Interim Healthcare Franchise Cost, Revenue & Review 2026
Data from FDD filing + SBA 7(a) records
Analysis by FranchiseVerdict Research · Methodology
Interim HealthCare is a franchise providing home health care, hospice, and medical staffing, with skilled nursing, therapy, and aide services. Franchisees run an agency managing clinical staff, patient care, compliance, and payer billing.
FranchiseVerdict summary · 2026
A INTERIM HEALTHCARE franchise requires a total initial investment of $156K – $239K, including a $75K – $195K franchise fee and an ongoing 5.3% royalty[2]. The 2026 FDD does not disclose unit-level revenue (no Item 19). SBA 7(a) loans show a 9.5% charge-off rate across 42 loans[1]. FranchiseVerdict grade: A (Strongest tier), an editorial assessment, not investment advice. Run a live ROI scan →
Data last verified · figures per the 2026 FDD issuance
Overview
- Investment
- $156K – $239K
- 87th pct Senior Care
- Avg gross sales
- N/A
- 72nd pct Senior Care
- Royalty
- 5.3%
- 38th pct Senior Care
- Units
- 209
- 80th pct Senior Care
- SBA charge-off
- 9.5%
- % of SBA 7(a) loans not repaid · median varies by category
Quick verdict · Senior Care · color = vs category peers
Green = favorable by >10% vs Senior Care avg · No shading = within ±10% · Red = unfavorable by >10% · Source: FDD filings + SBA 7(a)
Data from public FDD filings and SBA records. Not financial advice. Methodology
Bottom line
- Total investment $156K – $239K including a $75K franchise fee, 5.3% ongoing royalty.
- Extractor's range [67,187-963,532] mixed cohorts: 963,532 was the Bottom-50 subset's highest, not the full cohort's. Replaced with the 'All Part 1 Territories' FY2025 disclosure (168 single-unit territories) so the $3,837,660 average falls inside $67,187-$57,621,347. Home-healthcare gross sales only (excludes hospice); no net income/EBITDA disclosed, so avg_net_income is null.
- Verdict A (Strongest tier), verdict score 74/100 (higher is better). 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, 2010–2025).
- Item 19 reports "historical gross sales by territory (Home Healthcare and Hospice segments)" instead of annual gross sales. Ask franchisees directly for full unit-level revenue.
Item 1 · who you're contracting with
The Franchisor
Corporate structure & franchisor financials
- Legal entity
- Interim HealthCare Inc.
- Parent company
- IH Acquisition Corp.
- Ultimate parent
- CBI-Gator Acquisition, LLC
- Predecessor
- Labor Pool Inc.; The Management Pool, Inc.; Medical Personnel Pool, Inc.
- Prior franchisor entity
- CEO title
- President and Chief Executive Officer
- Rexanne A. Domico
- Incorporated in
- Florida
- HQ
- 1551 Sawgrass Corporate Parkway, Suite 230, Sunrise, FL 33323
- Auditor
- Grant Thornton LLP
- Audited financials
- Franchisor revenue
- $39.8M
- vs $36.1M prior year
Overview
About
- CEO
- Rexanne A. Domico
- Headquarters
- Florida
- Founded
- 1965
- FDD year
- 2026
- States available
- 42
Can you afford it, and what does the money buy?
Entry cost runs 23% below the typical senior care franchise.
Source: FDD 2026 · Items 5–7
FDD Item 7 · 2026 filing
Initial investment breakdown
| Cost component | Low | High |
|---|---|---|
| Initial franchise fee | $75K | $75K |
| Working capital (3–6 mo) | $52K | $104K |
| Equipment, build-out, other | $29K | $61K |
| Total initial investment | $156K | $239K |
Source: INTERIM HEALTHCARE 2026 FDD, Items 5 and 7[2]. “Equipment, build-out, other” is computed as total minus disclosed line items above.
Item 7 · what it costs to open + operate
The Vitals
- Total investment
- $156K – $239K
- Bottom third — review vs category
- Liquid capital req'd
- $52K – $104K
- Bottom third — review vs category
- Franchise fee
- $75K – $195K
- Bottom third — review vs category
- Royalty
- 5.3%
- tiered · 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 | 5.3% of gross sales |
| Marketing / ad fund | 1.0% of gross sales |
| Technology fee | $485 |
| Transfer fee | $25K |
| Renewal fee | $10K |
| Inventory (initial) | $1K – $2K |
| Total fee load | 4.3% of rev |
What do units actually make?
Source: FDD 2026 · Item 19
Financial Performance
Extractor's range [67,187-963,532] mixed cohorts: 963,532 was the Bottom-50 subset's highest, not the full cohort's. Replaced with the 'All Part 1 Territories' FY2025 disclosure (168 single-unit territories) so the $3,837,660 average falls inside $67,187-$57,621,347. Home-healthcare gross sales only (excludes hospice); no net income/EBITDA disclosed, so avg_net_income is null.
Operator outlook
What the numbers say
Data-driven interpretation of this brand's financial disclosures, fee structure, and system trajectory.
Fee burden
Total ongoing fee load of 4.3% — below the Senior Care average of 7.7%.
Disclosure
Item 19 reports "historical gross sales by territory (Home Healthcare and Hospice segments)" rather than annual gross sales. Not directly comparable across brands.
Multi-unit rate
29% of franchisees own multiple units, a moderate multi-unit rate.
Source: FDD Item 19 financial performance representations and publicly filed FDD data. Past performance is not indicative of future results. Verify all figures with the franchisor and current franchisees before making any investment decision.
vs Senior Care averages
How Interim Healthcare Compares
Is the system healthy?
Source: FDD 2026 · Item 20
Unit growth
Item 20 · unit dynamics
The Growth Chart
- Total units
- 209
- Opened
- 8
- Last reporting year
- Closed
- 35
- Turnover rate
- 20.0%
- Company-owned
- 8
- Corporate units in the system
- % franchised
- 96%
- vs corporate-owned
- Multi-unit owners
- 29.0%
3-year detail · Item 20
- Opened (3yr)
- 2
- Closed (3yr)
- 1
- Terminated (3yr)
- 1
- Non-renewed (3yr)
- 0
- Transfers (3yr)
- 0
- Reacquired (3yr)
- 0
- Franchisor bought back
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)
- 90.5%
- 5-yr charge-off
- 33.3%
- Loans approved 2021+
- Active lenders
- 22
- Defaults
- 4
- Typical loan rate
- 7.8%
- avg rate to borrowers
- Franchised industry avg
- 7.5%
- brand above franchise avg ↑
- Jobs supported
- 2,756
- 12.2 per loan
- Lender concentration
- 24%
- top lender's share
Borrower mix: 55% went to startups / new businesses, 45% to established operators
Franchise vs independent — in home health care services, franchised businesses charge off at 7.5% vs 11.5% for independents — franchising is associated with 35% lower SBA default risk in this category.
Vintage analysis
Interim Healthcare charge-off rate by loan vintage
Top lenders financing Interim Healthcare franchisees
Showing 3 of 22 lenders. The full breakdown — every lender, state distribution, interest rates & risk ratings — is in the SBA Lending Report below.
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.
What could kill this investment?
SBA loans charge off at 9.5% — 41% below the 16.0% national norm, i.e. lower lender-observed risk.
Source: SBA 7(a) FOIA · FDD Items 3, 21
Risk analysis
FranchiseVerdict rating + FDD Items 3, 4, 8, 16, 21
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.
Litigation (Item 3)
Multiple pending/concluded suits involving franchisee disputes (wrongful death notice, unpaid royalties, territory encroachment), and a resolved 2019 NY federal suit by Community Care Companions (settled 2025), a JAMS arbitration for unpaid legal fees, and a Texas/Florida Falcon Healthcare franchise dispute resolved via a $17,062,294.09 settlement/transition agreement; affiliate Coverall North America had a 1994 FTC consent decree with $100,000 civil penalty.
Largest disclosed settlement: $17,062,294
Bankruptcy (Item 4)
None disclosed
Audited financials (Item 21)
Yes · Grant Thornton LLP
Franchisor revenue (Item 21)
Franchisor entity revenue (not unit-level)
Supplier relationship · Items 8 & 16
- Franchisor sells you products: Yes
- Kickbacks from required suppliers: No
- Restricted to system-approved products: Yes
Score breakdown · what drove the 74 / 100 verdict
- 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
What are you signing up for?
Ongoing fees run about 4.3% of sales (royalty + ad fund), before rent and labor.
Source: FDD 2026 · Items 11, 12, 17
FDD Items 12, 15, 17 · continued from Risk & Legal
Contract & Territory Detail
| Initial term | 10 years |
|---|---|
| Renewal term | 10 years |
| Allowed renewalsℹ | 1 |
| Territory type | protected |
| Protected territory | Yes |
| Exclusive territoryℹ | Yes |
| Territory population | 175,000 |
| Online sales rights | Restricted |
| Franchisor can compete | No |
| Hire a manager? | Allowed |
| Owner-operator | Required |
| Non-compete (years)ℹ | 2 years |
| Right of first refusalℹ | Yes |
| RoFR response window | 30 days |
| Transfer requires consent | Yes |
| Termination notice | 30 days |
| Termination groundsℹ | 11 |
| Curable defaultsℹ | 3 |
| Mandatory arbitration | No |
| Arbitration location | Broward County, FL |
| Jury trial waiver | Yes |
| Governing law | Florida |
| Litigation count | 6 |
View Item 3 litigation summary
Multiple pending/concluded suits involving franchisee disputes (wrongful death notice, unpaid royalties, territory encroachment), and a resolved 2019 NY federal suit by Community Care Companions (settled 2025), a JAMS arbitration for unpaid legal fees, and a Texas/Florida Falcon Healthcare franchise dispute resolved via a $17,062,294.09 settlement/transition agreement; affiliate Coverall North America had a 1994 FTC consent decree with $100,000 civil penalty.
Items 10, 11
Training & Operations
- Classroom training
- 40 hrs
- On-the-job training
- 40 hrs
- Training location
- Sunrise, Florida (headquarters) and at franchisee's office location
- Ongoing training
- Required
- Time to open
- 9 mo
- From signing to launch
- Site selection
- franchisee_with_franchisor_approval
- Franchisor financing
- Not offered
- Item 10
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 (2026) 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 – $239K, 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?
INTERIM HEALTHCARE does not disclose average franchise owner earnings in their FDD Item 19. Not all franchisors are required to make financial performance representations. We recommend asking existing franchisees directly about their financial experience.
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 209 total units in the United States, including 201 franchised units and 8 company-owned units. 8 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 verdict score of 74 out of 100 (higher is better), 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.
For franchisors
Are you the franchisor?
If you represent INTERIM HEALTHCARE, you can request corrections or provide updated information.
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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.