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If you own a physical therapy practice in Oklahoma City, you are likely aware of the growing demand for your services. This growth also creates significant opportunity when it comes to selling your practice. This guide provides a straightforward look at the market, the key steps in the sale process, and how to understand your practice’s value. Making an informed decision starts with having the right information.

Market Overview: A Strong Climate for Sellers in OKC

The outlook for physical therapy is positive, creating a favorable environment for practice owners considering a sale. The demand for PT services is climbing, driven by an aging population and a greater focus on non-invasive treatment options. This is not just a national trend. It is happening right here in Oklahoma.

Strong Local and National Growth

The data shows a clear upward trend. In Oklahoma, the employment of physical therapists is projected to grow by 12% between 2022 and 2032, much faster than the average for all occupations. Nationally, the PT services market is expected to grow steadily each year. This consistent growth makes established practices in cities like OKC attractive to buyers looking for stable investments.

Favorable Business Environment

On top of market growth, PT clinics are profitable businesses, with average net profit margins ranging from 14.6% to 20%. In Oklahoma, direct access laws allow patients to seek physical therapy without a physician’s referral. This increases patient flow and strengthens the business model of your practice, a key point that savvy buyers recognize. Timing your practice sale correctly can mean the difference between average and premium valuations.

Key Considerations Before You Sell

Selling your practice is more than a financial transaction. It is a personal and professional milestone. Many owners we talk to are motivated by a desire to retire, reduce administrative burdens, or simply get back to focusing on patient care. Whatever your reason, it is important to think about your goals. Are you looking for a complete exit, or would you prefer to stay on for a transition period? Finding a buyer whose vision aligns with your goals for your legacy and your staff is a major concern for most sellers. The legal agreements and contracts involved are also complex. Answering these questions early helps create a clear path forward.

Market Activity: Who Is Buying Physical Therapy Practices?

The buyer landscape for PT practices is active and diverse. While a specific list of recent sales in Oklahoma City isn’t public, we see consistent interest from several types of buyers. Each has different goals and will value your practice differently.

  1. Strategic Buyers. These are often larger physical therapy companies or regional healthcare systems. They are looking to expand their footprint in the Oklahoma City area and are attracted to practices with a strong patient base and experienced staff.
  2. Private Equity Firms. PE groups are increasingly active in healthcare. They look for well-run, profitable practices that can serve as a “platform” for future growth. They bring capital and business expertise to help a practice expand quickly.
  3. Individual Practitioners. Many successful physical therapists want to own their own clinic. They are often looking for a turnkey operation with a loyal patient following and a solid reputation, allowing them to step in and continue the practice’s success.

The Sale Process: From Preparation to Closing

Selling a practice is a structured process that unfolds over several months. It is not something that happens overnight. A surprising number of practices that go on the market fail to sell, often due to a lack of preparation. The general process starts with getting your financials and operations in order so your practice is presented in the best possible light. Next, potential buyers are confidentially identified and approached. After initial offers are received, you move into negotiation and, eventually, select a final buyer. The most intensive phase is often due diligence, where the buyer verifies every aspect of your business. This is where many deals face challenges. With proper guidance, these hurdles can be managed smoothly, leading to a successful closing.

Valuation: How Much Is Your Oklahoma City Practice Worth?

Determining your practice’s value is a mix of math and market insight. The most common method is based on a multiple of your Adjusted EBITDA. EBITDA stands for Earnings Before Interest, Taxes, Depreciation, and Amortization. It is a measure of your practice’s cash flow. “Adjusted” means we normalize the earnings by adding back any personal or one-time expenses.

Value = Adjusted EBITDA x Multiple

For example, a practice with $300,000 in Adjusted EBITDA and a multiple of 4.0x would be valued at $1,200,000. But what determines the multiple? It is not one-size-fits-all. It changes based on risk and growth opportunity.

Factors That Can Increase Your Multiple Factors That May Lower It
Strong, consistent revenue growth Revenue is flat or declining
Multiple providers, not just the owner Heavily reliant on the owner for all patients
Well-maintained facility and equipment Outdated equipment or facility needs work
Diversified referral sources All referrals come from one source
Clear, documented operational systems Processes are unorganized or undocumented

A comprehensive valuation is the foundation of a successful practice transition strategy.

Post-Sale Considerations: Planning Your Next Chapter

The day you sign the closing papers is not the end of the story. It is the beginning of a new chapter for you, your staff, and your patients. Planning for this transition is a critical part of the sale process. Will you stay on to help the new owner, and for how long? How will the deal be structured? Some owners prefer all cash at closing, while others participate in an “earnout,” where they receive additional payments if the practice hits future performance targets. Some even choose to “roll over” a part of their ownership, giving them a second financial opportunity when the new, larger company sells in the future. The structure of your sale has major implications for your after-tax proceeds and your personal legacy.


Frequently Asked Questions

What is the current market outlook for selling a physical therapy practice in Oklahoma City?

The market outlook is very positive due to strong local and national growth in demand for physical therapy services, driven by aging populations and a focus on non-invasive treatments. Employment of physical therapists in Oklahoma is projected to grow 12% between 2022 and 2032, making practices in Oklahoma City attractive to buyers.

Who are the typical buyers of physical therapy practices in Oklahoma City?

Typical buyers include strategic buyers like larger physical therapy companies or healthcare systems, private equity firms looking for profitable practices to grow, and individual practitioners seeking turnkey operations with loyal patient bases.

How is the value of a physical therapy practice in Oklahoma City determined?

Value is generally calculated using a multiple of the practice’s Adjusted EBITDA (Earnings Before Interest, Taxes, Depreciation, and Amortization). Factors increasing the multiple include strong revenue growth, multiple providers, well-maintained facilities, diversified referrals, and clear operational systems.

What are key considerations before selling a physical therapy practice?

Owners should clarify their goals for the sale, whether seeking a full exit or partial involvement during transition. Aligning with a buyer whose vision matches the seller’s legacy and staff needs is crucial. Additionally, understanding and preparing for complex legal agreements is important.

What happens after selling a physical therapy practice?

Post-sale, many owners plan the transition by deciding whether to stay on temporarily or not, how to structure the deal (all cash, earnout, or ownership rollover), and preparing for personal and financial changes. Effective transition planning supports continuity for staff and patients.