# How Private Equity Is Buying Up Pediatric Therapy Clinics

Page: https://stenobird.com/podcast/the-buyout-show-with-fexingo-private-equity-roll-ups-and-business-acquisitions-7871630/how-private-equity-is-buying-up-pediatric-therapy-clinics
Text version: https://stenobird.com/podcast/the-buyout-show-with-fexingo-private-equity-roll-ups-and-business-acquisitions-7871630/how-private-equity-is-buying-up-pediatric-therapy-clinics.md
Podcast: [The Buyout Show with Fexingo: Private Equity, Roll-Ups, and Business Acquisitions](https://stenobird.com/podcast/the-buyout-show-with-fexingo-private-equity-roll-ups-and-business-acquisitions-7871630)
Published: 2026-06-28T16:46:31+00:00
Episode link: https://audio.fexingo.com/business/the-buyout-show/episode-0080.mp3
Audio file: https://audio.fexingo.com/business/the-buyout-show/episode-0080.mp3
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Duration seconds: 507

## Resource

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

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