SCALE Forecast

• PE backed platforms will continue to hold their original investments and grow and scale both organically and through acquisition.
• Acquisition activity will continue to be extremely strong with attractive multiples for sellers.
• Small providers will find myriad resources (outsourcing) to assist them with running their businesses (i.e. recruitment, RCM, technology).
• While still a young field (a majority of Board Certified Behavior Analysts (BCBAs) have been in practice less than 4 years) clinical talent supply will be at an all-time high since the passing of legislative mandate in many states. Talent acquisition for Registered Behavior Technicians (RBTs) will continue to be a significant challenge for providers.
• Assistive technology, telehealth, and other value-add tech platforms in this space are in its infancy thereby creating first to market opportunities.
• As integrated care moves into behavioral health and the autism therapy space, there will be pressure on providers to expand their service lines including diagnostics, Licensed Clinical Social Work, speech and occupational therapy, and Case Management / Supports Coordination.
• Reimbursement rates should remain stable in 2022.

SCALE Company Watchlist

• AngelSense
• Caravel Autism
• Blue Sprig
• Cedar Learning