The Dave Kittle Show

Are you ready to sell your physical therapy practice, but you are not sure how much is the potential asking price and valuation of your business? What are the factors that influence the value of a physical therapy practice and how much it can be sold for?

This week's The Dave Kittle Show episode, Dave Kittle goes solo and talks about the steps to take in order to evaluate a Physical therapy Practice with a revenue of $1.8 million. He will also discuss how to determine whether or not the business is worth pursuing by calculating the costs, break-even point, and profit margin. He will also show you how to use a spreadsheet to calculate the value of the business based on the actual costing and revenue! 

Watch this episode on YouTube: https://youtu.be/E1iO6XehZHs

In this episode, he will touch on such topics as:

• One of the most important things you'll need to know as you're analyzing any business is how much money it will cost you. 
• How would you calculate the income statement, balance sheet and cash flow statement? 
• The more accurate your input data, the better the result of your calculation will be.
• How can your real estate property adjust your valuation? 
• It's important that you understand what kind of numbers you need before diving into selling your business.

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Connect with him on:

Email: [email protected]

Instagram: @davekittle

LinkedIn: https://www.linkedin.com/in/davekittle/

or

Call (646)-781-8884

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Are you looking to acquire healthcare real estate or physical therapy practices? How can you find the right deal, whether it's a practice or an office space for your private practice? 

This week's The Dave Kittle Show episode, Dave Kittle will be joined by Allen Bible. Allen is in charge of operations for the healthcare division and leads the effort for Noon Health. He began his career in the insurance industry upon graduating from The University of Mississippi. After four years with Allstate Insurance Company, he pursued a future in healthcare and enrolled in the Physical Therapy program at The University of Tennessee Health Science Center in Memphis. After graduation, he relocated to Chattanooga to work as a Physical Therapist. He treated patients in multiple settings and assumed numerous leadership roles before founding a medical staffing company and a multi-site Physical Therapy practice. He joined Erlanger Health System in 2015 as the Lead Executive directing Orthopedic services.

Learn more about Allen and Noon Management here: https://www.noonmanagementllc.com/

We will touch on such topics as:

• How to fill in the gaps in the healthcare and real estate industry. 
• The potential areas that Noon management is looking for in terms of the partnership with the private practice providers 
• If it's not the right time right now to partner with a potential company, maybe in one to three years when things are a little different, you could still engage and be part of the value. 
• Why healthcare real-estate? 
• What are  the risk factors for healthcare real estate?
• How can Noon Management align with the hospital partner or private practice? 
• What are the challenges of the healthcare provider in real estate?

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Connect with him on:

Email: [email protected]

Instagram: @davekittle

LinkedIn: https://www.linkedin.com/in/davekittle/

or

Call (646)-781-8884

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Selling your practice means gaining an income, and there are taxes to be paid by the seller as well as the new owner of the private practice. What are the things you need to consider in understanding the taxes that will help you in negotiating the sale that is advantageous to both seller and the buyer? What type of consultant will help you ensure that all tax implications are taken into account?

This week's The Dave Kittle Show episode, Dave Kittle will be joined by Paul Ranieri. Paul Ranieri is a Deferred Sales Trust Consultant for Engineered Capital Gains Solutions. As a DST Consultant, Paul actively networks with centers of influence, helping them drive value to their clients and businesses. His altruistic nature is exhibited as he engages with industry professionals and high net worth individuals to help them assess if the Deferred Sales Trust is the ideal tax solution for their needs.

Reach out to Paul Ranieri: https://www.linkedin.com/in/paul-ranieri 

We will touch on such topics as:

• The benefits of using a deferred sales trust as a part of the client’s exit strategy and in changing the tax bill.  
• How can the century-old tax strategy help the seller's potential in their financial situation when they are ready to prepare their exit or once they can sell their practice with a big lump sum of cash? 
• How can you take advantage of the deferred sales trust based on exit goals and strategy? 
• When should a private practice owner reach out to a deferred sales trust consultant? 
• How can you use real estate as an alternative plan in your exit strategy? 
• What are the two sets of fees that you are going to pay, especially the cost to create the trust, indemnify the trust, and the audit protection?  
• Why do you need to pay for capital gains when you touch your principle? 
• Buyers can invest in other opportunities and keep that money tax deferred as long as it is an investment. 
• What are the downsides of deferred sales trust?

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Connect with him on:

Email: [email protected]

Instagram: @davekittle

LinkedIn: https://www.linkedin.com/in/davekittle/

or

Call (646)-781-8884

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With the rising of technology in transforming and innovating the healthcare industry, why is the #1 digital clinic for joint and muscle pain moving into an in-house call system? How will they bridge the care gap and re-innovate the healthcare model that works for everyone and deliver the quality and care that patients deserve? 

This week's The Dave Kittle Show episode, Dave Kittle will be joined by Dr. Bryan S. Williams. Bryan received his Doctorate of Physical Therapy from Marymount University in Arlington, Virginia. He holds an undergraduate degree in Health Promotions Management. His treatment style, based on 15+ years of hands-on experience, utilizes: soft tissue and myofascial release, trigger point dry needling, peripheral and spinal joint mobilizations, patient education, neuromuscular re-education and therapeutic exercises. Bryan believes in treating the person, not just the body part in order to get the most out of every treatment session. As founder of Concierge Physical Therapists, Bryan strives to acquire the most dynamic, autonomous and talented Physical Therapists to round out Concierge Physical Therapists’ team.

Reach out to Dr. Bryan S. Williams: https://www.conciergephysicaltherapists.com/ 

We will touch on such topics as:

• How in-home physical therapy complements Hinge Health’s health care system and how this delivers high-quality care for each person’s needs. 
• Why Hinge Health made a huge shift into Physical Therapy in-home care. 
• Virtual Physical Therapy versus In-Home Physical Therapy versus In-Person Brick and Mortar Practice.
• What is the place of technology and digital care clinics in the healthcare model for physical therapy? 
• Why Hinge Health is moving away from a core technology offering and the role of A.I (Artificial Intelligence) in the healthcare industry, in terms of delivering care, core services or helping someone with an outcome that they want to. 
• Hinge Health believes that when delivering care in-person it increases 60-70% greater clinical outcomes than in digital. What do outcomes mean in terms of these two different situations (Virtual Physical Therapy and In-House Physical Therapy)?

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Connect with him on:

Email: [email protected]

Instagram: @davekittle

LinkedIn: https://www.linkedin.com/in/davekittle/

or

Call (646)-781-8884

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In terms of acquiring a business, what’s the first thing you’ll look at? Is it the finances, the company, or the potential growth when you acquire it? How will make you sure you are paying the right face value of the practice? 

This week's The Dave Kittle Show episode, Dave Kittle will be joined by Andrew Vertson. Andrew received his Bachelor's Degree in Exercise Science from California State University Fresno in 1991. He then earned his Masters degree of Physical Therapy in 1996 and his Doctorate degree of Physical Therapy in 2002 from Loma Linda University. He has also completed extensive post-graduate course work in orthopedic manual therapy through Kaiser-West Los Angeles and the Ola Grimsby Institute. Andrew’s main focus is returning his patients to life. This means helping the patient get back what makes them most happy! In his free time, Andrew enjoys cooking, flying as a private pilot, and traveling with his wife, Catherine.

Reach out to Andrew Vertson: https://intecore-pt.com/ 

In this episode, will touch on such topics as:

• How a buyer can quickly grow the acquired private practice.  
• An owner can stay for 12 months in an advisory capacity in order to de-risk the situation. 
• How a newly acquired business can grow and expand with the help of the owner with the 12 month stay to ensure a smooth transition for new owners.
• The full breakdown of a $4.5 million private practice business
• When you look at valuations, there's two things to look at: multiple of EBITDA or the multiple of the cash flow.
• One thing you have to look at when you're purchasing a practice is the business licenses and the contracts which are tied to the tax identification number.
• You really have to look into the financial numbers and really dig deeply into them. Don't take it at face value because that might change when you acquire a practice.
• One thing you have to make sure before pursuing to acquire a business is to check the employment status and the culture that has been implied with the owner. The employees bring most of the cash flow so you have to make sure when you acquire the practice they are still with you.

P.S. Subscribe, rate, and review Here 

Connect with him on:

Email: [email protected]

Instagram: @davekittle

LinkedIn: https://www.linkedin.com/in/davekittle/

or

Call (646)-781-8884

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Buying and selling a private practice can be an exciting and rewarding opportunity—but it's also a big commitment, so you'll want to make sure you're prepared. What do you need to know about buying and selling a private practice? How do you know if the practice you acquire fits your goals and interests so that it will be fulfilling as well as profitable? 

This week's The Dave Kittle Show episode, Dave Kittle will be joined again by Jerry Durham. Jerry is a physical therapist, previous practice owner, podcast host, and consultant/advisor to practice owners who are serious about growing their businesses, adding more profit, while working less.

We will touch on such topics as:

• What are the opportunities in regards to partnering with practice owners and or buying or acquiring their practice? 
• The qualities that buyers and sellers look for in regards to partnership. 
• You have to look at your numbers in regards to what your business valuation is. 
• The reason behind why the buyer would want to keep the seller involved in day-to-day decision making, at least for a year or two. 
• What is the de-risk situation for the buyers? 
• How to maintain the function of the practice, in regards to buying a hundred percent of a practice. 
• What is the agreement that gives incentive to the owner to continue to grow the practice, continue to make it thrive and strive and maybe even be bigger at the exit? 
• How would you negotiate against the seller? 
• How does a practice owner stay for one year instead of three months helps with maintaining culture morale?

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Reach Out To Jerry:

Website: www.ClientExperienceCompany.com

Linktree: https://linktr.ee/jerrydurhampt 

Plus, you can search "Jerry Durham PT" on YouTube or click on this link here:

https://www.youtube.com/channel/UCPz8_pWAP2yd4T7vWrgAeJw

Last but not least - tune into Jerry’s podcast titled: “What's Best For The Patient Is Best For Business”: On Apple and on Spotify. 

Connect with him on:

Email: [email protected]

Instagram: @davekittle

LinkedIn: https://www.linkedin.com/in/davekittle/

or

Call (646)-781-8884

Hosted on Acast. See acast.com/privacy for more information.

Taxes are big when it comes to selling your business, real estate, or even planning your retirement. How can you legally not get buried in taxes, make the most out of your tax situation—and save money? How can you make decisions about taxes on your assets, so you're prepared with the right information at hand? 

This week's The Dave Kittle Show episode, Dave Kittle will be joined by Marcus Blanchard. Marcus graduated with a Bachelor's degree in Personal Financial Planning. He also earned the Certified Financial Planner (CFP®), Wealth Management Certified Professional (WMCP®), & Chartered Financial Consultant (ChFC®) designations to further his understanding of financial planning and tax-efficient strategies.  

After a while of working for both large and small financial firms, he decided he needed to serve clients at a higher level, his way. In his eyes, the complex issues business owners & investors deal with, along with the tax implications of retiring were not being adequately addressed. With the support of his lovely wife Katie, he founded Focal Point Financial Planning, LLC. Now he can better serve clients by looking where other advisors won't, helping clients breathe easier about taxes and where their dollars are going.

Reach out to Marcus Blanchard: https://focalpointplanning.com/ 

We will touch on such topics as:

• How business owners can legally defer taxes, especially when selling their practice, selling real estate or preparing for retirement at age 50 plus. 
• Options to help business owners get educated before they are ready to sell 
• What is the exit sale process if the seller’s gonna sell their practice, and getting valued at a million dollars, how can they legally defer some taxes? 
• Ways that practice owners can kind of start planning and understanding the process. 
• If you're thinking about selling your business, it's probably time to start thinking about what you're gonna do with the money, and how that helps the broker to build the path on where you are going.
• Potential strategies that sellers could use for the retirement piece of selling their business versus easing into retirement.
• Tax planning is nothing more than deferring the income when your taxes are high, and then later paying the income when your taxes are lower. 
• What are the three things to investigate in order to lower your taxes? 
• How can you re-invest your funds?

P.S. Subscribe, rate, and review Here

Connect with him on:

Email: [email protected]

Instagram: @davekittle

LinkedIn: https://www.linkedin.com/in/davekittle/

or

Call (646)-781-8884

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Going in-network or staying out-of-network can be a big deal for your private PT clinics and practices. But how do you know what is best for your healthcare business? Which metric would you follow that would allow you to provide quality care while receiving higher payment reimbursement? 

This week's The Dave Kittle Show episode, Dave Kittle will be joined by Ken Guzzardo. Ken is the CEO of 3 Dimensional Physical Therapy (3DPT) and the Co-Founder of Independent Physical Therapy Associates (IPTA). Ken has worked in several different settings in PA and NJ since graduating PT school. He has learned from each company he worked for, and 3DPT and IPTA is the culmination of this professional education.

Reach out to Ken Guzzardo: https://iptagroup.com/ 

We will touch on such topics as:

• How can IPTA help private PT practices increase their influence, improve the patient experience, decrease expenses and elevate their practices? 
• How does the partnership with motivated and entrepreneurial people work with IPTA that allows it to grow and scale without losing the quality of what got us there in the first place? 
• What are the negotiations between the private PT and the IPTA?  
• The bigger you are, the better you have a chance to get a seat at a table.  
• How does 3DPT help people better? How did they improve the overall healthcare and workplace experience for the employees and the patients?  
• Everybody's got a different exit strategy. It's important that you have a clear idea of what your goals are before you start planning, because the brokers will help you focus your time, energy, and resources.
• How to preserve the quality of care for the patients and provide ethical treatment? 
• How does in-network and out-of-network work for your healthcare practice? 
• How can you provide the quality of care while receiving the best reimbursement rates? 
• How to determine the service available within your network?

P.S. Subscribe, rate, and review Here

Connect with him on:

Email: [email protected]

Instagram: @davekittle

LinkedIn: https://www.linkedin.com/in/davekittle/

or

Call (646)-781-8884

Hosted on Acast. See acast.com/privacy for more information.

If you're thinking about selling your private practice, you may be wondering: How do I make sure it sells for the best price and is a good fit for the buyer? What are the factors that will make your practice attractive to a potential buyer when you transition your business? 

In this week's The Dave Kittle Show episode, Dave Kittle will be joined by Ike Ukawuba. Ike is Pillar Health Group's President of the Oklahoma region and also heads the company's technology function. Before joining Pillar Health Group, Ike was an investor and operator for several companies in the healthcare space, particularly medical billing and marketing, medical spa/weight loss, durable medical equipment and diagnostics, and physician management services organizations. Prior to his healthcare experiences, Ike was also a manager at Accenture, a global consulting firm, where he specialized in business process management and worked with Fortune 100 clients in the healthcare, financial services, and retail industries to optimize their business operations. During his time at Accenture, Ike ran large projects where he managed teams of 40 - 50 people at a time and had accountability for their day-to-day tasks, career development and cost impact to the overall budget. Ike has a BS in Engineering from the University of Wisconsin. He enjoys being involved in track and field with his four kids.

Reach out to Ike Ukawuba: [email protected] 

In this episode, we will touch on such topics as:

• What made Ike interested in the home-health business, and how his experience can help you as practice owners get prepared and ready to sell your service-based business. 
• How grassroot marketing helps drive more patients into a private practice. 
• Why does a seller wanna sell? What are some of the reasons why a seller would wanna exit? 
• 4 D’s: Death, Divorce, Disability and Desire.
• What are the ways when a seller and a buyer start their first initial phase? What can the seller do to prepare for sale, exit, and make their practice attractive to a buyer? 
• What are the reasonable expectations in regards to the market rate for the value of some of the home care?  
• As a buyer, you have to understand why the seller transitioned out their business. Hear their background, stories, and the business. 
• What could be a potential deal killer in a business transaction? 
• Remember that this isn't just about selling a building or office space—this is about selling an entire business model with its own unique set of challenges and opportunities.

P.S. Subscribe, rate, and review Here

Connect with him on:

Email: [email protected]

Instagram: @davekittle

LinkedIn: https://www.linkedin.com/in/davekittle/

or

Call (646)-781-8884

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The value of your practice is determined by a lot of factors. As a business owner, what drivers do you need to focus on in order to manage and grow your practice? How does focusing on these drivers make a major change in your business sustainability and eventually the value price (when the transition arrives)? 

This week's The Dave Kittle Show episode, Dave Kittle will be joined by Mark Mraz. Mark Mraz is The Most Trusted Growth And Value Advisor For Las Vegas Business Owners. His specialty is working with self-employed business owners in the Las Vegas area who are on their way to crossing the $5 million goal. Mark brings a lifetime of diverse work experience across all sizes of business, as well as sharply-honed skills in process and systems documentation, to help entrepreneurs take their businesses to the $5 million mark and set themselves up for a significant windfall on exit. Having been on both sides of the coin, from corporate employee to self-employed business owner himself, Mark brings a breadth of knowledge and experience to his work.

Reach out to Mark Mraz: www.crossingthegoalpartners.com 

We will touch on such topics as:

• How to create legacy wealth that will help business owners get ready to sell in the next three to five years.
• Why is your financial performance a great indicator of your business valuation? 
• You’re not selling your business, but you are making sure that your business is viable in the future — that is why growth is essential to your business.
• Your business should be a Switzerland structure, where it represents independence from employees, customers, or vendors. 
• Diversify your payers can benefit you and decrease the risk as a practice owner.
• Valuation Teeter Totter: make sure you have a high positive cash flow coming in and out of your business.
• How do you create a recurring revenue model in your business? Whether it's membership subscriptions or online membership.
• Monopoly controlled -  how do you differentiate yourself  from your competition? 
• Customer satisfaction - How referable is your business?

P.S. Subscribe, rate, and review Here

Connect with him on:

Email: [email protected]

Instagram: @davekittle

LinkedIn: https://www.linkedin.com/in/davekittle/

or

Call (646)-781-8884

Hosted on Acast. See acast.com/privacy for more information.