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.
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
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 | $78K – $159K | $53K | 5.0% | 550 |
| SENIOR HELPERS | $149K – $221K | $55K | 5.0% | 355 |
| ALWAYS BEST CARE SENIOR SERVICES | $90K – $146K | $50K | 6.0% | 275 |
| COMFORCARE HOME CARE | $73K – $164K | $59K | 5.0% | 248 |
| FIRSTLIGHT HOME CARE | $127K – $219K | $50K | 5.0% | 238 |
Senior Care Average 43 franchises | $158K – $336K | $62K | 5.7% | – |
* 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
SBA 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.
Franchisee Contacts
71 franchisee contacts on file from official FDD filings.
| Name | SBA Loan |
|---|---|
John Smith ABC Franchise LLC | $350,000 2023 · Active |
John Smith ABC Franchise LLC | $350,000 2023 · Active |
John Smith ABC Franchise LLC | $350,000 2023 · Active |
John Smith ABC Franchise LLC | $350,000 2023 · Active |
John Smith ABC Franchise LLC | $350,000 2023 · Active |
71 Contacts Available
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Due 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
Frequently 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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