NYC Senior Care Pair, LHCSA + Social Adult Day Care, Brooklyn

Full Editorial Writeup

This is a paired transaction for two commonly owned New York City senior care operations: a licensed home care services agency (LHCSA) founded in 2016 that covers all five boroughs plus Westchester County, and a social adult day care center in Brooklyn founded in 2011. Both sit inside the managed long-term care (MLTC) ecosystem and serve the same senior population, which gives a buyer an integrated home- and community-based care platform rather than two disconnected assets. Combined, they run roughly $11.0M in revenue, $1.2M in SDE, and about 500 active clients.

The home care agency does about $7.5M of revenue and $800K of SDE off roughly 200 active clients, backed by contracts with four MLTC plans. The adult day care contributes about $3.5M of revenue and $400K of SDE, operating two shifts a day, seven days a week, serving 60 to 90 participants per shift and around 300 registered members out of a two-floor leased facility, with 10 to 11 MLTC plan contracts in place. The plan-contract density on the day care side is notable and functions as a distribution moat in a regulated market.

The revenue here is fundamentally government-funded Medicaid dollars flowing through MLTC plans, which makes it durable but also exposes the buyer to New York State reimbursement policy and regulatory approval risk. The sale is subject to NYS regulatory sign-off and plan consents, with an NDA and proof of funds required, so this is a qualified-buyer process, not a tire-kicker listing.