Across 23 systems, home care franchisees opened 787 locations last year and 190 left — a net gain of 597, or +11.0% on the locations they started with. Twenty-one of the 23 grew.
From 23 systems’ 2026 FDDsStatisticsMethod
Every mark is a system. The bands are the stage rule, drawn.
| System | Locations | Three-year growth | Stage |
|---|---|---|---|
| HomeWell Care Services | 201 | +63.4% | scaling system |
| Amada Senior Care | 261 | +63.1% | scaling system |
| Assisting Hands Home Care | 232 | +36.5% | scaling system |
| Seniors Helping Seniors | 224 | +85.1% | scaling system |
| FirstLight Home Care | 238 | +30.1% | scaling system |
| Griswold | 198 | +21.5% | scaling system |
| ComForCare | 271 | +24.3% | scaling system |
| Homewatch CareGivers | 260 | +17.1% | scaling system |
| Senior Helpers | 394 | +25.5% | scaling system |
| BrightStar Care | 396 | +14.1% | scaling system |
| Nurse Next Door | 71 | +42.0% | emerging system |
| SYNERGY HomeCare | 626 | +37.9% | scaling system |
| Right at Home | 566 | +14.1% | scaling system |
| Visiting Angels | 541 | +1.7% | mature system |
| Comfort Keepers | 619 | +15.7% | scaling system |
| Home Instead | 626 | +2.0% | mature system |
| A Place At Home | 50 | +163.2% | emerging system |
| CareBuilders at Home | 28 | +75.0% | early system |
| One You Love Homecare | 24 | +71.4% | early system |
| Executive Home Care | 79 | +338.9% | emerging system |
| Hallmark Homecare | — | Not disclosed | — |
| HomeCare Advocacy Network | — | Not disclosed | — |
| Home Matters Caregiving | — | Not disclosed | — |
Stage is a rule over two numbers, not a judgement: under 30 franchised locations a system is early, because rates move on single openings; at 150 or more it is mature below 5% three-year growth and scaling above it. The bands on the chart are those thresholds, so the rule can be checked against the marks. Size is on a log scale — the field runs from single digits to several hundred locations, and on a straight scale most systems would pile into the left-hand edge.
Not on this chart: Hallmark Homecare (no three-year growth rate in its filing) · HomeCare Advocacy Network (no three-year growth rate in its filing) · Home Matters Caregiving (no three-year growth rate in its filing).
Openings right, exits left, from a shared centre. Sorted by net change.
| System | Opened | Exits | Net | Net growth |
|---|---|---|---|---|
| SYNERGY HomeCare | 102 | 26 | +76 | +13.8% |
| Amada Senior Care | 83 | 18 | +65 | +33.2% |
| Executive Home Care | 60 | 2 | +58 | +276.2% |
| Seniors Helping Seniors | 54 | 10 | +44 | +24.4% |
| Comfort Keepers | 45 | 4 | +41 | +7.1% |
| Senior Helpers | 49 | 10 | +39 | +11.0% |
| FirstLight Home Care | 39 | 4 | +35 | +17.2% |
| Assisting Hands | 37 | 7 | +30 | +14.9% |
| Homewatch CareGivers | 42 | 13 | +29 | +12.6% |
| Right at Home | 29 | 2 | +27 | +5.0% |
| BrightStar Care | 34 | 11 | +23 | +6.2% |
| ComForCare | 29 | 6 | +23 | +9.3% |
| Hallmark Homecare | 32 | 9 | +23 | +63.9% |
| HomeWell Care Services | 43 | 22 | +21 | +11.7% |
| Griswold Home Care | 22 | 6 | +16 | +8.8% |
| Home Matters Caregiving | 15 | 0 | +15 | +93.8% |
| A Place At Home | 16 | 2 | +14 | +38.9% |
| One You Love Home Care | 11 | 1 | +10 | +71.4% |
| Home Instead | 17 | 10 | +7 | +1.1% |
| CareBuilders at Home | 6 | 0 | +6 | +27.3% |
| Visiting Angels | 11 | 9 | +2 | +0.4% |
| Nurse Next Door | 10 | 12 | -2 | −2.7% |
| Homecare Advocacy Network | 1 | 6 | -5 | −41.7% |
Exits count terminations, non-renewals, locations the franchisor bought back, and locations that ceased operating. Systems are grouped by stage: a rule over the location count and the three-year growth rate, not a judgement. Growth rates are not published below ten franchised locations at the start of the year, so the early tab shows counts only.
Scaling systems, sorted by net change.
Exits count terminations, non-renewals, locations the franchisor bought back, and locations that ceased operating. Systems are grouped by stage: a rule over the location count and the three-year growth rate, not a judgement. Growth rates are not published below ten franchised locations at the start of the year, so the early tab shows counts only.
Mature systems, sorted by net change.
Exits count terminations, non-renewals, locations the franchisor bought back, and locations that ceased operating. Systems are grouped by stage: a rule over the location count and the three-year growth rate, not a judgement. Growth rates are not published below ten franchised locations at the start of the year, so the early tab shows counts only.
Emerging systems, sorted by net change.
Exits count terminations, non-renewals, locations the franchisor bought back, and locations that ceased operating. Systems are grouped by stage: a rule over the location count and the three-year growth rate, not a judgement. Growth rates are not published below ten franchised locations at the start of the year, so the early tab shows counts only.
Counts only — these systems are too small for a growth rate to mean much.
Exits count terminations, non-renewals, locations the franchisor bought back, and locations that ceased operating. Systems are grouped by stage: a rule over the location count and the three-year growth rate, not a judgement. Growth rates are not published below ten franchised locations at the start of the year, so the early tab shows counts only.
One system earns more from running care than from franchising it.
Griswold takes $13.6M from agencies it operates itself against $10.3M from royalties, brand fund and franchise fees — a franchisor whose own operations are the larger half of the business.
Which franchisors live on royalties rather than new sales?→Four of the 21 systems that state a base charge their royalty on net billings rather than a gross figure.
The same percentage collects fewer dollars at those systems than at the rest of the field.
What does 5% really collect?→Classroom training for a new owner runs from 13 to 85 hours.
What a system teaches before an owner opens differs by an order of magnitude.
What technology does a system require?→HomecareHQ analysis of the 2026 disclosure documents behind every system on this page.
Whether a system is winning ground, and whether the growth is healthy.
How the company that sells the franchise actually makes its money.
What an owner pays to join, and what they pay every year after.
What corporate provides, and what an owner commits to in return.
Counted from open franchised office addresses, which undercount owners running more than one territory — each state's tooltip carries the systems' own location counts beside the address count.
Source: HomecareHQ analysis of 2026 FDDs and Census ACS
Most disputes in this industry are the franchisor and its owners suing each other, not anything to do with care.
60% of disclosed cases are between a system and its own franchisees — territory, renewal, what was promised at the sale, and what happens when an owner leaves.
Owners bringing claims against the system — territory, renewal, representations made during the sale.
Systems enforcing the agreement — unpaid royalties, terminations, non-competes after an owner leaves.
State or federal agencies: registration, licensing, wage and hour, healthcare rules.
Claims arising from care delivered to a client.
Marks, trade dress and confidential material, usually against former owners or competitors.
Claims by employees of the franchisor or of an owner's business.
Ordinary business disputes with suppliers and landlords.
The middle system on each measure. This is the baseline every brand page is read against — here is normal, and a brand page tells you where a system departs from it.
Every system side by side → sorts and filters the whole field on any measure.
One email when something in this data moves — a system that changed its royalty base, a growth number that turned over, a new filing worth reading.
Tracking the whole field for a franchisor team? Talk to us.