The assisted living industry provides residential housing with personal care services for seniors and adults who need assistance with daily activities but do not require skilled nursing care. The sector is highly regulated at the state level and is experiencing sustained demand growth driven by the aging Baby Boomer population, making it a resilient and growing segment of the broader senior care market. Lower middle market facilities (10–50 beds) remain fragmented and owner-operated, creating significant acquisition opportunity for regional consolidators.
Who buys these: Healthcare entrepreneurs, private equity-backed regional operators, experienced healthcare administrators, family office investors, and retiring nurses or healthcare professionals looking to own and operate a residential care business
3.5–6×
Typical EBITDA multiple
$1M–$5M
Revenue range
Growing
Market trend
SBA Eligible
7(a) financing available
Recession Resistant
Essential service
Typically seeking facilities with 10–50 beds, 80%+ occupancy, stable staffing, clean licensing history, $300K–$1.5M SDE, real estate optionality (lease or owned), and documented care plans with compliant records
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Key items to investigate when evaluating a Assisted Living Facility acquisition
Seller Intelligence
Who sells Assisted Living Facility businesses?
Owner-operators in their 60s–70s approaching retirement, healthcare professionals who built a single facility and lack a succession plan, small family-run operators facing increasing regulatory burden, or owners dealing with burnout from 24/7 operational demands
Typical exit timeline: 12–24 months
Assisted Living Facility businesses in the $1M–$5M revenue range typically sell for 3.5–6× EBITDA. Typically seeking facilities with 10–50 beds, 80%+ occupancy, stable staffing, clean licensing history, $300K–$1.5M SDE, real estate optionality (lease or owned), and documented care plans with compliant records
Assisted Living Facility businesses typically trade at 3.5–6× EBITDA in the lower middle market. The market is highly fragmented with growing demand, which supports premium multiples.
Assisted Living Facility businesses are SBA 7(a) eligible, making them accessible to first-time buyers. Asset purchase with real estate lease assignment or separate real estate purchase, SBA 7(a) financing for goodwill and working capital
Key due diligence areas include: State licensing status, inspection history, and any citations or deficiency reports; Occupancy rate trends, payer mix (private pay vs. Medicaid), and revenue concentration; Staffing levels, turnover rates, caregiver-to-resident ratios, and wage compliance; Real estate lease terms or property condition, including ADA compliance and fire/safety codes; Resident contracts, care agreements, and any outstanding litigation or grievance filings.
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