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Signal Health Group
Signal Health Group franchises enable operators to provide home-based medical or non-medical services, including medical/hospice, medical/home health, non-medical/wellness and mental health, and non-medical/personal support and companionship, primarily targeting aging and/or disabled clients. Some franchisees also offer supplemental healthcare staffing to institutional clients like hospitals, retirement facilities, and clinics. The business model involves franchising these specialized care services through single-unit or multi-unit development agreements, with franchisees handling licensing and operations under the Signal Health Group system.
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Franchise Costs
5% royalty + 1% brand development fund + $250-$750/mo technology fee
Financial Performance
Item 19 Financial Performance
This franchise did not provide Item 19 financial performance data.
Be careful if you are interested in investing. The lack of financial performance representations may indicate limited data or varying results across franchises.
Extracted Item 19 Section
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Unlock financial performance dataSignal Health Group Franchise Analysis
Imagine breaking into the booming home healthcare sector without a massive upfront investment—Signal Health Group positions itself as that rare opportunity. Recent FDD documents highlight rapid expansion and a lean operational model, yet the lack of Item 19 earnings data creates a compelling mystery. Does this system's impressive trajectory compensate for the financial black box?
Item 7 in the 2025 FDD lays out an unusually low entry: total investment of $33,200-$64,800, including a $29,500 franchise fee. Ongoing fees include 5% royalty, 1% brand development fund, and $250-$750 monthly technology fee. With only 18 franchise locations and 2 corporate-owned, alongside 2 SBA loans averaging $85,700, the capital requirements suggest accessibility for semi-absentee or hands-on operators in medical/non-medical care for seniors and disabled clients. However, no Item 19 means no disclosed revenue or profit figures, forcing investors to scrutinize costs against unverified performance in a high-demand field.
System health per Item 20 shows strong momentum: from 13 units in 2023 to 18 in 2024 (+38% growth), with 9 projected new units. Franchising since 2018 from Las Vegas, NV, this young brand has avoided heavy contraction, but sparse SBA activity and undisclosed earnings signal caution. For risk-tolerant investors eyeing senior care's tailwinds, the sub-$65K startup could yield outsized returns if client acquisition scales—but without validated financials, it's a bet on growth projections over proven unit economics.
Analysis based on the 2025 Franchise Disclosure Document. All figures should be independently verified before making investment decisions.
How Signal Health Group Compares
Key Insights
- One of the lowest investment costs in Healthcare Services (ranked #2 of 24)
| Franchise | Investment | Fee | Royalty | Locations |
|---|---|---|---|---|
Signal Health Group Current | $33K – $65K | $30K | 5.0% | 18 |
| Gameday Men's Health | $225K – $410K | $50K | 6.0% | 257 |
| ELLIE MENTAL HEALTH | $392K – $680K | $60K | 7.5% | 255 |
| 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 |
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 (2024)
Outlets by state across the United States
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Unlock location growth dataSBA Loan History
Historical SBA 7(a) loan data for Signal Health Group franchisees (2021 – 2023)
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.
2 SBA loans on record
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Unlock SBA loan historyFranchisee Contacts
17 franchisee contacts on file from official FDD filings.
17 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 Signal Health Group franchise ranges from $33,200 to $64,800. This includes a franchise fee of $29,500. Ongoing royalty fees are 5.0% of gross sales.
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