“You never change things by fighting the existing reality. To change something, build a new model that makes the existing model obsolete.”
– Buckminster Fuller
In 2025, the floor dropped out for a lot of people. Public health systems weakened. Insurance disappeared. Marginalized patients with complex chronic illness who were already carrying too much were forced to carry even more. And still — people showed up for another. This report is about that. It’s about what happens when healthcare becomes community. And what we’re building together so that no one has to face The System alone.
This year’s Impact Report shares what happened when people chose to come together and care for one another on purpose — and why that matters.
2025 Impact Highlights:
- ABB’s innovative medical programs welcomed 100 new patients this year and served hundreds of kids and adults whose needs were not met by the traditional healthcare system. 93% of patients reported improved health, even though most live with complex neuroimmune conditions.
- ABB’s “Everything is Connected to Everything: Improving the Healthcare of Autistic & ADHD Adults” project continues to support patients and clinicians in understanding the constellation of conditions that so often go unrecognized. To date, more than 34,000 clinicians and patients worldwide have accessed this free resource.
- The Community Health & Access Fund — created by patients for patients — provided groceries, medications, healthcare supplies, and sliding scale care to 78 community members. It’s a reminder that healthcare doesn’t stop at the clinic door — it’s basic needs, stability, and being held by a community who cares about you.
- Brain Club® completed its fourth year as a community-shaped learning space about neuroinclusive culture in healthcare, workplaces, and relationships — serving more than 2,700 people. More than just education, Brain Club® is a social change program — modeling how to design for access, navigate conflicting needs, and practice collective care. In 2025, we also launched the Brain Club® Digital Resource Library and Brain Club®: The Podcast, expanding this work into multiple formats.
- ABB’s neurodiversity trainings served 1,011 employers, healthcare professionals, and organizational leaders, with 94% reporting they learned something that changed how they work. BOOST (Building Opportunities Through Support & Training) doubled in size this year, integrating peer support and employment coaching directly into medical care.


