Operator-led acquisitions with a long-term ownership mindset

Mission

Assisted Living Holding LLC is dedicated to acquiring and growing healthcare-focused businesses with care and integrity. We preserve legacies, empower staff, and enhance the quality of care for residents and families. Our hands-on, long-term approach transforms transitions into opportunities for lasting impact.

How we create value

  • Hands-on operations: We don’t just invest — we operate: leadership support, process redesign, and onsite coaching.
  • People first: Career ladders, training programs, and retention incentives to reduce turnover.
  • Systematic improvements: Lean & Six Sigma methods to reduce waste and boost throughput.
  • Marketing & admissions: Proven outreach and referral playbooks to grow census and diversify payer mix.
  • Financial stewardship: Prudent leverage and measurable KPIs to ensure stable cash flow and sustainable returns.

Acquisition criteria

Our standard criteria include:
  • Annual revenues of $2 million or more
  • Annual cash flow (SDE/EBITDA) of at least $450,000

  • Deal structures we consider

    • Full acquisitions
    • Majority buyouts
    • Long-term partnerships (founder stays on as operator or advisor)
    • Asset or stock purchases, tailored to seller needs

    Partnership model

    We align incentives with founders and key staff: earn-outs, retention bonuses, and clearly defined transition roles to preserve culture while strengthening operations.