Running an assisted living facility successfully means carefully balancing high-quality resident care with controlling costs, managing staff effectively, and following many regulations. Recently, a new economic challenge has emerged: the "Reciprocal Tariff Policy," instituted by the Trump administration through executive order in April 2025. This policy places additional fees (tariffs) on imported goods entering the United States, which may significantly increase the cost of essential items used in your assisted living facility, including medical supplies, food, furniture, and equipment.

If you own or operate an assisted living community, you need to fully understand this policy and how it could affect your business finances, care quality, and overall stability.

Failing to pay attention could cause unexpected overspending, shortages of important products, strained supplier relationships, and tighter profit margins. This could negatively affect the quality of resident care. This guide will clearly explain what you need to know:

• What the Reciprocal Tariff Policy is and how it specifically impacts assisted living businesses.

• Which specific products and supplies used in assisted living are likely to cost more.

• Why assisted living businesses face a unique risk because of how their purchasing and pricing structures work.

• Ways these cost increases can affect your operating expenses, budgets, cash flow, and overall business value.

• Practical steps you can take immediately to manage and reduce the risks.

What is the Reciprocal Tariff Policy and How Could It Affect Assisted Living?

This policy adds new taxes (tariffs) to a wide range of imported products. Understanding this helps show how your business could face increased expenses.

Key points about how the tariffs work:

• Baseline Tariff (Starting April 5, 2025): Adds a 10% tariff to most imported goods from many countries unless a specific exemption or special rate applies.

• Country-Specific Tariffs (Beginning April 9, 2025): Goods imported from certain listed countries will face even higher tariffs.

Examples of Relevant Tariff Increases for Assisted Living:

Be especially careful if your main suppliers provide products from these regions:

(These rates typically combine with other duties already in place.)

Specific Exemptions and Important Details to Know:

• Existing Tariffs: Previous tariffs generally remain separate and can overlap, complicating exact rates you might pay.

• USMCA Agreement: Imports from Canada and Mexico are often exempt, especially helpful for many food products.

• Special Product Exemptions: There might be limited exemptions (listed in Annex II of the policy). It's important to check closely if critical supplies for your facility are exempt, though general categories (like PPE or furniture) likely are not.

• U.S. Content Rules: If imported products have at least 20% U.S.-made parts or labor, tariffs only apply to the imported portion.

• Low-Value Shipments (under $800): Small items under this value typically won’t face tariffs. However, this usually does not apply to bulk orders.

• Medical Exemptions: Broad exemptions for medical supplies are not guaranteed unless specifically mentioned. Assume tariffs apply unless otherwise clearly stated.

Why Are Assisted Living Facilities Especially Vulnerable?

Assisted living facilities face unique risk because of their supply chain structure, reliance on imported goods, and limited pricing flexibility:

Dependence on Imported Supplies:

• Medical Supplies: Gloves, masks, gowns, medical equipment, walkers, wheelchairs—usually from Asia.

• Food Supplies: Ingredients, preservatives, processed foods, and packaging materials frequently involve imports.

• Furniture and Textiles: Beds, chairs, linens, and uniforms often manufactured in China and Vietnam.

• Cleaning Supplies: Paper products, cleaning chemicals, and disposable materials typically have global origins.

• Equipment and Maintenance: Appliances and electronics—including nurse call systems and monitoring devices—often contain imported parts.

Complex Supply Chain:

• Assisted living typically purchases goods through distributors or GPOs (Group Purchasing Organizations). These middlemen import goods and inevitably pass along tariff-related costs to facilities.

• It is often difficult to track the original country of origin for each product component.

Limited Ability to Raise Prices Quickly:

• Monthly fees are often fixed in advance through resident agreements. Sudden large fee increases may upset residents and hurt occupancy rates.

• Regulations or market competition may limit how much or how quickly fees can increase.

• Businesses often cannot absorb large cost increases due to already-tight profit margins.

Potential Negative Effects on Your Facility:

• Increased Operating Expenses: Higher costs for supplies directly shrink your profit margin and financial resources.

• Supply Shortages and Quality Issues: Tariffs can disrupt supply chains, delay deliveries, and create shortages. Suppliers may substitute lower-quality products to lower expenses.

• Budget Challenges: Difficulty predicting future costs makes accurate budgeting very difficult, potentially forcing tough decisions about staffing or resident services.

• Impact on Care Quality: Economic strain may force you to reduce spending on critical staffing or resident programs and amenities.

• Lower Business Valuation: Increased financial pressure may weaken your business’ value, especially if profitability declines significantly.

Recommended Steps for Facility Owners to Manage the Tariff Impact:

1. Assess and Communicate:

   • Contact suppliers now to learn what products will face increased costs.

   • Identify your facility’s most critical supplies and evaluate the potential price increases.

2. Budget Carefully:

   • Calculate how expected cost increases will affect your facility’s operating budgets.

   • Update budgets and financial forecasts accordingly.

3. Explore Alternatives:

   • Research products with less tariff exposure (items made domestically or imported from exempt countries).

   • Clearly evaluate alternatives based on product quality, care standards, and resident acceptance.

4. Review Resident Contracts and Fees:

   • Know your resident contract terms around fee adjustments.

   • Plan ahead to communicate clearly and responsibly about fee increases if required.

5. Improve Efficiency and Reduce Waste:

   • Look closely at how your facility uses supplies to minimize waste (food portions, inventory management, equipment maintenance).

   • Ensure efficient staffing and workflows.

6. Stay Updated and Advocate:

   • Join your industry associations (such as Argentum or NCAL) that advocate on economic and regulatory issues.

   • Keep informed about tariff policy changes.

Summary: Navigating New Challenges While Ensuring Quality Care

The 2025 Reciprocal Tariff Policy creates new economic pressures specifically challenging to assisted living operators, affecting many essential supplies and operational areas. To successfully navigate this challenge, facility owners must proactively clarify supply chain exposure, carefully budget for higher costs, evaluate alternative solutions, communicate transparently with residents, optimize operations, and stay informed through industry partnerships.

Taking these careful, planned steps allows you to mitigate the negative impacts and keeps your business stable while maintaining quality care in a changing economic environment. Discuss these strategies further with your financial advisor and management team to protect your facility’s long-term success.