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The NEXTLEVEL Owner Podcast · Episode 136

Don't Start Your Most Valuable Business Plan The Usual Way

2025

An episode from the NEXTLEVEL Owner Podcast archive.

Full transcript

Generated from the episode audio and lightly edited for readability.

Good afternoon. I'm Carter Schelling, director of business development at Martin Healthcare Advisors. For the last several years, my video production company has helped Paul create his extraordinary series of video interviews and presentations, many of which were shot right here in this studio. In addition, I'm chairman and founder of a consulting company called 3655 Incorporated. And for the last 43 years, I've been helping my business owner clients build extraordinary companies in ordinary industries. And as part of that, I've either participated in or led business planning with my clients for decades.

And for that reason, Paul has allowed me to run this series on how to have the most valuable business plan you've ever created. The business plan that will prepare your company to get the best possible deal in today's turbulent market. Last week, we talked about the importance of preparing for your company's growth after the sale. Today, we're going to talk about, okay, where do we start to create this most valuable business plan? By the way, most valuable, most money, best structure, best acquirer. That's our goal.

And in fact, normally where I start is I take Steven CVY's advice and I start with the end in mind, which means normally we'd first talk about where do you want to be on the day you sell your company? How big do you want to be? How good do you want to be? How happy are your people at that point? Or perhaps where do you want to be after you've been with your new acquirer for a couple of years and you're really cooking? I think it's normally important to start with the end in mind and then build a plan to get there.

However, this marketplace currently is so turbulent that you can't accurately predict where you're going to be without terrific information about what's outside of your company and around you in the environment as well as how you compare to your competition. To get more clarification about that SWAT analysis process. You know, the SWAT analysis starts with opportunities and threats, strengths and weaknesses. And our job is to create a strategy that connects our strengths with the relevant opportunities and protects our weaknesses from the relevant threats. That's where we're going to start today.

And to tell you why, I interviewed Paul Martin, president of Martin Healthcare Advisors earlier today. And we're going to cut to that interview now. Here we go. So, as I promised, today's guest is Paul Martin, president of Martin Healthcare Advisors. And this is an historic moment because for the very first time, Paul's on the other side of the camera and he is the thought leader being interviewed. So, Paul, how you doing, man? Good to see you, Carter. Great. So, I've just been telling our audience that this marketplace really upsets the normal sequence of business planning.

Normally, we start with a goal in mind and then build a plan to reach the goal. Today, the market is changing so quickly that unless you get new outside information about what the market offers, you're likely to create a goal that isn't accurate and possibly even a strategy that won't be successful. How do you address that problem for your clients, Paul? Well, you know, first of all, what we do is what we call an outside in assessment on many companies. In fact, this year we will do over we'll do 53 outside in assessments with 53 unique companies.

And so when you have that kind of data that we are able to compile, aggregate and then compare against with new companies that we are doing this assessment with. It provides a significant amount of value to the customer to the physical therapy business owner because they're seeing exactly how they stack up with other companies. No, may not for one second. That's really important because normally the SWAT analysis of a business plan talks about the company's strengths and weaknesses and almost always the internal people are the ones who generate that assessment of their strengths and weaknesses.

And what you're saying is now since we're in a more competitive world, we have to make sure that our strengths are stronger than our competitor's strengths if we're going to take opportunities away from them. And it sounds like what you're doing is giving us that information. Yeah. You know, if you're looking to potentially sell your company in this current marketplace, you are in a competition. So acquirers are going to be comparing and contrasting your data up against the benchmarks, the best companies because those are the companies that they want to acquire.

And so we do that before you get surprised by an acquirer who may wonder why some of your whether it's a metric or whether it's a volume indicator are lower than some of your competitors. So we take that extra step of being able to compare and contrast your information against the benchmarks against the best companies in the country. And we're doing that most importantly through the eyes of the acquirers which is a quote we have used before. Meaning how would acquirers look at your business objectively and where would they see your strengths?

Where would they see your weaknesses and that will then build on what opportunities and certainly what threats you may have. Super. So the other half of the SWAT analysis is opportunities and threats. I open by saying that the opportunities and threats may no longer be what a particular owner thinks they are. How do you help them address that problem? Yeah. You know, when you are working in your business as a physical therapy business owner, many of whom are still treating patients, whether it's a couple patients a week or whether it's, you know, 40 hours, 40 hours a week of patient treatment, they're inside their business.

And when you're inside your business all day, all week, all month, all year, it's hard to kind of pop your head up and look around to see who is actually around you. And yes, many times we hear from potential clients and clients, we just heard such, you know, so- and so company just bought another company in my market. And so you hear local gossip, you hear local information that's being passed around, but I can tell you when we map all of the acquirers in the country and we map it against your business, your clinics, and we show you acquirer by acquirer where they are.

Now you are looking along with us. You are looking objectively at where do we fit in here and who do we fit best with? And that's the way on those opportunities and threats for sure we're able to bring a whole extra layer of information by doing that mapping analysis. That's amazing. You know, I think you told me about one time you told an owner that a large acquirer had already arrived in his marketplace and he said, "No, they haven't." He said, "No, no, they haven't changed the name of your competitor.

They're in stealth mode." Yeah. And he was shocked. And I'm sure that's going to happen more and more in the future as more acquirers allow the acquired companies to maintain their local identities. Yeah. It happens in just about every assessment that we do that there is an acquirer who is in or around the market and the owner does not even know they are there. A large percentage of the acquirers in this current market are doing partnerships which as we have discussed before keeps that former owner with home field advantage.

Yes. Yeah. You know, this reminds most of our audiences, our athletes, if they've ever swam offshore in an offshore race or in a triathlon. I remember being out there thinking I was doing fine and I raised my head up and the buoy moved. It's like I wasn't where I thought I was. Okay. And you're talking about raising your head up in a similar fashion. I think it's valuable. Yeah. Really valuable. Now, do you also once you've got more clarification about opportunities and threats and strengths and weaknesses, how about combining them into a strategy?

Can you help your clients in that way as well? Absolutely. And and you know as we start looking at strategy, you know, one of the most important strategies if we push this out to when a company would actually partner with another company is which one of those companies out there may be the best match based on a variety of different factors. So, I'm taking you back to that mapping analysis where we're looking at these acquirers, but what round of private equity are they in? Are they an acquirer that buys a 100% of the company and changes the name?

Are they a partnership acquirer? Are they a very new company, which might offer new benefits and opportunities for your staff, but we use that as the endg game. Looking at who may be best out there. It really starts to have a business owner really start thinking about very early in the process on who may be the best fit for them. And now it's how do we prepare for those acquirers who may be the best fit? And as we look at each of the areas of the business, starting with the operations and getting into the details of those operations in terms even down to what units are their therapists actually charging for, how many units, what is that productivity, how many visits per every new patient are they seeing?

And we've coined this as taking, you know, a focused beyond clinical care. So notice we don't say instead of or in place of, it's beyond clinical care. And when you start to see how making small changes with your strategies in order or strategies to make these small changes in these metrics, in these operational numbers, it can drive enormous changes in performance and most notably bottom line performance. That cash flow, the earnings before interest, taxes, depreciation, amateurization or EPIDA. And so that's where we're able to build a strategy to prepare them for the right companies out there as well as driving their performance to improve their value.

Right? So that means that even if someone isn't ready to sell right now, if they go through the process, they're going to get a return on their investment because they're going to make more money between now and the time they sell. Yes. And you're saying this process basically more than pays for itself. Yes. And the amount of information that we provide in this is goes way beyond the fee. And and we do this because this is what we do. And we've we have always been in a position, look, we want clients, okay?

We we want clients like every business. We also have been a part of this profession and a part of this industry for so long that when we do an outside in assessment and the business owner calls us in a year and they've taken our advice and they've done things, every once in a while that happens and we're really happy for them. And glad that they took that advice. So yes, it's something that we we believe that we provide an enormous amount of value in that session and in this work that we do with folks in order to help them prepare for that ultimate decision.

Does getting this information from you take a lot of time out of the owner's life? I mean, does he or she need to prepare for a period of weeks where they they're focused on this and not their job? We have stream streamlined this process to a point where now we are able to under a confidentiality agreement and a business associate a VA we are able to now be if the owner allows us literally go into their QuickBooks pull the reports that we need there's nothing else we can do within QuickBooks as well as their EMR we can't make any changes we can't do any all we can do is pull reports.

So all they really have to do is give some basic information on some of their special programs what they do with compliance just a couple of those things that we need to get and gather the data to put it into the models that the acquirers are using to look at their companies. And then we very quickly after that will schedule a planning session which could be anywhere from three to four hours of planning and strategizing with the ownership of that business on that preparation and on improving that business in order to prepare for this extremely competitive market.

You make a good point. You know, it sounds like there's a lot of people who've recognized now they're going to sell, but it's such a life change that they're not ready to do it now, but they know they've got to do it. And and there's a lot of it's not it's not often that owners feel confused and not sure what to do on a strategic level. I think more owners than ever are in that position that they feel uncomfortable. So, it sounds like going through this process will help them sort some of their feelings out and give them more information to proceed whenever they're ready to get the best possible deal for their company.

It does. And you know, as you look at the strategies that we would offer to help a company drive that operating performance, drive that cash flow, it also then will eventually put them in a position where they have great choices. You know, when your company has no cash flow, which in this industry means it really has little to no value. In addition, it doesn't provide you with any other opportunities beyond selling the business. Even if you wanted to do something unique with your staff, if you want to continue to maintain and stay independent and com.

So what we like to say to companies is let's go on this journey of preparing your company yes for the market but also to give you real choices and some real valuable choices as opposed to no cash flow. You kind of put your hands up and there's really nothing else to do. Super. That was well said. So, anything else you'd like to share with the audience before we sign off? Yeah. No, only that I think that again as you look at this process of an outside in assessment. [clears throat] it's certainly something that you can do throughout the year, but at the very beginning of the year or the end of this year, very beginning of next year seem tends to be a really good time to do this because we [clears throat] look at this in one-year increments.

We've just come out of the private practice section conference. Everybody's all, you know, excited about moving forward. No better time than to take a little bit of a pause, get your head up over, look around, and strategize and plan for your future. That was very well said, Paul. Thank you. Okay, so this was a heck of an infomercial for our outside in assessment. I admit that. But I got to tell you, we've done more deals than anybody else. We've been in the industry forever, and we only focus on this industry.

We actually care what happens to business owners in this industry in this very difficult time. One of the saddest things we see is when an owner sells his life's work and it goes badly because he didn't prepare. That's why we created the outside in assessment. This is the preparation we believe is necessary for you to feel comfortable you're going to finish well by selling your company for the right number to the right partner at the right time. Please consider our point of view about this. We want to help.

We're doing everything we can. The rest is up to you. Thanks Paul. That was great. Appreciate it. Thank you, Carter. I appreciate all your help. You bet. And thank you for your time today. See you next week.

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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