Overall Risk Level
error High Risk
Risk Flags
flagKKR-backed (PE consolidator pursuing aggressive M&A roll-up); baseline PE risk applies
flagThis San Jose clinic (as Trumpet Behavioral Health) is the subject of an active Santa Clara County Superior Court negligence lawsuit: a former behavioral therapist was arrested in June 2024 and criminally charged after allegedly sexually assaulting an 11-year-old autistic client during in-home therapy sessions; the civil suit alleges negligent hiring, supervision, and retention against Trumpet Behavioral Health and parent BlueSprig
flagCorporate sibling entity The Shape of Behavior (acquired by BlueSprig in 2018) settled a $2.7M TRICARE billing-fraud claim in 2021, prior to the BlueSprig acquisition
flagBlueSprig cited in CEPR report 'Pocketing Money Meant for Kids: Private Equity in Autism Services' as a case study of PE wealth-extraction in ABA
flagReviewer complaints about pay compression, schedule-driven income volatility, and turnover
Legal Issues
gavelSanta Clara County Superior Court civil suit (filed ~2024/2025) alleging negligent hiring, supervision, and retention after a former therapist was criminally charged with sexually assaulting a minor client during home-based sessions run out of this location
Ethical Concerns
policyActive negligent-hiring/supervision lawsuit tied directly to this San Jose location's home-based therapy program
policyFeatured in CEPR private-equity-in-autism critique
BBB RatingA+ (Trumpet Behavioral Health, a division of BlueSprig — not BBB accredited)
Employee Sentiment
5.0
out of 10
thumb_up Common Praises
- add_circle Caring, supportive clinical supervisors and coworkers
- add_circle Company pays for RBT training and certification exam
- add_circle Flexible scheduling for many staff
- add_circle Meaningful, rewarding work with families and children
- add_circle Structured onboarding and mentorship
thumb_down Common Complaints
- remove_circle Schedule instability — no pay when clients cancel sessions
- remove_circle Pay gap between billable direct-therapy hours (~$19/hr) and admin/non-billable time (~$14/hr)
- remove_circle High RBT and BCBA turnover, inconsistent day-to-day support
- remove_circle Upper leadership perceived as disconnected from clinic-level realities
- remove_circle Pressure around documentation/notes and billable-hour quotas