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 franchise fee and an ongoing 3.3% royalty[2]. Per the 2026 FDD, average unit revenue was $3.8M[2]. SBA 7(a) loans show a 16.0% charge-off rate across 42 loans[1]. FranchiseVerdict grade: B (Above average), 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
- $3.8M
- Outlet subset38th pct Senior Care
- Royalty
- 3.3%
- 1st pct Senior Care
- Units
- 209
- 79th pct Senior Care
- SBA charge-off
- 16.0%
- % 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
- COSTTotal investment $156K – $239K including a $75K franchise fee, 3.3% ongoing royalty.
- RETURNSAverage unit revenue of $3.8M/year (median $1.8M) (reported for a subset of outlets rather than the whole system).
- RISKVerdict B (Above average), verdict score 56/100 (higher is better). SBA loan charge-off rate of 16.0% across 42 loans (above the 16% franchise average, based on all SBA 7(a) franchise lending, 2010–2025).
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 24% 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 – $75K
- Bottom third — review vs category
- Royalty
- 3.3%
- Tiered by sales volume · 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% |
| Technology fee | $485 |
| Transfer fee | $25K |
| Renewal fee | $10K |
| Inventory (initial) | $1K – $2K |
| 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.
What do units actually make?
Average unit sales run 215% above the senior care norm.
Reported for a subset of outlets rather than the whole system
Source: FDD 2026 · Item 19
Single-unit · not modelled
Returns at a glance
An FDD discloses gross sales, not profit, and the operating costs that turn one into the other are in no filing. We publish no modelled return for INTERIM HEALTHCARE until someone supplies them — yours, in the models below.
—
Not modelled yet
An FDD discloses gross sales, not profit. We hold no sourced figure for COGS, labour, rent / occupancy and other operating costs, and will not substitute an assumed one. Enter your own and the model runs on your assumptions.
Total invested capital · disclosed
$275K
Item 7 initial investment plus working capital, as filed — the one figure here that needs no assumption.
ROI & LBO modelsSingle-unit · 25-unit portfolio · editable
What one unit earns on your invested capital
Model A · Single-Unit Return
Computes unlevered return on invested capital (ROIC) for a single franchise unit, read against the 30–60% reference band · Yale SOM, Post-MBA Path Exhibit 2 (2023). Below that band a passive index fund likely outperforms; above it the franchisor has pricing power you're subsidizing.
Note: Item 19 revenue is what the franchisor discloses, and it is the top line only — gross sales are not profit. No FDD discloses the operating costs that turn one into the other, so those fields start empty and nothing is modelled until you supply them from your own lease quote, labor market and build-out budget.
Returns model · single-unit ROIC
What would one INTERIM HEALTHCARE unit return on the cash you put in?
Illustrative category typicals — not sourced to any filing, survey or sample. Replace them with figures from franchisee validation calls before you rely on the output.
Unlevered ROIC · per unit
Your modelled return on total invested capital, before any debt financing.
—
An FDD discloses gross sales, not profit. We hold no sourced figure for COGS, labour, rent / occupancy and other operating costs, and will not substitute an assumed one. Enter your own and the model runs on your assumptions.
What 25 units return when you use SBA financing
Model B · Return on Equity: Debt-Financed Acquisition
Models a 25-unit portfolio acquisition financed with an SBA 7(a) loan. Shows equity IRR (your return on cash invested), DSCR (how safely the cash flow covers debt service), and the capital stack (SBA + seller + equity breakdown).
This is the “search fund” or “entrepreneurship through acquisition” scenario: you buy an existing multi-unit operator, use leverage to amplify returns, and either operate or hire management. The 25-unit size is the typical minimum for an SBA-backed franchise portfolio acquisition to pencil as a full-time income.
What “return on equity” means here: if you put in $500K of your own cash and the business generates enough EBITDA to pay down debt and grow, your equity IRR is the annual return on that $500K, including the value created when you eventually sell. Target IRR for a search fund is typically 25–35%.
Not modelled yet
An FDD discloses gross sales, not profit. We hold no sourced figure for COGS, labour, rent / occupancy and other operating costs, and will not substitute an assumed one. Enter your own and the model runs on your assumptions.
A 25-unit return is built on a per-unit EBITDA. Fill in the operating costs in Model A above and this model runs on that figure, or take the whole scenario to the full ROI workbench, where the portfolio and LBO models accept your own per-unit economics directly.
These models are for research and scenario planning only. Not investment advice. Actual results depend on your specific location, management, and market conditions. Consult a franchise attorney and accountant before signing any franchise agreement.
Item 19 · Source: 2026 FDD
Financial Performance
Reported for a subset of outlets rather than the whole system
- Avg gross sales
- $3.8M
- Per unit, per year
- Median gross sales
- $1.8M
Gross sales are revenue before expenses — not profit. Actual owner earnings depend on rent, labor, royalties, marketing fees, and debt service.
- Item 19 type
- historical gross sales by territory (Home Healthcare and Hospice segments)
- Sample size
- 168 territories
- vs category median 22 · large
- Range (low → high)
- $67K→$57.6M
- Cohort dispersion (min → max)
- Reporting year
- 2025
- Fiscal year the figures cover
- Source filing
- FDD 2026
- Disclosed in the 2026 filing, covering 2025
- Transparency
- 4 / 10
- vs category median 4 / 10 · typical
Compared against 79 Senior Care brands
Revenue is 19.4x the investment midpoint. At typical franchise margins, this suggests a payback under 3 years.
Operator outlook
What the numbers say
Data-driven interpretation of this brand's financial disclosures, fee structure, and system trajectory.
Unit economics
Average unit generates $3.8M/year in gross sales. Median is $1.8M — top performers pull the average up, so a typical unit earns less. Revenue-to-investment ratio: 19.4x. Reported for a subset of outlets rather than the whole system.
Fee burden
Total ongoing fee load of 4.3% — below the Senior Care average of 7.7%.
Disclosure
Transparency score 4/10 — this franchisor discloses detailed breakdowns (quartiles, segments, or cohort data). Buyers can model unit economics with higher confidence.
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 · 11 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
- 16.0%
- 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
- 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 here charge off near the 16.0% national average.
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 56 / 100 verdict
- 01MINORDeclining unit count (-3.4% YoY) suggests system contraction and potential franchisee struggles
- 02HIGHMultiple litigation categories including wrongful death notice, wage/hour disputes, and historical consent decree indicate operational and compliance risks
- 03MINORTiered royalty structure (3.25%-5.5%) creates variable profitability uncertainty; higher rates on non-Medicare sales may squeeze margins
- 04MINORHome 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
35 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?
According to Item 19 of the INTERIM HEALTHCARE FDD, the average gross sales per unit is $3.8M. The median is $1.8M. Important context: Reported for a subset of outlets rather than the whole system. Note: this is gross revenue, not profit. Actual owner earnings vary based on location, operating costs, and management.
What is Item 19 in the INTERIM HEALTHCARE FDD?
The FDD section where a franchisor may disclose financial performance of its outlets. Disclosure is optional and formats vary; figures are typically gross sales, which is revenue before expenses, not profit. FranchiseVerdict extracts these figures directly from the INTERIM HEALTHCARE FDD and qualifies whose outlets they describe.
What is INTERIM HEALTHCARE's franchise failure rate?
Based on SBA 7(a) loan data, INTERIM HEALTHCARE has a charge-off rate of 16.0% across 42 loans, meaning 16.0% 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 B-grade franchise with a verdict score of 56 out of 100 (higher is better). The grade is a deterministic score built from six weighted dimensions — financial health, unit economics, unit growth, scale, legal, and transparency — then calibrated against SBA loan charge-off rates and FDD age. Transparency is one of the six, so a filing that discloses less scores lower on that dimension than one that discloses more. 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.