Selling your home health agency in California.
Aligna Health is a Los Angeles healthcare business broker representing home health agency owners throughout California. If you are considering a sale, a partner buyout or succession, the first step is a private conversation about what your agency may be worth today.
Most conversations do not begin with a decision to sell.
Home health agency owners more often start by wanting information — what the agency is worth, who the realistic buyers are, and what a sale would involve if they chose to move forward. We work with agency owners in Los Angeles, Orange, Riverside, San Bernardino, Ventura and San Diego counties, and throughout California.
Understanding value first
Many owners want a realistic sense of what the agency is worth before making any decision. Knowing the number changes how you plan, whether or not you sell.
Retirement and succession
Founders who built an agency over many years often reach a point where they want to step back, and there is no one inside the business ready to take over.
Partner and strategic changes
Agencies owned by two or three partners frequently reach a point where one wants out and the others do not. That is a transaction, but not always a full sale.
What buyers of home health agencies look at.
These are the areas that consistently receive the most attention from buyers. Which of them matters most depends on the agency and the buyer.
Referral relationships
Where patients come from — physicians, hospitals, discharge planners and community sources — and how durable those relationships are if ownership changes.
Clinical team
The stability of nurses, therapists and clinical leadership, reliance on contract staff, and whether key people intend to stay through a transition.
Payer mix
The balance among Medicare, Medi-Cal, managed care and private pay, and how concentrated revenue is in any single payer or referral source.
Census and consistency
Admissions and patient volume over time, and how steady they have been. Buyers look for consistency more than a single strong quarter.
Service area
The geography the agency serves and how well its staffing, referral base and reputation match it.
Clean financial records
Monthly financial statements that reconcile to tax returns, clear billing and collections records, and no surprises when a buyer begins to look closely.
Compliance record
A history the agency can present openly. Anything difficult is better addressed early, with your own advisors, than discovered by a buyer during diligence.
Leadership in place
Whether an administrator and clinical managers run the day-to-day, or whether the business depends heavily on the owner personally.
Reputation
How the agency is regarded by patients, families and referral partners — often the hardest thing for a buyer to build and the easiest to lose.
Your attorney handles the legal side. We handle the sale.
Aligna Health is a business brokerage. Licensing and regulatory questions are handled by your healthcare attorney, and we coordinate with your attorney, accountant and other advisors throughout the sale.
A confidential, structured path — built around your timing.
The process is designed so that nothing about your agency becomes known until you decide it should be.
Private Conversation
We learn about the agency, your objectives and your timing, and discuss whether a sale makes sense at all. No cost, no obligation and no information leaves the conversation.
Valuation & Positioning
We review financial and operating information and prepare a realistic value range with the reasoning behind it, along with how the agency should be presented to buyers.
Confidential Marketing
The opportunity is introduced without identifying the agency. Interested parties sign confidentiality agreements before any sensitive information is released.
Buyer Qualification & Offers
We qualify interested parties for financial capability and operating credibility, manage information requests and help you compare offers on terms as well as price.
Diligence & Close
We keep diligence and closing moving alongside your attorney and accountant, so that each party knows what is needed and when.
Questions home health agency owners ask.
These answers are general. They are not legal, tax or regulatory advice, and your own advisors should confirm anything specific to your agency.
How much is my home health agency worth?
Any number offered before reviewing your agency is not a valuation. Value generally depends on earnings and their consistency, referral relationships, payer mix, the clinical team, service area, owner involvement and current buyer demand. A confidential review of your financial and operating information produces a realistic range rather than a guess.
Do I need to be ready to sell before contacting you?
No. Many owners reach out well before they intend to start the process, simply to understand current value, likely buyer interest and what should be in order first. There is no cost or obligation to the conversation.
Will my staff, patients or referral sources find out?
Confidentiality is usually a seller's first concern, and reasonably so. The opportunity can be marketed without identifying the agency, we require confidentiality agreements before sensitive information is released, and disclosure is staged based on your preferences and how serious a buyer is. When and how to tell staff is a decision made with you, not for you.
What should I have ready before we talk?
Nothing is required for a first conversation. If a sale moves forward, the usual starting points are recent financial statements and tax returns, census and payer reports, a summary of staff and key roles, and copies of significant contracts and your office lease.
I have licensing or Medicare questions. Can you answer them?
Those questions belong with your healthcare attorney. Aligna Health is a business brokerage, not a law firm or regulatory consultancy. We work alongside your attorney and accountant throughout the sale so that their input is part of the process from the start.
Do you only work with agencies in Los Angeles?
No. Aligna Health is based in Los Angeles and acts as a home health agency broker for owners throughout California.
How long does a sale take?
There is no universal timeline. Timing depends on the agency, the buyer, financing, diligence and the closing conditions involved. A more meaningful estimate is possible once your specific situation is understood.
What does representation cost?
Seller representation is generally structured around a success-based brokerage fee, so compensation is tied to completing a transaction. Specific terms depend on the engagement and are discussed and agreed before the agency is brought to market.
General information, not advice. Aligna Health is a California licensed real estate brokerage, CalDRE 02065150, representing owners in the sale of healthcare businesses. It is not a law firm, accounting firm or regulatory consultancy, and nothing on this page is legal, tax, regulatory or accounting advice. Please confirm anything that matters with your own attorney and accountant before acting.
Thinking about selling your agency? Start with a private conversation.
Tell us a little about the agency and we will follow up privately to discuss what it may be worth today and what a sale process would involve.
- Confidential & no obligation
- Home health–specific perspective
- Nothing is disclosed without your approval
Request a confidential valuation
For owners of home health agencies in California.
Thank you — we received your inquiry.
We will follow up privately to learn more about your agency and what you are looking to accomplish.