Overall Risk Level
warning Medium Risk
Risk Flags
flagPrivate-equity backed (KKR) with aggressive roll-up acquisition strategy
flagSister BlueSprig brand The Shape of Behavior paid a $2.7M settlement in 2021 for TRICARE billing fraud allegations prior to acquisition
flagEmployee reviews cite billable-hour quotas taking priority over clinical outcomes
flagFrequent M&A activity (Trumpet, Florida Autism Center, Thrive, Shape of Behavior, TDLC) may affect service continuity and culture
flagRecent CEO turnover (Jason Owen departed 2024; Will Abbott appointed March 2025)
Legal Issues
gavel$2.7M TRICARE fraud settlement (Shape of Behavior, pre-acquisition, 2021)
Ethical Concerns
policyEmployee reviews describe billing-metric pressure overshadowing clinical/family-outcome considerations at some locations
BBB RatingA+
Employee Sentiment
6.5
out of 10
Management