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NURSE NEXT DOOR
Nurse Next Door franchises provide non-medical care and skilled nursing services to clients in their homes, including respite care, personal support, companionship, meal preparation, light homemaking, transportation, medication management, dementia care, and general nursing. Franchisees may also offer supplemental healthcare staffing to institutional clients such as hospitals, retirement facilities, and clinics, as well as services funded by government programs like the Department of Veterans Affairs. The business model involves operating under the Nurse Next Door system with required licensing, staffing by registered nurses, and customized care plans targeting individuals needing in-home care to maintain independence.
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Franchise Costs
5% royalty + 1% General Brand Fund + greater of 7% Gross Sales or $300/mo Care Services Center fee + $600/mo Technology Maintenance Fee (includes base licenses; additional user fees apply)
Financial Performance
Item 19 Financial Performance
Data Based On: 35 franchised territories in operation twelve (12) months or longer as of September 30, 2025, with data reflecting Gross Sales from their first twelve months of operation.
* The financial figures represent Gross Sales for franchised territories during their first 12 months of operation. The document explicitly states that these figures do not reflect costs of sales, operating expenses, or other costs/expenses required to obtain net income or profit, hence profit-related fields are set to null.
Extracted Item 19 Section
Avg. Revenue: $221,375
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Unlock financial performance dataNURSE NEXT DOOR Franchise Analysis
In the booming senior care sector, Nurse Next Door stands out with its blend of non-medical and skilled nursing services, but recent system metrics raise eyebrows. Item 19 financial performance representations disclose revenue figures that vary widely, while SBA loan history uncovers a performance trend worth scrutinizing. What does the combination of litigation whispers and unit contraction signal for new investors?
Item 7 outlines an initial investment range of $119,286 to $217,210, with a $72,000 franchise fee. Ongoing fees stack up: 5% royalty, 1% brand fund, plus a Care Services Center fee (greater of 7% gross sales or $300/month) and $600/month technology fee (with add-ons for users). Item 19 reveals average gross revenue of $221,375 but a median of $139,239 across units, suggesting top performers skew the average—realistic expectations lean toward the median for newcomers. SBA data shows 56 loans averaging $171,498, but a 19.6% default rate exceeds category norms, hinting at cash flow pressures in this capital-intensive field.
System health shows contraction from 73 to 71 locations (-3%), with 18 projected new units, 1 non-renewal, and 6 transfers. Litigation includes a resolved arbitration over breach and non-compete issues, plus an ongoing one alleging FDD misrepresentations and fraud (with franchisor counters). Since franchising in 2010 from Vancouver, BC, the model's VA-funded and staffing angles add revenue diversity, but high fees, defaults, and disputes amplify risks—ideal for nurse-led operators with deep healthcare ties, cautious otherwise.
Analysis based on the 2026 Franchise Disclosure Document. All figures should be independently verified before making investment decisions.
How NURSE NEXT DOOR Compares
Key Insights
- Lower than average SBA loan default rate in Senior Care
| Franchise | Investment | Fee | Royalty | Locations |
|---|---|---|---|---|
NURSE NEXT DOOR Current | $119K – $217K | $72K | 5.0% | 71 |
| SYNERGY HOME CARE | $80K – $164K | $55K | 5.0% | 626 |
| RIGHT AT HOME | $75K – $119K | $50K | 5.0% | 566 |
| Visiting Angels | $125K – $171K | $65K | 3.0% | 541 |
| SENIOR HELPERS | $149K – $221K | $55K | 5.0% | 355 |
| ALWAYS BEST CARE SENIOR SERVICES | $90K – $146K | $50K | 6.0% | 275 |
Senior Care Average 43 franchises | $159K – $337K | $62K | 5.6% | – |
* Comparison based on latest FDD filings. Investment ranges from Item 7, fees from Item 5. Showing top 5 of 43 Senior Care 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
+9 more states
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Unlock location growth dataSBA Loan History
Historical SBA 7(a) loan data for NURSE NEXT DOOR franchisees (2013 – 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.
56 SBA loans on record
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Unlock SBA loan historyFranchisee Contacts
71 franchisee contacts on file from official FDD filings.
71 Contacts Available
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Unlock contactsDue Diligence
Litigation (Item 3)
One arbitration involving breach of franchise agreement, termination, non-compete violations, and unpaid fees (with franchisee counterclaims); one ongoing arbitration alleging FDD misrepresentations and fraudulent inducement (with franchisor counterclaims for breach).
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 NURSE NEXT DOOR franchise ranges from $119,286 to $217,210. This includes a franchise fee of $72,000. Ongoing royalty fees are 5.0% of gross sales.
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