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
Franchises · Non Medical Franchises
View FDD (2025) · Revenue Data Included
Our Take
Nurse Next Door is early-stage or low-data. Proceed carefully.
Canada-based non-medical and skilled nursing franchise. 71 US territories. Skilled nursing differentiator. System shrinking after 2023 growth peak. $771K top first-year performer.
This is the single most important question. The data below comes directly from the franchise's legally required disclosure document (FDD Item 19).
The typical franchisee earns $373K/year in gross revenue. The top performer at $2.1M pulls the average up, so plan for the median, not the mean.
This is moderate compared to established home care franchises, which typically have $500K+ median revenue.
Average Revenue
$526K
Median Revenue
$373K
More reliable benchmark
Top Performer
$2.1M
Bottom Performer
Not disclosed
Why this matters for you:
Patience pays off: mature franchises earn 4.2x more than newer ones. Expect $139K in early years, growing to $621K as you build your client base.
This matters because new franchisees should expect year 1-2 revenue to be much lower than the system average. Plan your cash runway accordingly.
Estimated using industry benchmark margins (no P&L disclosed by this franchise)
At median franchise revenue ($373K), the estimated owner take-home is roughly $69K/year — including a $50K owner salary.
A modest return. You may earn more than a salary, but the margin is thin in early years.
Revenue is not profit. This table translates gross revenue into estimated owner take-home using industry benchmark margins. The highlighted row is closest to the median revenue ($373K).
| Revenue | Gross Profit | Est. Net | Owner Take-Home |
|---|---|---|---|
| $250K | $105K | $13K | $63K |
| $373KMEDIAN | $157K | $19K | $69K |
| $500K | $210K | $25K | $75K |
| $750K | $315K | $38K | $88K |
| $1.0M | $420K | $51K | $101K |
| $1.5M | $630K | $76K | $126K |
Gross margin: 42% | Est. overhead: 20% | Franchise fees: 17% | Owner salary: $50K added
Margins estimated from industry benchmarks. Your results will depend on market, management, and tenure.
Outlet count, growth trajectory, and churn — signals of system health
The system is shrinking — more outlets are closing than opening. This is a significant warning signal.
A shrinking system may struggle to maintain brand presence, negotiate with vendors, or attract quality caregivers. Investigate thoroughly before investing.
What this means for you:
Upfront investment, ongoing fees, and minimum performance requirements
What it costs to get in and what you pay ongoing.
Combined royalty + ad fund is 6% of gross revenue — below average, leaving you with more of each dollar earned.
These recurring fees come off the top of your revenue every month, regardless of profitability.
These fees are deducted before you see any profit. At $500K revenue with 6% combined fees, that's $30K/year going to the franchisor — before you pay rent, staff, or yourself.
Complexity, risk scoring, and key signals to watch
More watch items than strengths — pay extra attention to the risk factors below. (4 strengths, 5 watch items)
Median revenue per location vs. total system size across 20 home care franchises
Each dot is one franchise system. Revenue is median gross sales per location from the most recent FDD.Blue dot = this franchise.
What it takes to operate, grow, and stay compliant inside the system.
Right at Home
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
Synergy HomeCare
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
Comfort Keepers
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
CareBuilders at Home
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.
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