4.7.4.4Vertical

Rental CCRC Models

CCRCs operating on month-to-month rental rather than entry fee models.

Market snapshot

These figures describe Continuing Care Retirement Communities (4.7.4), the segment that Rental CCRC Models sits within. They are not figures for Rental CCRC Models on its own.

Market size
~$41B
Growth
~3.5%CAGR (2017–22, nominal)
Companies
~3,731 firms
Firms by employee count

31.8% of firms have fewer than 20 employees: 1,188 micro-businesses, below most mandates.

The investable universe2,543 firms with 20+ employees
20–99
1,35953%
100–499
85634%
500+
32813%

heavily nonprofit.

NAICS 623311. U.S. Census Bureau, 2022 Statistics of U.S. Businesses; U.S. Census Bureau, 2022 Economic Census.

Business model & economics

Revenue model

Entrance fees plus monthly fees across the care continuum

Key economics

Revenue per firm
$11,011,146
Revenue per employee
$93,445
Employees per firm
118.8
Recurring revenue
High

long-term resident relationships

EBITDA margin
Nonprofit surplus and entrance-fee economics
Capex intensity
High

Characteristics

  • Balanced cost base: payroll is 40% of revenue, leaving room to scale margin without cutting staff
  • Deep strategic-buyer pool: 328 firms exceed 500 employees, so a scaled asset has trade buyers
  • Full care continuum on a single campus.
  • Entrance-fee model creates distinctive economics.
  • Heavily nonprofit; aging-in-place security demand.

NAICS 623311. U.S. Census Bureau, 2022 Statistics of U.S. Businesses; U.S. Census Bureau, 2022 Economic Census.

Geographic concentration

AlabamaAlaskaArizonaColoradoFloridaGeorgiaIndianaMaineMassachusettsNew JerseyNorth CarolinaNorth DakotaOklahomaSouth DakotaTexasWyomingConnecticutMissouriWest VirginiaIllinoisNew MexicoArkansasCaliforniaDelawareDistrict of ColumbiaHawaiiKentuckyMarylandMichiganMississippiMontanaNew HampshireNew YorkOhioOregonTennesseeUtahVirginiaWashingtonWisconsinNebraskaSouth CarolinaIdahoNevadaVermontLouisianaRhode IslandKansasMinnesotaPennsylvaniaIowa

Continuing-care retirement communities concentrate in the Upper Midwest and Mid-Atlantic (Iowa, Kansas, Pennsylvania, and Minnesota), reflecting strong nonprofit and faith-based CCRC traditions.

IowaKansasPennsylvaniaMinnesota

U.S. Census Bureau, 2022 County Business Patterns (employment by state), NAICS 623311. Concentration shown by location quotient.

M&A deal context

Deal activityModerate

Who’s acquiring

  • Senior-living operators
  • Nonprofit affiliations & sponsors
  • Real-estate investors

What’s driving deals

  • Selective consolidation in a nonprofit-heavy segment.
  • Aging-in-place continuum demand.
  • Entrance-fee and balance-sheet dynamics.

Find Rental CCRC Models acquisition targets

Search Acquisera’s index for companies classified under Rental CCRC Models (4.7.4.4) and build a targeted deal pipeline.

Search companies