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Franchisor Intelligence / Nurse Next Door
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Nurse Next Door

emergingfranchising since 2010

Nurse Next Door is a home care franchise system, with 71 locations, and it ended last year smaller than it started. Owners pay a 5.0% royalty on gross sales. — HomecareHQ analysis of its 2026 filing.

Read the 2026 FDD ↗Compare with another system →

What stands out

HomecareHQ analysis of 23 home care franchise systems' 2026 disclosure documents.

How Nurse Next Door compares

Differs from typical
  • Transfer rate8.2%
    higher than most
  • New-franchise fee share36.6%
    above typical
  • All-in fee load at $1M6.7%
    below typical

Growth, against 7 other smaller systems

Net unit growth
HomeCare Advocacy Network: −41.7%Nurse Next Door: −2.7%Visiting Angels: +0.4%Home Instead: +1.1%Right at Home: +5.0%BrightStar Care: +6.2%Comfort Keepers: +7.1%Griswold: +8.8%ComForCare: +9.3%Senior Helpers: +11.0%HomeWell Care Services: +11.7%Homewatch CareGivers: +12.6%SYNERGY HomeCare: +13.8%Assisting Hands Home Care: +14.9%FirstLight Home Care: +17.2%Seniors Helping Seniors: +24.4%CareBuilders at Home: +27.3%Amada Senior Care: +33.2%A Place At Home: +38.9%Hallmark Homecare: +63.9%One You Love Homecare: +71.4%Home Matters Caregiving: +93.8%Executive Home Care: +276.2%
−2.7%
lower than most
Exit rate
CareBuilders at Home: 0.0%Home Matters Caregiving: 0.0%Right at Home: 0.4%Comfort Keepers: 0.7%Home Instead: 1.6%Visiting Angels: 1.7%FirstLight Home Care: 2.0%ComForCare: 2.4%Senior Helpers: 2.8%BrightStar Care: 2.9%Griswold: 3.3%Assisting Hands Home Care: 3.5%SYNERGY HomeCare: 4.7%A Place At Home: 5.6%Homewatch CareGivers: 5.6%Seniors Helping Seniors: 5.6%One You Love Homecare: 7.1%Amada Senior Care: 9.2%Executive Home Care: 9.5%HomeWell Care Services: 12.2%Nurse Next Door: 16.4%Hallmark Homecare: 25.0%HomeCare Advocacy Network: 50.0%
16.4%
above typical

Growth and fees, across every system that discloses the measure

Three-year unit growth
Visiting Angels: +1.7%Home Instead: +2.0%BrightStar Care: +14.1%Right at Home: +14.1%Comfort Keepers: +15.7%Homewatch CareGivers: +17.1%Griswold: +21.5%ComForCare: +24.3%Senior Helpers: +25.5%FirstLight Home Care: +30.1%Assisting Hands Home Care: +36.5%SYNERGY HomeCare: +37.9%Nurse Next Door: +42.0%Amada Senior Care: +63.1%HomeWell Care Services: +63.4%One You Love Homecare: +71.4%CareBuilders at Home: +75.0%Seniors Helping Seniors: +85.1%A Place At Home: +163.2%Executive Home Care: +338.9%
+42.0%
near typical
Effective royalty at $1M
Visiting Angels: 3.5%Amada Senior Care: 5.0%Assisting Hands Home Care: 5.0%ComForCare: 5.0%Comfort Keepers: 5.0%FirstLight Home Care: 5.0%Griswold: 5.0%Home Instead: 5.0%Homewatch CareGivers: 5.0%Nurse Next Door: 5.0%One You Love Homecare: 5.0%Right at Home: 5.0%Senior Helpers: 5.0%SYNERGY HomeCare: 5.0%BrightStar Care: 5.3%Seniors Helping Seniors: 5.4%A Place At Home: 5.5%Executive Home Care: 6.0%Hallmark Homecare: 6.0%Home Matters Caregiving: 6.0%HomeWell Care Services: 6.0%HomeCare Advocacy Network: 7.0%CareBuilders at Home: 9.0%
5.0%
near typical
All-in fee load at $1M
Visiting Angels: 6.0%ComForCare: 6.1%One You Love Homecare: 6.2%FirstLight Home Care: 6.2%Amada Senior Care: 6.4%Seniors Helping Seniors: 6.4%Nurse Next Door: 6.7%Comfort Keepers: 7.0%Right at Home: 7.2%Homewatch CareGivers: 7.3%Hallmark Homecare: 7.3%Home Matters Caregiving: 7.3%SYNERGY HomeCare: 7.5%Senior Helpers: 7.6%Home Instead: 7.6%A Place At Home: 7.7%BrightStar Care: 8.1%Executive Home Care: 8.2%Assisting Hands Home Care: 10.0%CareBuilders at Home: 10.0%
6.7%
below typical

Economics, against 12 franchisors reporting their own books

Royalty share of revenue
Hallmark Homecare: 18.3%Home Matters Caregiving: 43.0%Amada Senior Care: 50.0%Visiting Angels: 53.0%Nurse Next Door: 57.6%SYNERGY HomeCare: 60.6%BrightStar Care: 64.4%Seniors Helping Seniors: 66.9%HomeCare Advocacy Network: 70.5%Senior Helpers: 72.4%Assisting Hands Home Care: 72.7%HomeWell Care Services: 75.2%
57.6%
near typical

The typical home care franchise: 5.0% royalty rate, $52K initial franchise fee, +12.6% net unit growth. See what’s typical →

Explore this system

How it performs

How it's designed

Questions this data answers

Ask HQ uses these same benchmarks to answer questions about your own agency’s growth, fees and margins. See how it works →

The basics

Royalty
5.0%on gross salesSource ↗
Brand fund
1.0%Source ↗
Initial franchise fee
$72KSource ↗
Cost to open, from
$119KSource ↗
Technology fee
$600/moSource ↗
Agreement term
5 yearsSource ↗
Franchised locations
71at the end of 2025Source ↗
Standard territory
about 9,000p. 44 ↗
Legal entity
Nurse Next Door Home Healthcare Services (USA) Inc.
Franchising since
2010p. 7 ↗
Filing read
2026 disclosure document
›Key statistics to cite
  • Nurse Next Door added −2.7% to its franchised locations last year (HomecareHQ analysis of its 2026 filing).
  • Nurse Next Door grew its franchised locations +42.0% over three years (HomecareHQ analysis of its 2026 filing).
  • Nurse Next Door lost 16.4% of its franchised locations last year (HomecareHQ analysis of its 2026 filing).
  • Nurse Next Door has 53 franchises sold and not yet open (HomecareHQ analysis of its 2026 filing).
  • Nurse Next Door ended the year with 71 franchised locations (HomecareHQ analysis of its 2026 filing).
  • Nurse Next Door saw 8.2% of its locations change hands (HomecareHQ analysis of its 2026 filing).
  • Nurse Next Door draws 57.6% of its revenue from royalties (HomecareHQ analysis of its 2026 filing).
  • Nurse Next Door draws 36.6% of its revenue from selling new franchises (HomecareHQ analysis of its 2026 filing).
  • Nurse Next Door grew its royalty income +2.2% (HomecareHQ analysis of its 2026 filing).
  • Nurse Next Door spells out 8 of the basic facts behind its revenue figures (HomecareHQ analysis of its 2026 filing).
  • Nurse Next Door charges a 5.0% royalty (HomecareHQ analysis of its 2026 filing).
  • Nurse Next Door collects 5.0% on a million dollars of sales (HomecareHQ analysis of its 2026 filing).
  • Nurse Next Door takes 6.7% of a million dollars of sales each year (HomecareHQ analysis of its 2026 filing).
  • Nurse Next Door charges $72K to buy the franchise (HomecareHQ analysis of its 2026 filing).
  • Nurse Next Door asks 1.0% of sales for the brand fund (HomecareHQ analysis of its 2026 filing).
  • Nurse Next Door charges $600/mo for technology (HomecareHQ analysis of its 2026 filing).
  • Nurse Next Door bills $3K/mo a month whatever the business earns (HomecareHQ analysis of its 2026 filing).
  • Nurse Next Door puts the cost of opening at $119K and up (HomecareHQ analysis of its 2026 filing).
  • Nurse Next Door gives new owners 33 hours of classroom training (HomecareHQ analysis of its 2026 filing).
  • Nurse Next Door adds 6 hours of on-the-job training (HomecareHQ analysis of its 2026 filing).
  • Nurse Next Door runs its agreement for 5 years (HomecareHQ analysis of its 2026 filing).
  • Nurse Next Door gives an owner a territory of about 9,000 residents aged 65 and over (HomecareHQ analysis of its 2026 filing).
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Executive Home Care →
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59 locations, and the same stage — the closest comparison this field has.
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