How Much Does An Assisted Living Center Make

Written by Dave Lavinsky

how much does assisted living center make

Are you thinking about opening an assisted living center and developing your assisted living facility business plan? Or do you currently operate one and are trying to benchmark your profit against other centers? In either case, this article will help you understand how much assisted living centers make.

To answer this question, we must examine revenue streams, operating costs, market factors, and profitability metrics.

How Much Does an Assisted Living Center Make?

Revenue Streams

Assisted living centers generate revenue primarily through monthly fees paid by residents for housing, meals, and personal care services. The fees can vary widely based on location, amenities, and the level of care provided. Revenue streams include:

  • Base Monthly Rent: This fee covers the cost of the resident’s living space, utilities, and basic services. Depending on the facility’s location and quality, this can range from $2,500 to $6,000 per month.
  • Care Services: These fees cover the cost of personal care services such as assistance with bathing, dressing, medication management, and other activities of daily living (ADLs). Fees are typically tiered based on the level of care required and can add $500 to $3,000 per month to the base rent.
  • Additional Services: Assisted living centers may offer optional services such as transportation, housekeeping, laundry, and wellness programs. These services are usually billed separately and can provide a significant boost to revenue.
  • One-Time Fees: Some facilities charge one-time admission or community fees ranging from $1,000 to $5,000, which help cover administrative costs and initial assessments.

Operating Costs

Running an assisted living center involves various operating costs, which can significantly impact profitability. Key monthly expenses for an assisted living center include:

  • Staffing Costs: Payroll is the largest expense for assisted living centers. Staff typically includes caregivers, nurses, administrators, housekeeping, and maintenance personnel. Staffing costs can account for 40% to 60% of total expenses.
  • Facility Costs: These include rent or mortgage payments, utilities, insurance, maintenance, and repairs. The quality and location of the facility can greatly influence these costs.
  • Food and Supplies: Providing meals and daily living supplies for residents is another substantial expense. This includes the cost of food, kitchen supplies, cleaning products, and medical supplies.
  • Marketing and Administrative Costs: Attracting new residents requires ongoing marketing efforts, including advertising, outreach, and maintaining an online presence. Administrative costs cover office supplies, technology, legal fees, and other operational expenses.
  • Regulatory Compliance: Assisted living centers must comply with state and federal regulations, which can involve significant costs for licensing, inspections, staff training, and adherence to health and safety standards. Some these costs may fall within your assisted living facility’s startup costs vs. ongoing monthly expenses.

Start Your Assisted Living Business Today!

To successfully start your assisted living facility, you need a business plan.
To quickly and easily complete your business plan, download Growthink’s Ultimate Assisted Living Facility Business Plan Template and complete your plan and financial model in hours.

Market Factors Influencing Profitability

Several market factors can greatly influence your assisted living center’s profit margins:

  • Location: The demand for assisted living services and the price residents are willing to pay can vary significantly by geographic location. Urban centers typically have higher demand and higher fees compared to rural areas.
  • Competition: The level of competition in the local market can affect occupancy rates and pricing. Facilities in highly competitive markets may need to invest more in marketing and amenities to attract residents.
  • Economic Conditions: Economic downturns can impact residents’ ability to afford assisted living services, leading to lower occupancy rates and potential revenue declines.
  • Demographic Trends: The aging population and increasing life expectancy are driving demand for assisted living services. Facilities that can effectively cater to the needs and preferences of seniors are likely to see higher occupancy rates and profitability.

Profitability Metrics

To gauge the financial performance of an assisted living center, several key profitability metrics are used:

  • Occupancy Rate: The percentage of available units that are occupied by residents. High occupancy rates are crucial for profitability, as fixed costs remain constant regardless of occupancy.
  • Revenue per Resident: This metric includes the total revenue generated per resident, encompassing base rent, care services, and additional services.
  • Operating Margin: The difference between total revenue and operating expenses, expressed as a percentage of revenue. This metric indicates the facility’s ability to generate profit from its operations.
  • Net Profit Margin: The percentage of total revenue that remains as profit after all expenses, including taxes and interest, are deducted. This metric provides a clear picture of overall profitability.

Example Financial Scenario

To illustrate the potential earnings of an assisted living center, consider a hypothetical facility with the following characteristics:

  • Location: Suburban area with moderate competition
  • Total Units: 100
  • Occupancy Rate: 90%
  • Average Monthly Rent: $4,000
  • Average Monthly Care Fees: $1,000
  • Additional Service Revenue per Resident: $200
  • Staffing Costs: $1,200,000 annually
  • Facility Costs: $600,000 annually
  • Food and Supplies: $400,000 annually
  • Marketing and Administrative Costs: $200,000 annually
  • Regulatory Compliance Costs: $100,000 annually

Revenue Calculation:

Monthly Revenue per Resident: $4,000 (rent) + $1,000 (care fees) + $200 (additional services) = $5,200

Annual Revenue per Resident: $5,200 * 12 = $62,400

Total Annual Revenue: $62,400 * 90 (occupied units) = $5,616,000

Expense Calculation:

Total Annual Expenses: $1,200,000 (staffing) + $600,000 (facility) + $400,000 (food and supplies) + $200,000 (marketing and admin) + $100,000 (regulatory) = $2,500,000

Profitability Calculation:

Operating Income: $5,616,000 (total revenue) – $2,500,000 (total expenses) = $3,116,000

Operating Margin: $3,116,000 / $5,616,000 * 100 = 55.5%

Net Profit Margin (assuming no additional significant expenses): Approximately 50%

Average Profitability of an Assisted Living Center in the United States

The average profitability of an assisted living center in the United States can vary significantly based on the factors mentioned above. However, according to David Schless, chief executive of the American Seniors Housing Association, in 2021, the median operating margin for assisted-living facilities was 23% if they offered memory care and 20% if they didn’t.

According to IBISWorld, the market size of the Assisted Living Facilities industry in the US is measured at $45.5 billion in 2024. And, according to the American Health Care Association, there are approximately 30,600 assisted living communities with nearly 1.2 million licensed beds in the U.S. This implies that the average assisted living center generates $1,486,928 per year in sales and, using a 22% profit margin, generates $327,124/year in profits.


The financial performance of an assisted living center can vary widely based on location, level of care provided, occupancy rates, and management efficiency. While the potential for profitability is significant, operators must carefully manage costs and maintain high occupancy rates to achieve financial success. By understanding the various revenue streams, operating costs, and market factors, prospective and current assisted living center operators can make informed decisions to optimize their financial performance and provide high-quality care to their residents.

Assisted Living Facility Business Plan PDF

Download our assisted living facility business plan pdf here. This is a free assisted living business plan example to help you get started on your own assisted living business plan.

Finish Your Assisted Living Business Plan in 1 Day!

Don’t you wish there was a faster, easier way to finish your business plan?

With Growthink’s Ultimate Assisted Living Business Plan Template you can finish your plan in just 8 hours or less!

Click here to finish your Assisted Living business plan today.