Business Data & Benchmarks · United States
Assisted Living Facility Revenue Benchmark
Residential facilities providing personal care and supervision to older adults who do not need continuous nursing care.
Average Assisted Living Facility Revenue per Year 2022 Economic Census
The 2022 Economic Census counts every assisted living facility for the elderly with paid employees and publishes their combined annual receipts. Dividing one by the other gives the average annual revenue per employer establishment below.
≈$1,887,000 /year
Average annual gross revenue per employer establishment
20,596
Employer establishments in the United States, 2022
as published $38.9 billion
Combined annual gross revenue of employer establishments, 2022
How this is calculated: about $38.9 billion in combined annual receipts divided by 20,596 employer establishments works out to an average annual revenue of $1,887,000 per employer establishment. A six-bed residential home and a hundred-unit community are averaged together in that figure.
Scope: Assisted Living Facilities for the Elderly, NAICS 623312. Classified separately in group 6233: 623311 Continuing Care Retirement Communities. Nothing outside that code is counted on this page.
Source US Census Bureau, 2022 Economic Census, Summary Statistics (ECNBASIC): ESTAB, RCPTOT and PAYANN by NAICS · Vintage 2022 Economic Census · Calculation BusinessNES · Accessed July 2026
Employer Establishments at Year Five Industry group
Continuing Care Retirement Communities and Assisted Living Facilities for the Elderly, NAICS 6233, the 2018 starting count compared with the count of five-year-old establishments in 2023.
67.9%the year-five count as a share of the starting count
Across the 2014 to 2018 cohorts, five-year results ranged from 66.1 to 68.0 percent. This benchmark covers Continuing Care Retirement Communities and Assisted Living Facilities for the Elderly, NAICS 6233, as a whole, and this category accounts for 20,596 of the 26,353 employer establishments in it. A count by age is not a survival rate, because the figures compare two headcounts rather than follow one set of businesses.
Payroll as a Share of Revenue Official data
Payroll divided by receipts, both as published for the same year.
| Measure | Value |
|---|---|
| Annual payroll share of receipts, United States | ≈40% |
Payroll share of receipts, Assisted Living Facilities for the Elderly, United States, 2022 Economic Census.
Approximately 40.0 percent of every revenue dollar goes to annual payroll. Residents are cared for around the clock, so the staffing floor is set by licensing and occupancy rather than by demand on any given day.
Payroll here excludes benefits, employer taxes, agency staffing costs and owner compensation, all of which weigh heavily in a trade that competes for caregivers.
Business Scale and Ownership Structure Official data
How large the average establishment is, and whether the population is independent operators or multi-site companies.
| Measure | Value |
|---|---|
| Paid employees per employer establishment | 23.5 |
| Employer establishments per firm | 1.4 |
Scale and ownership, Assisted Living Facilities for the Elderly, United States, 2022 Economic Census.
The average establishment employed about 23.5 people, and the industry counted 1.4 employer establishments per firm.
These are arithmetic industry averages. They state the size of the average establishment and show that multi-establishment ownership exists. They do not show the distribution of business sizes and they do not measure market concentration.
Questions Worth Asking BusinessNES analysis
Assisted Living Facilities for the Elderly: questions the benchmark cannot answer.
Before you rely on this benchmark
- What is the occupancy rate? Many property and staffing costs continue when a unit is empty, so occupancy and the rate charged both materially affect the result.
- How is care level priced? Residents needing more support pay more, so the same building can produce very different revenue depending on acuity.
- Is the property owned or leased? Rent, debt service or ownership costs for the building are a major fixed cost, and they sit entirely outside payroll.
- What are the staffing ratios required? Staffing requirements vary by state, resident acuity, facility type and time of day, so a community admitting higher-acuity residents can face a higher floor than a community next door. Worth asking which requirements apply at night as well as during the day.
- What happens when a resident needs more care than the license allows? Move-outs to skilled nursing end a revenue stream and leave a unit to refill, so acuity limits shape turnover as much as demand does.
- How long does it take to fill a vacancy? Decision and move-in timelines can leave a unit vacant well after the previous resident leaves.
Explore More on BusinessNES
Neighbouring benchmark pages built from the same verified data, plus BusinessNES guides on the same subject.
Data Source Notice
This product uses the Census Bureau Data API but is not endorsed or certified by the Census Bureau.
Figures above are from the 2022 Economic Census reference year, released by the Census Bureau in 2024 and 2025; markets have moved since.
Sources and Methodology
Revenue, establishment counts, payroll, employment and firm counts on this page come from the 2022 Economic Census, Summary Statistics, published by the US Census Bureau. Averages and shares are BusinessNES calculations from those published totals, and each one names the two figures it divides.
The Census counts employer establishments, meaning each licensed facility with paid staff rather than each operator, so a company running several communities contributes one establishment per site.