Nurse Next Door Franchise Cost, Revenue & Review 2026
- Investment
- $119K – $217K
- Disclosed sales
- $221K
- gross sales, not profit
- SBA charge-off
- 40.0%
- on 52 loans
Data from FDD filing + SBA 7(a) records
Analysis by FranchiseVerdict Research · Methodology
Nurse Next Door is a home care franchise providing in-home senior care, from personal care and companionship to medication support. Franchisees run local care offices, recruiting and scheduling caregivers and managing client intake and compliance.
FranchiseVerdict summary · 2026
A Nurse Next Door franchise requires a total initial investment of $119K – $217K, including a $72K franchise fee and an ongoing 5.0% royalty[2]. Per the 2025 FDD, average revenue per territory was $221K. This franchisor reports Item 19 per territory rather than per outlet, so the figure is not comparable with per-outlet averages[2]. SBA 7(a) loans show a 40.0% charge-off rate across 52 loans[1]. FranchiseVerdict grade: F (Weakest tier), an editorial assessment, not investment advice. Run a live ROI scan →
Sources, dates and evidence
FDD issued: · Data extracted: · Last cited check: · Staleness risk: low - issued within the last 12 months
Evidence: strong✓ Investment (Item 7)✓ Item 19 status✓ Units and owners (Item 20)✓ SBA loan coverage✓ Litigation (Item 3)✓ Financial statements (Item 21)✓ Franchisor identityhow this is scored7 of 8 headline figures on this page cite a page of the filing; the rest are marked “Not cited” beside the figure.
Overview
- Investment
- $119K – $217K
- 44th pct Home Services
- Avg gross sales
- $221K
- Per territory, not per outletOutlet subset
- Royalty
- 5.0%
- 8th pct Home Services
- Units
- 71
- 52nd pct Home Services
- SBA charge-off
- 40.0%
- % of SBA 7(a) loans not repaid · median varies by category
Quick verdict · Home Services · color = vs category peers
Green = favorable by >10% vs Home Services median · 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 $119K – $217K including a $72K franchise fee, 5.0% ongoing royalty.
- RETURNSAverage revenue per territory of $221K/year (median $139K) (reported for a subset of outlets rather than the whole system). Averaged per territory, not per outlet - not comparable with per-outlet figures.
- RISKVerdict F (Weakest tier), verdict score 13/100 (higher is better). SBA loan charge-off rate of 40.0% across 52 loans (well above the 16% franchise average, based on all SBA 7(a) franchise lending, 2010–2025).
- GROWTHNegative: net -2 franchised outlets in the latest year (10 opened, 11 closed) (Item 20).
- GROWTHSystem growing at 42.0% CAGR over 3 years with 71 total units. Strong expansion trajectory.
Item 1 · who you're contracting with
The Franchisor
Corporate structure & franchisor financials
- Legal entity
- Nurse Next Door Home Healthcare Services (USA) Inc.
- Parent company
- Nurse Next Door Professional Homecare Services Inc.
- FDD Item 1, page 7 of the 2025 FDD
- CEO title
- President & Chief Executive Officer
- Cathy Thorpe
- Incorporated in
- WA
- HQ
- Suite 300 – 1788 West 5th Avenue, Vancouver, British Columbia V6J 1P2
- Auditor
- KPMG LLP
- Audited financials
- Franchisor revenue
- $5.4M
- vs $4.8M prior year
Overview
About
- CEO
- Cathy Thorpe
- Headquarters
- WA
- Founded
- 2010
- FDD year
- 2025
- States available
- 20
Can you afford it, and what does the money buy?
Entry cost is about typical for a home services franchise (near the category median).
Source: FDD 2025 · Items 5–7
FDD Item 7 · 2025 filing
Initial investment breakdown
| Cost component | Low | High |
|---|---|---|
| Initial franchise fee | $72K | $72K |
| Working capital (3–6 mo) | $20K | $50K |
| Equipment, build-out, other | $27K | $95K |
| Total initial investment | $119K | $217K |
Source: Nurse Next Door 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
- $119K – $217K
- Middle of category vs category
- Liquid capital req'd
- $20K – $50K
- Middle of category vs category
- Franchise fee
- $72K – $72K
- Bottom third — review vs category
- Royalty
- 5.0%
- typical 6–8%
- Ad fund
- 1.0%
- typical 3–5%
- Total fee load
- 6.0%
- vs 9–13% typical
Ongoing fees · Item 6
| Fee | Amount |
|---|---|
| Royalty | 5.0% of gross sales |
| Marketing / ad fund | 1.0% of gross sales |
| Technology fee | $600 |
| Transfer fee | $8K |
| Renewal fee | $7K |
| Total fee load | 6.0% of rev |
A 6.0% total fee load is unusually lean. More of each revenue dollar stays with the franchisee.
What do units actually make?
Average unit sales run 62% below the home services norm.
Averaged per territory, not per outlet - not comparable with per-outlet figures
Reported for a subset of outlets rather than the whole system
Source: FDD 2025 · 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 Nurse Next Door 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
$203K
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 Nurse Next Door 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: 2025 FDD
Financial Performance
Averaged per territory, not per outlet - not comparable with per-outlet figures
Reported for a subset of outlets rather than the whole system
- Avg gross sales
- $221K
- Per territory, per year — not per outlet
- Median gross sales
- $139K
- Per territory, not per outlet
Gross sales are revenue before expenses — not profit. Actual owner earnings depend on rent, labor, royalties, marketing fees, and debt service.
- Item 19 type
- gross sales first 12 months cohort
- Sample size
- 35 territories
- vs category median 32
- Range (low → high)
- $0→$771KNot cited — published from our reading of the franchisor's disclosure document; the page it is printed on has not been located.
- Cohort dispersion (min → max)
- Quartile band
- N/A→$527K
- Bottom 25% → top 25%, per territory
- Reporting year
- 2025
- Fiscal year the figures cover
- Source filing
- FDD 2025
- The FDD edition these figures were read from
- Transparency
- 4 / 10
- vs category median 4 / 10 · typical
Compared against 319 Home Services brands
Operator outlook
What the numbers say
Data-driven interpretation of this brand's financial disclosures, fee structure, and system trajectory.
Unit economics
The average territory generates $221K/year in gross sales. Median is $139K — top performers pull the average up, so a typical unit earns less. Reported for a subset of outlets rather than the whole system.
Fee burden
Total ongoing fee load of 6.0% — below the Home Services median of 8.0%.
Disclosure
Transparency score 4/10 — this franchisor discloses detailed breakdowns (quartiles, segments, or cohort data). Buyers can model unit economics with higher confidence.
Operator retention
System expanding at 42.0% CAGR over 3 years across 71 units — operators are staying and new ones are joining.
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 Home Services medians
How Nurse Next Door Compares
Per territory, not per outlet - the category median is per-outlet only, so no comparison is shown
Category median of published Home Services brands that report the figure; the middle half spans the 25th to 75th percentile and n counts the brands behind it. Medians are used because a few very large systems pull an average far from the typical brand. Revenue is disclosed gross sales, not profit.
Is the system healthy?
Source: FDD 2025 · Item 20
Unit growth
Item 20 · unit dynamics
The Growth Chart
- Total units
- 71
- Opened
- 10
- Last reporting year
- Closed
- 11
- Turnover rate
- 31.0%
- Company-owned
- 0
- Corporate units in the system
- % franchised
- 100%
- vs corporate-owned
- Net growth (3-yr)
- -16.2%
- Net unit change over 3 years
- 3-yr CAGR
- +42.0%
- Compounded over last 3 years
Last fiscal year · Item 20 exits and transfers
- Projected new
- 15
- Franchisor's next-year forecast
Year-over-year franchised unit counts and net change. Source: FDD Item 20.
Item 12 · 20 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.
20
states with franchisees (per FDD Item 12)
A system losing more than 10% of its units year-over-year is a red flag. Check whether closures are concentrated in specific regions.
SBA loan performance
Government records
SBA Loan Data
Aggregated from SBA 7(a) and 504 loan disclosures, public data unique to FranchiseVerdict.
- Total loans
- 52
- Loan volume
- $9.1M
- Median loan
- $150K
- 50th percentile
- Charge-off rate
- 40.0%
- on 52 loans · 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)
- 60.0%
- 5-yr charge-off
- 90.0%
- Loans approved 2021+
- Active lenders
- 14
- Defaults
- 10
- Typical loan rate
- 9.6%
- avg rate to borrowers
- Franchised industry avg
- 7.5%
- brand above franchise avg ↑
- Jobs supported
- 1,052
- 11.6 per loan
- Lender concentration
- 52%
- top lender's share
Borrower mix: 86% went to startups / new businesses, 14% 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
Nurse Next Door charge-off rate by loan vintage
Top lenders financing Nurse Next Door franchisees
Showing 3 of 14 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.
Lender network · 7(a) + 504
SBA Lending Report
Full lending analysis for Nurse Next Door from SBA 7(a) FOIA data.
- Principal loss rate
- 16.2%
- Avg SBA guarantee
- 80%
- Avg interest rate
- 9.59%
- Avg chargeoff amount
- $147K
- Lender concentration
- 51.9%
- Job velocity
- 11.6 per $100K
- Startup risk premium
- +28.2pp
- NAICS benchmark
- 5.7%
- NAICS 621610
- Jobs supported
- 1,052
Top SBA lendersTop lender holds 52% of loans
| # | Lender | Loans | Volume | Default % |
|---|---|---|---|---|
| 1 | CDC Small Business Finance Corp. | 27 | $5.1M | 85.7% |
| 2 | Stearns Bank National Association | 6 | $722K | 0.0% |
| 3 | United Midwest Savings Bank National Association | 5 | $750K | 33.3% |
| 4 | The Huntington National Bank | 2 | $213K | 0.0% |
| 5 | SouthState Bank, National Association | 2 | $248K | 0.0% |
| 6 | First Business Bank | 2 | $225K | 50.0% |
| 7 | Access to Capital for Entrepreneurs | 1 | $136K | 0.0% |
| 8 | BMO Bank National Association | 1 | $95K | 100.0% |
| 9 | Tandem Bank | 1 | $150K | 100.0% |
| 10 | Cadence Bank | 1 | $937K | N/A |
Geographic failure vector
| State | Loans | Defaults | Rate |
|---|---|---|---|
| CACalifornia | 10 | 2 | 40.0% |
| TXTexas | 8 | 1 | 25.0% |
| FLFlorida | 7 | 1 | 33.3% |
| VAVirginia | 3 | 1 | 100.0% |
| AZArizona | 2 | 2 | 100.0% |
| GAGeorgia | 2 | 0 | 0.0% |
| IDIdaho | 2 | 0 | 0.0% |
| ILIllinois | 2 | 1 | 100.0% |
| INIndiana | 2 | 0 | -- |
| MOMissouri | 2 | 0 | 0.0% |
SBA 7(a) lending trend
Borrower profile
Source: SBA 7(a) + 504 FOIA loan-level data, matched by FranchiseVerdict
A 40.0% charge-off rate means roughly 1 in 3 franchisees failed to repay their SBA loan. Investigate what changed.
What could kill this investment?
SBA loans charge off at 40.0% — 150% above the 16.0% national norm, i.e. higher 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
Litigation (Item 3)
Subject: the franchisor is a named party (defendant).
Two administrative proceedings (Maryland franchise disclosure violation 2016, California improper FPR 2019/2021); one franchisee arbitration settled for $200,000 to NND (Texas Boy 2020); one pending franchisee arbitration alleging misrepresentation re: Florida licensure (Sipp, filed 2024)
Bankruptcy (Item 4)
None disclosed
Audited financials (Item 21)
Yes · KPMG LLP
Franchisor revenue (Item 21)
Franchisor entity revenue (not unit-level)
Supplier relationship · Items 8 & 16
- Franchisor sells you products: Yes
- Must buy proprietary products: Yes
- Restricted to system-approved products: Yes
- Can negotiate own supplier terms: No
Score breakdown · what drove the 13 / 100 verdict
- 01MINORDeclining unit count (-2.7% YoY) indicates system contraction and potential franchisee dissatisfaction
- 02HIGHMultiple active litigations including material misrepresentation claims regarding licensure—critical for home care operations
- 03MEDNo disclosed average net income despite $119K-$217K investment and $221K average revenue raises profitability concerns
- 04MINORHigh franchise fee ($72K) relative to initial investment floor creates risk if franchisees underperform
- 05MINORCalifornia investigation regarding earnings representations indicates potential disclosure violations in Item 19
- 06MINORFlorida franchisee lawsuit alleging misrepresentations on licensure directly impacts regulatory compliance and operations
Severity inferred from the FDD text · not a regulatory classification
What are you signing up for?
Ongoing fees run about 6.0% 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 | 5 years |
|---|---|
| Renewal term | 5 years |
| Allowed renewalsℹ | 1 |
| Territory type | Protected territory |
| Protected territory | Yes |
| Exclusive territoryℹ | No |
| Territory population | 10,000 |
| Online sales rightsℹ | Restricted |
| Franchisor can compete | Yes |
| Hire a manager? | Allowed |
| Owner-operator | Required |
| Non-compete (years)ℹ | 2 years |
| Non-compete (miles)ℹ | 20 mi |
| Right of first refusalℹ | Yes |
| Transfer requires consent | Yes |
| Termination notice | 30 days |
| Mandatory arbitration | Yes |
| Arbitration location | Seattle, Washington |
| Jury trial waiver | Yes |
| Governing law | WA |
| Litigation count | 4 |
View Item 3 litigation summary
Two administrative proceedings (Maryland franchise disclosure violation 2016, California improper FPR 2019/2021); one franchisee arbitration settled for $200,000 to NND (Texas Boy 2020); one pending franchisee arbitration alleging misrepresentation re: Florida licensure (Sipp, filed 2024)
Items 10, 11
Training & Operations
- Classroom training
- 35 hrs
- On-the-job training
- 0 hrs
- Training location
- Vancouver, British Columbia, Canada or Remote
- Ongoing training
- Required
- Time to open
- 3 mo
- From signing to launch
- Site selection
- Franchisee selects; franchisor approval required for commercial space
- Franchisor financing
- Offered
- Item 10
- POS system
- AlayaCare
- Operating tech stack
Items 5 & 11
Franchisor Support
Technology: AlayaCare
Item 20 · call current owners
Franchisee Contacts
75 owners to call
Name · phone · city · state. Extracted from FDD Item 20
Frequently asked questions
Frequently Asked Questions
How much does it cost to open a Nurse Next Door franchise?
The total investment to open a Nurse Next Door franchise ranges from $119K – $217K, with an initial franchise fee of $72K. This includes real estate, equipment, inventory, and working capital as disclosed in their Franchise Disclosure Document (FDD).
What do Nurse Next Door franchise owners earn?
According to Item 19 of the Nurse Next Door FDD, the average gross sales per unit is $221K. The median is $139K. Important context: Averaged per territory, not per outlet - not comparable with per-outlet figures; 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.
Who owns Nurse Next Door?
Nurse Next Door is franchised by Nurse Next Door Home Healthcare Services (USA) Inc.. Its parent company is Nurse Next Door Professional Homecare Services Inc.. Source: FDD Item 1, 2025 filing.
What is Item 19 in the Nurse Next Door 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 Nurse Next Door FDD and qualifies whose outlets they describe.
What is Nurse Next Door's franchise failure rate?
Based on SBA 7(a) loan data, Nurse Next Door has a charge-off rate of 40.0% across 52 loans, meaning 40.0% 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 Nurse Next Door franchise locations are there?
As of their most recent FDD filing, Nurse Next Door has 71 total units in the United States, including 71 franchised units and 0 company-owned units. 10 new units were opened in the latest reporting year.
Is Nurse Next Door a good franchise to buy?
FranchiseVerdict rates Nurse Next Door as a F-grade franchise with a verdict score of 13 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
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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.