Selling your skilled nursing facility in California.
Aligna Health is a Los Angeles healthcare business broker that helps skilled nursing facility owners throughout California. Whether you are considering selling the operations, the real estate or both, the first step is a private conversation about what your facility may be worth today.
Most conversations do not begin with a decision to sell.
Nursing home owners more often start by wanting information — what the facility is worth, who the realistic buyers are, and what a sale would involve if they chose to move forward. We help skilled nursing facility 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 facility — and the real estate — is worth before deciding anything. Knowing the number changes how you plan, whether or not you sell.
Succession and family ownership
Facilities owned by the same family or founding group for many years often reach a point where the next generation is not taking over, or the owners want to step back.
Partners, portfolios and capital
Some owners want to sell one facility out of several, some partners want to go separate ways, and some face capital needs in an older building that they would rather a buyer take on.
What buyers of skilled nursing facilities look at.
These are the areas that consistently receive the most attention from buyers. Which of them matters most depends on the facility and the buyer.
Occupancy
How full the facility is and how steady occupancy has been over time. Buyers look for consistency more than a single strong quarter.
Payer mix
The balance among Medicare, Medi-Cal, managed care and private pay, and how that mix has trended.
Quality ratings and survey history
How the facility is rated and how its surveys have gone over time. Anything difficult is better addressed early, with your own advisors, than discovered by a buyer during diligence.
Real estate
Whether the land and building are owned or leased, the condition and age of the building, the bed count and the location. In many deals the real estate is a large part of the value.
Staffing and leadership
The stability of the administrator, director of nursing and care team, reliance on agency staff, and whether key people plan to stay through a transition.
Referral relationships
Relationships with hospitals, physicians and discharge planners, and how dependent admissions are on any single source.
Cash flow
Consistent, well-documented earnings are what buyers and their lenders focus on, along with how those earnings have trended.
Capital needs
Deferred maintenance, building systems and upcoming improvements, which buyers will factor into what they are willing to pay.
Clean financial records
Monthly financial statements that reconcile to tax returns, clear census and billing reports, and no surprises when a buyer begins to look closely.
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 facility becomes known until you decide it should be.
Private Conversation
We learn about the facility, 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, operating and real estate information and prepare a realistic value range with the reasoning behind it, along with how the facility should be presented to buyers.
Confidential Marketing
The opportunity is introduced without identifying the facility. Interested parties sign confidentiality agreements before any sensitive information is released.
Buyer Qualification & Offers
We qualify interested parties for financial capability and operating experience, 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, accountant and other advisors, so that each party knows what is needed and when.
Questions skilled nursing facility owners ask.
These answers are general. They are not legal, tax or regulatory advice, and your own advisors should confirm anything specific to your facility.
How much is my skilled nursing facility worth?
Any number offered before reviewing your facility is not a valuation. Value generally depends on cash flow and its consistency, occupancy, payer mix, quality and survey history, staffing, the condition of the building, whether the real estate is included, and current buyer demand. A confidential review of your financial and operating information produces a realistic range rather than a guess.
Can the real estate and the operations be sold separately?
Sometimes. Some owners sell the operations and the real estate together, others sell one and keep the other, and some lease the building to the buyer. The right structure depends on the facility, the buyers and the advice of your attorney and accountant.
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, residents or families find out?
Confidentiality is usually a seller's first concern, and reasonably so. The opportunity can be marketed without identifying the facility, 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, residents and families 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 staffing and key roles, and information about the building, including any 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 facilities in Los Angeles?
No. Aligna Health is based in Los Angeles and acts as a skilled nursing facility broker for owners throughout California.
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 facility 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 facility? Start with a private conversation.
Tell us a little about the facility and we will follow up privately to discuss what it may be worth today and what a sale process would involve.
- Confidential & no obligation
- Skilled nursing–specific perspective
- Nothing is disclosed without your approval
Request a confidential valuation
For owners of skilled nursing facilities in California.
Thank you — we received your inquiry.
We will follow up privately to learn more about your facility and what you are looking to accomplish.