Wondering if anyone has experience with the healthcare license transfer process in California or other high reg states. We are under LOI for a medicare-certified home health agency there. My understanding is that in a stock sale, the Medicare license goes with the LLC, so no issue there. However, the state CA license will still require a de novo application, which can take as long as 12 months to get approved. So how do you navigate closing with this timeline? Is a managed-service agreement required? Any recommendations for attorney's who understand M&A in this space?