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Mastering Negotiation: Key for Starting a Physical Therapy Clinic

Feb 17, 2025

First off, this is a series based on our guide HOW TO START A PHYSICAL THERAPY CLINIC SIDE HUSTLE - THE ULTIMATE GUIDE. You can check it out to learn about all of the aspects of starting a physical therapy clinic side hustle!

Starting a physical therapy clinic is more than just treating patients—it’s about building a business, making strategic decisions, and navigating complex discussions. Whether you’re negotiating a lease, setting terms with business partners, or discussing pricing with referral sources, negotiation plays a vital role in the success of your clinic.

But here’s the challenge: Many physical therapists aren’t trained in negotiation. They might be excellent clinicians, but when it comes to business discussions, they struggle to communicate effectively, defend their position, or find compromises that benefit everyone involved.

If you’re launching a clinic or planning to grow your practice, mastering negotiation will help you secure better deals, avoid costly mistakes, and build stronger business relationships.

Find out other insights in this podcast blog post!

Understanding Different Perspectives in Negotiation

One of the biggest mistakes entrepreneurs make in negotiation is only seeing their side of the situation. Whether you’re negotiating with a business partner, a landlord, or a potential hire, understanding the other person’s motivations and priorities is key.

Here’s what you should consider when entering a negotiation:

  • What does the other person really want? Are they driven by financial incentives, long-term security, or lifestyle factors?
  • What experience do they bring to the table? Understanding their past experiences can help you predict their decision-making tendencies.
  • What is their ideal outcome? Instead of assuming they have the same goals as you, take time to clarify what success looks like for them.

By asking these questions, you’ll be better prepared to find a win-win solution instead of treating negotiation as a competition where one person wins and the other loses.


Common Negotiation Scenarios in a Physical Therapy Clinic

Here are some real-world scenarios where negotiation skills can directly impact the success of your clinic:

1. Negotiating a Lease for Your Clinic Space

Your lease will likely be one of your biggest expenses. Here’s how negotiation can save you money and future headaches:

  • Understand market rates. Research comparable spaces to determine fair pricing.
  • Negotiate favorable terms. Ask for tenant improvement allowances, lower rent escalations, or flexibility in renewal terms.
  • Think long-term. A slightly higher rent in a prime location might be worth it if it leads to more patient volume.

2. Resolving Business Partner Disputes

If you’re starting a clinic with a business partner, disagreements will inevitably arise. Successful partnerships require negotiation skills to navigate conflicts and ensure both parties feel valued.

  • Clarify roles early. Avoid friction by setting clear expectations about responsibilities.
  • Compromise when needed. Not every decision will go your way—find middle ground.
  • Have a long-term vision. Focus on what’s best for the clinic’s growth rather than short-term wins.

3. Setting Your Cash-Based Pricing and Payment Terms

In a hybrid or cash-based physical therapy model, pricing is another area where negotiation skills come into play. Patients may question your rates, and you need to confidently communicate your value.

  • Frame the conversation around results. Instead of justifying your price, highlight the outcome and experience they’ll receive.
  • Offer flexible payment options. Some patients may benefit from package pricing or payment plans.
  • Know when to hold firm. If you undervalue your services, you’ll struggle to scale your business.

Negotiation Tactics for Physical Therapy Entrepreneurs

Negotiation is an art, but you don’t have to be a natural-born dealmaker to improve your skills. Here are some tactics to help you succeed:

  • Active Listening: Instead of focusing on what you want to say next, truly listen to the other party’s concerns.
  • Framing the Conversation: Reposition the discussion to highlight shared goals rather than focusing on conflicting viewpoints.
  • Patience and Silence: The best negotiators know when to pause. Silence creates space for the other person to reveal more about their position.
  • Understanding Leverage: Identify what unique advantages you bring to the table and use them strategically.
  • Building Long-Term Relationships: Don’t burn bridges—your reputation in the local community matters.

The Cost of Poor Negotiation

Many business owners focus on growth strategies but overlook the financial risks of bad negotiation. Making poor lease agreements, hiring the wrong people, or mishandling business partnerships can cripple your clinic’s future.

A single bad decision—like committing to a costly lease without negotiating tenant benefits—can cost you tens of thousands of dollars. On the flip side, a well-negotiated contract can save you money, increase revenue, and improve work-life balance.


Final Thoughts: Develop Your Negotiation Skills Early

Starting a physical therapy clinic isn’t just about delivering excellent patient care. It’s about learning how to run a business effectively, and negotiation is a critical skill that will help you avoid costly mistakes, secure better deals, and build stronger relationships.

If you want to build a profitable, sustainable practice, take the time to develop negotiation skills. Whether you’re securing a lease, resolving partner disputes, or setting patient pricing, strong negotiation tactics will give you the confidence to make smarter business decisions and achieve long-term success.


Need more guidance? Check out our 5-Day PT Biz Part-Time to Full-Time Challenge to create a clear action plan for your clinic and master the skills needed to grow your practice effectively. Sign up at physicaltherapybiz.com/challenge.


Ready to Take the Next Step?

If you’re ready to start your physical therapy side hustle or take your existing one to the next level, check out our free 5-day challenge. We’ll guide you step-by-step on how to create a business plan, attract clients, and build a thriving practice.

👉 Join the Challenge Today!

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