Your Trusted Healthcare M&A Partner

Al Veach is an established leader in healthcare M&A with a proven track record of successful transactions over two decades. As a result of working with companies ranging in size from publicly traded entities with a market cap over $1 billion to small businesses started out of someone’s home, Al has developed a broad range of relationships and perspective that allows him to quickly identify and track towards the critical needs of each client.

After graduating from the University of Southern Mississippi in 1995 with a Bachelor’s degree in Applied Computer Science, Al began his career selling and supporting Oracle-based ERP solutions to Fortune 500 companies, most of which were leveraging those solutions to merge newly acquired companies into their existing IT footprint as part of an M&A strategy to achieve economies of scale. The inefficiencies and commonalities Al observed within these transactions sparked his interest in creating a firm that simplified the complexities of the M&A process.

Starting in 2002, Al began to transition his focus to healthcare by taking an active role in healthcare-related M&A transactions as an advisor to divesting organizations. In 2008, Al recognized a significant need in the Hospice and Home Health marketplace for a specialized M&A firm that maintained an “Agenda” with the proven buyers in those healthcare specialties. Through the implementation of a steady cadence with those buyers combined with the use of technology to capture and match attributes, Al and his team built a transaction management model that naturally implemented confidentiality into the process through precision-based attribute matching for sellers and buyers. His goal was to only show businesses to buyers that fit the target. This was the beginning of Agenda Health.
Over the next 12 years, Al cultivated a team of healthcare specialists from local providers along with strong business graduates trained by Texas-based business schools such as McCombs School of Business at the University of Texas and Mays Business School at Texas A&M. The primary goal of cultivating a young team of academic standouts was to exponentiate their value by supplementing their skills with a foundational Christ-centered code of ethics from which each advisor could draw to properly guide their clients with honesty, integrity and hard work.

Al has been happily married to his wife, Kim, for 22 years and they have raised three outstanding children, one of which (Alex) has become a foundational part of the operation’s leadership at Agenda Health. Al is a Deacon at Bannockburn Church in Austin and is focused on making Agenda Health a ministry, not just a business. Al also loves playing golf in his free time.

Alex is a Partner at Agenda Health, where he helps lead the firm’s strategic growth, advisor development, and client relationships across the healthcare sector. Since joining in 2017, Alex has executed on hundreds of successful transactions and played a key role in building the firm’s platform. Alex continues to advise on healthcare transactions and leads the firm’s valuation practice, delivering the insights needed to facilitate successful outcomes for business owners. He works closely with both buyers and sellers, bringing a pragmatic, execution-focused approach to every engagement.

With a background in finance and a focus on client-centered service, Alex is committed to helping healthcare organizations achieve outcomes that align with their long-term goals.

Alex lives in Austin, Texas with his wife and son. Outside of work, he enjoys spending time outdoors, traveling, and exploring Austin’s food scene.

Jason joined Agenda Health in March 2020. In addition to advising clients from start to finish throughout the acquisition process, Jason also takes the lead in identifying geographic areas of focus for advisors and new healthcare market sectors in which to expand Agenda’s footprint. Additionally, he keeps the engine running clean and smooth through managing Agenda’s CRM database, vendor services, web content and more. Whether you’re ready to approach the market or just need help identifying your next step toward your goals, Jason makes it his mission to ensure that Agenda’s top quality of advisory services are available and ready for you when and where you need them.

Jason attended the University of Texas at Austin, where he earned his BBA in Marketing from the McCombs School of Business. Upon graduation, he began work in retail management for one of Target’s most profitable stores in Austin. After two years in this role, Jason sensed God calling him to leave Target and return to UT-Austin’s campus, where he served as an Associate Director at the Baptist Student Ministry for four years.

He is married to his wonderful wife, Ashley, and together they have two beautiful children, Eva and Silas. Jason and his family reside in Magnolia, TX, where they are actively engaged in serving their community through Restoration Church.

With over 25 years of progressive leadership experience, Randy has overseen critical customer engagement functions spanning sales, business development, and account management. He has played a pivotal role in advancing strategic growth efforts, leading the expansion of both emerging and established services and product lines.

Randy’s leadership track record spans several high-impact roles, including his most recent position as Global Head of Education Services at Edvantic, where he drove strategic growth and market expansion in North America and Emerging Markets. His prior experience includes senior roles with global technology and services leaders such as HP, NYFIX and Battea Class Action Services.

Randy graduated from the University of Connecticut, with a BS in Health Systems Management. He also holds a Master’s degree in Management, Leadership and Strategy from Michigan State University.

Away from the office, Randy is an avid golfer and prioritizes time with his wife and their two young children.

As a Senior Advisor, Stephen creates vision and coordinates execution of Agenda’s advisory efforts in the hospice and behavioral health verticals. Stephen both gives direction and guidance to advisors on his team and leads by example regarding lead generation, deal management and client advising services. You will be hard-pressed to find someone more attentive to your needs and honest in assessment than Stephen, as he guides both buyers and sellers towards achieving their agendas in the healthcare marketplace.

Stephen attended Belmont University, where he earned his BA in Communication. Afterwards, he furthered his education at Liberty University where he earned his Masters in Divinity. Stephen is currently finishing his Doctorate Degree in Leadership Development from Gateway Seminary. He has served as a pastor since 2009, leading and teaching in ministries ranging from 35 people to over 2,000 people each week.

He and his wife, Katy, have been married for nine years, and they have two daughters, Hazel and Holly. Stephen and Katy recently relocated to Franklin, Tennessee by way of Bridgewater, Massachusetts, where Stephen pastored a church he started in 2018. By the end of 2019, this church was listed as one of the fastest growing new churches in the country. His passion is to help serve the needs of others, through motivational speaking, writing, and helping leaders achieve their professional goals.

Sam joined Agenda Health in 2024. As a Senior Director, he is part of the company’s executive leadership. He supports a team of Advisors who serve founders and owners seeking ideal outcomes for their companies through an exit, a partial sale, a recapitalization, or a strategic investment.

Before joining Agenda Health, Sam was the SVP of Business Development at a large mid-market private equity firm with over $1B in investments across an array of business services sectors. In previous roles, Sam was a senior leader at multiple firms with scaled growth leading to exit, most notably real estate technology startup Opcity that achieved a $210M exit to a publicly traded firm 18 months after their Series A. Sam has worked with multiple organizations as an outsourced Chief Sales Officer and studied at the Red McCombs School of Business at the University of Texas.

Outside of the office, Sam loves spending time with his partner, his family, and his daughter, Iris, working out, traveling, and is often found in the kitchen. Sam seeks to live his life with a spirit of gratitude and service to others.

Dr. Anthony J. Naranja is the Managing Director of Oral Health at Agenda Health, where he leads the firm’s oral health advisory practice. He partners with founders, dental service organizations (DSOs), specialty groups, dental laboratories, manufacturers, healthcare technology companies, and investors on mergers and acquisitions, strategic growth, recapitalizations, partnerships, and succession planning.

Anthony brings more than 25 years of experience across the oral healthcare industry as a clinician, entrepreneur, operator, executive leader, advisor, and investor. Over the course of his career, he has built, scaled, and advised organizations ranging from private practices to multi-site platforms—helping leadership teams sharpen operational performance, develop their people, accelerate growth, and create lasting enterprise value. That blend of clinical insight and business leadership allows him to understand the decisions facing oral health owners from the inside, because he has spent his career making them himself.

Prior to joining Agenda Health, Anthony held executive leadership roles within some of the largest and fastest-growing organizations in oral healthcare, and has advised both founder-led and private equity-backed companies on growth strategy, operational excellence, and value creation. Having personally navigated the work of building, operating, growing, and transforming businesses, he serves as a trusted, relationship-driven advisor at exactly the moments that matter most.

At Agenda Health, Anthony’s mission is a straightforward one: to help healthcare leaders maximize value, preserve the legacy they’ve built, and achieve their long-term goals through trusted advice and deep industry expertise.

Navigating the sale of your healthcare practice requires expert guidance. At Agenda Health, Spencer delivers the strategic insight and personalized support needed to maximize value and ensure a seamless transition.

Spencer joined Agenda Health in 2021 and serves as a Senior Director after more than a decade in executive leadership roles and strategic consulting, where he partnered with C-suite executives across for-profit and non-profit organizations. His specialized experience with clinical research sites, geriatric care businesses, and mental and behavioral health practices enables him to understand the unique challenges and opportunities within your healthcare business. Leading a dedicated team of M&A Advisors, Spencer creates customized exit strategies that align with market conditions and identify qualified buyers who appreciate the distinctive value of your healthcare business.

Spencer holds a Master of Business Administration (MBA) from Liberty University. His professional background includes working as a business Founder, Owner-Operator and serving as Executive Pastor of one of Ohio’s fastest-growing churches, where he developed exceptional leadership and organizational skills that complement his business acumen.

When not guiding healthcare business owners through critical transitions, Spencer can be found exploring hiking trails with his wife, Gina, and their two young daughters. His passion for literature, appreciation for quality coffee, and love of the outdoors fuel his approach to building authentic relationships with clients—understanding that the best business decisions honor both professional objectives and personal values.

Alex serves as a Senior Buyer Advisor at Agenda Health, where he advises healthcare investors, operators, and strategic buyers throughout the acquisition process. He works closely with clients to identify opportunities, evaluate transactions, and navigate complex deal dynamics across the healthcare services landscape. He is focused on building long-term buyer relationships and helping clients execute disciplined, well-informed acquisitions that align with their growth objectives.

Alex brings a strong background in financial analysis, valuation, and transaction advisory, with experience supporting buyers through diligence, structuring, and negotiation. He is known for his analytical rigor, strategic perspective, and ability to translate complex financial and operational considerations into actionable insights for decision-makers. He has advised companies on mergers and acquisitions for more than two decades prior to joining Agenda Health. Alex holds a Masters in Professional Accounting from the University of Texas at Austin.

Outside of work, Alex enjoys spending time with his family and in particular with his three children. He also enjoys spending time outside exercising and hiking around Austin, following sports, and serving others.

Riley joined Agenda Health in June of 2024. As a Senior Associate on our Transactions team, Riley manages the deal process end-to-end. She is responsible for valuation, deal material development, buyer engagement, and post-LOI due diligence.

Prior to joining Agenda Health, Riley led billing operation functions for Clipboard Health, a Sequoia-backed, healthcare staffing marketplace which supports over 2,000 healthcare facilities and 150,000 professionals, nationwide. Riley began her career in management consulting in Chicago, where she drove growth strategy initiatives for Fortune 500 consumer brands, including CVS Health and Aetna.

Born and raised in Austin, Riley received her BBA in Finance from the McCombs School of Business at the University of Texas at Austin in 2017. Outside of work, Riley serves as Co-Chair of Development at Pease Park Conservancy and spends her free time enjoying the outdoors and traveling with her husband and their retriever, Maudie.

James joined Agenda Health in 2024 as a Transaction Analyst. In his role, James leads in valuation modeling, generating investor packages, industry research, and overseeing the general management of the deal process from valuation to closing.

Prior to coming on board, James worked in Austin and Houston in the commercial real estate industry with an emphasis on medical groups and healthcare providers, facilitating the purchase and lease of hundreds of thousands of square feet. Before that, James attended Texas A&M University in College Station, graduating with a Bachelor of Science in Economics as well as a Master of Science in Business from the Mays Business School. James is registered as a candidate in the CFA Program and is currently studying for his Level II exam.

Outside of the office, James spends his free time playing guitar, cheering on the Texas A&M Aggies and Houston Astros, and enjoying all things the great outdoors has to offer.