Nurse Next DoorFranchise Cost, Revenue & Review 2026
Data from FDD filing + SBA 7(a) records
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 2026 FDD, average unit revenue was $221K[2]. SBA 7(a) loans show a 19.2% charge-off rate across 52 loans[1]. Verdict grade: C. Run a live ROI scan →
Data last verified June 21, 2026 · figures per the 2026 FDD issuance
Overview
- Investment
- $119K – $217K
- 43rd pct Home Services
- Avg gross sales
- $221K
- 4th pct Home Services
- Royalty
- 5.0%
- 5th pct Home Services
- Units
- 71
- 47th pct Home Services
- SBA default
- 19.2%
- system-wide median varies by category
Quick verdict · Home Services · color = vs category peers
Green = >15% above Home Services 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
Bottom line
- Total investment $119K – $217K including a $72K franchise fee, 5.0% ongoing royalty.
- Average unit revenue of $221K/year (median $139K).
- Verdict C (Average) with a risk score of 65/100. SBA loan charge-off rate of 19.2% across 52 loans (above the 16% franchise average, based on all SBA 7(a) franchise lending, 2010–2024).
Item 1 · who you're contracting with
The Franchisor
- Legal entity
- NURSE NEXT DOOR HOME HEALTHCARE SERVICES (USA) INC.
- Parent company
- Nurse Next Door Professional Homecare Services Inc.
- Incorporated in
- WA
- HQ
- Suite 300 – 1788 West 5th Avenue, Vancouver, British Columbia V6J 1P2
- Auditor
- KPMG LLP
- Audited financials
- Franchisor revenue
- $4.8M
- vs $5.4M prior year
Overview
About
Franchisees operate in-home senior care services, recruiting and managing licensed nurses and caregivers to provide services like personal care, medication management, and companionship. Day-to-day operations involve client acquisition, caregiver scheduling and payroll, quality assurance, and regulatory compliance with state healthcare licensing requirements.
- CEO
- Cathy Thorpe
- Founded
- 2010
- FDD year
- 2026
- States available
- 20
FDD Item 7 · 2026 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 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
$29K
13.0% margin
Unlevered ROIC
14%
EBITDA / total invested capital
Payback
7.1 yrs
cash-on-cash, unlevered
Item 7 · what it costs to open + operate
The Vitals
- Total investment
- $119K – $217K
- Near category avg vs category
- Liquid capital req'd
- $20K – $50K
- Near category avg vs category
- Franchise fee
- $68K – $90K
- Below avg, review vs category
- Royalty
- 5.0%
- Gross Sales · 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 | $10 |
| 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.
Financial Performance
- Avg gross sales
- $221K
- Per unit, per year
- Median gross sales
- $139K
- Item 19 type
- gross_sales
- Sample size
- 35 units
- vs category median 25
- Range (low → high)
- $0→$771K
- Cohort dispersion (min → max)
- Transparency
- 4 / 5
- vs category median 4 / 5 · typical
Compared against 349 Home Services brands
vs Home Services averages
How Nurse Next Door Compares
Unit growth
Item 20 · unit dynamics
The Growth Chart
- Total units
- 71
- Opened
- 10
- Last reporting year
- Closed
- 11
- Turnover rate
- 15.5%
- Company-owned
- 0
- Corporate units in the system
- % franchised
- 100%
- vs corporate-owned
- Net growth (yr3)
- -2.7%
- Net unit change last year
- 3-yr CAGR
- -4.1%
- Compounded over last 3 years
3-year detail · Item 20
- Transfers (3yr)
- 6
Year-over-year franchised unit counts and net change. Source: FDD Item 20.
Item 20 · 27 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
- 52
- Loan volume
- $9.1M
- Median loan
- $150K
- 50th percentile
- Charge-off rate
- 19.2%
- 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
Vintage analysis
Nurse Next Door charge-off rate by loan vintage
Explore lender portfolios on Bank Reports or regional data on State Reports.
Premium insight
SBA Lending Report
Deep-dive into Nurse Next Door'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
- 12-year lending trend
- SBA 504 real estate/equipment data
Instant access. No subscription.
Risk analysis
FranchiseVerdict rating + FDD Items 3, 5, 6, 12, 17
Risk & Legal
Nurse Next Door presents HIGH RISK due to shrinking franchise system, multiple active litigations involving material misrepresentation and licensure claims, undisclosed profitability metrics, and franchisor going concern issues.
Audited financials (Item 21)
Yes · KPMG LLP
Franchisor revenue (Item 21)
Franchisor entity revenue (not unit-level)
Score breakdown · what drove the 65 / 100 rating
- 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
- 04HIGHGoing Concern status is FALSE, suggesting potential financial viability questions at franchisor level
- 05MINORHigh franchise fee ($72K) relative to initial investment floor creates risk if franchisees underperform
- 06MINORCalifornia investigation regarding earnings representations indicates potential disclosure violations in Item 19
- 07MINORFlorida franchisee lawsuit alleging misrepresentations on licensure directly impacts regulatory compliance and operations
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 | 5 years |
|---|---|
| Renewal term | 5 years |
| Allowed renewalsℹ | 1 |
| Territory type | Zip Codes |
| Protected territory | Yes |
| Online sales rights | Restricted |
| Franchisor can compete | Yes |
| Hire a manager? | Allowed |
| Owner-operator | Required |
| Non-compete (years)ℹ | 2 years |
| Right of first refusalℹ | Yes |
| Termination notice | 30 days |
| Mandatory arbitration | Yes |
| Jury trial waiver | Yes |
| Governing law | Washington |
| Litigation count | 4 |
Items 10, 11
Training & Operations
- Classroom training
- 32 hrs
- On-the-job training
- 6 hrs
- POS system
- AlayaCare
- Operating tech stack
Items 5 & 11
Franchisor Support
Technology: AlayaCare
Item 20 · call current owners
Franchisee Contacts
72 owners to call
Name · phone · city · state. Extracted from FDD Item 20
FDD download
Nurse Next Door · FDD (2026) PDF
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. Note: this is gross revenue, not profit. Actual owner earnings vary based on location, operating costs, and management.
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 19.2% across 52 loans, meaning 19.2% 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 50 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 C-grade franchise with a risk score of 65 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.