Elder Care Alliance (ECA), a mission-driven nonprofit serving older adults across California and part of Transforming Age’s nonprofit network, announced on August 13 its affiliation with Alegre Home Care.
The Braff Group, a mergers and acquisitions advisory firm specializing exclusively in healthcare services, served as the exclusive financial advisor for Alegre Home Care. The Pittsburgh-based firm was selected as Alegre’s advisor due to its extensive experience in California’s home care sector. Terms of the transaction were not disclosed.
The strategic partnership marks Transforming Age’s entry into California’s home care market. It enhances ECA’s network, now supporting more than 11,000 older adults through five residential communities and the Mercy Brown Bag Program.
Alegre Home Care offers home care services to a diverse range of individuals in Northern California. With a team of more than 400 caregivers, Alegre has become one of the region’s most trusted providers of relationship-based, culturally aware homecare services and is currently providing more than 300,000 care hours a year for older adults.
Alegre’s Founder and CEO, Charles Symes will remain in place to help with the ownership transition and will serve as Home Care Consultant to the broader organization, thereafter, preserving Alegre’s leadership stability and operational integrity.
“This affiliation is a meaningful step forward,” said Symes. “Over time, as I’ve come to know the people behind this long-standing nonprofit, I have been moved by how we share similar values of innovation, inclusion, affordability, connection, wellness and compassion.”
“The transaction marked the entry of Transforming Age into home care in the state of California,” Kristopher Novak, Managing Director at The Braff Group, told the LevinPro HC team over email. “Transforming Age recently affiliated with Elder Care Alliance serving the Bay Area with several programs focused on caring for seniors including their network of senior living facilities.”
Novak emphasized that Alegre’s alignment with ECA’s values and shared history made it an ideal partner.
Novak continued, “Alegre Care and Elder Care Alliance have a history of working together across many of these markets and facilities. Transforming Age maintains a strategic focus on expanding home-based care options to more markets with Transforming Age affiliated facilities. Alegre Care also affords Transforming Age the ability to expand services to additional markets across California.”
According to data captured in the LevinPro HC database, this marks the 70th Home Health & Hospice (HH&H) transaction announced in 2025. There were 96 HH&H deals announced during full year (FY) 2024, 100 announced during FY 2023 and 115 announced during FY 2022.
