MD Hyperbaric CenterFranchise Cost, Revenue & Review 2026
Data from FDD filing + SBA 7(a) records
FranchiseVerdict summary · 2026
A MD Hyperbaric Center franchise requires a total initial investment of $133K – $522K, including a $50K franchise fee and an ongoing 8.0% royalty[2]. Per the 2026 FDD, average unit revenue was $360K[2]. Verdict grade: A. Run a live ROI scan →
Data last verified June 18, 2026 · figures per the 2026 FDD issuance
Overview
- Investment
- $133K – $522K
- 28th pct Healthcare
- Avg gross sales
- $360K
- 8th pct Healthcare
- Royalty
- 8.0%
- 45th pct Healthcare
- Units
- 12
- 33rd pct Healthcare
- SBA default
- N/A
Quick verdict · Healthcare · color = vs category peers
Green = >15% above Healthcare 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
Started franchising in 2024. Newer systems carry more uncertainty but may offer better territories.
95% cash-on-cash return (based on EBITDA). Above the 20% threshold most investors target.
Bottom line
- Total investment $133K – $522K including a $50K franchise fee, 8.0% ongoing royalty.
- Average unit revenue of $360K/year (median $360K), with an estimated 95% cash-on-cash return (based on EBITDA).
- Verdict A (Top Quintile) with a risk score of 20/100.
- Revenue data based on only 1 reporting unit. Treat as directional, not definitive. Ask franchisees directly for current unit economics.
Item 1 · who you're contracting with
The Franchisor
- Legal entity
- MDH FRANCHISOR LLC
- Parent company
- MD Hyperbaric Holding Inc.
- Incorporated in
- DE
- HQ
- 1 Carter Road, West Orange, NJ 07052
- Auditor
- Whitley Penn LLP
- Audited financials
- Franchisor revenue
- $75K
- vs $186K prior year
Affiliated brands
- MDH Admin
Other brands the franchisor or its parent operates (Item 1).
Overview
About
Franchisees operate hyperbaric oxygen therapy centers providing FDA-regulated medical treatments for wound healing, dive injuries, and off-label conditions. Daily operations include patient intake, chamber operation/monitoring, medical compliance, insurance billing, and marketing. Revenue depends on patient volume, treatment protocols, and payer mix (Medicare, commercial insurance, cash).
- CEO
- Christopher Neal
- Headquarters
- NJ
- Founded
- 2023
- FDD year
- 2026
- States available
- 4
FDD Item 7 · 2026 filing
Initial investment breakdown
| Cost component | Low | High |
|---|---|---|
| Initial franchise fee | $50K | $50K |
| Working capital (3–6 mo) | $38K | $40K |
| Equipment, build-out, other | $45K | $432K |
| Total initial investment | $133K | $522K |
Source: MD Hyperbaric Center 2026 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
$61K
17.0% margin
Unlevered ROIC
17%
EBITDA / total invested capital
Payback
6.0 yrs
cash-on-cash, unlevered
Item 7 · what it costs to open + operate
The Vitals
- Total investment
- $133K – $522K
- Better than avg vs category
- Liquid capital req'd
- $38K – $40K
- Near category avg vs category
- Franchise fee
- $50K – $50K
- Near category avg vs category
- Royalty
- 8.0%
- Gross Sales · typical 6–8%
- Ad fund
- 0.0%
- typical 3–5%
- Total fee load
- 8.0%
- vs 9–13% typical
- Payback period
- 1.1 yrs
- From FDD / Item 19
Ongoing fees · Item 6
| Fee | Amount |
|---|---|
| Royalty | 8.0% of gross sales |
| Marketing / ad fund | 0.0% of gross sales |
| Technology fee | $3K |
| Transfer fee | $10K |
| Renewal fee | $20K |
| Inventory (initial) | $0 – $1K |
| Total fee load | 8.0% of rev |
Financial Performance
- Avg gross sales
- $360K
- Per unit, per year
- Median gross sales
- $360K
- Avg ebitda
- $311K
- Reported as EBITDA in FDD Item 19
- Cash-on-cash
- 94.9%
- Based on EBITDA / investment midpoint
- Item 19 type
- gross_sales
- Sample size
- 1 units
- vs category median 12 · small
- Range (low → high)
- $360K→$360K
- Cohort dispersion (min → max)
- Transparency tier
- revenue_only
- Categorical assessment of disclosure depth
- Reporting year
- 2025
- Fiscal year the figures cover
- Transparency
- 7 / 5
- vs category median 4 / 5 · above
Compared against 201 Healthcare brands
vs Healthcare averages
How MD Hyperbaric Center Compares
Unit growth
Item 20 · unit dynamics
The Growth Chart
- Total units
- 12
- Opened
- 3
- Last reporting year
- Closed
- 0
- Turnover rate
- 0.0%
- Company-owned
- 8
- Corporate units in the system
- % franchised
- 33%
- vs corporate-owned
- Net growth (yr3)
- Outlier (see FDD)
- Likely small-sample artifact
3-year detail · Item 20
- Opened (3yr)
- 6
- Closed (3yr)
- 0
- Terminated (3yr)
- 0
- 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 · 12 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.
Available to sell in · Item 12
- Virginia
- Wisconsin
States where the franchisor is registered to sell new franchises (FDD registration filings).
Fast growth in a small system. Newer franchisors expanding quickly may not yet have the support infrastructure of larger systems.
SBA loan performance
Government records
SBA Loan Data
Aggregated from SBA loan disclosures. This brand has only 2 7(a) loans on file; statistical reliability is limited below 10 loans.
- Total loans
- 2
- Loan volume
- N/A
- Amount data pending
- Median loan
- N/A
- Charge-off rate
- N/A
Historical SBA 7(a) lending data, not predictive of future performance. How SBA charge-off rates are calculated
- Repayment rate (PIF)
- N/A
- 5-yr charge-off
- N/A
- Loans approved 2021+
- Active lenders
- 0
- Defaults
- 0
Explore lender portfolios on Bank Reports or regional data on State Reports.
Risk analysis
FranchiseVerdict rating + FDD Items 3, 5, 6, 12, 17
Risk & Legal
Rapidly scaling medical franchise with undisclosed financials, high fees relative to net margins, and atypical absence of litigation disclosure creates material due diligence gaps.
Litigation (Item 3)
0 case reference(s): 0 pending, 0 settled.
Largest disclosed settlement: $50,000
Bankruptcy (Item 4)
None disclosed
Audited financials (Item 21)
Yes · Whitley Penn LLP
Franchisor revenue (Item 21)
Franchisor entity revenue (not unit-level)
Supplier relationship · Items 8 & 16
- Franchisor sells you products: No
- Must buy proprietary products: No
- Restricted to system-approved products: Yes
Score breakdown · what drove the 20 / 100 rating
- 01MINORExplosive unit growth (300% YoY) suggests either aggressive recruitment or unsustainable expansion — difficult to validate quality of new franchisees
- 02HIGHNo Item 19 (Going Concern = False) means franchisor declined to disclose financial performance data, preventing independent verification of claimed average revenue/net income
- 03MINORHigh investment range ($133K-$521K) with only 12 units total creates concentration risk and limits comparative performance data
- 04MINOR8% royalty on $359K average revenue = $28,760/year in fees, compressing margins significantly given capital intensity of hyperbaric equipment
- 05HIGHMedical/clinical franchise with no disclosed litigation is unusual — hyperbaric therapy carries regulatory, insurance, and liability exposure that should be scrutinized
- 06MEDFranchise fee ($50K) represents 37% of minimum investment, indicating front-loaded costs with limited franchisor skin-in-the-game
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 | 5 years |
| Allowed renewalsℹ | 2 |
| Territory type | Radius |
| Protected territory | Yes |
| Online sales rightsℹ | Restricted |
| Franchisor can compete | Yes |
| Hire a manager? | Allowed |
| Owner-operator | Required |
| Non-compete (years)ℹ | 2 years |
| Right of first refusalℹ | Yes |
| RoFR response window | 45 days |
| Termination notice | 30 days |
| Curable defaultsℹ | 1 |
| Mandatory arbitration | No |
| Jury trial waiver | Yes |
| Governing law | New Jersey |
| Litigation count | 0 |
View Item 3 litigation summary
0 case reference(s): 0 pending, 0 settled.
Items 10, 11
Training & Operations
- Classroom training
- 80 hrs
- On-the-job training
- 40 hrs
- Training location
- On-site and pre-opening
- Franchisor financing
- Offered
- Item 10
- POS system
- Company Point of Sale System
- Operating tech stack
Items 5 & 11
Franchisor Support
Technology: Company Point of Sale System
Item 20 · call current owners
Franchisee Contacts
18 owners to call
Name · phone · city · state. Extracted from FDD Item 20
FDD download
MD Hyperbaric Center · FDD (2026) PDF
Frequently asked questions
Frequently Asked Questions
How much does it cost to open a MD Hyperbaric Center franchise?
The total investment to open a MD Hyperbaric Center franchise ranges from $133K – $522K, with an initial franchise fee of $50K. This includes real estate, equipment, inventory, and working capital as disclosed in their Franchise Disclosure Document (FDD).
What do MD Hyperbaric Center franchise owners earn?
According to Item 19 of the MD Hyperbaric Center FDD, the average gross sales per unit is $360K. The median is $360K. Note: this is gross revenue, not profit. Actual owner earnings vary based on location, operating costs, and management.
What is MD Hyperbaric Center's franchise failure rate?
SBA 7(a) loan charge-off data is not available for MD Hyperbaric Center (fewer than 10 loans on file). Charge-off rates are one way to gauge franchise risk, but not all franchise loans go through the SBA program. We recommend reviewing turnover and closure data in the FDD and speaking with current franchisees.
How many MD Hyperbaric Center franchise locations are there?
As of their most recent FDD filing, MD Hyperbaric Center has 12 total units in the United States, including 0 franchised units and 8 company-owned units. 3 new units were opened in the latest reporting year.
Is MD Hyperbaric Center a good franchise to buy?
FranchiseVerdict rates MD Hyperbaric Center as a A-grade franchise with a risk score of 20 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.