record found: No court or regulator outcome found against The Kusnacht Practice AG. Unresolved: a 2018 Sunday Times report that a referring psychiatrist was paid after referring a client, as recounted by Spears....
• general web search: Search of a general web search engine. Scope: Kusnacht Practice Zollikon Klinik Gesundheitsdirektion Bewilligung Verfahren. Result: record found: No court or regulator outcome found against The Kusnacht Practice AG. Unresolved: a 2018 Sunday Times report that a referring psychiatrist was paid after referring a client, as recounted by Spears....
• general web search: Search of a general web search engine. Scope: Kantonsrat Zurich Anfrage "Kusnacht Practice" Regierungsrat Antwort. Result: record found: No court or regulator outcome found against The Kusnacht Practice AG. Unresolved: a 2018 Sunday Times report that a referring psychiatrist was paid after referring a client, as recounted by Spears....
• 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: Spear's, 3 Jan 2023, journalist stayed in a villa; 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 · 4

The environment and safety score is band 4 on three elements, including independent first-hand documentation of the premises from the 2023 bylined stay, with a personal chauffeur, housekeeping, trainer and live-in counsellor. Emergency access within 30 minutes is not credited: Spital Zollikerberg's 24-hour emergency department is 7 minutes and 3.6 km by road from the operator's office, but the villa addresses are unpublished and a Geneva residence is also evidenced. The nutrition score is band 3 on one element, a condition-specific dietary protocol built from laboratory analysis, with no named nutrition professional. The mean of 4 and 3 is 3.5, rounded half up to 4.

ConfidenceHow well the evidence supports the score.: medium

Known gapsFacts the assessment needed but could not establish.:

• Villa addresses are unpublished, so emergency access cannot be computed from a residence.

Sources (5 cited items):

• The Kusnacht Practice: Hospitality: personal chauffeur, housekeeping and personal trainer; Live in Counsellor; private chefs personalise every meal with attention to taste and therapeutic value; "If you wish to bring family or pets, we accommodate that.".
• The Kusnacht Practice: Home page lists nutritionists among the professions on the team.
• The Kusnacht Practice: FAQ: nutrition-and-lifestyle assessment among the admission assessments.
• The Kusnacht Practice: Precision medicine page names Precision Nutrition, nutrigenomics and tailored lifestyle modulation within the BIO-R method, with no method or staff named.
• spearswms.com: Spear's, 3 Jan 2023: journalist stayed in a villa; biomolecular restoration department runs laboratory testing; refined sugar and carbohydrates prohibited, emphasis on protein, fats and vegetables, three meals a day with no snacking; treatment rooms in a building with corridors and a lobby.

C10 Clinical seniority and academic standing · 5

Eight physicians are confirmed on the Swiss federal medical register MedReg, among them the Chief Medical Officer and two Senior Lead Psychiatrists, with three holding a psychiatry and psychotherapy title, one child and adolescent psychiatry, two general internal medicine, one gynaecology and obstetrics and one no federal specialist title. Register-confirmed credentials count without a facility licence, which remains unproven because the only register entry is the operator's Spitex listing. Four PubMed records with a local affiliation did not earn a publication marker. The index lands in band 5.

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.:

• The facility licence remains unproven.

Sources (6 cited items):

• The Kusnacht Practice: Senior Leadership Team: Eduardo Greghi, Chief Executive Officer and Chairman; Dr. med. vet. Antoinette Sarasin Gianduzzo, Founder of the BIO-R method, Member of the Board of Directors; Dr. med. univ. László Ürögi, Chief Medical Officer; Vivien Rossmanith, Chief of Staff and Head of Strategy; Raluca Babota, Clinical Director; Sven Flory, Chief Commercial Officer; Fernanda Sabelli, HR Lead; Dr. scient. med. Martin Zozmann, Director of Clinical Operations, Quality and Compliance, DPO.
• The Kusnacht Practice: Medical Excellence Team: Dr. med. univ. Wolfram Gmeiner, Senior Lead Psychiatrist; Elena Kusnezowa, MD, Senior Lead Psychiatrist; Dr. med. Eszter Kenézlői PhD, Child and Adolescent Psychiatrist; Prof. Dr. med. Alfred Mahr, Specialist in Internal Medicine; Dr. med. univ. Anne-Cathérine Widlowski, Specialist in Internal Medicine; Dr. med. Sorina Kunert, Specialist in Precision and Longevity Medicine; Dr. med. Marco Cerrano, Doctor in Aesthetic Medicine; no role-class credential statement, registration numbers or institutional links (status: U, lookup: public page).
• The Kusnacht Practice: Imprint names the Chief Medical Officer and the Director of Clinical Operations, Quality and Compliance, and states a licence as an ambulatory medical institution holding a Spitex licence under the Department of Health of the Canton of Zurich (a clinic statement, not licence proof).
• zh.ch: Facility licence check (result: not proven, a permit for the operator's Spitex service): Canton of Zurich Health Directorate, Spitex list without service agreements, 3 Aug 2026: Trägerschaft "The Kusnacht Practice AG", Standort "The Kusnacht Practice Spitex", Zollikerstrasse 60, 8702 Zollikon.
• healthreg-public.admin.ch: Register lookup, rows 1 and 3 to 9: MedReg public search, browser read. All eight confirmed as physicians: three with Psychiatry and psychotherapy (one also General medical practitioner), one with Child and adolescent psychiatry and psychotherapy, two with General internal medicine, one with Gynaecology and obstetrics, one with no federal specialist title.
• eutils.ncbi.nlm.nih.gov: Marker RM5, rows 1 and 3 to 9 combined: 4 PubMed records with a Kusnacht, Küsnacht or Zollikon affiliation, not awarded (status: not awarded).