Social Adult Day Care, 13-Year Brooklyn SADC with 13 MLTC Contracts

Full Editorial Writeup

This is a Social Adult Day Care (SADC) facility operating in a densely populated Brooklyn neighborhood, serving the frail elderly and disabled adult population across Brooklyn, Queens, and Manhattan. The business runs out of a recently renovated 10,000 square foot two-floor facility with an elevator, offering activity rooms, individual service rooms for computers, arts and crafts, a salon, games, quiet rooms, and event spaces. It operates 7 days a week across two daily shifts, transports members via a 10-van fleet (5 owned), and prepares or caters meals through an on-site kitchen with a 15-person staff.

The economic engine here is the 13 Managed Long Term Care (MLTC) contracts, described as major and hard to get, which plug the facility directly into the Medicaid reimbursement system. The business carries 270 active in-person members generating 620 to 650 visits per week. In 2022 it averaged $51,000 in weekly billing, producing $2.67M in gross revenue and a recast owner net of $600k, a 23% margin. The 2025 run rate is cited at roughly 2,449 visits per month and $223k in monthly billing.

SADC is a defensive, demographically tailwinded niche: an aging urban population, government-funded reimbursement, and high barriers to entry via the MLTC contract network. The seller is selling due to partner relocation, retains accounts receivable, and will not consider bank financing. Buyers must prove $1M in liquid funds and a senior care or healthcare background before even receiving the name, location, or financials.