Anyone have CHOW financing or family office experience for a healthcare company in NY?

March 22, 2026

by a searcher from Sacred Heart University in Monroe, CT, USA

It is a completely parallel business to what my partner is currently doing but the broker told us it is not SBA financeable because of the transfer of license issues.

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Reply by a searcher
from Virginia Polytechnic Institute and State University (Virginia Tech) in Blacksburg, VA, USA

If you’re looking at an operation with a LHCSA license, it’s pretty much not financeable through any means other than by the seller themselves. Live Oak was doing them for a while, and maybe they still are, but it’s challenging. But…setting aside financing issues…I’d strongly recommend not buying a business that requires a LHCSA license. Those operations are nightmares. The state of NY generally and the NYS DOH in specific are making it such that only the larger, consolidated operators can thrive. It’s so bad that quite a few owners are surrendering their licenses and pursuing companion care only.

Reply by a professional
from Harvard University in Lynbrook, NY 11563, USA

LHCSA's in NY will typically have a two step closing with some of the consideration coming up front and the rest coming a year or two later when the CHOW gets approved and you take over formal ownership. DOH takes a long time to approve these nowadays. Not that that solves your problem, but it does give you some time between payments as a baseline.

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