ATC Healthcare Services franchise
2025 filing · January 23, 2025Fewer locationsShares sales figures
ATC Healthcare Services at a glance
A medical staffing office placing nurses and other healthcare professionals in temporary and permanent roles with healthcare facilities. At the end of 2024 there were 42 ATC Healthcare Services locations in the US, 37 franchised and 5 company-owned.
The business
- Franchisor
- ATC Healthcare Services, LLC
- The company that sells the franchises
- Franchising since
- 1996
- 29 years of selling franchises
- Franchisor based in
- New Hyde Park, New York
What you pay
- Cost to open
- $159K–$302K
- A new ATC Healthcare Services office
- Franchise fee
- $50,000
- Paid once, when you sign
- Royalty
- 45% of gross margin
- ATC bills clients and keeps 45% of the gross margin on temporary and temp-to-hire placements as its royalty, paying the owner the rest; converting owners pay 30% on their existing business for the first two years
- Brand fund
- 1%
- 1% of revenue, paid monthly
- Renewal fee
- $5,000
- When the agreement ends and you sign again
- Agreement length
- 10 years
- Territory
- Protected
- Protected territory
Where it is
- US locations, 2024
- 42
- Franchised and company-owned
- Franchised
- 37
- Company-owned
- 5
- Change in 3 years
- −18
- Franchised locations, 2022–2024
- States
- 16
- Most in Georgia, Michigan and New York
From ATC Healthcare Services, LLC’s 2025 filing; SBA status from the SBA Franchise Directory, October 28, 2026.
Where it ranks
ATC Healthcare Services among all franchises with the same figure.
| Figure | ATC Healthcare Services | Among all franchises |
|---|---|---|
| Cost to open, midpointHalfway between the low and high estimate | $230,000 | Costs less than 65% of franchises |
| Franchise feePaid once, when you sign | $50,000 | Higher than 70% of franchises |
| US locationsFranchised and company-owned | 42 | More than 62% of franchises |
| Sales per locationYearly, as the brand reports it | $3,031,924 | Higher than 95% of brands that share sales figures |
| Sales against cost to openYearly sales over the cost midpoint | 13× | Higher than 98% of brands that share sales figures |
How much a ATC Healthcare Services franchise costs
Opening a new ATC Healthcare Services office costs an estimated $158,500 to $301,500. That covers the franchise fee and everything else needed to open, through the first months of working capital.
The biggest costs are additional funds – 9 months ($71,300 to $140,500) and rent – 12 months ($12,000 to $60,000). Here is every line of the estimate as filed:
| What it pays for | Range | Low | High |
|---|---|---|---|
| Initial Franchise Fee | $50,000 | ||
| Rent – 12 Months | $12,000 | $60,000 | |
| Leasehold Improvements | $0 | $5,000 | |
| Equipment, Furnishings and Fixtures | $2,000 | $5,000 | |
| Signage | $200 | $7,500 | |
| Blueprints/Plans | $0 | $1,000 | |
| Initial Inventory | $1,000 | ||
| Security Deposits | $1,000 | $2,000 | |
| Insurance – 12 Months | $3,000 | $4,000 | |
| Travel and Living Expenses While Training | $2,000 | $4,500 | |
| Computer System | $3,000 | $5,000 | |
| Permits/Licenses | $500 | $1,500 | |
| Professional Fees | $1,500 | $2,500 | |
| Online Employee Search | $1,000 | $2,000 | |
| Initial Marketing Fee | $10,000 | ||
| Additional Funds – 9 Months | $71,300 | $140,500 | |
| Total | $158,500 | $301,500 | |
Source: ATC Healthcare Services, LLC, 2025 filing, page 21
ATC Healthcare Services franchise fee
The franchise fee is $50,000. You pay it when you sign the franchise agreement.
Source: ATC Healthcare Services, LLC, 2025 filing, page 12
Royalty and ongoing fees
| Royalty | ATC bills clients and keeps 45% of the gross margin on temporary and temp-to-hire placements as its royalty, paying the owner the rest; converting owners pay 30% on their existing business for the first two years. |
|---|---|
| Brand or marketing fund | 1% of revenue, paid monthly. |
| Computer Fees (Maintenance and Updates) | $1,000 |
| Renewal Fee | $5,000 |
| Local Advertising | $500 or 2% of Total Revenue, whichever is greater |
The typical franchise royalty is 6% of sales, plus 2% for marketing. See franchise fees and royalties to compare.
Source: ATC Healthcare Services, LLC, 2025 filing, page 13
Other fees as filed, from pages 13–15. The filing lists every fee, including late fees and audit costs.
Sales and earnings
Shares figures ATC Healthcare Services publishes sales or earnings figures for its locations. The full tables, with notes on which locations are counted, are in its filing.
- Average revenue
- $3,031,924
Yearly figures for fiscal 2024 (year to September 30, 2024), covering franchised branches open at least one year at September 30, 2024 (eight cover more than one territory) (34 locations). The filing gives an average for each age group rather than one overall figure; this is the overall average worked out from those and each one's number of locations. The average is about 13 times the midpoint of the cost to open.
Sales are what a location takes in before rent, payroll, royalties and other costs, not what its owner keeps.
Source: ATC Healthcare Services, LLC, 2025 filing, page 53
Growth and closures
Share of franchised locations, 2024 / 2022–2024. Typical means the median: half of brands are above it, half below.
| Measure | ATC Healthcare Services | Typical staffing brand | Typical franchise |
|---|---|---|---|
| GrowthNet change in franchised locations | −47% / −33% | −4.2% / −7.2% | +1.2% / +10% |
| ClosuresTerminated, not renewed or stopped operating | 40% / 67% | 14% / 37% | 3.9% / 16% |
| Bought backLocations the franchisor took back | 7.1% / 9.1% | 0% / 0% | 0% / 0% |
Typical staffing brand is the median of the 12 brands in staffing franchises with three years of counts.
How ATC Healthcare Services compares
Of the 31 staffing franchises on this site, ATC Healthcare Services is the 28th cheapest to open and the 14th largest by number of locations.
| Figure | ATC Healthcare Services | Typical staffing brand | Typical franchise |
|---|---|---|---|
| Cost to open, low end | $159K | $85K | $222K |
| Cost to open, high end | $302K | $145K | $477K |
| Franchise fee | $50K | $40K | $40K |
| Brand fund | 1% | 1.5% | 2% |
| Sales per location | $3.03M | – | $794K |
| US locations | 42 | 27 | 21 |
| Shares earnings figures | Yes | 15 of 31 | 2,147 of 3,352 |
Typical is the median across the 31 brands in staffing franchises; typical franchise, across every brand here.
Locations opened and closed
| Year | Franchised | Company-owned | Opened | Closed |
|---|---|---|---|---|
| 2022 | 64 (+9) | 0 | +14 | −5 |
| 2023 | 70 (+6) | 0 | +10 | −4 |
| 2024 | 37 (−33) | 5 | 0 | −33 |
Closed or left counts terminations, non-renewals, locations bought back by the franchisor and locations that stopped operating.
See which brands grew most in the fastest-growing franchises rankings.
More in the guides: franchise failure rates.
Source: ATC Healthcare Services, LLC, 2025 filing, page 56
Where ATC Healthcare Services locations are
At the end of 2024, ATC Healthcare Services had franchised locations in 16 states. The most are in Georgia, Michigan and New York.
- Georgia7
- Michigan5
- New York5
- Alabama3
- South Carolina3
- California2
| State | Franchised |
|---|---|
| Georgia | 7 |
| Michigan | 5 |
| New York | 5 |
| Alabama | 3 |
| South Carolina | 3 |
| California | 2 |
| New Jersey | 2 |
| Pennsylvania | 2 |
| Virginia | 2 |
| Illinois | 1 |
All 16 states
| Indiana | 1 |
|---|---|
| Maryland | 1 |
| North Carolina | 1 |
| Ohio | 1 |
| Oregon | 1 |
| Washington | 1 |
Source: ATC Healthcare Services, LLC, 2025 filing, page 58
Who owns ATC Healthcare Services?
ATC Healthcare Services franchises are sold by ATC Healthcare Services, LLC. It is a subsidiary of ATC Healthcare, Inc.
From ATC Healthcare Services, LLC’s 2025 filing, page 8.
Lawsuits and bankruptcy
| Lawsuits and regulatory actions | None. The filing says no litigation has to be disclosed. |
|---|---|
| Bankruptcy | None. The filing says no bankruptcy has to be disclosed. |
Franchisors must disclose lawsuits and bankruptcies involving the company, its parents and affiliates, and its executives. Many cases are routine disputes with franchisees over fees or contracts; read the descriptions in the filing and ask current owners about anything that worries you.
Source: ATC Healthcare Services, LLC, 2025 filing, litigation on page 12, bankruptcy on page 12
ATC Healthcare Services filings
The figures on this page come from ATC Healthcare Services, LLC’s 2025 filing, issued January 23, 2025, on record with the Minnesota Department of Commerce.
| Filing | Issued | Registry | On this page |
|---|---|---|---|
| 2025 filing | January 23, 2025 | Minnesota | Costs, fees and locations, 2022–2024 |
Each link opens the filing as a PDF. See the newest filings across all brands.
Other staffing franchises
All staffing franchisesATC Healthcare Services is also on these lists: business services franchises.






