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Senior Care · 123 Brands
Senior Care franchises typically require $118K–$258K to open (median $190K), charge a median 6% royalty, and we track 123 brands with FDD data; 98 of them disclose Item 19 earnings. Every figure comes from each brand's Franchise Disclosure Document: Item 7 for the investment range, Item 6 for royalties, and Item 19 for earnings. Compare the leading brands side by side in the table below before you shortlist.
Considering buying an elder care franchise? Start with the cost. Non-medical home care franchises are among the more accessible service concepts, often opening for well under $150K, while medical home health and larger senior-services brands can run $500K or more. Browse FDDs across home care, companion care, senior placement, and in-home health brands to compare senior care franchise opportunities on real numbers rather than home care franchise reviews alone. With roughly 10,000 Americans turning 65 every day, demand is rarely the question; filter for the brands that disclose Item 19, then judge each on billable-hour revenue, franchise fee, and royalty.
Franchises
123
Avg Investment
$188K–$425K
Avg Royalty
6%
Item 19
80%
12 senior care brands ranked by total units in their latest FDD (Item 20). Investment is the Item 7 range; fee and royalty come from Items 5 and 6.
| Brand | Investment | Franchise fee | Royalty | Units | Item 19 |
|---|---|---|---|---|---|
| Health Mart | $2K–$834K | N/A | N/A | 3,907 | No |
| Good Neighbor Pharmacy | $44K–$575K | N/A | N/A | 2,204 | Yes |
| Miracle-Ear | $120K–$403K | $50K | N/A | 1,183 | Yes |
| Home Instead | $93K–$351K | $54K | 5% | 626 | Yes |
| Synergy Homecare | $80K–$164K | $55K | 5% | 626 | Yes |
| Comfort Keepers | $120K–$191K | $55K | 5% | 619 | No |
| Right at Home | $94K–$176K | $50K | 5% | 566 | Yes |
| Visiting Angels | $125K–$171K | $65K | 3.5%; 3.25% after… | 541 | Yes |
| BrightStar Care | $103K–$220K | $50K | 5.25% to 6.25% | 396 | Yes |
| Senior Helpers | $177K–$232K | $55K | 5.0% | 394 | Yes |
| Gameday Men's Health | $225K–$421K | $50K | 6% or Minimum Royalty | 380 | No |
| H.h. | $121K–$175K | $50K | 6% | 362 | Yes |
Editor's shortlist. The table ranks by the numbers alone. For our editors' picks, with the trade-offs and FDD footnotes behind each one, read Best Home Care Franchises, Ranked by Revenue per Dollar Invested.
Search, filter, and compare every senior care franchise we've analyzed. Select up to four to compare side by side.
| Brand | Item 19 | Fee | Investment | Royalty | Units | |
|---|---|---|---|---|---|---|
| 1 + 1 CaresSenior Care· Est. 2024 | None | $40K | $73K - $124K | 6% | — | |
| 1Heart Caregiver ServicesSenior Care· Est. 2014 | Disclosed | $60K | $127K - $156K | 5% | 33 | |
| 2nd FamilySenior Care· Est. 2017 | Disclosed | $60K | $120K - $218K | 5.5% | 24 | |
| 986 PharmacySenior Care· Est. 2014 | None | $75K | $280K - $671K | — | 39 | |
| Always Best Care Senior ServicesSenior Care | Disclosed | $50K | $90K - $146K | 6% | 291 | |
| Always Best Care Senior ServicesSenior Care | Disclosed | $50K | $90K - $146K | 6% | 275 | |
| A Better Solution In Home CareSenior Care· Est. 2014 | Disclosed | $55K | $127K - $235K | 5% | 28 | |
| ACASA Home CareSenior Care· Est. 2017 | Disclosed | $50K | $85K - $139K | 5% | 7 | |
| ACASA Senior CareSenior Care· Est. 2017 | Disclosed | $50K | $83K - $134K | 5% | 7 | |
| Autism Care TherapySenior Care· Est. 2017 | Disclosed | $65K | $351K - $754K | 7% | 8 | |
| Assisted Living LocatorsSenior Care· Est. 2022 | Disclosed | $50K | $75K - $95K | 8% | 170 | |
| ARCpoint LabsSenior Care· Est. 2005 | Disclosed | $55K | $166K - $310K | 7% | 118 | |
| ActikareSenior Care· Est. 2007 | Disclosed | $20K | $33K - $58K | 3–5% | 150 | |
| Infinite Love HomecareSenior Care· Est. 2024 | None | $40K | $112K - $177K | 3% | 0 | |
| Amada Senior CareSenior Care· Est. 2012 | Disclosed | $57K | $122K - $438K | 5–6% | 261 | |
| Good Neighbor PharmacySenior Care· Est. 1985 | Disclosed | — | $44K - $575K | — | 2,204 | |
| Any Lab Test NowSenior Care· Est. 2004 | Disclosed | $55K | $183K - $318K | 7% | 247 | |
| Assisting Hands Home CareSenior Care· Est. 2020 | Disclosed | $55K | $98K - $181K | 4–5% | 232 | |
| Assisting Hands Home CareSenior Care· Est. 2020 | Disclosed | $55K | $97K - $180K | 4–5% | 232 | |
| BrightStar CareSenior Care· Est. 2005 | Disclosed | $50K | $103K - $220K | 5.25–6.25% | 396 | |
| Bee Hive HomesSenior Care· Est. 2000 | Disclosed | $75K | $3.4M - $5.1M | 5% | 195 |
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State-by-state senior care franchise opportunities — regulatory framework, top brands, and investment ranges for buyers in each state.
Non-medical home care franchises often open for under $150K, while medical home health and larger senior-services brands can require $500K or more. Each FDD's Item 7 provides the exact initial investment range, including franchise fee and working capital.
The names most buyers know, home care brands like Home Instead, Right at Home, and Visiting Angels, sit alongside medical home-health and senior-placement models with very different economics. Screen for the brands that disclose Item 19, then compare billable-hour revenue and royalty before trusting any ranking.
Most non-medical home care franchises do not require healthcare experience and focus on companion care and daily-living assistance, while medical home health brands may require licensed staff. Training and qualifications are outlined in FDD Items 11 and 15.
Many senior care franchises include Item 19 Financial Performance Representations showing average billable hours or revenue. Use the Item 19 filter above to find home care and senior-services brands that disclose actual figures before you invest.
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