Senior Care Business Valuation – How to Value Assisted Living, Memory Care, and Skilled Nursing Facilities Using Occupancy, NOI, and Reimbursement with Certified Appraisers Across the U.S.

The U.S. senior care industry—encompassing assisted living, independent living, memory care, and skilled nursing facilities (SNFs)—is expected to exceed $600 billion by 2027, fueled by aging demographics, increased chronic care needs, and shifting preferences toward community-based living. Operators must manage a complex mix of real estate, healthcare delivery, and state-level regulation, making accurate valuations essential for growth, exit planning, and compliance.


What Makes Senior Care Valuation Unique

Valuing a senior care facility requires balancing operational performance with real estate assets and payer exposure:

  • Occupancy Rate & Unit Mix: Occupancy stability and balance between private pay, memory care, or rehab services drive revenue.

  • Revenue Mix (Private Pay vs. Medicaid/Medicare): Payer exposure affects margin volatility and reimbursement risk.

  • Net Operating Income (NOI) & Margin Trends: Core financial metric for facility-based businesses with real estate assets.

  • Staffing Costs & Labor Stability: High turnover or staffing shortages can materially impact operations and value.

  • Regulatory & Licensing Compliance: State surveys, CMS ratings, and licensure affect marketability and acquisition interest.


Key Valuation Metrics for Senior Care Businesses

InteleK uses a hybrid approach that incorporates both healthcare operations and real estate valuation techniques:

  • NOI, EBITDA, and Revenue per Bed: Critical for benchmarking performance against local and national peers.

  • Cap Rate Analysis (Real Estate-Backed Facilities): Used to value facilities with owned real estate based on market yield expectations.

  • Occupancy & Length of Stay Trends: Reflects operational health and market demand.

  • Per-Resident Care Costs: Indicates efficiency in staffing, medications, and support services.

  • Licensure Capacity & Certificate of Need (CON): Regulatory limits on bed count or market entry can increase valuation premiums.

  • Valuation Multiples: Depending on facility type, senior care businesses typically trade at 1.0–2.0× revenue, 6–12× EBITDA, or real estate cap rates of 6%–9%, based on market and asset class.


Why Senior Care Operators Need Valuations

Valuations are essential for both operational and ownership decisions in a capital-intensive, regulated industry:

  • Acquisition, Divestiture, & Strategic Expansion: Informs deal pricing and due diligence across portfolios.

  • Succession & Estate Planning: Particularly relevant for family-owned or closely held facilities.

  • IRS & Compliance Needs: Required for gifting, partner buy-ins, and fair market value assessments.

  • Investor Reporting & Capital Raising: Supports equity raises, REIT transactions, and bank lending packages.


Why Choose InteleK for Your Senior Care Business Valuation

InteleK is trusted by facility operators, healthcare REITs, and private equity sponsors across Miami, Phoenix, Dallas, Atlanta, Chicago, and New York. Our appraisers hold elite credentials, including:

  • Chartered Financial Analyst (CFA®)

  • Accredited in Business Valuation (ABV®)

  • Accredited Senior Appraiser (ASA®)

  • Chartered Alternative Investment Analyst (CAIA®)

  • Professional Risk Manager (PRM®)

We deliver three report types to suit different levels of need:

  • Indicative Appraisal (Non-Certified) – Ideal for early planning and internal strategy

  • Summary Appraisal (Certified) – Suitable for moderate risk or investor discussions

  • Detailed Appraisal (Certified) – Full documentation, citations, and audit‑ready analysis for transactions, litigation, or regulatory use

All reports come with a one-on-one appraiser consultation, where we explain the value, methodology, and key insights in plain terms.


Serving Senior Care Facilities Nationwide

From single-site assisted living communities to multi-state SNF operators and luxury memory care brands, we’ve valued senior care providers across the full spectrum of care. Whether you’re planning a sale, recapitalizing, or expanding your portfolio, our valuation services provide clarity and confidence.
InteleK Business Valuations & Advisory proudly serves clients across the United States, including:
📍 Miami, Phoenix, Dallas, Atlanta, Chicago, New York, Denver, and More (visit State page selector)

our team

Meet InteleK’s Leaders

Andrew Mackson, CFA, ABV
co-founder & Partner
Cameron Braid,
MBA
Co-Founder & Partner
Ryan Maguire,
Valuation Expert
Director of Business valuations
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