When an AHCA Change of Ownership Goes Wrong: How to Avoid Mistakes in Florida Business Acquisitions

February 26, 2026 | By Rick Strong
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Buying a medical business in Florida can be a smart investment, but when due diligence is rushed or handled by advisors unfamiliar with health care law, the consequences can be severe. Many of the most serious problems we see arise after a buyer has already committed to a deal and discovers too late that the AHCA Change of Ownership process is far more complicated than expected.

At Howell, Buchan & Strong, we are often retained to help buyers manage the fallout from mistakes made earlier in the transaction, frequently based on advice from non-lawyer consultants or attorneys who do not regularly practice Florida health care law.

Due Diligence Is More Than Financial Review

Your due diligence period is critical to understanding the regulatory health of the business you plan to purchase. A proper review goes far beyond profit and loss statements. It should include a close look at licensure status, compliance history, and potential enforcement exposure tied to the facility’s AHCA Change of Ownership.

We have seen buyers acquire businesses without fully investigating:

  • Pending AHCA administrative complaints or investigations

  • Existing or threatened lawsuits

  • Prior compliance violations

  • Third-party payor contracts that are not assignable

  • Expired or soon-to-expire licenses

Any one of these issues can disrupt or completely derail the AHCA Change of Ownership process.

License Expiration Can Be Catastrophic

One of the most damaging situations occurs when a facility’s license is allowed to expire. In many cases, once a license lapses, it cannot simply be renewed. The business may be forced to stop operating and begin the licensing process from the beginning, which can take many months or longer. Buyers who discover this after closing may find themselves owning a facility that cannot legally operate.

Payor Contracts and Regulatory Exposure

Buyers are often surprised to learn that not all third-party payor contracts are assignable or transferable. If key contracts cannot move to the new owner, revenue can drop immediately after closing. At the same time, unresolved AHCA investigations or enforcement actions can carry over and complicate the AHCA Change of Ownership review.

These risks are magnified when transactions are handled by advisors who lack experience with Florida health care regulations. What appears to be a routine business issue can have serious licensing consequences.

Work With Counsel Who Focuses on Florida Health Care Law

AHCA regulations and expectations change over time, and health care acquisitions require ongoing familiarity with the agency’s standards. Buyers should work with counsel who regularly handles AHCA Change of Ownership matters and understands how due diligence, contracts, and licensure rules intersect.

The experienced health care and real estate attorneys at Howell, Buchan & Strong help clients identify regulatory risks before closing and respond effectively if problems arise. Early legal guidance can mean the difference between a successful transition and a costly enforcement issue.

To schedule a free consultation, contact Howell, Buchan & Strong, Attorneys at Law, at 850-877-7776 or by email at lawyerhelpnow@jsh-pa.com. We assist health care professionals throughout Florida, as well as out-of-state clients, with licensing and regulatory matters under Florida law.

Continue Reading About AHCA Change of Ownership in Florida

Buying a healthcare business involves more than a contract and a closing date. Learn how to avoid the most common regulatory and licensing mistakes:

➡️ Thinking of Buying a Florida Healthcare Business? Read This Before an AHCA Change of Ownership
What every buyer should review before signing a deal, including licensure risks and transaction structure.

➡️ Inside the AHCA Change of Ownership Process: What Florida Buyers Get Wrong
A breakdown of the CHOW application, required disclosures, background screening, and common filing delays.

➡️ Can You Operate While Your AHCA Change of Ownership Is Pending?
What buyers can and cannot do before approval, including operational control and real estate complications.

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About the Author Rickey L. Strong, Partner
Undergraduate Education Florida State University, 2001. MBA from Mercer University, 2005
Law School Education Florida A&M University College of Law , 2008
Entered the BAR 2008, Florida
Practice Areas

Agency for Health Care Administration (AHCA), initial applications for licensure, licensure change of ownership applications (CHOW), Notice of Intent to Deny Applications (NOID), and Administrative Complaints(AC).  Health Care Facility Acquisition Contracts.

Learn More About Rickey L. Strong

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