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NextHealth
NextHealth franchises health optimization and longevity centers that provide or arrange for the provision of health, wellness, longevity, medical, aesthetic, and related services and treatments, including IV therapy, cryotherapy, injectables, peptide therapies, and speculative medical treatments under physician supervision via management services agreements. Franchisees operate centers offering these services alongside non-medical products, adhering to system standards for non-medical operations and medical standards for physician-supervised services. The target market includes adults interested in advanced wellness and aesthetic services, with some offerings for minors with parental consent, competing with med spas and doctors' offices.
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Franchise Costs
9% royalty + 1% brand fund + $3,000/mo medical director (up to $5,000) + $700/mo technology + $3,000/mo local marketing
Financial Performance
Item 19 Financial Performance
Data Based On: Financial performance data is based on 3 company-owned NextHealth Centers operating for the full year 2024. These centers were selected from a total of 5 company-owned centers, with 2 excluded due to inconsistent characteristics.
* All financial performance data is based on 3 company-owned NextHealth Centers for the calendar year 2024, as no franchised centers were in operation during that period. The data is derived from 'Table 1: All Centers' on Page 2 and 'Table 2: 2024 Year Over Year Growth' on Page 3. Average Gross Revenue, Gross Profit, and EBITDA were calculated by averaging the individual values for Center A, Center B, and Center C provided in Table 2: - Average Gross Revenue: ($5,702,729 + $3,068,016 + $3,253,976) / 3 = $4,008,240. - Median Gross Revenue: The document states the median and average are the same for the 3 centers, thus $4,008,240. - Revenue Top Quartile: Taken as the 'HIGH' Unit Revenue for 2024 from Table 1, which corresponds to Center A's revenue: $5,702,729. - Revenue Bottom Quartile: Taken as the 'LOW' Unit Revenue for 2024 from Table 1, which corresponds to Center B's revenue: $3,068,016. - Average Gross Profit: ($3,889,955 + $2,349,945 + $2,435,586) / 3 = $2,891,829. - Average EBITDA: ($1,752,604 + $634,471 + $887,958) / 3 = $1,091,678. This EBITDA figure also equals Gross Profit minus Operating Expenses for each center, aligning with the definition of 'net profit' before taxes/interest. - EBITDA Margin Percentage: $1,091,678 (Average EBITDA) / $4,008,240 (Average Gross Revenue) = 0.272 (27.2%). - The 'best_guess_profit_high' is set to the Average EBITDA: $1,091,678. - The 'best_guess_profit_low' is based on the average 'Adjusted EBITDA' from Table 2, which includes further deductions for Royalty, Brand Fund, and Local Marketing: ($1,152,331 + $297,670 + $532,560) / 3 = $660,854.
Extracted Item 19 Section
Avg. Revenue: $4,008,240
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Unlock financial performance dataNextHealth Franchise Analysis
NextHealth entered franchising just two years ago with bold claims of revolutionizing health optimization through IV therapies and longevity treatments. Item 19 offers a rare glimpse into early financial performance for such a nascent system, while expansion plans hint at aggressive scaling. Yet with double-digit ongoing fees and a tiny footprint, does this high-tech med spa model justify the multimillion-dollar entry for investors?
Item 7 in the 2025 FDD pegs total investment at $1,593,300 to $2,173,800, including an $80,000 franchise fee, buildout for high-end centers, and equipment for services like cryotherapy and peptides under physician oversight. Ongoing fees stack up steeply: 9% royalty on gross sales, 1% brand fund, $3,000 monthly local marketing minimum, $700 technology fee, and $3,000-$5,000 for a medical director. Item 19 discloses average gross revenue of $4,008,240 and median of the same across five franchised units, with an estimated profit range of $660,854 to $1,091,678—though a reported 0% EBITDA margin raises questions about true profitability after all costs. System health shows five franchised and five corporate locations total, a rapid ramp from zero since 2023, with 28 projected new units signaling franchisor confidence but limited track record.
This trajectory screams high-risk, high-reward: explosive revenue potential in the booming $4M+ per-unit club could yield strong returns if NextHealth scales like med spa peers, but the 0% EBITDA flags razor-thin margins amid heavy fees and regulatory hurdles for medical services. Only five franchised outlets mean Item 19 data lacks statistical power, vulnerable to outliers, and competition from established players like Equinox or local docs intensifies pressure. Investors chasing wellness trends get a premium brand play, but the seven-figure upfront and fee burden demand flawless execution in a space where most new franchisors falter.
Analysis based on the 2025 Franchise Disclosure Document. All figures should be independently verified before making investment decisions.
How NextHealth Compares
Key Insights
- Higher investment than 94% of Health & Wellness Centers franchises
| Franchise | Investment | Fee | Royalty | Locations |
|---|---|---|---|---|
NextHealth Current | $1.6M – $2.2M | $80K | 9.0% | 5 |
| Club Pilates | $385K – $839K | $65K | 8.0% | 1,029 |
| GOLD'S GYM | $1.8M – $4.5M | $40K | 5.0% | 159 |
| OSTEOSTRONG | $276K – $616K | $35K | 7.0% | 153 |
| HEALTHSOURCE CHIROPRACTIC | $310K – $535K | $60K | 7.0% | 130 |
| HEALTHSOURCE CHIROPRACTIC | $83K – $635K | $60K | 7.0% | 129 |
Health & Wellness Centers Average 17 franchises | $599K – $1.3M | $65K | 7.2% | – |
* Comparison based on latest FDD filings. Investment ranges from Item 7, fees from Item 5. Showing top 5 of 17 Health & Wellness Centers franchises by location count.
Franchisee Contacts
1 franchisee contacts on file from official FDD filings.
1 Contacts Available
Unlock all NextHealth franchisee contacts with verified contact information
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 NextHealth franchise ranges from $1,593,300 to $2,173,800. This includes a franchise fee of $80,000. Ongoing royalty fees are 9.0% of gross sales.
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