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Adult Day Care in the US - Market Research Report (2015-2030)

Tina Fine Tina Fine New York, United States Last Updated: December 2025 NAICS OD5942

Revenue

$7.6bn

2025

$7.6bn

Past 5-Year Growth

Profit

$XXX.Xm

Employees

187k

Businesses

18,376

Wages

$X.Xbn

Adult Day Care in the US industry analysis

The adult day care sector has experienced volatile shifts in enrollment and funding stability. Currently, demand is met in the Northeast, which is oversaturated. At the same time, the fastest-growing Sun Belt regions face critical supply shortages, which are impacted by restrictive Medicaid policies and lower reimbursement rates. Overall, Medicaid coverage expanded and supported revenue during the pandemic and as the economy recovered, facility counts grew to meet the needs of an increasingly older adult population. Despite this surging user base, industry profit profit remained flat at roughly 12.0%. Centers struggled to convert higher census numbers into growth, in part a result of rising wage expenses absorbing revenue gains. The market remained highly fragmented, with small, localized centers competing alongside expanding national chains in underserved neighborhoods, with revenue climbing at a CAGR of 1.5% to an estimated $7.6 billion through 2025, including an expected climb of 1.0% in 2025 alone.

Trends and Insights

  • The aging population is expanding the primary user base of adult day care. Adults over 65 face more medical issues and have a longer life expectancy, making adult day care centers especially popular.
  • Adult day care services primarily offer three models: social, medical and specialty. Social care encompasses socialization and engagement, while medical care encompasses various therapies, with specialty adult care centers filling unique medical needs.
  • Adult day care providers settle in areas with dense populations. Centers in populated areas are more visible to potential clientele.
  • Adult day care is highly fragmented. Adult day care centers cater to local demand, as adults are often unwilling to travel far for care. Nonemployers and small providers can remain competitive, even in a saturated market.
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Industry Statistics and Trends

Market size and recent performance (2015-2030)

Industry revenue has grown at a CAGR of 1.5 % over the past five years, to reach an estimated $7.6bn in 2025.

Trends and Insights

Adult day cares' user base is expanding as the aging population swells

  • The Baby Boomer generation, born between 1946 and 1964, accounts for an estimated one-fifth of the US population. This cohort is either approaching or well into retirement age. The number of adults aged 65 and over surged at its highest rate on record in 2024 as Baby Boomers continued to age into the primary user base for adult day care facilities.
  • Additional trends and insights available with purchase
Adult Day Care in the US
Revenue (2015-2030)
IBISWorld Logo Source: IBISWorld

Industry outlook (2025-2030)

Market size is projected to grow over the next five years.

Trends and Insights

Private equity cquisitions and franchise expansion will spur consolidation-driven profit

  • Private equity-backed consolidation and franchise growth are reshaping the adult day care competitive landscape in 2025. Audax Private Equity-backed Active Day completed four acquisitions in 2025 alone (Goldencare, AllCaregivers Inc., New Generations Home Care of Florence, and PremierCare Consulting) bringing total acquisitions since 2020 to eight and expanding operations to over 100 locations serving more than 7,500 members across 10 states.

Biggest companies in the Adult Day Care in the US

Company
Market Share (%)
2025
Revenue
2025
Profit
2025
Profit Margin (%)
2025

There are no companies that hold a market share exceeding 5% in the Adult Day Care in the US industry.

Products & Services Segmentation

Adult Day Care in the US
Products & Services
IBISWorld Logo Source: IBISWorld

Industry revenue is measured across several distinct product and services lines, including Social services, Medical services and Specialized services. Social services is the largest segment of the Adult Day Care in the US.

Trends and Insights

The social model focuses on social services

  • The social adult day care model focuses on socialization, supervision and preventing isolation rather than intensive medical care. These centers offer a safe, community-based environment for seniors who may require supervision during the day but do not necessitate continuous nursing care. The number of centers adopting this model is expected to continue growing through 2024, as families increasingly seek holistic, non-clinical respite care that prioritizes quality of life and mental well-being over purely medical maintenance.
  • More insights available in the full report

Table of Contents

About this industry

Industry definition

This industry provides social and basic health assistance, including transportation, meals, personal hygiene and therapeutic activities, to older adults and individuals with mental or physical disabilities. Services are typically provided during regular business hours through adult care centers. This industry does not include home care.

What's included in this industry?

Products and services covered in the Adult Day Care industry in the United States include Care-planning services, Daily living assistance, Nursing and health services, Therapeutic services, Meal services, Transportation services and Social activities.

Companies

Companies covered in the Adult Day Care industry in the United States include .

Purchase this report to view all major companies in this industry.

Related Terms

Related terms covered in the Adult Day Care industry in the United States include medicaid, long-term care (ltc), dementia and pace.

Industry Code

NAICS 2017

NAICS 624120 - Adult Day Care in the US

Performance

Get an indication of the industry's health through historical, current and forward-looking trends in the performance indicators that make or break businesses.

Analyst insights

The aging population is expanding the primary user base of adult day care. Adults over 65 face more medical issues and have a longer life expectancy, making adult day care ce...

In this chapter (4)

  • Current Performance
  • Outlook
  • Volatility
  • Life Cycle

Key metrics

  • Annual Revenue, Recent Growth, Forecast, Revenue Volatility
  • Number of Employees, Recent Growth, Forecast, Employees per Business, Revenue per Employee
  • Number of Businesses, Recent Growth, Forecast, Employees per Business, Revenue per Business
  • Total Profit, Profit Margin, Profit per Business

Charts

  • Revenue, including historical (2015-2024) and forecast (2025-2030)
  • Employees, including historical (2015-2024) and forecast (2025-2030)
  • Businesses, including historical (2015-2024) and forecast (2025-2030)
  • Profit, including historical (2015-2025)
  • Industry Volatility vs. Revenue Growth
  • Industry Life Cycle

Detailed analysis

  • Trends in supply, demand and current events that are driving current industry performance
  • Expected trends, economic factors and ongoing events that drive the industry's outlook
  • Key success factors for businesses to overcome volatility
  • How contribution to GDP, industry saturation, innovation, consolidation, and technology and systems influence the industry's life cycle phase.

Products and Markets

Learn about an industry's products and services, markets and trends in international trade.

Analyst insight

Adult day care services primarily offer three models: social, medical and specialty. Social care encompasses socialization and engagement, while medical care encompasses vari...

In this chapter

  • Products & Services
  • Major Markets

Key metrics

  • Largest market segment and value in 2025
  • Product innovation level

Charts

  • Products & services segmentation in 2025
  • Major market segmentation in 2025

Detailed analysis

  • Trends impacting the recent performance of the industry's various segments
  • Innovations in the industry's product or service offering, specialization or delivery method
  • Key factors that successful businesses consider in their offerings
  • Buying segments and key trends influencing demand for industry products and services

Geographic Breakdown

Discover where business activity is most concentrated in an industry and the factors driving these trends to find opportunities and conduct regional benchmarking.

Analyst insights

Adult day care providers settle in areas with dense populations. Centers in populated areas are more visible to potential clientele.

In this chapter (1)

  • Business Locations

Charts

  • Share of revenue, establishment, wages and employment in each state
  • Share of population compared to establishments in each region in 2025

Tables

  • Number and share of establishments in each state in 2025
  • Number and share of revenue each state accounts for in 2025
  • Number and share of wages each state accounts for in 2025
  • Number and share of employees in each state in 2025

Detailed analysis

  • Geographic spread of the industry across North America, and trends associated with changes in the business landscape
  • Key success factors for businesses to use location to their advantage

Competitive Forces

Get data and insights on what's driving competition in an industry and the challenges industry operators and new entrants may face, with analysis built around Porter's Five Forces framework.

Analyst insights

Adult day care is highly fragmented. Adult day care centers cater to local demand, as adults are often unwilling to travel far for care. Nonemployers and small providers can ...

In this chapter (4)

  • Concentration
  • Barriers to Entry
  • Substitutes
  • Buyer & Supplier Analysis

Key metrics

  • Industry concentration level
  • Industry competition level and trend
  • Barriers to entry level and trend
  • Substitutes level and trend
  • Buyer power level and trend
  • Supplier power level and trend

Charts

  • Market share concentration among the top 4 suppliers from 2020-2025
  • Supply chain including upstream supplying industries and downstream buying industries, flow chart

Detailed analysis

  • Factors impacting the industry’s level of concentration, such as business distribution, new entrants, or merger and acquisition activity.
  • Key success factors for businesses to manage the competitive environment of the industry.
  • Challenges that potential industry entrants face such as legal, start-up costs, differentiation, labor/capital intensity and capital expenses.
  • Key success factors for potential entrants to overcome barriers to entry.
  • Competitive threats from potential substitutes for the industry’s own products and services.
  • Key success factors for how successful businesses can compete with substitutes.
  • Advantages that buyers have to keep favorable purchasing conditions.
  • Advantages that suppliers have to maintain favorable selling conditions.
  • Key success factors for how businesses can navigate buyer and supplier power.

Companies

There are no companies that hold a market share exceeding 5% in the Adult Day Care in the US industry.

Analyst insights

No single care provider holds a significant market share. Over half of all care providers are owner-operators, operating in a single location; however, merger activity is on ...

External Environment

Understand the demographic, economic and regulatory factors that shape how businesses in an industry perform.   

Analyst insights

Adult day care is moderately regulated at both the state and federal levels. Like the rest of the healthcare industry, adult day care providers must obtain proper certificati...

In this chapter

  • External Drivers
  • Regulation & Policy
  • Assistance

Key metrics

  • Regulation & policy level and trend
  • Assistance level and trend

Charts

  • Regulation & Policy historical data and forecast (2015-2030) 
  • Assistance historical data and forecast (2015-2030) 

Detailed analysis

  • Demographic and macroeconomic factors influencing the industry, including Regulation & Policy and Assistance
  • Major types of regulations, regulatory bodies, industry standards or specific regulations impacting requirements for industry operators
  • Key governmental and non-governmental groups or policies that may provide some relief for industry operators.

Financial Benchmarks

View average costs for industry operators and compare financial data against an industry's financial benchmarks over time. 

Analyst insights

Wage costs consume over half of providers' revenue. Adult day care providers must hire specially trained and qualified staff for day-to-day operations and maintain a low staf...

In this chapter

  • Cost Structure
  • Financial Ratios
  • Key Ratios

Key metrics

  • Profit margin, and how it compares to the sector-wide margin
  • Average wages, and how it compares to the sector-wide average wage
  • Largest cost component as a percentage of revenue
  • Industry average ratios for days' receivables, industry coverage and debt-to-net-worth ratio

Charts

  • Average industry operating costs as a share of revenue, including purchases, wages, depreciation, utilities, rent, other costs and profit in 2025
  • Average sector operating costs as a share of revenue, including purchases, wages, depreciation, utilities, rent, other costs and profit in 2025
  • Investment vs. share of economy

Data tables

  • Industry Multiples (2018-2023)
  • Industry Tax Structure (2018-2023)
  • Income Statement (2018-2023)
  • Balance Sheet (2018-2023)
  • Liquidity Ratios (2018-2023)
  • Coverage Ratios (2018-2023)
  • Leverage Ratios  (2018-2023)
  • Operating Ratios (2018-2023)
  • Cash Flow & Debt Service Ratios (2015-2030)
  • Revenue per Employee (2015-2030)
  • Revenue per Enterprise (2015-2030)
  • Employees per Establishment (2015-2030)
  • Employees per Enterprise (2015-2030)
  • Average Wage (2015-2030)
  • Wages/Revenue (2015-2030)
  • Establishments per Enterprise (2015-2030)
  • IVA/Revenue (2015-2030)
  • Imports/Demand (2015-2030)
  • Exports/Revenue (2015-2030)

Detailed analysis

  • Trends in the cost component for industry operators and their impact on industry costs and profitability 

Key Statistics

Industry Data

Data Tables

Including values and annual change:

  • Revenue (2015-2030)
  • IVA (2015-2030)
  • Establishments (2015-2030)
  • Enterprises (2015-2030)
  • Employment (2015-2030)
  • Exports (2015-2030)
  • Imports (2015-2030)
  • Wages (2015-2030)

Top Questions Answered

Unlock comprehensive answers and precise data upon purchase. View purchase options.

What is the market size of the Adult Day Care industry in the United States in 2025?

The market size of the Adult Day Care industry in the United States is $7.6bn in 2025.

How many businesses are there in the Adult Day Care industry in the United States in 2025?

There are 18,376 businesses in the Adult Day Care industry in the United States, which has grown at a CAGR of 0.6 % between 2020 and 2025.

How may import tariffs affect the Adult Day Care industry in the United States?

The Adult Day Care industry in the United States is unlikely to be materially impacted by import tariffs with imports accounting for a low share of industry revenue.

How may export tariffs affect the Adult Day Care industry in the United States?

The Adult Day Care industry in the United States is unlikely to be materially impacted by export tariffs with exports accounting for a low share of industry revenue.

Has the Adult Day Care industry in the United States grown or declined over the past 5 years?

The market size of the Adult Day Care industry in the United States has been growing at a CAGR of 1.5 % between 2020 and 2025.

What is the forecast growth of the Adult Day Care industry in the United States over the next 5 years?

Over the next five years, the Adult Day Care industry in the United States is expected to grow.

What does the Adult Day Care industry in the United States include?

Care-planning services and Daily living assistance are part of the Adult Day Care industry in the United States.

How competitive is the Adult Day Care industry in the United States?

The level of competition is moderate and increasing in the Adult Day Care industry in the United States.

Methodology

How are IBISWorld reports created?

IBISWorld has been a leading provider of trusted industry research for over 50 years to the most successful companies worldwide. With offices in Australia, the United States, the United Kingdom, Germany and China, we are proud to have local teams of analysts that conduct research, data analysis and forecasting to produce data-driven industry reports.

Our analysts start with official, verified and publicly available sources of data to build the most accurate picture of each industry. Analysts then leverage their expertise and knowledge of the local markets to synthesize trends into digestible content for IBISWorld readers. Finally, each report is reviewed by one of IBISWorld’s editors, who provide quality assurance to ensure accuracy and readability.

IBISWorld relies on human-verified data and human-written analysis to compile each standard industry report. We do not use generative AI tools to write insights, although members can choose to leverage AI-based tools within the platform to generate additional analysis formats.

What data sources do IBISWorld analysts use?

Each industry report incorporates data and research from government databases, industry-specific sources, industry contacts, and our own proprietary database of statistics and analysis to provide balanced, independent and accurate insights.

Key data sources in the US include: 

  • US Census Bureau
  • US Bureau of Labor Statistics
  • US International Trade Commission

Analysts also use industry specific sources to complement catch-all sources, although their perspective may focus on a particular organization or representative body, rather than a clear overview of all industry operations. However, when balanced against other perspectives, industry-specific sources provide insights into industry trends.

These sources include:

  • Industry and trade associations
  • Industry federations or regulators
  • Major industry players annual or quarterly filings

Finally, IBISWorld’s global data scientists maintain a proprietary database of macroeconomic and demand drivers, which our analysts use to help inform industry data and trends. They also maintain a database of statistics and analysis on thousands of industries, which has been built over our more than 50-year history and offers comprehensive insights into long-term trends.

How does IBISWorld forecast its data?

IBISWorld’s analysts and data scientists use the sources above to create forecasts for our proprietary datasets and industry statistics. Depending on the dataset, they may use regression analysis, multivariate analysis, time-series analysis or exponential smoothing techniques to project future data for the industry or driver. Additionally, analysts will leverage their local knowledge of industry operating and regulatory conditions to impart their best judgment on the forecast model.

IBISWorld prides itself on being a trusted, independent source of data, with over 50 years of experience building and maintaining rich datasets and forecasting tools. We are proud to be the keystone source of industry information for thousands of companies across the world.

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