Valuation9 min read

What Is My Assisted Living Facility Worth? ALF Valuation Methods Explained

Founder & Managing Director
Published February 20, 2026Updated March 10, 2026

Why Accurate Valuation Matters

Whether you're selling, refinancing, or planning an estate, understanding what your assisted living facility is worth is critical. Overpricing leads to stale listings and missed opportunities. Underpricing leaves money on the table. A defensible valuation backed by real market data is the foundation of any successful transaction.

The senior housing sector doesn't value like traditional real estate. A facility's worth is primarily driven by its income-producing capacity, not just the physical real estate. This distinction catches many owners off guard.

The Income Approach: Cap Rates and NOI

The income approach is the most widely used method for valuing operating ALFs. The formula is straightforward: Value = Net Operating Income / Capitalization Rate.

Net Operating Income (NOI) is your facility's gross revenue minus operating expenses — but before debt service, depreciation, and owner compensation above market rate. Getting the NOI right is where most valuations succeed or fail.

Capitalization Rates in the ALF sector vary significantly by market, facility size, and risk profile. In Arizona, we're currently seeing cap rates between 7% and 12%. Larger, stabilized facilities with strong occupancy trade at lower (better) cap rates, while smaller homes and turnaround situations command higher caps.

Comparable Sales Analysis

The comparable sales approach benchmarks your facility against recent transactions of similar properties. Key comparison metrics include beds, revenue per bed, occupancy rates, license type, and geographic market.

The challenge with ALF comps is data availability. Unlike residential real estate, most ALF transactions are private and not recorded in public MLS databases. Access to actual closed transaction data — including price, terms, and financial performance — requires deep industry relationships.

Replacement Cost Method

The replacement cost approach asks: what would it cost to build an equivalent facility from scratch? This includes land acquisition, construction, furnishing, licensing fees, and the time value of the 12-18 months needed to build and stabilize a new facility.

In many Arizona markets, replacement cost now exceeds the value of existing facilities, creating a floor under valuations for well-maintained properties.

Key Factors That Affect ALF Value

Beyond the core valuation methods, several factors can significantly impact your facility's market value: occupancy rate and trend, payer mix (private pay vs. ALTCS/Medicaid), license type and standing, staff stability, physical condition, location demographics, and competitive supply in the immediate trade area.

Jake Crawford

Founder & Managing Director

Jake Crawford is the founder of Crawford Commercial, specializing in assisted living facility investment sales, valuations, and advisory services across the United States. With deep expertise in Arizona's senior housing market, Jake helps facility owners, investors, and operators navigate complex transactions with confidence.

Need Help With Your Facility?

Crawford Commercial provides confidential advisory services for assisted living facility sales, acquisitions, valuations, and licensing.

Contact Us