Interim HealthcareFranchise Cost, Revenue & Review 2026
Data from FDD filing + SBA 7(a) records
FranchiseVerdict summary · 2026
A INTERIM HEALTHCARE franchise requires a total initial investment of $156K – $628K, including a $75K franchise fee and an ongoing 3.3% royalty[2]. Per the 2025 FDD, average unit revenue was $3.6M[2]. SBA 7(a) loans show a 9.5% charge-off rate across 42 loans[1]. Verdict grade: A. Run a live ROI scan →
Data last verified June 18, 2026 · figures per the 2025 FDD issuance
Overview
- Investment
- $156K – $628K
- 83rd pct Senior Care
- Avg gross sales
- $3.6M
- 68th pct Senior Care
- Royalty
- 3.3%
- 1st pct Senior Care
- Units
- 230
- 86th pct Senior Care
- SBA default
- 9.5%
- system-wide median varies by category
Quick verdict · Senior Care · color = vs category peers
Green = >15% above Senior Care avg · No shading = within ±15% · Red = >15% below avg · Source: FDD filings + SBA 7(a)
Data from public FDD filings and SBA records. Not financial advice. Methodology
Each dollar invested generates 9.3x in gross revenue, well above the typical 1.5-2.5x range.
Franchising since 1968. Systems this mature have refined operations and brand recognition.
Bottom line
- Total investment $156K – $628K including a $75K franchise fee, 3.3% ongoing royalty.
- Average unit revenue of $3.6M/year (median $1.7M).
- Verdict A (Top Quintile) with a risk score of 53/100. SBA loan charge-off rate of 9.5% across 42 loans (near or below the 16% franchise average, based on all SBA 7(a) franchise lending, 2010–2024).
Item 1 · who you're contracting with
The Franchisor
- Legal entity
- Interim HealthCare Inc.
- Parent company
- Caring Brands International, Inc.
- Incorporated in
- FL
- HQ
- 1551 Sawgrass Corporate Parkway, Suite 230, Sunrise, FL 33323
- Auditor
- Grant Thornton LLP
- Audited financials
- Franchisor revenue
- $35.9M
- vs $36.1M prior year
Overview
About
Franchisees operate home healthcare and palliative care agencies, managing nursing staff, aides, and therapists who deliver in-home patient care. Daily operations include scheduling, payroll, compliance with state licensing and Medicare regulations, patient billing/collections, and quality assurance. Franchisees must maintain staffing ratios, handle HIPAA requirements, and manage complex reimbursement from government and private payers.
- CEO
- Rexanne A. Domico
- Headquarters
- FL
- Founded
- 1965
- FDD year
- 2025
- States available
- 42
FDD Item 7 · 2025 filing
Initial investment breakdown
| Cost component | Low | High |
|---|---|---|
| Initial franchise fee | $75K | $75K |
| Working capital (3–6 mo) | $52K | $350K |
| Equipment, build-out, other | $29K | $203K |
| Total initial investment | $156K | $628K |
Source: INTERIM HEALTHCARE 2025 FDD, Items 5 and 7[2]. “Equipment, build-out, other” is computed as total minus disclosed line items above.
Single-unit · estimated
Returns at a glance
Indicative numbers using FDD Item 7 / Item 19 inputs and category-benchmarked cost ratios. Full single-unit, 25-unit portfolio, and LBO models (with every input editable to stress-test your own scenario) live on the financials page.
Store EBITDA · annual
$757K
20.8% margin
Unlevered ROIC
128%
EBITDA / total invested capital
Payback
9 mo
cash-on-cash, unlevered
Item 7 · what it costs to open + operate
The Vitals
- Total investment
- $156K – $628K
- Below avg, review vs category
- Liquid capital req'd
- $52K – $350K
- Below avg, review vs category
- Franchise fee
- $75K – $195K
- Below avg, review vs category
- Royalty
- 3.3%
- Gross Sales · typical 6–8%
- Ad fund
- 1.0%
- typical 3–5%
- Total fee load
- 4.3%
- vs 9–13% typical
Ongoing fees · Item 6
| Fee | Amount |
|---|---|
| Royalty | 3.3% of gross sales |
| Marketing / ad fund | 1.0% of gross sales |
| Technology fee | $485 |
| Transfer fee | $25K |
| Renewal fee | $10K |
| Total fee load | 4.3% of rev |
A 4.3% total fee load is unusually lean. More of each revenue dollar stays with the franchisee.
Financial Performance
- Avg gross sales
- $3.6M
- Per unit, per year
- Median gross sales
- $1.7M
- Item 19 type
- gross_sales
- Sample size
- 165 units
- vs category median 22 · large
- Range (low → high)
- $93K→$56.3M
- Cohort dispersion (min → max)
- Transparency
- 4 / 5
- vs category median 4 / 5 · typical
Compared against 70 Senior Care brands
Revenue is 9.3x the investment midpoint. At typical franchise margins, this suggests a payback under 3 years.
vs Senior Care averages
How Interim Healthcare Compares
Unit growth
Item 20 · unit dynamics
The Growth Chart
- Total units
- 230
- Opened
- 22
- Last reporting year
- Closed
- 30
- Turnover rate
- 13.0%
- Company-owned
- 4
- Corporate units in the system
- % franchised
- 98%
- vs corporate-owned
- Net growth (yr3)
- -3.4%
- Net unit change last year
- 3-yr CAGR
- +1.8%
- Compounded over last 3 years
3-year detail · Item 20
- Transfers (3yr)
- 4
Year-over-year franchised unit counts and net change. Source: FDD Item 20.
Item 20 · 14 states with active franchisees
The Territory Map
Derived from franchisee contact records. Shows states with at least one current operator. Not where the franchisor is registered to sell new units (that data is re-extracting in a future refresh).
States derived from franchisee contact records (FDD Item 20). Shows states with at least one current operator on file. Full state registration data (Item 12) will appear on a future FDD refresh.
SBA loan performance
Government records
SBA Loan Data
Aggregated from SBA 7(a) and 504 loan disclosures, public data unique to FranchiseVerdict.
- Total loans
- 42
- Loan volume
- $22.5M
- Median loan
- $203K
- 50th percentile
- Charge-off rate
- 9.5%
- rates vary by category · see methodology
Historical SBA 7(a) lending data, not predictive of future performance. How SBA charge-off rates are calculated
- Repayment rate (PIF)
- 84.0%
- 5-yr charge-off
- 33.3%
- Loans approved 2021+
- Active lenders
- 22
- Defaults
- 4
Vintage analysis
Interim Healthcare charge-off rate by loan vintage
Explore lender portfolios on Bank Reports or regional data on State Reports.
Premium insight
SBA Lending Report
Deep-dive into Interim Healthcare's SBA lending history: lender network, geographic footprint, interest rates, and more.
SBA Lending Report
- Principal loss rate and NAICS industry benchmark
- 10 lenders with concentration factor
- Per-state charge-off rates across 15 states
- Startup risk premium and job creation velocity
- 14-year lending trend
- SBA 504 real estate/equipment data
Instant access. No subscription.
Risk analysis
FranchiseVerdict rating + FDD Items 3, 5, 6, 12, 17
Risk & Legal
Interim Healthcare presents elevated risk due to shrinking franchisee base, undisclosed profitability metrics, material litigation history, and exposure to a heavily-regulated industry with margin pressures.
Audited financials (Item 21)
Yes · Grant Thornton LLP
Franchisor revenue (Item 21)
Franchisor entity revenue (not unit-level)
Score breakdown · what drove the 53 / 100 rating
- 01MINORDeclining unit count (-3.4% YoY) suggests system contraction and potential franchisee struggles
- 02MEDNo average net income disclosed in Item 19 prevents realistic ROI assessment despite $156k-$628k investment range
- 03HIGHMultiple litigation categories including wrongful death notice, wage/hour disputes, and historical consent decree indicate operational and compliance risks
- 04MINORTiered royalty structure (3.25%-5.5%) creates variable profitability uncertainty; higher rates on non-Medicare sales may squeeze margins
- 05MINORHome healthcare/hospice industry faces increasing regulatory scrutiny, labor cost inflation, and reimbursement pressure
Severity inferred from the FDD text · not a regulatory classification
FDD Items 5, 6, 12, 17 · continued from Risk & Legal
Contract & Territory Detail
| Initial term | 10 years |
|---|---|
| Renewal term | 10 years |
| Allowed renewalsℹ | 1 |
| Territory type | Geography |
| Protected territory | Yes |
| Online sales rights | Restricted |
| Franchisor can compete | Yes |
| Hire a manager? | Allowed |
| Owner-operator | Required |
| Non-compete (years)ℹ | 2 years |
| Right of first refusalℹ | Yes |
| Termination notice | 30 days |
| Mandatory arbitration | No |
| Jury trial waiver | Yes |
| Governing law | Florida |
| Litigation count | 7 |
Items 10, 11
Training & Operations
- Classroom training
- 40 hrs
- On-the-job training
- 40 hrs
Items 5 & 11
Franchisor Support
Item 20 · call current owners
Franchisee Contacts
14 owners to call
Name · phone · city · state. Extracted from FDD Item 20
FDD download
INTERIM HEALTHCARE · FDD (2025) PDF
Frequently asked questions
Frequently Asked Questions
How much does it cost to open a INTERIM HEALTHCARE franchise?
The total investment to open a INTERIM HEALTHCARE franchise ranges from $156K – $628K, with an initial franchise fee of $75K. This includes real estate, equipment, inventory, and working capital as disclosed in their Franchise Disclosure Document (FDD).
What do INTERIM HEALTHCARE franchise owners earn?
According to Item 19 of the INTERIM HEALTHCARE FDD, the average gross sales per unit is $3.6M. The median is $1.7M. Note: this is gross revenue, not profit. Actual owner earnings vary based on location, operating costs, and management.
What is INTERIM HEALTHCARE's franchise failure rate?
Based on SBA 7(a) loan data, INTERIM HEALTHCARE has a charge-off rate of 9.5% across 42 loans, meaning 9.5% of franchise loans were charged off. Charge-off rates are one proxy for franchise risk, though they do not capture all closures. This data comes from FOIA-sourced SBA lending records.
How many INTERIM HEALTHCARE franchise locations are there?
As of their most recent FDD filing, INTERIM HEALTHCARE has 230 total units in the United States, including 207 franchised units and 4 company-owned units. 22 new units were opened in the latest reporting year.
Is INTERIM HEALTHCARE a good franchise to buy?
FranchiseVerdict rates INTERIM HEALTHCARE as a A-grade franchise with a risk score of 53 out of 100, based on our analysis of investment costs, revenue data, SBA loan performance, and growth trends. Our rating is based solely on publicly available FDD and government data; we recommend speaking with current franchisees before making any investment decision. This is not investment advice.
Data sourced from public FDD filings and SBA 7(a) FOIA records. Not financial advice.
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Data extracted from public FDD filings and SBA 7(a) loan disclosures (FOIA). This information is provided for research purposes only and does not constitute financial, legal, or investment advice. Verify all figures with the franchisor's current Franchise Disclosure Document before making any investment decision.