Healthcare, Education & Personal Services · Buyer guide

Buying an Assisted Living & Senior Care Facility business

Published · Reviewed by The Diligence Standard Team · Updated

an Assisted Living & Senior Care Facility can look attractive on a summary P&L while the operating details underneath it change the cash flow, transferability and capital a buyer will actually own. Diligence should connect the reported earnings to the business-specific drivers that create them.

How the business works

Occupancy, resident rates, staffing, licensing, acuity mix, property condition and referral sources determine value.

Risks to test

  • Licensing/compliance
  • Staffing shortage
  • Property CapEx
  • Resident acuity mismatch
  • Referral concentration
  • Insurance/liability

Evidence to request and reconcile

  • Occupancy/resident roster
  • Rate history
  • Payroll
  • Licenses/inspections
  • Property/CapEx
  • Referral data

Decision questions

  • What compliance findings exist?
  • What staffing level is required?
  • What CapEx is coming?
  • How stable is occupancy?
  • Who manages referrals/operations?