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ELLIE MENTAL HEALTH
Ellie Mental Health franchises operate outpatient counseling and therapy clinics under the “Ellie Mental Health®” service mark, providing counseling, medication management (with franchisor pre-approval), and therapeutic products and services by licensed clinical counselors, therapists, and prescribers. The business model offers two paths: Direct Ownership Model for licensed providers or Managed Operation Model where franchisees provide management services to a practice entity owned by licensed providers, using a proprietary system including EHR, billing, and branding standards. The target market includes individuals, couples, families, and groups of all ages seeking mental health care services.
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Franchise Costs
7.5% Qualified Clinician/Prescriber System Fees (capped at $1k/$3k per) + 7.5% Shared Services Fee + $100/mo Marketing Fee per provider (to brand fund) + Technology Fees ($150/mo per clinician + $400/mo per prescriber + $22/mo per email) + $500/qtr LMS fee
Financial Performance
Item 19 Financial Performance
Data Based On: 167 franchised clinics open and operating for the entire 12-month period ended December 31, 2024. Revenue data presented for 151 of these clinics (30 from 2022 cohort, 121 from 2023 cohort).
* Weighted average revenue calculated for 151 franchised clinics (30 clinics from 2022 cohort with average $850,060 and 121 clinics from 2023 cohort with average $620,129). Formula: ((30 * $850,060) + (121 * $620,129)) / 151 = $665,810.66. The introductory text on Page 1 states the information is taken from 167 franchised clinics, but the revenue data is only provided for two subsets totaling 151 clinics. The document explicitly states that Collected Revenue does not reflect costs or expenses, thus profit metrics cannot be determined.
Extracted Item 19 Section
Avg. Revenue: $665,811
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Unlock financial performance dataELLIE MENTAL HEALTH Franchise Analysis
Mental health franchising is surging, and Ellie Mental Health, launched in 2021, stands out with its dual ownership models for clinics serving all ages. Item 19 earnings data paints a promising revenue picture for mature units, backed by strong SBA lending activity that suggests franchisees secure funding effectively. Yet, a trail of litigation involving service delivery complaints raises questions: can this rapid expander deliver on its proprietary systems without stumbling?
Item 7 outlines initial investment from $392,275 to $679,575, covering buildout, equipment, and three months' operating reserves for these outpatient therapy clinics. Ongoing fees hit hard at 7.5% royalty on gross revenues, plus a 7.5% shared services fee, clinician-specific charges up to $1,000-$3,000 monthly caps, $100 per provider marketing, tech fees ($150-$400/month per clinician/prescriber), and quarterly LMS costs—potentially 15%+ of sales total. Item 19 reveals average gross revenue of $665,811 across disclosing units, a solid figure for a system averaging under three years old, implying scalability in high-demand mental health but no profit breakdowns, so operators must factor 50-60% costs for therapists and overhead.
System metrics in Item 20 show resilience: 255 locations up 6% from 240 in 2024, just 3 terminations, 6 transfers, and 85 projected new units signaling aggressive expansion. SBA data shines with 121 loans averaging $181,003 and a tiny 0.8% default rate, far below industry norms, indicating viable financing and low distress. However, litigation in Item 3 details franchisee suits over misrepresented EHR, billing, and credentialing support, plus noncompete battles—red flags for operational execution risks despite revenue allure, demanding scrutiny of vendor reliability before investing.
Analysis based on the 2025 Franchise Disclosure Document. All figures should be independently verified before making investment decisions.
How ELLIE MENTAL HEALTH Compares
Key Insights
- Higher investment than 83% of Healthcare Services franchises
- #2 largest franchise system in Healthcare Services
- Lower than average SBA loan default rate in Healthcare Services
| Franchise | Investment | Fee | Royalty | Locations |
|---|---|---|---|---|
ELLIE MENTAL HEALTH Current | $392K – $680K | $60K | 7.5% | 255 |
| Gameday Men's Health | $225K – $410K | $50K | 6.0% | 257 |
| ASSISTING HANDS (UNIT) | $98K – $181K | $55K | 5.0% | 232 |
| Interim Healthcare | $156K – $239K | $75K | 5.5% | 226 |
| Vital Care | $556K – $1.0M | $60K | 19.3% | 108 |
| Success On The Spectrum | $339K – $869K | $45K | 5.0% | 74 |
Healthcare Services Average 24 franchises | $217K – $492K | $58K | 6.8% | – |
* Comparison based on latest FDD filings. Investment ranges from Item 7, fees from Item 5. Showing top 5 of 24 Healthcare Services franchises by location count.
Locations & Growth
Outlet Growth Over Time
Total outlets at end of each year
Geographic Distribution (2025)
Outlets by state across the United States
+35 more states
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Unlock location growth dataSBA Loan History
Historical SBA 7(a) loan data for ELLIE MENTAL HEALTH franchisees (2022 – 2025)
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.
121 SBA loans on record
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Unlock SBA loan historyFranchisee Contacts
177 franchisee contacts on file from official FDD filings.
177 Contacts Available
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Unlock contactsDue Diligence
Litigation (Item 3)
Primarily franchisee and former franchisee claims alleging misrepresentations, failure to provide services (EHR systems, billing, credentialing), violations of franchise acts, fraud, and breach of contract; plus franchisor-initiated noncompete enforcement actions with similar counterclaims.
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 ELLIE MENTAL HEALTH franchise ranges from $392,275 to $679,575. This includes a franchise fee of $60,000. Ongoing royalty fees are 7.5% of gross sales.
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