Compare 77+ home care franchise opportunities side by side. Every profile is built from the franchisor's most recent FDD — investment, royalty, system size, median revenue, and risk factors — so you can shortlist brands without reading 200-page disclosure documents.
77 brands · FDD data 2024-2025

One of the largest US home care franchises — 539 outlets, lowest royalty in category (3-3.5%), founder-owned, 26+ years

The world's largest non-medical home care franchise — 1,243 global locations, $2.6M average revenue, 30 years of franchising, backed by Honor Technology's Care Platform

4th-largest non-medical home care franchise — 508 franchised offices, $1.56M average net billings, 24 years of franchising, Specialized Nursing Services option, backed by Investors Management Corporation

Growing non-medical home care franchise specializing in Alzheimer's and dementia care — 367 outlets, $1.69M average revenue (mature), PE-backed by Waud Capital Partners, 20 years franchising

3rd-largest non-medical home care franchise — 624 outlets, $1.28M average revenue, Private Duty Nursing option, PE-backed by The Halifax Group, 26 years of franchising

Premium non-medical AND medical home care franchise — 427 outlets, Joint Commission Accredited, $2.41M average revenue, skilled nursing + staffing + companion care, 20 years franchising
One of the oldest home healthcare franchises (since 1966) — 226 territories, medical + non-medical services, supplemental staffing, hospice, medical equipment, $1.66M average revenue

Mid-large non-medical home care franchise with medical alert, telehealth monitoring, and optional skilled care — 344 outlets, top 50 avg $4.35M, 20+ years franchising

Hybrid home care franchise with non-medical, optional skilled nursing, and B2B staffing revenue streams
Non-medical home care franchise with the most diversified payer mix (56% non-private-pay) and optional Private Duty Nursing pathway
PE-backed home care franchise (Authority Brands / Apax Partners) — 224 territories, 5% royalty, $50K franchise fee, detailed Item 19 with mature franchisee breakouts

Fast-growing franchise with unique "seniors helping seniors" model — 224 units, explosive growth (+89 in 2 years), medical and non-medical care, exceptionally detailed Item 19

Non-medical & medical home care franchise — 207 outlets, graduated royalty (4-5%), $55K franchise fee, Area Representative support model
Growing non-medical home care franchise with senior placement, LTC insurance coordination, and optional skilled nursing — 200 outlets, $1.61M average revenue, +15% YoY growth

Lightest fee structure in home care (4% royalty, 6.9% total) with 49.9% disclosed gross margin — but $4.2M contingent liability and franchisor net losses

Placement + eldercare consulting. Certified Senior Advisor training. Dual revenue streams.

Canada-based home care franchise offering both non-medical and skilled nursing in the US — 71 territories, skilled nursing differentiator, system shrinking after 2023 growth peak

Founder-owned home care franchise with full P&L disclosure but state-mandated financial warning — DO NOT PROCEED recommendation

Unique home care franchise — franchisor is employer of record for all caregivers. 28 outlets, $1.91M avg revenue, 35% gross margin, 9% royalty. Backed by ATC Healthcare ($142M revenue). Growing 75% in 3 years.

Non-medical home care franchise with $2M affiliate P&L disclosure, tiered pricing from $60K, 47% gross margin, and strong California market presence
Small but growing Philadelphia-based home care franchise with 5-year affiliate P&L disclosure — 25 territories, 17 locations, formerly "Parents First Homecare"


Area Representative franchise for non-medical home care — $195K AR fee includes up to 4 unit franchises, 50% royalty/IFF share, very early stage

Very small non-medical home care franchise (~2 outlets) based in Maryland
LA-based since 1991. Franchise since 2016. Southern CA roots. Diverse caregiver base.


Very low total investment ($49K-$85K) from Tampa with 100+ locations.
Newer entrant. Aging-in-place brand positioning. Growing.

Lowest total investment among major brands ($72K-$144K) with senior placement services.

Company-owned. Top 3 home health provider. Acquired by UnitedHealth/Optum. 500+ locations. Included for comparison.
Newer franchise. Lower investment. Community-focused model.

120+ offices. Home-based business model. Low overhead. National referral network.
Newest/smallest entry. Very low investment ($55K-$95K). Micro-territory model.
Newer franchise. Very low investment. Comprehensive training. Growing.


Newer franchise. Larger territories. Growing. Lower entry cost.

Senior living placement franchise with 215 territories — full P&L disclosure, three pricing tiers, PE-backed by Riverside Company

Senior relocation, estate sales, and downsizing — NOT placement but cross-referral goldmine.

DementiaWise certified franchise with $1.9M average gross sales under Best Life Brands.
Very new franchise. Lowest entry point ($45K-$85K). Growing.


Newer franchise. Very low entry cost. Small but growing.
NJ-based. Non-medical + skilled nursing. Full spectrum of home care.

REFERRAL agency model (not employer). Direct-hire placement. Lower overhead. 25 locations. Unique model.
Non-medical home care franchise with companion care, geriatric advocacy, and medication management — 19 locations, rapid growth
Innovative $0 franchise fee option with 10% royalty alternative path.
Lower investment franchise. Growing. Community-focused model.
Newest franchise. Low entry cost ($35K fee). Larger territories. Growing.


Company-owned. SF. Nurse placement + registry. Skilled + non-medical. Included for comparison.
Senior living placement advising with lower investment and growing network.
Newer franchise entrant. Growing network. Community-focused.

Mid-size non-medical home care franchise with $1.3M average annual revenue and WellSky-verified performance data


Canadian-origin. 360° approach to care. Medical + non-medical. Growing US presence.

Not a franchise — marketing agency for senior living. Included for competitive context.
Low investment ($59K-$99K). Growing network. 15+ locations.
Local advertising & directory franchise for senior care providers — print guides + digital listings

One of the largest and fastest-growing non-medical home care franchises — 626 units, 49% gross profit margin disclosed, 38% growth in 3 years, PE-backed by Levine Leichtman Capital Partners
Colorado-based home care franchise offering non-medical home care and senior living placement — company-owned outlets in Denver and Milwaukee, GAAP-basis financial data, large territories

Company-owned, NOT franchise. Private duty + skilled. Luxury positioning. Acquired by affiliates of CD&R. Included for comparison.

Lowest total investment franchise ($49K-$79K) focused on companionship care.
Part of Trinity Health system. Home health + hospice. Catholic nonprofit. MI-based.
NOT home care — home maintenance/handyman for seniors. Complementary service. Cross-referral with HC agencies.

Our franchise profitability calculator models every brand against your target take-home, using FDD-disclosed Item 19 revenue distributions instead of marketing-deck averages.
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