Skip to main content

The Fort Lauderdale market presents a unique opportunity for Occupational Therapy practice owners considering a sale. With a high concentration of therapists and strong buyer interest, understanding your practice’s true value and strategic position is critical. This guide provides insights into the local market, key factors for a successful sale, and the steps involved in the transition. Proper preparation is the first step toward a successful exit.

Fort Lauderdale Market Overview

Fort Lauderdale is a dynamic hub for occupational therapy. The market is not just active; it is uniquely concentrated, creating both opportunities and competition for practice owners looking to sell. Understanding this landscape is the first step in positioning your practice for a premium valuation.

High Demand for Services

The demand for skilled occupational therapists in the Fort Lauderdale area is robust. This is reflected in local salaries, which are among the highest in the state, and a therapist-to-population ratio more than double the Florida average. For you, this means there is a ready market of buyers, from private equity groups to expanding local practices, looking for established, profitable OT clinics to acquire.

A Competitive Landscape

This high demand also fosters a competitive environment. With a greater density of practices, buyers have choices. Making your practice stand out requires a clear strategy. It is not enough to just be profitable. You must demonstrate a stable staff, efficient operations, and a clear path for future growth to attract the best offers.

Key Considerations for OT Practice Owners

When a buyer looks at your practice, they see more than just revenue figures. They are buying future cash flow and a platform for growth. Certain factors can dramatically increase your practice’s appeal. If you specialize in high-demand areas like geriatrics or home health, that is a powerful part of your story. Buyers pay a premium for access to these lucrative patient populations.

Equally important is how your practice operates. Is the business completely dependent on you, the owner? Practices with a strong team of therapists and streamlined administrative processes are less risky for a buyer and command higher valuations. Preparing your financials to clearly show profitability, separate from personal expenses, is also a critical step. Many practice owners start this process two to three years before a sale. Buyers pay for proven performance, not just potential.

Market Activity in Southeast Florida

The M&A market for healthcare practices in Southeast Florida is active, and OT practices are a key area of interest. We are seeing several distinct trends that signal a healthy environment for sellers who are well-prepared.

  1. Demand for Established Practices: Buyers are actively seeking clinics with a long history of serving the community. We see practices with over 30 years of operation attracting significant interest, as this demonstrates stability and a loyal patient base.
  2. Financial Buyers Are Entering the Market: Private equity and other financial sponsors are looking to enter or expand in the OT space. They are often looking for “platform” practices to build upon, which can result in premium valuations for the right clinic.
  3. Focus on Profitability: While revenue is important, the key metric for buyers is profitability. Practices that can show consistent and clean earnings are moving through the sale process more quickly and at better terms.

The Practice Sale Process

Selling your practice is a structured journey, not a single event. It begins with a comprehensive valuation to understand what your practice is truly worth. From there, we work with you to prepare a confidential marketing package that tells your practice’s story to a curated list of vetted buyers. This creates a competitive environment to drive up the price. Once offers are received and negotiated, the process moves into a formal due diligence phase. This is where the buyer verifies all financial and operational details of your practice. It is the stage where many self-managed sales fall apart due to a lack of preparation. The final step is negotiating the purchase agreement and closing the deal, ensuring a smooth transition for you, your staff, and your patients.

Understanding Your Practice’s Valuation

A professional valuation is the foundation of any successful sale. Buyers do not value your practice based on reported net income. They use a metric called Adjusted EBITDA (Earnings Before Interest, Taxes, Depreciation, and Amortization). This process adds back owner-specific perks and one-time expenses to find the true, ongoing profitability of the business. This Adjusted EBITDA figure is then multiplied by a number (the “multiple”) to determine your practice’s Enterprise Value. The multiple is not a fixed number. It changes based on your practice’s specific risk and growth profile.

Factor Lower Multiple Higher Multiple
Provider Mix Dependent on owner Multiple associate therapists
Growth Flat revenue for 3 years Consistent 10%+ year-over-year growth
Payer Mix High concentration with one insurer Diverse mix of commercial payers and cash-pay
Systems Manual scheduling and billing Modern EMR and practice management software

An expert valuation tells the story behind these numbers, justifying the highest possible multiple for your practice.

Planning for Life After the Sale

The sale of your practice is not the end of the story. A successful transition plan addresses your personal, professional, and financial goals for the future. Many owners want to ensure their staff is taken care of and that the legacy they built continues to thrive. These goals can be structured directly into the deal terms with the right buyer. It is important to think about what you want your involvement to be, whether it is a swift exit or staying on for a few years to help guide the transition.

From a financial perspective, how your deal is structured has major implications. Some owners prefer to take all cash at close, while others opt for deals that include an “earnout” or “rollover equity.” These structures can provide significant upside but require careful planning. An earnout gives you a portion of future profits, while a rollover allows you to retain ownership in the larger, combined company. This can provide a “second bite at the apple” and is a way for you to share in the future success you helped create, all while addressing the tax impact of the sale.


Frequently Asked Questions

What makes the Fort Lauderdale market unique for selling an Occupational Therapy practice?

The Fort Lauderdale market is highly concentrated with a strong demand for occupational therapy services, creating both opportunities and competition. High local salaries and a therapist-to-population ratio more than double the Florida average mean there are many buyers, including private equity groups and expanding local practices, interested in profitable OT clinics.

What key factors can increase the value of my Occupational Therapy practice in Fort Lauderdale?

Specializing in high-demand areas like geriatrics or home health, having a stable team of therapists, efficient operations, and preparing clear, profitable financials separate from personal expenses can significantly boost your practice’s valuation. Buyers look for proven performance and reduced risk, not just potential.

What does the practice sale process involve?

The sale process starts with a comprehensive valuation, followed by creating a confidential marketing package for vetted buyers to encourage competitive offers. After negotiating offers, due diligence verifies financial and operational details, then the purchase agreement is negotiated to ensure a smooth transition for owner, staff, and patients.

How is the valuation of an Occupational Therapy practice determined?

Valuation is based on Adjusted EBITDA, which adjusts earnings by adding back owner-specific perks and one-time expenses to reflect true profitability. This figure is multiplied by a variable “multiple” reflecting factors like provider mix, growth, payer mix, and operational systems to determine the Enterprise Value.

What options do I have for life after selling my Occupational Therapy practice?

You can plan your involvement post-sale, from a swift exit to staying on during transition. Financially, deals can be structured as all cash at close, earnouts (a share of future profits), or rollover equity (retaining ownership in the combined company), allowing for potential upside and tax planning opportunities.