Health Mart franchise
An independent retail pharmacy operating under the Health Mart brand. At the end of its 2026 fiscal year there were 3,908 Health Mart locations in the US, 3,907 franchised and 1 company-owned.
- Cost to open
- $2K–$128K
- Franchise fee
- $0
- Royalty
- $390 monthly; optional services extra
- Locations, 2026
- 3,908−750 in 3 yrs
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Company snapshot
- SBA loans
- Not on the SBA Franchise Directory
From HEALTH MART SYSTEMS INC’s 2026 filing; SBA status from the SBA Franchise Directory, October 28, 2026.
How much a Health Mart franchise costs
Opening Existing pharmacy costs an estimated $2,470 to $127,970. That covers the franchise fee and everything else needed to open, through the first months of working capital.
Source: HEALTH MART SYSTEMS INC, 2026 filing, page 19
Health Mart franchise fee
The franchise fee is $0. You pay it when you sign the franchise agreement.
Source: HEALTH MART SYSTEMS INC, 2026 filing, page 14
Royalty and ongoing fees
| Royalty | A $390 monthly fee, subject to adjustments for service costs; optional services and required purchases are additional. |
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The typical franchise royalty is 6% of sales, plus 2% for marketing. See franchise fees and royalties to compare.
Source: HEALTH MART SYSTEMS INC, 2026 filing, page 15
Sales and earnings
No figures Health Mart does not share sales or profit figures for its locations. Talking to current and former franchise owners is the usual way to learn what a location earns.
Source: HEALTH MART SYSTEMS INC, 2026 filing, page 42
Locations opened and closed
| Year | Franchised | Company-owned | Closed |
|---|---|---|---|
| 2024 | 4,543 (−114) | 1 | 573 |
| 2025 | 4,346 (−197) | 1 | 602 |
| 2026 | 3,907 (−439) | 1 | 815 |
Closed or left counts terminations, non-renewals, locations bought back by the franchisor and locations that stopped operating. The outlet table uses fiscal-year labels, including 2026; these are not complete calendar-year 2026 counts.
See which brands grew most in the fastest-growing franchises rankings.
Health Mart is number 19 on our list of the largest franchises in the US by locations.
Source: HEALTH MART SYSTEMS INC, 2026 filing, page 43
How Health Mart compares
Of the 39 health and wellness franchises on this site, Health Mart is the cheapest to open and the largest by number of locations.
| Measure | Health Mart | Typical health and wellness |
|---|---|---|
| Cost to open, low end | $2K | $250K |
| Closed or left per year | 14.8% | 8.6% |
| Change in franchised locations, 3 yrs | −16.1% | +23.8% |
| Shares earnings figures | No | 27 of 39 |
Typical is the median across the 39 brands in health and wellness franchises.






