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The Preparation Gap Is Real. Which Side Of It Are You On?

2026

If you've been following the PT Rehab M&A Market, you may have gotten the impression that the market has slowed down. But I've got to tell you, as someone who works in this market every single day, the market hasn't slowed down, it's just gotten more selective.

Buyers are still quite active. Add-on acquisitions are happening across the country right now, as you read this. But the spread between what a prepared practice can expect at market, and what an unprepared one gets has never been wider.

We're not talking about a 10% or 20% difference. The gap can be double or triple the multiple. In some cases, there's no deal at all.

The practices that win in this environment aren't waiting for perfect conditions. They're reducing owner dependency, cleaning up their financials, diversifying their payer mix, and telling a story that makes acquirers want to be part of their future.

The preparation gap is real. Which side of it are you on?

From the archive of The NEXTLEVEL Owner Podcast, Paul Martin's weekly show for physical therapy practice owners. Newer episodes are on YouTube, Spotify and Apple Podcasts.

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