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As an owner of an Early Intervention Program (EIP) in New Hampshire, you run a practice built on dedication and community impact. When it comes time to consider a sale, your path to a successful exit should be just as thoughtful. The current market presents a unique opportunity, driven by strong demand for services and stable funding streams. This guide provides a clear roadmap for navigating the sale process and realizing the full value of the practice you’ve built.

Market Overview

The market for selling an Early Intervention Program in New Hampshire is a tale of two realities. On one hand, the environment is very attractive to buyers. The need for your services is high and consistent across the state. On the other hand, operational realities like workforce shortages can create challenges. Buyers, especially those from outside the state, see great potential in the Granite State.

The key market drivers include:
1. High Need: Families throughout New Hampshire consistently seek early intervention services, creating a reliable base of clients.
2. Reliable Funding: Revenue streams backed by state programs and federal mandates like IDEA Part C offer a level of stability that buyers find very attractive.
3. Workforce Pressures: Finding and retaining qualified therapists is a known challenge. A practice that has solved this with a stable, committed team holds a significant advantage.

Key Considerations for Sellers

When preparing to sell your practice, a buyer will look far beyond your basic profit and loss statement. They want to understand the story and stability of your operations. Answering these questions now is the first step in building a strong case for your practice’s value. Many owners find that starting this process two to three years before a potential sale yields the best results.

Your Referral Network

Where do your clients come from? A sophisticated buyer will look for a diverse and reliable network of referral sources, such as pediatricians, hospitals, and state agencies. A heavy reliance on a single source can be seen as a risk.

Your Payer and Staffing Model

Is your revenue primarily from Medicaid, commercial insurance, or private pay? A clear breakdown of your payer mix demonstrates financial stability. Likewise, showing high staff retention rates and a well-defined employment model (employees vs. contractors) tells a story of a healthy, well-run organization that a new owner can step into.

Market Activity and Potential Buyers

You will not find much public information about the sale of EIPs in New Hampshire. These transactions are typically private and confidential. However, we see clear trends in the market. Both larger therapy organizations looking to expand their footprint and private equity-backed groups are actively seeking well-run practices. They are attracted to the recurring revenue and non-cyclical demand inherent in early intervention. Knowing what each type of buyer is looking for is key to positioning your practice correctly. We dont just list your practice. We run a professional process with a database of qualified buyers to create a competitive and confidential environment.

Buyer Type What They Look For
Strategic Buyers Geographic expansion, new service lines, and talented clinical teams.
Financial Buyers Strong profitability (EBITDA), potential to become a regional platform, and efficient operations.

The Four Stages of the Sale Process

Selling your practice is a structured journey, not a single transaction. Approaching it with a clear, step-by-step process ensures you maintain control and create the best possible outcome. One-off offers are rarely the best deals.

1. Preparation and Valuation

This is the most important phase. It involves organizing your financial and operational documents and getting a professional valuation. This is where we help you shape your practices story to highlight its strengths to potential buyers.

2. Confidential Marketing

Once prepared, your practice is presented to a curated list of qualified buyers. This is done confidentially to protect your relationships with staff, clients, and referral sources.

3. Negotiation and Due Diligence

After receiving offers, we help you negotiate the best terms. We then manage the buyer’s due diligence process, which is where many deals face challenges without proper preparation and support.

4. Closing and Transition

The final stage involves completing the legal paperwork and planning for a smooth handover to the new owner, ensuring your legacy is protected.

How Your Practice is Valued

Many practice owners believe their business isn’t worth enough to sell, often because they are looking at net income alone. Sophisticated buyers, however, value your practice based on a metric called Adjusted EBITDA (Earnings Before Interest, Taxes, Depreciation, and Amortization). This figure normalizes your earnings by adding back owner-specific expenses, like an above-market salary or personal vehicle lease. It shows the true profitability available to a new owner. This Adjusted EBITDA is then multiplied by a number based on several factors.

The most important factors influencing your valuation multiple are:
1. Profitability: The higher your Adjusted EBITDA, the higher the multiple.
2. Owner Dependence: Practices that can run smoothly without the owner’s daily involvement are more valuable.
3. Growth Trajectory: A documented history of growth and a clear plan for the future will earn a premium.
4. Operational Systems: Strong billing, scheduling, and documentation systems reduce perceived risk for a buyer.

Planning for Life After the Sale

Successfully closing the deal is a major milestone, but your work is not quite done. Thinking through the post-sale period is critical for a truly successful transition for you, your staff, and your clients. The right partner can help you structure a deal that aligns with your personal and financial goals.

Your Role After the Sale

You and the buyer will agree on a transition period. This can range from a few months to a few years, depending on the practice’s needs and your personal preference. This is a key point of negotiation.

Protecting Your Team and Legacy

A major concern for most owners is what will happen to their dedicated team. A good sale process involves finding a buyer who values your team and intends to retain them. This protects your legacy and ensures continuity of care for the families you serve.

Structuring for the Future

A sale doesn’t always mean walking away with cash and never looking back. For owners who fear losing control, structures like retaining “rollover equity” allow you to keep a minority stake in the new, larger company. This lets you participate in the future success you help create.

Frequently Asked Questions

What are the current market conditions for selling an Early Intervention Program (EIP) in New Hampshire?

The market for selling an EIP in New Hampshire is attractive due to high demand for services, stable funding streams from state and federal sources like IDEA Part C, and strong interest from buyers including larger therapy organizations and private equity groups. However, challenges such as workforce shortages, especially qualified therapists, remain.

What key factors do buyers consider when evaluating an Early Intervention Program practice for purchase?

Buyers look beyond basic financials to assess the stability and story of the practice. Key factors include a diverse and reliable referral network (e.g., pediatricians, hospitals), a clear payer mix (Medicaid, commercial insurance, private pay), high staff retention rates, and an organized employment model. Operational systems and growth trajectory also affect attractiveness.

How is the value of an Early Intervention Program practice determined?

Valuation is based on Adjusted EBITDA, which normalizes earnings by adding back owner-specific expenses to reflect true profitability. This figure is multiplied by a factor influenced by profitability, owner dependence, growth potential, and operational systems. Practices with documented growth, strong systems, and less owner dependence generally receive higher valuations.

What is the typical sale process for an Early Intervention Program in New Hampshire?

The sale process involves four stages: 1) Preparation and Valuation, where financial and operational documents are organized and a professional valuation is obtained. 2) Confidential Marketing, presenting the practice to qualified buyers confidentially. 3) Negotiation and Due Diligence, managing offers and buyer investigations. 4) Closing and Transition, finalizing legal paperwork and planning a smooth handover.

What should sellers consider about their role and legacy after selling their Early Intervention Program?

Sellers should negotiate the transition period with the buyer, which can last months to years, to ensure continuity. Protecting the dedicated team by selling to a buyer who values and retains staff is important for legacy preservation. Sellers may also consider structuring the sale to retain some equity for ongoing participation in future success, aligning with their personal and financial goals.