Vital CareFranchise Cost, Revenue & Review 2026
Data from FDD filing + SBA 7(a) records
FranchiseVerdict summary · 2026
A Vital Care franchise requires a total initial investment of $556K – $1.0M, including a $60K franchise fee. Per the 2025 FDD, average unit revenue was $16.5M[2]. SBA 7(a) loans show a 0.0% charge-off rate across 56 loans[1]. Verdict grade: A. Run a live ROI scan →
Data last verified June 18, 2026 · figures per the 2025 FDD issuance
Overview
- Investment
- $556K – $1.0M
- 68th pct Healthcare
- Avg gross sales
- $16.5M
- 47th pct Healthcare
- Royalty
- N/A
- Units
- 110
- 62nd pct Healthcare
- SBA default
- 0.0%
- system-wide median varies by category
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
Each dollar invested generates 21.1x in gross revenue, well above the typical 1.5-2.5x range.
Only 0.0% of 56 SBA loans charged off, well below the 16% franchise average.
Franchising since 1986. Systems this mature have refined operations and brand recognition.
The system grew 46% year-over-year. Fast growth means demand, but can strain support.
Bottom line
- Total investment $556K – $1.0M including a $60K franchise fee.
- Average unit revenue of $16.5M/year (median $9.3M).
- Verdict A (Top Quintile) with a risk score of 5/100. SBA loan charge-off rate of 0.0% across 56 loans (well below the franchise average, based on all SBA 7(a) franchise lending, 2010–2024).
- System growing at 71.4% CAGR over 3 years with 110 total units. Strong expansion trajectory.
Item 1 · who you're contracting with
The Franchisor
- Legal entity
- Vital Care Infusion Services, LLC
- Parent company
- Vital Care Holdings, LLC
- Incorporated in
- DE
- HQ
- 12 Cadillac Drive, Unit 230, Brentwood, Tennessee 37027
- Auditor
- Grant Thornton LLP
- Audited financials
- Franchisor revenue
- $92.7M
- vs $135.8M prior year
Overview
About
Vital Care franchisees operate healthcare clinics (likely urgent care, occupational health, or specialty medical services) managing patient intake, clinical staff, and revenue across multiple service lines (specialty, non-specialty, access). Daily operations involve managing patient flow, ensuring compliance, reporting gross revenue by category for tiered royalty calculations, and maintaining territory exclusivity.
- CEO
- Stephen Foreman
- Headquarters
- TN
- Founded
- 1986
- FDD year
- 2025
- States available
- 34
FDD Item 7 · 2025 filing
Initial investment breakdown
| Cost component | Low | High |
|---|---|---|
| Initial franchise fee | $60K | $60K |
| Working capital (3–6 mo) | $274K | $367K |
| Equipment, build-out, other | $222K | $579K |
| Total initial investment | $556K | $1.0M |
Source: Vital Care 2025 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
$3.0M
18.0% margin
Unlevered ROIC
269%
EBITDA / total invested capital
Payback
4 mo
cash-on-cash, unlevered
Item 7 · what it costs to open + operate
The Vitals
- Total investment
- $556K – $1.0M
- Below avg, review vs category
- Liquid capital req'd
- $274K – $367K
- Below avg, review vs category
- Franchise fee
- $60K – $60K
- Near category avg vs category
- Royalty
- The aggregate of: 19.25% of Gross Revenue (Non-Specialty)…
- Ad fund
- 1.0%
- typical 3–5%
- Total fee load
- 20.8%
- vs 9–13% typical
Ongoing fees · Item 6
| Fee | Amount |
|---|---|
| Royalty (flat) | Complex tiered structure: 19.25% Non-Specialty, 10.25% Specialty, 3.25% Select Specialty, 1.75% Access, plus potential 0-2% increase |
| Marketing / ad fund | 1.0% of gross sales |
| Technology fee | $0 |
| Transfer fee | $100K |
| Renewal fee | $4K |
| Total fee load | 20.8% of rev |
At 20.8% total fee load, roughly $3417K per year goes to the franchisor before you pay a single operating expense.
Financial Performance
- Avg gross sales
- $16.5M
- Per unit, per year
- Median gross sales
- $9.3M
- Item 19 type
- gross_sales
- Sample size
- 73 units
- vs category median 12 · large
- Range (low → high)
- $205K→$99.0M
- Cohort dispersion (min → max)
- Quartile band
- $1.3M→$45.4M
- Bottom 25% → top 25%
- Reporting year
- 2024
- Fiscal year the figures cover
- Transparency
- 4 / 5
- vs category median 4 / 5 · typical
Compared against 201 Healthcare brands
Revenue is 21.1x the investment midpoint. At typical franchise margins, this suggests a payback under 3 years.
vs Healthcare averages
How Vital Care Compares
Unit growth
Item 20 · unit dynamics
The Growth Chart
- Total units
- 110
- Opened
- 35
- Last reporting year
- Closed
- 1
- Turnover rate
- 0.9%
- Company-owned
- 2
- Corporate units in the system
- % franchised
- 98%
- vs corporate-owned
- Net growth (yr3)
- +45.9%
- Net unit change last year
- 3-yr CAGR
- +71.4%
- Compounded over last 3 years
3-year detail · Item 20
- Transfers (3yr)
- 18
- Transfer rate
- 16.4%
- Owners selling to other franchisees
Year-over-year franchised unit counts and net change. Source: FDD Item 20.
Item 20 · 31 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
- 56
- Loan volume
- $51.0M
- Median loan
- $900K
- 50th percentile
- Charge-off rate
- 0.0%
- 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)
- 100.0%
- 5-yr charge-off
- 0.0%
- Loans approved 2021+
- Active lenders
- 17
- Defaults
- 0
Explore lender portfolios on Bank Reports or regional data on State Reports.
Premium insight
SBA Lending Report
Deep-dive into Vital Care'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
- 10-year lending trend
- SBA 504 real estate/equipment data
Instant access. No subscription.
With a 0.0% charge-off rate across 56 loans, banks have historically viewed this brand favorably for lending.
Risk analysis
FranchiseVerdict rating + FDD Items 3, 5, 6, 12, 17
Risk & Legal
Vital Care presents moderate-to-cautious risk: rapid expansion and opaque profitability metrics conflict with franchisor stability concerns, while complex royalty tiers and missing financial disclosures obscure true unit economics.
Litigation (Item 3)
No litigation required to be disclosed
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
- Must buy proprietary products: Yes
- Restricted to system-approved products: Yes
- Can negotiate own supplier terms: No
Score breakdown · what drove the 5 / 100 rating
- 01MINORNo net income disclosure (Item 19) prevents accurate ROI assessment despite high average revenue of $16.5M
- 02MINORTiered royalty structure (1.75%-19.25%) is complex and potentially punitive; additional 0-2% kick-in at $10M revenue creates perverse incentive against growth
- 03MINORExplosive 45.9% YoY unit growth (110 units) suggests either rapid market expansion or aggressive recruitment; sustainability and franchisee profitability unknown
- 04HIGHGoing Concern status is FALSE — indicates financial instability or structural concerns at franchisor level
- 05MINORHigh initial investment ($555K-$1M) combined with multi-tiered royalties creates significant cash flow risk if franchisee falls below specialty/access categories
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 | 10 years |
| Allowed renewalsℹ | 2 |
| Territory type | Geographic |
| Protected territory | Yes |
| Exclusive territoryℹ | No |
| Online sales rightsℹ | Restricted |
| Franchisor can compete | Yes |
| Hire a manager? | Allowed |
| Owner-operator | Optional |
| Non-compete (years)ℹ | 2 years |
| Non-compete (miles)ℹ | 10 mi |
| Right of first refusalℹ | Yes |
| Transfer requires consent | Yes |
| Termination notice | 30 days |
| Mandatory arbitration | Yes |
| Arbitration location | Brentwood, Tennessee |
| Jury trial waiver | Yes |
| Governing law | Tennessee |
| Litigation count | 0 |
View Item 3 litigation summary
No litigation required to be disclosed
Items 10, 11
Training & Operations
- Classroom training
- 63 hrs
- On-the-job training
- 0 hrs
- Training location
- On-site and corporate
- Ongoing training
- Required
- POS system
- Vital Systems by CareTend
- Operating tech stack
Items 5 & 11
Franchisor Support
Technology: Vital Systems by CareTend
Item 20 · call current owners
Franchisee Contacts
97 owners to call
Name · phone · city · state. Extracted from FDD Item 20
FDD download
Vital Care · FDD (2025) PDF
Frequently asked questions
Frequently Asked Questions
How much does it cost to open a Vital Care franchise?
The total investment to open a Vital Care franchise ranges from $556K – $1.0M, with an initial franchise fee of $60K. This includes real estate, equipment, inventory, and working capital as disclosed in their Franchise Disclosure Document (FDD).
What do Vital Care franchise owners earn?
According to Item 19 of the Vital Care FDD, the average gross sales per unit is $16.5M. The median is $9.3M. Note: this is gross revenue, not profit. Actual owner earnings vary based on location, operating costs, and management.
What is Vital Care's franchise failure rate?
Based on SBA 7(a) loan data, Vital Care has a charge-off rate of 0.0% across 56 loans, meaning 0.0% 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 Vital Care franchise locations are there?
As of their most recent FDD filing, Vital Care has 110 total units in the United States, including 63 franchised units and 2 company-owned units. 35 new units were opened in the latest reporting year.
Is Vital Care a good franchise to buy?
FranchiseVerdict rates Vital Care as a A-grade franchise with a risk score of 5 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.
For franchisors
Are you the franchisor?
If you represent Vital Care, you can request corrections or provide updated information.
Claim this brandOther Healthcare franchises
Compare similar franchise opportunities in the Healthcare category
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.