Strategic alignment
Bring together complementary clinics to establish a meaningful geographic footprint and a more compelling platform.
+
Creating value through strategic growth
Stronger together.
Positioned for what’s next.
A proven partnership model helping therapy clinic owners build scale, strengthen value and pursue the right strategic opportunity.
A better path for independent clinic owners
Your therapy partners, creating transaction strength through an MSO.
Premiere Rehab Group brings together like-minded outpatient therapy clinics within focused geographic markets. Through strategic alignment, thoughtful integration and shared expertise, independent owners can build a stronger platform than they could create alone.
Our goal is simple: protect what owners have built, improve the value of their clinics and create a competitive process that supports the best possible long-term outcome.
50 StatesServing clients nationwide
4,500Therapy providers supported nationwide
$1 Billion+Healthcare transaction experience across the team
Why Premiere
Built to create leverage, clarity and choice.
A structured, competitive process gives clinic owners a stronger position and a clearer view of the opportunities available to them.
Operational integration
Coordinate key systems and back-office functions to create efficiencies and prepare the group for a seamless transaction.
+Competitive process
Engage multiple qualified investors and acquirers so every party must put its best opportunity forward.
+Equitable participation
Use a transparent structure designed so participating owners share fairly in the value the larger group creates.
+A partnership designed around clinic owners
“Opportunities don’t
just happen.
You create them.”
Experienced leadership
Clinical, legal and financial expertise
at one table.
Richard Hoffman
Physical therapy entrepreneur, clinic owner and nationally recognized industry advisor.
Master’s Degree in Management
David J. Menkhaus, Esq.
Harvard Law graduate with decades of healthcare, finance and transactional experience.
Juris Doctor (J.D.)
Harvard-educated leadership
Built on Experience. Guided by Integrity. Focused on Results.
Mark Padgett
Healthcare investment banker with extensive experience leading competitive transaction processes.
David Light, PT, DPT, MTC, MBA
Clinician, owner and strategic operator with more than 20 years of therapy-industry experience.
Growing regional platforms
Regional strength.
A broader opportunity.
Premier Rehab Group represents physical, occupational, and Speech therapy clinic owners nationwide. We work with independent practices across the United States to identify strategic opportunities that strengthen local and regional networks, expand patient access, and maximize practice value through acquisitions, partnerships, and thoughtful long-term growth.
Therapy market trends
A fragmented market is creating new strategic possibilities.
Outpatient rehabilitation remains a highly fragmented sector, with independent operators continuing to represent a substantial share of the market. At the same time, strategic buyers and private-equity-backed groups have significant capital and a mandate to expand.
This combination is accelerating consolidation. As strong regional platforms become harder to find, clinic groups that demonstrate scale, geographic density, consistent performance and a credible growth plan can stand apart in a competitive process.
For owners, the opportunity is not limited to an immediate transaction. Some partnership structures also allow owners to retain equity and participate in the future growth of the larger organization.
Independent practices still define the market.
Compatible clinics have meaningful room to create stronger regional platforms together.
Well-capitalized buyers continue to expand.
Strategic and investment-backed groups are growing through acquisitions and new clinics.
Scale and density attract attention.
Strong performance and concentrated regional coverage can broaden buyer interest.
Owners may participate beyond closing.
Rollover equity can align incentives and preserve exposure to future value creation.
Frequently asked questions
Clear answers for an important decision.
What is Premiere Rehab Group?+
Premiere Rehab Group is a Florida-based Management Service Organization created to bring together like-minded therapy clinic owners, build a stronger regional platform and explore a potential strategic transaction as one coordinated group.
Why consider selling a profitable clinic?+
Businesses are generally valued using a multiple of EBITDA, a measure of operating cash flow. A sale may make sense when the value received today appropriately reflects anticipated future earnings, personal goals and the risks of continuing independently.
Why join a group instead of selling independently?+
A coordinated platform can demonstrate greater scale, market strength and growth potential. It can also attract more qualified buyers and create meaningful competition instead of relying on a single unsolicited offer.
What is a standard valuation multiple?+
There is no universal multiple. Valuation depends on clinic performance, size, geography, payer mix, growth prospects, risk, market conditions and buyer competition. A larger integrated platform may be valued differently from an individual clinic.
What factors can change the multiple?+
Growth potential, operating synergies, reimbursement trends, concentration risk, leadership depth, transaction size and the number of credible bidders can all influence valuation. A competitive process helps the market establish value more effectively than a one-to-one negotiation.
How do I know when the value is high enough?+
That decision is personal. Owners should weigh their desired working horizon, taxes, the time value of money, reimbursement pressure, labor costs, consolidation and their confidence in future clinic performance. Legal, tax and financial advisers should review the specific circumstances.
How can I compare holding the clinic with selling now?+
A hold-versus-sell analysis can compare the value of continuing to operate with the potential proceeds of a transaction. The most useful analysis tests multiple future scenarios rather than assuming current earnings and market conditions will remain unchanged.
Who owns the group?+
Participation is intended for therapy clinic owners exploring a shared strategic opportunity. Economic ownership is designed around the relative established EBITDA of participating clinics, subject to the final governing documents and owner-approved structure.
How is the group structured?+
The MSO model coordinates participating clinic businesses within a larger platform. The final structure, participation deadlines, withdrawal rights and transaction requirements are documented before an owner commits, with clinic-level performance tracked during the interim period.
How are clinic owners treated fairly?+
Economic participation is based on each clinic’s established EBITDA and is designed to be transparent and equitable. Clinic-level profits and losses continue to be tracked so participating owners can clearly understand their individual economics.
Which operating functions are integrated?+
Core systems may include a shared electronic medical record, billing and revenue-cycle technology, accounting platform and human-resources platform. The goal is consistent reporting, operating efficiency and a smoother transition for a future partner.
Why is operational integration important?+
Common systems allow a buyer to evaluate and transition one coordinated platform instead of completing many simultaneous small transactions. Integration can also create back-office efficiencies and help demonstrate the value of the combined organization.
How does Premiere identify potential buyers?+
The team combines healthcare legal and investment-banking experience to run a structured outreach and competitive process. Qualified financial sponsors and strategic buyers are evaluated on valuation, terms, cultural fit and their plans for the platform.
How long can the process take?+
A transaction process may take approximately six to eight months, although timing depends on assembling the regional platform, integrating key functions, completing diligence and selecting the most suitable partner.
Let’s talk confidentially
Explore what your clinic could achieve as part of a stronger group.
Every conversation begins with your goals. There is no obligation, and your inquiry will remain confidential.