NexGenEsis Healthcare Franchise Cost, Revenue & Review 2026
Data from FDD filing
Analysis by FranchiseVerdict Research · Methodology
NexGenEsis Healthcare is a healthcare franchise operating clinics that deliver medical and wellness services. Franchisees run the clinics, managing clinical staff, patient services, and compliance.
FranchiseVerdict summary · 2026
A NexGenEsis Healthcare franchise requires a total initial investment of $170K – $356K, including a $55K franchise fee and an ongoing 7.0% royalty[2]. The 2025 FDD does not disclose unit-level revenue (no Item 19). FranchiseVerdict grade: D (Below average), an editorial assessment, not investment advice. Run a live ROI scan →
Data last verified · figures per the 2025 FDD issuance
Overview
- Investment
- $170K – $356K
- 35th pct Healthcare
- Avg gross sales
- N/A
- Company-owned only
- Royalty
- 7.0%
- 32nd pct Healthcare
- Units
- 5
- 20th pct Healthcare
- SBA charge-off
- N/A
Quick verdict · Healthcare · color = vs category peers
Green = favorable by >10% vs Healthcare 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 $170K – $356K including a $55K franchise fee, 7.0% ongoing royalty.
- RETURNSItem 19 reports Gross Revenue for two affiliate-owned (non-franchised) clinics operating at least 12 months as of 12/31/2022: Mississippi Clinic (2022 $1,389,285; 2021 $1,144,710) and Hawaii Clinic (2022 $1,022,842). Figures are unaudited, from sales records, with imputed franchise-related adjustments (7% royalty, 1% brand fund, local advertising). No franchised-outlet data; only 2 outlets so no median/quartiles.
- RISKVerdict D (Below average), verdict score 36/100 (higher is better).
- DATAItem 19 reports gross revenue and adjusted ebitda rather than annual gross sales, so unit revenue is not directly comparable. Ask franchisees directly for full unit-level revenue.
Item 1 · who you're contracting with
The Franchisor
Corporate structure & franchisor financials
- Legal entity
- NexGen Franchising, LLC
- Parent company
- EAD NexGenix LLC
- Predecessor
- None (franchisor states it has no predecessor)
- Prior franchisor entity
- CEO title
- Chief Executive Officer and Co-Founder
- Greg Picou
- Incorporated in
- MS
- HQ
- 9344 Three Rivers Road, Gulfport, Mississippi 39503
- Auditor
- Kezos & Dunlavy
- Audited financials
- Franchisor revenue
- $5K
- vs $204K prior year
Overview
About
- CEO
- Greg Picou
- Headquarters
- MS
- Founded
- 2022
- FDD year
- 2025
- States available
- 5
Can you afford it, and what does the money buy?
Entry cost runs 37% below the typical healthcare franchise.
Source: FDD 2025 · Items 5–7
FDD Item 7 · 2025 filing
Initial investment breakdown
| Cost component | Low | High |
|---|---|---|
| Initial franchise fee | $55K | $55K |
| Working capital (3–6 mo) | $50K | $80K |
| Equipment, build-out, other | $65K | $221K |
| Total initial investment | $170K | $356K |
Source: NexGenEsis Healthcare 2025 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
- $170K – $356K
- Top 40% of category vs category
- Liquid capital req'd
- $50K – $80K
- Middle of category vs category
- Franchise fee
- $55K – $55K
- Middle of category vs category
- Royalty
- 7.0%
- percentage · typical 6–8%
- Ad fund
- 1.0%
- typical 3–5%
- Total fee load
- 8.0%
- vs 9–13% typical
Ongoing fees · Item 6
| Fee | Amount |
|---|---|
| Royalty | 7.0% of gross sales |
| Marketing / ad fund | 1.0% of gross sales |
| Technology fee | $950 |
| Transfer fee | $28K |
| Renewal fee | $28K |
| Inventory (initial) | $17K – $34K |
| Total fee load | 8.0% of rev |
What do units actually make?
Source: FDD 2025 · Item 19
ROI & LBO modelsSingle-unit · 25-unit portfolio · editable
NexGenEsis Healthcare did not disclose financial performance in FDD Item 19. The ROIC and return models require Item 19 revenue. Without it all inputs are estimates. You can still run the calculator with your own assumptions by entering an expected revenue figure.
Returns model · single-unit ROIC
What would one NexGenEsis Healthcare unit return on the cash you put in?
Unlevered ROIC · per unit
Estimated return on your total franchise investment, before any debt financing.
39%
Within the 30–60% "attractive franchise" band
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: 2025 FDD
Financial Performance
Item 19 reports Gross Revenue for two affiliate-owned (non-franchised) clinics operating at least 12 months as of 12/31/2022: Mississippi Clinic (2022 $1,389,285; 2021 $1,144,710) and Hawaii Clinic (2022 $1,022,842). Figures are unaudited, from sales records, with imputed franchise-related adjustments (7% royalty, 1% brand fund, local advertising). No franchised-outlet data; only 2 outlets so no median/quartiles.
Company-owned outlets only - not franchisee performance
- Item 19 type
- gross revenue and adjusted ebitda
- Range (low → high)
- $1.0M→$1.4M
- Cohort dispersion (min → max)
- Reporting year
- 2022
- Fiscal year the figures cover
- Source filing
- FDD 2025
- Disclosed in the 2025 filing, covering 2022
- Transparency
- 6 / 10
- vs category median 3 / 10 · above
Compared against 162 Healthcare brands
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 8.0% (near the Healthcare average).
Disclosure
Item 19 reports gross revenue and adjusted ebitda rather than annual gross sales, so unit revenue is not directly comparable.
Operator retention
Net unit growth of +200.0% over 3 years (0 opened, 0 closed).
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 Healthcare averages
How NexGenEsis Healthcare Compares
Is the system healthy?
Source: FDD 2025 · Item 20
Unit growth
Item 20 · unit dynamics
The Growth Chart
- Total units
- 5
- Opened
- 0
- Last reporting year
- Closed
- 0
- Terminated
- 0
- Franchisor ended the franchise (per Item 20)
- Non-renewed
- 0
- Term expired, not renewed (per Item 20)
- Turnover rate
- 7.1%
- Company-owned
- 5
- Corporate units in the system
- % franchised
- 0%
- vs corporate-owned
- Net growth (3-yr)
- +200.0%
- Net unit change over 3 years
3-year detail · Item 20
- Opened (3yr)
- 0
- 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 12 · 5 states reported
The Territory Map
FDD Item 12 reports the state count, but the specific list isn't in our current data. The map will appear once we re-extract from the FDD or enough franchisee contacts are available.
5
states with franchisees (per FDD Item 12)
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 7(a) and 504 loan disclosures, public data unique to FranchiseVerdict.
No SBA loan data available for this brand.
What could kill this investment?
Source: SBA 7(a) FOIA · FDD Items 3, 21
Risk analysis
FranchiseVerdict rating + FDD Items 3, 4, 8, 16, 21
Risk & Legal
Rapidly scaling early-stage healthcare franchise with unverified unit economics, opaque financial disclosure, and high minimum royalties creates elevated risk despite strong headline metrics.
Litigation (Item 3)
USA Insurance Company v. Physicians Care Plaza, LLC et al. (2013 RICO fraud case, settled and dismissed with prejudice in 2015, predating NGF franchise operations)
Bankruptcy (Item 4)
None disclosed
Audited financials (Item 21)
Yes · Kezos & Dunlavy
Franchisor revenue (Item 21)
Franchisor entity revenue (not unit-level)
Supplier relationship · Items 8 & 16
- Franchisor sells you products: Yes
- Kickbacks from required suppliers: Yes
- Must buy proprietary products: Yes
- Restricted to system-approved products: Yes
Score breakdown · what drove the 36 / 100 verdict
- 01MINORWide investment range ($168K–$363K) indicates inconsistent cost structure or territory-dependent pricing, reducing predictability
Severity inferred from the FDD text · not a regulatory classification
What are you signing up for?
Ongoing fees run about 8.0% of sales (royalty + ad fund), before rent and labor.
Source: FDD 2025 · Items 11, 12, 17
FDD Items 12, 15, 17 · continued from Risk & Legal
Contract & Territory Detail
| Initial term | 10 years |
|---|---|
| Renewal term | 5 years |
| Allowed renewalsℹ | 2 |
| Territory type | protected |
| Protected territory | No |
| Exclusive territoryℹ | No |
| Territory population | 175,000 |
| Online sales rightsℹ | Restricted |
| Franchisor can compete | Yes |
| Hire a manager? | Allowed |
| Owner-operator | Required |
| Non-compete (years)ℹ | 1 year |
| Non-compete (miles)ℹ | 10 mi |
| Right of first refusalℹ | Yes |
| RoFR response window | 30 days |
| Transfer requires consent | Yes |
| Termination notice | 30 days |
| Mandatory arbitration | No |
| Arbitration location | Gulfport, Mississippi |
| Jury trial waiver | No |
| Governing law | MS |
| Litigation count | 1 |
View Item 3 litigation summary
USA Insurance Company v. Physicians Care Plaza, LLC et al. (2013 RICO fraud case, settled and dismissed with prejudice in 2015, predating NGF franchise operations)
Items 10, 11
Training & Operations
- Classroom training
- 18 hrs
- On-the-job training
- 13 hrs
- Training location
- Gulfport, MS or another location designated by franchisor
- Ongoing training
- Required
- Time to open
- 6 mo
- From signing to launch
- Site selection
- Franchisee selects; franchisor must approve site before lease is signed
- Franchisor financing
- Not offered
- Item 10
- POS system
- Zenoti
- Operating tech stack
Items 5 & 11
Franchisor Support
Technology: Zenoti
Item 20 · call current owners
Franchisee Contacts
5 owners to call
Name · phone · city · state. Extracted from FDD Item 20
FDD download
NexGenEsis Healthcare · FDD (2025) PDF
Frequently asked questions
Frequently Asked Questions
How much does it cost to open a NexGenEsis Healthcare franchise?
The total investment to open a NexGenEsis Healthcare franchise ranges from $170K – $356K, with an initial franchise fee of $55K. This includes real estate, equipment, inventory, and working capital as disclosed in their Franchise Disclosure Document (FDD).
What do NexGenEsis Healthcare franchise owners earn?
NexGenEsis 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 Item 19 in the NexGenEsis 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 NexGenEsis Healthcare FDD and qualifies whose outlets they describe.
What is NexGenEsis Healthcare's franchise failure rate?
SBA 7(a) loan charge-off data is not available for NexGenEsis Healthcare (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 NexGenEsis Healthcare franchise locations are there?
As of their most recent FDD filing, NexGenEsis Healthcare has 5 total units in the United States, including 0 franchised units and 5 company-owned units.
Is NexGenEsis Healthcare a good franchise to buy?
FranchiseVerdict rates NexGenEsis Healthcare as a D-grade franchise with a verdict score of 36 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
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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.