Sell an Adult Day Care Business: a business broker for adult day care and adult day health owners
Adult day centers combine a licensed facility, a recurring daily census, and Medicaid waiver or managed care contracts. That mix is attractive to home care and senior care operators who want to serve the same families during the day.
Both the medical model (adult day health) and the social model sell. The medical model carries nursing requirements and usually a higher rate.
What drives valuation in adult day care and adult day health
Average daily attendance
Buyers look at attendance against licensed capacity, and how steady it has been over 24 months.
Lease and facility
Remaining lease term, assignment rights, and life safety compliance decide whether the center can move.
Transportation
Vans, drivers, and transportation billing are part of the operation and part of the price.
Payer mix
Private pay adds margin and waiver contracts add stability. Buyers want to see both.
What buyers pay
| Size | Range | Who buys |
|---|---|---|
| Under 40 average daily attendance | 2.5x to 3.5x SDE | Often an owner-operator or local care provider. |
| 40 to 100 ADA | 3.5x to 4.5x EBITDA | Strong interest when contracts and lease are clean. |
| Above 100 ADA or multiple sites | 4.5x to 5.5x EBITDA | Regional and sponsor-backed buyers. |
Ranges are indicative. Your number comes from your own financials, operations, and compliance record.
Change of ownership and regulatory considerations
These items set the closing date on a adult day care and adult day health transaction. We check each one before your agency is marketed so a buyer never finds the problem first.
Facility licensure
The adult day license is filed or transferred with the state agency, often with an inspection.
Lease assignment
Landlord consent is secured early so the facility moves with the operation.
Contract transfer
Medicaid waiver and MCO contracts are confirmed for assignment before marketing.
- Adult day facility licensure is state-specific and usually requires a new application or change of ownership filing.
- Medicaid waiver and MCO contracts are reviewed for assignment before marketing.
Current adult day care and adult day health records
0 activeNo active records in this category right now. Most of what we sell is placed with buyers already on the list, before it is ever published. Tell us what you are looking for and you hear first.
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