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Executive Summary

Selling your Occupational Therapy practice is a major milestone. For owners in Arizona, the current market presents unique opportunities within the robust $53 billion outpatient therapy industry. This article provides a clear overview of the Arizona market, key considerations for maximizing your practice’s value, and a guide to navigating the sale process. Making the right moves now can define your financial future and protect the legacy you’ve built.

Market Overview

The Arizona market for Occupational Therapy is healthy and active. It is a key segment of the nationwide $53 billion outpatient therapy industry. This creates a favorable environment for practice owners who are considering a sale. High demand for services, driven by a growing population and healthcare needs, makes established practices attractive to a range of buyers, from private equity groups to expanding regional providers.

Three key indicators point to a strong Arizona OT market:

  1. Strong Practitioner Demand: The average salary for an Occupational Therapist in Arizona ranges from $80,000 to over $100,000 annually. This signals a competitive and well-funded landscape where skilled professionals are valued assets.
  2. Consistent Revenue Potential: Well-run private OT practices can generate significant revenue. General benchmarks suggest earning potentials from $115,000 to over $230,000 per year, a figure that strategic buyers find very appealing.
  3. Active Buyer Interest: The stability and potential for growth in rehabilitation services have attracted consistent interest from buyers looking to enter or expand their footprint in the Arizona market.

Key Considerations

Beyond market conditions, the value of your practice is tied to its specific operational strengths. Buyers in Arizona will look closely at your referral networks and patient relationships; these are intangible assets that signal stability. The quality and dedication of your staff are equally important, as a strong team ensures a smooth transition and continuity of care. You should also be prepared with well-documented policies and procedures, from patient billing to administrative tasks. Finally, ensure your practice is in full compliance with the Arizona Board of Occupational Therapy Examiners. Clean financials and a clear record of regulatory adherence make your practice a much more attractive and lower-risk acquisition for any serious buyer. Proper planning in these areas is not just about compliance. It is about building a compelling case for your practice’s worth.

Market Activity

The current M&A landscape for healthcare practices is dynamic, and Occupational Therapy is no exception. We see a clear trend of sophisticated buyers looking for well-run practices in growth markets like Arizona. Many owners think they should wait another few years to sell. In our experience, the best time to start preparing is two to three years before your target exit date. Buyers pay for proven performance, not future potential.

Appetite from Private Equity

Private equity firms and other large investors are actively consolidating the fragmented therapy market. They seek practices with strong, stable earnings and opportunities for growth. These buyers are often willing to pay a premium for practices that can serve as a “platform” for further acquisitions in the region.

Strategic Acquirers

Larger regional or national therapy operators are also looking to expand their presence in Arizona. They are interested in acquiring practices with a solid patient base and strong referral sources to quickly gain market share. This competitive tension between different buyer types can work to your advantage, but only if your sale process is managed correctly.

Sale Process

Selling a practice is a structured process, not a single event. It typically begins with a confidential valuation to understand what your business is worth. Next, we prepare a marketing package that tells your practice’s story beyond just the numbers. We then confidentially approach a curated list of qualified buyers. After initial offers are received, you will enter a period of due diligence. This is where the buyer inspects your financials, operations, and compliance records in detail. It is often the most demanding phase of the sale and where many unprepared sellers run into trouble. An experienced advisor helps you prepare for this scrutiny, manage negotiations, and structure a deal that meets your financial and personal goals, guiding you all the way to a successful closing.

Valuation

Determining the value of your Occupational Therapy practice isn’t a simple calculation. While public data for OT practices in Arizona is limited, the core of any valuation is Adjusted EBITDA (Earnings Before Interest, Taxes, Depreciation, and Amortization). We start with your net income and add back owner-specific expenses and one-time costs to find your true profitability. This Adjusted EBITDA is then multiplied by a number, or “multiple,” which is influenced by several factors. Many owners underestimate their practice’s worth because they haven’t gone through this process. Reframing the numbers can often reveal significant hidden value.

How Practice Attributes Influence Valuation

Attribute Lower Multiple Higher Multiple
Provider Model Owner-dependent Associate-driven, multi-provider
Referral Sources Concentrated (1-2 sources) Diverse and well-established
Operations Basic, undocumented Documented, efficient processes
Growth Profile Stable, limited growth Clear expansion opportunities

An accurate valuation is the foundation of any successful sale strategy.

Post-Sale Considerations

Closing the deal is not the end of the journey. Your focus will shift to managing the transition and your financial future. The structure of your sale has significant implications for your final, after-tax proceeds. Planning for this in advance is critical. You might also have an earnout agreement, where a portion of the sale price is tied to the practice’s future performance, or a rollover equity component, where you retain a stake in the new, larger company. This can provide a “second bite at the apple” but requires careful consideration. Finally, planning the transition for your staff and patients helps protect the legacy you worked so hard to build. A good exit plan considers not just the sale price, but your life after the sale.

Frequently Asked Questions

What is the current market outlook for selling an Occupational Therapy practice in Arizona?

The Arizona Occupational Therapy market is healthy and active, part of the $53 billion nationwide outpatient therapy industry. There is strong demand due to a growing population and healthcare needs. Buyers including private equity and regional providers are actively seeking well-run practices in the state.

What factors influence the valuation of an Occupational Therapy practice in Arizona?

Valuation is primarily based on Adjusted EBITDA, which reflects true profitability after adjusting for owner-specific expenses and one-time costs. Key practice attributes affecting valuation include provider model (owner-dependent vs. associate-driven), referral source diversity, operational documentation and efficiency, and growth potential.

What are the key considerations to prepare my Occupational Therapy practice for sale in Arizona?

Buyers value strong referral networks, patient relationships, a dedicated staff, well-documented policies, and full compliance with Arizona Board of Occupational Therapy Examiners regulations. Clean financials and regulatory adherence lower buyer risk and enhance practice value.

How should I approach the sale process of my Occupational Therapy practice?

The sale process involves confidential valuation, preparing a marketing package, engaging qualified buyers, entering due diligence to review financials and compliance, and managing negotiations. An experienced advisor can facilitate preparations, negotiation, and closing to align with your financial and personal goals.

What post-sale factors should I consider after selling my Occupational Therapy practice in Arizona?

After the sale, focus on transition management, tax implications of the sale structure, potential earnout agreements, and possible rollover equity into the acquiring company. Planning for staff and patient transition protects your practice’s legacy and supports your financial future.