How Private Equity Is Buying Up Pediatric Therapy Clinics

Private equity has quietly consolidated autism therapy, speech therapy, and occupational therapy practices across the US. This episode drills into the roll-up strategy behind pediatric therapy clinics — specifically the $2.8 billion acquisition of BlueSprig Pediatrics by KKR in 2021 and the subsequent platform-building that followed. Lucas explains the reimbursement dynamics (Medicaid vs. commercial insurance), the shortage of board-certified behavior analysts, and why PE firms see 20% EBITDA margins in a fragmented service market. Luna questions whether the model can sustain quality care when therapists are salaried and caseload targets rise. We also look at what happens when a roll-up hits saturation in a single metro area — using Houston as a case study. #PrivateEquity #PediatricTherapy #BlueSprig #KKR #AutismTherapy #RollUp #HealthcareInvesting #ABATherapy #BehavioralHealth #Medicaid #EBITDAMargins #Consolidation #SpeechTherapy #OccupationalTherapy #Business #Healthcare #FexingoBusiness #BusinessPodcast Keep every episode free: buymeacoffee.com/fexingo