Nurse Next Door franchise
A Nurse Next Door franchisee provides non-medical home care, skilled nursing and permitted healthcare staffing. At the end of 2025 there were 71 Nurse Next Door locations in the US, all franchised.
- Cost to open
- $119K–$217K
- Franchise fee
- $72,000
- Royalty
- 5% + minimum
- Locations, 2025
- 71+21 in 3 yrs
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Company snapshot
- SBA loans
- On the SBA Franchise Directory
From NURSE NEXT DOOR HOME HEALTHCARE SERVICES (USA) INC’s 2025 filing; SBA status from the SBA Franchise Directory, October 28, 2026.
How much a Nurse Next Door franchise costs
Opening one franchise costs an estimated $119,286 to $217,210. That covers the franchise fee and everything else needed to open, through the first months of working capital.
Source: NURSE NEXT DOOR HOME HEALTHCARE SERVICES (USA) INC, 2025 filing, page 28
Nurse Next Door franchise fee
The franchise fee is $72,000. You pay it when you sign the franchise agreement.
Source: NURSE NEXT DOOR HOME HEALTHCARE SERVICES (USA) INC, 2025 filing, page 16
Royalty and ongoing fees
| Royalty | 5% of gross sales, subject to annual minimum royalties. |
|---|
The typical franchise royalty is 6% of sales, plus 2% for marketing. See franchise fees and royalties to compare.
Source: NURSE NEXT DOOR HOME HEALTHCARE SERVICES (USA) INC, 2025 filing, page 18
Sales and earnings
Shares figures Nurse Next Door publishes sales or earnings figures for its locations: Historical sales are grouped by territory and operating age.. The full tables, with notes on which locations are counted, are in its filing.
Source: NURSE NEXT DOOR HOME HEALTHCARE SERVICES (USA) INC, 2025 filing, page 55
Locations opened and closed
| Year | Franchised | Company-owned | Closed |
|---|---|---|---|
| 2023 | 74 (+24) | 0 | 6 |
| 2024 | 73 (−1) | 0 | 19 |
| 2025 | 71 (−2) | 0 | 12 |
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.
Source: NURSE NEXT DOOR HOME HEALTHCARE SERVICES (USA) INC, 2025 filing, page 60
How Nurse Next Door compares
Of the 23 home care franchises on this site, Nurse Next Door is the 13th cheapest to open and the 13th largest by number of locations.
| Measure | Nurse Next Door | Typical home care |
|---|---|---|
| Cost to open, low end | $119K | $104K |
| Royalty | 5% | 5% |
| Closed or left per year | 18% | 5.3% |
| Change in franchised locations, 3 yrs | +42% | +23.5% |
| Shares earnings figures | Yes | 22 of 23 |
Typical is the median across the 23 brands in home care franchises.
