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Brick-and-Mortar & Local Service

Health & Senior Care business blueprints

Compare startup budgets, owner SDE margins, labor and occupancy ratios, SBA valuation multiples and franchise alternatives across 6 business models in health & senior care.

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Small business startup and acquisition blueprints; select a model for full CapEx and unit economics
Business model Track Startup cost range Typical annual revenue
SDE (Seller’s Discretionary Earnings) Margin

Total pre-tax cash flow available to a full-time owner-operator as a % of annual revenue: Net Profit + Owner’s Salary/Draws + Interest, Taxes, Depreciation & Amortization (EBITDA) + verified one-time owner add-backs.

Breakeven
Resale Valuation Multiple

Typical market purchase price of an established operating business expressed as a multiple of annual Owner SDE (e.g., 2.5× SDE on $200,000 cash flow = $500,000 valuation).

Franchise path
Non-Medical Senior Home Care AgencyHealth & Senior Care · Home care Brick-and-Mortar & Local Service $65,000–$175,000 $600,000–$2,800,000 14%–22% 5–12 months 2.8x–4.5x SDE 4 FDD brands
Independent Pharmacy & Medical SupplyHealth & Senior Care · Pharmacies Brick-and-Mortar & Local Service $250,000–$750,000 $2,000,000–$6,500,000 5%–12% 9–18 months 2.2x–3.5x SDE (plus dollar-for-dollar pharmaceutical inventory) 1 FDD brand
Physical Therapy & Chiropractic ClinicHealth & Senior Care · Home care Brick-and-Mortar & Local Service $85,000–$275,000 $400,000–$1,500,000 18%–32% 5–12 months 2.5x–4.2x SDE / EBITDA 5 FDD brands
Behavioral Health & Counseling PracticeHealth & Senior Care · Mental health Brick-and-Mortar & Local Service $30,000–$120,000 $350,000–$1,800,000 16%–26% 3–8 months 2.4x–3.8x SDE 1 FDD brand
Residential Assisted Living (RAL) & Senior Group HomeHealth & Senior Care · Home care Brick-and-Mortar & Local Service $185,000–$550,000 $480,000–$1,350,000 22%–35% 6–14 months 3.2x–5.5x SDE Independent only
IV Hydration, Weight-Loss & Longevity ClinicHealth & Senior Care · Home care Brick-and-Mortar & Local Service $170,000–$480,000 $550,000–$1,900,000 22%–34% 6–12 months 2.6x–4.0x SDE 5 FDD brands

Explore each health & senior care model in depth

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