The Politics of Autism includes an extensive discussion of autism service providers.
In the last several years private equity investment in autism services, particularly in providers of Applied Behavior Analysis (ABA) therapy, has substantially increased. While a handful of private equity investments in autism occurred earlier, 2017 and onwards have seen a flurry of private equity acquisitions.134 For example, in 2018 The Blackstone Group acquired the Center for Autism andRelated Disorders, with close to 2,000 employees, for a reported $700 million. It was reportedly the largest single autism provider deal in history.135 The year before, FFL Partners bought Autism Learning Partners (3,600 employees) for $270 million.136 In 2019 Gryphon Investors acquired LEARN Behavioral, (3,400 employees),137 and in July 2021 Cerberus Capital Management acquired Lighthouse Autism Center from Abry Partners for over $400 million.138
Because private equity investment in autism services is relatively new, little is known about what it means for quality of care. However, the profit-seeking tactics seen in private equity’s ownership of other behavioral health services, particularly in intellectual and developmental disability services, raises concern for how the business model will impact autism services.
- 134 Pitchbook, accessed November 2021.
- 135 Bailey Bryant, “Bolstered by Recent Tech Investments, CARD Gears Up for Growth in 2021,” Behavioral Health Business, October 22, 2020. https://bhbusiness.com/2020/10/22/bolstered-by-recent-tech-investments-card-gears-up-forgrowth-in-2021
- 136 “FFL Partners seals $270M SBO,” Pitchbook, December 22, 2017. https://pitchbook.com/newsletter/ffl-partners-seals270m-sbo
- 137 Aimen Hakim, “Gryphon Investors acquires majority stake in LEARN Behavioral,” S&P Global Market Intelligence, March 20, 2019. https://www.spglobal.com/marketintelligence/en/news-insights/trending/ifu2YjUfC-Y8bqIYXsJlUA2
- 138 Sarah Pringle, “Cerberys buys Abry’s Lighthouse Autism Center in $200m-plus deal,” PEHub, July 22, 2021. https:// webcache.googleusercontent.com/search?q=cache:kpxncoJPWC4J:https://www.pehub.com/cerberus-buys-abrys-lighthouse-autism-center-in-400m-plus-deal/+&cd=3&hl=en&ct=clnk&gl=us