Durham, NC August 11, 2026 – Therapy Smarts today announced it has been ranked No.1, 218 on the 2026 Inc. 5000 list, the annual list of the fastest-growing private companies in America. The list is the most prestigious ranking of the nation’s most successful independent and entrepreneurial businesses, recognizing companies that have achieved remarkable growth while driving innovation, creating jobs, and shaping the future of the economy. Past honorees include companies such as Microsoft, Meta, Chobani, Oracle, and Patagonia. 

 Avani Shah, CEO & Founder of Therapy Smarts shared, “Being named to the Inc. 5000 for the second year in a row is both humbling and deeply meaningful. When I founded Therapy Smarts 10 years ago, I never measured success by how large we could become, but by how many children and families we could meaningfully impact. This recognition belongs to our incredible team, the families who place their trust in us, and the physicians, schools, and community partners who share our belief that every child deserves the opportunity to thrive. I am profoundly grateful for how far we have come, but even more inspired by the work still ahead of us. As we continue to grow, our promise remains the same: to lead with compassion, serve with purpose, and help children turn challenges into triumphs.”

 This year’s Inc. 5000 recognizes a new class of companies redefining what growth looks like. From AI and advanced manufacturing to healthcare, consumer products, and professional services, these businesses are expanding their impact, creating jobs and proving that entrepreneurial ambition continues to fuel the U.S. economy. Among the 5,000 companies on the list, the median three-year revenue growth rate was 130%, and those companies have collectively added more than 627,208 jobs to the U.S. economy over the past three years. 

Sarup Shah, CFOO shared, “Being named to the Inc. 5000 for the second year in a row is more than a business achievement; it’s a testament to the people who make Therapy Smarts what it is. As we celebrate 10 years of serving children and families, we’re reminded that sustainable growth comes from investing in great people, fostering a collaborative culture, and staying true to our mission of delivering outstanding care. We share this recognition with every employee, every family who has entrusted us with their child’s care, and every community partner who has supported our vision. Together, we’ve built something truly special, and we’re excited for what the future holds.” 

For the full Inc. 5000 list, honoree company profiles, and a searchable database by industry and location, please visit: www.inc.com/inc5000. Therapy Smarts new ranking is a climb of 574 spots on the Inc. 5000 list, rising from No. 1,792 in 2025 to No. 1,218 in 2026—a 32% improvement in its national ranking and an exciting reflection of the company’s continued growth and momentum.

“Every company on the Inc. 5000 has a story of perseverance, smart decision making, and a refusal to sit still,” says Mike Hofman, editor-in-chief of Inc. “Their growth reflects more than strong financial performance–it reflects creativity, resilience, and the customer focus required to build companies that make a lasting impact. We congratulate all honorees on this significant achievement.” Inc. will celebrate the honorees at the 2026 Inc. 5000 Conference & Gala, taking place October 14–16 in Dallas, Texas and the top 500 will be listed in the Fall issue of Inc. Magazine.