$260K EBITDA, Pediatric Therapy Practice in St. Charles, IL
March 27, 2026
by an intermediary from Duke University - The Fuqua School of Business in New York, NY, USA
Company Overview: This is a multi‑site pediatric therapy practice established in###-###-#### It serves families across a broad regional market and draws clients from up to an hour away. The company delivers outpatient services from two clinics, with the original site operating at high utilization and the newer, larger site positioned for expansion. Demand is supported by a strong reputation and long‑standing community relationships.
Product & Customer Base: The practice provides occupational therapy and speech therapy delivered through scheduled sessions, with payment via insurance and private pay. It also offers private‑pay therapeutic classes and parent support. Clients are parents and caregivers seeking specialized, child‑focused care. Referrals come primarily from word of mouth and an established network of professional partners in
healthcare and education, limiting reliance on paid marketing. Engagements typically last from about one to several years, until goals are met.
Operations & Team: Day‑to‑day operations are built around predictable weekly bookings and documented workflows. A client care coordinator leads intake, scheduling, therapist coordination, and insurance advocacy, functioning as the on‑site hub. Clinical leads at each location handle documentation standards, onboarding, and mentoring for new hires; a speech lead oversees the speech team. A dedicated billing specialist charges visits at time of service and manages payor issues to support cash flow and control receivables. Therapists operate under a pay‑per‑visit model, self‑managing schedules and caseloads, which attracts experienced clinicians and aligns incentives to maintain
visit continuity. Policies and procedures are written and supplemented with internal training videos, supporting consistency and knowledge transfer. Therapist hours span early mornings through evenings for family convenience.
Growth: The company has shown steady visit volume with recent months in the mid‑hundreds and maintains a substantial waitlist, reflecting durable demand. The original clinic remains at capacity while the newer location offers room to add clinicians and increase throughput. Recent staffing additions— including expanded occupational therapy and speech capacity— create near‑term upside as caseloads mature. Further
growth can come from hiring additional seasoned therapists, filling the newer site, opening satellite locations in nearby underserved areas, expanding private‑pay classes and parent programs, and introducing a modest, structured marketing effort to complement strong referrals.
Transition: The owner is selling because the practice now operates with a seasoned foundational team and can be advanced by a new owner focused on scale. The business has been run with minimal owner involvement for several years, and is suitable for an absentee or semi‑absentee model. To ensure continuity, the seller will provide
remote consulting for a defined period, make introductions to referral partners, and facilitate knowledge transfer using established SOPs and training materials so the buyer can assume oversight smoothly.
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