board certified behavior analyst

occupational therapist

speech language pathologist

registered behavior technician

behavior technician

Inspire Horizons

I had the privilege of working at North Valley Pediatric Therapy before it was acquired by Inspire Horizons.  The original clinic was a place where employees felt valued, where policies were implemented with the well-being of both clients and staff in mind, and where the benefits were genuinely supportive. Unfortunately, the buyout by Inspire Horizons has completely upended what was once a thriving and positive work environment.

1. Policy Changes: The changes implemented under the new ownership were marketed as improvements, but they have largely had the opposite effect. Policies intended to enhance operational efficiency and client care have instead led to increased burnout among therapists. The unrealistic expectations and workload imposed without corresponding support or adjustments have taken a significant toll on staff morale and job satisfaction.

2. Workload and Burnout: The increase in workload, without corresponding support or resources, has led to widespread burnout among staff. Therapists are now managing heavier caseloads and more complex administrative tasks without adequate relief or assistance. This unsustainable work environment has not only affected job performance but also personal well-being.

3. Benefits and Compensation: The overhaul of benefits, while purportedly aimed at offering better options, has resulted in employees facing higher out-of-pocket costs for the same coverage or losing benefits altogether. The promised enhancements have not materialized as expected, and employees are left with increased financial burdens and reduced support. Additionally, previously discussed raises have been indefinitely postponed, despite a growing and overwhelming increase in workload. This disparity between the growing demands and stagnant compensation has been a major point of frustration.

4. Employee Morale and Stability: The buyout led to an immediate and painful disruption of the clinic’s culture. Staff members were let go with little to no prior notice, and the lack of empathy or support during this process was disheartening. The abrupt terminations, coupled with the company’s disregard for the impact on remaining staff, have created a climate of fear and uncertainty.

5. Overall Experience: The transition from a supportive, employee-focused environment to a company-driven, profit-centric operation has been jarring and disappointing. What was once a place where staff felt appreciated and valued has become a challenging and stressful work environment. If you value a positive, supportive workplace where employees are genuinely cared for and their well-being is prioritized, this clinic is no longer the place to find it.

All of this has led to the loss of some really amazing therapists, disappointed and heartbroken families, and an irreversible loss of a once cherished pediatric clinic.




Inspire has grown gradually more toxic as the months pass. From unethical clinical decision making from higher ups, to  lack of basic communication to leadership, to constantly changing roles and firing of everyone around you, blatant untruths as explanations that contradict things told to you just weeks before, and questionable “investigations” that follow baseless claims that lead to employee dismissals. Be warned that you have no privacy in your conversations with others, nor do you have support when techs make any accusations they want. I truly think that they believe that if they use enough company jargon with you, you won’t use your common sense to see through their nonsense. 

The culture previously was set by the on-site clinical staff (BCBAs) and upheld only by them. However seeing as they let all of those staff go to pursue solely virtual alternatives, it is up to the company now to maintain and develop the culture..so I would tune into future reviews to see how it is now. 

The easiest part of this job is working with the families and kids but the hardest part was maintaining a strong facade for them and the techs while the most outlandish decisions and paths would be taken by the company. 

I will say that the company did allow for great flexibility and autonomy but that has already decreased significantly with many of updated policies they have rolled out this year. Working for this company as a BCBA requires that you wear many hats as there is no center manager to field the daily woes, and the operations manager is bombarded with timesheets, scheduling, and meetings 24/7, thus  not able to be present on the floor… yet they are only increasing expectations on you, instead of addressing the challenges to meet your current expectations. They demand A LOT from professionals, while delivering the bare minimum in comparison to competitors. It’s really up to you to decide if it’s worth it. At the least, be warned that you would be taking on an uphill battle. 

I worked at Inspire or "NVPT" for a long time, and unfortunately, my experience took a drastic turn after the change in ownership. The transition to new management was rough, and it’s been downhill since.

The biggest issue is the lack of follow-through on actions. There are constant promises made, but nothing ever seems to come to fruition. It's incredibly frustrating when you're told one thing and then nothing changes, leaving you feeling unsupported and unvalued. The support from management is almost non-existent, and it’s difficult to get any help when issues arise. It feels like messages are just left on read (quite literally), and there’s no sense of urgency or willingness to address concerns from anyone. 

One of the few positives left is the relationships I’ve built with the families I work with. They are the highlight of my time there and the only thing that makes it worth showing up each day. However, this alone can’t make up for the lack of organizational support.

There is also a serious lack of collaboration between departments, particularly with the ABA department. There’s no multidisciplinary approach, and it’s a real challenge trying to work with shared clients without any coordination. This disorganization only makes the job harder and ultimately impacts the families we’re supposed to support.

Another huge drawback is the slow pace of administrative processes. Handbooks are handed out way too late, making it hard to stay informed about company policies and expectations. To make matters worse, there’s no paid-out PTO or packages for employees, which is incredibly disappointing, especially for long-term employees who’ve dedicated a lot of time and effort to the company.

Overall, the change in ownership has resulted in a company that is no longer supportive of its employees, lacks effective communication, and fails to deliver on its promises. If you're considering working here, be prepared to put in the work on your own without much assistance from management or the company as a whole.


I worked at North Valley Pediatric Therapy before it was bought out and merged into what is now Inspire Horizons. Initially, it was a fantastic place to work, with a supportive, family-run atmosphere. However, after the acquisition, the company underwent significant changes, and unfortunately, it has struggled to maintain the same level of quality, stability, and integrity.

Management has had ongoing difficulties adapting to these changes, and it has become clear that they are unable to sustain their hiring practices. In recent months, numerous therapists and other dedicated professionals—have been laid off without valid explanations. What was once a company with four locations has now been reduced to just one or two, which speaks volumes about its current trajectory.

Most concerning is the company’s pattern of telling employees what they want to hear in the moment to keep them on board, rather than being honest about the reality of the situation. Promises are made but rarely followed through, creating a work environment that feels unstable and misleading.

While change is inevitable in any organization, transparency and respect for employees should remain constant. Unfortunately, that has not been the case here. I strongly encourage anyone considering a position with Inspire Horizons to do their research and approach with caution.

There are many things that are not being communicated from the higher up’s. When they do “communicate”, it comes off very harsh and unsupportive. When Inspire Horizons first took over Therapy Group they promised people that their positions were “safe” . Then two months later they began to make changes and took away a leadership ladder in the ABA department along with people’s titles. There has been issues with HR with many people that have had incorrect pay along with unclear answers regarding new policies and the new insurance. There has been so much turnover with more than half of the company’s employees leaving. But it doesn’t seem to bother this new company as they believe everyone is irreplaceable. Even though they haven’t replaced most of the therapists in speech and occupational that have left.. It’s very sad for the clients with the lack of consistency in their schedules in all departments and with new therapists rotating in and out. The upside of being in the ABA department are the BCBAs. They are all very supportive and try to get clear answers for us with the new policies and changes in place. They do really care for the clients that are there and only want the best for them. One other upside is that there have been more events planned for employee experiences. Unfortunately that isn’t enough and I hope the company starts listening to the employees feelings and taking them into consideration because I would hate to see such an amazing company it once was go down the drain. 

As a new graduate just stepping into this field, I looked for what everyone hopes for in a job. Supervision, camaraderie, and an opportunity to learn and grow your clinical skills. While it is true that I received many of these things, it came at the cost of my mental and physical health. It is extremely upsetting that 30+ employees have been driven out in the span of just a few months. It isn’t a coincidence. I was lucky enough to work alongside the most talented and passionate group of therapists. What once was a dream work environment turned toxic due to burnout and constant “changes in policies.” Everyone quickly felt the effects of new management, feeling undervalued and overworked. 

Management is consistently upset that “change is not embraced” and requests that you be thankful for their actions. Some of these include things like the removal of 401k match, decreased flexibility in PTO policies, demotions of prior leadership, and more. There is an unfortunate lack of understanding from management about the roles of SLPs, OTs, and PTs and no desire to understand. It is hard to come to work every day for a company that just sees therapy sessions as $$$. As somebody who is in this field to help people, it is incredibly disheartening. If you are a new grad looking for the same things that I was once, keep looking. This place is no longer what it once was, and even the families who have stood by this clinic for years are noticing. There is a reason that new grads and clinical fellows can’t make it longer than a year. 

Our company has undergone a lot over the last 8 months, but for good reason. Our legacy company grew too big for what it could support, so it merged with a sister-company and brought on a team to help us continue to grow as a company, support our staff, and most importantly, continue providing the best care to our kiddos. Previously, we were fortunate to have a lot of things that typical companies don't offer due to being a small business, but as we grow, those things are not going to be sustainable to keep the doors open so that we can continue serving our community. For that reason, adjustments to things like benefits, schedules, and policies were made to bring the company towards industry-standard practices that have been proven to be sustainable and still beneficial.

Unfortunately, many people only see how these changes negatively impact themselves as the employee, and they don't take the time or aren't willing to understand the bigger picture of how these changes positively impact other aspects, especially the families we serve. For some, this change is too much to come to terms with and they think their only option is to leave. For others, we take the time to process the changes, understand the why, allow our feelings to exist, and CHOOSE to move forward with understanding and support.

Change isn't for everyone, but it is necessary for growth. And when our goal as a company is be the best in what we do for as many kiddos as possible, change is what we have to go through to get there.

I  previously worked at Therapy Group of Tucson for four years, and I would’ve stayed there forever! It was the best job with an amazing work environment. Unfortunately, as the other reviews reflect,  that is no longer the case and it has been so sad to be a part of.
 About a year ago the company was merged with another and sold to a corporation. Yes, some changes were necessary, some things needed to be put in place but the foundation was all there.  
Now, it is Inspire Horizons. They say all the right things and post all the fun pictures! But in actuality, they aren’t listening. They don’t value therapists, and it shows. So many therapists have made clear, direct requests on what is needed- to be ignored and placated with the occasional catered lunch instead.  I personally met with the CEO multiple times before leaving and got nothing but smoke and mirrors.  They play the part with no follow through.  People are quitting in droves, both therapists and administrators. Their first big changes include cutting 401k matching and a retroactive pay cut for therapists  (come work overtime on your day off to make your paycheck back to what it was!). Families are starting to notice high turnover,  low availability and raise concerns.  Worth noting- North Valley and Therapy Group are writing all the same things- but none of know each other! It is just consistently downhill across the board.  If you are a dedicated, hardworking therapist- RUN and keep looking elsewhere! 

My first three years at NVPT were truly incredible. It didn’t feel like “work” because every day was spent connecting with and teaching amazing kids and their families while being surrounded by my closest friends. The collaboration among OT, PT, ST, and ABA was magical. The halls were filled with joy, excitement, and a welcoming atmosphere. We had the chance to learn from and aspire to be like the many experienced therapists around us.

However, everything changed in 2023 when we were bought out by private equity. With the acquisition came the removal of bonuses, annual raises, benefits like 401k matching, and significant changes to PTO. Inquiries about these changes were met with reminders that “change is okay” and that we needed to keep an open mind. Managers and department leads were either demoted or terminated without explanation, being replaced by people with much less compassion, experience, and drive.  The executive team often struggled to recognize employees due to their lack of support within the clinics. The once warm environment turned cold, and morale plummeted.

These kids and their families deserve consistency, love, and support and people to advocate for them. It’s a reminder that our work should never be about money; it’s about making a meaningful difference in these families lives. I hope these experiences serve as a lesson for the future and that improvements are made for the sake of these resilient children. 


When I accepted a job offer with NVPT, I walked through the doors of the clinic feeling the magic of the place. The compassion, drive, and camaraderie of the therapists was palpable. I quickly became motivated to push myself to be a therapist that matches my incredible colleagues, and made lasting relationships with those that pushed me to be better for myself and my patients. After the merger, a coldness engulfed the clinic, and the magic was sucked out. 

Incessant changes made by new management quickly made it evident that they were here for one thing only- money. I watched as my fellow colleagues were stripped of their well earned leadership roles, my benefits taken away (more expensive insurance, lack of contribution to 401k, restrictions on PTO, occurrences for taking sick days, changes in daily schedule, changes in policies), made to feel guilty for not accepting all with open arms and a smile on my face, and everyone around me feeling defeated and burnt out. Each person that made the clinic what it was walked out the door one by one because the work environment became too much to bear on a daily basis.

As the kids need consistency in their therapies, therapists need consistency in their work environment. The lack of respect from upper management, lack of knowledge of therapeutic practice, and empty promises quickly drained us all. Do better- for the therapists, for the kids, for the therapeutic community. 

Top Job Titles	Average Salary
Board certified behavior analyst 5 salaries reported	$95,000 per year
Occupational therapist 6 salaries reported	$80,833 per year
Speech language pathologist 7 salaries reported	$81,357 per year
Registered behavior technician 3 salaries reported	$23.17 per hour
Behavior technician 3 salaries reported	$24.08 per hour

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