How much does a Medical Alert Monitoring Dealer cost to buy?

A typical Medical Alert Monitoring Dealer sells for 2.5x to 6x seller's discretionary earnings. With estimated SDE of $144K, expect to pay roughly $360K to $864K before adjustments for assets, debt, growth, and local market quality.

How much does it cost to start a Medical Alert Monitoring Dealer?

Startup costs range from $20K to $150K depending on location, equipment, and scale.

Service

Medical Alert Monitoring Dealer

Tiny senior-safety subscriptions that renew every month

Bottom line

Worth studying, but do not buy without strong local proof.

Medical alert monitoring dealers sell or lease personal emergency response systems to seniors and at-risk patients, then earn recurring monthly revenue from monitoring plans. The odd part: the local dealer may never run the call center — they own customer acquisition, installs, family trust, and billing while a wholesale monitoring partner handles 24/7 response.

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Acquisition score

Margin · multiple · SBA data

55Strong

Avg revenue

$450K/yr

$120K–$1.5M range

Profit margin

32%

~$144K SDE

Multiple

2.5–6×

of SDE

Est. buy price

$360K–$864K

startup: $20K–$150K

How It Works

The dealer markets through home-care agencies, senior centers, discharge planners, pharmacies, and local ads, then installs pendant, fall-detection, or cellular medical alert devices. Customers pay monthly monitoring fees. Revenue comes from device leases, activation fees, monthly monitoring margin, add-on fall detection, GPS units, and referrals from home-care partners.

BizBite verdict

Watch / verify

Medical Alert Monitoring Dealer has enough high-level data for a first look, but BizBite has not assigned a category-specific operating model yet. Treat the score as preliminary.

55Strong

low data confidence · 40/100medium financing fit

Why it may work

+Attractive 32% estimated margin profile

Be careful

!Source link status has not been verified yet
!No last-checked date yet
!No SBA category enrichment yet
!No category operating model yet
!Low data confidence

Deal Calculator

Priced off $144K SDE — can this deal service its own debt?

1.72×

DSCR · Lender-comfortable

Purchase multiple — 4.0× SDE ($575K)

Category range: 2.5×–6× SDE

Down payment — 10% ($58K)

SBA minimum equity injection is 10% for change-of-ownership

Interest rate — 10.50%

Typical SBA 7(a) range: 9.5–12% (prime-based)

Loan term — 10 years

Standard SBA 7(a): 10 years for business acquisition

Purchase price

$575K

4.0× of $144K SDE

Cash to close

$75K

$58K down + ~3% closing

Debt service

$7K/mo

$84K/yr on $518K loan

Cash-on-cash

81%

cash back in ~15 mo

Debt service coverage · what the lender sees

1.72×+$5K/mo after debt

Most SBA lenders want ≥1.25× coverage; 1.5×+ is a strong file.

SDE = revenue × margin estimate for this niche; it includes owner compensation, so budget your salary out of cash flow. Excludes working-capital injection, capex reserves, and taxes. Actual SBA terms vary by lender and borrower.

Pros

+Recurring monthly revenue can compound with low physical inventory
+Aging-in-place trend supports long-term demand
+Partnerships with home care, pharmacies, and elder-law firms can produce referrals
+Wholesale monitoring lets small dealers avoid building a 24/7 call center

Cons

-Churn can spike when customers move to assisted living or pass away
-Trust, support, and family communication matter more than hardware
-Competitive national brands pressure pricing and ad costs

Best For

Local healthcare, home-care, pharmacy, or safety operators who can acquire senior customers cheaply and retain them with responsive support

Operating Costs

Costs include devices, cellular fees, wholesale monitoring, installers, customer support, replacement units, local marketing, and referral partnerships. Profitability depends on customer acquisition cost, monthly monitoring spread, churn, and whether devices are sold upfront or leased.