The store is owned by Ned Flanders who quit his job as a clerk for a pharmaceutical company and opened The Leftorium. At first, business at the store was going very poorly, Homer secretly wished that Flanders store would go out of business after receiving the larger half of a wishbone. Homer got his wish and the Flanders family were forced to sell their possessions (much of which Homer purchased at the very low price of $75), the bank repossessed the Flanders home, and the store was about to close. Homer then regrets making this wish and the fact he never told any of his friends, who were in need of left-handed items, about The Leftorium. To atone for his actions, Homer manages to get everyone he knows in town to shop at Ned's store, effectively saving it from bankruptcy.
The Leftorium has continued to trade profitably since this, however there have been episodes where Flanders has mentioned the store doesn't do that well. Ned once mentioned that he purchased most of his possessions cheaply to make up for his store's lack of business. Later, Ned mentions how a mega left hand store recently opened, called Left-Mart, is threatening his business.