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Navigating Financial Challenges and Opportunities in Assisted Living Facilities

By Chelsea Murray, on November 26th, 2024

The financial landscape for assisted living facilities has never been more dynamic—or more challenging. As operators grapple with rising costs, reduced occupancy, regulatory changes, and shifting consumer expectations, staying financially resilient requires proactive strategies and a keen understanding of emerging trends. Here, I outline the key financial challenges facing the assisted living industry today, along with actionable solutions to navigate them successfully.

 

Understanding the Financial Landscape 

The assisted living industry is navigating an increasingly complex financial environment. Key pressures include rising operational costs, wage increases driven by legislation, and a competitive market that demands high-quality care without compromising financial sustainability. These challenges require operators to adopt innovative strategies to protect margins while continuing to meet the needs of their residents.

 

Key Challenges and Trends in 2024 

As we look at the year ahead, assisted living facilities face several persistent challenges:

  • Rising Labor Costs: Minimum wage increases and staffing shortages are driving up payroll expenses, forcing facilities to find ways to balance costs while retaining quality staff.
  • Reduced Occupancy: Facilities have faced a slow climb to try to reach pre-pandemic occupancy levels that are yet to be obtained based on the New York State average.
  • Limited Funding Options: While grants and other financial relief programs exist, many facilities struggle to identify and access these opportunities.

At the same time, emerging trends present opportunities for operators who are prepared to adapt. Innovations in care delivery, diversification of revenue streams, and strategic cost management are critical components of staying competitive in this evolving landscape.

 

Strategic Responses to Financial Pressures 

To remain financially viable, assisted living facilities must adopt proactive and diversified strategies. Key approaches include:

  1. Managing Wage Increases 

With minimum wage increases placing additional strain on payroll budgets, facilities should:

  • Implement operational efficiencies to mitigate rising costs.
  • Scrutinize expenses to identify areas for reduction without compromising resident care.
  • Evaluate staffing models to optimize resource allocation and ensure compliance with new wage laws.
  1. Leveraging Grants and Funding Opportunities 

State and federal grants can provide critical relief, but facilities must act quickly and strategically to take advantage of these opportunities. Operators should:

  • Regularly monitor grant availability at the federal, state, and local levels.
  • Align internal processes to meet application deadlines and reporting requirements.
  1. Expanding Revenue Streams 

Diversification is essential in today’s market. Assisted living facilities can explore:

  • Offering ancillary services that enhance resident experiences and generate additional income.
  • Partnering with healthcare providers to deliver integrated services.
  • Investing in technology to streamline operations and improve care efficiency.

 

Looking Ahead: Resilience in Uncertainty 

As the financial pressures facing assisted living facilities continue to evolve, so must the strategies used to address them. By embracing proactive financial planning, leveraging available resources, and staying adaptable in the face of change, operators can not only weather these challenges but thrive in an increasingly competitive environment.

At The Bonadio Group, we are dedicated to helping assisted living facilities navigate these complexities with tailored solutions and expert guidance. If you have any questions, feel free to contact me directly at cmurray@bonadio.com or learn more here.

This material has been prepared for general, informational purposes only and is not intended to provide, and should not be relied on for, tax, legal or accounting advice. Should you require any such advice, please contact us directly. The information contained herein does not create, and your review or use of the information does not constitute, an accountant-client relationship.

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Written By

Chelsea Murray
Chelsea Murray
Executive Vice President

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