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ATC Healthcare Services
ATC Healthcare Services franchises operate businesses that provide temporary and permanent staffing solutions for medical professionals, including registered nurses, licensed practical nurses, nurse practitioners, certified nursing assistants, and similar healthcare workers, to healthcare facilities such as hospitals, nursing homes, hospices, and medical clinics. The franchisor offers start-up, multi-unit discount packages, and conversion franchise options, with franchisees soliciting clients and personnel within specified territories while adhering to the franchisor's system standards. The business model positions franchisees to compete in the growing medical staffing industry by specializing in local healthcare staffing needs.
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Franchise Costs
45% of gross margin royalty + 1% brand development fee + $1,000/mo technology fee + $90/mo accreditation per state + $1,000/yr ($83/mo) computer maintenance
Financial Performance
Item 19 Financial Performance
Data Based On: 34 ATC Healthcare Services branches operating for at least one year as of September 30, 2024
* Calculated weighted average gross revenue: (16 units * $2,786,986 + 7 units * $2,069,308 + 11 units * $4,000,770) / 34 total units = $3,031,923.59. Weighted average gross margin percent was calculated as: (26 units * 22.89% + 7 units * 23.49% + 8 units * 21.18%) / 41 total units = 22.66%. Note that the total number of reporting franchises used for the gross margin calculation (41) differs from the total for the revenue calculation (34) and the overall stated '34 ATC Healthcare Services branches'. No other profit metrics (Net Income, Net Profit, EBITDA) were provided or could be reasonably estimated from the given data.
Extracted Item 19 Section
Avg. Revenue: $3,031,924
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Unlock financial performance dataATC Healthcare Services Franchise Analysis
Healthcare staffing demands are surging, yet ATC Healthcare Services' franchise system tells a tale of peaks and sharp valleys after nearly 30 years in operation. With Item 19 disclosing revenue figures and a trail of terminations plus transfers painting a volatile picture, the data hints at both high-reward potential and significant risks. Can this established brand rebound, or is the contraction a signal to look elsewhere?
The system's trajectory raises immediate red flags: from 66 total locations in 2023 to just 38 in 2024—a staggering -42% drop—alongside 28 terminations and 8 transfers per the latest FDD. Franchising since 1996 with 37 franchise units and 5 corporate-owned, ATC has shrunk dramatically, suggesting operational or market challenges in medical staffing for nurses and aides to hospitals and clinics. Item 20 litigation and bankruptcy data would need scrutiny, but this contraction implies franchisee struggles, potentially eroding support and brand strength.
Financials tempt with Item 19's average gross revenue of $3,031,924 across units, but the economics bite hard: initial investment $158,500-$301,500 including $50,000 franchise fee, plus a steep 45% royalty on gross margins, 1% brand fund, $1,000/month tech fee, $90/month per-state accreditation, and $83/month computer maintenance. Only 1 SBA loan on record averaging $25,000 signals low lender confidence. High revenues promise scale in a growing industry, but punishing fees could crush margins—expect slim profits unless volumes explode, making this a high-risk bet for experienced operators only.
Analysis based on the 2025 Franchise Disclosure Document. All figures should be independently verified before making investment decisions.
How ATC Healthcare Services Compares
Key Insights
- Higher investment than 79% of Business Services franchises
| Franchise | Investment | Fee | Royalty | Locations |
|---|---|---|---|---|
ATC Healthcare Services Current | $159K – $302K | $50K | 45.0% | 37 |
| Bimbo Foods Bakeries Distribution, LLC | $14K – $607K | N/A | N/A | 6,454 |
| THE UPS STORE (TRADITIONAL) | $216K – $609K | $30K | 5.0% | 4,500 |
| RE/MAX | $37K – $337K | $35K | 1.0% | 2,994 |
| JACKSON HEWITT TAX SERVICE | $71K – $105K | $25K | 15.0% | 2,744 |
| CRUISE PLANNERS | $2K – $21K | $11K | 3.0% | 2,655 |
Business Services Average 198 franchises | $121K – $289K | $47K | 10.2% | – |
* Comparison based on latest FDD filings. Investment ranges from Item 7, fees from Item 5. Showing top 5 of 198 Business Services franchises by location count.
Locations & Growth
Outlet Growth Over Time
Total outlets at end of each year
Geographic Distribution (2024)
Outlets by state across the United States
+6 more states
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Unlock location growth dataSBA Loan History
Historical SBA 7(a) loan data for ATC Healthcare Services franchisees (2016 – 2016)
Loans by Year
SBA 7(a) loan activity over time
* Data sourced from SBA 7(a) FOIA loan records. Default rate calculated from charged-off loans.
1 SBA loans on record
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Unlock SBA loan historyFranchisee Contacts
57 franchisee contacts on file from official FDD filings.
57 Contacts Available
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Unlock contactsDue Diligence
Litigation (Item 3)
Bankruptcy (Item 4)
System Health (Item 20)
Franchise system changes reported in the most recent fiscal year
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Unlock due diligence reportsFrequently Asked Questions
The total initial investment to open a ATC Healthcare Services franchise ranges from $158,500 to $301,500. This includes a franchise fee of $50,000. Ongoing royalty fees are 45.0% of gross sales.
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