Top 25 Largest NDIS Providers in Australia (2026)

The NDIS is one of the largest social support schemes in the world. As of December 2025, the scheme supports 761,442 Australians living with disability, with total payments reaching $46.3 billion on an accrual basis for the 2024-25 financial year.

Despite its scale, the NDIS provider market remains highly fragmented. With over 269,000 registered and active providers, no single organisation holds more than approximately 1.3% market share. The 25 largest providers combined account for roughly 10% of total scheme payments.

In 2026, the sector faces renewed pressure. National Cabinet has set a target to reduce annual NDIS cost growth to 8% by 1 July 2026, down from 10.8% recorded at 30 June 2025. Several large providers have exited non-viable service lines, while others continue to absorb operating losses across their disability portfolios. Here are the 25 largest NDIS providers shaping the sector in 2026.

1. Life Without Barriers

Life Without Barriers is consistently ranked among Australia's largest NDIS providers by total payments received. Operating across all states and territories, the organisation delivers supported independent living, out-of-home care, mental health support, and disability employment services. Its national scale and diversified service mix have made it resilient through the sector's recent pricing pressures.

2. Aruma

Aruma, formed from the merger of House with No Steps and The Tipping Foundation, is one of Australia's largest disability service organisations. It provides supported accommodation, employment assistance, therapy services, and community participation programs across New South Wales, Queensland, Victoria, and the ACT. Aruma's person-centred approach and infrastructure scale give it significant capacity in supported independent living.

3. Scope Australia

Scope Australia is a leader in therapy services, communication support, and assistive technology for people with physical and intellectual disabilities. Operating primarily in Victoria and New South Wales, Scope is one of the few large providers with deep expertise in augmentative and alternative communication (AAC), making it a specialist choice for participants with complex communication needs.

4. Cerebral Palsy Alliance

Cerebral Palsy Alliance (CPA) is Australia's largest provider of services to people with cerebral palsy. Based in New South Wales, CPA delivers therapy, assistive technology, research, and advocacy services. Its research arm has produced internationally recognised outcomes in early intervention and robotics-assisted therapy, distinguishing it from generalist providers.

5. Endeavour Foundation

Operating since 1951, Endeavour Foundation is one of Australia's oldest and largest disability organisations. It provides employment services, supported accommodation, life skills training, and community programs primarily across Queensland. Its supported employment business remains one of the largest in the country, though the sector continues to navigate the transition away from Australian Disability Enterprises models.

6. Northcott

Northcott is a leading provider in New South Wales, Queensland, and the ACT, supporting people with physical and intellectual disabilities. Services include behaviour support, home modifications, recreational activities, early childhood intervention, and supported independent living. Northcott has continued to invest in digital service delivery models to extend its reach across regional NSW.

7. Yooralla

Yooralla is one of Victoria's largest disability service providers, with a history dating back over 100 years. The organisation offers day programs, respite care, supported residential services, and employment support. In recent years Yooralla has restructured several service lines in response to operating losses common across large Victorian providers.

8. Achieve Australia

Achieve Australia has been providing disability services for over 65 years, specialising in individualised support plans that prioritise independence and community inclusion. Based in New South Wales, Achieve delivers supported accommodation, community participation, and employment support. Its focus on co-designed support planning has earned strong participant satisfaction outcomes.

9. CPL — Choice, Passion, Life

CPL is one of Queensland's largest NDIS providers, offering allied health therapies, early childhood intervention, assistive technology, and community participation services. With a strong therapy workforce and early intervention focus, CPL is particularly well positioned as autism becomes the scheme's largest primary disability category at 43% of all participants.

10. genU

genU (formerly Karingal St Laurence) operates across Victoria, New South Wales, and South Australia, with a strong focus on employment and training programs for people with disability. Its social enterprise model and registered training organisation give it a differentiated position in the employment and day activities space.

11. Sunnyfield

Sunnyfield has been supporting people with disability since 1952 and operates across New South Wales. It delivers employment, care at home, community participation, and accommodation services. Sunnyfield's long history in supported employment and its community presence across metropolitan and regional NSW maintain its position among the larger NSW providers.

12. Ability Options

Ability Options is a significant NSW-based provider specialising in housing, employment, and community support. It operates across Greater Sydney and regional New South Wales, with a focus on creating long-term pathways for participants seeking supported independent living and open employment outcomes.

13. Activ Foundation

Activ is one of Western Australia's largest disability providers, delivering employment, lifestyle support, and community programs. Its social enterprise arm operates commercially while cross-subsidising participant supports. In recent years, Activ has restructured its supported employment operations in response to sector-wide pricing changes and workforce cost increases.

14. Rocky Bay

Rocky Bay is a leading Western Australian provider known for assistive technology, rehabilitation, vocational training, and community programs. It operates across metropolitan Perth and regional WA, with a strong therapy and equipment focus. Rocky Bay has expanded its allied health offering to meet growing demand from participants with complex needs in the state's northern suburbs.

15. Therapy Focus

Therapy Focus is Western Australia's largest community-based therapy provider for children and adults with disability. Its multidisciplinary teams include occupational therapists, physiotherapists, speech pathologists, and psychologists. Therapy Focus delivers services in homes, schools, and community settings across metropolitan and regional WA.

16. Autism Spectrum Australia (Aspect)

Autism Spectrum Australia is Australia's largest autism-specific service provider, operating schools, early intervention services, adult support programs, and consultancy services. With autism now accounting for 43% of NDIS participants, Aspect's specialised model is increasingly relevant. It operates across New South Wales with national consultancy reach.

17. Novita

Novita is South Australia's leading disability service organisation, specialising in paediatric disability, early intervention, and therapy. Services include occupational therapy, physiotherapy, speech pathology, and assistive technology. Novita has invested significantly in early childhood services following the NDIS early childhood approach reforms.

18. Afford

Afford (The Afford Group) is a major NSW provider offering a broad range of NDIS supports including community participation, supported independent living, and respite care. Known for its accessible pricing approach and network of activity centres across Sydney and regional NSW, Afford has continued to grow its participant base through referral partnerships and school-leaver transition programs.

19. Uniting (NSW/ACT)

Uniting is the social services arm of the Uniting Church in NSW and the ACT, operating one of Australia's largest disability, aged care, and community service networks. Uniting's disability division delivers NDIS supports including community access, in-home support, and supported accommodation across metropolitan and regional New South Wales.

20. Mosaic Community Care

Mosaic Community Care provides holistic support across mental health, disability, and aged care sectors in Western Australia. Its integrated model addresses the overlapping needs of NDIS participants who also require mental health support, making it a relevant provider as dual-diagnosis participants become a growing segment of the scheme.

21. Intereach

Intereach is a significant regional provider operating across New South Wales and Victoria, specialising in services for people in rural and remote communities. Its footprint in underserviced regional areas gives it a competitive position as the NDIS works to address persistent thin market challenges outside metropolitan centres.

22. Access Community Services

Access Community Services integrates health, housing, disability, and employment services with a strong focus on culturally and linguistically diverse communities. Based in Queensland, it provides NDIS supports alongside settlement and community development services, making it an important provider for newly arrived participants navigating the scheme.

23. St Vincent de Paul Society

The St Vincent de Paul Society operates disability support services across multiple Australian states alongside its broader social services mission. Its disability services focus on community participation, in-home support, and social connection for participants with lower support intensities, with strong volunteer infrastructure supplementing paid workforce delivery.

24. Cara

Cara is South Australia's second-largest disability service organisation, providing accommodation, community support, respite, and therapy services across metropolitan Adelaide and regional South Australia. Its long operational history in SA and established accommodation portfolio maintain its presence as one of the state's key providers.

25. The Benevolent Society

Australia's oldest charity, The Benevolent Society has operated disability services as part of a broader social services mission. In 2024, it withdrew from support coordination services across Queensland, New South Wales, Victoria, and the ACT — a notable market exit reflecting the financial pressures facing large generalist providers in the current pricing environment. Its remaining disability services continue in select areas.

What the 2026 provider landscape tells us

The sector in 2026 is defined by three clear trends: provider exits from financially unviable service lines, increasing specialisation among large organisations, and growing demand for autism and early childhood services as the participant demographic shifts. Nine of the ten largest providers by revenue reported negative adjusted operating results in recent assessments, signalling that scale alone does not guarantee sustainability.

For NDIS participants across Perth, local providers who understand community-level needs often deliver more consistent outcomes than large national organisations spread across multiple states. Help Alliance was built specifically for Perth participants seeking consistent, community-level support.