Non-medical home care, medical/skilled, senior placement, and specialty franchise opportunities — with FDD-sourced economics.
What Are My Odds of Making Money?
Compare profit probability, investment, and ROI across 3 franchises
Home care franchise with in-home care, care coordination, staffing, and senior living placement.
Probability that a franchisee exceeds each take-home threshold, based on FDD Item 19 data across 3 franchises.
How do we calculate these numbers?
Read our tiered probability methodology — distribution data, lognormal fitting, and data quality tiers explained.
Buying a home care franchise is a different decision than starting an independent agency. You exchange initial capital and ongoing royalties for a known brand, an operating playbook, recruiting and marketing support, and (usually) a protected territory. The trade is worth it for first-time operators in markets where brand recognition meaningfully shortens the path to revenue, and it's worth less for experienced operators with their own systems.
Home care franchising splits into four sub-categories. Non-medical (Visiting Angels, Home Instead, Right at Home, Comfort Keepers, BrightStar, Senior Helpers, FirstLight, Griswold) is the largest segment by unit count — companion and personal care, mostly private-pay or long-term-care insurance, with average franchisee revenue spanning roughly $400K–$3M depending on tenure and territory. Medical/skilled (Interim HealthCare, Bayada-affiliated brands, BrightStar Care's medical branch) layers Medicare-certified home health onto the same franchisee, materially raising the regulatory bar but unlocking higher per-visit reimbursement. Senior placement (CarePatrol, Senior Care Authority, Assisted Living Locators) is a referral-fee business — lower revenue per unit but 85%+ gross margins, often cash-flow positive in year one. Specialty brands cover pediatric, disability, and veteran-focused care.
Initial investment ranges from ~$50,000 (low-end senior placement) to $250,000+ (full-service medical home care with first-year working capital). Most non-medical brands sit in the $80,000–$150,000 range. Royalties are 4–7% of gross revenue at most brands, with brand-fund contributions of 1–3% on top. Item 19 of each franchisor's Franchise Disclosure Document (FDD) is the only place to see disclosed unit-level financial performance — and it's voluntary. Brands that disclose detailed Item 19 data (CarePatrol, ABS, 1Heart, Griswold) give buyers materially better information than brands that disclose nothing.
What separates profitable franchisees from struggling ones in this dataset: (1) recruiting support — caregivers, not clients, are the binding constraint; (2) protected territory size — territories sized by population over 65 (rather than total population) leave more demand per unit; (3) royalty structure — flat or tiered royalties hurt less than uncapped percentage royalties at scale. See our /franchise-profitability dashboard for FDD-sourced profit-probability comparison across 30+ brands.
Diligence checklist before signing: read the entire FDD (Items 1–23), call 8–10 current and former franchisees yourself (not just the names the franchisor recommends), have a franchise attorney and a CPA familiar with home care review the documents, and confirm in writing that recruiting support, training, and software access are included rather than billed separately at meaningful rates.
