Starting a business from scratch is where most small business owners begin, taking passion and skills and combining them with real-world applications, but if you acquire another therapy practice, how far can you change the business strategy to keep the loyalty of past clients? How can an occupational therapist, like you, acquire an outpatient physical therapy practice? When will the deal be closed? And how can you finance the purchase?

This week's The Dave Kittle Show episode, Dave Kittle will be joined by Rafi Salazar. Rafael Salazar II, MHS, OTR/L is an occupational therapist and private practice owner of ProActive Rehabilitation & Wellness in Augusta, GA. And, Rafi is also the principal owner of Rehab U Practice Solutions https://rehabupracticesolutions.com/. 

Check out his podcast, where he’s the host of The Better Outcomes Show at www.betteroutcomes.show 

We will touch on such topics as:

• Closing a deal can be the most stressful part of acquiring a practice.
• It is more fun if you get something that is already working and you are tweaking and optimizing it as opposed to starting your business from scratch.
• People don’t realize the value and difficulty of building a past patient list.
• There is a lot of value in purchasing a practice with a list of a hundred past patients who you can reach out or launch a marketing campaign.
• When you are buying a business, it is easier than getting a student loan because the bank is looking at the financials of the business, which is easier to cover with cash flow.
• At some point, all the consolidation in the market is going to hit its head. It is not sustainable because some of the organizations are growing and the only way they can grow is through acquisition.
• Most healthcare organizations these days are making decisions based on excel spreadsheets, and at some level, you kind of have to because of the scale of your organization. But the problem is, if you are making decisions based on the average, you are actually making decisions that need no one. 

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